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      <Description>MOUNT 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>
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        <Description>CONTINUATION 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 AWARD</Description>
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        <NamePerson>TYSON LANCE C</NamePerson>
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        <NamePerson>STEELE ROBERT</NamePerson>
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        <NamePerson>SHERMAN LAWRENCE A</NamePerson>
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        <NamePerson>SCHWARTZ MAURICE A MD</NamePerson>
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        <OtherCostOrOtherBasis>28762065</OtherCostOrOtherBasis>
        <Depreciation>29084697</Depreciation>
        <BookValue>-322632</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>78909544</TotalOfBookValueLandBuildings>
      <OtherAssets>
        <Description>SELF INS INV</Description>
        <BookValue>46996</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>OTHER ACCOUNTS RECEIVABLE</Description>
        <BookValue>3170928</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>NET ADVANCES TO AFFILIATES</Description>
        <BookValue>5062912</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>DUE FROM AFFILIATES</Description>
        <BookValue>1961074</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>DEF BOND ISSUE COST LESS AMORT</Description>
        <BookValue>1604325</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>BOARD DESIGNATED INV</Description>
        <BookValue>3669505</BookValue>
      </OtherAssets>
      <TotalBookValueOtherAssets>15515740</TotalBookValueOtherAssets>
      <OtherLiabilities>
        <Description>SELF INSURANCE RESERVE</Description>
        <Amount>41124627</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>OTHER NON CURRENT LIABILITIES</Description>
        <Amount>790352</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>DUE TO THIRD PARTIES</Description>
        <Amount>3191502</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>CAPITAL LEASE</Description>
        <Amount>5055924</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>ASSET RETIREMENT OBLIGATION</Description>
        <Amount>2503734</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>52666139</TotalOfAmounts>
      <Form990ScheduleDPartXIV>
        <Identifier>Part XI, Line 8</Identifier>
        <ReturnReference>Part XI, Line 8: Other Changes in Net Assets or Fund Balances</ReturnReference>
        <Explanation>UNREALIZED GAINS/LOSSES $ -106968</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>Part V, Line 4</Identifier>
        <ReturnReference>Part V, Line 4: Intended uses of the endowment fund.</ReturnReference>
        <Explanation>The funds are used for general operating purposes. The interest from the fund is utilized for unrestricted purposes.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="IRS990ScheduleH" softwareId="11000144" softwareVersion="2011v1.5">
      <CharityCarePolicy>true</CharityCarePolicy>
      <WrittenPolicy>true</WrittenPolicy>
      <PolicyAppliedToAllHospitals>X</PolicyAppliedToAllHospitals>
      <FPGReferenceFreeCare>true</FPGReferenceFreeCare>
      <Pcent200>X</Pcent200>
      <FPGReferenceDiscountedCare>true</FPGReferenceDiscountedCare>
      <DiscountedOther>
        <Other>X</Other>
        <DiscountedOtherPercentage>600.000000000</DiscountedOtherPercentage>
      </DiscountedOther>
      <FreeDiscCareMedicallyIndigent>true</FreeDiscCareMedicallyIndigent>
      <AmountsBudgetedForCharityCare>true</AmountsBudgetedForCharityCare>
      <ExpensesExceededBudget>false</ExpensesExceededBudget>
      <UnableToProvideCare>false</UnableToProvideCare>
      <AnnualCommunityBenefitReport>true</AnnualCommunityBenefitReport>
      <ReportPublicallyAvailable>true</ReportPublicallyAvailable>
      <CharityCareAtCost>
        <TotalCommunityBenefitExpense>27240922</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>27240922</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.14230</PercentOfTotalExpense>
      </CharityCareAtCost>
      <UnreimbursedMedicaid>
        <TotalCommunityBenefitExpense>119123289</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>154468778</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>-35345489</NetCommunityBenefitExpense>
      </UnreimbursedMedicaid>
      <TotalCharityCare>
        <TotalCommunityBenefitExpense>146364211</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>154468778</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>-8104567</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.14230</PercentOfTotalExpense>
      </TotalCharityCare>
      <CommunityHealthServices>
        <TotalCommunityBenefitExpense>1552927</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>1552927</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00810</PercentOfTotalExpense>
      </CommunityHealthServices>
      <HealthProfessionsEducation>
