2018-05-15T13:56:45-05:00 2017-06-30 ERNST & YOUNG US LLP 950 MAIN AVENUE SUITE 1800 CLEVELAND OH 44113 990 2016-07-01 361509000 Mount Sinai Hospital Medical Center % LOREN CHANDLER MOUN 7732572636 CALIFORNIA AVENUE AT 15TH STREET CHICAGO IL 60608 LOREN CHANDLER senior evp/coo/ceo 7732575800 2018-05-15 true ERICA YIKE P01608257 2168615000 2016 2022-09-23 18:48:47Z Lori Pacura CALIFORNIA AVENUE AT 15TH ST CHICAGO IL 60608 312147310 false X WWW.SINAI.ORG X 1918 IL See Schedule O 26 25 2407 111 31854 18328 5786881 3775742 321294658 293518455 269368 723122 8192965 14129991 335543872 312147310 800000 800003 0 0 131613083 132366464 0 0 0 192226921 213330184 324640004 346496651 10903868 -34349341 188831820 170012494 186403239 197132724 2428581 -27120230 X SEE SCHEDULE O false false 254919714 800003 196338206 SEE SCHEDULE O. 16193063 0 51569468 SEE SCHEDULE O. 7892453 0 47297 SEE SCHEDULE O. 23915281 0 57126148 302920511 true true false true false false false false false true true false true true true true false true false false false false false false false false true true true false true false false false false false false false false false false false false true true true true false false true X 0 0 true 2407 true true true false false false false false false false false false X 26 25 false false false false true true true true true false false false true true true true true true true true true CA IL X LOREN CHANDLER 7732575658 CALIFORNIA AVENUE AT 15TH STREET CHICAGO IL 60608 X Robert Markin Director & Board Chair 2.0 10.0 X X 0 0 0 Albert Grace Director & Vice Chair 2.0 10.0 X X 0 0 0 Leslie Davis Director & Secretary 2.0 10.0 X X 0 0 0 Jonathan Jonas Director & Treasurer 2.0 10.0 X X 0 0 0 Daniel Ash Director 2.0 10.0 X 0 0 0 John Benevides Director 2.0 10.0 X 0 0 0 Anne Donnelly Director 2.0 10.0 X 0 0 0 Alex Dubuclet Director 2.0 10.0 X 0 0 0 Mark Frisch Director 2.0 10.0 X 0 0 0 Laurie Hernandez Director 2.0 10.0 X 0 0 0 Daniel Katz MD Director 2.0 38.0 X 0 605550 25981 Abraham Morgan Director 2.0 10.0 X 0 0 0 Tom Nodine Director 2.0 10.0 X 0 0 0 Gary Niederpruem Director 2.0 10.0 X 0 0 0 Alex Pissios Director 2.0 10.0 X 0 0 0 Bettylu Saltzman Director 2.0 10.0 X 0 0 0 Robert Shakno Director 2.0 10.0 X 0 0 0 Keith Wakefield Director 2.0 10.0 X 0 0 0 Bob Wolfberg Director 2.0 10.0 X 0 0 0 Roxanne Decyk Director 2.0 10.0 X 0 0 0 Vivian Funches Director 2.0 10.0 X 0 0 0 Alejandra Garza Director 2.0 10.0 X 0 0 0 Wayne Lerner Director 2.0 10.0 X 0 0 0 Josh Metnick Director 2.0 10.0 X 0 0 0 Lee Miller Director 2.0 10.0 X 0 0 0 Sr Immacula Wendt Director 2.0 10.0 X 0 0 0 Karen Teitelbaum CEO 28.4 13.6 X 747897 0 7954 Charles Weis Jr CFO 26.0 17.0 X 518321 0 13667 Lori Pacura President 20.0 38.0 X 274015 0 15396 Loren Chandler Exec. VP & COO 28.8 11.2 X 408648 0 20035 James Wilson Vice President - Finance 14.0 26.0 X 272017 0 6396 Rachel Dvorken Exec. VP & Gen. Counsel 11.6 28.4 X 340206 0 1344 Joel Craig Frazier Vice President 30.8 9.2 X 176297 0 2131 Eden Mabborang Registered Nurse 40.0 0.0 X 166996 0 12694 2904397 605550 105598 152 false true false Ujamaa Construction Inc B018708 7744 S Stony Island CHICAGO IL 60649 Construction 4192823 Sodexo Affiliates B000442 4880 PaysPhere Circle CHICAGO IL 60674 Engineering Services 3530732 Navigant healthcare Cymetrix B01834 4511 Paysphere Circle CHICAGO IL 60674 Billing Services 2991159 Sodexo Inc Affiliates B000442 PO Box 70060 CHICAGO IL 60673 Food Services 2485422 G4S Solutions B018376 1395 University Blvd JUPITER FL 33458 SECURITY 2222616 114 0 692088 3083654 0 3775742 PATIENT REVENUE 622110 286881241 286881241 0 0 SRH PATIENT SRVC AT COST 622110 3395966 3395966 0 0 CAFETERIA 722212 1864764 1864764 0 0 PARKING GARAGE 812930 800538 800538 0 0 RENTAL INCOME 531390 575946 575946 0 0 293518455 723122 723122 0 0 4000 4000 0 4000 4000 0 0 0 0 0 0 0 0 0 0 PREMIER PURCHASING 423450 2505496 31854 2473642 MED STUDENT EDUC REVENUE 900099 368060 368060 0 INTEREST INCOME ON ACCESS LOAN 900099 57831 0 57831 11194604 11194604 14125991 312147310 305081119 31854 3258595 800003 800003 0 0 0 0 0 0 940150 0 940150 0 0 0 0 0 112531543 108816246 3715297 0 1023844 1023844 0 0 10181821 10181821 0 0 7689106 7689106 0 0 35614125 12565308 23048817 0 320112 317780 2332 0 566602 566602 0 0 0 0 0 0 0 0 0 0 0 16294163 12050049 4244114 0 1158 1158 0 0 8229773 8220725 9048 0 48289 48289 0 0 0 0 0 0 5370079 4909981 460098 0 77482 45909 31573 0 0 0 0 0 87600 82330 5270 0 5010065 0 5010065 0 0 0 0 0 10550034 10322315 227719 0 5831490 0 5831490 0 BAD DEBT 58225411 58225411 0 0 DRUGS & MEDICAL SUPPLIES 37099352 37099352 0 0 PROVIDER ASSESSMENT 19230631 19230631 0 0 LABORATORY SERVICES 2337511 2337511 0 0 8436307 8386140 50167 346496651 302920511 43576140 0 0 874002 2574301 2314915 2378775 0 0 55430081 47358558 0 0 0 0 3500000 3000000 3278982 3378691 11578392 4001455 275916897 197888743 78892856 78028154 9047346 9965996 0 0 10830761 10121248 0 0 13084485 9205316 188831820 170012494 58198551 71975519 0 0 0 0 60467672 58182691 0 0 0 0 19141954 19141354 0 0 48595062 47833160 186403239 197132724 X -2010671 -31721892 4439252 4601662 0 0 2428581 -27120230 188831820 170012494 X -34349341 0 0 0 0 4800530 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false false false false false false false false false Schedule C, Part II-B, Line 1b description of the lobbying activities SINAI HEALTH SYSTEM ENGAGES IN EDUCATION AND OTHER ACTIVITIES TO INFLUENCE LEGISLATORS REGARDING FEDERAL AND STATE POLICIES RELATED TO MEDICAID, SINAI'S MAJOR PAYER AND THE SAFETY NET OF MANY OF ITS PATIENTS. THE SYSTEM LOBBYING ACTIVITIES ARE COORDINATED THROUGH ROBERTA RAKOVE, SENIOR VICE PRESIDENT FOR SINAI HEALTH SYSTEM. LOBBYING IS CONDUCTED ON BEHALF OF THE ENTIRE SINAI SYSTEM, THEREFORE REGISTERED STATE LOBBYISTS ARE REGISTERED TO REPRESENT all entities within the SINAI HEALTH SYSTEM. All lobbying expenses incurred are paid BY SINAI HEALTH SYSTEM. AT THE FEDERAL LEVEL, SINAI HEALTH SYSTEM DOES NOT UTILIZE CONTRACT LOBBYISTS. SINAI HEALTH SYSTEM COLLABORATES WITH THE AMERICAN HOSPITAL ASSOCIATION, THE ILLINOIS HOSPITAL ASSOCIATION, THE PREMIER HOSPITAL ALLIANCE, AND THE JEWISH FEDERATION OF METROPOLITAN CHICAGO/JEWISH UNITED FUND. AT THE STATE LEVEL, SINAI UTILIZES TWO OUTSIDE LOBBYING FIRMS. 