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      <Form990PartVIISectionAGrp>
        <PersonNm>GARY KRUGEL</PersonNm>
        <TitleTxt>CFO START 11/11/19</TitleTxt>
        <AverageHoursPerWeekRt>15.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>25.0</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ABRAHAM MORGAN</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>10.0</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ALEJANDRA GARZA</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>10.0</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ALEX PISSIOS</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>10.0</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ANNE COHN DONNELLY</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>10.0</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>BRET MAXWELL</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>10.0</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>BRIAN DOLAN</PersonNm>
        <TitleTxt>DIRECTOR START 10/2019</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>10.0</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DAVID SMITH</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>10.0</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>IMMACULA WENDT SR</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>10.0</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KATYA NUQUES</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>10.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KEN AVNER</PersonNm>
        <TitleTxt>DIRECTOR &amp; TREASURER</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>10.0</AverageHoursPerWeekRltdOrgRt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LAURIE HERNANDEZ</PersonNm>
        <TitleTxt>DIRECTOR &amp; CHAIRMAN</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>10.0</AverageHoursPerWeekRltdOrgRt>
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        <OfficerInd>X</OfficerInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LEE MILLER</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>10.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LESLIE D DAVIS</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>10.0</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LESLIE MITCHEL-BOND</PersonNm>
        <TitleTxt>DIRECTOR &amp; SECRETARY</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>10.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL HAYES</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>10.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ROBERT S MARKIN</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>10.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ROXANNE DECYK</PersonNm>
        <TitleTxt>DIRECTOR &amp; VICE CHAIR</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>10.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>VINCENT WILLIAMS</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>10.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>WAYNE M LERNER</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>10.0</AverageHoursPerWeekRltdOrgRt>
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        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Jordan Hadelman</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>10.0</AverageHoursPerWeekRltdOrgRt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Rachel Sternberg</PersonNm>
        <TitleTxt>DIRECTOR START 12/2019</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>10.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>VIVIAN FUNCHES</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>10.0</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>BOB WOLFBERG</PersonNm>
        <TitleTxt>DIRECTOR UNTIL 8/2019</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>10.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KEITH WAKEFIELD</PersonNm>
        <TitleTxt>DIRECTOR UNTIL 8/2019</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARK FRISCH</PersonNm>
        <TitleTxt>DIRECTOR UNTIL 11/2019</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>10.0</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TOM NODINE</PersonNm>
        <TitleTxt>DIRECTOR UNTIL 7/2019</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <TotReportableCompRltdOrgAmt>1316333</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>302228</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>166</IndivRcvdGreaterThan100KCnt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>CEP AMERICA</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2100 POWELL STREET SUITE 400</AddressLine1Txt>
            <CityNm>EMERYVILLE</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>15251</ZIPCd>
          </USAddress>
        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>RENOVO SOLUTIONS LLC</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>4 EXECUTIVE CIRCLE STE185</AddressLine1Txt>
            <CityNm>IRVINE</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>92614</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Equip Maint Services</ServicesDesc>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>G4S SOLUTIONS USA INC</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 277469</AddressLine1Txt>
            <CityNm>ATLANTA</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>30384</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>SECURITY SERVICES</ServicesDesc>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>SODEXO INC AFFILIATES</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 360170</AddressLine1Txt>
            <CityNm>PITTSBURGH</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>15251</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Food &amp; HouseKeep SVC</ServicesDesc>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>PROFESSIONAL CLINICAL LABORATORIES</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2434 INTERSTATE PLAZA DRIVE</AddressLine1Txt>
