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MOUNT SINAI HOSPITAL MEDICAL CENTER: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
MOUNT SINAI HOSPITAL MEDICAL CENTER (EIN 36-1509000)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-05-14
IRS object ID
201311349349301571
Schema version
2011v1.5
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-05-14T07:49:46-07:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Ernst & Young US LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1155 N Wacker DrAddressLine1
CityChicagoCity
StateILState
ZIP Code606061787ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN361509000EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1MOUNT SINAI HOSPITAL MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlMOUNNameControl
Phone7732572636Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1CALIFORNIA AVENUE AT 15TH STREETAddressLine1
CityCHICAGOCity
StateILState
ZIP Code60608ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameCHARLES WEIS JRName
TitleEXEC VICE PRES & CFOTitle
Date Signed2013-05-14DateSigned
Authorize Third PartyfalseAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameBernadette Durkin-ZitaName
Phone3128792000Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonWEIS JR CHARLESNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1CALIFORNIA AVENUE AT 15TH STAddressLine1
CityCHICAGOCity
StateILState
ZIP Code60608ZIPCode
FieldValueIRS element (for citing)
Gross Receipts289136096GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501c3XOrganization501c3
Web SiteWWW.SINAI.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1918YearFormation
State Legal DomicileILStateLegalDomicile
Activity Or Mission DescriptionMount Sinai Hospital's mission is to improve the health of the individuals and communities we serve. The vision is to be a national model for the delivery of urban healthcare.ActivityOrMissionDescription
Nbr Voting Members Governing Body52NbrVotingMembersGoverningBody
Nbr Independent Voting Members49NbrIndependentVotingMembers
Total Nbr Employees2328TotalNbrEmployees
Total Nbr Volunteers94TotalNbrVolunteers
Total Gross UBI15403TotalGrossUBI
Contributions Grants Prior Year8460375ContributionsGrantsPriorYear
Contributions Grants Current Year15918100ContributionsGrantsCurrentYear
Program Service Revenue Prior Year294924047ProgramServiceRevenuePriorYear
Program Service Revenue CY268716092ProgramServiceRevenueCY
Investment Income Prior Year1499713InvestmentIncomePriorYear
Investment Income Current Year1309944InvestmentIncomeCurrentYear
Other Revenue Prior Year2586025OtherRevenuePriorYear
Other Revenue Current Year3191960OtherRevenueCurrentYear
Total Revenue Prior Year307470160TotalRevenuePriorYear
Total Revenue Current Year289136096TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year2000000GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY1007008GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year119796187SalariesEtcPriorYear
Salaries Etc Current Year118020317SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year9407TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY9603TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year353229TotalFundrsngExpCurrentYear
Other Expense Prior Year188731696OtherExpensePriorYear
Other Expenses Current Year167800360OtherExpensesCurrentYear
Total Expenses Prior Year310537290TotalExpensesPriorYear
Total Expenses Current Year286837288TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-3067130RevenuesLessExpensesPriorYear
Revenues Less Expenses CY2298808RevenuesLessExpensesCY
Total Assets BOY169717616TotalAssetsBOY
Total Assets EOY167347165TotalAssetsEOY
Total Liabilities BOY184558169TotalLiabilitiesBOY
Total Liabilities EOY179995878TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-14840553NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-12648713NetAssetsOrFundBalancesEOY
Mission DescriptionMount Sinai Hospital's mission is to improve the health of the individuals and communities we serve. The vision is to be a national model for the delivery of urban healthcare.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense229740682Expense
Grants1007008Grants
Revenue265975330Revenue
DescriptionMOUNT SINAI MEDICAL CENTER 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.THE MEDICAL CENTER 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 MEDICAL CENTER PROVIDES EXCELLENT EMERGENCY AND MATERNAL CHILD HEALTH CARE. IN 2003, THE STATE OF ILLINOIS OFFICIALLY RECOGNIZED SINAI'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. SINAI'S COMMUNITY SERVICE ORIENTATION IS WELL KNOWN AND WAS RECOGNIZED IN 1992 BY THE AMERICAN HOSPITAL ASSOCIATION'S PRESTIGIOUS FOSTER G. MCGRAW PRIZE.PROGRAM SERVICE ACCOMPLISHMENTS FY2012:CHARITY CARE: MOUNT SINAI HOSPITAL PROVIDED $27,240,922 OF CHARITY CARE AT COST AND REDUCED OR NO FEE TO PATIENTS WHO ARE 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, SINAI 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 MEDICAL CENTER. 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, SINAI HAS PIONEERED A PEER EDUCATION PROGRAM INTENDED TO REDUCE THE RATE OF COMPLICATIONS AND MORTALITY HERE.ASTHMA IS A MAJOR HEALTH PROBLEM AMONG LOW-INCOME URBAN POPULATIONS LIKE SINAI'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 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 SERVICE IN 2007,PROVIDES A FULL COMPLIMENT OF ASL INTERPRETERS, DOCTORS AND SUPPORTING STAFF FLUENT IN SIGN LANGUAGE. IN 2007, MOUNT SINAI HOSPITAL BECAME THE FIRST HOSPITAL IN THE U.S. TO OFFER A VIDEOPHONE BOOTH THAT GIVES SINAI PATIENTS AND THE DEAF COMMUNITY OF CHICAGO A NEW WAY TO COMMUNICATE WITHIN THE HEARING COMMUNITY.Description