5272743 942646 141426 6073963 5134684 378800 240741 5272743 4724559 3159999 2749874 5134684 667379 4643283 586103 4724559 4189484 328601 3850706 667379 1.00000 false false 1725650 1725650 168412669 109022401 59390268 2664391 1077103 1587288 97323144 73647907 23675237 5791043 14141332 -8350289 78028154 TOUHY PHARMACY 127846 C HAWTHORNE WORKS MED. IMAGING 568811 C MHN ACO 1932043 C PHARMACY VENTURE 211254 C PREMIER HEALTH ALLIANCE 1007842 C PREMIER PURCHASE PARTNERSHIP 1501405 C PREMIER UNREALIZED 3289760 C VEBA TRUST 1482287 C 10121248 OTHER ACCTS RECEIVABLE 3845521 DUE FROM AFFILIATE -12973870 ACCESS DUE FROM 372398 SELF INSURANCE 35380 BD DSG MARKETABLE SEC. 4116728 SELF INSUR TRST FND INV 46996 NOTES RECEIV. 12528934 DEF DEBT ISSUE PROJ 934666 OTHER ASSETS 298563 9205316 0 ASSET RETIREMENT OBLIGATION 2796176 CAPITAL LEASE 913883 DUE TO THIRD PARTIES 6324884 OTHER NON CURRENT LIABILITIES 776255 SELF INSURANCE RESERVE 37021962 47833160 X Intended Uses Of Endowment Fund Form 990, Sch D, Part V, Line 4 The funds are used for general operating purposes. The interest from the fund is utilized for unrestricted purposes. FIN 48 (ASC 740) Footnote Form 990, Schedule D, Part X, Line 2 INCOME TAXES: MOUNT SINAI HOSPITAL MEDICAL CENTER, SCHWAB REHABILITATION HOSPITAL AND CARE NETWORK, MOUNT SINAI COMMUNITY FOUNDATION, HOLY CROSS HOSPITAL, AND SINAI COMMUNITY INSTITUTE, INC. ARE TAX-EXEMPT ORGANIZATIONS UNDER INTERNAL REVENUE CODE SECTION 501(C)(3) AND EACH, AS REQUIRED, FILES A FORM 990 (RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX) ANNUALLY. PROGRESS HEALTH, INC. FILES FEDERAL AND ILLINOIS FORMS 112O (U.S. CORPORATION INCOME TAX RETURN) ANNUALLY. THE CORPORATION ADOPTED FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) ISSUED GUIDANCE FOR UNCERTAINTY IN INCOME TAXES. THIS GUIDANCE PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR THE CONSOLIDATED FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. EXAMPLES OF TAX POSITIONS COMMON TO HEALTH SYSTEMS INCLUDE SUCH MATTER AS THE FOLLOWING: THE TAX-EXEMPT STATUS OF EACH ENTITY, THE NATURE, CHARACTERIZATION AND TAXABILITY OF JOINT VENTURE INCOME AND VARIOUS POSITIONS RELATIVE TO POTENTIAL SOURCES OF UNRELATED BUSINESS TAXABLE INCOME (UBIT). UBIT IS REPORTED ON FORM 990T, AS APPROPRIATE. THE BENEFIT OF A TAX POSITION IS RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS IN THE PERIOD DURING WHICH, BASED ON ALL AVAILABLE EVIDENCE, MANAGEMENT BELIEVES THAT IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL BE SUSTAINED UPON EXAMINATION, INCLUDING THE RESOLUTION OF APPEALS OR LITIGATION PROCESSES, IF ANY. TAX POSITIONS ARE NOT OFFSET OR AGGREGATED WITH OTHER POSITIONS. TAX POSITIONS THAT MEET THE "MORE LIKELY THAN NOT" RECOGNITION THRESHOLD ARE MEASURED AS THE LARGEST AMOUNT OF TAX BENEFIT THAT IS MORE THAN 50 PERCENT LIKELY TO BE REALIZED ON SETTLEMENT WITH THE APPLICABLE TAXING AUTHORITY. THE PORTION OF THE BENEFITS ASSOCIATED WITH TAX POSITIONS TAKEN THAT EXCEEDS THE AMOUNT MEASURED AS DESCRIBED ABOVE IS REFLECTED AS A LIABILITY FOR UNRECOGNIZED TAX BENEFITS IN THE CONSOLIDATED BALANCE SHEET ALONG WITH ASSOCIATED INTEREST AND PENALTIES THAT WOULD BE PAYABLE TO THE TAXING AUTHORITIES UPON EXAMINATION. AS OF JUNE 30, 2017 AND 2016, THERE WERE NO UNRECOGNIZED TAX BENEFITS IDENTIFIED AND RECORDED. FORMS 990 AND 1120 FILED BY THE CORPORATION ARE SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE (IRS) FOR UP TO THREE YEARS FROM THE EXTENDED DUE DATE OF EACH RETURN. FORMS 990 AND 1120 FILED BY THE CORPORATION ARE NO LONGER SUBJECT TO EXAMINATION FOR THE YEARS ENDED JUNE 30, 2013 AND PRIOR. true true X true X 300. true X 600. true true false true true 16042229 16042229 0.05560 28059092 139320909 0 44101321 139320909 16042229 0.05560 888937 888937 0.00310 11534810 6903209 4631601 0.01610 800003 800003 0.00280 13223750 6903209 6320541 0.02200 57325071 146224118 22362770 0.07760 false 17453000 10197161 41241652 33624202 7617450 X true true 1 1 MOUNT SINAI HOSPITAL California Ave at 15th Street CHICAGO IL 60608 www.sinai.org 1871581314 X X X X MOUNT SINAI HOSPITAL 1 false false true X X X X X X X X X 15 true false false true X SEE PART V, SECTION C X true 16 false true false true X 300. 600. X X true true X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X true X false X X X X true X false false PART V, LINE 5 - ACCOUNT INPUT FROM PERSON WHO REPRESENTS THE COMMUNITY in 2015 mount sinai hospital partnered with community-based organizations to facilitate focus groups with community members in north and south lawndale. focus group participants were selected to represent medically underserved, low income, marginalized and minority populations. the purpose of the focus groups were to gain insight on the most pressing health conditions affecting each community, the barriers to overcoming those conditions, and how a community hospital such as mount sinai hospital might help improve the community's health. these groups were held in both english and spanish, as appropriate. Many people contributed to the chna report, including the staff of the sinai urban health institute. these are all people trained in public health (most are graduates of schools of public health with mph or phd degrees). we thus believe that the public health credentials of the authors of this report are substantial and notable. Part V, Line 7a - CHNA website http://www.sinai.org/content/community-health-needs-assessments-chna PART V, LINE 11 - EXPLANATION OF NEEDS ADDRESSED/NOT ADDRESSED mount sinai hospital is now using the implementation plan that was created as part