2024-05-14T13:48:47-05:00 2023-06-30 381357951 PLANTE & MORAN PLLC 10 S RIVERSIDE PLAZA 9TH FLOOR CHICAGO IL 60606 990 2022-07-01 363166895 SINAI HEALTH SYSTEM SINA 7735422000 2750 WEST 15TH STREET CHICAGO IL 60608 DIMAS ORTEGA DEPUTY CFO 7735422000 2024-05-08 1 DIMAS ORTEGA 999009999 1 DAVID LOWENTHAL P00378651 3122071040 2024-05-08 3 AAL1 IAL1 2022 2023-04-26 12:10:37Z DR NGOZI O EZIKE MD 2750 WEST 15TH STREET CHICAGO IL 60608 89089493 0 X WWW.SINAICHICAGO.ORG X 1981 IL SINAI HEALTH SYSTEM'S MISSION IS TO IMPROVE THE HEALTH OF THE INDIVIDUALS AND COMMUNITIES IT SERVES. 23 22 647 37 0 0 13647214 6844773 82776225 80346296 28764 253797 1604642 1644627 98056845 89089493 19990 5000 0 0 46534674 45358907 0 0 704491 42959188 47513315 89513852 92877222 8542993 -3787729 247481082 235850900 100875692 90905819 146605390 144945081 X SINAI HEALTH SYSTEM'S MISSION IS TO IMPROVE THE HEALTH OF THE INDIVIDUALS AND COMMUNITIES IT SERVES. 0 0 61779082 5000 81990923 SINAI HEALTH SYSTEM IS THE PARENT ORGANIZATION AND PROVIDES ADMINISTRATIVE MANAGEMENT SUPPORT TO ITS AFFILIATED ORGANIZATIONS TO ENABLE THEM TO IMPROVE THE HEALTH AND COMMUNITIES IT SERVES. LOCATED ON THE WEST SIDE OF THE CITY OF CHICAGO AND SERVING A POPULATION BASE OF 1.5 MILLION PEOPLE IN ITS SERVICE AREA ZIP CODES, SINAI HEALTH SYSTEM (SINAI) CONSISTS OF SIX MEMBER ORGANIZATIONS. THEY ARE MOUNT SINAI HOSPITAL, HOLY CROSS HOSPITAL, SCHWAB REHABILITATION HOSPITAL, SINAI COMMUNITY INSTITUTE, SINAI MEDICAL GROUP, AND SINAI URBAN HEALTH INSTITUTE. SINAI ALSO HAS A NUMBER OF CLINICS THAT ARE LOCATED ON THE WEST AND SOUTH SIDES OF CHICAGO. SINAI HEALTH SYSTEM SERVES PRIMARILY AFRICAN-AMERICAN AND LATINO PATIENTS. SINAI'S PROGRAMS AND COMMUNITY OUTREACH ARE BASED ON SCIENTIFIC EPIDEMIOLOGICAL ASSESSMENTS OF LOCAL NEIGHBORHOODS DONE BY SINAI URBAN HEALTH INSTITUTE (SUHI). IN ADDITION TO THE WORK OF EPIDEMIOLOGISTS, SUHI COMMUNITY HEALTH EDUCATORS WORK WITH NEIGHBORHOOD GROUPS AND GO DOOR TO DOOR FOR FURTHER IDENTIFICATION OF INDIVIDUALS WITH CHRONIC DISEASE AND FOR INTERVENTION IN DISEASE PROCESSES. SUHI ALSO CONDUCTS HEALTH DISPARITIES RESEARCH, DEVELOPS INNOVATIVE COMMUNITY HEALTH INTERVENTIONS, DELIVERS COMMUNITY HEALTH WORKER TRAINING AND CONSULTATION, AND PROVIDES A BROAD SCOPE OF EVALUATION SERVICES. 1347384 0 SINAI URBAN HEALTH INSTITUTE (SUHI) WORKS IN PARTNERSHIP WITH COMMUNITY MEMBERS AND ORGANIZATIONS TO DOCUMENT DISPARITIES AND IMPROVE HEALTH IN SOME OF THE MOST VULNERABLE NEIGHBORHOODS IN THE CITY. SUHI CONDUCTS HEALTH DISPARITIES RESEARCH, DEVELOPS INNOVATIVE COMMUNITY HEALTH INTERVENTIONS, DELIVERS COMMUNITY HEALTH WORKER TRAINING AND CONSULTATION, AND PROVIDES A BROAD SCOPE OF EVALUATION SERVICES. CURRENTLY FUNDED INITIATIVES FOCUS ON ASTHMA, BREAST HEALTH, DIABETES AND VIOLENCE. 