Activity2 Activity2

FieldValueIRS element (for citing)
DescriptionCONTINUATION OF PART III LINE4AWITH 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 KEEP 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 IN INPATIENT UNIT ALL IN ONE AREA. 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 AND SCREENING SERVICES' AND A 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.SINAI HEALTH SYSTEM PROVIDES UNDERGRADUATE TRAINING FOR MEDICAL STUDENTS IN SIX MAJOR SPECIALTIES- MEDICINE, SURGERY, OBSTETRIC/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 THOUGH 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.AN OVERVIEW OF MOUNT SINAI HOSPITAL PERFORMANCE DURING FISCAL YEAR 2012 IS GIVEN BELOW:FY2012PATIENT DAYS: 78,066AVERAGE LENGTH OF STAY: 3.93 DAYSEMERGENCY ROOM VISITS: 55,376OUTPATIENT SURGERIES: 4,126CHARITY CARE (AT COST): $27,240,922ACCREDITATIONS AND CERTIFICATIONS:-THE JOINT COMMISSION GOLD SEAL OF APPROVAL-ACCREDITATION, COLLEGE OF AMERICAN PATHOLOGISTS; CERTIFICATION, CMS CLINICAL LABORATORY IMPROVEMENT AMENDMENTS (CLIA)-EMERGENCY DEPARTMENT APPROVED FOR PEDIATRICS CERTIFICATION(EDAP)-AMERICAN COLLEGE OF SURGEONS COMMISSION ON CANCER-ULTRASOUND PRACTICE ACCREDITATION, AMERICAN INSTITUTE OF ULTRASOUND IN MEDICINE-ACCREDITED CHEST PAIN CENTER BY THE SOCIETY OF CHEST PAIN CENTERS-PRIMARY STROKE CENTERADDITIONAL QUALITY RECOGNITIONS-SURGICAL CARE IMPROVEMENT PROJECT(SCIP)-INNOVATION IN QUALITY AWARD (ILLINOIS HOSPITAL ASSOCIATION)-ILLINOIS HOSPITAL ASSOCIATION PLEDGE QUALITY ACHIEVEMENT AWARDDescription
FieldValueIRS element (for citing)
Total Program Service Expense229740682TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntitytrueDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgtrueTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096385NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees2328NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Form8886 T FiledfalseForm8886TFiled
Non Deductible ContributionsfalseNonDeductibleContributions
Non Deductible DisclosurefalseNonDeductibleDisclosure
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Quid Pro Quo DisclosurefalseQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Number Of8282 Filed0NumberOf8282Filed
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Filed Lieu1041falseFiledLieu1041
Licensed More Than One StatefalseLicensedMoreThanOneState
Indoor Tanning ServicesfalseIndoorTanningServices
Form720 FiledfalseForm720Filed
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members52NbrVotingGoverningBodyMembers
Number Independent Voting Members49NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Policies Reference ChaptersfalsePoliciesReferenceChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturetrueInvestmentInJointVenture
Written Policy Or ProceduretrueWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledILStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledCAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonSAM WILCOCKNamePerson
Telephone Number7732574420TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1CALIFORNIA AVENUE AT 15TH STREETAddressLine1
CityCHICAGOCity
StateILState
ZIP Code60608ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (63 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
SOLOW ALAN
Trustee1.00X000
SEYMORE HARRIET
Trustee1.00X000
ROSSMARK SHARON
Secretary1.00X000
MARKIN ROBERT
Trustee1.00X000
LUCCIONI KENNETH
Treasurer1.00X000
UMANS AR
Trustee1.00X000
GOLDSTEIN NEAL
Trustee1.00X000
WISIOL KLAUS
Trustee1.00X000
WHEAT TERRY
Trustee1.00X000
HOLLENBACH DANIEL
Trustee1.00X000
TYSON LANCE C
Trustee1.00X000
STICKLER K BRUCE
Trustee1.00X000
STEELE ROBERT
Trustee1.00X000
SOLDINGER BEN
Trustee1.00X000
SHERMAN LAWRENCE A
