2022-05-13T10:12:40-05:00 2021-06-30 381357951 PLANTE & MORAN PLLC 10 S RIVERSIDE PLAZA 9TH FLOOR CHICAGO IL 60606 990 2020-07-01 361509000 MOUNT SINAI HOSPITAL MEDICAL CENTER MOUN 7732572937 CALIFORNIA AVENUE AT 15TH STREET CHICAGO IL 60608 GARY KRUGEL CFO 7732572937 2022-05-11 1 GARY KRUGEL 999009999 DAVID LOWENTHAL P00378651 3122071040 2022-05-11 0 AAL1 IAL1 2020 2022-09-23 18:48:47Z KAREN TEITELBAUM CALIFORNIA AVENUE AT 15TH STREET CHICAGO IL 60608 389717732 0 X WWW.SINAICHICAGO.ORG X 1918 IL AS A MEMBER OF SINAI HEALTH SYSTEM, MOUNT SINAI HOSPITAL MEDICAL CENTER'S MISSION IS TO IMPROVE THE HEALTH OF THE INDIVIDUALS AND COMMUNITIES IT SERVES BY PROVIDING COMPREHENSIVE MEDICAL, SURGICAL, PEDIATRIC, PSYCHIATRIC, AND INTENSIVE CARE SERVICES. THE VISION IS TO BE A NATIONAL MODEL FOR THE DELIVERY OF URBAN HEALTHCARE. 26 25 2196 105 338610 347188 29604216 45111842 344895713 341920949 350947 212570 5459666 2472371 380310542 389717732 788024 979004 0 0 119550762 121290536 0 0 0 231400091 235528622 351738877 357798162 28571665 31919570 296971492 331688934 285824010 288376809 11147482 43312125 X AS A MEMBER OF SINAI HEALTH SYSTEM, MOUNT SINAI HOSPITAL MEDICAL CENTER'S MISSION IS TO IMPROVE THE HEALTH OF THE INDIVIDUALS AND COMMUNITIES IT SERVES BY PROVIDING COMPREHENSIVE MEDICAL, SURGICAL, PEDIATRIC, PSYCHIATRIC, AND INTENSIVE CARE SERVICES. THE VISION IS TO BE A NATIONAL MODEL FOR THE DELIVERY OF URBAN HEALTHCARE. 0 0 219860016 979004 229080217 PATIENT CAREMOUNT SINAI HOSPITAL MEDICAL CENTER (MOUNT SINAI HOSPITAL OR MSH) IS A 319-LICENSED BED ACUTE CARE AND TEACHING HOSPITAL AFFILIATED WITH THE JEWISH FEDERATION OF METROPOLITAN CHICAGO. MSH 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, MSH 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, EMERGENCY, MATERNAL CHILD, AND PSYCHIATRIC SERVICES. THE HOSPITAL'S EMERGENCY DEPARTMENT IS ONE OF FOUR LEVEL I TRAUMA CENTERS IN CHICAGO.CHARITY CAREMOUNT SINAI HOSPITAL PROVIDED $32,288,820 OF CHARITY CARE AT COST TO PATIENTS WHO WERE UNABLE TO PAY FOR SERVICES. SINCE SO MANY OF OUR PATIENTS ARE UNINSURED OR OTHERWISE UNABLE TO AFFORD CARE, CHARITY CARE IS A VITAL PART OF OUR MISSION TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE.COMMUNITY OUTREACHAS PART OF OUR MISSION TO IMPROVE THE HEALTH OF OUR COMMUNITIES, MSH HAS LAUNCHED SEVERAL INITIATIVES TO STUDY AND ADDRESS SPECIFIC HEALTH ISSUES. THE SINAI URBAN HEALTH INSTITUTE (SUHI) IS A NATIONALLY RECOGNIZED RESEARCH ORGANIZATION FUNDED AND OPERATED THROUGH MOUNT SINAI HOSPITAL. SUHI HAS PUBLISHED GROUNDBREAKING RESEARCH ON RACIAL DISPARITIES, HIV, SMOKING RATES, ASTHMA, DIABETES, BREAST CANCER, AND OTHER HEALTH THREATS FACING LOW-INCOME MINORITY POPULATIONS.AN OVERVIEW OF MOUNT SINAI HOSPITAL PERFORMANCE DURING FISCAL YEAR 2020IS GIVEN BELOW:- PATIENT DAYS: 60,784- AVERAGE LENGTH OF STAY: 5.13 DAYS- EMERGENCY ROOM VISITS: 32,341- OUTPATIENT SURGERIES: 3,829- CHARITY CARE (AT COST): $32,288,820ACCREDITATIONS AND CERTIFICATIONS:- PALLIATIVE MEDICINE PROGRAM RECOGNIZED FOR OUTSTANDING ACHIEVEMENT BY THE COLEMAN FOUNDATION- OUTPATIENT PSYCHIATRY PROGRAMS ACCREDITED BY CARF- NATIONAL EXCELLENCE IN HEALTHCARE 2014 AWARD WINNER FOR OVERALL QUALITY CARE FROM PROFESSIONAL RESEARCH CONSULTANTS- GET WITH THE GUIDELINES STROKE GOLD-PLUS QUALITY ACHIEVEMENT AWARD WINNER FROM THE AMERICAN HEART ASSOCIATION AND AMERICAN STROKE ASSOCIATION- ONCOLOGY PRACTICE INITIATIVE CERTIFICATION PROGRAM, AN AFFILIATED PROGRAM OF THE AMERICAN SOCIETY OF CLINICAL ONCOLOGY- OB ULTRASOUND DEPARTMENT ACCREDITED BY THE AMERICAN INSTITUTE OF ULTRASOUND MEDICINE- MAMMOGRAPHY ACCREDITED BY THE AMERICAN COLLEGE OF RADIOLOGY- THE JOINT COMMISSION GOLD SEAL OF APPROVAL- EMERGENCY DEPARTMENT APPROVED FOR PEDIATRICS CERTIFICATION (EDAP)- AMERICAN COLLEGE OF SURGEONS COMMISSION ON CANCER- ACCREDITED CHEST PAIN CENTER BY THE SOCIETY OF CHEST PAIN CENTERSPRIMARY STROKE CENTER AWARDS:- INNOVATION IN QUALITY AWARD (ILLINOIS HOSPITAL ASSOCIATION)- ILLINOIS HOSPITAL ASSOCIATION PLEDGE QUALITY ACHIEVEMENT AWARD- DEAF ILLINOIS AWARD FOR BEST HEALTH SERVICES IN 2007, 2009 AND 2011- ORGAN AND TISSUE DONOR NETWORK'S GIFT OF HOPE SILVER MEDAL OF HONOR 34715277 114246735 PATIENT SERVICE-THERAPY & DIAGNOSTICSWITH AN AGING POPULATION, REACHING AND PROVIDING HEALTH CARE TO OUR SENIORS ON A TIMELY BASIS HAS BECOME CRITICAL. SINAI HOME HEALTH THROUGH ITS TRAINED NURSES KEEPS IN CONTACT WITH SENIORS THROUGH PERIODIC HOME VISITS. SUCH VISITS PROVIDE AN OPPORTUNITY TO DO A GENERAL CHECKUP ON THEIR HEALTH, ENSURE THE PATIENTS ARE TAKING THE PRESCRIBED MEDICATION AND TO DISCUSS THEIR HEALTH CONCERNS. THIS PROGRAM HAS BEEN WELL RECEIVED IN THE COMMUNITY. SINAI IS ALSO DEVELOPING A DEDICATED GERIATRIC SERVICE LINE IN ORDER TO PROVIDE SUPERIOR CONTINUITY OF CARE.FOR ONCOLOGY PATIENTS, THE SINAI HEALTH SYSTEM CANCER CARE CENTER WAS ESTABLISHED IN 2008. WITH THE SUPPORT OF THE COLEMAN FOUNDATION, AN INTEGRATED ONCOLOGY CENTER WAS CREATED THAT LINKS PHYSICIANS' OFFICES, A CHEMOTHERAPY CENTER AND AN INPATIENT UNIT ALL IN ONE AREA. 48459688 570294 TEACHING & RESEARCHMOUNT SINAI HOSPITAL PROVIDES UNDERGRADUATE TRAINING FOR MEDICAL STUDENTS IN SIX MAJOR SPECIALTIES - MEDICINE, SURGERY, OBSTETRICS/GYNECOLOGY, PEDIATRICS, PSYCHIATRY AND PHYSICAL MEDICINE AS WELL AS A NUMBER OF SUB-SPECIALTIES. THE HOUSE STAFF PROGRAM PROVIDES TRAINING FOR RESIDENTS AND FELLOWS IN MAJOR CLINICAL AREAS. IN 2008, RELATIONSHIPS WITH ACADEMIC MEDICAL CENTERS WERE EXPANDED THAT ENRICH THE PATIENT CARE RESOURCES AVAILABLE THROUGH AFFILIATIONS WITH NORTHWESTERN MEMORIAL HOSPITAL, THE UNIVERSITY OF CHICAGO MEDICAL CENTER, RUSH UNIVERSITY MEDICAL CENTER, THE UNIVERSITY OF ILLINOIS-CHICAGO AND ROSALIND FRANKLIN UNIVERSITY.RESEARCH PROGRAMS AT MOUNT SINAI HOSPITAL ARE ONGOING IN SEVERAL FIELDS INCLUDING CANCER DETECTION AND TREATMENT, CHILD ABUSE, TRAUMA AND EMERGENCY MEDICINE, PEDIATRIC HIV/AIDS, UROLOGY, RHEUMATOLOGY, HEMATOLOGY AND NEONATOLOGY. 