            <CityNm>HAMMOND</CityNm>
            <StateAbbreviationCd>IN</StateAbbreviationCd>
            <ZIPCd>46324</ZIPCd>
          </USAddress>
        </ContractorAddress>
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      <GovernmentGrantsAmt>26378910</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>3225306</AllOtherContributionsAmt>
      <NoncashContributionsAmt>0</NoncashContributionsAmt>
      <TotalContributionsAmt>29604216</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>Patient revenue</Desc>
        <BusinessCd>622110</BusinessCd>
        <TotalRevenueColumnAmt>330664927</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>330664927</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>PHARMACY 340B REVENUE</Desc>
        <BusinessCd>621399</BusinessCd>
        <TotalRevenueColumnAmt>5979244</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>5979244</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>ICT Patient Srvc at cost</Desc>
        <BusinessCd>622110</BusinessCd>
        <TotalRevenueColumnAmt>1717968</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1717968</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>Cafeteria</Desc>
        <BusinessCd>722514</BusinessCd>
        <TotalRevenueColumnAmt>1568309</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1568309</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>Parking garage</Desc>
        <BusinessCd>812930</BusinessCd>
        <TotalRevenueColumnAmt>581625</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>581625</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </ProgramServiceRevenueGrp>
      <TotalOthProgramServiceRevGrp>
        <TotalRevenueColumnAmt>4383640</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>4383640</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </TotalOthProgramServiceRevGrp>
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      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>231416</TotalRevenueColumnAmt>
        <ExclusionAmt>231416</ExclusionAmt>
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      <IncmFromInvestBondProceedsGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </IncmFromInvestBondProceedsGrp>
      <RoyaltiesRevenueGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </RoyaltiesRevenueGrp>
      <GrossRentsGrp>
        <RealAmt>620876</RealAmt>
      </GrossRentsGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>620876</RealAmt>
        <PersonalAmt>0</PersonalAmt>
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      <NetGainOrLossInvestmentsGrp>
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      <OtherRevenueMiscGrp>
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      <OtherRevenueMiscGrp>
        <Desc>DAVITA PARTNERSHIP INCOME</Desc>
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      </AdvertisingGrp>
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      </RoyaltiesGrp>
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      </TravelGrp>
      <PymtTravelEntrtnmntPubOfclGrp>
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      <OtherExpensesGrp>
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    <IRS990ScheduleB documentId="IRS990ScheduleB">
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE C, PART II-B, LINE 1B</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleC>
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        <AdministrativeExpensesAmt>15840</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>2136133</EndYearBalanceAmt>
      </CYMinus1YrEndwmtFundGrp>
      <CYMinus2YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>6073963</BeginningYearBalanceAmt>
        <ContributionsAmt>13364</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>472492</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>1165679</OtherExpendituresAmt>
        <EndYearBalanceAmt>5394140</EndYearBalanceAmt>
      </CYMinus2YrEndwmtFundGrp>
      <CYMinus3YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>5272743</BeginningYearBalanceAmt>
        <ContributionsAmt>942646</ContributionsAmt>
        <OtherExpendituresAmt>141426</OtherExpendituresAmt>
        <EndYearBalanceAmt>6073963</EndYearBalanceAmt>
      </CYMinus3YrEndwmtFundGrp>
      <CYMinus4YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>5134684</BeginningYearBalanceAmt>
        <ContributionsAmt>378800</ContributionsAmt>
        <OtherExpendituresAmt>240741</OtherExpendituresAmt>
        <EndYearBalanceAmt>5272743</EndYearBalanceAmt>
      </CYMinus4YrEndwmtFundGrp>
      <BoardDesignatedBalanceEOYPct>1.00000</BoardDesignatedBalanceEOYPct>
      <EndowmentsHeldUnrelatedOrgInd>false</EndowmentsHeldUnrelatedOrgInd>
      <EndowmentsHeldRelatedOrgInd>false</EndowmentsHeldRelatedOrgInd>
      <LandGrp>
        <OtherCostOrOtherBasisAmt>1725650</OtherCostOrOtherBasisAmt>
        <BookValueAmt>1725650</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>170112514</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>125985786</DepreciationAmt>
        <BookValueAmt>44126728</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>2922248</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1482496</DepreciationAmt>
        <BookValueAmt>1439752</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>92319150</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>78772594</DepreciationAmt>
        <BookValueAmt>13546556</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>2972165</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1929569</DepreciationAmt>
        <BookValueAmt>1042596</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>61881282</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>Due from Related Parties</Desc>
