2019-05-13T22:08:53-05:00 2018-06-30 ERNST & YOUNG US LLP 950 MAIN AVENUE SUITE 1800 CLEVELAND OH 44113 990 2017-07-01 361509000 Mount Sinai Hospital Medical Center % MATTHEW DOYLE MOUN 7732572937 CALIFORNIA AVENUE AT 15TH STREET CHICAGO IL 60608 MATTHEW DOYLE INTERIM CFO 7732575800 2019-05-13 true ERICA fertelmes P01608257 2168615000 99.46.67.29 36964520191335000016 2019-05-13 P 34163F381DEDE5EE0CABDD6E8F3BD042227F3C04 6DFBA33F1DAEE8CAFFEB9AC40683ECF49AA6169A 2017 2019-02-21 02:37:17Z LORI PACURA CALIFORNIA AVENUE AT 15TH ST CHICAGO IL 60608 333909433 false X WWW.SINAI.ORG X 1918 IL SEE SCHEDULE O 27 26 2407 105 22975 187005 3775742 1889499 293518455 314216031 723122 604139 14129991 17199764 312147310 333909433 800003 800004 0 0 132366464 124905587 0 0 0 213330184 217642228 346496651 343347819 -34349341 -9438386 170012494 181826988 197132724 224564981 -27120230 -42737993 X SEE SCHEDULE O false false 167952513 800004 216673363 SEE SCHEDULE O. 14920850 0 59102352 SEE SCHEDULE O. 8062596 0 33284 SEE SCHEDULE O. 96775210 0 52464402 287711169 true true false true false false false false false true true false false true true true false true false false false false false false false false true true true false true false false false false false false false false true false false false true true true true false false true X 0 0 true 2407 true true true false false false false false false false false false X 27 26 false false false false true true true true true false false false true true true true true true true true true CA IL X MATTHEW DOYLE 7732575964 CALIFORNIA AVENUE AT 15TH STREET 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 12.0 28.0 X X 896062 0 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 12.0 28.0 X 564538 0 23384 Justin D Bynum INTERIM CFO UNTIL 2/2/18 12.0 28.0 X 136633 0 1852 Loren Chandler CFO & COO 12.0 28.0 X 495021 0 34052 Lori Pacura President, Acute Care Hospital 20.0 20.0 X 294990 0 24944 Bakul Patel CHIEF INF OFFCR UNTIL 6/29/18 12.0 28.0 X 319383 0 5400 Jason N Spigner Chief Human Resources Officer 12.0 28.0 X 250317 0 7088 Mark Multach Chief Medical Officer- MSH 40.0 0.0 X 296589 0 15401 Michele Mazurek Chief Nursing Officer- MSH 40.0 0.0 X 244746 0 14092 Rachel Dvorken Exec. VP & General Counsel 12.0 28.0 X 377393 0 5400 David Berkey VP- Physician Svcs & Chief B/D 40.0 0.0 X 288127 0 12965 James Bicak VP-Facilities & Hospital Svcs 40.0 0.0 X 267962 0 4698 James Wilson VP of Finance until 09/30/17 40.0 0.0 X 298169 0 15431 Roberta Rakove VP - Government Affairs 40.0 0.0 X 292561 0 5400 Sharon Homan President of Sinai Urban Hlth 40.0 0.0 X 249698 0 16640 5272189 445767 200652 155 false true false g4s solutions 1395 university blvd JUPITER IL 33458 security services 2254229 Sodexo Inc Affiliates PO Box 70060 CHICAGO IL 60673 Food Services 1656073 caremark 2211 sanders road NORTHBROOK IL 60062 employee benef. mgmt 1455597 navigant healthcare cymetrix 150 n riverside plaza suite 2100 CHICAGO IL 60606 revenue cycle mgmt 1433886 Renovo solutions llc 4 executive circle suite 185 IRVINE CA 92614 equip maint services 1318254 108 0 218249 1671250 205336 1889499 Patient Revenue 622110 307696742 307696742 0 0 SRH Patient Srvc at Cost 622110 3630135 3630135 0 0 Cafeteria 722212 1659665 1659665 0 0 Parking Garage 812930 639847 639847 0 0 Rental Income 531390 589642 589642 0 0 314216031 604139 604139 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Premier Purchasing 423450 3080238 0 22975 3057263 Med Student Educ Revenue 900099 1995477 1995477 0 0 INTEREST INCOME ACCESS LOAN 900099 62156 0 0 62156 12061893 12061893 17199764 333909433 328273401 22975 3723558 800004 800004 0 0 0 0 0 0 4254992 0 4254992 0 0 0 0 0 103689335 100319938 3369397 0 765639 740759 24880 0 8791790 8687229 104561 0 7403831 7111984 291847 0 41768431 13385341 28383090 0 245517 232517 13000 0 401470 0 401470 0 0 0 0 0 0 0 0 0 15197637 10536227 4661410 0 24617 24617 0 0 659427 659427 0 0 64984 64984 0 0 0 0 0 0 12938053 12183374 754679 0 84342 84342 0 0 0 0 0 0 49304 43607 5697 0 5398282 0 5398282 0 0 0 0 9678412 9469724 208688 