1668083 0 AIDS/HIV INITIATIVESSINAI PROVIDES SUPPORT FOR BOTH MEDICAL AND SOCIAL SUPPORT SERVICES FOR PERSONS LIVING WITH HIV. MEDICAL SERVICES INCLUDE OUTPATIENT AMBULATORY HEALTH, MENTAL HEALTH, PSYCHOSOCIAL SUPPORT, AND EARLY INTERVENTION SERVICES. SOCIAL SUPPORT SERVICES PROVIDE CASE MANAGEMENT FOR PERSONS LIVING WITH HIV. CASE MANAGERS SUPPORT PATIENTS THROUGH ISSUES RELATED TO THE SOCIAL DETERMINANTS OF HEALTH LIKE HOUSING, EMPLOYMENT, AND NUTRITION, AS WELL AS MEDICATION-RELATED ISSUES LIKE ADHERENCE. 64794549 1 1 0 1 0 0 0 0 0 0 1 0 1 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 0 0 1 375 0 1 647 1 0 0 0 0 0 0 0 0 0 0 0 0 X 23 22 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 IL X DIMAS ORTEGA 7732575964 1500 S CALIFORNIA AVENUE CHICAGO IL 60608 KAREN TEITELBAUM PRESIDENT & CEO - THRU DEC. 2022 3.00 37.00 X X 0 1323282 15823 NGOZI EZIKE MD PRESIDENT & CEO - BEG. JUNE 2022 3.00 37.00 X X 0 489834 675 BRIAN DOLAN DIRECTOR & CHAIRMAN 2.00 10.00 X X 0 0 0 ALEJANDRA GARZA DIRECTOR & VICE CHAIR 2.00 10.00 X 0 0 0 KENNETH AVNER DIRECTOR & TREASURER 2.00 10.00 X X 0 0 0 LESLIE DAVIS DIRECTOR & SECRETARY 2.00 10.00 X X 0 0 0 LESLIE MITCHEL-BOND DIRECTOR 2.00 10.00 X 0 0 0 ANNE DONNELLY DIRECTOR 2.00 10.00 X 0 0 0 MICHAEL R DAVENPORT MD DIRECTOR 2.00 10.00 X 0 0 0 ONYINYECHI DANIEL DIRECTOR 2.00 10.00 X 0 0 0 ROXANNE J DECYK DIRECTOR 2.00 10.00 X 0 0 0 VIVIAN FUNCHES DIRECTOR 2.00 10.00 X 0 0 0 FR WILLIAM GROGAN DIRECTOR 2.00 10.00 X 0 0 0 AVERY HART MD DIRECTOR 2.00 10.00 X 0 0 0 MICHAEL J HAYES DIRECTOR 2.00 10.00 X 0 0 0 NAKISHA HOBBS DIRECTOR 2.00 10.00 X 0 0 0 WAYNE M LERNER DIRECTOR 2.00 10.00 X 0 0 0 ROBERT MARKIN DIRECTOR 2.00 10.00 X 0 0 0 BRET MAXWELL DIRECTOR 2.00 10.00 X 0 0 0 LEE MILLER DIRECTOR 2.00 10.00 X 0 0 0 WILBUR MILHOUSE DIRECTOR 2.00 10.00 X 0 0 0 ABRAHAM MORGAN DIRECTOR 2.00 10.00 X 0 0 0 STEPHEN A MORALES DIRECTOR 2.00 10.00 X 0 0 0 KATYA NUQUES DIRECTOR 2.00 10.00 X 0 0 0 ALEX PISSIOS DIRECTOR - THRU OCT. 2022 2.00 10.00 X 0 0 0 DAVID SMITH DIRECTOR 2.00 10.00 X 0 0 0 RACHEL STERNBERG DIRECTOR 2.00 10.00 X 0 0 0 HELEN MARGELLOS ANAST PRESIDENT, SINAI URBAN HEALTH INSTITUTE 40.00 0.00 X 229462 0 35660 DEBRA WESLEY PRESIDENT - SCI 20.00 20.00 X 0 291640 18861 DIMAS ORTEGA CFO, INTERIM - BEG. JUNE 2022 3.00 37.00 X 0 348093 2343 GARY KRUGEL CFO - THRU APR. 2022 3.00 37.00 X 0 724824 28156 DAVID CAPONE CFO, INTERIM 01/2023 THRU 04/2023 3.00 37.00 X 0 0 0 AIRICA STEED