        <BookValueAmt>158833934</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>Other Receivables</Desc>
        <BookValueAmt>3582762</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>Other Current Assets</Desc>
        <BookValueAmt>2273214</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>Other Long Term Assets</Desc>
        <BookValueAmt>1918328</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>166608238</TotalBookValueOtherAssetsAmt>
      <FederalIncomeTaxLiabilityAmt>0</FederalIncomeTaxLiabilityAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>Accrued Self Insurance</Desc>
        <Amt>23181793</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Amounts Due To Third Parties</Desc>
        <Amt>48011138</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>LT Capital Lease Obligation</Desc>
        <Amt>464572</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Current Portion Capital Lease</Desc>
        <Amt>327171</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Current Portion Long Term Debt</Desc>
        <Amt>192123</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Current Portion Self Insurance</Desc>
        <Amt>9473850</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Deferred Liabilities</Desc>
        <Amt>553441</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Other Current Liabilities</Desc>
        <Amt>4052162</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Due to Affiliate</Desc>
        <Amt>103452697</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Other Non-Current Liabilities</Desc>
        <Amt>4976066</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>194685013</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>INTENDED USE OF ENDOWMENT FUNDS</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990, SCH D, PART V, LINE 4 THE FUNDS ARE USED FOR GENERAL OPERATING PURPOSES. THE INTEREST FROM THE FUND IS UTILIZED FOR UNRESTRICTED PURPOSES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE D, PART X, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="IRS990ScheduleH">
      <FinancialAssistancePolicyInd>true</FinancialAssistancePolicyInd>
      <WrittenPolicyInd>true</WrittenPolicyInd>
      <AllHospitalsPolicyInd>X</AllHospitalsPolicyInd>
      <FPGReferenceFreeCareInd>true</FPGReferenceFreeCareInd>
      <FreeCareOthPercentageGrp>
        <OtherInd>X</OtherInd>
        <FreeCareOtherPct>300.</FreeCareOtherPct>
      </FreeCareOthPercentageGrp>
      <FPGReferenceDiscountedCareInd>true</FPGReferenceDiscountedCareInd>
      <DiscountedCareOthPercentageGrp>
        <OtherInd>X</OtherInd>
        <DiscountedCareOtherPct>600.</DiscountedCareOtherPct>
      </DiscountedCareOthPercentageGrp>
      <FreeCareMedicallyIndigentInd>true</FreeCareMedicallyIndigentInd>
      <FinancialAssistanceBudgetInd>true</FinancialAssistanceBudgetInd>
      <ExpensesExceedBudgetInd>false</ExpensesExceedBudgetInd>
      <AnnualCommunityBnftReportInd>true</AnnualCommunityBnftReportInd>
      <ReportPublicallyAvailableInd>true</ReportPublicallyAvailableInd>
      <FinancialAssistanceAtCostTyp>
        <TotalCommunityBenefitExpnsAmt>24395816</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>24395816</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.07590</TotalExpensePct>
      </FinancialAssistanceAtCostTyp>
      <UnreimbursedMedicaidGrp>
        <TotalCommunityBenefitExpnsAmt>177285627</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>214725261</DirectOffsettingRevenueAmt>
      </UnreimbursedMedicaidGrp>
      <UnreimbursedCostsGrp>
        <TotalCommunityBenefitExpnsAmt>25757574</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>19250403</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>6507171</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.02020</TotalExpensePct>
      </UnreimbursedCostsGrp>
      <TotalFinancialAssistanceTyp>
        <TotalCommunityBenefitExpnsAmt>227439017</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>233975664</DirectOffsettingRevenueAmt>
        <TotalExpensePct>0.09610</TotalExpensePct>
      </TotalFinancialAssistanceTyp>
      <CommunityHealthServicesGrp>
        <TotalCommunityBenefitExpnsAmt>5075791</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>5075791</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.01580</TotalExpensePct>
      </CommunityHealthServicesGrp>
      <HealthProfessionsEducationGrp>
        <TotalCommunityBenefitExpnsAmt>10506822</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>2747971</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>7758851</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.02410</TotalExpensePct>
      </HealthProfessionsEducationGrp>
      <SubsidizedHealthServicesGrp>
        <TotalCommunityBenefitExpnsAmt>56132549</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>15144045</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>40988504</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.12750</TotalExpensePct>
      </SubsidizedHealthServicesGrp>
      <ResearchGrp>
        <TotalCommunityBenefitExpnsAmt>738110</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>738110</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00230</TotalExpensePct>
      </ResearchGrp>
      <CashAndInKindContributionsGrp>
        <TotalCommunityBenefitExpnsAmt>944098</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>944098</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00290</TotalExpensePct>
      </CashAndInKindContributionsGrp>
      <TotalOtherBenefitsGrp>
        <TotalCommunityBenefitExpnsAmt>73397370</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>17892016</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>55505354</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.17260</TotalExpensePct>