0 6522505 0 6522505 0 BAD DEBT 57663826 57663826 0 0 DRUGS & MEDICAL SUPPLIES 35947184 35945711 1473 0 PROVIDER ASSESSMENT 20146967 20146967 0 0 LABORATORY SERVICES 1959694 1959694 0 0 8891576 7650897 1240679 343347819 287711169 55636650 0 0 2574301 1981964 2378775 2392690 0 0 47358558 66194898 0 0 0 0 3000000 2500000 3378691 2620631 4001455 951225 280017574 206971613 78028154 73045961 9965996 9322881 0 0 10121248 8424004 0 0 9205316 14392734 170012494 181826988 71975519 82935432 0 0 0 0 58182691 55851047 0 0 0 0 19141354 17113093 0 0 47833160 68665409 197132724 224564981 X -31721892 -49260398 4601662 6522405 0 0 -27120230 -42737993 170012494 181826988 X -9438386 0 0 0 -4445607 -1733770 X false true X true true true X false true false false false false false false false false false Schedule C, Part II-B, Line 1b description of the lobbying activities Sinai Health System engages in education and other activities to influence legislators regarding federal and state policies primarily related to Medicaid, Sinais 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, Americas Essential Hospitals, and the Jewish Federation of Metropolitan Chicago/Jewish United Fund. At the state level, Sinai utilizes three outside lobbying firms. 6073963 13364 472492 1165679 5394140 5272743 942646 141426 6073963 5134684 378800 240741 5272743 4724559 3159999 2749874 5134684 667379 4643283 586103 4724559 1.00000 0.00000 0.00000 false false 0 1725650 1725650 167890679 109022401 58868278 2672241 2672241 0 101896913 89444880 12452033 5832091 5832091 0 73045961 0 DUE TO THIRD PARTY PAYOR 26822237 ACCRUED SELF INSURANCE 24029472 TAIL COVERAGE INSURANCE 13385941 ASSET RETIREMENT OBLIGATION 2945284 CAPITAL LEASE OBLIGATION 1095537 CURRENT PORTION CAPITAL LEASE 386938 68665409 X Intended use of endowment funds Form 990, Sch D, Part V, Line 4 The funds are used for general operating purposes. The interest from the fund is utilized for unrestricted purposes. FIN 48 (asc 740) Footnote Form 990, Schedule D, Part X, Line 2 INCOME TAXES: MOUNT SINAI HOSPITAL MEDICAL CENTER, SCHWAB REHABILITATION HOSPITAL AND CARE NETWORK, MOUNT SINAI COMMUNITY FOUNDATION, HOLY CROSS HOSPITAL, AND SINAI COMMUNITY INSTITUTE, INC. 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 112O (U.S. CORPORATION INCOME TAX RETURN) ANNUALLY. THE CORPORATION ADOPTED FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) ISSUED GUIDANCE FOR UNCERTAINTY IN INCOME TAXES. THIS GUIDANCE PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR THE CONSOLIDATED 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 MATTER 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 CONSOLIDATED 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 SHEET ALONG WITH 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 X 300. true X 600. true true false true true 23945486 0 23945486 0.07290 180666029 189003297 0 0.00000 204611515 189003297 23945486 0.07290 4001757 4001757 0.01200 8710116 2556172 6153944 0.01870 5256003 5256003 0.01600 1129396 1129396 0.00340 19097272 2556172 16541100 0.05010 223708787 191559469 40486586 0.12300 true 15075584 3904576 39597105 30748091 8849014 X true true 1 1 MOUNT SINAI HOSPITAL CALIFORNIA AVE AT 15TH STREET CHICAGO IL 60608 www.sinai.org 1871581314 X X X X MOUNT SINAI 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 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 PART V, LINE 5 - ACCOUNT INPUT FROM PERSON WHO REPRESENTS THE COMMUNITY Mount Sinai Hospital took into account input from persons who represent the community. In 2015, as part of the fy 16 chna (june 2016 chna), Mount Sinai Hospital partnered with community-based organizations to facilitate focus groups with community members in North and South Lawndale. Focus group participants were selected to represent medically underserved, low income, marginalized and minority populations. The purpose of the focus groups were to gain insight on the most pressing health conditions affecting each community, the barriers to overcoming those conditions, and how a community hospital such as Mount Sinai Hospital might help improve the community's health. 