of the june 2016 chna. the chna identifies significant health needs and barriers to care faced by the communities served by mount sinai hospital. mount sinai hospital leaders developed an implementation plan and rollout strategy that aligns with the hospital's strategic plan and will be implemented over the course of three years. mount sinai hospital is addressing the following significant health needs: - chronic disease - violence - mental & behavioral health - birth outcomes - asthma - behavioral health Mount Sinai Hospital has implemented projects such as providing community education around asthma, breast health, diabetes, maternal and child health, and violence prevention. in the hospital, we have conducted hiv screening programs, worked on a quality improvement project to address copd readmissions and assisted patients with social service needs. it is our goal to provide the best care possible to address the needs of our community. the chna and its implementation plan have assisted in guiding our work on how to address the needs of our community. mount sinai hospital remains fully engaged in implementing the strategies and expects to substantially complete the identified plans by the time of the next chna. Part V, Line 16A & 16B - FAP documents website http://www.sinai.org/content/financial-assistance-0 Schedule H, Part V, Section B, Lines 16c & 16i - FAP Documents During the preparation of its June 30, 2017 Form 990, Mount Sinai Hospital discovered that its financial assistance policy (FAP) and plain language summary of the FAP were not translated into the primary languages spoken by limited English proficiency populations. In addition, the plain language summary of the FAP, as well as the translated versions of the FAP and plain language summary of the FAP were not widely available on a website. Upon discovering these omissions, Mount Sinai Hospital immediately took action and is currently taking steps to correct these issues. 3 HAWTHORNE MRI 4701 W CERMACK CICERO IL 60804 MAGNETIC RESONANCE IMAGING & OB ULTRASOUND SERVICES SINAI COMMUNITY PHARMACY CALIFORRNIA AVE 15TH STREET CHICAGO IL 60608 PHARMACY DRUGS AND PHARMACEUTICALS SINAI TOUGHY PHARMACY LLC 2907 W TOUGHY AVENUE CHICAGO IL 60645 PHARMACY DRUGS AND PHARMACEUTICALS PART I, LINE 6A - RELATED ORGANIZATION COMMUNITY BENEFIT REPORT THE COMMUNITY BENEFIT REPORT IS PREPARED BY PARENT CORPORATION SINAI HEALTH SYSTEM (36-3166895). PART I, LINE 7 - EXPLANATION OF COSTING METHODOLOGY MOUNT SINAI HOSPITAL UTILIZED THE COST TO CHARGE RATIONS BASED ON THE MEDICARE COST REPORTS. TOTAL COST PER THE MEDICARE COST REPORT WORKSHEET 2, PTI COLUMN 27 DIVIDED BY TOTAL INPATIENT AND OUTPATIENT GROSS REVENUE. PART I, LINE 7, COLUMN F - EXPLANATION OF BAD DEBT EXPENSE THE BAD DEBT EXPENSE WAS INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN A BUT WAS SUBTRACTED FROM THE TOTAL EXPENSES FOR PURPOSE OF CALCULATING THE PERCENTAGE IN THIS COLUMN. THE BAD DEBT EXPENSE IS $58,225,411. PART III, LINE 2 - METHODOLOGY USED TO ESTIMATE BAD DEBT EXPENSE Mount Sinai Hospital estimates bad debt expense based upon management's assessment of historical and expected net collections considering historical business and economic conditions, trends in health coverage and other collection indicators. Management assesses the allowance for uncollectible accounts based upon historical write-off experience. PART III, LINE 3 - METHODOLOGY OF ESTIMATED AMOUNT & RATIONALE FOR INCLUDING COMMUNITY BENEFIT Mount Sinai Hospital first determines if a patient qualifies for charity care. If a patient is classified as charity care, they would not be included as bad debt. Some patients do not desire to complete the charity care applications and as such can be included in the bad debt amounts. One example of a patient population that does not complete charity care applications is undocumented workers. PART III, LINE 4 - BAD DEBT EXPENSE Per Audited Financial Statements Note 1 Patient Accounts Receivable - The Corporation maintains allowances for uncollectible accounts for estimated losses resulting from a payor's inability to make payments on accounts. The corporation estimates the allowance for uncollectible accounts based upon management's assessment of historical and expected net collections considering historical business and economic conditions, trends in health care coverage, and other collection indicators. The corporation recognizes a significant amount of patient service revenue at the time services are rendered even though the corporation does not assess the patient's ability to pay at that time. As a result, the provision for bad debts is presented as a deduction from patient service revenue (net of contractual provisions and discounts). For uninsured patients that do not qualify for charity care, the corporation establishes an allowance to reduce the carrying value of such receivable to their accounts based upon historical write-off experience. After satisfaction of amounts due from insurance, the corporation follows established guidelines for placing certain past-due balances with collection agencies, subject to the term of certain restrictions on collection efforts as determined by the corporation. A significant portion of the corporation's provision for doubtful accounts relates to self-pay patients, as well as co-payments and deductibles owed to the corporation by patients with insurance. Part III, Line 8 - Explanation Of Shortfall As Community Benefit There was no shortfall this year. The costing methodology is consistent with Medicare guidelines, rules & regulations; non-allowable costs are offset on Worksheet A via A-8 adjustments. General overhead cost centers costs are step down on Worksheet B using various approved statistics such as square footage, gross salaries, pounds, FTS's and etc. Part III, Line 9b - Prov. On Collection Practices For Qualified Patients Mount Sinai Hospital's collection