Trustee1.00X000
SHERMAN HAROLD L
Trustee1.00X000
SHAKNO ROBERT J
Trustee1.00X000
SCHWARTZ MAURICE A MD
Trustee1.00X000
SALTZMAN BETTYLU K
Trustee1.00X000
KELLER GARY
Trustee1.00X000
MORGAN ABRAHAM C
Trustee1.00X000
MITCHEL MICHAEL M
Trustee1.00X000
MAXWELL BRET R
Trustee1.00X000
MANILOW SUSAN
Trustee1.00X000
DAVIS LESLIE
Trustee1.00X000
DASKAL FIONA
Trustee1.00X000
KOCH STEVEN
Chairman1.00X000
KARMIN ERNEST
Trustee1.00X000
KALISH BERNARD
Trustee1.00X000
JOHNSON BARBARA
Trustee1.00X000
INBINDER ALAN J
Trustee1.00X000
HOFFMAN RICHARD E
Trustee1.00X000
HAVDALA HENRI S MD
Trustee1.00X000
TOPAL STEVE
Trustee1.00X000
PIERCE WAYNE
Trustee1.00X000
GISTENSON STEVEN H
Trustee1.00X000
MATERRE GLORIA
Trustee1.00X000
GILBERT HOWARD N
Trustee1.00X000
BROWN CHARLES
Trustee1.00X000
GIACHELLO AIDA L PhD
Trustee1.00X000
JONAS JONATHAN
Trustee1.00X000
FRANCIS PAUL
Trustee1.00X000
GRACE ALBERT
Trustee1.00X000
CHERNER PAUL J
Trustee1.00X000
CANTRELL F DANIEL
Trustee1.00X000
BOYD-CLARK ROBIN
Trustee1.00X000
GOMEZ ANGEL
Trustee1.00X000
AHLUWALIA YOGI
Trustee1.00X000
BLACKWELL-BRYSON CHERYL
Trustee1.00X000
NIEDERPRUEM GARY J
VICE CHAIRMAN1.00X000
FRISCHMARK
Trustee1.00X000
PACURA LORI JEAN
Vice President28.00141847607919935X
DVORKENRACHEL
EVPGen Counsel40.00293152041502X
BICAKJAMES
ASST VICE PRES40.00206966015446X
FRAZIER JOEL CRAIG
VP Ancilly Serv40.0014416707064X
TEITELBAUM KAREN
EXEC VP & COO24.0024706716471251867X
WEIS JR CHARLES
CFO & EXEC VP32.003673259183166729X
CHANNING ALAN
PRES. & CEO40.00604285072982X
SANDEEP KHOSLA
PHYSICIAN0.000103438123113X
MICHAEL STURGILL
PHYSICIAN0.00066033521740X
DOREEN CHUNG
PHYSICIAN0.00057470510527X
JOHN VAZQUEZ
PHYSICIAN0.00051647461731X
KENNETH EKECHUKWU
PHYSICIAN0.00050345424383X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2004809TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs3606683TotalReportableCompFrmRltdOrgs
Total Other Compensation407019TotalOtherCompensation
Number Individuals GT100 K7NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
SODEXO INC & AFFILIATES
PO BOX 70060CHICAGOIL60673FOOD SERVICES2406143
SODEXO & AFFILIATES
4880 PAYSPHERE CIRCLECHICAGOIL60674PLAN OPERATIONS3623407
SALUD REVENUE SOLUTIONS LLC
323 COLUMBIA STE 300LAFAYETTEIN47901REVENUE MANAGEMENT3558249
ANGELICA CORPORATION
920 S CAMPBELL AVECHICAGOIL60612LAUNDRY SERVICES1048837
AMERICAN HERITAGE PROTECTIVE SVCS
5100 W 127TH STALSIPIL60803SECURITY & TRANSPORT1850909
FieldValueIRS element (for citing)
Number Of Contractors GT100 K33NumberOfContractorsGT100K
Federated Campaigns744071FederatedCampaigns
Government Grants14391983GovernmentGrants
All Other Contributions782046AllOtherContributions
Total Contributions15918100TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmount
SRH PATIENT SRVC@COST62211022220832222083
RENTAL INCOME531390593691$593,691
PATIENT SERVICE REVENUE622110263753247263753247
PARKING GARAGE812930790227$790,227
CAFETERIA7222121356844$1,356,844
FieldValueIRS element (for citing)
Total Program Service Revenue268716092TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1187341TotalRevenueColumn
Exclusion$1,187,341ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real4800Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real4800Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column4800TotalRevenueColumn
Exclusion$4,800ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities122603Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities122603Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column122603TotalRevenueColumn
Exclusion$122,603ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
PREMIER PURCHASING42345097429715403$958,894
IRS FICA REFUND900099849916$849,916
INT INC ON ACCESS LOAN900099920502$920,502