      </TotalOtherBenefitsGrp>
      <TotalCommunityBenefitsGrp>
        <TotalCommunityBenefitExpnsAmt>300836387</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>251867680</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>55505354</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.26880</TotalExpensePct>
      </TotalCommunityBenefitsGrp>
      <HealthImprovementAdvocacyGrp>
        <TotalCommunityBenefitExpnsAmt>2853050</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>0</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>2853050</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00890</TotalExpensePct>
      </HealthImprovementAdvocacyGrp>
      <TotalCommuntityBuildingActyGrp>
        <TotalCommunityBenefitExpnsAmt>2853050</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>0</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>2853050</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00890</TotalExpensePct>
      </TotalCommuntityBuildingActyGrp>
      <BadDebtExpenseReportedInd>true</BadDebtExpenseReportedInd>
      <BadDebtExpenseAmt>29671457</BadDebtExpenseAmt>
      <BadDebtExpenseAttributableAmt>7250076</BadDebtExpenseAttributableAmt>
      <ReimbursedByMedicareAmt>33550197</ReimbursedByMedicareAmt>
      <CostOfCareReimbursedByMedcrAmt>26632003</CostOfCareReimbursedByMedcrAmt>
      <MedicareSurplusOrShortfallAmt>6918194</MedicareSurplusOrShortfallAmt>
      <CostingMethodologyUsedGrp>
        <CostToChargeRatioInd>X</CostToChargeRatioInd>
      </CostingMethodologyUsedGrp>
      <WrittenDebtCollectionPolicyInd>true</WrittenDebtCollectionPolicyInd>
      <FinancialAssistancePrvsnInd>true</FinancialAssistancePrvsnInd>
      <HospitalFacilitiesCnt>1</HospitalFacilitiesCnt>
      <HospitalFacilitiesGrp>
        <FacilityNum>1</FacilityNum>
        <BusinessName>
          <BusinessNameLine1Txt>Mount Sinai Hospital</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>CALIFORNIA AVE AT 15TH STREET</AddressLine1Txt>
          <CityNm>CHICAGO</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60608</ZIPCd>
        </USAddress>
        <WebsiteAddressTxt>www.sinaichicago.org</WebsiteAddressTxt>
        <StateLicenseNum>1871581314</StateLicenseNum>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <ChildrensHospitalInd>X</ChildrensHospitalInd>
        <TeachingHospitalInd>X</TeachingHospitalInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
      </HospitalFacilitiesGrp>
      <HospitalFcltyPoliciesPrctcGrp>
        <HospitalFacilityName>
          <BusinessNameLine1Txt>MOUNT SINAI HOSPITAL</BusinessNameLine1Txt>
        </HospitalFacilityName>
        <FacilityNum>1</FacilityNum>
        <FirstLicensedCYOrPYInd>false</FirstLicensedCYOrPYInd>
        <TaxExemptHospitalCYOrPYInd>false</TaxExemptHospitalCYOrPYInd>
        <CHNAConductedInd>true</CHNAConductedInd>
        <CommunityDefinitionInd>X</CommunityDefinitionInd>
        <CommunityDemographicsInd>X</CommunityDemographicsInd>
        <ExistingResourcesInd>X</ExistingResourcesInd>
        <HowDataObtainedInd>X</HowDataObtainedInd>
        <CommunityHealthNeedsInd>X</CommunityHealthNeedsInd>
        <OtherHealthIssuesInd>X</OtherHealthIssuesInd>
        <CommunityHlthNeedsIdProcessInd>X</CommunityHlthNeedsIdProcessInd>
        <ConsultingProcessInd>X</ConsultingProcessInd>
        <PriorCHNAImpactInd>X</PriorCHNAImpactInd>
        <CHNAConductedYr>19</CHNAConductedYr>
        <TakeIntoAccountOthersInputInd>true</TakeIntoAccountOthersInputInd>
        <CHNAConductedWithOtherFcltsInd>false</CHNAConductedWithOtherFcltsInd>
        <CHNAConductedWithNonFcltsInd>false</CHNAConductedWithNonFcltsInd>
        <CHNAReportWidelyAvailableInd>true</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>SEE PART V, SECTION C</OwnWebsiteURLTxt>
        <PaperCopyPublicInspectionInd>X</PaperCopyPublicInspectionInd>
        <ImplementationStrategyAdoptInd>true</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>19</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>true</StrategyPostedWebsiteInd>
        <StrategyWebsiteURLTxt>SEE PART V, SECTION C</StrategyWebsiteURLTxt>
        <OrganizationIncurExciseTaxInd>false</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>true</EligCriteriaExplainedInd>
        <FPGFamilyIncmLmtFreeDscntInd>X</FPGFamilyIncmLmtFreeDscntInd>
        <FPGFamilyIncmLmtFreeCarePct>300.</FPGFamilyIncmLmtFreeCarePct>
        <FPGFamilyIncmLmtDscntCarePct>600.</FPGFamilyIncmLmtDscntCarePct>
        <InsuranceStatusCriteriaInd>X</InsuranceStatusCriteriaInd>
        <UnderinsuranceStatCriteriaInd>X</UnderinsuranceStatCriteriaInd>
        <ExplainedBasisInd>true</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>true</AppFinancialAsstExplnInd>
        <DescribedInfoInd>X</DescribedInfoInd>
        <DescribedSuprtDocInd>X</DescribedSuprtDocInd>
        <ProvidedHospitalContactInd>X</ProvidedHospitalContactInd>
        <IncludesPublicityMeasuresInd>true</IncludesPublicityMeasuresInd>
        <FAPAvailableOnWebsiteInd>X</FAPAvailableOnWebsiteInd>
        <FAPAvailableOnWebsiteURLTxt>SEE PART V, SECTION C</FAPAvailableOnWebsiteURLTxt>
        <FAPAppAvailableOnWebsiteInd>X</FAPAppAvailableOnWebsiteInd>
        <FAPAppAvailableOnWebsiteURLTxt>SEE PART V, SECTION C</FAPAppAvailableOnWebsiteURLTxt>
        <FAPSummaryOnWebsiteInd>X</FAPSummaryOnWebsiteInd>
        <FAPSummaryOnWebsiteURLTxt>SEE PART V, SECTION C</FAPSummaryOnWebsiteURLTxt>
        <FAPAvlblOnRequestNoChargeInd>X</FAPAvlblOnRequestNoChargeInd>
        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
        <FAPSumAvlblOnRequestNoChrgInd>X</FAPSumAvlblOnRequestNoChrgInd>
        <NotifiedFAPCopyBillDisplayInd>X</NotifiedFAPCopyBillDisplayInd>
        <CommuntityNotifiedFAPInd>X</CommuntityNotifiedFAPInd>
        <FAPTranslatedInd>X</FAPTranslatedInd>