process includes both letter and calls to inform patients of their outstanding balances and to explain available payment options. If the patient is uninsured a discount is applied to the patient's account in accordance with Illinois Patient Uninsured Act. In addition, resources are made available to patients throughout the collections process. These resources include: a charity program targeted to low income individuals residing in Sinai Health System core service area, and non-interest bearing payment plans that start as low as $25 a month. The debt collection practices only apply to charity patients to the extent of the copayments or patient portion balances and not to amounts that have been approved as charity or financial assistance. Part VI, Line 2 - Needs Assessment In addition to the community and hospital/office-based healthcare surveys, focus groups, and data analyses described in the Community Health Needs assessment plan for Mount Sinai Hospital, the Hospital utilizes the following channels to gain greater insight into the health needs of its communities: 1)Community and hospital/office-based health screenings 2)Presentation of patients in the Emergency Department and needs noted during the visit 3)Partnership activities with community-based organizations and health Mount Sinai Hospital focused on the health and social services needs of the populations served. Mount Sinai Hospital begins outreach and assessment of community health by first evaluating which health conditions and diseases are prevalent among its inpatients and outpatients. Determination of prevalence then guides the design of community services and also assures there is no bias based on race, gender, or patients' ability to pay. Mount Sinai Hospital is related to organizations such as Sinai Community Institute, Mount Sinai Community Foundation and Sinai Urban Health Institute (SUHI) who partner with neighborhood groups and the community overall to understand health and well-being needs. SUHI, in particular, conducts comprehensive door-to-door health needs assessment. Mount Sinai Hospital shared the health assessment findings with local residents and community groups, forging interventional partnerships. Together they confirmed the need for education and other interventions for asthma, obesity, diabetes and breast cancer. Mount Sinai Hospital also supports Sinai Community Institute and SUHI by providing clinicians and health educators to provide community education series "How Healthy is Your Zip Code". These forums arm participants with knowledge about the chronic diseases that can affect them and action plans for avoiding or managing those diseases. Part VI, Line 3 - Patient Education of Eligibility for Assistance Mount Sinai Hospital informs patients of the charity care policy through signage in the hospital, written communication, statements and related corporation Sinai Health System website. Each hospital bill, invoice, or other summary of charges to an uninsured patient shall include with it, or on it, a prominent statement that an Uninsured Patient who meets certain income requirements may qualify for an Uninsured Discount along with information regarding how the patient may apply for financial assistance. PART VI, LINE 4 - COMMUNITY INFORMATION Mount sinai hospital as a part of sinai health system serves a population base of over one million people located on the west side of chicago. One outlying facility, sinai's touhy clinic on the north side of chicago, sees refugees from many nations (for example sudan, iraq and burma) as well as resident orthodox jewish and russian populations. Otherwise, sinai health system serves primarily african-american and latino patients. Over 52.7% of mount sinai hospital's patients are medicaid recipients and 4.6% are uninsured. Mount Sinai Hospital's interpreter services support 150 different languages including american sign language making sinai one of the strongest medical programs in the nation for deaf and hard of hearing patients. Mount Sinai Hospital treats more medicaid patients than any other hospital in illinois. Mount Sinai admits 3,533 inpatients to sinai children's hospital inclusive of pediatric visits for asthma and diabetes. sinai's neonatal intensive care unit sees approximately 332 neonatal patients per year and obstetrics cares for 2,460 mothers. Mount Sinai Hospital emergency department has 50,136 patient visits per year. PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH Mount Sinai Hospital, as a part of sinai health system, has a board comprised of respected leaders in banking, finance, manufacturing, legal, health care and other industries. Mount Sinai Hospital extends medical staff privileges to all qualified physicians for all departments. Mount Sinai Hospital invests any surplus funds into improving patient care. PART VI, LINE 6 - AFFILIATED HEALTH CARE SYSTEM ROLES AND PROMOTION Mount Sinai Hospital is part of the sinai health system. The Sinai Health System is a unique health care delivery system on the west and southwest sides of chicago. Mount Sinai Hospital was founded in 1919 to provide care to eastern european jewish immigrants in the area as well as to create a place for jewish doctors to practice. The Sinai Health System now serves predominantly black and latino communities, but our mission has remained the same. This mission addresses our desire to make a difference in both the individuals and the communities we serve. As we develop innovative and effective ways to do this, we strive to become the national model for the delivery of urban health care. Along with Mount Sinai Hospital, the system includes Holy Cross Hospital, Schwab Rehabilitation Hospital, Sinai Children's Hospital, Sinai Medical Group, The Sinai Community Institute, and the Sinai Urban Health Institute. For more information on the Sinai Health System, visit http://www.sinai.org/. PART VI - STATES WHERE COMMUNITY