303034981 1 1 0 0 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 0 0 1 2196 1 1 1 0 0 0 0 0 0 0 0 0 1 0 X 26 25 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 IL X GARY KRUGEL CFO 7732575964 CALIFORNIA AVENUE AT 15TH STREET CHICAGO IL 60608 KAREN TEITELBAUM PRESIDENT & CEO 16.00 24.00 X X 1046593 0 14136 VINCENT WILLIAMS DIRECTOR & CHAIR 2.00 10.00 X X 0 0 0 KENNETH AVNER DIRECTOR & VICE CHAIR 2.00 10.00 X X 0 0 0 BRIAN DOLAN DIRECTOR & TREASURER 2.00 10.00 X X 0 0 0 ANNE DONNELLY COHN DIRECTOR & SECRETARY 2.00 10.00 X X 0 0 0 LESLIE MITCHEL BOND DIRECTOR 2.00 10.00 X 0 0 0 ONYINYECHI DANIEL DIRECTOR 2.00 10.00 X 0 0 0 LESLIE DAVIS DIRECTOR 2.00 10.00 X 0 0 0 ROXANNE DECYK DIRECTOR 2.00 10.00 X 0 0 0 VIVIAN FUNCHES DIRECTOR 2.00 10.00 X 0 0 0 ALEJANDRA GARZA DIRECTOR 2.00 10.00 X 0 0 0 FR WILLIAM GROGAN DIRECTOR 2.00 10.00 X 0 0 0 MICHAEL HAYES DIRECTOR 2.00 10.00 X 0 0 0 NAKISHA HOBBS DIRECTOR 2.00 10.00 X 0 0 0 WAYNE 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 STEPHEN MORALES DIRECTOR 2.00 10.00 X 0 0 0 ABRAHAM MORGAN DIRECTOR 2.00 10.00 X 0 0 0 CHERILYN MURER DIRECTOR 2.00 10.00 X 0 0 0 KATYA NUQUES DIRECTOR 2.00 10.00 X 0 0 0 ALEX PISSIOS DIRECTOR 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 SR IMMACULA WENDT DIRECTOR 2.00 10.00 X 0 0 0 AIRICA STEED CHIEF OPERATING OFFICER 16.00 24.00 X 659568 0 31069 GARY KRUGEL CHIEF FINANCIAL OFFICER 16.00 24.00 X 501502 0 20766 VIVEK MEHTA - THRU 71520 CHIEF INFORMATION OFFICER 16.00 24.00 X 425042 0 0 MICHELE MAZUREK SITE PRESIDENT 40.00 0.00 X 389066 0 14496 ELIZABETH CONNOLLY GENERAL COUNSEL 16.00 24.00 X 362598 0 7733 LORI PACURA - THRU 11919 PRESIDENT, ACUTE CARE HOSPITALS 20.00 20.00 X 367981 0 0 RUSSELL FIORELLA SYSTEM CHIEF MEDICAL OFFICER 20.00 20.00 X 0 665362 36368 JASON N SPIGNER CHIEF HUMAN RESOURCES OFFICER 16.00 24.00 X 452042 0 13983 KAREN JANOUSEK CHIEF POPULATION HEALTH & GROWTH OFFICER 40.00 0.00 X 344693 0 25482 JAMES BICAK VP, FACILITIES & PLANT OPERATIONS 40.00 0.00 X 323815 0 5700 HARSHA GONDI PHYSICIAN 40.00 0.00 X 294155 0 7238 SAMEER SHAH VP, CLINICAL AND PROFESSIONAL SERVICES 40.00 0.00 X 275220 0 3225 SALLIE HAZELRIGG - THRU 5120 CHIEF DEVELOPMENT OFFICER 40.00 0.00 X 263683 0 1031 5705958 665362 181227 198 0 1 0 PROFESSIONAL CLINICAL LABORATORIES 26051 NETWORK PLACE CHICAGO IL 60673 LAB SERVICES 9515940 G4S SOLUTIONS USA INC 1395 UNIVERSITY BLVD JUPITER FL 33458 SECURITY SERVICES 2613872 RENOVO SOLUTIONS LLC 4 EXECUTIVE CIRCLE STE 185 IRVINE CA 92614 PROFESSIONAL SERVICES 2548361 CEP AMERICA 2100 POWELL STREET EMERYVILLE CA 94608 EMERGENCY ROOM PHYSICIANS 2295846 QUEST DIAGNOSTICS PO BOX 775460 CHICAGO IL 60677 LAB SERVICES 1197069 45 41379105 3732737 45111842 MEDICARE AND MEDICAID 622110 254771664 254771664 PATIENT REVENUE 622110 62875290 62875290 PHARMACY REVENUE 621399 14952261 14952261 CAFETERIA REVENUE 722514 1236426 1236426 INTERCOMPANY REVENUE 622110 949705 949705 7135603 7135603 341920949 187809 187809 620126 0 620126 620126 620126 24761 0 24761 24761 24761 MED STUDENT REVENUE 900099 1481968 1481968 DAVITA PARTNERSHIP INCOME 621492 338610 338610 INTEREST INCOME ACCESS LOAN 900099 31667 31667 1852245 389717732 343897246 338610 864363 979004 979004 5100612 5100612 99735798 95671935 4063863 821740 787787 33953 8349956 8067271 282685 7282430 7000335 282095 2502477 2502477 15706 15706 19750116 19655624 94492 5870 5870 671920 671920 3515184 10331 3504853 6642419 6642419 5013 4222 791 22627 21662 965 2088671 2088671 10785416 6935022 3850394 746019 746019 INTERCO PURCHASED SVCS 59193615 38539953 20653662 BAD DEBT 43151413 43151413 DRUGS AND MED SUPPLIES 41974900 41974900 PROVIDER ASSESSMENT 18647720 18647720 25809536 20915882 4893654 357798162 303034981 54763181 0 0 3750 1876305 1866797 0 0 41299991 35489948 0 0 0 0 1335834 1500000 3189131 3918036 1134366 1245152 275650561 214526404 61881282 61124157 10974359 10725517 1764567 1945383 6907419 5096556 0 0 166608238 208773638 296971492 331688934 42317807 42511891 0 0 0 0 0 0 48821190 45595550 0 194685013 200269368 285824010 288376809 X 8626589 38412646 2520893 4899479 11147482 43312125 296971492 331688934 X 31919570 -234338 479411 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2038920 1260 442188 121488 41617 2319263 2136133 167 71865 118813 50432 2038920 5394140 27943 105110 3375220 15840 2136133 6073963 13364 472492 1165679 5394140 5272743 942646 141426 6073963 1.00000 0.00000 0.00000 0 0 1725650 1725650 170963159 130779141 40184018 2922248 1411379 1510869 98147233 81227976 16919257 1892271 1107908 784363 61124157 DUE FROM RELATED PARTIES 202475103 OTHER RECEIVABLES 4173113 OTHER ACCOUNTS RECEIVABLE 163274 DEPOSITS 1614146 OTHER ASSETS 348002 208773638 ACCRUED SELF INSURANCE 2841699 INTERCOMPANY PAYABLE 102564174 OTHER ACCOUNTS PAYABLE 54743481 ADVANCE PAYMENTS 28313720 DEFFERED LIABILITIES 5163544 OTHER LONG TERM LIABILITIES 4500000 ACCRUED POST RETIREMENT BENEFIT COST 2142750 200269368 X PART V, LINE 4: THE FUNDS ARE USED FOR GENERAL OPERATING PURPOSES. THE INTEREST FROM THE FUND IS UTILIZED FOR UNRESTRICTED PURPOSES. 