        <FAPActionsOnNonpaymentInd>true</FAPActionsOnNonpaymentInd>
        <PermitNoActionsInd>X</PermitNoActionsInd>
        <CollectionActivitiesInd>false</CollectionActivitiesInd>
        <ProvidedWrittenNoticeInd>X</ProvidedWrittenNoticeInd>
        <MadeEffortOrallyNotifyInd>X</MadeEffortOrallyNotifyInd>
        <ProcessedFAPApplicationInd>X</ProcessedFAPApplicationInd>
        <MadePresumptiveEligDetermInd>X</MadePresumptiveEligDetermInd>
        <NondisEmergencyCarePolicyInd>true</NondisEmergencyCarePolicyInd>
        <LookBackMedicareInd>X</LookBackMedicareInd>
        <AmountsGenerallyBilledInd>false</AmountsGenerallyBilledInd>
        <GrossChargesInd>false</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PART V, SECTION B, LINE 3E AND 3G</FormAndLineReferenceDesc>
        <ExplanationTxt>MOUNT SINAI HOSPITAL'S 2019 CHNA PROVIDES A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY IDENTIFIED IN THE CHNA.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PART V, SECTION B, LINE 5 - ACCOUNT INPUT FROM PERSON WHO REPRESENTS</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COMMUNITY 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. TOGETHER, THEY 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. 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. 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. 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 http://www.allhealthequity.org/2019-chna-reports/</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PART V, SECTION B, LINE 7A - CHNA WEBSITE</FormAndLineReferenceDesc>
        <ExplanationTxt>https://www.sinaichicago.org/en/community-health-needs-assessments-chna-an d-community-health-improvement-plan-chip/</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PART V, SECTION B, LINE 10A - CHNA IMPLEMENTATION STRATEGY WEBSITE</FormAndLineReferenceDesc>
        <ExplanationTxt>https://www.sinaichicago.org/en/community-health-needs-assessments-chna-an d-community-health-improvement-plan-chip/</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PART V, SECTION B, LINE 11 - EXPLANATION OF NEEDS ADDRESSED/NOT ADDRESSED</FormAndLineReferenceDesc>
        <ExplanationTxt>MOUNT 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 Medical Center is addressing all needs identified in its most recent CHNA through the Health Strategies identified below. 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. - HEATH 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. - HEATH 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. - HEATH 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. - HEATH 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. - HEATH 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. 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-an d-community-health-improvement-plan-chip</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PART V, SECTION B, LINES 16A, 16B, &amp; 16C - FAP DOCUMENTS WEBSITE</FormAndLineReferenceDesc>
        <ExplanationTxt>https://www.sinaichicago.org/en/patients-visitors/patient-resources/financ ial-assistance-policy/</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>3</FacilityNum>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Hawthorne MRI</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>4701 W Cermak</AddressLine1Txt>
            <CityNm>Cecero</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60804</ZIPCd>
          </USAddress>
          <FacilityTxt>Magnetic Resonance Imaging &amp; OB Ultrasound Service</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Sinai Community Pharmacy</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>California Ave 15th Street</AddressLine1Txt>
            <CityNm>Chicago</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60608</ZIPCd>
          </USAddress>
          <FacilityTxt>Pharmacy Drugs and pharmacuticals</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Sinai Touhy Pharmacy LLC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2907 W Touhy Avenue</AddressLine1Txt>
            <CityNm>Chicago</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60645</ZIPCd>
          </USAddress>
          <FacilityTxt>Pharmacy Drugs and pharmacuticals</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 6A</FormAndLineReferenceDesc>
        <ExplanationTxt>RELATED ORGANIZATION COMMUNITY BENEFIT REPORT THE COMMUNITY BENEFIT REPORT IS PREPARED BY PARENT CORPORATION SINAI HEALTH SYSTEM (36-3166895).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>EXPLANATION OF COSTING METHODOLOGY THE COSTING METHODOLOGY USED TO CALCULATE THE AMOUNTS REPORTED ON SCHEDULE H, PART I, LINES 7A AND 7B IS THE COST-TO-CHARGE RATIO PER THE 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 $84,424,942 OR 26.2 PERCENT OF TOTAL EXPENSE. THIS WOULD HAVE INCREASED THE TOTAL NET COMMUNITY BENEFIT EXPENSE ON LINE 7K, COLUMN (E) FROM $55,505,354 TO $139,664,748 OR 43.4 PERCENT OF TOTAL EXPENSE. MOUNT SINAI HOSPITAL'S TRUE COMMUNITY BENEFIT IS BETTER REPRESENTED BY THIS PERCENTAGE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7A, 7B AND 7C</FormAndLineReferenceDesc>
        <ExplanationTxt>NET COMMUNITY BENEFIT EXPENSE FOR FINANCIAL ASSISTANCE, MEDICAID, AND OTHER MEANS- TESTED GOVERNMENT PROGRAMS MOUNT SINAI HOSPITAL PROVIDED APPROXIMATELY $24.4 MILLION IN FINANCIAL ASSISTANCE TO THE PATIENTS IT SERVED THIS YEAR, IN ADDITION TO UNREIMBURSED COST OF $6.5 MILLION TO PROVIDE CARE FOR MEDICARE DUAL ELIGIBLE AND DISABLE PATIENTS. THESE SHORTFALLS WERE OFFSET BY A $37.4 MILLION MEDICAID SURPLUS. THE MEDICAID SURPLUS WAS DUE TO RECEIPTS OF PROVIDER TAX REVENUES AND OTHER ACA PAYMENTS. 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 OVER $39 MILLION IN FINANCIAL ASSISTANCE, IN ADDITION TO A MEDICAID SHORTFALL OF $4.8 MILLION. UNREIMBURSED COSTS TO PROVIDE CARE FOR MEDICARE DUAL ELIGIBLE AND DISABLE PATIENTS TOTALED $8.5 MILLION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7, COLUMN F</FormAndLineReferenceDesc>