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column442445TotalRevenueColumn
Exclusion$442,445ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue3187160TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column289136096TotalRevenueColumn
Related Or Exempt Function Income265975330RelatedOrExemptFunctionIncome
Unrelated Business Revenue15403UnrelatedBusinessRevenue
Exclusion$7,227,263ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total1007008Total
Program Services1007008ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total2733085Total
Management And General2733085ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total98250367Total
Program Services87582878ProgramServices
Management And General10667489ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total703906Total
Program Services612398ProgramServices
Management And General91508ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total9251515Total
Program Services8125524ProgramServices
Management And General1125991ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total7081444Total
Program Services6158981ProgramServices
Management And General922463ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total29554466Total
Program Services9575732ProgramServices
Management And General19978734ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total372099Total
Program Services14460ProgramServices
Management And General357639ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total160000Total
Management And General160000ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total396582Total
Management And General396582ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total9603Total
Fundraising9603Fundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total10600613Total
Program Services3203083ProgramServices
Management And General7397530ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total10754Total
Program Services10754ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total6156277Total
Program Services3473534ProgramServices
Management And General2682743ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total2643354Total
Program Services1847150ProgramServices
Management And General796204ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total8212081Total
Program Services3009442ProgramServices
Management And General5202639ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total476923Total
Program Services178795ProgramServices
Management And General298128ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total89762Total
Program Services63112ProgramServices
Management And General26650ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total4942850Total
Program Services4942850ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total8903563Total
Program Services6232494ProgramServices
Management And General2671069ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total5977934Total
Program Services5977934ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
LABORARORY SERVICES17029311702931
PROVIDER ASSESSMENT1393832013938320
DRUGS & SUPPLIES3172933831729338
BAD DEBTS3829140038291400

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total3641113Total
Program Services2062564ProgramServices
Management And General1234923ManagementAndGeneral
Fundraising343626Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total286837288Total
Program Services229740682ProgramServices
Management And General56743377ManagementAndGeneral
Fundraising353229Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY8423103BOY
EOY5750858EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY5278531BOY
EOY5554511EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY33680859BOY
EOY34753167EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY3867851BOY
EOY2978477EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY2851131BOY
EOY3053590EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1951754BOY
EOY1768751EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis253039077LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec174129533LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY80358225BOY
EOY78909544EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY13695080BOY
EOY14556070EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY3747805BOY
EOY4506457EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY15863277BOY
EOY15515740EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY169717616BOY
EOY167347165EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY59675205BOY
EOY56099237EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY70357152BOY
EOY69071596EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY2737501BOY
EOY2158906EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY51788311BOY
EOY52666139EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY184558169BOY
EOY179995878EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-15321724BOY
EOY-16838197EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY481171BOY
EOY4189484EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-14840553BOY
EOY-12648713EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY169717616BOY
EOY167347165EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses2298808ReconcilationRevenueExpenses
Reconcilation Other Changes-106968ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Form4720 Filed4955 TaxfalseForm4720Filed4955Tax
Correction MadefalseCorrectionMade

Sec527 Pol Orgs Sec527PolOrgs (7 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCode
BRUCE SIMON
601 W MONROE STSPRINGFIELDIL62704
FABIANI AND CO
1101 PENNSYLVANIA AVEWASHINGTONDC20004
FLETCHERTOPOLOBRIAN & KASPER PC
222 N LA SALLE ST STE 300CHICAGOIL60601
AMERICAN HOSPOITAL ASSOCIATION
PO BOX 92683CHICAGOIL60675
ILLINOIS HOSPITAL & HEALTH SYSTEM A
1151 EAST WARRENVILLE RDNAPERVILLEIL60566
ILLINOIS HOSPITAL ASSOCIATION
1151 EAST WARRENVILLE RDNAPERVILLEIL60566
MCHC SERVICE CORP
222 S RIVERSIDE PLAZA 17FCHICAGOIL60606
FieldValueIRS element (for citing)
VolunteerstrueVolunteers
Paid Staff Or ManagementtruePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorstrueDirectContactLegislators
Direct Contact Legislators$396,582DirectContactLegislatorsAmount
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiesfalseOtherActivities
Total Lobbying Expenditures IIB396582TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3
Form4720 Filed4912 TaxfalseForm4720Filed4912Tax