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, 2021 AND 2020, 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 2017. 1 1 X 1 X 300.000000000000 1 X 600.000000000000 1 1 0 1 1 32288820 32288820 0.09370 188529129 196887470 0 0.00000 5337088 2887073 2450015 0.00710 226155037 199774543 34738835 0.10080 4510099 4510099 0.01310 8574680 2635927 5938753 0.01720 64739748 16774094 47965654 0.13920 634393 634393 0.00180 1193056 1193056 0.00350 79651976 19410021 60241955 0.17480 305807013 219184564 94980790 0.27560 2453082 2453082 0.00710 2453082 2453082 0.00710 1 13180109 3417285 28687933 19446642 9241291 X 1 1 1 1 MOUNT SINAI HOSPITAL CALIFORNIA AVE AT 15TH STREET CHICAGO IL 60608 WWW.SINAICHICAGO.ORG 1871581314 X X X X MOUNT SINAI HOSPITAL 1 0 0 1 X X X X X X X X X 19 1 0 0 1 X SEE PART V, PAGE 8 X 1 19 1 SEE PART V, PAGE 8 0 1 X 300.000000000000 600.000000000000 X X 1 1 X X X 1 X HTTPS://WWW.SINAICHICAGO.ORG/EN/PATIENTS-VISITORS/INSURANCE/ X HTTPS://WWW.SINAICHICAGO.ORG/EN/PATIENTS-VISITORS/INSURANCE/ X HTTPS://WWW.SINAICHICAGO.ORG/EN/PATIENTS-VISITORS/INSURANCE/ X X X X X X 1 X 0 X X X X 1 X 0 0 MOUNT SINAI HOSPITAL PART V, SECTION B, LINE 5: MOUNT SINAI HOSPITAL TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE COMMUNITY. IN 2019 MOUNT SINAI HOSPITAL PARTNERED WITH THE ALLIANCE FOR HEALTH EQUITY, A COLLABORATIVE OF 37 HOSPITALS ACROSS CHICAGO AND SUBURBAN COOK COUNTY, TO CONDUCT A COMPREHENSIVE COMMUNITY INPUT PROCESS TO BETTER UNDERSTAND THE NEEDS AND ASSETS OF THE COMMUNITIES THAT MAKE UP THEIR PRIMARY SERVICE AREAS. SINAI HEALTH SYSTEM IS A MEMBER OF THE ALLIANCE FOR HEALTH EQUITY, WHICH HELPED TO CONDUCT A CITYWIDE CHNA FROM WHICH SHS GATHERED MOST OF OUR DATA. THE ALLIANCE FOR HEALTH EQUITY (ALLIANCE) IS A COLLABORATION OF 37 HOSPITALS, 3 HEALTH DEPARTMENTS, AND COMMUNITY-BASED ORGANIZATIONS WORKING TO IMPROVE HEALTH EQUITY, WELLNESS, AND QUALITY OF LIFE ACROSS 77 CHICAGO COMMUNITY AREAS AND 125 COOK COUNTY SUBURBAN MUNICIPALITIES. THE ILLINOIS PUBLIC HEALTH INSTITUTE (IPHI) SERVES AS THE ALLIANCE'S BACKBONE ORGANIZATION. THE PURPOSE OF THE ALLIANCE IS TO IMPROVE POPULATION AND COMMUNITY HEALTH BY: 1) PROMOTING HEALTH EQUITY; 2) SUPPORTING CAPACITY BUILDING, SHARED LEARNING, AND CONNECTING LOCAL INITIATIVES; 3) ADDRESSING SOCIAL AND STRUCTURAL DETERMINANTS OF HEALTH; 4) DEVELOPING BROAD CITY- AND COUNTY-WIDE INITIATIVES AND CREATING SYSTEMS; 5) ENGAGING COMMUNITY PARTNERS AND WORKING COLLABORATIVELY WITH COMMUNITY LEADERS; 6) DEVELOPING DATA SYSTEMS TO SUPPORT SHARED IMPACT MEASUREMENT AND COMMUNITY ASSESSMENT; AND 7) COLLABORATING ON POPULATION HEALTH POLICY AND ADVOCACY. IN 2018/19, THE ALLIANCE FACILITATED 52 FOCUS GROUPS WITH COMMUNITY MEMBERS. FOCUS GROUP PARTICIPANTS WERE SELECTED TO REPRESENT MEDICALLY UNDERSERVED, LOW INCOME, MARGINALIZED AND MINORITY POPULATIONS. PRIORITY POPULATIONS INCLUDED VETERANS, INDIVIDUALS LIVING WITH MENTAL ILLNESS, COMMUNITIES OF COLOR, OLDER ADULTS, CAREGIVERS, TEENS AND YOUNG ADULTS, LGBTQ+ COMMUNITY MEMBERS, ADULTS AND TEENS EXPERIENCING HOMELESSNESS, FAMILIES WITH CHILDREN, FAITH COMMUNITIES, ADULTS WITH DISABILITIES, AND CHILDREN AND ADULTS LIVING WITH CHRONIC CONDITIONS SUCH AS DIABETES AND ASTHMA.THE PURPOSE OF THE FOCUS GROUPS WERE TO GAIN INSIGHT ON THE MOST PRESSING HEALTH CONDITIONS AFFECTING EACH COMMUNITY, THE BARRIERS TO OVERCOMING THOSE CONDITIONS, AND HOW A COMMUNITY HOSPITAL SUCH AS MOUNT SINAI HOSPITAL MIGHT HELP IMPROVE THE COMMUNITY'S HEALTH. PARTICIPANTS WERE ALSO ASKED ABOUT UNDERLYING ROOT CAUSES OF HEALTH ISSUES THAT THEY SEE IN THEIR COMMUNITIES AND SPECIFIC STRATEGIES FOR ADDRESSING THOSE HEALTH NEEDS. THESE GROUPS WERE HELD IN BOTH ENGLISH AND SPANISH, AS APPROPRIATE.AS PART OF ITS WORK TO IMPROVE COMMUNITY HEALTH, THE ALLIANCE CONDUCTS A COLLABORATIVE COUNTY AND CITYWIDE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). THE 2019 CHNA IS THE SECOND CONSECUTIVE COLLABORATIVE CHNA IN COOK COUNTY AND CHICAGO, AND WAS INTENTIONALLY BUILT ON THE SUCCESS OF PREVIOUS EFFORTS, INCLUDING THE 2016 COLLABORATIVE CHNA, HEALTHY CHICAGO 2.0 (2016), AND COOK COUNTY WEPLAN (2016). THE ALLIANCE WORKED CLOSELY WITH ITS STEERING COMMITTEE AND THE CITY AND COUNTY HEALTH DEPARTMENTS TO COMPILE, DESIGN, AND CREATE THE CHNA TO MEET REGULATORY REQUIREMENTS FOR NONPROFIT HOSPITALS.CHNA METHODOLOGY - PRIMARY AND SECONDARY DATA COLLECTION ALLIANCE COLLABORATIVE CHNA REPORT THE ALLIANCE COLLECTED PRIMARY DATA VIA FOUR METHODS: 1) A 16-QUESTION COMMUNITY INPUT SURVEY ADMINISTERED TO OVER 5,900 ADULTS AGED 18 AND OVER; 2) 27 COMMUNITY RESIDENT FOCUS GROUPS AND 22 LEARNING MAP SESSIONS; 3) THREE HEALTH CARE AND SOCIAL SERVICE PROVIDER FOCUS GROUPS; AND, 4) TWO STAKEHOLDER ASSESSMENTS (FORCES OF CHANGE AND HEALTH EQUITY CAPACITY ASSESSMENTS) LED BY PARTNER HEALTH DEPARTMENTS. ALLIANCE PARTNERS AND STAKEHOLDERS IDENTIFIED, GATHERED, AND ANALYZED SECONDARY DATA FROM A VARIETY OF SOURCES. THE DATA WAS ORGANIZED INTO SIX CATEGORIES: SOCIAL AND STRUCTURAL DETERMINANTS OF HEALTH, PHYSICAL ENVIRONMENT, HEALTH BEHAVIORS, HEALTH CARE AND CLINICAL CARE, BEHAVIORAL HEALTH (MENTAL HEALTH AND SUBSTANCE USE DISORDERS), AND HEALTH OUTCOMES (BIRTH OUTCOMES, MORBIDITY, AND MORTALITY). FOR COMPLETE INFORMATION ABOUT THE ALLIANCE, THE COLLABORATIVE CHNA PROCESS, AND DATA COLLECTION, SEE THE COLLABORATIVE CHNA REPORT AT ALLHEALTHEQUITY.ORG/2019-CHNA-REPORTS/.MANY PEOPLE CONTRIBUTED TO THE CHNA REPORT, INCLUDING THE STAFF OF THE SINAI URBAN HEALTH INSTITUTE. THESE