        <ExplanationTxt>EXPLANATION OF BAD DEBT EXPENSE BAD 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 $29,671,457. ESTIMATED AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY IS $7,250,076.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>METHODOLOGY USED TO ESTIMATE BAD DEBT EXPENSE MOUNT SINAI HOSPITAL ESTIMATES BAD DEBT EXPENSE BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING HISTORICAL BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE AND OTHER COLLECTION INDICATORS. MANAGEMENT ASSESSES THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>METHODOLOGY OF ESTIMATED AMOUNT &amp; 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBT EXPENSE THE CORPORATION MAINTAINS ALLOWANCES FOR UNCOLLECTIBLE ACCOUNTS FOR ESTIMATED LOSSES RESULTING FROM A PAYOR'S INABILITY TO MAKE PAYMENTS ON ACCOUNTS. THE CORPORATION ESTIMATES THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING HISTORICAL BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. THE CORPORATION RECOGNIZES A SIGNIFICANT AMOUNT OF PATIENT SERVICE REVENUE AT THE TIME SERVICES ARE RENDERED EVEN THOUGH THE CORPORATION DOES NOT ASSESS THE PATIENT'S ABILITY TO PAY AT THAT TIME. AS A RESULT, THE PROVISION FOR BAD DEBTS IS PRESENTED AS A DEDUCTION FROM PATIENT SERVICE REVENUE (NET OF CONTRACTUAL PROVISIONS AND DISCOUNTS). FOR UNINSURED PATIENTS THAT DO NOT QUALIFY FOR CHARITY CARE, THE CORPORATION ESTABLISHES AN ALLOWANCE TO REDUCE THE CARRYING VALUE OF SUCH RECEIVABLE TO THEIR ESTIMATED NET REALIZABLE. MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE. AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE, THE CORPORATION FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PAST-DUE BALANCES WITH COLLECTION AGENCIES, SUBJECT TO THE TERMS OF CERTAIN RESTRICTIONS ON COLLECTION EFFORTS AS DETERMINED BY THE CORPORATION. THE CORPORATION GENERALLY DOES NOT CHARGE INTEREST ON PAST DUE ACCOUNTS. A SIGNIFICANT PORTION OF THE CORPORATION'S PROVISION FOR DOUBTFUL ACCOUNTS RELATES TO SELF-PAY PATIENTS, AS WELL AS CO-PAYMENTS AND DEDUCTIBLES OWED TO THE CORPORATION BY PATIENTS WITH INSURANCE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 8</FormAndLineReferenceDesc>
        <ExplanationTxt>EXPLANATION OF SHORTFALL AS COMMUNITY BENEFIT THERE 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 9B</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>NEEDS ASSESSMENT IN 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) COMMUNITY EDUCATION ON COVID-19 BASIC FACTS, PREVENTION AND TESTING. SINAI HEALTH SYSTEM WORKED WITH A VARIETY OF PARTNERS AND QUALITY OF LIFE PLANS CONVENERS 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE MOUNT SINAI HOSPITAL INFORMS PATIENTS OF THE CHARITY CARE POLICY THROUGH SIGNAGE IN THE HOSPITAL, WRITTEN COMMUNICATION, STATEMENTS AND RELATED CORPORATION SINAI HEALTH SYSTEM WEBSITE. EACH HOSPITAL BILL, INVOICE, OR OTHER SUMMARY OF CHARGES TO AN UNINSURED PATIENT 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>COMMUNITY INFORMATION MOUNT 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 63.3% OF MOUNT SINAI HOSPITAL'S PATIENTS ARE MEDICAID RECIPIENTS AND 6.0% ARE UNINSURED. MOUNT SINAI ADMITS 1,639 INPATIENTS TO SINAI CHILDREN'S HOSPITAL INCLUSIVE OF PEDIATRIC VISITS FOR ASTHMA AND DIABETES. SINAI'S NEONATAL INTENSIVE CARE UNIT CARED FOR 283 NEONATAL PATIENTS AND OBSTETRICS CARED FOR 1,578 MOTHERS. MOUNT SINAI HOSPITAL EMERGENCY DEPARTMENT HAD 38,450 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 5</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>AFFILIATED HEALTH CARE SYSTEM ROLES AND PROMOTION LOCATED 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/</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>STATES WHERE COMMUNITY BENEFIT REPORT FILED: ILLINOIS</ExplanationTxt>
      </SupplementalInformationDetail>
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          <BusinessNameLine1Txt>ACCESS COMMUNITY HEALTH NETWORK</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>1501 S CALIFORNIA AVE</AddressLine1Txt>
          <CityNm>CHICAGO</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60608</ZIPCd>
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        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
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        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>OPERATING SUPPORT</PurposeOfGrantTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PROCEDUREs FOR MONITORING USE OF GRANTS FUNDS U.S</FormAndLineReferenceDesc>
        <ExplanationTxt>PART I, LINE 2 THIS IS AN EXTENSION OF OUR MISSION TO HELP ACCESS COMMUNITY HEALTH NETWORK 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.</ExplanationTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ROBERTA RAKOVE</PersonNm>
        <TitleTxt>VP - GOVERNMENT AFFAIRS</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>20236</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>327938</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JAMES BICAK</PersonNm>
        <TitleTxt>VP, FACILITIES &amp; PLANT OPRS</TitleTxt>
        <BaseCompensationFilingOrgAmt>273272</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>19352</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>5563</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>5600</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>303787</TotalCompensationFilingOrgAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SALLIE HAZELRIGG</PersonNm>
        <TitleTxt>CHIEF DEVELOPMENT OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>249196</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
