2019-05-13T22:08:53-05:00 2018-06-30 ERNST & YOUNG US LLP 950 MAIN AVENUE STE 1800 CLEVELAND OH 44113 990 2017-07-01 362179802 Schwab Rehabilitation Hospital and Care Network % MATTHEW DOYLE INTERIM CFO SCHW 7732572937 1401 S California Avenue Chicago IL 60608 MATTHEW DOYLE INTERIM CFO 7735422000 2019-05-13 true Erica M Yike P01608257 2168615000 99.46.67.29 36964520191335000018 2019-05-13 P 34163F381DEDE5EE0CABDD6E8F3BD042227F3C04 6DFBA33F1DAEE8CAFFEB9AC40683ECF49AA6169A 2017 2019-02-21 02:37:17Z Dr Michelle Gittler 1401 S California Avenue Chicago IL 60608 36610042 false X www.sinai.org X 1922 IL See SCHEDULE O. 27 26 426 11 0 216121 148898 40268012 35394317 1160398 1066827 0 0 41644531 36610042 0 0 0 0 22836313 21814280 0 0 201152 16581932 18416643 39418245 40230923 2226286 -3620881 85177370 79072745 26379735 23956006 58797635 55116739 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. The Hospital performs these services in the areas of stroke, traumatic brain injury, spinal cord injury, amputation, general rehabilitation, as well as any other disabling conditions for adult and pediatric patients. Schwab Extended Services Department assists patients in rejoining their communities guiding them in accessing public transportation, accessible housing, education and recreation. The peer mentoring programs pairs individuals with previously acquired disabilities with patients for whom living with disabilities is new. Schwab is a teaching hospital hosting residents and allied health students. Schwab Rehabilitation Hospital supports its patient diversity with medical interpreters and capacity for interpretatio false false 18551882 13278828 See Schedule O 6586591 16058472 See Schedule O 1051005 3953180 See Schedule O 12319936 2103837 38509414 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 426 true 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 MATTHEW DOYLE INTERIM CFO 7732575964 1500 S California Ave Chicago IL 60608 Abraham Morgan Director 2.0 10.0 X 0 0 0 Albert Grace Director & Vice Chair 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 Donnelly Director 2.0 10.0 X 0 0 0 Bettylu Saltzman Director 2.0 10.0 X 0 0 0 Bob Wolfberg Director 2.0 10.0 X 0 0 0 DANIEL KATZ MD BD MBR/PHYSICIAN UNTIL 4/11/18 2.0 38.0 X 0 445767 0 David Smith DIRECTOR 2.0 10.0 X 0 0 0 David Spielfogel DIRECTOR 2.0 10.0 X 0 0 0 John Benevides DIRECTOR UNTIL 4/11/18 2.0 10.0 X 0 0 0 Jonathan Jonas Director & Treasurer 2.0 10.0 X X 0 0 0 Karen Teitelbaum President & CEO 5.0 35.0 X X 0 896062 13905 Keith Wakefield Director 2.0 10.0 X 0 0 0 Laurie Hernandez Director 2.0 10.0 X 0 0 0 Lee Miller Director 2.0 10.0 X 0 0 0 LESLIE BOND DIRECTOR 2.0 10.0 X 0 0 0 Leslie Davis Director & Secretary 2.0 10.0 X X 0 0 0 Mark Frisch Director 2.0 10.0 X 0 0 0 Michael J Hayes DIRECTOR 2.0 10.0 X 0 0 0 Robert Markin Director & Board Chair 2.0 10.0 X X 0 0 0 Robert Shakno Director 2.0 10.0 X 0 0 0 Roxanne Decyk Director 2.0 10.0 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 R Williams DIRECTOR 2.0 10.0 X 0 0 0 Vivian Funches Director 2.0 10.0 X 0 0 0 Wayne Lerner Director 2.0 10.0 X 0 0 0 Charles Weis Jr EXEC.VP ADM/CFO UNTIL 12/31/17 5.0 35.0 X 0 564538 23384 Justin D Bynum INTERIM CFO UNTIL 2/2/18 5.0 35.0 X 0 136633 1852 Loren Chandler CFO & COO 5.0 35.0 X 0 495021 34052 Michelle Gittler Medical Director 40.0 0.0 X 253717 0 45068 Bakul Patel CHIEF INF OFFCR UNTIL 6/29/18 5.0 35.0 X 0 319383 5400 Jason N Spigner Chief Human Resources Officer 5.0 35.0 X 0 250317 7088 Mary Gollinger VP, Nursing 40.0 0.0 X 177016 0 27442 Rachel Dvorken Exec. VP & General Counsel 5.0 35.0 X 0 377393 5400 Artelio L Watson Physician 40.0 0.0 X 223424 0 12955 Mary H Lawler Physician 40.0 0.0 X 218246 0 12237 Nupur Saxena Physician 40.0 0.0 X 221079 0 12900 Raymond Lee Physician 40.0 0.0 X 226851 0 30268 Steven Kreis Physician 