BENEFIT REPORT FILED ILLINOIS true ACCESS COMMUNITY HEALTH NETWORK 1501 S CALIFORNIA AVE CHICAGO IL 60608 363317058 501(C)(3) 800003 OPERATING Support 1 PART I, LINE 2 PROCEDURES FOR MONITORING USE OF GRANTS FUNDS U.S THIS IS AN EXTENSION OF OUR MISSION TO HELP access community health network PROVIDE SERVICES TO THE UNDERSERVED AND UNINSURED INDIVIDUALS WITHIN OUR PRIMARY SERVICE AREA. ALL AWARDED GRANT USAGE IS MOniTORED ANNUALlY. THE RECIPIENT REPORTS TO SINAI HELATH SYSTEM THE ALLOCATIONS AND EXPENDITURES OF THE APPLICATION AND USAGE OF DISBURSED GRANT AWARDS. true true false false false false false false false Karen Teitelbaum CEO 682437 0 0 0 65460 0 0 0 7954 0 755851 0 0 0 Loren Chandler Exec. VP & COO 403848 0 0 0 4800 0 0 0 20035 0 428683 0 0 0 Charles Weis Jr CFO 463824 0 0 0 54497 0 0 0 13667 0 531988 0 0 0 James Wilson Vice President - Finance 269940 0 0 0 2077 0 0 0 6396 0 278413 0 0 0 Rachel Dvorken Exec. VP & Gen. Counsel 299264 0 0 0 40942 0 0 0 1344 0 341550 0 0 0 Lori Pacura President 262120 0 0 0 11895 0 0 0 15396 0 289411 0 0 0 Joel Craig Frazier Vice President 87145 0 0 0 89152 0 0 0 2131 0 178428 0 0 0 Daniel Katz MD Director 0 574396 0 0 0 31154 0 0 0 25981 0 631531 0 0 Eden Mabborang Registered Nurse 149802 0 0 0 17194 0 0 0 12694 0 179690 0 0 0 FORM 990, SCHEDULE J, PART I, line 3 - Methods Used By Related Org to Establish CEO Compensation THE ORGANIZATION PAYS OUT COMPENSATION BASED ON THE FOLLOWING PROCEDURES AND GUIDELINES: SINAI HEALTH SYSTEM (SHS) HAS AN EXECUTIVE COMPENSATION COMMITTEE TO SUPPORT THE ORGANIZATIONal PERFORMANCE OF SINAI HEALTH SYSTEMS AND ITS RELATED ENTITIES THROUGH THE ALIGNMENT OF EXECUTIVE COMPENSATION WITH SYSTEM STRATEGIES AND PROGRAMS AND ENSURE COMPLIANCE WITH APPLICABLE LAW. THE VOTING MEMBERS OF THE COMMITTEE ARE INDEPENDENT MEMBERS OF THE BOARD OF DIRECTORS. THE COMMITTEE ESTABLISHES DETAILED GOALS ANNUALLY OR MORE FREQUENTLY AS CIRCUMSTANCES REQUIRE. THE COMMITTEE ESTABLISHES DETAILED GOALS ANNUALLY FOR THE PRESIDENT AND CEO AND OTHER EXECUTIVES, AND REVIEWS PERFORMANCE AGAINST THESE GOALS ON AN ANNUAL BASIS. THE COMMITTEE ANNUALLY ENGAGES AN OUTSIDE INDEPENDENT COMPENSATION CONSULTANT TO BENCHMARK THE SALARIES AND BENEFITS OF THE ORGANIZATION'S ASSISTANT VICE PRESIDENT AND ABOVE. COMPENSATION IS BASED ON: a) DETAILED WRITTEN PERFORMANCE OF THE PRESIDENT AND CEO; b) EACH ELEMENT OF COMPENSATION, DATA OF THE COMPENSATION PROGRAM IN EFFECT FOR CEOS OF COMPARABLE ORGANIZATIONS; AND c) ANNUAL REVIEW OF CEO PERFORMANCE IS CONDUCTED AGAINST MSH'S ESTABLISHED GOALS. THE COMMITTEE MAINTAINS WRITTEN MINUTES WHICH ARE MAINTAINED IN EXECUTIVE ADMINISTRATION. FORM 990, PART I, LINE 4A - SEVERANCE PAYMENTS THE ORGANIZATION PAID SEVERANCE IN THE FORM OF WAGE CONTINUATION TO Joel Frazier, IN THE AMOUNT OF $89,152. THE TERMS AND CONDITIONS OF SEVERANCE AGREEMENTS VARY. FORM 990, PART I, LINE 4B - SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN MOUNT SINAI HOSPITAL'S (MSH) SUPPLEMENTAL EARLY RETIREMENT PLAN (SERP) WAS ESTABLISHED AS A NON-QUALIFIED RETIREMENT PLAN FOR ITS KEY EMPLOYEES; SPECIFICALLY THE CHIEF EXECUTIVE STAFF. THIS PLAN PROVIDES ADDED BENEFITS THAT MAY BE ABOVE AND BEYOND THOSE THRESHOLDS COVERED IN OTHER TRADITIONAL RETIREMENT PLANS. UNLIKE NON-QUALIFIED PLANS, IN WHICH THE KEY EXECUTIVES ELECT TO DEFER THEIR COMPENSATION IN ORDER TO RECEIVE THAT COMPENSATION AT A LATER DATE, MOUNT SINAI HOSPITAL'S SUPPLEMENTAL EARLY RETIREMENT PLAN IS ENTIRELY FUNDED BY THE EMPLOYER (MOUNT SINAI HOSPITAL AND MEDICAL CENTER). THE MSH COMPENSATION COMMITTEE REVIEWS AND APPROVES ACCEPTANCE AND/OR MODIFICATIONS TO THE SERP PLAN. THE MSH'S SERP PLAN OUTLINES THE YEARLY EARNINGS PER THE INDIVIDUAL PARTICIPANTS AS WELL AS THE TIME FRAMES OF VESTMENT PER THOSE RESPECTIVE INDIVIDUALS. Charles Weis Jr. $49,607 Karen Teitelbaum $47,370 Rachel Dvorkel $39,816 FORM 990, PART I LINE 7 - NON-FIXED PAYMENTS THE ORGANIZATION PAYS OUT BONUSES BASED ON THE FOLLOWING PROCEDURES AND GUIDELINES: SINAI HEALTH SYSTEM HAS AN EXECUTIVE COMPENSATION COMMITTEE TO SUPPORT THE ORGANIZATIONal PERFORMANCE OF SINAI HEALTH SYSTEMS AND ITS RELATED ENTITIES THROUGH THE ALIGNMENT OF EXECUTIVE COMPENSATION WITH SYSTEM STRATEGIES AND PROGRAMS AND ENSURE COMPLIANCE WITH APPLICABLE LAW. THE VOTING MEMBERS OF THE COMMITTEE ARE INDEPENDENT MEMBERS OF THE BOARD OF DIRECTORS. THE COMMITTEE ESTABLISHES DETAILED GOALS ANNUALLY OR MORE FREQUENTLY AS CIRCUMSTANCES REQUIRE. THE COMMITTEE ESTABLISHES DETAILED GOALS ANNUALLY FOR THE PRESIDENT AND CEO AND OTHER EXECUTIVES, AND REVIEWS PERFORMANCE AGAINST THESE GOALS ON AN ANNUAL BASIS. THE COMMITTEE ANNUALLY ENGAGES AN OUTSIDE INDEPENDENT COMPENSATION CONSULTANT TO BENCHMARK THE SALARIES AND BENEFITS OF THE ORGANIZATION'S ASSISTANT VICE PRESIDENT AND ABOVE. COMPENSATION IS BASED ON DETAILED WRITTEN PERFORMANCE OF THE PRESIDENT AND CEO, EACH ELEMENT OF COMPENSATION, DATA OF COMPENSATION PROGRAM IN EFFECT FOR CEOS OF COMPARABLE ORGANIZATIONS, AND CONDUCTS AN ANNUAL REVIEW OF CEO PERFORMANCE AGAINST ESTABLISHED GOALS. THE COMMITTEE MAINTAINS WRITTEN MINUTES WHICH ARE MAINTAINED IN EXECUTIVE ADMINISTRATION. Describe the Organization's Mission or Most Sign. Activities Form 990, Part I, Line 1 As a member of Sinai Health System, Mount Sinai Hospital Medical Centers mission is to improve the health of the individuals and communities it serves by providing comprehensive medical, surgical, pediatric, psychiatric, and intensive care services. The vision is to be a national model for the delivery of urban healthcare. Briefly Describe the Organizations Mission Form 990, Part III, Line 1 As a member of Sinai Health System, Mount Sinai Hospital Medical Centers mission is to improve the health of the individuals and communities it serves by providing comprehensive medical, surgical, pediatric, psychiatric, and intensive care services. The vision is to be a national model for the delivery of urban