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        <OtherCompensationFilingOrgAmt>5300</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>1200</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>255696</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE J, PART I, LINE 1</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE J, PART I, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE J, PART I, LINE 4A</FormAndLineReferenceDesc>
        <ExplanationTxt>SEVERANCE PAYMENTS THE ORGANIZATION PAID SEVERANCE IN THE FORM OF WAGE CONTINUATION TO LOREN CHANDLER IN THE AMOUNT OF $129,634, RACHEL DVORKEN IN THE AMOUNT OF $78,327, AND LORI PACURA IN THE AMOUNT OF $43,217.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE J, PART I, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>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. 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</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE J, PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART I, LINE 1</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIBE THE ORGANIZATION'S MISSION OR MOST SIGNIFICANT ACTIVITIES 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 1</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4A</FormAndLineReferenceDesc>
        <ExplanationTxt>PROGRAM SERVICE ACCOMPLISHMENTS PATIENT CARE MOUNT 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 CARE MOUNT SINAI HOSPITAL PROVIDED $24,395,816 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 OUTREACH AS 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. PROGRAM SERVICE ACCOMPLISHMENTS AN OVERVIEW OF MOUNT SINAI HOSPITAL PERFORMANCE DURING FISCAL YEAR 2020 IS GIVEN BELOW: - PATIENT DAYS: 59,978 - AVERAGE LENGTH OF STAY: 4.94 DAYS - EMERGENCY ROOM VISITS: 38,549 - OUTPATIENT SURGERIES: 3,320 - CHARITY CARE (AT COST): $24,395,816 ACCREDITATIONS 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 CENTERS PRIMARY 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</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>PROGRAM SERVICE ACCOMPLISHMENTS PATIENT SERVICE-THERAPY &amp; DIAGNOSTICS WITH 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4C</FormAndLineReferenceDesc>
        <ExplanationTxt>PROGRAM SERVICE ACCOMPLISHMENTS TEACHING &amp; RESEARCH MOUNT 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART V, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 1096 TRANSMITTAL OF U.S. INFORMATION RETURNS MOUNT SINAI HOSPITAL REPORTS 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 CORPORATION'S ACCOUNTS PAYABLE REPORTABLE ON FORM 1096 ARE PAID BY SINAI HEALTH SYSTEM, WHICH ISSUES ALL FORMS 1099, AND THE EXPENSE IS TRANSFERRED TO MOUNT SINAI HOSPITAL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>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 &amp; 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>EXPLANATION OF MONITORING AND ENFORCEMENT OF CONFLICTS 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, LINES 15A &amp; 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION REVIEW &amp; APPROVAL PROCESS - OFFICERS &amp; 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER DOCUMENTS PUBLICLY AVAILABLE GOVERNING DOCUMENTS, CONFLICT OF INTEREST AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER CHANGES IN NET ASSETS NET ASSETS RELEASED FROM RESTRICTIONS $ 1,600,192</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 24 - OTHER EXPENSES</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:RESERVE FOR INTERCO ALLOWANCES TOTAL EXPENSES:39412333 MANAGEMENT AND GENERAL:39412333 FUNDRAISING:</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 24 - OTHER EXPENSES</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:EQUIPMENT RENTAL &amp; REPAIR TOTAL EXPENSES:5484774 PROGRAM SERVICES:4052003 MANAGEMENT AND GENERAL:1432771</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 24 - OTHER EXPENSES</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:FOOD SUPPLIES AND SERVICES TOTAL EXPENSES:2191217 PROGRAM SERVICES:2183631 MANAGEMENT AND GENERAL:7586</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 24 - OTHER EXPENSES</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:PURCHASED SERVICES TOTAL EXPENSES:1957862 PROGRAM SERVICES:1155348 MANAGEMENT AND GENERAL:802514</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 24 - OTHER EXPENSES</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:LABORATORY SERVICES TOTAL EXPENSES:7397884 PROGRAM SERVICES:7397884</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 24 - OTHER EXPENSES</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:OTHER EXPENSES TOTAL EXPENSES:3305261 PROGRAM SERVICES:2443075 MANAGEMENT AND GENERAL:862186</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR">
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Sinai Touhy Pharmacy LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>2907 W Touhy Ave</AddressLine1Txt>
          <CityNm>Chicago</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60645</ZIPCd>
        </USAddress>
        <EIN>363305449</EIN>
        <PrimaryActivitiesTxt>Pharmacy</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <TotalIncomeAmt>0</TotalIncomeAmt>
        <EndOfYearAssetsAmt>117000</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>MT SINAI HOS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MOUNT SINAI COMMUNITY FOUNDATION</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>2760 W 15TH PL 7TH FLR</AddressLine1Txt>
          <CityNm>CHICAGO</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60608</ZIPCd>
        </USAddress>
        <EIN>333305449</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>12a Type I</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>SINAI HLTH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>SINAI COMMUNITY INSTITUTE</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>2653 WEST OGDEN AVE</AddressLine1Txt>