ARE ALL PEOPLE TRAINED IN PUBLIC HEALTH (MOST ARE GRADUATES OF SCHOOLS OF PUBLIC HEALTH WITH MPH OR PHD DEGREES). WE THUS BELIEVE THAT THE PUBLIC HEALTH CREDENTIALS OF THE AUTHORS OF THIS REPORT ARE SUBSTANTIAL AND NOTABLE. MOUNT SINAI HOSPITAL PART V, SECTION B, LINE 11: EXPLANATION OF NEEDS ADDRESSED/NOT ADDRESSEDMOUNT SINAI HOSPITAL'S 2019 CHNA IDENTIFIED SIGNIFICANT HEALTH NEEDS AND BARRIERS TO CARE FACED BY THE COMMUNITIES SERVED BY MOUNT SINAI HOSPITAL. SUBSEQUENTLY, MOUNT SINAI HOSPITAL LEADERS, IN COLLABORATION WITH SINAI URBAN HEALTH INSTITUTE STAFF, DEVELOPED THE MOUNT SINAI HOSPITAL 2019 COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP). MOUNT SINAI HOSPITAL'S CHIP IS A COMMUNITY-CENTERED, THREE-YEAR PLAN THAT TACKLES THE HEALTH CHALLENGES IDENTIFIED IN THE CHNA. MOUNT SINAI HOSPITAL IS STRATEGICALLY ADDRESSING THE FIVE SIGNIFICANT HEALTH NEEDS IDENTIFIED FROM ITS CHNA BY TARGETING HEALTH STRATEGIES ASSOCIATED WITH EACH SIGNIFICANT HEALTH NEED. THE FOLLOWING ARE THE DESCRIPTION, GOAL, AND HEALTH STRATEGIES OF EACH SIGNIFICANT HEALTH NEED:- SOCIAL DETERMINANTS OF HEALTH: SOCIAL DETERMINANTS INCLUDE A BROAD RANGE OF FACTORS THAT ARE NOT TRADITIONALLY CONSIDERED "HEALTH-RELATED," BUT ARE CRITICALLY IMPORTANT TO ACHIEVING OPTIMAL WELLBEING. SOCIAL DETERMINANTS OF HEALTH INCLUDE FACTORS SUCH AS FINANCIAL SECURITY AND ECONOMIC OPPORTUNITY, HEALTHY FOOD ACCESS AND AFFORDABILITY, SAFE HOUSING, AND FREEDOM FROM INJUSTICE.- GOAL: LEVERAGE OUR COMMUNITY AND PROFESSIONAL PARTNERSHIPS TO COLLABORATIVELY ADDRESS THE SOCIAL DETERMINANTS OF HEALTH.- HEALTH STRATEGIES: FOOD ACCESS; ECONOMIC VITALITY; ACCESSIBLE TRANSPORTATION; SAFE HOUSING; FREEDOM FROM INJUSTICE.- COMMUNITY SAFETY: COMMUNITIES AND PEOPLE CANNOT THRIVE WHILE FEELING UNSAFE IN THEIR NEIGHBORHOODS. WITHIN THIS PRIORITY, WE WILL SEEK MULTISECTOR SOLUTIONS THAT CREATE SAFE COMMUNITIES, FREE FROM VIOLENCE, AND ALSO ADDRESS THE TRAUMA CAUSED BY PAST VIOLENCE.- GOAL: COLLABORATE, INITIATE, AND ACTIVATE VIOLENCE PREVENTION, TREATMENT, AND REHABILITATION SERVICES AND PROGRAMS THAT TIE TO SENATOR DURBIN'S CHICAGO HEAL INITIATIVE, AND WORK TO ENSURE OUR COMMUNITIES ARE SAFE AND WELCOMING FOR EVERYONE, REGARDLESS OF DOCUMENTATION STATUS.- HEALTH STRATEGIES: RESEARCH ACTIVISM; TRAUMA RESPONSE; PARTNERSHIPS FOR SAFE COMMUNITIES; WELCOMING IMMIGRANTS.- HEALTH CARE ACCESSIBILITY AND USE: THIS PRIORITY FOCUSES ON ACCESS TO QUALITY PRIMARY AND SPECIALTY CARE, AS WELL AS ADEQUATE INSURANCE COVERAGE. WITHIN THIS AIM, WE WILL ENSURE THAT QUALITY, AGE- AND ABILITY-APPROPRIATE HEALTH CARE IS ACCESSIBLE TO ALL, REGARDLESS OF RACE, ETHNICITY, ZIP CODE, INCOME, INVOLVEMENT WITH THE JUSTICE SYSTEM, GENDER IDENTITY, SEXUAL ORIENTATION, OR CITIZENSHIP.- GOAL: IMPROVE ACCESS TO QUALITY, AGE- AND ABILITY-APPROPRIATE HEALTH CARE, REGARDLESS OF RACE, ETHNICITY, ZIP CODE, INCOME, JUSTICE SYSTEM INVOLVEMENT, GENDER IDENTITY, SEXUAL ORIENTATION, OR STATUS.- HEALTH STRATEGIES: COVERAGE; PRIMARY CARE EXPANSION AND PARTNERSHIP; INTEGRATED CARE; CULTURALLY-COMPETENT CARE; CAREGIVER WELLNESS.- CHRONIC AND INFECTIOUS DISEASE: THIS PRIORITY AREA INCLUDES A FOCUS ON PREVENTING AND TREATING CARDIOMETABOLIC DISEASE (HEART DISEASE, STROKE, AND DIABETES), CANCER, AND INFECTIOUS DISEASE (PREDOMINANTLY HIV AND HEPATITIS).- GOAL: PREVENT THE ONSET OF INFECTIOUS AND CHRONIC DISEASE, AND PROVIDE EXCELLENCE IN CARE WHEN COMMUNITY MEMBERS FALL ILL.- HEALTH STRATEGIES: COMMUNITY-BASED PREVENTION; PREVENTIVE SERVICES; CARE CONTINUITY.- BEHAVIORAL HEALTH: WE CANNOT TREAT THE WHOLE PERSON WITHOUT ADDRESSING BEHAVIORAL HEALTH. IN THIS FOCUS AREA, WE WILL ADDRESS THE GREAT BURDEN OF MENTAL HEALTH AND SUBSTANCE USE DISORDERS WITHIN OUR COMMUNITIES, PROVIDING TIMELY AND CULTURALLY SENSITIVE CARE TO THOSE IN NEED.- GOAL: IMPROVE AWARENESS, ACCESS, AND LINKAGE TO BEHAVIORAL HEALTH SERVICES AND CARE.- HEALTH STRATEGIES: CARE ACCESS AND LINKAGE; CULTURALLY-INFORMED BEHAVIORAL HEALTH CARE; TRANSFORM BEHAVIORAL HEALTH CARE DELIVERY. IN ADDITION TO PURSUING INNOVATIVE HEALTH CARE APPROACHES, MOUNT SINAI HOSPITAL'S APPROACHES ALSO INCLUDE COLLABORATION WITH COMMUNITY RESIDENTS AND ORGANIZATIONS AS WELL AS PARTNERS THROUGHOUT THE CITY TO ADDRESS THE UNIQUE NEEDS OF THE COMMUNITIES IT SERVES. IT IS OUR GOAL TO PROVIDE THE BEST CARE POSSIBLE TO ADDRESS THE NEEDS OF THE COMMUNITIES WE SERVE.IN TAX YEAR 2020, SINAI CHICAGO EXPANDED ITS RESPONSE WITHIN CHRONIC AND INFECTIOUS DISEASE AS NECESSITATED BY THE COVID-19 PANDEMIC. SINAI CHICAGO HAS ADDRESSED THE CHALLENGES IN TREATMENT AND PREVENTION PRESENTED BY COVID-19 THROUGH THE ESTABLISHMENT OF EFFECTIVE, COMMUNITY-ENGAGED STRATEGIES TO ENHANCE COMMUNITY HEALTH. SINAI CHICAGO ENTITIES ARE PART OF MULTIPLE COLLABORATIVES AND PARTNERSHIPS REGARDING COVID-19:- SUHI IS AN ORIGINAL MEMBER OF "THE CHICAGOLAND METRO VACCINE CORPS PROGRAM", AN INITIATIVE MANAGED BY PARTNERS IN HEALTH, AND INCLUDING OVER 100 PARTNERS REPRESENTING PUBLIC HEALTH, HEALTH CARE, ACADEMIC, SOCIAL SERVICE, AND COMMUNITY SECTORS. THE GOAL OF THE VACCINE CORPS IS TO COLLABORATE IN BETTER ADDRESSING VACCINE HESITANCY AND TO INCREASE VACCINE UPTAKE AMONG THE COMMUNITIES MOST ADVERSELY AFFECTED BY COVID-19. - SUHI PARTNERS WITH CHICAGO DEPARTMENT OF PUBLIC HEALTH, CHICAGO COOK WORKFORCE PARTNERSHIP, THE UNIVERSITY OF ILLINOIS AT CHICAGO SCHOOL OF PUBLIC HEALTH, NORC AT THE UNIVERSITY OF CHICAGO, AND MALCOLM X COLLEGE TO TRAIN AND OVERSEE THE PROGRESS OF CHICAGO'S COMMUNITY-BASED CONTACT TRACING