healthcare. Program Service Accomplishments Form 990, Part III, Line 4a PATIENT CARE MOUNT SINAI HOSPITAL MEDICAL CENTER (MOUNT SINAI HOSPITAL) IS A 319-LICENSED BED ACUTE CARE AND TEACHING HOSPITAL AFFILIATED WITH THE JEWISH FEDERATION OF METROPOLITAN CHICAGO. THE MEDICAL CENTER IS AN INTEGRAL PART OF THE SINAI HEALTH SYSTEM'S CORE MISSION TO IMPROVE THE HEALTH OF THE INDIVIDUALS AND COMMUNITIES IT SERVES. FOUNDED IN 1919 TO PROVIDE HEALTH CARE TO LAWNDALE'S EASTERN EUROPEAN JEWISH IMMIGRANT POPULATION, THE HOSPITAL CONTINUES TO PROVIDE CARE TO DIVERSE COMMUNITIES THROUGHOUT THE CHICAGO AREA. MOUNT SINAI HOSPITAL IS LOCATED ON A CAMPUS OF APPROXIMATELY EIGHT ACRES AT THE INTERSECTION OF OGDEN AND CALIFORNIA AVENUES ON CHICAGO'S NEAR WEST SIDE, AND PROVIDES A SIGNIFICANT PORTION OF THE TOTAL MEDICAL SERVICES AVAILABLE TO WEST SIDE RESIDENTS. THESE SERVICES INCLUDE A FULL SPECTRUM OF CARE, INCLUDING MEDICAL, SURGICAL, PEDIATRIC, LEVEL III PERINATAL, INTENSIVE CARE AND PSYCHIATRIC SERVICES. MOUNT SINAI HOSPITAL PROVIDES EXCELLENT EMERGENCY AND MATERNAL CHILD HEALTH CARE. IN 2003, THE STATE OF ILLINOIS OFFICIALLY RECOGNIZED MOUNT SINAI HOSPITAL MEDICAL CENTER'S PEDIATRIC SERVICE AS A "CHILDREN'S HOSPITAL WITHIN A HOSPITAL". MEANWHILE, THE HOSPITAL'S EMERGENCY DEPARTMENT IS ONE OF ONLY FOUR LEVEL I TRAUMA CENTERS IN CHICAGO. MOUNT SINAI HOSPITAL'S COMMUNITY SERVICE ORIENTATION IS WELL KNOWN AND WAS RECOGNIZED IN 1992 BY THE AMERICAN HOSPITAL ASSOCIATION'S PRESTIGIOUS FOSTER G. MCGRAW PRIZE. CHARITY CARE MOUNT SINAI HOSPITAL PROVIDED $16,042,229 OF CHARITY CARE AT COST AND REDUCED OR NO FEE TO PATIENTS WHO WERE UNABLE TO PAY FOR SERVICES. SINCE SO MANY OF OUR PATIENTS ARE UNINSURED OR OTHERWISE UNABLE TO AFFORD CARE, CHARITY CARE IS A VITAL PART OF OUR MISSION TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE. AS PART OF OUR MISSION TO IMPROVE THE HEALTH OF OUR COMMUNITIES, MOUNT SINAI HOSPITAL HAS LAUNCHED SEVERAL INITIATIVES TO STUDY AND ADDRESS SPECIFIC HEALTH ISSUES. THE SINAI URBAN HEALTH INSTITUTE (SUHI) IS A NATIONALLY RECOGNIZED RESEARCH ORGANIZATION FUNDED AND OPERATED THROUGH MOUNT SINAI HOSPITAL. SUHI HAS PUBLISHED GROUNDBREAKING RESEARCH ON RACIAL DISPARITIES, HIV, SMOKING RATES, ASTHMA, DIABETES, BREAST CANCER, AND OTHER HEALTH THREATS FACING LOW-INCOME MINORITY POPULATIONS. NORTH LAWNDALE HAS THE HIGHEST HIV DEATH RATE IN CHICAGO. IN ADDITION TO THE FULL SPECTRUM OF MEDICAL CARE FOR THE DISEASE, MOUNT SINAI HOSPITAL HAS PIONEERED A PEER EDUCATION PROGRAM INTENDED TO REDUCE THE RATE OF COMPLICATIONS AND MORTALITY IN NORTH LAWNDALE. ASTHMA IS A MAJOR HEALTH PROBLEM AMONG LOW-INCOME URBAN POPULATIONS LIKE MOUNT SINAI HOSPITAL'S. RESEARCH CONDUCTED BY SUHI PROMPTED A STATE-FUNDED EFFORT TO REDUCE ASTHMA RATES THROUGH COMMUNITY EDUCATION IN THE EMERGENCY DEPARTMENT. THIS INITIATIVE WAS SO SUCCESSFUL THE ILLINOIS DEPARTMENT OF PUBLIC HEALTH EXPANDED IT INTO THE STATEWIDE CONTROLLING PEDIATRIC ASTHMA THROUGH COLLABORATION AND EDUCATION PROGRAM. MOUNT SINAI HOSPITAL WORKED WITH COMMUNITY LEADERS TO HELP OUR NEIGHBORS TO GAIN HEALTH COVERAGE BY ENROLLING IN THE ILLINOIS KID CARE INSURANCE PLAN. THE PLAN IS INTENDED TO BENEFIT LOW-INCOME CHILDREN AND PREGNANT WOMEN. ALSO, THE MOUNT SINAI CHILDREN'S HOSPITAL RECENTLY LAUNCHED SINAI FIT, AN EXPANSION OF THE PEDIATRIC WEIGHT MANAGEMENT CLINIC TO ENGAGE YOUTH IN PHYSICAL EXERCISE WHILE ALSO TEACHING PARENTS TO CREATE HEALTHY FAMILY LIFESTYLE CHANGES IN DIET AND EXERCISE. MOUNT SINAI HOSPITAL IS SENSITIVE TO THE HEALTH CARE NEEDS OF DEAF AND HARD-OF-HEARING PEOPLE IN THE COMMUNITY. OUR DEAF ACCESS PROGRAM, WHICH WON THE DEAF ILLINOIS AWARD FOR BEST HEALTH, PROVIDES A FULL COMPLEMENT OF ASL INTERPRETERS, DOCTORS AND SUPPORTING STAFF FLUENT IN SIGN LANGUAGE. MOUNT SINAI HOSPITAL WAS THE FIRST HOSPITAL IN THE U.S. TO OFFER A VIDEOPHONE BOOTH THAT GIVES MOUNT SINAI HOSPITAL PATIENTS AND THE DEAF COMMUNITY OF CHICAGO A NEW WAY TO COMMUNICATE WITHIN THE HEARING COMMUNITY. Program Service Accomplishments Form 990, Part III, Line 4b PATIENT SERVICE-THERAPY & DIAGNOSTICS WITH AN AGING POPULATION, REACHING AND PROVIDING HEALTH CARE TO OUR SENIORS ON A TIMELY BASIS HAS BECOME CRITICAL. SINAI HOME HEALTH THROUGH ITS TRAINED NURSES KEEPS IN CONTACT WITH SENIORS THROUGH PERIODIC HOME VISITS. SUCH VISITS PROVIDE AN OPPORTUNITY TO DO A GENERAL CHECKUP ON THEIR HEALTH, ENSURE THE PATIENTS ARE TAKING THE PRESCRIBED MEDICATION AND TO DISCUSS THEIR HEALTH CONCERNS. THIS PROGRAM HAS BEEN WELL RECEIVED IN THE COMMUNITY. SINAI IS ALSO DEVELOPING A DEDICATED GERIATRIC SERVICE LINE IN ORDER TO PROVIDE SUPERIOR CONTINUITY OF CARE. FOR ONCOLOGY PATIENTS, THE SINAI HEALTH SYSTEM CANCER CARE CENTER WAS ESTABLISHED IN 2008. WITH THE SUPPORT OF THE COLEMAN FOUNDATION, AN INTEGRATED ONCOLOGY CENTER WAS CREATED THAT LINKS PHYSICIANS' OFFICES, A CHEMOTHERAPY CENTER AND AN INPATIENT UNIT ALL IN ONE AREA. Program Service Accomplishments Form 990, Part III, Line 4c Teaching & Research Mount Sinai Hospital provides undergraduate training for medical students in six major specialties - medicine, surgery, obstetrics/gynecology, pediatrics, psychiatry and physical medicine as well as a number of sub-specialties. The house staff program provides training for residents and fellows in major clinical areas. In 2008, relationships with academic medical centers were expanded that enrich the patient care resources available through affiliations with Northwestern Memorial Hospital, the University of Chicago Medical Center, Rush University Medical Center, the University of Illinois-Chicago and Rosalind Franklin University. Research programs at Mount Sinai Hospital are ongoing in several fields including cancer detection and treatment, child abuse, trauma and emergency medicine, pediatric HIV/AIDS, urology, rheumatology, hematology and neonatology. Other Program Services Form 990, Part III, Line 4d OTHER SERVICES PROVIDED BY MOUNT SINAI