2020-05-14T07:34:35-05:00 2019-06-30 ERNST & YOUNG US LLP 155 N Wacker Drive Chicago IL 60606 990 2018-07-01 362179802 Schwab Rehabilitation Hospital and Care Network % Gary Krugel CFO SCHW 7732572937 1401 S California Avenue Chicago IL 60608 GARY KRUGEL CFO 7732575964 2020-05-14 true MORGAN EADS P01866614 3128792000 172.58.203.34 36964520201355000005 2020-05-14 P E17D392AF0EDF0E92C3786F5CA362D6F71897810 743D44171E0061D7605C98F94D110C1DE6F9B21D 2018 2021-01-29 14:40:06Z Dr Michelle Gittler 1401 S California Avenue Chicago IL 60608 43360984 false X www.sinai.org X 1922 IL SEE SCHEDULE O. 27 26 424 13 0 0 148898 840208 35394317 41481286 1066827 1019681 0 19809 36610042 43360984 0 0 0 0 21814280 21529203 0 0 0 18416643 14584609 40230923 36113812 -3620881 7247172 79072745 87286928 23956006 24581812 55116739 62705116 X AS A MEMBER ORGANIZATION OF SINAI HEALTH SYSTEM, SCHWAB REHABILITATION HOSPITAL HAS A MISSION OF IMPROVING THE HEALTH OF THE INDIVIDUALS AND COMMUNITIES IT SERVES BY PROVIDING COMPREHENSIVE INPATIENT, SHORT-TERM SUBACUTE AND OUTPATIENT PHYSICAL REHABILITATION SERVICES. false false 17393277 0 19839031 See Schedule O 10474679 0 18310954 See Schedule O 1407911 0 3351110 SEE SCHEDULE O 0 0 0 29275867 true true false true false false false false false false true false false true true true false true false false false false false false false false true true false false true false false false false false false false false false false false false false true false false false true 0 0 true 424 true false false false false false false false false false false false false X 27 26 false false false false true true true true true false false true true true true true true true true false IL X Gary Krugel CFO 7732575964 1500 S CALIFORNIA AVE CHICAGO IL 60608 Abraham Morgan Director 2.0 10.0 X 0 0 0 Albert Grace Director & Treasurer 2.0 10.0 X X 0 0 0 Alejandra Garza Director 2.0 10.0 X 0 0 0 Alex duBuclet Director 2.0 10.0 X 0 0 0 Alex Pissios Director 2.0 10.0 X 0 0 0 Anne Cohn Donnelly Director 2.0 10.0 X 0 0 0 Bettylu K Saltzman Director 2.0 10.0 X 0 0 0 Bob Wolfberg Director 2.0 10.0 X 0 0 0 David Smith Director 2.0 10.0 X 0 0 0 David Spielfogel Director 2.0 10.0 X 0 0 0 Karen Teitelbaum President & CEO 5.0 35.0 X X 0 1002129 13957 Katya Nuques Director 2.0 10.0 X 0 0 0 Keith Wakefield Director 2.0 10.0 X 0 0 0 Ken Avner Director 2.0 10.0 X 0 0 0 Laurie Hernandez Director & Vice Chair 2.0 10.0 X X 0 0 0 Lee Miller Director 2.0 10.0 X 0 0 0 Leslie D Davis Director 2.0 10.0 X X 0 0 0 Leslie Mitchel-Bond Director 2.0 10.0 X 0 0 0 Mark Frisch Director 2.0 10.0 X 0 0 0 Michael Hayes Director 2.0 10.0 X 0 0 0 Robert S Markin Director & Chairman 2.0 10.0 X X 0 0 0 Roxanne Decyk Director & Secretary 2.0 10.0 X X 0 0 0 Immacula Wendt Sr Director 2.0 10.0 X 0 0 0 Tom Nodine Director 2.0 10.0 X 0 0 0 Vincent Williams Director 2.0 10.0 X 0 0 0 Vivian Funches Director 2.0 10.0 X 0 0 0 Wayne M Lerner Director 2.0 10.0 X 0 0 0 robert shakno director until 2/1/2019 2.0 10.0 X 0 0 0 jonathan jonas director until 10/8/2018 2.0 10.0 X 0 0 0 Loren Chandler CFO & COO UNTIL 3/1/19 5.0 35.0 X 0 662741 34276 Matthew Doyle Interim CFO 5.0 35.0 X 0 84819 0 Michelle Gittler Medical Director 40.0 0.0 X 268717 0 37513 Jason N Spigner Chief Human Resources Officer 5.0 35.0 X 0 302068 13957 Mary Gollinger VP, Nursing 40.0 0.0 X 198427 0 22757 Rachel Dvorken General Counsel until 6/30/19 5.0 35.0 X 0 429495 5500 Artelio L Watson Physician 40.0 0.0 X 0 223310 12977 Marika Greiff Physician 40.0 0.0 X 216086 0 12127 Nupur Saxena Physician 40.0 0.0 X 215553 0 12825 Raymond Lee Physician 40.0 0.0 X 215632 0 29967 Steven Kreis Physician 40.0 0.0 X 221182 0 33385 Bakul Patel FORMER KEY EMPLOYEE 0.0 0.0 X 0 200040 0 Charles Weis Jr FORMER OFFICER 0.0 0.0 X 0 595275 16079 1335597 3499877 245320 26 true true false G4S SOLUTION USA INC PO BOX 277469 ATLANTA GA 30384 SECURITY 587313 SODEXO INC AFFILIATES PO BOX 360170 PITTSBURGH PA 15251 FOOD & HOUSEKEEPING 196892 NAVIGANT HEALTHCARE CYMETRIX 4511 PAYSPHERE CIRCLE CHICAGO IL 60674 REVENUE CYCLE MNGMNT 108305 BRYAN CAVE LEIGHTON PAISNER LLP PO BOX 503089 STLOUIS MO 63150 LEGAL SERVICES 101053 4 0 132148 708060 8958 840208 PATIENT REVENUES 622310 41327890 41327890 0 0 LEASED PHYSICIANS 541990 97540 97540 0 0 PARKING 812930 37110 37110 0 0 MEDICAL CONSULTATION 900099 18746 18746 0 0 41481286 1019681 1019681 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 PHARMACY REBATES 19809 19809 19809 43360984 41501095 0 1019681 0 0 0 0 0 0 0 0 568049 0 568049 0 0 0 0 0 17861370 17606783 254587 0 274579 274579 0 0 1735647 1735647 0 0 1089558 1074028 15530 0 33472 0 33472 0 54950 0 54950 0 2451 0 2451 0 0 0 0 0 0 0 0 0 0 0 565627 565627 0 0 830 830 0 57354 40490 16864 0 749831 41 749790 0 0 0 0 0 548002 0 548002 0 12922 12731 191 0 0 0 0 0 45047 13670 31377 0 680679 0 680679 0 0 0 0 0 1914153 1632949 281204 0 171482 0 171482 0 INTERCOMPANY PURCHASED SV 3696629 420000 3276629 PROVIDER ASSESSMENT 2808789 2808789 0 0 Drugs & Medical 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THE SYSTEM LOBBYING ACTIVITIES ARE COORDINATED THROUGH DENNIS RYAN, VICE PRESIDENT, MISSION AND EXTERNAL AFFAIRS. 