40.0 0.0 X 253946 0 11992 1574279 3485114 243943 30 false true false G4S SOLUTIONS USA INC 1395 university blvd JUPITER FL 33458 SECURITY 282960 caremark inc 2211 sanders road NORTHBROOK IL 60062 empl. benefits svs 246726 agiliti health inc - UHS Po box 851313 MINNEAPOLIS MN 55485 equipment svcs 115662 3 0 69102 79796 0 148898 Patient services 622310 35238526 35238526 0 0 Leased physicians 541990 90490 90490 0 0 Parking 812930 41030 41030 0 0 Other 900099 24271 24271 0 0 35394317 1066827 1066827 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 36610042 35394317 0 1066827 0 0 0 0 0 0 0 0 475553 0 475553 0 0 0 0 0 18096684 17543012 553672 0 227122 214762 12360 0 1722353 1685437 36916 0 1292568 1227940 64628 0 0 0 0 0 77846 0 77846 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28806 28222 584 0 0 0 0 0 0 0 0 0 296530 296530 0 0 14755 6838 7917 0 0 0 0 0 56748 56748 0 0 673652 673652 0 0 0 0 0 0 1042448 1042448 0 0 579736 579736 0 0 ICT Prof Services 4619054 4417902 0 201152 Tax Assessment 4146914 3879004 267910 0 Contract/Professional 2242867 2242867 0 0 Medical Supplies 1618728 1595757 22971 0 3018559 3018559 40230923 38509414 1520357 201152 0 X 151228 104861 60803 0 0 0 12763835 7396560 0 0 0 0 0 0 48032 55249 125276 35244 37923361 24366210 14479987 13557151 3315696 2628326 3083063 1879590 0 0 0 0 51149450 53415764 85177370 79072745 3175938 3844302 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23203797 20111704 26379735 23956006 X 58254596 54566191 543039 550548 0 0 58797635 55116739 85177370 79072745 -3620881 -67513 0 0 7498 X X false true X true true true X false true false 0 false 0 false 0 false 0 false 0 false 0 false 0 0 false false Form 990, SCHEDULE C, PART II-B, LINE 1B DESCRIPTION OF THE LOBBYING ACTIVITIES Sinai Health System engages in education and other activities to influence legislators regarding federal and state policies primarily related to Medicaid, Sinai's major payer and the safety net of many of its patients. The System lobbying activities are coordinated through 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. 0 495490 495490 0 29743957 17109984 12633973 0 92958 92958 0 0 7590956 7163268 427688 13557151 Other Receivables 159084 Due from Affiliates 53727419 Third party settlements -470739 53415764 0 Asset retirement obligation 770641 Current portion self-insurance 843838 Due to third party payor -51486 Deferred liabilities 382078 Self insurance liability 1901077 Taxable bonds payable 15733024 Due to Restricted Fund 189608 Other liability 342924 20111704 X Form 990, Schedule D, Part X Fin 48(ASC 740) Footnote Income taxes: Mount Sinai, Schwab, Holy Cross, SMG, and SCI 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, 2018 and 2017, 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, 2014 and prior. true true X true true X 600. true true false true true 868111 0 868111 0.02290 7364973 9656210 0 0.00000 0 0 0 0.00000 8233084 9656210 868111 0.02290 205823 0 205823 0.00540 1825335 273673 1551662 0.04100 0 0 0 0.00000 0 0 0 0.00000 0 0 0 0.00000 2031158 273673 1757485 0.04640 10264242 9929883 2625596 0.06930 true 2396310 783593 6349842 9508326 -3158484 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 15 true false false true X SEE PART V, SECTION C X true 16 false https://www.sinai.org true 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 X X X X true X false X X X X true X false false Form 990, Schedule H, PART V, LINE 5 ACCOUNT INPUT FROM PERSON WHO REPRESENTS THE COMMUNITY Schwab Rehabilitation Hospital (Schwab) took into account input from persons who represent the community. In 2015, as part of the FY 16 CHNA (June 2016 CHNA), Schwab collected data for the Community Health Needs Assessment (CHNA) in three different ways: in person surveys of Schwab patients and families, online surveys of Schwab staff, and town hall