CHIEF OPERATING OFFICER 3.00 37.00 X 0 872671 33413 WILLIAM FOLEY COO, INTERIM - 10/2022 TO 10/2023 2.00 10.00 X 0 0 0 ELIZABETH CONNOLLY GENERAL COUNSEL 3.00 37.00 X 0 511878 3284 JASON SPIGNER CHIEF HUMAN RESOURCES OFFICER 3.00 37.00 X 0 504183 16461 KENNETH SLAWKOWSKI CHIEF INFORMATION OFFICER 3.00 37.00 X 0 312702 22354 DANIEL REGAN JR VP, COMMUNICATIONS PR AND MARKETING 40.00 0.00 X 293671 0 37144 DENISSE LEON VICE PRESIDENT BUS DEV & PROVIDER ENTERPRISE STRAT 40.00 0.00 X 237719 0 19930 JOY SHULRUFF LEGAL COUNSEL, HR OPERATIONS 40.00 0.00 X 259430 0 0 MICHAEL MCCONNELL EXECUTIVE DIRECTOR RISK MANAGEMENT 40.00 0.00 X 193713 0 8861 NATHALIE CORDEIRO NUNES EXEC DIR, D.E.I / CHIEF DIVERSITY OFFICER 40.00 0.00 X 198637 0 9941 1412632 5379107 252906 121 0 1 0 PROFESSIONAL CLINICAL LABORATORIES 2434 INTERSTATE PLAZA DRIVE HAMMOND IN 46324 LAB SERVICES 13272236 MAXIM HEALTHCARE SERVICES HOLDINGS 12558 COLLECTIONS CENTER DR CHICAGO IL 60693 STAFFING SERVICES 9616869 SODEXO 9801 WASHINGTONIAN BLVD GAITHERSBURG MD 20878 MANAGEMENT SERVICES 8623927 CAREREV DEPT LA 22097 PASADENA CA 911822097 NURSE STAFFING AGENCY 8343264 AYA HEALTHCARE INC PO BOX 674907 DALLAS TX 752674907 NURSE STAFFING AGENCY 3356387 51 4457895 2386878 9491 6844773 INTERCOMPANY MANAGEMENT REIMBURSE 900099 79425206 79425206 OTHER PROGRAM SERVICE REVENUE 900099 921090 921090 80346296 253797 253797 REBATE REVENUE 900099 1534005 1534005 OTHER REVENUE 900099 110622 110622 1644627 89089493 81990923 0 253797 X 5000 5000 545579 545579 37286811 31079168 5773397 434246 -215686 -215686 4882502 2416837 2465665 2859701 2144776 714925 79118 79118 2593618 2593618 604750 604750 325020 325020 21373457 20904969 312713 155775 413161 413161 1736065 514046 1208298 13721 10066394 1325940 8677455 62999 1432398 1074299 358099 -42340 -45114 2639 135 47960 36246 11580 134 -1836 -8603 6767 4985748 3739311 1246437 142300 106725 35575 EQUIP RENTAL & REPAIR 1411443 1068671 342772 INTERCO PURCHASED SVCS 1394192 -50857 1445049 DRUGS & MEDICAL SUPPLIE 163441 163441 FOOD SUPPLIES & SERVICE 59341 57098 2243 729085 469679 228692 30714 92877222 64794549 27378182 704491 8461599 9097900 67189355 38818398 5169253 1879806 240810 395862 2419592 1888394 97477470 34996053 44975220 62481417 117739320 117739320 1285933 3549803 247481082 235850900 10367400 6759257 90508292 84146562 100875692 90905819 X 135342419 140311632 11262971 4633449 146605390 144945081 247481082 235850900 -3787729 2127420 0 X 0 1 X 1 1 1 X X 4 MOUNT SINAI HOSPITAL MEDICAL CENTER 361509000 3 1 83147269 0 HOLY CROSS HOSPITAL 362170133 3 1 19318301 0 SCHWAB REHABILITATION HOSPITAL 