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. 495490 495490 29611982 18278446 11333536 97562 0 97562 7567545 6860449 707096 12633684 OTHER RECEIVABLES 82259 DUE FROM AFFILIATES 61002478 61084737 0 SRH ASSET RETIREMENT OBLIGATION 770641 CURRENT PORTION SELF-INSURANCE 654019 DUE TO THIRD PARTY PAYOR 1201131 DEFERRED LIABILITIES 393679 SELF INSURANCE LIABILITY 1900901 OTHER LIABILITY 1033895 5954266 X FORM 990, SCHEDULE D, PART X, LINE 2 FIN 48(ASC 740) FOOTNOTE INCOME TAXES: MOUNT SINAI HOSPITAL MEDICAL CENTER, SCHWAB REHAB HOSPITAL, HOLY CROSS HOSPITAL, MOUNT SINAI COMMUNITY FOUNDATION, AND SINAI COMMUNITY INSTITUTE ARE TAX-EXEMPT ORGANIZATIONS UNDER INTERNAL REVENUE CODE SECTION 501(C)(3) AND EACH, AS REQUIRED, FILES A FORM 990 (RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX) ANNUALLY. PROGRESS HEALTH, INC. FILES FEDERAL AND ILLINOIS FORMS 1120 (U.S. CORPORATION INCOME TAX RETURN) ANNUALLY. THE CORPORATION ADOPTED FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) ISSUED GUIDANCE FOR UNCERTAINTY IN INCOME TAXES. THE 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, 2019 AND 2018, 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, 2015 AND PRIOR. true true X true true X 600. true true false true true 710790 710790 0.02000 6341309 3289187 3052122 0.08590 2941680 2616225 325455 0.00920 9993779 5905412 4088367 0.11510 63212 63212 0.00180 1558794 272623 1286171 0.03620 1622006 272623 1349383 0.03800 11615785 6178035 5437750 0.15310 true 597548 185240 5648501 8425429 -2776928 X true true 1 1 SCHWAB REHABILITATION HOSPITAL 1401 S CALIFORNIA AVE Chicago IL 60608 WWW.SCHWABREHAB.ORG 0002147 X SCHWAB REHABILITATION HOSPITAL 1 false false true X X X X X X X X X 19 true false false true X SEE PART V, SECTION C X true 19 true see part v, section c false true X 300. 600. X X true true X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X see part v, section c X X X X X X true X false X X X X true X false false Form 990, Schedule H, PART V, LINEs 3e and 3g Schwab Rehabilitation Hospitals 2019 CHNA provides a prioritized description of the significant health needs of the community identified in the CHNA. Form 990, Schedule H, PART V, LINE 5 SCHWAB REHABILITATION HOSPITAL TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE COMMUNITY. IN 2019 SCHWAB REHABILITATION 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 HOSPITAL SUCH AS SCHWAB REHABILITATION 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 ALLHEALTHEQUITY.ORG/2019-CHNA-REPORTS/. form 990, schedule h, Part V, Section B, Line 7a chna website HTTPS://WWW.SINAI.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS-CHNA-AND-COMMUNIT Y-HEALTH-IMPROVEMENT-PLAN-CHIP FORM 990, SCHEDULE H, PART V, SECTION B, LINE 10A HTTPS://WWW.SINAI.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS-CHNA-AND-COMMUNIT Y-HEALTH-IMPROVEMENT-PLAN-CHIP Form 990, Schedule H, Part V, Section B, Line 11 EXPLANATION OF NEEDS ADDRESSED/NOT ADDRESSED Schwab Rehabilitation Hospital completed its 2019 CHNA. The CHNA identified significant health needs and barriers to care faced by the communities served by Schwab. Schwab leaders developed an implementation plan and rollout strategy that aligns with the Hospital's strategic plan and will be implemented over the course of three years. Schwab is addressing the following significant health needs: - Social Determinants of Health - Community Safety - Health Care Accessibility and Use - Chronic and Infectious Disease - Behavioral Health form 990, schedule h, Part V, Section B, Line 16a, 16b, & 16c FAP documents website https://www.sinai.org/financial-assistance-0 PART I, LINE 6A RELATED ORGANIZATION COMMUNITY BENEFIT REPORT THE COMMUNITY BENEFIT REPORT IS PREPARED BY PARENT CORPORATION SINAI HEALTH SYSTEM (36-3166895). PART I, LINE 7 The costing methodology used to calculate the amounts reported on Schedule H, Part I, lines 7a and 7b is the cost-to-charge ratio derived from the IRS's Schedule H, worksheet 2 instructions. The 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. If these items were removed from the calculation, net community benefit expense on line 7B, column (E) would have been $4,762,224 or 13.4 percent of total expense. This would have increased the total net community benefit expense on line 7K, column (E) from $5,437,750 to $7,147,851 or 20.1 percent of total expense. Schwab Rehabilitation Hospital's true community