HOSPITAL INCLUDE: THE LEVEL I TRAUMA CENTER; LEVEL III NEONATAL CENTER; COMPREHENSIVE SUBSTANCE-ABUSE TREATMENT; CHURCH, SCHOOL AND COMMUNITY- BASED HEALTH EDUCATION; laboratory services AND SCREENING SERVICESA COMPREHENSIVE HOME HEALTH AGENCY. SINAI ALSO PROVIDES A WIDE ARRAY OF DEDICATED PROGRAMS, INCLUDING COMMUNITY MENTAL HEALTH, OCCUPATIONAL HEALTH, DIABETES EDUCATION, OBESITY PREVENTION, BREAST CANCER PREVENTION, SCREENING, AND EDUCATION, AND TEEN PREGNANCY AMONG OTHERS. AN OVERVIEW OF MOUNT SINAI HOSPITAL PERFORMANCE DURING FISCAL YEAR 2017 IS GIVEN BELOW: - PATIENT DAYS: 66,869 - AVERAGE LENGTH OF STAY: 4.42 DAYS - EMERGENCY ROOM VISITS: 44,566 - OUTPATIENT SURGERIES: 4,698 - CHARITY CARE (AT COST): $16,042,229 ACCREDITATIONS AND CERTIFICATIONS: - PALLIATIVE MEDICINE PROGRAM RECOGNIZED FOR OUTSTANDING ACHIEVEMENT BY THE COLEMAN FOUNDATION - OUTPATIENT PSYCHIATRY PROGRAMS ACCREDITED BY CARF - NATIONAL EXCELLENCE IN HEALTHCARE 2014 AWARD WINNER FOR OVERALL QUALITY CARE FROM PROFESSIONAL RESEARCH CONSULTANTS - GET WITH THE GUIDELINES STROKE GOLD-PLUS QUALITY ACHIEVEMENT AWARD WINNER FROM THE AMERICAN HEART ASSOCIATION AND AMERICAN STROKE ASSOCIATION - ONCOLOGY PRACTICE INITIATIVE CERTIFICATION PROGRAM, AN AFFILIATED PROGRAM OF THE AMERICAN SOCIETY OF CLINICAL ONCOLOGY - OB ULTRASOUND DEPARTMENT ACCREDITED BY THE AMERICAN INSTITUTE OF ULTRASOUND MEDICINE -MAMMOGRAPHY ACCREDITED BY THE AMERICAN COLLEGE OF RADIOLOGY - THE JOINT COMMISSION GOLD SEAL OF APPROVAL - EMERGENCY DEPARTMENT APPROVED FOR PEDIATRICS CERTIFICATION (EDAP) - AMERICAN COLLEGE OF SURGEONS COMMISSION ON CANCER - ACCREDITED CHEST PAIN CENTER BY THE SOCIETY OF CHEST PAIN CENTERS PRIMARY STROKE CENTER AWARDS: - INNOVATION IN QUALITY AWARD (ILLINOIS HOSPITAL ASSOCIATION) - ILLINOIS HOSPITAL ASSOCIATION PLEDGE QUALITY ACHIEVEMENT AWARD - DEAF ILLINOIS AWARD FOR BEST HEALTH SERVICES IN 2007, 2009 AND 2011 - ORGAN AND TISSUE DONOR NETWORK'S GIFT OF HOPE SILVER MEDAL OF HONOR Form 1096 Transmittal of U.S. Information Returns Form 990, Part V, Line 1a Mount Sinai Hospital reports 0 on Form 990, Part V, Question 1a as it is not required to file Form 1096, Transmittal of U.S. Information Returns. All of the corporation's accounts payable reportable on Form 1096 are paid by Sinai Health System, which issues all Forms 1099, and the expense is transferred to Mount Sinai Hospital. Explanation of Delegated Board Authority to Committee Form 990, Part VI, Line 1a The Executive Committee consists of the Board Chair, Vice Chair(s), Secretary, Treasurer and President. The Executive Committee shall have the power to transact all regular business of the Corporation during the period between meetings of the Board, subject to any prior limitation imposed by the Board or by law. When action is taken by the Executive Committee, it will be reported to the Board at the next meeting of the Board. Explanation of Classes of Members or Shareholders Form 990, Part VI, Line 6 There are two classes of members: the Sole Corporate Member and individual members. The Sole Corporate Member of the Corporation is Sinai Health System (EIN: 36-3166895), an Illinois not-for-profit corporation. In addition, every member of the Jewish Federation of Metropolitan Chicago shall be an individual member. How Members or Shareholders Elect Governing Body Form 990, Part VI, Line 7a Board members are nominated by the Board Recruitment, Education, and Nominating Committee of the sole corporate member, Sinai Health System, and elected by the members from among those persons approved for appointment by the sole corporate member. Decisions of Governing Body Approval by Members or Shareholders Form 990, Part VI, Line 7b The sole corporate member, Sinai Health System, has the following rights and powers: a. To amend Mount Sinai Hospitals Articles of Incorporation and corporate Bylaws. b. To approve, interpret or amend the Mission Statement of Mount Sinai Hospital. c. To determine Mount Sinai Hospitals compliance with the Corporations stated corporate purposes and Mission Statement. d. To elect, together with the individual members, the Board of Directors of Mount Sinai Hospital from among those persons nominated by the Board Recruitment, Education and Nominating Committee of the Sole Corporate Member. e. To remove a Director by a two-thirds vote of the Sole Corporate Members Board of Directors at any time with or without cause. f. To appoint the Chair, Vice Chair, President, Secretary and Treasurer of Mount Sinai Hospital from among those nominated by the Board Recruitment, Education and Nominating Committee of the Sole Corporate Member, and to remove any such officers at any time with or without cause. g. To approve all plans of merger, consolidation, joint venture or affiliation with Mount Sinai Hospital. h. To establish from time to time the "corporate limit" referred to in these reserved powers, which may be expressed either as a dollar amount or as a percentage of a budget. i. To approve annual operating budgets and multi-year capital budgets and strategic plans of Mount Sinai Hospital before expenditures pursuant to such budgets and plans may be made. Once the budgets are so approved, Mount Sinai Hospital Board of Directors may vary expenditures within the corporate limit. j. To approve the non-budgeted sale, lease (capitalized or otherwise), exchange, mortgage, pledge or other disposition of property and assets of Mount Sinai Hospital in any one fiscal year which is in excess of the corporate limit. k. To approve all non-budgeted contracts obligating Mount Sinai Hospital to expend or repay an amount in excess of the corporate limit. l. To approve the creation or acquisition of majority-controlled or majority-owned subsidiaries or affiliates of Mount Sinai Hospital. m. To approve Mount Sinai Hospitals non-budgeted incurring of long-term debt or obligating its assets in excess of the corporate limit. n. To approve the