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. Part V, Line 7a - CHNA website http://www.sinai.org/contents/community-health-needs-assessments-chna PART V, LINE 11 - EXPLANATION OF NEEDS ADDRESSED/NOT ADDRESSED Mount Sinai 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 Mount Sinai Hospital. Mount Sinai Hospital leaders developed an implementation plan and rollout strategy that aligns with the Hospitals strategic plan and will be implemented over the course of three years. Mount Sinai Hospital is addressing all of the significant needs identified in the june 2016 chna which include: - Chronic disease - Violence - Mental & behavioral health - Birth outcomes - Asthma - Behavioral health Mount Sinai Hospital has implemented projects such as providing community education around asthma, breast health, diabetes, maternal and child health, and violence prevention. In the Hospital, we have conducted HIV screening programs, worked on a quality improvement project to address COPD readmissions and assisted patients with social service needs. It is our goal to provide the best care possible to address the needs of our community. The CHNA and its implementation plan have assisted in guiding our work on how to address the needs of our community. Mount Sinai Hospital remains fully engaged in implementing the strategies and expects to substantially complete the identified plans by the time of the next CHNA. Part V, Section B, Line 16a & 16b FAP Documents website HTTP://WWW.SINAI.ORG/CONTENT/FINANCIAL-ASSISTANCE-0 Part V, Section B, Lines 16c & 16i FAP documents Mount Sinai Hospital included a one-page policy summary with its FAP Application Form. However, Mount Sinai Hospital realized this summary does not meet all of the plain language summary (PLS) requirements. Mount Sinai Hospital is in the process of revising the document so it will meet all of the PLS requirements. During FY18 MOUNT SINAI HOSPITAL POSTED ON ITS WEBSITE (WWW.SINAI.COM) THE FAP (IN ENGLISH) AND FAP APPLICATION FORM (IN ENGLISH AND SPANISH). MOUNT SINAI HOSPITAL RECENTLY FINALIZED THE SPANISH VERSION OF THE FAP AND IT IS NOW POSTED ON MOUNT SINAIS WEBSITE. MOUNT SINAI HOSPITAL WILL ALSO POST THE TRANSLATED PLS WHEN AVAILABLE. PER MOUNT SINAI HOSPITAL'S JUNE 2016 CHNA, SPANISH IS THE PREDOMINANT LANGUAGE SPOKEN AMONG THE LIMITED ENGLISH PROFICIENCY (LEP) POPULATION SERVED BY MOUNT SINAI HOSPITAL. 3 Hawthorne MRI 4701 W Cermak Cecero IL 60804 Magnetic Resonance Imaging & OB Ultrasound Service Sinai Community Pharmacy California Ave 15th Street Chicago IL 60608 Pharmacy Drugs and pharmacuticals Sinai Touhy Pharmacy LLC 2907 W Touhy Avenue Chicago IL 60645 Pharmacy Drugs and pharmacuticals 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 Mount Sinai 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 Mount Sinai Hospital provided approximately $24 million in financial assistance to the patients it served this year, which was partially offset by an $8 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 Hospitals 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 7g subsidized health services The subsidized health services include emergency and trauma services provided by Sinai Medical Group, which is supported by msh. Part I, Line 7E Community Health improvement services Approximately $939,000 of the community health improvement activities reported on part i, line 7e were provided by Sinai Community Institute, a related organization. MSH funded these activities. part i, line 7, column f explanation of bad debt expenses 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 $15,075,584. Part iii, line 2 methodology used to estimate bad debt expense Mount Sinai Hospital estimates bad debt expense based upon managements 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 benefit Mount Sinai Hospital first determines if a patient qualifies for charity care. If a patient is classified as charity care, they would not be included as bad debt. Some patients do not desire to complete the charity care applications