        <TotalCommunityBenefitExpense>12383428</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>7586831</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>4796597</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.02510</PercentOfTotalExpense>
      </HealthProfessionsEducation>
      <SubsidizedHealthServices>
        <TotalCommunityBenefitExpense>179801350</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>158189263</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>21612087</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.11290</PercentOfTotalExpense>
      </SubsidizedHealthServices>
      <CashAndInKindContributions>
        <TotalCommunityBenefitExpense>1700004</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>1700004</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00890</PercentOfTotalExpense>
      </CashAndInKindContributions>
      <TotalOtherBenefits>
        <TotalCommunityBenefitExpense>195437709</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>165776094</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>29661615</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.15500</PercentOfTotalExpense>
      </TotalOtherBenefits>
      <TotalCommunityBenefits>
        <TotalCommunityBenefitExpense>341801920</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>320244872</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>21557048</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.29730</PercentOfTotalExpense>
      </TotalCommunityBenefits>
      <BadDebtExpenseReported>false</BadDebtExpenseReported>
      <BadDebtExpenseAmount>15191400</BadDebtExpenseAmount>
      <AmountAttributableTo>6532302</AmountAttributableTo>
      <AmountReimbursedByMedicare>51580198</AmountReimbursedByMedicare>
      <CostOfCareReimbursedByMedicare>36966508</CostOfCareReimbursedByMedicare>
      <MedicareSurplusOrShortfall>14613690</MedicareSurplusOrShortfall>
      <CostingMethodologyUsed>
        <CostToChargeRatio>X</CostToChargeRatio>
      </CostingMethodologyUsed>
      <WrittenDebtCollectionPolicy>true</WrittenDebtCollectionPolicy>
      <ProvisionForCharityCare>true</ProvisionForCharityCare>
      <NumberOfHospitalFacilities>1</NumberOfHospitalFacilities>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>0</FacilityNumber>
        <Name>
          <BusinessNameLine1>MOUNT SINAI HOSPITAL</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>CALIFORNIA AVE AT 15TH STREET</AddressLine1>
          <City>CHICAGO</City>
          <State>IL</State>
          <ZIPCode>60608</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <ChildrensHospital>X</ChildrensHospital>
        <TeachingHospital>X</TeachingHospital>
        <Er24Hours>X</Er24Hours>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>MOUNT SINAI HOSPITAL</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>1</HospitalFacilityNumber>
        <EligibilityCriteriaExplained>true</EligibilityCriteriaExplained>
        <UsesFPGFree>true</UsesFPGFree>
        <FPGFreePercent>200.0000</FPGFreePercent>
        <UsesFPGDiscounted>true</UsesFPGDiscounted>
        <FPGDiscountPercent>600.0000</FPGDiscountPercent>
        <ExplainsBasis>true</ExplainsBasis>
        <IncomeLevel>X</IncomeLevel>
        <InsuranceStatus>X</InsuranceStatus>
        <UninsuredDiscount>X</UninsuredDiscount>
        <MedicaidMedicare>X</MedicaidMedicare>
        <StateRegulation>X</StateRegulation>
        <ExplainsApplicationMethod>true</ExplainsApplicationMethod>
        <IncludesPublicityMeasures>true</IncludesPublicityMeasures>
        <PostedOnWebsite>X</PostedOnWebsite>
        <AttachedToInvoices>X</AttachedToInvoices>
        <PostedInAdmissionOffice>X</PostedInAdmissionOffice>
        <AvailableOnRequest>X</AvailableOnRequest>
        <ActionsOnNonpayment>true</ActionsOnNonpayment>
        <CollectionActivities>false</CollectionActivities>
        <NondiscrimEmergencyCarePolicy>true</NondiscrimEmergencyCarePolicy>
        <MedicareRate>X</MedicareRate>
        <AmountsGenerallyBilled>false</AmountsGenerallyBilled>
        <GrossCharges>false</GrossCharges>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVSectionC>
        <NumberOfOtherFacilities>3</NumberOfOtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>SINAI TOUHY PHARMACY LLC</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>2907 W TOUHY AVENUE</AddressLine1>
            <City>CHICAGO</City>
            <State>IL</State>
            <ZIPCode>60645</ZIPCode>
          </Address>
          <FacilityType>PHARMACY DRUGS AND PHARMACEUTICALS</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>SINAI COMMUNITY PHARMACY</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>CALIFORNIA AVE AT 15TH STREET</AddressLine1>
            <City>CHICAGO</City>
            <State>IL</State>
            <ZIPCode>60608</ZIPCode>
          </Address>
          <FacilityType>PHARMACY DRUGS AND PHARMACEUTICALS</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>HAWTHORNE MRI</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>4701 W CERMACK</AddressLine1>
            <City>CICERO</City>
            <State>IL</State>
            <ZIPCode>60804</ZIPCode>
          </Address>
          <FacilityType>MAGNETIC RESONANCE IMAGING &amp; OB ULTRASOUND SERVICES</FacilityType>