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierPart II-B, Line 1iIdentifier
Return ReferencePart II-B, Line 1i - Other Activities DescriptionReturnReference
ExplanationLobbies on issues primarily related to Medicaid reimbursement, uncompensated care and appropriations. VENDOR EXPENSES % LOBBYING AMOUNTMCHC 11,901 20% 2,380IHHSA DUES 3,580 25% 895 FLETCHER,TOPOL & O'BRIEN 300,000 67% 201,000Fabiani and Associates 125,640 100% 125,640Bruce Simon 66,667 100% 66,667Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance481171BeginningOfYearBalance
Contributions3903411Contributions
Other Expenditures195099OtherExpenditures
End Of Year Balance4189484EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance648003BeginningOfYearBalance
Contributions257937Contributions
Other Expenditures424769OtherExpenditures
End Of Year Balance481171EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance2186968BeginningOfYearBalance
Contributions915877Contributions
Other Expenditures2454841OtherExpenditures
End Of Year Balance648003EndOfYearBalance
FieldValueIRS element (for citing)
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RfalseAreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis1725650OtherCostOrOtherBasis
Book Value1725650BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis145104707OtherCostOrOtherBasis
Depreciation90367395Depreciation
Book Value54737312BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis682066OtherCostOrOtherBasis
Depreciation592890Depreciation
Book Value89176BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis76764589OtherCostOrOtherBasis
Depreciation54084551Depreciation
Book Value22680038BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis28762065OtherCostOrOtherBasis
Depreciation29084697Depreciation
Book Value-322632BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings78909544TotalOfBookValueLandBuildings

Other Assets OtherAssets (6 entries)

DescriptionDescriptionBook ValueBookValue
SELF INS INV46996
OTHER ACCOUNTS RECEIVABLE3170928
NET ADVANCES TO AFFILIATES5062912
DUE FROM AFFILIATES1961074
DEF BOND ISSUE COST LESS AMORT1604325
BOARD DESIGNATED INV3669505
FieldValueIRS element (for citing)
Total Book Value Other Assets15515740TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescriptionAmountAmount
SELF INSURANCE RESERVE$41,124,627
OTHER NON CURRENT LIABILITIES$790,352
DUE TO THIRD PARTIES$3,191,502
CAPITAL LEASE$5,055,924
ASSET RETIREMENT OBLIGATION$2,503,734
FieldValueIRS element (for citing)
Total Of Amounts52666139TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Part XI, Line 8Part XI, Line 8: Other Changes in Net Assets or Fund BalancesUNREALIZED GAINS/LOSSES $ -106968
Part V, Line 4Part V, Line 4: Intended uses of the endowment fund.The funds are used for general operating purposes. The interest from the fund is utilized for unrestricted purposes.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare

