2021-05-12T15:12:18-05:00 2020-06-30 ERNST & YOUNG US LLP 950 MAIN AVENUE SUITE 1800 CLEVELAND OH 44113 990 2019-07-01 363305449 Mount Sinai Community Foundation % Gary Krugel MOUN 7732572937 2750 West 15th Place Chicago IL 60608 Gary Krugel CFO 7732572000 2021-05-11 true ERICA m FERTELMES P01608257 2165831167 2019 2022-09-23 18:48:47Z Sinai Medical Group Karen Teitelbaum 2750 West 15th Street Chicago IL 60608 127323410 false X www.sinaichicago.org X 1995 IL TO IMPROVE THE HEALTH OF THE COMMUNITY IT SERVES BY ENSURING THE AVAILABILITY OF MEDICAL, SURGICAL, AND PRIMARY CARE PHYSICIANS AND HIGH QUALITY HEALTHCARE SERVICES. 23 22 535 0 0 0 800711 890497 105469902 126000815 0 17888 307087 414210 106577700 127323410 0 0 0 0 73965862 71086378 0 0 0 32797539 35558866 106763401 106645244 -185701 20678166 13822976 8999934 90189253 63550010 -76366277 -54550076 X TO IMPROVE THE HEALTH OF THE COMMUNITY IT SERVES BY ENSURING THE AVAILABILITY OF MEDICAL, SURGICAL, AND PRIMARY CARE PHYSICIANS AND ADVANCED PRACTICE PROVIDERS AND HIGH QUALITY HEALTHCARE SERVICES. SINAI MEDICAL GROUP HAS OVER 251 PRIMARY AND SPECIALTY CARE PHYSICIANS AND ADVANCED PRACTICE PROVIDERS REPRESENTING OVER 36 MEDICAL AND SURGICAL SPECIALTIES SUCH AS CARDIOLOGY, ENDOCRINOLOGY, GASTROENTEROLOGY, NEPHROLOGY, NEUROLOGY, NEUROSURGERY, ONCOLOGY, ORTHOPEDICS AND UROLOGY. MOST PHYSICIANS ARE BOARD CERTIFIED AND FELLOWSHIP TRAINED IN THEIR INDIVIDUAL SPECIALTIES. SINAI MEDICAL GROUP PHYSICIANS AND ADVANCED PRACTICE PROVIDERS, PRACTICE AT ELEVEN COMMUNITY-BASED OUTPATIENT CENTERS LOCATED ON SINAI HEALTH SYSTEM'S MAIN CAMPUS AND THROUGHOUT THE HEALTH SYSTEM'S SERVICE AREA. false false 24664344 0 39174038 see schedule o 17696552 0 26193771 see schedule o 10079992 0 16450037 see schedule o 39610757 0 44201267 92051645 true false false true false false false false false false true true false true true true false true false false false false false false false false false false false true false false false false false false false false false false false false true true true true false false true X 0 0 true 535 true false false false false false false false false false false false false X 23 22 false false false false true true true true true false false true true true true true true true true true true IL X Gary Krugel 7732575964 1500 S California Avenue Chicago IL 60608 KAREN TEITELBAUM PRESIDENT & CEO 1.0 39.0 X X 0 1148138 31597 AMAR SHAH PHYSICIAN 40.0 0.0 X 772447 0 19356 MASON MILBURN PHYSICIAN 40.0 0.0 X 704424 0 55237 SANDEEP KHOSLA PHYSICIAN 40.0 0.0 X 675337 0 50996 DANIELA FILIP KOVACS PHYSICIAN 40.0 0.0 X 683934 0 15002 ALAN C POLLAK PHYSICIAN 40.0 0.0 X 684307 0 12088 PAUL