WORKFORCE. SUHI'S ROLES INCLUDE THE PROVISION OF INITIAL TRAINING TO THE WORKFORCE, AND THE UPSKILLING OF THE CONTACT TRACERS WITH SKILLS THAT PREPARE THEM FOR FUTURE CAREER OPPORTUNITIES ONCE THE COVID-19 CRISIS HAS PASSED. SINAI COMMUNITY INSTITUTE ALSO LED CONTRACT TRACING EFFORTS. - SINAI PARTICIPATES IN THE CHICAGOLAND COVID COLLABORATIVE WHICH SEEKS TO IMPROVE COVID-19 VACCINATION AND ENGAGEMENT IN QUALITY THERAPEUTIC CARE AND TRIALS FOR LOW-INCOME BLACK AND LATINX COMMUNITIES IN THE CHICAGO AREA IN ORDER TO ENHANCE CURRENT AND FUTURE COVID-19 VACCINATION, PREVENTION, MITIGATION, AND RESPONSE EFFORTS. - SINAI HEALTH SYSTEM, OTHER MEMBERS OF SINAI, AND SINAI COMMUNITY INSTITUTE ARE ALSO WORKING WITH THE CITY OF CHICAGO TO BRING SAFE MOBILE DELIVERY AND ADMINISTRATION OF COVID-19 VACCINATIONS TO THE WEST SIDE AND NEAR SOUTH COMMUNITIES OF CHICAGO.- SINAI PARTICIPATED IN THE RACIAL EQUITY RAPID RESPONSE TEAM (RERT) WHICH GATHERED DATA TO FURTHER ENABLE RESEARCH AND ANALYSIS IN PRIORITIZED COMMUNITIES.- SINAI PARTICIPATED IN THE ILLINOIS COVID-19 YOUTH VACCINE AMBASSADOR PROGRAM. IN THIS PROGRAM, SUHI PARTICIPATES IN THE STEERING COMMITTEE, SUPPORTED RECRUITMENT FOR SUMMER 2021, DEVELOPED A YOUTH COMMUNITY ADVISORY COUNCIL, AND WILL PROVIDE EVALUATION.- SUHI'S HEALTH EQUITY AND ASSESSMENT RESEARCH TEAM WORKED WITH MATTER, OCC, P33; CCHHS, RUSH, ST. ANTHONY, UIC, UNIVERSITY OF CHICAGO; COMMUNITY HEALTH, A VARIETY OF FQHCS, AND HOWARD BROWN HEALTH CENTER TO CONTRIBUTE TO THE CHICAGOLAND COVID-19 COMMONS, A DATABASE THAT PROVIDED QUALIFIED RESEARCHERS WITH A COLLABORATIVE PLATFORM ENABLING DATA ANALYSIS TO IMPROVE OUR UNDERSTANDING OF THE VIRUS AND SUPPORT THE RAPID DEVELOPMENT OF SOLUTIONS. - SINAI IS PARTICIPATING IN THE VACCINE CORPS PARTNERSHIP (VCP). THE VCP PRACTICES A MULTI-DISCIPLINARY APPROACH TO UNDERSTANDING AND REDUCING HIGH RATES OF VACCINE HESITANCY AND DISPARITIES IN VACCINE ROLL-OUT, FUTURE RESEARCH, AND TO COORDINATING RESPONSES TO SERVING THESE IN THE WEST AND SOUTHWEST REGIONS OF CHICAGO.INTERNALLY, SINAI CREATED A MULTI-FACETED SYSTEM FOR SURVEILLANCE, INCIDENCE TRACKING, ORGANIZATION, DOCUMENTATION, AND REPORTING IN A RESOURCE CENTER WHICH OFFERED COVID-19 CLINICAL CARE GUIDELINES FOR MANAGEMENT, TRANSMISSIONS PRECAUTIONS, HOME CARE CLINICAL GUIDELINES, HOME CARE PATIENT INSTRUCTIONS, AND INSTRUCTIONS AND DOCUMENTATION DESIGNED TO MINIMIZE SPREAD INSIDE HOUSEHOLDS SUCH AS CLEANING AND DISINFECTION INSTRUCTIONS, HOW TO CARE FOR PERSONS WITH COVID-19, AND ADJUSTMENTS NEEDED IN DAILY LIFE. ADDITIONALLY, SUHI'S COMMUNITY HEALTH INNOVATION (CHI) TEAM WAS ENLISTED BY SINAI TO LINK COMMUNITY HEALTH WORKERS (CHWS) WITH SOCIAL WORKER REFERRALS FROM SINAI'S ERS OR INPATIENT UNITS TO HELP PERSONS DISCHARGED WITH A COVID-19 DIAGNOSIS. CHW'S FOLLOW UP WITH PATIENTS VIRTUALLY AND PROVIDE RESOURCES, LINKAGES, AND REFERRALS TO WRAP-AROUND SERVICES AS APPROPRIATE.MOUNT SINAI HOSPITAL'S CHIP WAS INTEGRATED WITH THE CHIPS OF SCHWAB REHABILITATION HOSPITAL AND HOLY CROSS HOSPITAL TO DEVELOP A SYSTEM-WIDE SINAI CHICAGO CHIP. THE SINAI CHICAGO CHIP IS AVAILABLE VIA SINAI CHICAGO WEBSITE AND PAPER COPY. FOR COMPLETE INFORMATION ABOUT THE 2019 SINAI CHICAGO CHIP, SEE HTTPS://WWW.SINAICHICAGO.ORG/EN/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS-CHNA-AND-COMMUNITY-HEALTH-IMPROVEMENT-PLAN-CHIP/. PART V, SECTION B, LINE 3E AND 3G: MOUNT SINAI HOSPITAL'S 2019 CHNA PROVIDES A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY IDENTIFIED IN THE CHNA. IN TAX YEAR 2020, WE HAVE CONTINUED TO LEVERAGE THE 2019 CHNA ALONGSIDE EMERGING KNOWLEDGE RELATED TO THE COVID-19 PANDEMIC TO ENSURE MOUNT SINAI HOSPITAL IS RESPONSIVE TO THE HEALTH AND SOCIAL NEEDS OF THE POPULATIONS IT SERVES. WE WILL DEVELOP OUR 2022 CHNA IN TAX YEAR 2021. PART V, LINE 7A, CHNA WEBSITE: HTTPS://WWW.SINAI.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS-CHNA-AND-COMMUNITY PART V, LINE 10A, IMPLEMENTATION STRATEGY WEBSITE: HTTPS://WWW.SINAI.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS-CHNA-AND-COMMUNITY 2 1 - HAWTHORNE MRI 4701 W CERMAK CICERO IL 60804 MAGNETIC RESONANCE IMAGING & OB ULTRASOUND SERVICE 2 - SINAI COMMUNITY PHARMACY CALIFORNIA AVE 15TH STREET CHICAGO IL 60608 PHARMACY DRUGS AND PHARMACEUTICALS PART I, LINE 6A: RELATED ORGANIZATION COMMUNITY BENEFIT REPORT THE COMMUNITY BENEFIT REPORT IS PREPARED BY PARENT CORPORATION SINAI HEALTH SYSTEM (36-3166895). PART I, LINE 7: EXPLANATION OF COSTING METHODOLOGYTHE COSTING METHODOLOGY USED TO CALCULATE THE AMOUNTS REPORTED ON SCHEDULE H, PART I, LINES 7A AND 7B IS THE COST-TO-CHARGE RATIO PER AUDITED FINANCIAL STATEMENTS. IRS WORKSHEET 3 (SCHEDULE H, LINE 7B) INSTRUCTIONS REQUIRE INCLUDING THE PROVIDER TAX EXPENSES IN COLUMN (C), TOTAL COMMUNITY BENEFIT EXPENSE, AS WELL AS INCLUDING THE PROVIDER TAX REVENUE AND SEVERAL SUPPLEMENTAL PAYMENTS UNDER THE AFFORDABLE CARE ACT IN COLUMN (D), DIRECT OFFSETTING REVENUE. THE PROVIDER TAX REVENUE IS INTENDED TO ASSIST SAFETY NET HOSPITALS TO PROVIDE SERVICES TO THE COMMUNITY. WE BELIEVE THAT TO OFFSET MEDICAID SHORTFALL WITH THE NET INCOME DISTORTS THE RESULT. THEREFORE, WE ARE PROVIDING THE PERCENTAGES AS IF THE NET WERE NOT PRESENTED AS AN OFFSET. IN ADDITION, THE OTHER AFFORDABLE CARE ACT SUPPLEMENTAL PAYMENTS SHOULD ALSO NOT BE CONSIDERED IN THE CALCULATION. IF THESE ITEMS WERE REMOVED FROM THE CALCULATION, NET COMMUNITY BENEFIT EXPENSE ON LINE 7B, COLUMN (E) WOULD HAVE BEEN $76,902,030 OR 23.9 PERCENT OF TOTAL EXPENSE. THIS WOULD