        </OtherFacilities>
      </Form990ScheduleHPartVSectionC>
      <Form990ScheduleHPartVI>
        <ReturnReference>Part V - Explanation of Number of Facility Type</ReturnReference>
        <Explanation>No other health care facility, other than those required to be licensed, registered, or similarly recognized as a health care facility under state law.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <ReturnReference>Part VI - States Where Community Benefit Report Filed</ReturnReference>
        <Explanation>IL</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <ReturnReference>Part VI - Affilated Health Care System Roles and Promotion</ReturnReference>
        <Explanation>Mount 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</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <ReturnReference>Part VI - Explanation Of How Organization Furthers Its Exempt Purpose</ReturnReference>
        <Explanation>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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <ReturnReference>Part VI - Community Building Activities</ReturnReference>
        <Explanation>No 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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <ReturnReference>Part VI - Community Information</ReturnReference>
        <Explanation>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 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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <ReturnReference>Part VI - Patient Education of Eligibility for Assistance</ReturnReference>
        <Explanation>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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <ReturnReference>Part VI - Needs Assessment</ReturnReference>
        <Explanation>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 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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <ReturnReference>Part III, Line 9b - Provisions On Collection Practices For Qualified Patients</ReturnReference>
        <Explanation>Mount 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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <ReturnReference>Part III, Line 8 - Explanation Of Shortfall As Community Benefit</ReturnReference>
        <Explanation>Consistent with Medicare guidelines, rules &amp; 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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <ReturnReference>Part III, Line 4 - Bad Debt Expense</ReturnReference>
        <Explanation>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. 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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <ReturnReference>Part I, Line 7g - Costs Associated With Physicans Clinics</ReturnReference>
        <Explanation>Mount 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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <ReturnReference>Part I, Line 7, Column F - Explanation of Bad Debt Expense</ReturnReference>
        <Explanation>The bad debt expense is $15,191,400</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <ReturnReference>Part I, Line 7 - Explanation of Costing Methodology</ReturnReference>
        <Explanation>Total cost per the Medicare Cost Report worksheet B,PT1 column 27 divided by total inpatient and outpatient gross revenue.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <ReturnReference>Part I, Line 6a - Related Organization Community Benefit Report</ReturnReference>
        <Explanation>The community benefit report is prepared by parent corporation Sinai Health System.</Explanation>
      </Form990ScheduleHPartVI>
    </IRS990ScheduleH>
    <IRS990ScheduleI documentId="IRS990ScheduleI" softwareId="11000144" softwareVersion="2011v1.5">
      <RecordsMaintained>true</RecordsMaintained>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>ACCESS COMMUNITY HEALTH NETWORK</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>1501 S CALIFORNIA AVE</AddressLine1>
          <City>CHICAGO</City>
          <State>IL</State>
          <ZIPCode>60608</ZIPCode>
        </AddressUS>
        <EINOfRecipient>363317058</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>1700000</AmountOfCashGrant>
        <AmountOfNonCashAssistance>0</AmountOfNonCashAssistance>
        <PurposeOfGrant>OPERATING</PurposeOfGrant>
      </RecipientTable>
      <TotalNbrOf501C3AndGovtGrants>1</TotalNbrOf501C3AndGovtGrants>
      <TotalNbrOfOtherOrganizations>0</TotalNbrOfOtherOrganizations>
      <Form990ScheduleIPartIV>
        <Identifier>Grantmaker's Description of How Grants are Used</Identifier>
        <Explanation>This 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>
      </Form990ScheduleIPartIV>
    </IRS990ScheduleI>
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      <IndependentConsultant>X</IndependentConsultant>
      <WrittenEmploymentContract>X</WrittenEmploymentContract>
      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>false</SeverancePayment>