362179802 3 1 8969576 0 SINAI COMMUNITY INSTITUTE 363932824 10 1 86426 0 4 111521572 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 SCHEDULE A, PART IV, SECTION A, LINE 1 SINAI HEALTH SYSTEM'S (SHS) ARTICLES OF INCORPORATION DESIGNATE ITS SUPPORTED ORGANIZATION BY CLASS AND PURPOSE, WHICH IS PERMISSIBLE UNDER SECTION 1.509(A)-4(C). PER THE ARTICLES OF INCORPORATION, SHS PROMOTES THE INTEREST OF ANY NOT-FOR-PROFIT AND FEDERALLY TAX-EXEMPT ORGANIZATION THAT IS AFFILIATED WITH SHS. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 0 0 0 1 325020 325020 0 PART II-B, LINE 1: SINAI HEALTH SYSTEM ENGAGES IN EDUCATION AND OTHER ACTIVITIES TO INFORM FEDERAL, STATE, COUNTY AND CITY ELECTED AND ADMINISTRATIVE OFFICIALS REGARDING LEGISLATION AND POLICIES RELATED TO MEDICAID (SINAI'S MAJOR PAYER AND THE SAFETY NET OF MANY OF ITS PATIENTS), MEDICARE AND OTHER FUNDING SOURCES RELATED TO OUR ONGOING HEALTHCARE MISSION. THE SYSTEM LOBBYING ACTIVITIES ARE COORDINATED THROUGH MARA RUFF, VICE PRESIDENT EXTERNAL AFFAIRS SINAI HEALTH SYSTEM. LOBBYING IS CONDUCTED ON BEHALF OF THE ENTIRE SINAI SYSTEM, THEREFORE STATE LOBBYISTS ARE REGISTERED TO REPRESENT ALL ENTITIES WITHIN THE SINAI HEALTH SYSTEM. ALL LOBBYING EXPENSES INCURRED ARE PAID BY SINAI HEALTH SYSTEM. AT THE FEDERAL LEVEL, SINAI HEALTH SYSTEM DOES NOT CONTRACT EXCLUSIVE LOBBYISTS. SINAI HEALTH SYSTEM COLLABORATES WITH THE AMERICAN HOSPITAL ASSOCIATION, THE ILLINOIS HOSPITAL ASSOCIATION, AMERICA'S ESSENTIAL HOSPITALS, AND THE JEWISH FEDERATION OF METROPOLITAN CHICAGO/JEWISH UNITED FUND. AT THE STATE LEVEL, SINAI UTILIZES TWO OUTSIDE LOBBYING FIRMS, ONE OF WHICH ALSO REPRESENTS SINAI AT THE CITY AND COUNTY LEVEL, WHEN NEEDED. 995035 995035 27785336 5629586 22155750 49314943 28348391 20966552 19382156 1018076 18364080 62481417 INVESTMENT IN HOLY CROSS HOSPITAL 117739320 C 117739320 DEFERRED LIABILITIES 933917 DEFERRED COMPENSATION 206117 DUE TO AFFILIATES 79342017 CURRENT PORTION CAPITAL LEASE 201960 CAPITAL LEASE OBLIGATION 60850 OTHER CURRENT LIABILITIES 1408901 LEASE LIABILITIES - OPERATING 1992800 84146562 X PART X, LINE 2: MOUNT SINAI, SCHWAB, HOLY CROSS, SMG, AND SCI ARE EXEMPT FROM TAX UNDER THE PROVISIONS OF INTERNAL REVENUE CODE SECTION 501(C)(3). PRO IS A FOR-PROFIT SUBSIDIARY AND IS SUBJECT TO FEDERAL INCOME TAX ON ITS EARNINGS. U.S. GAAP REQUIRES MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE CORPORATION AND RECOGNIZE A TAX LIABILITY IF THE CORPORATION HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE IRS OR OTHER APPLICABLE TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE CORPORATION, AND HAS CONCLUDED THAT, AS OF JUNE 30, 2023 AND 2022, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE CORPORATION IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. MANAGEMENT BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO 2018. 