HAVE INCREASED THE TOTAL NET COMMUNITY BENEFIT EXPENSE ON LINE 7K, COLUMN (E) FROM $94,980,790 TO $171,882,820 OR 49.9 PERCENT OF TOTAL EXPENSE. MOUNT SINAI HOSPITAL'S TRUE COMMUNITY BENEFIT IS BETTER REPRESENTED BY THIS PERCENTAGE. PART I, LN 7 COL(F): EXPLANATION OF BAD DEBT EXPENSEBAD DEBT EXPENSE WAS INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN A, BUT WAS SUBTRACTED FROM THE TOTAL EXPENSES FOR PURPOSE OF CALCULATING THE PERCENTAGE IN THIS COLUMN. BAD DEBT EXPENSE IS $13,180,109. ESTIMATED AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY IS $3,417,285. PART I, LINE 7A, 7B, 7C: MOUNT SINAI HOSPITAL PROVIDED APPROXIMATELY $32.3 MILLION IN FINANCIAL ASSISTANCE TO THE PATIENTS IT SERVED THIS YEAR, IN ADDITION TO UNREIMBURSED COST OF $7.6 MILLION TO PROVIDE CARE FOR MEDICARE DUAL ELIGIBLE AND DISABLE PATIENTS. THESE SHORTFALLS WERE OFFSET BY A $8.4 MILLION MEDICAID SURPLUS. THE MEDICAID SURPLUS WAS DUE TO RECEIPTS OF PROVIDER TAX REVENUES AND OTHER ACA PAYMENTS. THE PRIMARY PURPOSE OF THESE SUPPLEMENTAL PAYMENTS WAS TO OFFSET THE COSTS TO PROVIDE CARE AND OTHER COMMUNITY SERVICES FOR THE HOSPITAL'S DISPROPORTIONALLY HIGH MEDICAID AND FINANCIAL INDIGENT POPULATIONS.ON AN AGGREGATED BASIS, SINAI HEALTH SYSTEM PROVIDED $45.6 MILLION IN FINANCIAL ASSISTANCE, IN ADDITION TO A MEDICAID SHORTFALL OF $32.4 MILLION. UNREIMBURSED COSTS TO PROVIDE CARE FOR MEDICARE DUAL ELIGIBLE AND DISABLE PATIENTS TOTALED $11.1 MILLION. PART III, LINE 2: METHODOLOGY USED TO ESTIMATE BAD DEBT EXPENSE FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS, WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL, THE CORPORATION RECORDS SIGNIFICANT IMPLICIT PRICE CONCESSIONS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. PART III, LINE 3: METHODOLOGY OF ESTIMATED AMOUNT & RATIONALE FOR INCLUDING COMMUNITY BENEFIT MOUNT SINAI HOSPITAL FIRST DETERMINES IF A PATIENT QUALIFIES FOR CHARITY CARE. IF A PATIENT IS CLASSIFIED AS CHARITY CARE, THEY WOULD NOT BE INCLUDED AS BAD DEBT. SOME PATIENTS DO NOT DESIRE TO COMPLETE THE CHARITY CARE APPLICATIONS AND AS SUCH CAN BE INCLUDED IN THE BAD DEBT AMOUNTS. ONE EXAMPLE OF A PATIENT POPULATION THAT DOES NOT COMPLETE CHARITY CARE APPLICATIONS IS UNDOCUMENTED WORKERS. PART III, LINE 4: BAD DEBT EXPENSEACCOUNTS RECEIVABLE FOR PATIENTS, INSURANCE COMPANIES, AND GOVERNMENTAL AGENCIES ARE BASED ON GROSS CHARGES, REDUCED BY EXPLICIT PRICE CONCESSIONS PROVIDED TO THIRD-PARTY PAYORS, DISCOUNTS PROVIDED TO QUALIFYING INDIVIDUALS AS PART OF THE CORPORATION'S FINANCIAL ASSISTANCE POLICY, AND IMPLICIT PRICE CONCESSIONS PROVIDED PRIMARILY TO SELF-PAY PATIENTS. ESTIMATES FOR EXPLICIT PRICE CONCESSIONS ARE BASED ON PROVIDER CONTRACTS, PAYMENT TERMS FOR RELEVANT PROSPECTIVE PAYMENT SYSTEMS, AND HISTORICAL EXPERIENCE ADJUSTED FOR ECONOMIC CONDITIONS AND OTHER TRENDS AFFECTING THE CORPORATION'S ABILITY TO COLLECT OUTSTANDING AMOUNTS.FOR THE YEAR ENDED JUNE 30, 2021, THE CORPORATION RECORDED APPROXIMATELY $24,272 OF IMPLICIT PRICE CONCESSIONS AS A DIRECT REDUCTION OF NET PATIENT SERVICE REVENUE THAT WOULD HAVE BEEN RECORDED AS PROVISION FOR BAD DEBTS PRIOR TO THE ADOPTION OF ASU NO. 2014-09. AT JUNE 30, 2021, THE CORPORATION RECORDED APPROXIMATELY $27,086 AS A DIRECT REDUCTION OF ACCOUNTS RECEIVABLE THAT WOULD HAVE BEEN REFLECTED AS ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS PRIOR TO THE ADOPTION OF ASU NO. 2014-09. PART III, LINE 8: EXPLANATION OF SHORTFALL AS COMMUNITY BENEFITTHERE WAS NO SHORTFALL THIS YEAR. MOUNT SINAI HOSPITAL UTILIZED THE COST TO CHARGE RATIO PER MEDICARE COST REPORT TO ESTIMATE COST TO PROVIDE CARE TO MEDICARE PATIENTS. SUCH COST IS OFFSET BY MEDICARE RECEIPTS TO DETERMINE SHORTFALL. PART III, LINE 9B: PROVISION ON COLLECTION PRACTICES FOR QUALIFIED PATIENTS MOUNT SINAI HOSPITAL'S COLLECTION PROCESS INCLUDES BOTH LETTERS AND CALLS TO INFORM PATIENTS OF THEIR OUTSTANDING BALANCES 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 COLLECTION PROCESS. THE RESOURCE INCLUDES A CHARITY PROGRAM TARGETED TO LOW INCOME INDIVIDUALS ALONG WITH PAYMENT PLANS THAT START AS LOW AS $25 A MONTH. THE DEBT COLLECTION PRACTICES ONLY APPLY TO CHARITY PATIENTS TO THE EXTENT OF COPAYMENTS OR PATIENT PORTION BALANCES AND NOT TO AMOUNTS THAT HAVE BEEN APPROVED AS CHARITY OR FINANCIAL ASSISTANCE. PART VI, LINE 2: NEEDS ASSESSMENTIN ADDITION TO THE COMMUNITY AND HOSPITAL/OFFICE-BASED HEALTHCARE SURVEYS, FOCUS GROUPS, AND DATA ANALYSES DESCRIBED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT PLAN FOR MOUNT SINAI HOSPITAL, THE HOSPITAL UTILIZES THE FOLLOWING CHANNELS TO GAIN GREATER INSIGHT INTO THE HEALTH NEEDS OF ITS COMMUNITIES:1) COMMUNITY AND HOSPITAL/OFFICE-BASED HEALTH SCREENINGS.2) PRESENTATION OF PATIENTS IN THE EMERGENCY DEPARTMENT AND NEEDS NOTED DURING THE VISIT.3) PARTNERSHIP ACTIVITIES WITH COMMUNITY-BASED ORGANIZATIONS. IN PARTICULAR, MOUNT SINAI HOSPITAL PARTNERED WITH THE ALLIANCE FOR HEALTH EQUITY, A COLLABORATIVE OF 37 HOSPITALS ACROSS CHICAGO AND SUBURBAN COOK COUNTY, TO CONDUCT A COMPREHENSIVE COMMUNITY INPUT PROCESS TO BETTER UNDERSTAND THE NEEDS AND ASSETS OF THE COMMUNITIES THAT MAKE UP ITS PRIMARY SERVICE AREAS. MOUNT SINAI HOSPITAL FOCUSED ON THE HEALTH AND SOCIAL SERVICES NEEDS OF THE POPULATIONS SERVED. MOUNT SINAI HOSPITAL BEGINS OUTREACH AND ASSESSMENT OF COMMUNITY HEALTH BY FIRST EVALUATING WHICH HEALTH CONDITIONS AND DISEASES ARE PREVALENT AMONG ITS INPATIENTS AND OUTPATIENTS. DETERMINATION OF PREVALENCE THEN GUIDES THE DESIGN OF COMMUNITY