BERKOWITZ SMG'S CHIEF MEDICAL OFFICER 40.0 0.0 X 517388 0 36737 EDWARD CARNE PRESIDENT OF SMG 40.0 0.0 X 0 510708 17134 LOREN CHANDLER INTERIM CFO UNTIL 11/15/19 1.0 39.0 X 0 448371 11639 AIRICA STEED COO 1.0 39.0 X 0 415587 29125 MATTHEW DOYLE Interim CFO UNTIL 9/27/19 1.0 39.0 X 0 398723 0 RACHEL DVORKEN former GENERAL COUNSEL 0.0 0.0 X 0 382119 12873 VIVEK MEHTA CHIEF INFORMATION OFFICER 1.0 39.0 X 0 376848 0 JASON N SPIGNER CHIEF HUMAN RESOURCES OFFICER 1.0 39.0 X 0 355860 12891 GARY KRUGEL CFO START 11/11/19 1.0 39.0 X 0 55462 0 ABRAHAM MORGAN DIRECTOR 2.0 10.0 X 0 0 0 ALEJANDRA GARZA DIRECTOR 2.0 10.0 X 0 0 0 ALEX PISSIOS DIRECTOR 2.0 10.0 X 0 0 0 ANNE COHN DONNELLY DIRECTOR 2.0 10.0 X 0 0 0 BRET MAXWELL DIRECTOR 2.0 10.0 X 0 0 0 BRIAN DOLAN DIRECTOR start 10/2019 2.0 10.0 X 0 0 0 DAVID SMITH DIRECTOR 2.0 10.0 X 0 0 0 IMMACULA WENDT SR DIRECTOR 2.0 10.0 X 0 0 0 KATYA NUQUES DIRECTOR 2.0 10.0 X 0 0 0 KEN AVNER DIRECTOR & TREASURER 2.0 10.0 X X 0 0 0 LAURIE HERNANDEZ DIRECTOR & CHAIRMAN 2.0 10.0 X X 0 0 0 LEE MILLER DIRECTOR 2.0 10.0 X 0 0 0 LESLIE D DAVIS DIRECTOR 2.0 10.0 X 0 0 0 LESLIE MITCHEL-BOND DIRECTOR & SECRETARY 2.0 10.0 X X 0 0 0 MICHAEL HAYES DIRECTOR 2.0 10.0 X 0 0 0 ROBERT S MARKIN DIRECTOR 2.0 10.0 X 0 0 0 ROXANNE DECYK DIRECTOR & VICE CHAIR 2.0 10.0 X X 0 0 0 VINCENT WILLIAMS DIRECTOR 2.0 10.0 X 0 0 0 WAYNE M LERNER DIRECTOR 2.0 10.0 X 0 0 0 BOB WOLFBERG DIRECTOR UNTIL 8/2019 2.0 10.0 X 0 0 0 KEITH WAKEFIELD DIRECTOR UNTIL 8/2019 2.0 10.0 X 0 0 0 MARK FRISCH DIRECTOR UNTIL 11/2019 2.0 10.0 X 0 0 0 TOM NODINE DIRECTOR UNTIL 7/2019 2.0 10.0 X 0 0 0 VIVIAN FUNCHES DIRECTOR 2.0 10.0 X 0 0 0 JORDAN HADELMAN DIRECTOR 2.0 10.0 X 0 0 0 RACHEL STERNBERG DIRECTOR start 12/2019 2.0 10.0 X 0 0 0 4037837 4091816 304675 204 true true false UNIVERSITY OF ILLINOIS AT CHICAGO 7732 SOLUTION CENTER CHICAGO IL 60677 PHYSICIAN SERVICES 6425479 XTEND HEALTHCARE 90 VOLUNTEER DR SUITE 150 HENDERSONVILLE TN 37075 REVENUE CYCLE MGMT 3923027 Cook County Health Hosp Sys 1950 W POLK 9TH FL CHICAGO IL 60612 PHYSICIAN SERVICES 1530709 MIDLAND ORTHOPEDIC ASSOCIATES SC 2850 S WABASH CHICAGO IL 60616 PHYSICIAN SERVICES 438000 PORTILLO CLEANING SERVICES 3730 S LOMBARD BERWYN IL 60402 CLEANING SERVICES 347726 12 832713 57784 890497 Patient revenues 621110 40173715 40173715 0 0 Intercompany revenues 900099 76904900 76904900 0 0 Teaching stipends 900099 7512493 7512493 0 0 Medical services 900099 1409707 1409707 0 0 126000815 17888 17888 0 0 395912 0 395912 395912 395912 0 0 0 0 0 0 0 0 0 0 OTHER REVENUE 900099 18298 18298 0 18298 127323410 126019113 0 413800 0 0 0 0 0 0 0 0 525433 0 525433 0 0 0 0 0 64700793 62557608 2143185 0 711379 669373 42006 0 