benefit is better represented by this percentage. If the hospital were to use cost-to-charge ratio per the Audited Financial Statements, without adjustments to revenues and expenses per the IRS's Schedule H, worksheet 2 instructions, total net community benefit expense on line 7K, column (E) would have increased from $5,437,750 to $8,269,854 or 23.3%. PART I, LINE 7A, 7B and 7c NET COMMUNITY BENEFIT EXPENSE FOR FINANCIAL ASSISTANCE AND MEDICAID Schwab Rehabilitation Hospital provided approximately $711,000 in financial assistance to the patients it served this year, in addition to a Medicaid shortfall of $3.1 million. Unreimbursed cost to provide care for Medicare dual eligible and disabled patients was approximately $325,000. The Hospital received Provider Tax Revenues and other ACA payments. the Primary purpose of these supplemental payments was to offset the costs to provide care and other community services for the Hospital's disproportionally high Medicaid and financial indigent populations. On an aggregated basis, Sinai Health System provided over $29 million in financial assistance, in addition to a Medicaid shortfall of $2.4 million. Unreimbursed costs to provide care for Medicare dual eligible and disabled patients totaled $6.3 million. Part I, Line 7, Column F 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 at cost is $185,240. Part III, Line 2 Methodology used to estimate bad debt expense Schwab Rehabilitation 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. Part III, Line 3 Methodology of estimated amount & rationale for inc. community benefits Schwab first determines if a patient qualifies for charity care. If a patient is classified as charity care, they would not be included as bad debt. Some patients do not desire to complete the charity care applications and as such can be included in the bad debt amounts. One example of a patient population that does not complete charity care applications is undocumented workers. Part III, Line 4 bad debt 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 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 term of certain restrictions on collection efforts as determined by the Corporation. 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. Part III, Line 8 Explanation of shortfall as community benefit Schwab Rehabilitation Hospital had a Medicare shortfall of $2,776,928, which was not treated as a community benefit per CHAUSA guidelines, and was excluded on the Community Benefits Report submitted to the Illinois Attorney General's office. Schwab utilized the cost to charge ratio calculated using IRS Form 990, Schedule H, Worksheet 2 (Ratio of Patient Care Cost to Charges) to estimate cost to provide care to Medicare patients. Such cost is offset by Medicare receipts to determine shortfall. Part III, Line 9b Provision on collection practices for qualified patients Schwab Rehabilitation Hospital's collection process includes both letters and calls to inform patients of their outstanding balances and to explain available payment options. If the patient is uninsured, a discount is applied to the patient's account in accordance with Illinois Patient Uninsured Act. In addition, resources are made available to patients throughout the collection process. These resources include 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 include amounts that have been approved as charity or financial assistance. Part VI, Line 2 needs assessment Schwab begins its outreach and assessment of community health by first evaluating which health conditions and diseases are prevalent among its inpatients and outpatients. Data is gathered in a variety of ways, including intentional listening, assuring for protection of any PHI. This determination of the 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. Schwab is in the same health care system, Sinai Health System (SHS), and works closely with Sinai Community Institute, Mount Sinai Community Foundation and Sinai Urban Health Institute (SUHI) who partner with neighborhood groups and the community overall to understand health and well-being needs. SUHI, in particular, conducts comprehensive door-to-door health needs assessment. This allows for follow up of those discharged from Schwab, so we can launch programs to improve their current life and mitigate the possibility of other health related events impacting the community. Schwab 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. Schwab also specifically builds healthier communities through the In My Shoes Violence Prevention Program. In My Shoes educators, all former gang members who have disabilities, most using wheel chairs, visit schools and community groups, explaining what gang membership is really like. The educator's language is plain, direct and