SERVICES AND ALSO ASSURES THERE IS NO BIAS BASED ON RACE, GENDER, OR PATIENT'S ABILITY TO PAY. MOUNT SINAI HOSPITAL ALSO WORKS CLOSELY WITH OTHER SINAI CHICAGO ENTITIES, INCLUDING SINAI COMMUNITY INSTITUTE (SCI), MOUNT SINAI COMMUNITY FOUNDATION, AND SINAI URBAN HEALTH INSTITUTE (SUHI), WHICH PARTNER WITH NEIGHBORHOOD GROUPS AND THE COMMUNITY IN VARIOUS WAYS TO UNDERSTAND HEALTH NEEDS AND IMPROVE OVERALL WELLBEING. IN PARTICULAR, SUHI RECENTLY CONDUCTED ONE OF THE LARGEST COMMUNITY-DRIVEN, FACE-TO-FACE HEALTH SURVEYS EVER CONDUCTED IN CHICAGO (SINAI COMMUNITY HEALTH SURVEY 2.0, WWW.SINAISURVEY.ORG). MOUNT SINAI HOSPITAL SHARED THE 2019 COMMUNITY HEALTH NEEDS 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. ADDITIONALLY, SUHI MANAGES VARIOUS COMMUNITY ADVISORY COMMITTEES COMPRISING RESIDENTS ACROSS MOUNT SINAI HOSPITAL'S SERVICE AREA TO GUIDE COMMUNITY-BASED INITIATIVES AND ASSESSMENTS. MOUNT SINAI HOSPITAL ALSO SUPPORTS SINAI COMMUNITY INSTITUTE AND SUHI BY SCHEDULING CLINICIANS AND HEALTH EDUCATORS TO PARTICIPATE IN HEALTH FAIRS, COMMUNITY FORUMS AND OTHER EDUCATIONAL EVENTS TO PROVIDE HEALTH SCREENINGS, AND EDUCATION ON PREVENTION. THESE FORUMS ARM PARTICIPANTS WITH KNOWLEDGE ABOUT THE CHRONIC DISEASES THAT CAN AFFECT THEM AND ACTION PLANS FOR AVOIDING OR MANAGING THOSE DISEASES.4) PARTICIPATION IN COMMUNITY HEALTH IMPLEMENTATION PLANS. SINAI CHICAGO HAS A STRONG PRESENCE AT NETWORKS IN SERVICE AREAS THAT FOCUS ON WELLNESS. THE EVP FOR COMMUNITY OUTREACH CHAIRS THE HEALTH AND WELLNESS COMMITTEE OF THE NORTH LAWNDALE COMMUNITY COORDINATING COUNCIL (NLCCC), AND THE DIRECTOR OF COMMUNITY RELATIONS CO-CHAIRS THE HEALTH COMMITTEES OF THE MARSHALL SQUARE RESOURCE NETWORK (MSRN), AND THE BRIGHTON PARK NEIGHBORHOOD NETWORK (BPNN.) OUR SUHI TEAM CO-LEADS THE EAST GARFIELD PARK BEST BABIES ZONE COMMUNITY ADVISORY TEAM, AND OUR SUHI AND SCI TEAMS LEAD THE COMMUNITY ALIGNMENT BOARDS FOR CHICAGO'S WEST AND SOUTHWEST SIDES FOR FAMILY CONNECTS CHICAGO (A POSTPARTUM HOME-VISITING PROGRAM). TEAM MEMBERS ALSO SIT ACROSS WORKGROUPS ON WEST SIDE UNITED A COMMUNITY-BASED INITIATIVE TO IMPROVE HEALTH EQUITY ON THE WEST SIDE OF THE CITY. SINAI CHICAGO ALSO PARTICIPATES IN OTHER TASK FORCES, COALITIONS AND QUALITY OF LIFE PLANS IN NEIGHBORHOODS WITHIN THE MOUNT SINAI AND HOLY CROSS HOSPITALS SERVICE AREAS.5) COMMUNITY EDUCATION ON COVID-19 BASIC FACTS, PREVENTION AND TESTING. SINAI HEALTH SYSTEM WORKED WITH A VARIETY OF PARTNERS, CONVENERS, ELECTED OFFICIALS, SCHOOLS AND CHURCHES IN SERVICE AREAS TO DISSEMINATE RESOURCES RELATED TO CORONAVIRUS. ADDITIONALLY, SINAI DEVELOPED A COMMUNICATION STRATEGY TO REACH OUT DIRECTLY TO PARTNERS, PATIENTS, CLIENTS AND COMMUNITY MEMBERS THROUGH PRINTED FLYERS, EMAILS, SOCIAL MEDIA, RADIO AND TV INTERVIEWS, AND PHONE CALLS TO PROVIDE INFORMATION RELATED TO THE PANDEMIC AND HOW TO PREVENT CONTAGION. A COVID-19 HOTLINE WITH BILINGUAL SERVICES (ENGLISH AND SPANISH), AND A WEBSITE WERE CREATED TO ASSESS THIS NEED. SINAI COMMUNITY INSTITUTE CONDUCTED YEAR-ROUND CONTACT TRACING. CANVASED NEIGHBORHOODS ON THE GREATER WEST SIDE OF CHICAGO TO PROVIDE COVID-19 UPDATES, VACCINE EDUCATION AND TO ASSIST RESIDENTS IN SCHEDULING A COVID-19 VACCINE. PERFORMED COVID-19 EDUCATION AND ASSISTED WITH VACCINE SCHEDULING VIA PHONE BANKING. HOSTED VACCINE EDUCATION TOWN HALL MEETINGS. PROVIDED VACCINE EDUCATION AND OUTREACH AT POPUP VACCINE CLINICS AND LOCAL EVENTS. PART VI, LINE 3: 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 INCLUDE WITH IT, OR ON IT, A PROMINENT STATEMENT THAT AN UNINSURED PATIENT WHO MEETS CERTAIN INCOME REQUIREMENTS MAY QUALIFY FOR AN UNINSURED DISCOUNT ALONG WITH INFORMATION REGARDING HOW THE PATIENT MAY APPLY FOR FINANCIAL ASSISTANCE. PART VI, LINE 4: COMMUNITY INFORMATIONMOUNT SINAI HOSPITAL, AS A PART OF SINAI HEALTH SYSTEM, SERVES A DIVERSE POPULATION OF 870,000 PEOPLE LOCATED ON THE WEST AND SOUTHWEST 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 64.6% OF MOUNT SINAI HOSPITAL'S PATIENTS ARE MEDICAID RECIPIENTS AND 5.6% ARE UNINSURED. MOUNT SINAI ADMITS 2,604 INPATIENTS TO SINAI CHILDREN'S HOSPITAL INCLUSIVE OF PEDIATRIC VISITS FOR ASTHMA AND DIABETES.SINAI'S NEONATAL INTENSIVE CARE UNIT CARED FOR 215 NEONATAL PATIENTS AND OBSTETRICS CARED FOR 1,765 MOTHERS. MOUNT SINAI HOSPITAL EMERGENCY DEPARTMENT HAD 32,341 PATIENT VISITS.MOUNT SINAI HOSPITAL'S MEDICAL INTERPRETER SERVICES SUPPORTS OVER 77 DIFFERENT LANGUAGES INCLUDING AMERICAN SIGN LANGUAGE, MAKING SINAI HEALTH SYSTEM A BEST PRACTICE MEDICAL INTERPRETER PROGRAM IN THE NATION FOR DEAF AND HARD OF HEARING PATIENTS AND THE LIMITED ENGLISH PROFICIENT PATIENTS. MOUNT SINAI HOSPITAL TREATS MORE MEDICAID PATIENTS THAN ANY OTHER HOSPITAL IN ILLINOIS. PART VI, LINE 5: PROMOTION OF COMMUNITY HEALTH MOUNT SINAI HOSPITAL IS A PART OF SINAI HEALTH SYSTEM. THE SYSTEM HAS A VOLUNTEER BOARD COMPRISED OF RESPECTED LEADERS IN BANKING, FINANCE, MANUFACTURING, LEGAL, HEALTH CARE AND OTHER INDUSTRIES. MOUNT SINAI HOSPITAL EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS FOR ALL DEPARTMENTS. MOUNT SINAI HOSPITAL INVESTS ANY SURPLUS FUNDS INTO IMPROVING PATIENT CARE. PART VI, LINE 6: AFFILIATED HEALTH CARE SYSTEM ROLES AND PROMOTIONLOCATED ON CHICAGO'S WEST AND SOUTHWEST SIDE, SINAI HEALTH SYSTEM IS COMPRISED OF MOUNT SINAI HOSPITAL, HOLY CROSS HOSPITAL, SCHWAB REHABILITATION HOSPITAL, SINAI CHILDREN'S HOSPITAL, SINAI COMMUNITY INSTITUTE, SINAI MEDICAL GROUP, AND SINAI URBAN HEALTH INSTITUTE. THE ENTITIES OF SINAI HEALTH SYSTEM