2159844 2064675 95169 0 2988929 2866057 122872 0 100456 0 100456 0 100197 0 100197 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5411689 5411689 0 0 30710 0 30710 0 247524 63920 183604 0 9185822 8288141 897681 0 0 0 0 0 1242780 0 1242780 0 17257 13551 3706 0 0 0 0 0 4119 3744 375 0 476297 0 476297 0 0 0 0 0 1676394 733064 943330 0 2644363 0 2644363 0 ICT Purchased services 8521502 8521502 0 0 Interco purchased service 4696770 7037 4689733 0 Drugs & medical supplies 486365 486365 0 0 Physicians business allow 214915 214915 0 0 501706 150004 351702 106645244 92051645 14593599 0 0 16057 0 0 0 0 0 6553347 3028508 0 0 0 0 818440 1262273 0 0 103978 29907 9373546 7008824 3413104 2364722 0 0 579551 915238 210000 210000 0 0 2128499 1189286 13822976 8999934 9421788 7322254 0 0 0 8232 0 0 0 0 0 0 4906126 4705301 0 0 75861339 51514223 90189253 63550010 X -76621821 -54610380 255544 60304 -76366277 -54550076 13822976 8999934 X 20678166 0 0 0 -105000 1243035 X false true X true true true X X X 1 Mount Sinai Hospital 361509000 3 true 38595518 0 1 38595518 0 true false false false false true false false false false false false false false false true false SCHEDULE A, PART VI, LINE 6 SINAI MEDICAL GROUP ALSO PROVIDES SUPPORT TO HOLY CROSS HOSPITAL (HCH) AND SCHWAB REHABILITATION HOSPITAL, WHICH ARE RELATED ORGANIZATIONS WITHIN THE SINAI HEALTH SYSTEM. BOTH ENTITIES ARE PUBLICLY SUPPORTED ORGANIZATIONS. false true false 0 false 0 false 0 false 0 false 0 false 0 false 0 0 false false SCHEDULE C, PART II-B, LINE 1B DESCRIPTION OF THE LOBBYING ACTIVITIES Sinai Health System engages in education and other activities to influence legislators regarding federal and state policies primarily related to Medicaid, Sinai's major payer and the safety net of many of its patients. THE SYSTEM LOBBYING ACTIVITIES ARE COORDINATED THROUGH Mara Ruff, Vice President EXTERNAL AFFAIRS SINAI HEALTH SYSTEM and Roberta Rakove, Senior Vice President for Sinai Health System. Lobbying is conducted on behalf of the entire Sinai System, therefore registered state lobbyists are registered to represent all entities within the Sinai health System. All lobbying expenses incurred are paid by Sinai Health System. At the federal level, Sinai Health System does not utilize contract lobbyists. Sinai does use an outside firm to assist at the federal level with the development of grant proposals but the firm does not operate as a lobbying entity with Sinai. Sinai Health System collaborates with the American Hospital Association, the Illinois Hospital Association, the Premier Hospital Alliance, America's Essential Hospitals, and the Jewish Federation of Metropolitan Chicago/Jewish United Fund. At the state level, Sinai utilizes three outside lobbying firms. 