forums. Participants were selected to represent medically underserved, low income, marginalized and minority populations. Both the in-person and online surveys were collected as this CHNA was being constructed, in order to gain a better understanding of the health needs of the community we serve. The town hall forums were held after we had collected data for this CHNA. At each of the three forums, we shared the data with the community members and gathered feedback to see how the data resonated with their daily experiences as well as what suggestions they had for using this data to best meet the health needs of the community. Additionally, the staff and leadership of Schwab and Sinai Urban Health Institute (SUHI) contributed to the CHNA, incorporating expertise from both rehabilitation professionals and epidemiologists. Most notable, the contributions of the Schwab medical staff are valued due to the personal nature of the model of care delivered each day to each patient. We thus believe that the public health credentials of the authors of this report are substantial and notable. form 990, schedule h, Part V, Section B, Line 7a chna website HTTP://WWW.SINAI.ORG/CONTENTS/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS-CHNA Form 990, Schedule H, Part V, Section B, Line 11 EXPLANATION OF NEEDS ADDRESSED/NOT ADDRESSED Schwab Rehabilitation Hospital is now using the implementation plan that was created as part of the June 2016 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 all of the significant health needs identified in the June 2016 CHNA: - Stroke: Schwab provides inpatient and outpatient therapy to those who have had a stroke. Additionally Schwab has a stroke support group and peer mentors. Peer mentors go into the community to assure those who have had a stroke are fully integrating into as full of an independent life as possible. - Violence: Too many of our young Spinal Cord and Brain Injury patients come to us due to a violent encounter. The staff at Schwab is trained to deal with the issues of disability associated with a violent event. There are also peer mentors, who work with the patients not only to deal with their disability, but to deal with issues of PTSD and integration into a non-violent lifestyle. Through a series of discipline (nursing, therapy, physicians) Schwab educates staff on how to care for those impacted by violence, which includes the family and significant others, as well as, the patient. - Diabetes: The majority of the patients seen at Schwab have diabetes, due genetics, poor nutritional education or the community environment which may include food deserts. Employees are trained to educate the patient and family on proper protocols regarding diabetic medications, food options and physical care. Dieticians, physician, nursing and a diabetic educator are all part of this team. While the diabetes is not reversible the impact of the disease can be mitigated. form 990, schedule h, Part V, Section B, Line 16a & 16b FAP documents website HTTP://WWW.SINAI.ORG/CONTENT/FINANCIAL-ASSISTANCE-0 form 990, schedule h, Part V, Section B, Lines 16c & 16i fap documents Schwab Rehabilitation Hospital included a one-page policy summary with its FAP Application Form. However, Schwab Hospital realized this summary does not meet all of the plain language summary (PLS) requirements. Schwab Hospital is in the process of revising the document so it will meet all of the PLS requirements. During FY18 Schwab Hospital POSTED ON ITS WEBSITE (WWW.SINAI.COM) THE FAP (IN ENGLISH) AND FAP APPLICATION FORM (IN ENGLISH AND SPANISH). Schwab Hospital RECENTLY FINALIZED THE SPANISH VERSION OF THE FAP AND IT IS NOW POSTED ON SchwabS WEBSITE. Schwab Hospital WILL ALSO POST THE TRANSLATED PLS WHEN AVAILABLE. PER Schwab Hospital'S JUNE 2016 CHNA, SPANISH IS THE PREDOMINANT LANGUAGE SPOKEN AMONG