and as such can be included in the bad debt amounts. One example of a patient population that does not complete charity care applications is undocumented workers. Part iii, line 4 bad debt expense The Corporation maintains allowances for uncollectible accounts for estimated losses resulting from a payors inability to make payments on accounts. The Corporation estimates the allowance for uncollectible accounts based upon managements 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 patients 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 Corporations 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 There was no shortfall this year. Mount Sinai Hospital 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 Mount Sinai Hospitals 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 patients 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 In addition to the community and hospital/office-based healthcare surveys, focus groups, and data analyses described in the Community Health Needs Assessment plan for Mount Sinai Hospital, the Hospital utilizes the following channels to gain greater insight into the health needs of its communities: 1) Community and hospital/office-based health screenings. 2) Presentation of patients in the Emergency Department and needs noted during the visit. 3) Partnership activities with community-based organizations. Mount Sinai Hospital focused on the health and social services needs of the populations served. Mount Sinai Hospital begins outreach and assessment of community health by first evaluating which health conditions and diseases are prevalent among its inpatients and outpatients. Determination of prevalence then guides the design of community services and also assures there is no bias based on race, gender, or patients ability to pay. Mount Sinai Hospital also works closely with other Sinai Health System entities, including Sinai Community Institute, Mount Sinai Community Foundation, and Sinai Urban Health Institute (SUHI), which partner with neighborhood groups and the community in various ways to understand health needs and improve overall wellbeing. In particular, SUHI recently conducted one of the largest community-driven, face-to-face health surveys ever conducted in Chicago (Sinai Community Health Survey 2.0, www.sinaisurvey.org). Mount Sinai Hospital shared the 2016 Community Health Needs Assessment findings with local residents and community groups, forging interventional partnerships. Together they confirmed the need for education and other interventions for asthma, obesity, diabetes, and breast cancer. Mount Sinai Hospital also supports Sinai Community Institute and SUHI by scheduling clinicians and health educators to participate in health fairs, community forums and other educational events to provide health screenings, and education on prevention. These forums arm participants with knowledge about the chronic diseases that can affect them and action plans for avoiding or managing those diseases. Part VI, Line 3 Patient Education of Eligibility for Assistance Mount Sinai Hospital informs patients of the charity care policy through signage in the Hospital, written communication, statements and related corporation Sinai Health System website. Each hospital bill, invoice, or other summary of charges to an uninsured patient include with it, or on it, a prominent statement that an uninsured patient who meets certain income requirements may qualify for an uninsured discount along with information regarding how the patient may apply for financial assistance. PART VI, LINE 4 COMMUNITY INFORMATION Mount Sinai Hospital, as a part of Sinai Health System, serves a population base of over 1.2 million people located on the west side of Chicago. Over 64.6% of Mount Sinai hospital's patients are Medicaid recipients and 8.0% are uninsured. Mount Sinai admits 2,019 inpatients to Sinai Children's Hospital inclusive of pediatric visits for asthma and diabetes (Sinai Childrens regular pediatric inpatient unit closed end of 2017). Sinai's Neonatal Intensive Care Unit cared