571823 571823 1506984 780776 726208 2908874 2499683 409191 4385865 3728365 657500 2364722 0 OTHER ACCOUNTS RECEIVABLES 1189286 1189286 0 ACCRUED SELF INSURANCE 5101810 CURRENT PORT OF SELF INSURANCE 486096 DUE TO AFFILIATES 41372783 DUE TO THIRD PARTIES 1463533 OTHER CURRENT LIABILITIES 3051997 OTHER NON CURRENT LIABILITES 38004 51514223 X FORM 990, SCHEDULE D, PART X, LINE 2 FIN 48(ASC 740) FOOTNOTE INCOME TAXES: MOUNT SINAI HOSPITAL MEDICAL CENTER, SCHWAB REHAB HOSPITAL, HOLY CROSS HOSPITAL, MOUNT SINAI COMMUNITY FOUNDATION, AND SINAI COMMUNITY INSTITUTE ARE TAX-EXEMPT ORGANIZATIONS UNDER INTERNAL REVENUE CODE SECTION 501(C)(3) AND EACH, AS REQUIRED, FILES A FORM 990 (RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX) ANNUALLY. Progress Health, Inc. FILES FEDERAL AND ILLINOIS FORMS 1120 (U.S. CORPORATION INCOME TAX RETURN) ANNUALLY. THE CORPORATION ADOPTED FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) ISSUED GUIDANCE FOR UNCERTAINTY IN INCOME TAXES. THIS GUIDANCE PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. EXAMPLES OF TAX POSITIONS COMMON TO HEALTH SYSTEMS INCLUDE SUCH MATTERS AS THE FOLLOWING: THE TAX-EXEMPT STATUS OF EACH ENTITY, THE NATURE, CHARACTERIZATION AND TAXABILITY OF JOINT VENTURE INCOME AND VARIOUS POSITIONS RELATIVE TO POTENTIAL SOURCES OF UNRELATED BUSINESS TAXABLE INCOME (UBIT). UBIT IS REPORTED ON FORM 990T, AS APPROPRIATE. THE BENEFIT OF A TAX POSITION IS RECOGNIZED IN THE FINANCIAL STATEMENTS IN THE PERIOD DURING WHICH, BASED ON ALL AVAILABLE EVIDENCE, MANAGEMENT BELIEVES THAT IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL BE SUSTAINED UPON EXAMINATION, INCLUDING THE RESOLUTION OF APPEALS OR LITIGATION PROCESSES, IF ANY. TAX POSITIONS ARE NOT OFFSET OR AGGREGATED WITH OTHER POSITIONS. TAX POSITIONS THAT MEET THE "MORE LIKELY THAN NOT" RECOGNITION THRESHOLD ARE MEASURED AS THE LARGEST AMOUNT OF TAX BENEFIT THAT IS MORE THAN 50 PERCENT LIKELY TO BE REALIZED ON SETTLEMENT WITH THE APPLICABLE TAXING AUTHORITY. THE PORTION OF THE BENEFITS ASSOCIATED WITH TAX POSITIONS TAKEN THAT EXCEEDS THE AMOUNT MEASURED AS DESCRIBED ABOVE IS REFLECTED AS A LIABILITY FOR UNRECOGNIZED TAX BENEFITS IN THE CONSOLIDATED BALANCE SHEETS ALONG WITH ANY ASSOCIATED INTEREST AND PENALTIES THAT WOULD BE PAYABLE TO THE TAXING AUTHORITIES UPON EXAMINATION. AS OF JUNE 30, 2020 AND 2019, THERE WERE NO UNRECOGNIZED TAX BENEFITS IDENTIFIED AND RECORDED. FORMS 990 AND 1120 FILED BY THE CORPORATION ARE SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE (IRS) FOR UP TO THREE YEARS FROM THE EXTENDED DUE DATE OF EACH RETURN. FORMS 990 AND 1120 