non-judgmental, but it addresses what youthful audience members have never thought about: the possibility of living with a disability. Schwab, through its assessment has initiated a Domestic Violence program which works with members of the community who have received services at Schwab, or have significant others who have need of these services. Available through a grant, 24/7 days a week, Schwab provides an abundance of resources to those victims of abuse, regardless of race, sexual orientation, disability or ability to pay. Part VI, Line 3 Patient education of eligibility for assistance Schwab informs patients of the charity care policy through signage in the Hospital, written communication, statements and related corporation Sinai Health System website. Each hospital bill, invoice, or other summary of charges to an uninsured patient shall include with it, or on it, a prominent statement that an uninsured patient who meets certain income requirements may qualify for an uninsured discount along with information regarding how the patient may apply for financial assistance. Part VI, Line 4 community information Schwab, as a part of Sinai Health System, serves a diverse population of over 1.3 million 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. Approximately 57% of Schwab Rehabilitation Hospital's patients are Medicaid recipients and 6% are uninsured. Schwab Rehabilitation Hospital's medical interpreter services supports over 77 different languages including American sign language, making Sinai Health System a best practice medical interpreter programs in the nation for deaf and hard of hearing patients and the limited English proficient patients. Sinai is one of the largest Medicaid providers in Illinois. 90% of Schwab's patients are individuals classified in minority race categories. Part VI, Line 5 promotion of community health Schwab Rehabilitation 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. Schwab extends medical staff privileges to all qualified physicians for all departments. Schwab invests any surplus funds into improving patient care. Part VI, Line 6 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.SINAI.ORG/. Part VI, Line 7 States where Community Benefit Report filed Illinois true true false false false false false false false Artelio L Watson Physician 0 223034 0 0 0 276 0 4520 0 8457 0 236287 0 0 Bakul Patel FORMER KEY EMPLOYEE 0 199530 0 0 0 510 0 0 0 0 0 200040 0 0 Charles Weis Jr FORMER OFFICER 0 116501 0 44911 0 433863 0 0 0 16079 0 611354 0 0 Jason N Spigner Chief Human Resources Officer 0 278393 0 17500 0 6175 0 5500 0 8457 0 316025 0 0 Karen Teitelbaum President & CEO 0 793750 0 0 0 208379 0 5500 0 8457 0 1016086 0 0 Loren Chandler CFO & COO UNTIL 3/1/19 0 539045 0 2653 0 121043 0 5500 0 28776 0 697017 0 0 Marika Greiff Physician 210952 0 4858 0 276 0 0 0 12127 0 228213 0 0 0 Mary Gollinger VP, Nursing 177348 0 18037 0 3042 0 3309 0 19448 0 221184 0 0 0 Michelle Gittler Medical Director 264800 0 3401 0 516 0 16278 0 21235 0 306230 0 0 0 Nupur Saxena Physician 215433 0 0 0 120 0 4368 0 8457 0 228378 0 0 0 Rachel Dvorken General Counsel until 6/30/19 0 332442 0 0 0 97053 0 5500 0 0 0 434995 0 0 Raymond Lee Physician 211087 0 4425 0 120 0 4515 0 25452 0 245599 0 0 0 Steven Kreis Physician 212495 0 8580 0 107 0 4520 0 28865 0 254567 0 0 0 FORM 990, SCHEDULE J, PART I, LINE 3 METHODS USED BY RELATED ORG TO ESTABLISH CEO COMPENSATION THE ORGANIZATION PAYS OUT COMPENSATION BASED ON THE FOLLOWING PROCEDURES AND GUIDELINES: SINAI HEALTH SYSTEM (SHS) HAS A HUMAN RESOURCES COMMITTEE TO SUPPORT THE ORGANIZATIONAL PERFORMANCE OF SINAI HEALTH SYSTEMS AND ITS RELATED ENTITIES THROUGH THE ALIGNMENT OF EXECUTIVE COMPENSATION WITH SYSTEM STRATEGIES AND PROGRAMS AND ENSURE COMPLIANCE WITH APPLICABLE LAW. THE VOTING MEMBERS OF THE COMMITTEE ARE INDEPENDENT MEMBERS OF THE BOARD OF DIRECTORS. THE COMMITTEE ESTABLISHES DETAILED GOALS ANNUALLY OR MORE FREQUENTLY AS CIRCUMSTANCES REQUIRE. THE COMMITTEE ESTABLISHES DETAILED GOALS ANNUALLY FOR THE PRESIDENT AND CEO AND OTHER EXECUTIVES, AND REVIEWS PERFORMANCE AGAINST THESE GOALS ON AN ANNUAL BASIS. THE COMMITTEE ANNUALLY ENGAGES AN OUTSIDE INDEPENDENT COMPENSATION CONSULTANT TO BENCHMARK THE SALARIES AND BENEFITS OF THE ORGANIZATION'S ASSISTANT VICE PRESIDENT AND ABOVE. COMPENSATION IS BASED ON: A) DETAILED WRITTEN PERFORMANCE OF THE PRESIDENT AND CEO; B) EACH ELEMENT OF COMPENSATION, DATA OF THE COMPENSATION PROGRAM IN EFFECT FOR CEOS OF COMPARABLE ORGANIZATIONS; AND C) ANNUAL REVIEW OF CEO PERFORMANCE CONDUCTED AGAINST SHS ESTABLISHED GOALS. THE COMMITTEE MAINTAINS WRITTEN MINUTES WHICH ARE MAINTAINED IN EXECUTIVE ADMINISTRATION. Form 990, Schedule J, Part I, Line 4a Severance Payments Mount Sinai Hospital, a related organization, paid severance