1 X X X X X 0 1 0 0 0 0 0 1 0 KAREN TEITELBAUM PRESIDENT & CEO - THRU DEC. 2022 0 1074414 0 151344 0 97524 0 5800 0 10023 0 1339105 0 0 AIRICA STEED CHIEF OPERATING OFFICER 0 454659 0 370183 0 47829 0 5800 0 27613 0 906084 0 0 GARY KRUGEL CFO - THRU APR. 2022 0 547563 0 173043 0 4218 0 5800 0 22356 0 752980 0 0 JASON SPIGNER CHIEF HUMAN RESOURCES OFFICER 0 363476 0 113242 0 27465 0 5800 0 10661 0 520644 0 0 ELIZABETH CONNOLLY GENERAL COUNSEL 0 397985 0 113173 0 720 0 3127 0 157 0 515162 0 0 NGOZI EZIKE MD PRESIDENT & CEO - BEG. JUNE 2022 0 402710 0 75000 0 12124 0 0 0 675 0 490509 0 0 DIMAS ORTEGA CFO, INTERIM - BEG. JUNE 2022 0 280883 0 66379 0 831 0 2343 0 0 0 350436 0 0 KENNETH SLAWKOWSKI CHIEF INFORMATION OFFICER 0 307759 0 0 0 4943 0 4689 0 17665 0 335056 0 0 DANIEL REGAN JR VP, COMMUNICATIONS PR AND MARKETING 231835 0 59902 0 1934 0 4501 0 32643 0 330815 0 0 0 DEBRA WESLEY PRESIDENT - SCI 0 258781 0 0 0 32859 0 5800 0 13061 0 310501 0 0 HELEN MARGELLOS ANAST PRESIDENT, SINAI URBAN HEALTH INSTIT 220257 0 0 0 9205 0 5800 0 29860 0 265122 0 0 0 JOY SHULRUFF LEGAL COUNSEL, HR OPERATIONS 259430 0 0 0 0 0 0 0 0 0 259430 0 0 0 DENISSE LEON VICE PRESIDENT BUS DEV & PROVIDER EN 235096 0 0 0 2623 0 0 0 19930 0 257649 0 0 0 NATHALIE CORDEIRO NUNES EXEC DIR, D.E.I / CHIEF DIVERSITY OF 198033 0 0 0 604 0 0 0 9941 0 208578 0 0 0 MICHAEL MCCONNELL EXECUTIVE DIRECTOR RISK MANAGEMENT 193122 0 0 0 591 0 0 0 8861 0 202574 0 0 0 PART I, LINE 3 METHODS USED BY RELATED ORG TO ESTABLISH CEO COMPENSATION THE ORGANIZATION PAYS OUT COMPENSATION BASED ON THE FOLLOWING PROCEDURES AND GUIDELINES: SINAI HEALTH SYSTEM (SHS) HAS A HUMAN RESOURCES COMMITTEE TO SUPPORT THE ORGANIZATIONAL PERFORMANCE OF SINAI HEALTH SYSTEMS AND ITS RELATED ENTITIES THROUGH THE ALIGNMENT OF EXECUTIVE COMPENSATION WITH SYSTEM STRATEGIES AND PROGRAMS AND ENSURE COMPLIANCE WITH APPLICABLE LAW. THE VOTING MEMBERS OF THE COMMITTEE ARE INDEPENDENT MEMBERS OF THE BOARD OF DIRECTORS. THE COMMITTEE ESTABLISHES DETAILED GOALS ANNUALLY OR MORE FREQUENTLY AS CIRCUMSTANCES REQUIRE. THE COMMITTEE ESTABLISHES DETAILED GOALS ANNUALLY FOR THE PRESIDENT AND CEO AND OTHER EXECUTIVES, AND REVIEWS PERFORMANCE AGAINST THESE GOALS ON AN ANNUAL BASIS. THE COMMITTEE ANNUALLY ENGAGES AN OUTSIDE INDEPENDENT COMPENSATION CONSULTANT TO BENCHMARK THE SALARIES AND BENEFITS OF THE ORGANIZATION'S ASSISTANT VICE