FILED BY THE CORPORATION ARE NO LONGER SUBJECT TO EXAMINATION FOR THE YEARS ENDED JUNE 30, 2016 AND PRIOR. true true false false false false false false false AIRICA STEED COO 0 413996 0 1051 0 540 0 8444 0 20681 0 444712 0 0 ALAN C POLLAK PHYSICIAN 656658 0 16070 0 11579 0 0 0 12088 0 696395 0 0 0 AMAR SHAH PHYSICIAN 594937 0 155000 0 22510 0 5600 0 13756 0 791803 0 0 0 DANIELA FILIP KOVACS PHYSICIAN 600055 0 40000 0 43879 0 5600 0 9402 0 698936 0 0 0 EDWARD CARNE PRESIDENT OF SMG 0 472130 0 25000 0 13578 0 17134 0 0 0 527842 0 0 JASON N SPIGNER CHIEF HUMAN RESOURCES OFFICER 0 297391 0 51526 0 6943 0 3014 0 9877 0 368751 0 0 KAREN TEITELBAUM PRESIDENT & CEO 0 911950 0 147188 0 89000 0 22435 0 9162 0 1179735 0 0 LOREN CHANDLER INTERIM CFO UNTIL 11/15/19 0 184477 0 82577 0 181317 0 6616 0 5023 0 460010 0 0 MASON MILBURN PHYSICIAN 700245 0 -8320 0 12499 0 24100 0 31137 0 759661 0 0 0 MATTHEW DOYLE Interim CFO UNTIL 9/27/19 0 398723 0 0 0 0 0 0 0 0 0 398723 0 0 PAUL BERKOWITZ SMG'S CHIEF MEDICAL OFFICER 496214 0 12183 0 8991 0 5600 0 31137 0 554125 0 0 0 RACHEL DVORKEN former GENERAL COUNSEL 0 210832 0 49914 0 121373 0 12873 0 0 0 394992 0 0 SANDEEP KHOSLA PHYSICIAN 605337 0 39000 0 31000 0 20782 0 30214 0 726333 0 0 0 VIVEK MEHTA CHIEF INFORMATION OFFICER 0 345744 0 30000 0 1104 0 0 0 0 0 376848 0 0 FORM 990, SCHEDULE J, PART I, LINE 3 METHODS USED BY RELATED ORG TO ESTABLISH CEO COMPENSATION THE ORGANIZATION PAYS OUT COMPENSATION BASED ON THE FOLLOWING PROCEDURES AND GUIDELINES: SINAI HEALTH SYSTEM (SHS) HAS 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. Form 990, Schedule J, Part I, Line 4a SEVERANCE PAYMENTS THE ORGANIZATION PAID SEVERANCE IN THE FORM OF WAGE CONTINUATION TO LOREN CHANDLER IN THE AMOUNT OF $129,624 AND RACHEL DVORKEN IN THE AMOUNT OF $78,327. FORM 990, SCHEDULE J, PART I, LINE 4B SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN MOUNT SINAI HOSPITAL'S (MSH) 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. MSH'S SERP IS ENTIRELY FUNDED BY THE EMPLOYER, MSH. THE MSH COMPENSATION COMMITTEE REVIEWS AND APPROVES ACCEPTANCE AND/OR MODIFICATIONS TO THE SERP PLAN. THE MSH'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. CY2019 payments increase in value of the benefit not vested in CY19 Karen Teitelbaum $71,864 $1,481 LOREN CHANDLER $50,385 $ 0 RACHEL DVORKEN $40,975 $ 0 FORM 990, SCHEDULE J, 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. FORM 990, PART III, LINE 4A PROGRAM SERVICE DESCRIPTION INTERNAL MEDICINE THE SINAI MEDICAL GROUP DEPARTMENT OF MEDICINE PROVIDES SERVICES TO PATIENTS OF THE SINAI HEALTH SYSTEM THROUGH A FULL ARRAY OF MEDICAL SPECIALISTS INCLUDING THE MEDICAL SPECIALTIES