in the form of wage continuation to Charles Weis, Jr. in the amount of $275,495. FORM 990, SCHEDULE J, PART I, LINE 4B SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN Sinai Health System's (SHS) SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) WAS ESTABLISHED AS A NON-QUALIFIED RETIREMENT PLAN FOR ITS KEY EMPLOYEES, SPECIFICALLY THE CHIEF EXECUTIVE STAFF. THIS PLAN PROVIDES ADDED BENEFITS THAT MAY BE ABOVE AND BEYOND THOSE THRESHOLDS COVERED IN OTHER TRADITIONAL RETIREMENT PLANS. SHS'S SERP IS ENTIRELY FUNDED BY THE EMPLOYER, SHS. THE SHS COMPENSATION COMMITTEE REVIEWS AND APPROVES ACCEPTANCE AND/OR MODIFICATIONS TO THE SERP PLAN. THE SHS'S SERP PLAN OUTLINES THE ANNUAL EARNINGS PER THE INDIVIDUAL PARTICIPANTS AS WELL AS THE TIME FRAMES OF VESTMENT PER THOSE RESPECTIVE INDIVIDUALS. THE PLAN VESTS UPON TWO YEARS OF SERVICE OR ATTAINMENT OF AGE 65. CY18 PAYMENTS INCREAS IN VALUE OF THE BENEFIT NOT VESTED IN CY18 LOREN F CHANDLER $ 111,495 $ 932 RACHEL DVORKEN $ 93,684 $ 828 CHARLES WEIS JR $ 157,939 $ 0 KAREN TEITELBAUM $ 192,191 $1,234 DEBRA WESLEY $ 22,164 $ 0 FORM 990, SCHEDULE J, PART I, LINE 7 NON-FIXED PAYMENTS SINAI HEALTH SYSTEM HAS A HUMAN RESOURCES COMMITTEE TO SUPPORT THE ORGANIZATIONAL PERFORMANCE OF SINAI HEALTH SYSTEMS AND ITS RELATED ENTITIES THROUGH THE ALIGNMENT OF EXECUTIVE COMPENSATION WITH SYSTEM STRATEGIES AND PROGRAMS AND ENSURE COMPLIANCE WITH APPLICABLE LAW. THE VOTING MEMBERS OF THE COMMITTEE ARE INDEPENDENT MEMBERS OF THE BOARD OF DIRECTORS. THE COMMITTEE ESTABLISHES DETAILED GOALS ANNUALLY OR MORE FREQUENTLY AS CIRCUMSTANCES REQUIRE. THE COMMITTEE ESTABLISHES DETAILED GOALS ANNUALLY FOR THE PRESIDENT AND CEO AND OTHER EXECUTIVES, AND REVIEWS PERFORMANCE AGAINST THESE GOALS ON AN ANNUAL BASIS. THE COMMITTEE ANNUALLY ENGAGES AN OUTSIDE INDEPENDENT COMPENSATION CONSULTANT TO BENCHMARK THE SALARIES AND BENEFITS OF THE ORGANIZATION'S ASSISTANT VICE PRESIDENT AND ABOVE. COMPENSATION IS BASED ON DETAILED WRITTEN PERFORMANCE OF THE PRESIDENT AND CEO, EACH ELEMENT OF COMPENSATION, DATA OF COMPENSATION PROGRAM IN EFFECT FOR CEOS OF COMPARABLE ORGANIZATIONS, AND CONDUCTS AN ANNUAL REVIEW OF CEO PERFORMANCE AGAINST ESTABLISHED GOALS. THE COMMITTEE MAINTAINS WRITTEN MINUTES WHICH ARE MAINTAINED IN EXECUTIVE ADMINISTRATION. FORM 990, PART I, LINE 1 AS A MEMBER ORGANIZATION OF SINAI HEALTH SYSTEM, SCHWAB REHABILITATION HOSPITAL HAS A MISSION OF IMPROVING THE HEALTH OF THE INDIVIDUALS AND COMMUNITIES IT SERVES BY PROVIDING COMPREHENSIVE INPATIENT, SHORT-TERM SUBACUTE AND OUTPATIENT PHYSICAL REHABILITATION SERVICES. FORM 990, PART III, LINE 4A PATIENT CARE ACCREDITATION OF THE HOSPITAL IS THROUGH THE JOINT COMMISSION, CENTER FOR MEDICARE & MEDICARE SERVICES (CMS) AND SOON THE COMMISSION ON ACCREDITATION OF REHABILITATION FACILITIES. THE SCHWAB ATTENDING PHYSICIANS ARE BOARD CERTIFIED PHYSIATRISTS, MANY WITH BOARD SPECIALTY CERTIFICATIONS, SUCH AS SPINAL CORD INJURY OR BRAIN INJURY. OTHER SPECIALTY BOARD CERTIFICATIONS INCLUDE, EMG AND PAIN. THE SCHWAB PHYSICAL MEDICINE AND REHABILITATION RESIDENCY PROGRAM IS AN ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION (ACGME) ACCREDITED POST GRADUATE TRAINING PROGRAM FOR SPECIALIZATION IN PHYSICAL MEDICINE AND REHABILITATION. FIVE (5) RESIDENTS PER YEAR ARE ADMITTED TO THE PROGRAM FOR THREE (3) YEARS OF TRAINING (TOTAL OF 15 RESIDENTS EACH YEAR). SCHWAB RESIDENTS ARE RECOGNIZED AS GRADUATING WITH THE ABILITY TO CARE FOR PERSONS WITH A WIDE RANGE OF DISABLING CONDITIONS, INCLUDING COMPETENCE IN STROKE, SPINAL CORD INJURY, TRAUMATIC BRAIN INJURY, COMPLEX MEDICAL CONDITIONS, AND A WIDE RANGE OF PATIENTS WHO HAVE PROBLEMS WITH ONE OR MORE SOCIAL DETERMINANTS OF HEALTH, INCLUDING GERIATRIC AND PEDIATRIC PATIENTS WITH DISABILITIES. MANY OF THE RESIDENTS ARE ACCEPTED FOR SUBSPECIALTY FELLOWSHIPS TO FURTHER HONE THEIR SKILLS IN MANAGEMENT OF SPECIALTY REHABILITATION CONDITIONS. SCHWAB RESIDENTS ARE ALSO INVOLVED IN ADMINISTRATIVE ROTATIONS, AND QUALITY AND PATIENT SAFETY FOCUSED PROCESS IMPROVEMENT PROJECTS. SCHWAB'S RESIDENCY PROGRAM WAS AWARDED THE 2020 DEWITT C. BALDWIN JR. AWARD, PRESENTED BY THE ACGME AND THE ARNOLD P. GOLD FOUNDATION TO RECOGNIZE INSTITUTIONS WITH ACCREDITED RESIDENCY/FELLOWSHIP PROGRAMS THAT ARE EXEMPLARY IN FOSTERING A RESPECTFUL, SUPPORTIVE ENVIRONMENT FOR MEDICAL EDUCATION AND THE DELIVERY OF PATIENT CARE, WHICH LEADS TO THE PERSONAL AND PROFESSIONAL DEVELOPMENT OF LEARNERS. OUT OF 700 RESIDENCY PROGRAMS, SCHWAB WAS ONE OF SIX PROGRAMS SELECTED TO BE SURVEYED AND INTERVIEWED FOR THE AWARD. SCHWAB WAS THE ONLY WINNER. NURSING CARE IS PROVIDED 24/7 WHICH INCLUDES RNS, LPNS, CNAS. THE STAFF ARE SUPERVISED AND ASSISTED BY NURSE MANAGERS AND SUPERVISORS. 