Discounted Other DiscountedOther

FieldValueIRS element (for citing)
OtherXOther
Discounted Other Percentage600.000000000DiscountedOtherPercentage
FieldValueIRS element (for citing)
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgetfalseExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense27240922TotalCommunityBenefitExpense
Net Community Benefit Expense27240922NetCommunityBenefitExpense
Percent Of Total Expense0.14230PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense119123289TotalCommunityBenefitExpense
Direct Offsetting Revenue154468778DirectOffsettingRevenue
Net Community Benefit Expense-35345489NetCommunityBenefitExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense146364211TotalCommunityBenefitExpense
Direct Offsetting Revenue154468778DirectOffsettingRevenue
Net Community Benefit Expense-8104567NetCommunityBenefitExpense
Percent Of Total Expense0.14230PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense1552927TotalCommunityBenefitExpense
Net Community Benefit Expense1552927NetCommunityBenefitExpense
Percent Of Total Expense0.00810PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense12383428TotalCommunityBenefitExpense
Direct Offsetting Revenue7586831DirectOffsettingRevenue
Net Community Benefit Expense4796597NetCommunityBenefitExpense
Percent Of Total Expense0.02510PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense179801350TotalCommunityBenefitExpense
Direct Offsetting Revenue158189263DirectOffsettingRevenue
Net Community Benefit Expense21612087NetCommunityBenefitExpense
Percent Of Total Expense0.11290PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense1700004TotalCommunityBenefitExpense
Net Community Benefit Expense1700004NetCommunityBenefitExpense
Percent Of Total Expense0.00890PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense195437709TotalCommunityBenefitExpense
Direct Offsetting Revenue165776094DirectOffsettingRevenue
Net Community Benefit Expense29661615NetCommunityBenefitExpense
Percent Of Total Expense0.15500PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense341801920TotalCommunityBenefitExpense
Direct Offsetting Revenue320244872DirectOffsettingRevenue
Net Community Benefit Expense21557048NetCommunityBenefitExpense
Percent Of Total Expense0.29730PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReported
Bad Debt Expense$15,191,400BadDebtExpenseAmount
Amount Attributable To6532302AmountAttributableTo
Amount Reimbursed By Medicare51580198AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare36966508CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall14613690MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number0FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1MOUNT SINAI HOSPITALBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1CALIFORNIA AVE AT 15TH STREETAddressLine1
CityCHICAGOCity
StateILState
ZIP Code60608ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
Childrens HospitalXChildrensHospital
Teaching HospitalXTeachingHospital
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1MOUNT SINAI HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
Eligibility Criteria ExplainedtrueEligibilityCriteriaExplained
Uses FPG FreetrueUsesFPGFree
FPG Free Percent200.0000FPGFreePercent
Uses FPG DiscountedtrueUsesFPGDiscounted
FPG Discount Percent600.0000FPGDiscountPercent
Explains BasistrueExplainsBasis
Income LevelXIncomeLevel
Insurance StatusXInsuranceStatus
Uninsured DiscountXUninsuredDiscount
Medicaid MedicareXMedicaidMedicare
State RegulationXStateRegulation
Explains Application MethodtrueExplainsApplicationMethod
Includes Publicity MeasurestrueIncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Attached To InvoicesXAttachedToInvoices
Posted In Admission OfficeXPostedInAdmissionOffice
Available On RequestXAvailableOnRequest
Actions On NonpaymenttrueActionsOnNonpayment
Collection ActivitiesfalseCollectionActivities
Nondiscrim Emergency Care PolicytrueNondiscrimEmergencyCarePolicy
Medicare RateXMedicareRate
Amounts Generally BilledfalseAmountsGenerallyBilled
Gross ChargesfalseGrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities3NumberOfOtherFacilities

Other Facilities OtherFacilities (3 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
SINAI TOUHY PHARMACY LLC
2907 W TOUHY AVENUECHICAGOIL60645PHARMACY DRUGS AND PHARMACEUTICALS
SINAI COMMUNITY PHARMACY
CALIFORNIA AVE AT 15TH STREETCHICAGOIL60608PHARMACY DRUGS AND PHARMACEUTICALS
HAWTHORNE MRI
4701 W CERMACKCICEROIL60804MAGNETIC RESONANCE IMAGING & OB ULTRASOUND SERVICES

Form990 Schedule H Part VI Form990ScheduleHPartVI (15 entries)