PRESIDENT AND ABOVE. COMPENSATION IS BASED ON: A) DETAILED WRITTEN PERFORMANCE OF THE PRESIDENT AND CEO; B) EACH ELEMENT OF COMPENSATION, DATA OF THE COMPENSATION PROGRAM IN EFFECT FOR CEOS OF COMPARABLE ORGANIZATIONS; AND C) ANNUAL REVIEW OF CEO PERFORMANCE IS CONDUCTED AGAINST SHS ESTABLISHED GOALS. THE COMMITTEE MAINTAINS WRITTEN MINUTES WHICH ARE MAINTAINED IN EXECUTIVE ADMINISTRATION. PART I, LINE 4B SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN: SINAI HEALTH SYSTEM'S (SHS) SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) WAS ESTABLISHED AS A NON-QUALIFIED RETIREMENT PLAN FOR ITS KEY EMPLOYEES, SPECIFICALLY THE CHIEF EXECUTIVE STAFF. THIS PLAN PROVIDES ADDED BENEFITS THAT MAY BE ABOVE AND BEYOND THOSE THRESHOLDS COVERED IN OTHER TRADITIONAL RETIREMENT PLANS. SHS'S SERP IS ENTIRELY FUNDED BY THE EMPLOYER, SHS. THE SHS COMPENSATION COMMITTEE REVIEWS AND APPROVES ACCEPTANCE AND/OR MODIFICATIONS TO THE SERP PLAN. THE SHS'S SERP PLAN OUTLINES THE ANNUAL EARNINGS PER THE INDIVIDUAL PARTICIPANTS AS WELL AS THE TIME FRAMES OF VESTMENT PER THOSE RESPECTIVE INDIVIDUALS. THE PLAN VESTS UPON TWO YEARS OF SERVICE OR ATTAINMENT OF AGE 65. THE FOLLOWING INDIVIDUALS PARTICIPATED IN THE PLAN AND RECEIVED A DISTRIBUTION FROM OR HAD AMOUNTS VEST IN THE PLAN IN THE CALENDAR YEAR 2022: KAREN TEITELBAUM $80,702 AIRICA STEED $41,036 JASON SPIGNER $22,156 GARY KRUGEL $3,489 DEBRA WESLEY $18,130 NGOZI EZIKE, M.D. PARTICIPATED IN THE PLAN BUT WAS NOT YET ELIGIBLE FOR CONTRIBUTIONS AND DID NOT RECEIVE ANY DISTRIBUTIONS OR HAVE ANY AMOUNTS VEST IN THE PLAN DURING THE CALENDAR YEAR 2022. PART I, LINE 7 NON-FIXED PAYMENTS SINAI HEALTH SYSTEM HAS A HUMAN RESOURCES COMMITTEE TO SUPPORT THE ORGANIZATIONAL PERFORMANCE OF SINAI HEALTH SYSTEMS AND ITS RELATED ENTITIES THROUGH THE ALIGNMENT OF EXECUTIVE COMPENSATION WITH SYSTEM STRATEGIES AND PROGRAMS AND ENSURE COMPLIANCE WITH APPLICABLE LAW. THE VOTING MEMBERS OF THE COMMITTEE ARE INDEPENDENT MEMBERS OF THE BOARD OF DIRECTORS. THE COMMITTEE ESTABLISHES DETAILED GOALS ANNUALLY OR MORE FREQUENTLY AS CIRCUMSTANCES REQUIRE. THE COMMITTEE ESTABLISHES DETAILED GOALS ANNUALLY FOR THE PRESIDENT AND CEO AND OTHER EXECUTIVES, AND REVIEWS PERFORMANCE AGAINST THESE GOALS ON AN ANNUAL BASIS. THE COMMITTEE ANNUALLY ENGAGES AN OUTSIDE INDEPENDENT COMPENSATION CONSULTANT TO BENCHMARK THE SALARIES AND BENEFITS OF THE ORGANIZATION'S ASSISTANT VICE PRESIDENT AND ABOVE. COMPENSATION IS BASED ON DETAILED WRITTEN PERFORMANCE OF THE PRESIDENT AND CEO, EACH ELEMENT OF COMPENSATION, DATA OF COMPENSATION PROGRAM IN EFFECT FOR CEOS OF COMPARABLE ORGANIZATIONS, AND