THE LIMITED ENGLISH PROFICIENCY (LEP) POPULATION SERVED BY Schwab. (LEP) POPULATION SERVED BY Schwab. SERVED BY MOUNT SINAI HOSPITAL. Part I, Line 6a Related Organization Community Benefit Report The Community Benefit Report is prepared by parent corporation Sinai Health System (36-3166895). Part I, Line 7 Explanation of Costing Methodology Schwab Rehabilitation Hospital utilized the cost to charge ratio calculated using IRS Form 990, Schedule H, Worksheet 2 - Ratio of Patient Care Cost to Charges. Part I, Line 7a and 7b Net Community Benefit Expense for Financial Assistance and medicaid Schwab Rehabilitation Hospital provided approximately $868,000 in financial assistance to the patients it served this year, which was offset by a $2 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 $40 million in financial assistance, in addition to a Medicaid shortfall of $33 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 is $2,396,310. Part III, Line 2 Methodology used to estimate bad debt expense 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. 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. Part III, Line 8 Explanation of shortfall as community benefit Schwab Rehabilitation Hospital had a Medicare shortfall of $3,158,484, which was not treated as a community benefit per Catholic Health Association USA 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's collection process includes both letter 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 collections process. These resources include a charity program targeted to low income individuals residing in Sinai Health System core service area, and non-interest bearing payment plans that start as low as $25 a month. The debt collection practices only apply to charity patients to the extent of the copayments or patient portion balances and not to amounts that have been approved as charity or financial assistance. Part VI, Line 2 needs assessment Schwab Rehabilitation Hospital began its outreach and assessment of community health by first evaluating which health conditions and diseases are prevalent among its inpatients and outpatients. 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 also works closely with other Sinai Health System entities, such as Sinai Community Institute, Mount Sinai Community Foundation, and Sinai Urban Health Institute (SUHI), which partner with neighborhood groups and the community in various wasy 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). 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. 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 population base of over 1.2 million people located on the west 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 50% of Sinai's patients are Medicaid recipients and 15% are uninsured. Sinai is one of the largest Medicaid providers in Illinois. Ninety-three percent of Sinai's patients are individuals classified in minority race categories. Schwab Rehabilitation Hospital's medical interpreter services supports over 150 different languages including American sign language, making Sinai Health System a best practice medical program in the nation for deaf and hard to hearing patients and the limited English proficient patients. Part VI, Line 5 promotion of community health Schwab, as a part of Sinai Health System, has a 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 false true false false false false false false false Artelio L Watson Physician 223152 0 0 0 272 0 4520 0 8435 0 236379 0 0 0 Bakul Patel CHIEF INF OFFCR UNTIL 6/29/18 0 300470 0 16270 0 2643 0 5400 0 0 0 324783 0 0 Charles Weis Jr EXEC.VP ADM/CFO UNTIL 12/31/17 0 468379 0 33204 0 62955 0 0 0 23384 0 587922 0 0 DANIEL KATZ MD BD MBR/PHYSICIAN UNTIL 4/11/18 0 445330 0 0 0 437 0 0 0 0 0 445767 0 26403 Jason N Spigner Chief Human Resources Officer 0 237835 0 0 0 12482 0 0 0 