appointment of independent certified public accountants for Mount Sinai Hospital and its subsidiaries and affiliates. o. To approve any voluntary dissolution and any liquidation of Mount Sinai Hospitals assets. p. To approve all executive compensation arrangements, including incentive compensation, for Mount Sinai Hospital. Form 990 Review Process Form 990, Part VI, Line 11b The Form 990 information was initially provided by the finance staff with multi-disciplinary input from Public Affairs, Corporate Integrity and other appropriate staff of the organization. The Form 990 was then prepared by Ernst & Young, LLP and reviewed by senior finance staff and other members of senior leadership. Prior to the filing, the Form 990 was made available to the full board of directors. Explanation of Monitoring and Enforcement of Conflicts Form 990, Part VI, Line 12c The Conflict of Interest Disclosure Form is completed and signed annually by all board members, employed physicians, management personnel as well as other employees who are in a position to influence purchasing decisions, affiliations or referrals, hiring decisions or contracts. The form is completed on appointment to the board of directors of Sinai Health System or any one of its entities, upon hire for any relevant job category or at the time of appointment to the medical staff. In addition to the annual filing of the form, an update is required to be filed any time there has been a change. Conflicts disclosed on the Conflict of Interest Disclosure Form are taken into consideration when making board committee assignments. In addition, individuals who have a conflict of interest must abstain from participating in decisions affecting the interested parties and make it clear why they are abstaining. If the potential for conflict of interest exists, employees and physicians are required to discuss the situation with management. Board members of the Sinai Health System or any of its entities are required to report potential conflicts to the Chief Integrity Officer who will review potential conflicts with the Sinai Health System Chief Executive Officer and Chairman of the Board of Directors. Compensation Review & Approval Process - Officers & Key Employees Form 990, Part VI, Lines 15a & 15b Sinai Health Systems Executive Compensation Committee approves all executive compensation arrangements, including incentive compensation, for Mount Sinai Hospital. Sinai Health System has an Executive Compensation Committee to support the organizational performance of Sinai Health System and its related entities through the alignment of executive compensation with system strategies and programs and ensure compliance with applicable law. The voting members of the Committee are independent members of the board of directors. The Committee meets twice annually or more frequently as circumstances require. The Committee establishes detailed goals annually for the President and CEO and other executives, and reviews performance against these goals on an annual basis. The Committee annually engages an outside, independent compensation consultant to benchmark the salaries and benefits of the organization's assistant vice presidents and above, as well as a few directors. Compensation is based on detailed written performance appraisals and external market data. In executive session, the Committee reviews the performance of the President and CEO, each element of compensation, data of compensation programs in effect for CEOs of comparable organizations, and conducts an annual review of CEO performance against established goals. The Committee maintains written minutes which are maintained in executive administration. Other Documents Publicly Available Form 990, Part VI, Line 19 Governing documents, conflict of interest and financial statements are made available upon request and after review by management. Form 990, Part VII, Section B Independent Contractor Payments THE AMOUNT PAID TO UJAMAA CONSTRUCTION INC INCLUDED COSTS FOR BUILDING SERVICES AND MATERIALS. WE WERE UNABLE TO OBTAIN INFORMATION TO BREAKOUT THE EXACT AMOUNT FOR MATERIAL COSTS. Other Changes in Net Assets or Fund Balances Form 990, Part XI, Line 9 Net Assets Released from restriction for TIF $4,508,000 Net Assets Released from restriction for grants $292,530 Total Other Changes in Net Assets $4,800,530 SINAI TOUHY PHARMACY LLC 2907 W TOUHY AVE CHICAGO IL 60645 363305449 PHARMACY IL -15788 -114773 MT SINAI HOS SINAI COMMUNITY PHARMACY CALIFORNIA AVE 15TH STREET CHICAGO IL 60608 363832319 PHARMACY IL 159363 189713 MT SINAI HOS SINAI COMMUNITY FOUNDATION 2760 W 15TH PL 7TH FL CHICAGO IL 60608 333305449 HEALTHCARE IL 501(c)(3) 12 TYPE I SINAI HEALTH true SINAI COMMUNITY INSTITUE 2653 WEST OGDEN AVE CHICAGO IL 60608 363932824 HEALTHCARE IL 501(c)(3) 10 SINAI HEALTH true SCHWAB REHABILIATION HOSPITAL & CARE CALIFORNIA AVE AT 15TH PLACE CHICAGO IL 60608 362179802 HEALTHCARE IL 501(c)(3) 3 SINAI HEALTH true SINAI HEALTH SYSTEM CALIFORNIA AVE AT 15TH PL CHICAGO IL 60608 363166895 PARENT CORP IL 501(c)(3) 12 TYPE II NA false HOLY CROSS HOSPITAL 2701 WEST 68TH ST CHICAGO IL 60629 362170133 HEALTHCARE IL 501(c)(3) 3 SINAI HEALTH true MT SINAI HOSP MED CNT ENDOWMENT FNDTN 30 SOUTH WELLS NO 4049 CHICAGO IL 60606 364310820 HEALTHCARE IL 501(c)(3) 12 TYPE i SINAI HEALTH true HAWTHORNE WORKS MED IMAGING 747 ASH ST WINNETKA IL 60093 203364703 IMAGING IL MT SINAI HSPTL RELATED 142935 208639 false 0 true 0.51000 PROGRESS HEALTH INC 2701 W 68TH STREET CHICAGO IL 60629 364109153 MGMT SERVICES IL SINAI HLTH SYS C Corp 0 0 true false false false false false false false false false true false true true false false true false false false SCHWAB REHABILITATION HOSPITAL AND CARE l 1267317 COST SCHWAB REHABILITATION HOSPITAL AND CARE p 2231065 COST MOUNT SINAI COMMUNITY FOUNDATION j 529152 COST MOUNT SINAI COMMUNITY FOUNDATION m 19435452 COST HOLY CROSS HOSPITAL j 1600098 COST