CONDUCTS AN ANNUAL REVIEW OF CEO PERFORMANCE AGAINST ESTABLISHED GOALS. THE COMMITTEE MAINTAINS WRITTEN MINUTES WHICH ARE MAINTAINED IN EXECUTIVE ADMINISTRATION. DCCS CONSULTING LLC INTERIM CFO, DAVID CAPONE, OWNS MORE THAN 35% OF DCCS CONSULTING, LLC. 637676 THE FILING ORGANIZATION MADE PAYMENTS TO DCCS CONSULTING LLC FOR INDIVIDUALS PROVIDING SERVICES AS INTERIM CFO, INTERIM COO AND OTHER CONSULTING SERVICES. 0 FORM 990, PART VI, SECTION A, LINE 1A EXPLANATION OF DELEGATED BOARD AUTHORITY TO COMMITTEE THE EXECUTIVE COMMITTEE CONSISTS OF THE BOARD CHAIR, VICE CHAIR(S), SECRETARY, TREASURER AND PRESIDENT, AND ANY OTHER MEMBERS DESIGNATED BY THE BOARD CHAIR. THE EXECUTIVE COMMITTEE HAS THE POWER TO TRANSACT ALL REGULAR BUSINESS OF THE SINAI HEALTH SYSTEM DURING THE PERIOD BETWEEN MEETINGS OF THE BOARD, SUBJECT TO ANY PRIOR LIMITATION IMPOSED BY THE BOARD OR BY LAW. WHEN ACTION IS TAKEN BY THE EXECUTIVE COMMITTEE, IT WILL BE REPORTED TO THE BOARD AT THE NEXT MEETING OF THE BOARD. FORM 990, PART VI, SECTION B, LINE 11B FORM 990 REVIEW PROCESS THE FORM 990 INFORMATION WAS INITIALLY PROVIDED BY THE FINANCE STAFF WITH MULTI-DISCIPLINARY INPUT FROM PUBLIC AFFAIRS, CORPORATE COMPLIANCE AND OTHER APPROPRIATE STAFF OF THE ORGANIZATION. THE FORM 990 WAS THEN PREPARED BY AN INDEPENDENT PUBLIC ACCOUNTING FIRM AND REVIEWED BY SENIOR FINANCE STAFF AND OTHER MEMBERS OF SENIOR LEADERSHIP. PRIOR TO THE FILING, THE FORM 990 WAS MADE AVAILABLE TO THE FULL BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 12C PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST THE CONFLICT OF INTEREST DISCLOSURE FORM IS COMPLETED AND SIGNED ANNUALLY BY ALL BOARD MEMBERS AND OTHER EMPLOYEES WHO ARE IN A POSITION TO INFLUENCE PURCHASING DECISIONS, AFFILIATIONS OR REFERRALS, HIRING DECISIONS OR CONTRACTS. 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. THE SINAI HEALTH SYSTEM CHIEF EXECUTIVE OFFICER AND CHAIR OF THE AUDIT AND COMPLIANCE COMMITTEE DISCUSS ANY POTENTIAL CONFLICTS WITH THE CHAIRMAN OF THE BOARD OF DIRECTORS. BOARD MEMBERS OF THE SINAI HEALTH SYSTEM OR ANY OF ITS ENTITIES ARE REQUIRED TO REPORT POTENTIAL CONFLICTS TO THE CHIEF COMPLIANCE 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, SECTION B, LINE 15 COMPENSATION REVIEW & APPROVAL PROCESS - OFFICERS & KEY EMPLOYEES SINAI HEALTH SYSTEM HAS A HUMAN RESOURCES COMMITTEE THAT APPROVES ALL EXECUTIVE COMPENSATION ARRANGEMENTS, INCLUDING INCENTIVE COMPENSATION. SINAI HEALTH SYSTEM'S HUMAN RESOURCES COMMITTEE SUPPORTS THE ORGANIZATIONAL PERFORMANCE OF SINAI HEALTH SYSTEM AND ITS RELATED ENTITIES THROUGH THE ALIGNMENT OF