Return ReferenceReturnReferenceExplanationExplanation
Part V - Explanation of Number of Facility TypeNo other health care facility, other than those required to be licensed, registered, or similarly recognized as a health care facility under state law.
Part VI - States Where Community Benefit Report FiledIL
Part VI - Affilated Health Care System Roles and PromotionMount Sinai Hospital is part of Sinai Health System. Sinai Health System has organizations such as Sinai Community Institute, Mount Sinai Community Foundation and Sinai Urban Health Institute who partner with neighborhood groups and the community overall to understand health and well-being needs. Sinai Community Institute mostly concentrates on serving women, infants and children; families; and building individual potential. Sinai Community Institute and Sinai Urban Health Institute have created "How Healthy is Your Zip Code" which brings together providers, residents and health educators. Additional details of each entity and services are provided in Supplemental Information
Part VI - Explanation Of How Organization Furthers Its Exempt PurposeMount 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 - Community Building ActivitiesNo community building activities (as reported in Part II) are reported. Mount Sinai Hospital reports all community related activities as part of Part I - Charity Care and Certain Other Community Benefits.
Part VI - Community InformationMount 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 60% of Sinai's patients are Medicaid recipients and 13% are uninsured. Sinai'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. Sinai treats more Medicaid patients than any other hospital in Illinois. Ninety-four percent of Sinai's patients are individuals classified in minority race categories. Sinai treats 107,000 children per year and admits 6,000 inpatients to Sinai Children's Hospital inclusive of pediatric visits for asthma and diabetes. Sinai's neonatal intensive care unit sees approximately 370 neonatal patients per year and obstetrics cares for 2,000 mothers categorized as high risk pregnancies. Mount Sinai Hospital Emergency Department has 56,000 patient visits per year; the equivalent of six patients every hour. Among those patients the proportion of uninsured patients is 30% - greater than twice the proportion of uninsured patients for Mount Sinai Hospital in total. Mount Sinai Hospital's service area has an average household income of $49,840.
Part VI - Patient Education of Eligibility for AssistanceMount 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 - Needs AssessmentMount 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 also assures there is no bias based on race, gender, or patients' ability to pay. Mount Sinai 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. Sinai 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 also supports Sinai Community Institute and Sinai Urban Health Institute 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 III, Line 9b - Provisions On Collection Practices For Qualified PatientsMount Sinai's collection process includes both letter and call series built 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 III, Line 8 - Explanation Of Shortfall As Community BenefitConsistent 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, FTE's and etc.
Part III, Line 4 - Bad Debt ExpenseMount 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. The corporation estimates bad debt expense 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. Management assesses the allowance for uncollectible accounts based upon historical write-off experience.
Part I, Line 7g - Costs Associated With Physicans ClinicsMount Sinai reported in subsidized health services $20,504,236 as support to Sinai Medical Group which provides specialty care to the community. Mount Sinai also reported $608,626 as support to Sinai Community Institute which provides a wide array of community health support.
Part I, Line 7, Column F - Explanation of Bad Debt ExpenseThe bad debt expense is $15,191,400
Part I, Line 7 - Explanation of Costing MethodologyTotal cost per the Medicare Cost Report worksheet B,PT1 column 27 divided by total inpatient and outpatient gross revenue.
Part I, Line 6a - Related Organization Community Benefit ReportThe community benefit report is prepared by parent corporation Sinai Health System.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1ACCESS COMMUNITY HEALTH NETWORKBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11501 S CALIFORNIA AVEAddressLine1
CityCHICAGOCity
StateILState
ZIP Code60608ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient363317058EINOfRecipient
IRC Section501(c)(3)IRCSection
Amount Of Cash Grant1700000AmountOfCashGrant
Amount Of Non Cash Assistance0AmountOfNonCashAssistance
Purpose Of GrantOPERATINGPurposeOfGrant
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierGrantmaker's Description of How Grants are UsedIdentifier
ExplanationThis is an extension of our mission to help these agencies provide services to the underserved and uninsured individuals within our primary service area.All awarded grants usage are monitored annually. The recipient reports to Sinai Health System the allocations and expenditures of the application and usage of disbursed grant awards. The awarded grants fund the uncompensated services which the recipient's provide.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentstrueAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException
Rebuttable Presumption ProcedurefalseRebuttablePresumptionProcedure

Form990 Schedule J Part II Form990ScheduleJPartII (12 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgs
WEIS JR CHARLES
2858447146143782109453769994254159110398119242816420840105045
TEITELBAUM KAREN
19240712827230450203002421016140285621904127501514278379185267
SANDEEP KHOSLA
571944434819276188019150941057494
PACURA LORI JEAN
1213205199481143477124135320274711774347166414894163632
MICHAEL STURGILL
5591357894222258672315017682075
KENNETH EKECHUKWU
44198739998214691379910584527837
JOHN VAZQUEZ
4204666291833090570204711578205
FRAZIER JOEL CRAIG
11974675141690726004464151231
DVORKENRACHEL
234542187553985540778724334654
DOREEN CHUNG
4207421539154810527585232
CHANNING ALAN
5179953787748413664596523677267
BICAKJAMES
175454127981871467114775222412

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSch J, Part I, Line 7Identifier
Return ReferencePart I, Line 7: Non-Fixed payments not listed aboveReturnReference
ExplanationNON FIXED PAYMENTS NOT LISTED.SCHEDULE J,PART I LINE 7 MOUNT SINAI HOSPITAL PAYS OUT BONUSES BASED ON THE FOLLOWING PROCEDURES AND GUIDELINES:SINAI HEALTH SYSTEM HAS AN EXECUTIVE COMPENSATION COMMITTEE TO SUPPORT THE ORGANIZATION 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.Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1IHFA 2003 ISSSUEBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN370988139IssuerEIN
CUSIP Number45200PZC4CUSIPNumber
Date Issued2003-12-18DateIssued
Issue Price73947792IssuePrice
Description Of PurposeREFUND BONDS ISSUED 1996DescriptionOfPurpose
DefeasedfalseDefeased
On Behalf Of IssuerfalseOnBehalfOfIssuer
Pool FinancingfalsePoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Total Proceeds73947792TotalProceeds
Amount In Reserve Fund4948560AmountInReserveFund
Issuance Costs From Proceeds1887445IssuanceCostsFromProceeds
Year Of Subst Completion2003YearOfSubstCompletion
Current RefundingtrueCurrentRefunding
Advance RefundingfalseAdvanceRefunding
Final Allocation MadetrueFinalAllocationMade
Adequate Books And Recds MaintaindtrueAdequateBooksAndRecdsMaintaind