7088 0 257405 0 0 Karen Teitelbaum President & CEO 0 755327 0 58680 0 82055 0 5400 0 8505 0 909967 0 0 Loren Chandler CFO & COO 0 440517 0 39540 0 14964 0 5400 0 28652 0 529073 0 0 Mary Gollinger VP, Nursing 169307 0 5347 0 2362 0 3612 0 23830 0 204458 0 0 0 Mary H Lawler Physician 217454 0 0 0 792 0 8741 0 3496 0 230483 0 0 0 Michelle Gittler Medical Director 252488 0 0 0 1229 0 15964 0 29104 0 298785 0 0 0 Nupur Saxena Physician 220971 0 0 0 108 0 4395 0 8505 0 233979 0 0 0 Rachel Dvorken Exec. VP & General Counsel 0 303600 0 26484 0 47309 0 5400 0 0 0 382793 0 0 Raymond Lee Physician 226731 0 0 0 120 0 4553 0 25715 0 257119 0 0 0 Steven Kreis Physician 253850 0 0 0 96 0 4496 0 7496 0 265938 0 0 0 Form 990, schedule j, part i, line 3 Methods used by related org to establish ceo compensation Sinai Health System (SHS) has a Human Resources Committee to support the organizational performance of Sinai Health Systems and its related entities through the alignment of executive compensation with system strategies and programs and ensure compliance with applicable law. The voting members of the committee are independent members of the board of directors. The committee establishes detailed goals annually or more frequently as circumstances require. The committee establishes detailed goals annually for the president and CEO and other executives, and reviews performance against these goals on an annual basis. The committee annually engages an outside independent compensation consultant to benchmark the salaries and benefits of the organization's assistant vice president and above. Compensation is based on: a) detailed written performance of the president and CEO; b) each element of compensation, data of the compensation program in effect for CEOs of comparable organizations; and c) annual review of CEO performance is conducted against shs established goals. The committee maintains written minutes which are maintained in executive administration. FORM 990, schedule j, PART I, LINE 4B SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN MOUNT SINAI HOSPITAL'S (MSH) SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) WAS ESTABLISHED AS A NON-QUALIFIED RETIREMENT PLAN FOR ITS KEY EMPLOYEES, SPECIFICALLY THE CHIEF EXECUTIVE STAFF. THIS PLAN PROVIDES ADDED BENEFITS THAT MAY BE ABOVE AND BEYOND THOSE THRESHOLDS COVERED IN OTHER TRADITIONAL RETIREMENT PLANS. MSH'S SERP IS ENTIRELY FUNDED BY THE EMPLOYER, MSH. THE MSH COMPENSATION COMMITTEE REVIEWS AND APPROVES ACCEPTANCE AND/OR MODIFICATIONS TO THE SERP PLAN. THE MSH'S SERP PLAN OUTLINES THE ANNUAL EARNINGS PER THE INDIVIDUAL PARTICIPANTS AS WELL AS THE TIME FRAMES OF VESTMENT PER THOSE RESPECTIVE INDIVIDUALS. THE PLAN VESTS UPON TWO YEARS OF SERVICE OR ATTAINMENT OF AGE 65. CY2017 PAYMENTS INCREASE IN VALUE CHANDLER, LOREN F $6,801 $1,051 DVORKEN, RACHEL $41,025 $1,628 WEIS JR, CHARLES $51,670 $2,058 TEITELBAUM, KAREN C $54,406 $2,294 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. The vision is to be a national model for the delivery of urban healthcare. FORM 990, PART III, line 4A PATIENT CARE Accreditation of the hospital is through the joint commission. The Schwab attending physicians are all board certified physiatrists. In addition to general rehabilitative medicine for inpatients and outpatients, the physicians provide specialty care to the persons served. Schwab also has physiatrists with specialty board certifications in spinal cord injury, brain injury, pediatric rehabilitation, EMG and pain. Nursing care is provided 24/7 which includes RNs, LPNs, CNAs, and nurse managers/supervisors. 24% 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 medical administration, wound care, bladder and bowel management and patient education. Complicated care may include respiratory care, tracheotomy care, suctioning, tube feedings and iv therapy. The Schwab physical medicine and rehabilitation residency program is an 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. 