20% OF ELIGIBLE RN STAFF ARE CERTIFIED IN REHABILITATION NURSING. NURSES COMPLETE COMPREHENSIVE ASSESSMENTS UPON ADMISSION AND FOLLOW-UP ASSESSMENTS ON EVERY SHIFT. BASIC CARE INCLUDES MEDICATION ADMINISTRATION, WOUND CARE, BLADDER AND BOWEL MANAGEMENT, ADVOCACY AND PATIENT EDUCATION. COMPLICATED CARE MAY INCLUDE RESPIRATORY CARE, TRACHEOTOMY CARE, DIALYSIS, TUBE FEEDINGS AND IV THERAPY. THE NURSING DEPARTMENT HAD SEVERAL PAPERS AND POSTERS SELECTED IN 2019 FOR PRESENTATION AT NATIONAL CONFERENCES, SUCH AS THE ASSOCIATION OF REHABILITATION NURSES. REHABILITATION SERVICES STAFF MEMBERS PARTICIPATE IN RESEARCH PROJECTS, TEAM CONFERENCES, INTERDISCIPLINARY HOSPITAL COMMITTEES, AND ATTEND MEETINGS OF VARIOUS PROFESSIONAL ORGANIZATIONS. SEVERAL PHYSIATRISTS AND HOSPITAL LEADERS SERVE ON BOARDS OF LOCAL, STATE AND NATIONAL ORGANIZATIONS. THERAPISTS KEEP CURRENT WITH BEST PRACTICES BY ATTENDING PROFESSIONAL CONTINUING EDUCATION COURSES AND BY SHARING KNOWLEDGE VIA IN-SERVICES TO THE DEPARTMENT AS WELL AS TO OTHER DISCIPLINES. THE THERAPY DEPARTMENT HAS SUCCESSFUL STARTED OFFERING CEU PROGRAMS, OPEN TO THE PUBLIC, WHICH ARE VERY WELL ATTENDED AND CONTINUE TO SHOW THAT SCHWAB THERAPIST ARE RANKED AS SOME OF THE MOST COMPETENT IN THE AREA. STAFF NURSE ENGAGEMENT - STAFF NURSES ARE ENGAGED WITH NURSING LEADERSHIP THROUGH THE PROFESSIONAL PRACTICE COUNCIL TO CONTINUALLY IMPROVE THE PATIENT CARE THAT IS PROVIDED. HOURLY ROUNDING IS CONDUCTED ON EVERY PATIENT TO ASSURE THAT NEEDS ARE BEING MET, ESPECIALLY IN AREAS SUCH AS PAIN CONTROL AND TOILETING. CHANGE OF SHIFT REPORT IS DONE AT THE BEDSIDE, IN COLLABORATION WITH THE PATIENT/FAMILY TO PROMOTE SAFETY, TEAM WORK AND COLLABORATIVE GOALS SETTING. THERE ARE INTERDISCIPLINARY ROUNDS THAT ARE DONE BY THERAPY, NURSING AND PHYSICIANS DAILY, AND WEEKLY TEAM MEETINGS TO HAVE AN INTERDISCIPLINARY APPROACH TO THE CARE OF THE PATIENT. THE PATIENT AND FAMILY ARE INVITED TO PARTICIPATE. THE BEDSIDE MEDICATION VERIFICATION (BMV) - BAR CODE SCANNING ON MEDICATION AND PATIENT WRIST BANDS - CONTINUES TO BE USED TO ASSURE THAT THE RIGHT MEDICATION IS ADMINISTERED TO THE RIGHT PATIENT. THIS PROCESS HAS PROVEN TO SUBSTANTIALLY REDUCE COMMON ERRORS IN MEDICATION ADMINISTRATION AND HAS BEEN USED AT SCHWAB FOR OVER FOUR (4) YEARS WITH A 98-100% COMPLIANCE RATE OF USE. NURSES ARE ENCOURAGED TO CONTINUE THEIR EDUCATION AND ATTAIN SPECIALTY CERTIFICATIONS. 20% OF OUR ELIGIBLE RNS HAVE ACHIEVED REHABILITATION NURSING CERTIFICATION INDICATING ADVANCED PREPARATION AND KNOWLEDGE IN THE FIELD. ADDITIONALLY, OUR NURSES PARTICIPATE IN A SELF-DIRECTED, EVIDENCE BASED PRACTICE COUNCIL AND A CLINICAL LADDER PROGRAM WHICH ENCOURAGES PROJECTS TO DIRECT STANDARDS OF CARE AND POSITIVELY IMPACT PATIENT OUTCOMES ON THEIR UNITS. SEVERAL OF OUR NURSES ARE ALSO RECIPIENTS OF THE DAISY AWARD, A NATIONAL PROGRAM RECOGNIZING THE COMPASSIONATE CARE PROVIDED TO PATIENTS. FORM 990, PART III, LINE 4B THERAPY SCHWAB REHABILITATION HOSPITAL PROVIDES AN EXTENSIVE ARRAY OF REHABILITATION SERVICES, INCLUDING PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH-LANGUAGE PATHOLOGY, AUDIOLOGY AND PSYCHOLOGY SERVICES. ALL SERVICE LINES WORK TOGETHER WITH THE MEDICAL, NURSING, AND CASE MANAGEMENT TEAMS TO ESTABLISH A PLAN OF CARE FOR EACH PATIENT THAT FOCUSES ON MAXIMIZING INDEPENDENCE AND RETURN TO THE COMMUNITY. THIS IS DONE UTILIZING EVIDENCE-BASED INTERVENTIONS AND BEST PRACTICES AS ESTABLISHED BY RESEARCH AND BY EACH PROFESSIONAL ORGANIZATION. PHYSICAL THERAPY FOCUSES ON GROSS MOTOR MOVEMENTS: BALANCE, COORDINATION, STRENGTHENING, GENERAL MOBILITY, AND PAIN AND GAIT DYSFUNCTION. PHYSICAL THERAPISTS UTILIZE INTERVENTIONS SUCH AS THERAPEUTIC EXERCISE, NEUROMUSCULAR RE-EDUCATION, GAIT TRAINING, MANUAL THERAPY TECHNIQUES, THERAPEUTIC MODALITIES (VARIOUS FORMS OF HEAT, COLD, HYDROTHERAPY, ELECTRICAL STIMULATION, TRACTION). THERAPISTS ALSO PERFORM WHEELCHAIR MANAGEMENT, INCLUDING CUSTOMIZED SEATING, FITTING, AND POSITIONING, AND WHEELCHAIR PROPULSION AND MOBILITY TRAINING. SCHWAB HAS A SUCCESSFUL OUTPATIENT WHEELCHAIR EVALUATION PROGRAM WHICH PROMOTES INDEPENDENCE, AS THE PATIENT HAS THE RIGHT DEVICE TO MOVE ABOUT IN. OCCUPATIONAL THERAPY FOCUSES ON ACTIVITIES OF DAILY LIVING; SUCH AS DRESSING, BATHING, GROOMING, COOKING, CLEANING, MONEY MANAGEMENT, AS WELL AS WORKING ON FINE MOTOR COORDINATION, VISUAL-SPATIAL DEFICITS AND SENSORY INTEGRATION DEFICITS. OCCUPATIONAL THERAPISTS UTILIZE INTERVENTIONS SUCH AS THERAPEUTIC EXERCISE, NEUROMUSCULAR RE-EDUCATION, ENERGY CONSERVATION TECHNIQUES, VISION REHAB, RETRAINING IN HOME MANAGEMENT, ACTIVITIES OF DAILY LIVING SKILLS, AND COGNITIVE SKILL DEVELOPMENT. SPEECH-LANGUAGE PATHOLOGY FOCUSES ON EVALUATION AND TREATMENT OF SWALLOW FUNCTION, SPEECH AND LANGUAGE DEFICITS, INCLUDING WRITTEN AND VERBAL COMMUNICATION, MEMORY, PROBLEM SOLVING, AND SOCIAL INTERACTION. SPEECH-LANGUAGE