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T FiledtrueForm8038TFiled
Variable Rate IssuefalseVariableRateIssue
Hedge Identified In Books And RecdsfalseHedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GICtrueGrossProceedsInvestedInGIC

Name Of GIC Provider NameOfGICProvider

FieldValueIRS element (for citing)
Business Name Line1ROBO BANKBusinessNameLine1
FieldValueIRS element (for citing)
Regulatory Safe Harbor SatisfiedtrueRegulatorySafeHarborSatisfied
Gross Proceeds InvestedfalseGrossProceedsInvested
Exception To RebatefalseExceptionToRebate
FieldValueIRS element (for citing)
Fed Tax Requirements ComplianceXFedTaxRequirementsCompliance

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Form 990, Part VI, Line 19Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableGoverning documents, conflict of interest and financial statements are made available upon request and after review by management.
Form 990, Part VI, Line 15bForm 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key EmployeesSinai 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.
Form 990, Part VI, Line 12cForm 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsThe 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 Conflict of Interest Disclosure 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 should 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.
Form 990, Part VI, Line 11Form 990, Part VI, Line 11: Form 990 Review ProcessThe 990 was initially prepared by the Finance Staff with multi disciplinary inputfrom Public Affairs, Corporate Integrity and other appropriate staff of theorganization. The 990 was then reviewed by Senior Finance staff and other members ofSenior Leadership. Ernst & Young,LLP reviewed the return for the organization. Priorto the filing, the 990 was reviewed and discussed with the Executive Committee ofthe Board of Directors. The 990 was also made available to the full Board ofDirectors.
Form 990, Part VI, Line 7bForm 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or ShareholdersThe sole corporate member has certain reserved powers over significant corporate actions, including matters such as appointment of corporate officers, amendment of governing documents, approval of a merger, consolidation or dissolution, approval of budgets and strategic plans, approval of independent certified public accountants for the organization, and approval of non-budgeted long-term debt.
Form 990, Part VI, Line 7aForm 990, Part VI, Line 7a: How Members or Shareholders Elect Governing BodyBoard 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.
Form 990, Part VI, Line 6Form 990, Part VI, Line 6: Explanation of Classes of Members or ShareholderSinai Health System, EIN 36-3166895, is sole member.

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateTotal IncomeTotalIncomeEOY AssetsEOYAssetsBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
SINAI COMMUNITY PHARMACY INC
CALIFORNIA AVE 15TH STREETCHICAGOIL60608363832319PHARMACYIL40632879867MOUNT SINAI HOSPITAL
SINAI TOUHY PHARMACY LLC
2907 W TOUHY AVECHICAGOIL60645363305449PHARMACYIL12619148583MOUNT SINAI HOSPITAL

Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrgBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
SINAI HEALTH SYSTEM
CALIFORNIA AVE AT 15TH STCHICAGOIL60608363166895SUPPORT ORGANIZATIONIL501(C)(3)11A Type 1N/Afalse
SCHWAB REHABILITATION HOSPITAL AND CARE
CALIFORNIA AVE AT 15TH STCHICAGOIL60608362179802HEALTHCAREIL501(C)(3)3trueSinai Health System
SINAI COMMUNITY INSTITUTEINC
2653 W OGDEN AVECHICAGOIL60608363932824HEALTHCAREIL501(C)(3)7trueSinai Health System
MOUNT SINAI COMMUNITY FOUNDATION
CALIFORNIA AVE AT 15TH STCHICAGOIL60608363305449HEALTHCAREIL501(C)(3)11A Type 1trueSinai Health System

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1HAWTHORNE WORKS MEDICAL IMAGINGBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1747 ASH STREETAddressLine1
CityWINNETKACity
StateILState
ZIP Code60093ZIPCode
FieldValueIRS element (for citing)
EIN203364703EIN
Primary ActivityIMAGINGPrimaryActivity
Legal Domicile StateILLegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1MOUNT SINAI HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Predominant Income TypeRELATEDPredominantIncomeType
Share Of Total Income242149ShareOfTotalIncome
Share Of EOY Assets429413ShareOfEOYAssets
Disproportionate AllocationsfalseDisproportionateAllocations
General Or Managing PartnertrueGeneralOrManagingPartner
Percentage Ownership0.51000PercentageOwnership
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgstrueRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
SCHWAB REHABILITATION HOSPITAL AND CARE
o855000COST
SCHWAB REHABILITATION HOSPITAL AND CARE
k1730028COST
MOUNT SINAI COMMUNITY FOUNDATION
l14717236COST
MOUNT SINAI COMMUNITY FOUNDATION
i477638cost