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 inservices to the department as well as to other disciplines. 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. 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 100% compliance rate of use. Nurses are encouraged to continue their education and attain specialty certifications. 24% 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. 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, 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. 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 mainly 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. 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. 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 PHARMACY SCHWAB ANTICOAGULATION PROGRAM ADVERSE DRUG EVENT PREVENTION THE MEDICATION USE SAFETY IMPROVEMENT COMMITTEE ADDRESSES ANTICOAGULATION THERAPY AT MOUNT SINAI AND SCHWAB REHABILITATION HOSPITAL. ANTICOAGULATION MEDICATIONS ARE CONSIDERED HIGH RISK IN THAT THEY REQUIRE CLOSE MONITORING FOR CONTINUED DOSE ADJUSTMENTS TO MAINTAIN THERAPEUTICALLY EFFECTIVE DOSE LEVELS, WHILE HAVING A HIGH POTENTIAL FOR ADVERSE PATIENT EVENTS. ADDRESSING REGULATORY STANDARDS AND BEST PRACTICES FOR OVERALL VENOUS THROMBO-EMBOLISM PREVENTION, ANTICOAGULATION TREATMENT PROTOCOLS WERE REVIEWED, UPDATED AND APPROVED. THE MEDICATION USE SAFETY IMPROVEMENT COMMITTEE ALSO REVIEWED DATA FROM THE INSTITUTE FOR HEALTHCARE IMPROVEMENT (IHI) ANTICOAGULATION TRIGGER TOOL DOCUMENT, WHICH PROVIDES SCREENING CRITERIA FOR ADVERSE DRUG EVENTS. THIS DATA ASSISTED THE COMMITTEE IN DETERMINING WHICH INTERVENTIONS NEED TO BE MADE AT THE RESPECTIVE HOSPITAL AND THE TYPE OF INTERVENTION: EDUCATION, PROTOCOL CHANGES, FORMULARY CHANGES AND MANAGEMENT OF THE MEDICATION. THE PHARMACY DEPARTMENT WORKED CLOSELY WITH SCHWAB REHABILITATION HOSPITAL IN RECOMMENDING ANTICOAGULATION EDUCATION TO NURSES, RESIDENTS AND ATTENDING PHYSICIANS. THIS EDUCATION FOCUSED ON PRESCRIBING, DOSE ADJUSTMENT, ADMINISTRATION AND MONITORING OF ANTICOAGULANTS AND HELPED DECREASE THE NUMBER OF ADVERSE DRUG EVENTS. EDUCATION WAS PROVIDED SEVERAL TIMES AND WILL CONTINUE TO BE PROVIDED TO PROMOTE A CULTURE OF MEDICATION SAFETY. FORM 990, PART III, LINE 4D OTHER PROGRAM SERVICES 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 AND 6. PEER MENTORING - POSITIVE ROLE MODELING AND SUPPORT BY AND FOR PEOPLE WITH DISABILITIES. 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. FORM 990, PART VI, LINE 7B Decisions of governing body approval by members or shareholders The sole corporate member 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. 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 and after review by management. Form 990, Part X, col B The prior year unrestricted assets and other liabilities were adjusted by $459,499 Mount Sinai Hospital and Medical Center California Ave at 15th Street Chicago IL 60608 361509000 Healthcare IL 501(c)(3) 3 SHS true Mount Sinai Community Foundation California Ave at 15th Street Chicago IL 60608 363305449 Healthcare IL 501(c)(3) 12 TYPE I SHS true Sinai Community Institute 2653 West ogden Ave Chicago IL 60608 363932824 Support Org IL 501(c)(3) 10 SHS true Holy Cross Hospital 2701 West 68th Street Chicago IL 60629 362170133 Healthcare IL 501(c)(3) 3 SHS true Sinai Health System 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 68TH STREET CHICAGO IL 60629 364109153 MGMT SERVICES IL NA C Corp false false false true false false false false false false false false true false false true false false false Mount Sinai Hospital and Medical Center D 855000 Cost Mount Sinai Hospital and Medical Center q 1533107 Cost Mount Sinai Community Foundation m 97872 Cost