          <CityNm>CHICAGO</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60608</ZIPCd>
        </USAddress>
        <EIN>363932824</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>SINAI HLTH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>SCHWAB REHAB HOSPITAL &amp; CARE NETWORK</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1401 S CALIFORNIA AVENUE</AddressLine1Txt>
          <CityNm>CHICAGO</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60608</ZIPCd>
        </USAddress>
        <EIN>362179802</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>SINAI HLTH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>SINAI HEALTH SYSTEM</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>15TH STREET CALIFORNIA AVE</AddressLine1Txt>
          <CityNm>CHICAGO</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60608</ZIPCd>
        </USAddress>
        <EIN>363166895</EIN>
        <PrimaryActivitiesTxt>PARENT CORP</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>12b type II</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>HOLY CROSS HOSPITAL</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>2701 WEST 68TH ST</AddressLine1Txt>
          <CityNm>CHICAGO</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60629</ZIPCd>
        </USAddress>
        <EIN>362170133</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>SINAI HLTH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MT SINAI HOSP MED CNT ENDOWMENT FNDIN</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>30 SOUTH WELLS NO 4049</AddressLine1Txt>
          <CityNm>CHICAGO</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60606</ZIPCd>
        </USAddress>
        <EIN>364310820</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>12a Type I</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>SINAI HLTH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Hawthore Works Med Imaging</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>8930 Waukegan Road Suite 130</AddressLine1Txt>
          <CityNm>Morton Grove</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60053</ZIPCd>
        </USAddress>
        <EIN>203364703</EIN>
        <PrimaryActivitiesTxt>Imaging</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>MT SINAI HSPTL</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>Related</PredominantIncomeTypeTxt>
        <ShareOfTotalIncomeAmt>158870</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>196143</ShareOfEOYAssetsAmt>
        <DisproportionateAllocationsInd>false</DisproportionateAllocationsInd>
        <UBICodeVAmt>0</UBICodeVAmt>
        <GeneralOrManagingPartnerInd>true</GeneralOrManagingPartnerInd>
        <OwnershipPct>0.51000</OwnershipPct>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Progress Health Inc</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>2701 West 68th Street</AddressLine1Txt>
          <CityNm>Chicago</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60269</ZIPCd>
        </USAddress>
        <EIN>364109153</EIN>
        <PrimaryActivitiesTxt>MGMT SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>hch</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corp</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Sinai Community Pharmacy</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>California Ave and 15th Street</AddressLine1Txt>
          <CityNm>Chciago</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60609</ZIPCd>
        </USAddress>
        <EIN>363832319</EIN>
        <PrimaryActivitiesTxt>Pharmacy</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>MT SINAI HOSP</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corp</EntityTypeTxt>
        <ShareOfTotalIncomeAmt>2472619</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>1404424</ShareOfEOYAssetsAmt>
        <OwnershipPct>1.00000</OwnershipPct>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>true</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>true</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>true</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>false</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>false</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>true</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>true</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>HOLY CROSS HOSPITAL</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>d</TransactionTypeTxt>
        <InvolvedAmt>156181</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>MOUNT SINAI COMMUNITY FOUNDATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>j</TransactionTypeTxt>
        <InvolvedAmt>118000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>SINAI COMMUNITY INSTITUTE INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>k</TransactionTypeTxt>
        <InvolvedAmt>311098</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>MOUNT SINAI COMMUNITY FOUNDATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>p</TransactionTypeTxt>
        <InvolvedAmt>21024910</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>SCHWAB REHAB HOSPITAL AND CARE NETWORK</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>q</TransactionTypeTxt>
        <InvolvedAmt>2548669</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>MOUNT SINAI COMMUNITY FOUNDATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>q</TransactionTypeTxt>
        <InvolvedAmt>59064</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>HOLY CROSS HOSPITAL</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>q</TransactionTypeTxt>
        <InvolvedAmt>232382</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>PROGRESS HEALTH</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>q</TransactionTypeTxt>
        <InvolvedAmt>122112</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>