PATHOLOGISTS USE A VARIETY OF DIAGNOSTIC TECHNIQUES, INCLUDING VIDEO FLUOROSCOPIC SWALLOW STUDIES TO EVALUATE DYSPHAGIA (SWALLOW DISORDERS), AND A NUMBER OF TEST BATTERIES TO EVALUATE LANGUAGE, COGNITION, AND MEMORY. THESE THERAPISTS THEN UTILIZE TECHNIQUES SUCH AS ORAL-FACIAL-PHARLARYNGEAL MUSCULAR RE-EDUCATION, COMPENSATORY TECHNIQUES WITH MODIFIED DIET CONSISTENCIES, COMMUNICATION STRATEGIES, COGNITIVE RETRAINING, AND MEMORY TECHNIQUES. AUDIOLOGY SERVICES ARE PROVIDED ON AN OUTPATIENT BASIS. SCHWAB HAS ONE OF THE ONLY WHEELCHAIR ACCESSIBLE AUDIOLOGY BOOTHS IN ALL OF CHICAGOLAND. SCHWAB AUDIOLOGIST ARE FLUENT IN BOTH ASL AND SPANISH, AND SERVE ALL AGE RANGES FROM INFANT TO GERIATRIC ADULTS. AUDIOLOGY IS AVAILABLE TO OUR INPATIENTS, SHOULD A SUDDEN HEARING LOSS OCCUR RELATED TO A NEW MEDICAL CONDITION, OTHERWISE PATIENTS ARE SCHEDULED FOR VISITS FOLLOWING DISCHARGE FROM THE HOSPITAL. PSYCHOLOGY SERVICES FOCUS ON PATIENTS ADJUSTING TO THE "NEW NORMAL" OF LIVING WITH A DISABILITY; CONCENTRATING ON LOSS, ANXIETY, DEPRESSION, ROLE DEFINITION, AND PATIENT AND FAMILY COPING. IN ADDITION, THEY ASSIST PATIENTS WITH ENCOURAGEMENT TO PARTICIPATE IN THEIR OVERALL PLAN OF CARE. SCHWAB HAS A ROBUST THERAPEUTIC RECREATION PROGRAM THAT ASSIST PATIENTS AND FAMILIES IN REMEMBERING THERE IS JOY TO BE HAD IN THEIR NEW LIFE. WE HAVE TRIPS LOCALLY AND ALSO THROUGHOUT THE CHICAGOLAND AND LOWER WISCONSIN AREA. THESE INCLUDE CANOEING AND SKIING FOR THOSE WITH DISABILITIES. ALL THERAPISTS PERFORM PATIENT AND FAMILY EDUCATION AND MAKE RECOMMENDATIONS REGARDING DISCHARGE DISPOSITION, ASSISTANCE REQUIRED AT HOME, AND RECOMMENDATIONS FOR NEXT LEVEL OF SERVICES REQUIRED. ADDITIONAL MULTI-DISCIPLINARY INTERVENTIONS INCLUDE GROUP THERAPY, INDIVIDUALIZED HOME VISITS, AND COMMUNITY REINTEGRATION OUTINGS. THIS ALL HELPS ACHIEVE OUR HIGH RATE OF RETURN TO HOME FOR OUR PATIENTS (85%) DESPITE THE MANY NEGATIVE SOCIAL DETERMENTS THEY LIVE WITH AND FACE DAILY. THERAPY SERVICES HAVE A ROBUST AND WELL-RESPECTED CLINICAL EDUCATION PROGRAM THAT HAS AFFILIATIONS WITH TRAINING PROGRAMS IN PHYSICAL THERAPY, OCCUPATIONAL THERAPY, AND COMMUNICATIONS DISORDER PROGRAMS ACROSS ALL OF CHICAGOLAND, AS WELL AS WITH NUMEROUS OUT-OF-STATE PROGRAMS. DOZENS OF STUDENTS COME TO SCHWAB EACH YEAR TO COMPLETE THE FINAL STAGES OF THEIR GRADUATE LEVEL CLINICAL INTERNSHIP, SUPPORTED BY CLINICAL INSTRUCTORS AMONG SCHWAB STAFF THERAPISTS, AND PREPARE FOR EMPLOYMENT AS ENTRY-LEVEL CLINICIANS. THERAPISTS HOLD A VARIETY OF SPECIALTY SKILLS AND CERTIFICATIONS. SPECIALIZATIONS HELD AMONG OUR STAFF INCLUDES: APTA NEUROLOGICAL, PEDIATRIC, AND ORTHOPEDIC CLINICAL SPECIALISTS, RESNA-CERTIFIED CLINICIANS, LANA-CERTIFIED, AND NDT-TRAINED THERAPISTS, VITAL STIM CERTIFICATIONS, LEE SILVERMAN VOICE, AND MANY OTHER SPECIALTIES. FORM 990, PART III, LINE 4C SUPPORT SERVICES MATERIALS MANAGEMENT WORKS WITH NURSING AND THERAPISTS TO REVIEW NEW, HIGH QUALITY, AND COST-EFFECTIVE PRODUCTS IN A CONTINUOUS MANNER TO SUPPORT THE USE OF COST-EFFECTIVE SUPPLIES, SERVICES, AND EQUIPMENT IN THE PROVISION OF REHABILITATION SERVICES. THIS COLLABORATION IS FACILITATED THROUGH THE SYSTEM'S VALUE ANALYSIS COMMITTEE, COMPRISED OF CLINICAL REPRESENTATIVES ACROSS THE SYSTEM. THE COMMITTEE HAS REVIEWED ITEMS SUCH AS SEQUENTIAL PRESSURE DEVICES, CASTING AND PADDING, ELASTIC WRAPS/BANDAGES, ASSISTIVE EQUIPMENT AND CATHETERS - TO ENSURE OUR SUPPLIES SUPPORT A HIGH LEVEL OF QUALITY FOR OUR PATIENTS AT SCHWAB REHABILITATION HOSPITAL. SOME POINTS OF INTEREST AND HIGHLIGHTS REGARDING INTERVENTIONS/PROGRAMS THAT HELP TO FILL THE GAPS BETWEEN WHAT PARTICIPANTS NEED AND WHAT IS AVAILABLE TO THEM IN THE COMMUNITY: 1. ACCESSIBILITY - RECOMMENDATIONS FOR SINAI HEALTH SYSTEM TO INCREASE ACCESSIBILITY FOR ALL PATIENTS 2. COMMUNITY TECHNOLOGY CENTER - ACCESSIBLE COMPUTER LAB AND EDUCATION 3. DISABILITY RESOURCE CENTER - SUPPORT, REFERRALS, INFORMATION, AND ADVOCACY 4. DOMESTIC VIOLENCE - SUPPORT, REFERRALS, INFORMATION, AND ADVOCACY 5. IN MY SHOES - VIOLENCE PREVENTION FOR YOUTH 6. PEER MENTORING - POSITIVE ROLE MODELING AND SUPPORT BY AND FOR PEOPLE WITH DISABILITIES. 