      <SupplementalNonqualRetirePlan>true</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>false</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>false</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>false</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>false</CompBasedNetEarningsFilingOrg>
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      <AnyNonFixedPayments>true</AnyNonFixedPayments>
      <InitialContractException>false</InitialContractException>
      <RebuttablePresumptionProcedure>false</RebuttablePresumptionProcedure>
      <Form990ScheduleJPartII>
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        <TotalCompensationFilingOrg>148941</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>63632</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>MICHAEL STURGILL</NamePerson>
        <CompBasedOnRelatedOrgs>559135</CompBasedOnRelatedOrgs>
        <BonusRelatedOrgs>78942</BonusRelatedOrgs>
        <OtherCompensationRelatedOrgs>22258</OtherCompensationRelatedOrgs>
        <DeferredCompRelatedOrgs>6723</DeferredCompRelatedOrgs>
        <NontaxableBenefitsRelatedOrgs>15017</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationRelatedOrgs>682075</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>KENNETH EKECHUKWU</NamePerson>
        <CompBasedOnRelatedOrgs>441987</CompBasedOnRelatedOrgs>
        <BonusRelatedOrgs>39998</BonusRelatedOrgs>
        <OtherCompensationRelatedOrgs>21469</OtherCompensationRelatedOrgs>
        <DeferredCompRelatedOrgs>13799</DeferredCompRelatedOrgs>
        <NontaxableBenefitsRelatedOrgs>10584</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationRelatedOrgs>527837</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>JOHN VAZQUEZ</NamePerson>
        <CompBasedOnRelatedOrgs>420466</CompBasedOnRelatedOrgs>
        <BonusRelatedOrgs>62918</BonusRelatedOrgs>
        <OtherCompensationRelatedOrgs>33090</OtherCompensationRelatedOrgs>
        <DeferredCompRelatedOrgs>57020</DeferredCompRelatedOrgs>
        <NontaxableBenefitsRelatedOrgs>4711</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationRelatedOrgs>578205</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>FRAZIER JOEL CRAIG</NamePerson>
        <BaseCompensationFilingOrg>119746</BaseCompensationFilingOrg>
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        <NontaxableBenefitsFilingOrg>4464</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>151231</TotalCompensationFilingOrg>
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      <Form990ScheduleJPartII>
        <NamePerson>DVORKENRACHEL</NamePerson>
        <BaseCompensationFilingOrg>234542</BaseCompensationFilingOrg>
        <BonusFilingOrg>18755</BonusFilingOrg>
        <OtherCompensationFilingOrg>39855</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>40778</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>724</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>334654</TotalCompensationFilingOrg>
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      <Form990ScheduleJPartII>
        <NamePerson>DOREEN CHUNG</NamePerson>
        <CompBasedOnRelatedOrgs>420742</CompBasedOnRelatedOrgs>
        <BonusRelatedOrgs>153915</BonusRelatedOrgs>
        <OtherCompensationRelatedOrgs>48</OtherCompensationRelatedOrgs>
        <NontaxableBenefitsRelatedOrgs>10527</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationRelatedOrgs>585232</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>CHANNING ALAN</NamePerson>
        <BaseCompensationFilingOrg>517995</BaseCompensationFilingOrg>
        <BonusFilingOrg>37877</BonusFilingOrg>
        <OtherCompensationFilingOrg>48413</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>66459</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>6523</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>677267</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>BICAKJAMES</NamePerson>
        <BaseCompensationFilingOrg>175454</BaseCompensationFilingOrg>
        <BonusFilingOrg>12798</BonusFilingOrg>
        <OtherCompensationFilingOrg>18714</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>671</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>14775</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>222412</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <Identifier>Sch J, Part I, Line 7</Identifier>
        <ReturnReference>Part I, Line 7: Non-Fixed payments not listed above</ReturnReference>
        <Explanation>NON 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>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="IRS990ScheduleK.1" softwareId="11000144" softwareVersion="2011v1.5">
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>IHFA 2003 ISSSUE</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>370988139</IssuerEIN>
        <CUSIPNumber>45200PZC4</CUSIPNumber>
        <DateIssued>2003-12-18</DateIssued>
        <IssuePrice>73947792</IssuePrice>
        <DescriptionOfPurpose>REFUND BONDS ISSUED 1996</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
        <PoolFinancing>false</PoolFinancing>
      </Form990ScheduleKPartI>
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        <TotalProceeds>73947792</TotalProceeds>
        <AmountInReserveFund>4948560</AmountInReserveFund>