OF CARDIOLOGY, DERMATOLOGY, ENDOCRINOLOGY, GASTROENTEROLOGY, GERIATRIC MEDICINE, NEPHROLOGY, NEUROLOGY, ONCOLOGY/HEMATOLOGY AND PULMONARY/CRITICAL CARE. THE DEPARTMENT provides CARE FOR INPATIENT ADMISSIONS IN ADDITION TO THE PROVISION OF OUTPATIENT DIALYSIS SERVICES, INTERVENTIONAL AND DIAGNOSTIC CARDIOLOGY SERVICES, AS WELL AS OUTPATIENT VISITS THROUGHOUT THE NETWORK OF NINE COMMUNITY-BASED CLINICS AND NINE HOSPITAL BASED CLINICS. FORM 990, PART III, LINE 4B PROGRAM SERVICE DESCRIPTION SURGERY THE SINAI MEDICAL GROUP DEPARTMENT OF SURGERY PROVIDES SERVICES TO PATIENTS OF SINAI HEALTH SYSTEM THROUGH A FULL ARRAY OF PEDIATRIC AND ADULT SURGICAL SPECIALISTS INCLUDING THE SURGICAL SPECIALTIES OF GENERAL SURGERY, HAND, NEUROLOGY, OPHTHALMOLOGY, ORTHOPEDIC, OTOLARYNGOLOGY, PEDIATRICS, PLASTICS, PODIATRY, THORACIC, TRAUMA, UROLOGY, NEUROSURGERY AND VASCULAR SURGERY. AS MOUNT SINAI HOSPITAL IS A LEVEL 1 TRAUMA PROVIDER, THE DEPARTMENT IS STAFFED TWENTY-FOUR HOURS PER DAY AND HAS NECESSARY TRAUMA CARE PROVIDERS ON DUTY AROUND THE CLOCK. FORM 990, PART III, LINE 4C PROGRAM SERVICE DESCRIPTION ANESTHESIA THE DEPARTMENT OF ANESTHESIA AT MOUNT SINAI HOSPITAL IS AN INTEGRAL PART OF THE SURGICAL SERVICES DEPARTMENT. ANESTHESIA SERVICES ARE PROVIDED BY A GROUP OF HIGHLY TRAINED ANESTHESIOLOGISTS AND CERTIFIED REGISTERED NURSE ANESTHETISTS SPECIFICALLY TRAINED IN ANESTHESIOLOGY PROVIDING GENERAL ANESTHESIA, REGIONAL ANESTHESIA, SEDATION AND PAIN MANAGEMENT PROCEDURES. WE COVER CASES INCLUDING OPEN HEART, NEUROSURGERY, NEONATAL, THORACIC AND PEDIATRIC. FORM 990, PART III, LINE 4D PROGRAM SERVICE DESCRIPTION RADIOLOGY THE SINAI MEDICAL GROUP DEPARTMENT OF RADIOLOGY PROVIDES RADIOLOGICAL SPECIALTY SERVICES RANGING FROM DIAGNOSTIC RADIOLOGY, GENERAL ULTRASOUND, VASCULAR ULTRASOUND, OB/GYN ULTRASOUND, INTERVENTIONAL RADIOLOGY, MAGNETIC RESONANCE, COMPUTED TOMOGRAPHY, MAMMOGRAPHY AND RADIATION THERAPY. THE DEPARTMENT ALSO OFFERS COMMUNITY-BASED CLINICAL SERVICES AT VARIOUS LOCATIONS. THE DEPARTMENT IS STAFFED TO FACILITATE TRAUMA CARE AT MOUNT SINAI HOSPITAL. THE DEPARTMENT ALSO OFFERS SERVICES IN PEDIATRICS, OB/GYNE, FAMILY MEDICINE, PSYCHIATRY, AND PATHOLOGY. FORM 990, PART V, LINE 1A FORM 1096 TRANSMITTAL OF U.S. INFORMATION RETURNS SINAI MEDICAL GROUP ("SMG") REPORTED ZERO ON FORM 990, PART V, QUESTION 1A AS IT IS NOT REQUIRED TO FILE FORM 1096, TRANSMITTAL OF U.S. INFORMATION RETURNS. ALL OF THE SMG'S ACCOUNTS PAYABLE REPORTABLE ON FORM 1096 ARE PAID BY SINAI HEALTH SYSTEM ("SHS"), WHICH ISSUES ALL FORMS 1099 AND THEN TRANSFERS THE EXPENSE TO SMG. THE COMPENSATION AMOUNTS REPORTED IN THIS 990 REFLECT THE AMOUNT TRANSFERRED TO THE CORPORATION FROM