7. LIVING INDEPENDENTLY FOR TOMORROW (LIFT) IS A GRANT FUNDED PROGRAM WHICH ALLOWS SCI PATIENTS TO STAY UP TO TWO WEEKS IN AN INDEPENDENT APARTMENT LEARNING TO LIVE IN THE WORLD OF BARRIERS. FORM 990, PART VI, LINE 1A EXPLANATION OF DELEGATED BROAD AUTHORITY TO COMMITTEE THE EXECUTIVE COMMITTEE SHALL CONSIST OF THE BOARD CHAIR, VICE CHAIR(S), SECRETARY, TREASURER AND PRESIDENT. THE EXECUTIVE COMMITTEE SHALL HAVE THE POWER TO TRANSACT REGULAR BUSINESS OF THE CORPORATION DURING THE PERIOD BETWEEN MEETINGS OF THE BOARD, SUBJECT TO ANY PRIOR LIMITATION IMPOSED BY THE BOARD OR LAW. WHEN ACTION IS TAKEN BY THE EXECUTIVE COMMITTEE, IT WILL BE REPORTED TO THE BOARD AT THE NEXT MEETING OF THE BOARD. FORM 990, PART VI, LINE 6 EXPLANATION OF CLASSES OF MEMBERS OR SHAREHOLDER SINAI HEALTH SYSTEM (FEIN 36-3166895) IS SOLE MEMBER OF SCHWAB REHABILITATION HOSPITAL. FORM 990, PART VI, LINE 7A HOW MEMBERS OR SHAREHOLDERS ELECT GOVERNING BODY DIRECTORS ARE ELECTED BY THE SOLE CORPORATE MEMBER, SINAI HEALTH SYSTEM, FOR A TERM OF 3 YEARS FROM AMONG THOSE PERSONS NOMINATED BY THE SINAI HEALTH SYSTEM BOARD RECRUITMENT, EDUCATION AND NOMINATING COMMITTEE. ALL PROSPECTIVE DIRECTORS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST FORM AS PART OF THE APPLICATION PROCEESS, AND ANNUALLY THEREAFTER. FORM 990, PART VI, LINE 7B DECISIONS OF GOVERNING BODY APPROVAL BY MEMBERS OR SHAREHOLDERS THE SOLE CORPORATE MEMBER, WORKING CLOSELY WITH THE CORPORATION'S BOARD OF DIRECTORS, HAS CERTAIN RESERVED POWERS OVER SIGNIFICANT CORPORATE ACTIONS, INCLUDING MATTERS SUCH AS APPOINTMENT OF CORPORATE OFFICERS, AMENDMENT OF GOVERNING DOCUMENTS, APPROVAL OF A MERGER, CONSOLIDATION OR DISSOLUTION, APPROVAL OF BUDGETS AND STRATEGIC PLANS, APPROVAL OF INDEPENDENT CERTIFIED PUBLIC ACCOUNTANTS FOR THE ORGANIZATION, AND APPROVAL OF NON-BUDGETED LONG-TERM DEBT. THE SOLE CORPORATE MEMBER ALSO ENSURES THAT THE CORPORATION IS IN COMPLIANCE WITH ITS STATED CORPORATE AND CHARITABLE PURPOSE AND MISSION. FORM 990, PART VI, LINE 11B FORM 990 REVIEW PROCESS THE FORM 990 INFORMATION WAS INITIALLY PROVIDED BY THE FINANCE STAFF WITH MULTI-DISCIPLINARY INPUT FROM PUBLIC AFFAIRS, CORPORATE INTEGRITY AND OTHER APPROPRIATE STAFF OF THE ORGANIZATION. THE FORM 990 WAS THEN PREPARED BY ERNST & YOUNG, LLP AND REVIEWED BY SENIOR FINANCE STAFF AND OTHER MEMBERS OF SENIOR LEADERSHIP. PRIOR TO THE FILING, THE FORM 990 WAS MADE AVAILABLE TO THE FULL BOARD OF DIRECTORS. FORM 990, PART VI, LINE 12C 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. FORM 990, PART VI, LINE 15A & 15B COMPENSATION REVIEW & APPROVAL PROCESS - OFFICERS & KEY EMPLOYEES SINAI HEALTH SYSTEM HAS A HUMAN RESOURCES COMMITTEE THAT APPROVES ALL EXECUTIVE COMPENSATION ARRANGEMENTS, INCLUDING INCENTIVE COMPENSATION. SINAI HEALTH SYSTEM'S HUMAN RESOURCES COMMITTEE SUPPORTS THE ORGANIZATIONAL PERFORMANCE OF SINAI HEALTH SYSTEM AND ITS RELATED ENTITIES THROUGH THE ALIGNMENT OF EXECUTIVE COMPENSATION WITH SYSTEM STRATEGIES AND PROGRAMS, AND ENSURES COMPLIANCE WITH APPLICABLE LAW. THE VOTING MEMBERS OF THE COMMITTEE ARE INDEPENDENT MEMBERS OF THE BOARD OF DIRECTORS. THE COMMITTEE MEETS TWICE ANNUALLY OR MORE FREQUENTLY AS CIRCUMSTANCES REQUIRE. THE COMMITTEE ESTABLISHES DETAILED GOALS ANNUALLY FOR THE PRESIDENT AND CEO AND OTHER EXECUTIVES, AND REVIEWS PERFORMANCE AGAINST THESE GOALS ON AN ANNUAL BASIS. THE COMMITTEE ANNUALLY ENGAGES AN OUTSIDE, INDEPENDENT COMPENSATION CONSULTANT TO BENCHMARK THE SALARIES AND BENEFITS OF THE ORGANIZATION'S ASSISTANT VICE PRESIDENTS AND ABOVE, AS WELL AS A FEW DIRECTORS. COMPENSATION IS BASED ON DETAILED WRITTEN PERFORMANCE APPRAISALS AND EXTERNAL MARKET DATA. IN AN EXECUTIVE SESSION, THE COMMITTEE REVIEWS THE PERFORMANCE OF THE PRESIDENT AND CEO, EACH ELEMENT OF COMPENSATION, DATA OF COMPENSATION PROGRAMS IN EFFECT FOR CEOS OF COMPARABLE ORGANIZATIONS, AND CONDUCTS AN ANNUAL REVIEW OF CEO PERFORMANCE AGAINST ESTABLISHED GOALS. THE COMMITTEE MAINTAINS WRITTEN MINUTES WHICH ARE MAINTAINED IN EXECUTIVE ADMINISTRATION. FORM 990, PART VI, LINE 19 OTHER ORGANIZATION DOCUMENTS PUBLICLY AVAILABLE GOVERNING DOCUMENTS, CONFLICT OF INTEREST AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST. Form 990, Part XI, Line 9 Other Changes in Net Assets Fixed Asset year-end true up $380,101 Mount Sinai Hospital and Medical Center CALIFORNIA AVE AT 15TH STREET CHICAGO IL 60608 361509000 HEALTHCARE IL 501(c)(3) 3 SINAI HEALTH true MOUNT SINAI COMMUNITY FOUNDATION CALIFORNIA AVE AT 15TH STREET CHICAGO IL 60608 363305449 HEALTHCARE IL 501(c)(3) 12 TYPE I SINAI HEALTH true SINAI COMMUNITY INSTITUE 2653 WEST OGDEN AVE CHICAGO IL 60608 363932824 SUPPORT ORG IL 501(c)(3) 10 SINAI HEALTH true HOLY CROSS HOSPITAL 2701 WEST 68TH STREET CHICAGO IL 60629 362170133 HEALTHCARE IL 501(c)(3) 3 SINAI HEALTH true SINAI HEALTH SYSTEMS CALIFORNIA AVE AT 15TH STREET CHICAGO IL 60608 363166895 PARENT CORP IL 501(c)(3) 12 TYPE II NA false PROGRESS HEALTH INC 2701 W 66TH STREET CHICAGO IL 60629 MGMT SERVICES IL NA C CORP false SINAI COMMUNITY PHARMACY CALIFORNIA AVENUE 15TH STREET CHICAGO ID 60608 PHARMACY IL NA C CORP false false false false false true false false false false true true false true false false true false false false MOUNT SINAI HOSPITAL AND MEDICAL CENTER e 730402 COST MOUNT SINAI HOSPITAL AND MEDICAL CENTER p 2717078 COST MOUNT SINAI COMMUNITY FOUNDATION m 100808 COST MOUNT SINAI HOSPITAL AND MEDICAL CENTER k 50037 COST SINAI COMMUNITY FOUNDATION e 68073 COST