        <IssuanceCostsFromProceeds>1887445</IssuanceCostsFromProceeds>
        <YearOfSubstCompletion>2003</YearOfSubstCompletion>
        <CurrentRefunding>true</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>true</Form8038TFiled>
        <VariableRateIssue>false</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>true</GrossProceedsInvestedInGIC>
        <NameOfGICProvider>
          <BusinessNameLine1>ROBO BANK</BusinessNameLine1>
        </NameOfGICProvider>
        <RegulatorySafeHarborSatisfied>true</RegulatorySafeHarborSatisfied>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <ExceptionToRebate>false</ExceptionToRebate>
      </Form990ScheduleKPartIV>
      <FedTaxRequirementsCompliance>X</FedTaxRequirementsCompliance>
    </IRS990ScheduleK>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="11000144" softwareVersion="2011v1.5">
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 19</Identifier>
        <ReturnReference>Form 990, Part VI, Line 19: Other Organization Documents Publicly Available</ReturnReference>
        <Explanation>Governing documents, conflict of interest and financial statements are made available upon request and after review by management.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 15b</Identifier>
        <ReturnReference>Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 12c</Identifier>
        <ReturnReference>Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts</ReturnReference>
        <Explanation>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 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 11</Identifier>
        <ReturnReference>Form 990, Part VI, Line 11: Form 990 Review Process</ReturnReference>
        <Explanation>The 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 &amp; 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 7b</Identifier>
        <ReturnReference>Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or Shareholders</ReturnReference>
        <Explanation>The 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 7a</Identifier>
        <ReturnReference>Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 6</Identifier>
        <ReturnReference>Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder</ReturnReference>
        <Explanation>Sinai Health System, EIN 36-3166895, is sole member.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
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          <BusinessNameLine1>SINAI COMMUNITY PHARMACY INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>CALIFORNIA AVE 15TH STREET</AddressLine1>
          <City>CHICAGO</City>
          <State>IL</State>
          <ZIPCode>60608</ZIPCode>
        </AddressUS>
        <EIN>363832319</EIN>
        <PrimaryActivities>PHARMACY</PrimaryActivities>
        <LegalDomicileState>IL</LegalDomicileState>
        <TotalIncome>40632</TotalIncome>
        <EOYAssets>879867</EOYAssets>
        <DirectControllingEntityName>
          <BusinessNameLine1>MOUNT SINAI HOSPITAL</BusinessNameLine1>
        </DirectControllingEntityName>
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          <City>CHICAGO</City>
          <State>IL</State>
          <ZIPCode>60645</ZIPCode>
        </AddressUS>
        <EIN>363305449</EIN>
        <PrimaryActivities>PHARMACY</PrimaryActivities>
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        <TotalIncome>12619</TotalIncome>
        <EOYAssets>148583</EOYAssets>
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          <BusinessNameLine1>MOUNT SINAI HOSPITAL</BusinessNameLine1>
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        <PublicCharityStatus>11A Type 1</PublicCharityStatus>
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        <PrimaryActivity>IMAGING</PrimaryActivity>
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        <DirectControllingEntityName>
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        <PredominantIncomeType>RELATED</PredominantIncomeType>
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        <ShareOfEOYAssets>429413</ShareOfEOYAssets>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <GeneralOrManagingPartner>true</GeneralOrManagingPartner>
        <PercentageOwnership>0.51000</PercentageOwnership>
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      <LoansOrGuaranteesToOtherOrg>false</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>false</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>false</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>false</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>false</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>true</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>false</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>true</PerformOfServicesForOtherOrgs>
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      <SharingOfFacilities>false</SharingOfFacilities>
      <SharingOfPaidEmployees>false</SharingOfPaidEmployees>
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        <MethodOfAmtDetermination>COST</MethodOfAmtDetermination>
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</Return>