SHS. FORM 990, PART VI, LINE 1A BOARD DELEGATING POWERS TO EXECUTIVE 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, LINE 6 DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS SINAI HEALTH SYSTEM (EIN 36-3166895) IS THE SOLE MEMBER OF THE MOUNT SINAI COMMUNITY FOUNDATION D/B/A SINAI MEDICAL GROUP. FORM 990, PART VI, 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, 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, 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 ERNST & YOUNG, LLP AND REVIEWED BY SENIOR FINANCE STAFF AND OTHER MEMBERS OF SENIOR LEADERSHIP. PRIOR TO THE FILING, THE FORM 990 WAS MADE AVAILABLE TO THE FULL BOARD OF DIRECTORS. FORM 990, PART VI, LINE 12C DESCRIBE THE 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. 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, LINE 15A & 15B 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, LINE 19 GOVERNING DOCUMENTS GOVERNING DOCUMENTS, CONFLICT OF INTEREST AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS FUNDS TRANSFERRED, RECLASSED OR RELEASED FROM RESTRICTIONS $ (243,916) Net Assets Released from Restriction $ 321,545 change in JV equity investment $ 1,165,406 TOTAL $ 1,243,035 SINAI PATHOLOGY ASSOCIATES INC 1500 S CALIFORNIA AVE CHICAGO IL 60608 770682746 LABORATORY IL 2971853 0 SCF SINAI HEALTH SYSTEM 15TH STREET CALIFORNIA AVE CHICAGO IL 60608 363166895 PARENT CORP IL 501(c)(3) 12 TYPE II NA false MOUNT SINAI HOSPITAL MEDICAL CENTER 15TH STREET CALIFORNIA AVE CHICAGO IL 60608 361509000 HEALTHCARE IL 501(c)(3) 3 SINAI HLTH true SCHWAB REHABILITATION HOSPITAL & CARE 1401 S CALIFORNIA AVENUE CHICAGO IL 60608 362179802 HEALTHCARE IL 501(c)(3) 3 SINAI HLTH true HOLY CROSS HOSPITAL 2701 WEST 68TH ST CHICAGO IL 60629 362170133 HEALTHCARE IL 501(c)(3) 3 SINAI HLTH true SINAI COMMUNITY INSTITUTE 2653 WEST OGDEN AVE CHICAGO IL 60608 363932824 HEALTHCARE IL 501(c)(3) 10 SINAI HLTH true Medical District Home Dialysis 1111 S Western Ave Chicago IL 60609 473012375 Healthcare IL SCF Related -114381 1069402 false true 0.70000 Progress Health Inc 2701 West 68th Street Chicago IL 60629 364109153 MGMT SERVICES IL NA C Corp false Sinai Community Pharmacy California Ave at 15th Street Chicago IL 60606 363833219 Pharmacy IL N/A C Corp false false false false true false false false false false false true false false false false true true false false HOLY CROSS HOSPITAL d 72086 COST MOUNT SINAI HOSPITAL MEDICAL CENTER k 118000 COST SINAI COMMUNITY INSTITUTE INC k 68109 COST MOUNT SINAI HOSPITAL MEDICAL CENTER p 59064 COST MOUNT SINAI HOSPITAL MEDICAL CENTER q 21024910 COST HOLY CROSS HOSPITAL q 3574861 COST MEDICAL DISTRICT HOME DIALYSIS q 25000 COST