COLLECTIVELY DELIVER A FULL RANGE OF QUALITY INPATIENT AND OUTPATIENT SERVICES, AS WELL AS A LARGE NUMBER OF INNOVATIVE, COMMUNITY-BASED HEALTH, RESEARCH AND SOCIAL SERVICE PROGRAMS. WE FOCUS OUR COLLECTIVE DEPTH OF EXPERTISE AND PASSION TO IMPROVE THE HEALTH OF THE 1.5 MILLION PEOPLE WHO LIVE IN OUR DIVERSE SERVICE AREA. WITH OUR TEAM OF DEDICATED CAREGIVERS, SINAI HEALTH SYSTEM IS COMMITTED TO BUILDING STRONGER, HEALTHIER COMMUNITIES.FOR MORE INFORMATION ON SINAI HEALTH SYSTEM, VISIT HTTP://WWW.SINAICHICAGO.ORG/. PART VI, LINE 7, REPORTS FILED WITH STATES IL 1 ACCESS COMMUNITY HEALTH NETWORK 1501 S CALIFORNIA AVE CHICAGO IL 60608 363317058 501(C)(3) 800004 OPERATING SUPPORT LAWNDALE CHRISTIAN HEALTH CENTER 4696 PAYSHERE CIRCLE CHICAGO IL 60674 363308953 501(C)(3) 179000 OPERATING SUPPORT 2 0 PART I, LINE 2: THIS IS AN EXTENSION OF OUR MISSION TO HELP ACCESS COMMUNITY HEALTH NETWORK AND LAWNDALE CHRISTIAN HEALTH CENTER PROVIDE SERVICES TO THE UNDERSERVED AND UNINSURED INDIVIDUALS WITHIN OUR PRIMARY SERVICE AREA. ALL AWARDED GRANT USAGE IS MONITORED ANNUALLY. THE RECIPIENT REPORTS TO SINAI HELATH SYSTEM THE ALLOCATIONS AND EXPENDITURES OF THE APPLICATION AND USAGE OF DISBURSED GRANT AWARDS. X 1 1 1 1 0 0 0 0 0 1 0 KAREN TEITELBAUM PRESIDENT & CEO 953021 0 0 0 93572 0 5700 0 8436 0 1060729 0 0 0 RUSSELL FIORELLA SYSTEM CHIEF MEDICAL OFFICER 0 586362 0 73663 0 5337 0 17053 0 19315 0 701730 0 0 AIRICA STEED CHIEF OPERATING OFFICER 505121 0 153727 0 720 0 5700 0 25369 0 690637 0 0 0 GARY KRUGEL CHIEF FINANCIAL OFFICER 428582 0 72200 0 720 0 0 0 20766 0 522268 0 0 0 JASON N SPIGNER CHIEF HUMAN RESOURCES OFFICER 331010 0 94952 0 26080 0 5700 0 8283 0 466025 0 0 0 VIVEK MEHTA - THRU 71520 CHIEF INFORMATION OFFICER 186084 0 101399 0 137559 0 0 0 0 0 425042 0 0 0 MICHELE MAZUREK SITE PRESIDENT 339897 0 47257 0 1912 0 5700 0 8796 0 403562 0 0 0 ELIZABETH CONNOLLY GENERAL COUNSEL 314295 0 47643 0 660 0 0 0 7733 0 370331 0 0 0 KAREN JANOUSEK CHIEF POPULATION HEALTH & GROWTH OFF 298298 0 45675 0 720 0 5700 0 19782 0 370175 0 0 0 LORI PACURA - THRU 11919 PRESIDENT, ACUTE CARE HOSPITALS 0 0 36650 0 331331 0 0 0 0 0 367981 0 0 0 JAMES BICAK VP, FACILITIES & PLANT OPERATIONS 279414 0 40070 0 4331 0 5700 0 0 0 329515 0 0 0 HARSHA GONDI PHYSICIAN 217562 0 53364 0 23229 0 0 0 7238 0 301393 0 0 0 SAMEER SHAH VP, CLINICAL AND PROFESSIONAL SERVIC 257956 0 16428 0 836 0 2465 0 760 0 278445 0 0 0 SALLIE HAZELRIGG - THRU 5120 CHIEF DEVELOPMENT OFFICER 105670 0 79171 0 78842 0 0 0 1031 0 264714 0 0 0 PART I, LINE 1A THE SINAI HEALTH SYSTEM, FOR BUSINESS PURPOSES, IS A CORPORATE MEMBER OF THE STANDARD CLUB. THE MEMBERSHIP PROVIDED TO KAREN TEITELBAUM IS TREATED BY THE SINAI HEALTH SYSTEM AS A WORKING CONDITION FRINGE BENEFIT AND IS, THEREFORE, EXCLUDED FROM THE INDIVIDUAL'S TAXABLE INCOME. 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 CONDUCTED AGAINST SHS ESTABLISHED GOALS. THE COMMITTEE MAINTAINS WRITTEN MINUTES WHICH ARE MAINTAINED IN EXECUTIVE ADMINISTRATION. PART I, LINES 4A-B SEVERANCE PAYMENTS THE ORGANIZATION PAID SEVERANCE IN THE FORM OF WAGE CONTINUATION TO THE FOLLOWING INDIVIDUALS: VIVEK MEHTA $137,169 LORI PACURA $331,331 SALLIE HAZELRIGG $ 76,500 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: KAREN TEITELBAUM $76,664 JASON SPRIGNER $19,160 PART I, LINE 6 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. FORM 990, PART VI, SECTION A, LINE 1 EXPLANATION OF DELEGATED BOARD AUTHORITY TO COMMITTEE THE EXECUTIVE COMMITTEE SHALL CONSIST OF THE BOARD CHAIR, VICE CHAIR(S), SECRETARY, TREASURER AND PRESIDENT AND MAY HAVE ADDITIONAL BOARD MEMBERS AS DETERMINED BY THE BOARD CHAIRPERSON. THE EXECUTIVE COMMITTEE SHALL HAVE THE POWER TO TRANSACT REGULAR BUSINESS OF THE CORPORATION DURING THE PERIOD BETWEEN MEETINGS OF THE BOARD, SUBJECT TO ANY PRIOR LIMITATION IMPOSED BY THE BOARD OR 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 A, LINE 6 EXPLANATION OF CLASSES OF MEMBERS OR SHAREHOLDERS THERE ARE TWO CLASSES OF MEMBERS: THE SOLE CORPORATE MEMBER AND INDIVIDUAL MEMBERS. THE SOLE CORPORATE MEMBER OF THE CORPORATION IS SINAI HEALTH SYSTEM (EIN: 36-3166895), AN ILLINOIS NOT-FOR-PROFIT CORPORATION. IN ADDITION, EVERY MEMBER OF THE JEWISH FEDERATION OF METROPOLITAN CHICAGO SHALL BE AN INDIVIDUAL MEMBER. FORM 990, PART VI, SECTION A, LINE 7A HOW MEMBERS OR SHAREHOLDERS ELECT GOVERNING BODY DIRECTORS ARE ELECTED BY THE SOLE CORPORATE MEMBER, SINAI HEALTH SYSTEM, FOR A TERM OF 3 YEARS FROM AMONG THOSE PERSONS NOMINATED BY THE SINAI HEALTH SYSTEM GOVERNANCE COMMITTEE. THE GOVERNANCE COMMITTEE SHALL BE RESPONSIBLE FOR SELECTING AND REVIEWING PROSPECTIVE CANDIDATES FOR ELECTION TO THE BOARD OF DIRECTORS, COMMUNICATING EXPECTATIONS OF INDIVIDUAL BOARD MEMBERS, AND RECRUITING PROSPECTIVE BOARD MEMBERS WITH A FOCUS ON DIVERSITY AND EXPERTISE. ALL PROSPECTIVE DIRECTORS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST FORM AS PART OF THE APPLICATION PROCESS, AND ANNUALLY THEREAFTER. FORM 990, PART VI, SECTION A, LINE 7B DECISIONS OF GOVERNING BODY APPROVAL BY MEMBERS OR SHAREHOLDERS THE SOLE CORPORATE MEMBER, WORKING CLOSELY WITH THE CORPORATION'S BOARD OF DIRECTORS, 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. THE SOLE CORPORATE MEMBER ALSO ENSURES THAT THE CORPORATION IS IN COMPLIANCE WITH ITS STATED CORPORATE AND CHARITABLE PURPOSE AND MISSION. 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 XI, LINE 9: NET ASSETS RELEASED FROM RESTRICTIONS 479,411. 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