EXECUTIVE COMPENSATION WITH SYSTEM STRATEGIES AND PROGRAMS, AND ENSURES 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 AN 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, SECTION C, LINE 19 OTHER DOCUMENTS PUBLICLY AVAILABLE GOVERNING DOCUMENTS, CONFLICT OF INTEREST AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G DEVELOPMENT: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 967. FUNDRAISING EXPENSES 155,775. TOTAL EXPENSES 156,742. ORGANIZATIONAL STRATEGY: PROGRAM SERVICE EXPENSES 1,564,386. MANAGEMENT AND GENERAL EXPENSES 63,325. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,627,711. QUALITY IMPROVEMENT: PROGRAM SERVICE EXPENSES 229,715. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 229,715. OTHER PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES -200,000. MANAGEMENT AND GENERAL EXPENSES 248,421. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 48,421. OTHER FEES: PROGRAM SERVICE EXPENSES 19,310,868. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 19,310,868. SINAI COMMUNITY INSTITUTE 2653 WEST OGDEN AVE CHICAGO IL 60608 363933824 HEALTHCARE IL 501(C)(3) 10 SINAI HEALTH SYSTEM 1 SCHWAB REHABILITATION HOSPITAL & CARE 1401 S CALIFORNIA AVE CHICAGO IL 60608 362179802 HEALTHCARE IL 501(C)(3) 3 SINAI HEALTH SYSTEM 1 HOLY CROSS HOSPITAL 2701 WEST 68TH STREET CHICAGO IL 60629 362170133 HEALTHCARE IL 501(C)(3) 3 SINAI HEALTH SYSTEM 1 MOUNT SINAI HOSPITAL MEDICAL CENTER CALIFORNIA AT 15TH STREET CHICAGO IL 60608 361509000 HEALTHCARE IL 501(C)(3) 3 SINAI HEALTH SYSTEM 1 MOUNT SINAI COMMUNITY FOUNDATION 2760 W 15TH PL 7TH FLOOR CHICAGO IL 60608 363305449 HEALTHCARE IL 501(C)(3) 12 TYPE 1 SINAI HEALTH SYSTEM 1 HAWTHORNE WORKS MED IMAGING LLC 8930 WAUKEGAN RD MORTON GROVE IL 60053 203364703 IMAGING IL MOUNT SINAI HOSPITAL MEDICAL CENTER RELATED 0 0 0.51000 PROGRESS HEALTH INC 2701 W 68TH STREET CHICAGO IL 60608 364109153 MGMT SERVICES IL SINAI HEALTH SYSTEM C 853069 3799531 1.00000 1 SINAI COMMUNITY PHARMACY CALIFORNIA AVE AT 15TH STREET CHICAGO IL 60608 363832319 PHARMACY IL MOUNT SINAI HOSPITAL MEDICAL CENTER C -757068 1061452 1.00000 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 1 0 0 SINAI COMMUNITY INSTITUTE J 326337 COST MOUNT SINAI HOSPITAL MEDICAL CENTER Q 49098644 COST SCHWAB REHABILITATION HOSPITAL & CARE Q 6504004 COST SINAI COMMUNITY INSTITUTE Q 741821 COST MOUNT SINAI COMMUNITY FOUNDATION Q 9295571 COST HOLY CROSS HOSPITAL Q 14801061 COST PROGRESS HEALTH INC Q 484703 COST MOUNT SINAI HOSPITAL MEDICAL CENTER I 1753386 COST SCHWAB REHABILITATION HOSPITAL & CARE I 246956 COST HOLY CROSS HOSPITAL I 469216 COST