for 285 neonatal patients and Obstetrics cared for 1,980 mothers. Mount Sinai Hospital Emergency Department had 42,122 patient visits. Mount Sinai Hospitals 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. Mount Sinai Hospital treats more Medicaid patients than any other hospital in Illinois. PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH Mount Sinai Hospital, as a part of Sinai Health System, has a board comprised of respected leaders in banking, finance, manufacturing, legal, health care and other industries. Mount Sinai Hospital extends medical staff privileges to all qualified physicians for all departments. Mount Sinai Hospital invests any surplus funds into improving patient care. PART VI, LINE 6 AFFILIATED HEALTH CARE SYSTEM ROLES AND PROMOTION Located on Chicagos West and Southwest Side, Sinai Health System is comprised of Mount Sinai Hospital, Holy Cross Hospital, Schwab Rehabilitation Hospital, Sinai Childrens 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 STATES WHERE COMMUNITY BENEFIT REPORT FILED ILLINOIS true ACCESS COMMUNITY HEALTH NETWORK 1501 S CALIFORNIA AVE CHICAGO IL 60608 363317058 501(c)(3) 800004 OPERATING SUPPORT 1 PROCEDUREs FOR MONITORING USE OF GRANTS FUNDS U.S PART I, LINE 2 THIS IS AN EXTENSION OF OUR MISSION TO HELP ACCESS COMMUNITY HEALTH NETWORK PROVIDE SERVICES TO THE UNDERSERVED AND UNINSURED INDIVIDUALS WITHIN OUR PRIMARY SERVICE AREA. ALL AWARDED GRANT USAGE IS MONITORED ANNUALLY. THE RECIPIENT REPORTS TO SINAI HELATH SYSTEM THE ALLOCATIONS AND EXPENDITURES OF THE APPLICATION AND USAGE OF DISBURSED GRANT AWARDS. X true true true true false false false false false true false Bakul Patel CHIEF INF OFFCR UNTIL 6/29/18 300470 0 16270 0 2643 0 5400 0 0 0 324783 0 0 0 Charles Weis Jr EXEC.VP ADM/CFO UNTIL 12/31/17 468379 0 33204 0 62955 0 0 0 23384 0 587922 0 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 David Berkey VP- Physician Svcs & Chief B/D 240742 0 10072 0 37313 0 5400 0 7565 0 301092 0 0 0 James Bicak VP-Facilities & Hospital Svcs 253117 0 10611 0 4234 0 4698 0 0 0 272660 0 0 0 James Wilson VP of Finance until 09/30/17 227375 0 11610 0 59184 0 0 0 15431 0 313600 0 0 0 Jason N Spigner Chief Human Resources Officer 237835 0 0 0 12482 0 0 0 7088 0 257405 0 0 0 Karen Teitelbaum President & CEO 755327 0 58680 0 82055 0 5400 0 8505 0 909967 0 0 0 Loren Chandler CFO & COO 440517 0 39540 0 14964 0 5400 0 28652 0 529073 0 0 0 Lori Pacura President, Acute Care Hospital 275127 0 16410 0 3453 0 5400 0 19544 0 319934 0 0 0 Mark Multach Chief Medical Officer- MSH 246358 0 38597 0 11634 0 0 0 15401 0 311990 0 0 0 Michele Mazurek Chief Nursing Officer- MSH 237652 0 5670 0 1424 0 4867 0 9225 0 258838 0 0 0 Rachel Dvorken Exec. VP & General Counsel 303600 0 26484 0 47309 0 5400 0 0 0 382793 0 0 0 Roberta Rakove VP - Government Affairs 249051 0 36582 0 6928 0 5400 0 0 0 297961 0 0 0 Sharon Homan President of Sinai Urban Hlth 243292 0 5703 0 703 0 0 0 16640 0 266338 0 0 0 Form 990, schedule j, part i, line 1 THE SINAI HEALTH SYSTEM, FOR BUSINESS PURPOSES IS A CORPORATE MEMBER OF THE STANDARD CLUB. THE MEMBERSHIP PROVIDED TO KAREN TEITELBAUM IS TREATED BY THHE SINAI HEALTH SYSTEM AS A WORKING CONDITION FRINGE BENEFIT AND IS, THEREFORE, EXCLUDED FROM THE INDIVIDUAL'S TAXABLE INCOME. 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 IS CONDUCTED AGAINST SHS ESTABLISHED GOALS. THE COMMITTEE MAINTAINS WRITTEN MINUTES WHICH ARE MAINTAINED IN EXECUTIVE ADMINISTRATION. Form 990, schedule j, part i, line 4a severance payments THE ORGANIZATION PAID SEVERANCE IN THE FORM OF WAGE CONTINUATION TO JAMES WILSON, IN THE AMOUNT OF $58,490. form 990, schedule j, part i, line 4b supplemental executive retirement plan MOUNT SINAI HOSPITAL'S (MSH) SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) WAS ESTABLISHED AS A NON-QUALIFIED RETIREMENT PLAN FOR ITS KEY EMPLOYEES, SPECIFICALLY THE CHIEF EXECUTIVE STAFF. THIS PLAN PROVIDES ADDED BENEFITS THAT MAY BE ABOVE AND BEYOND THOSE THRESHOLDS COVERED IN OTHER TRADITIONAL RETIREMENT PLANS. MSH'S SERP IS ENTIRELY FUNDED BY THE EMPLOYER, MSH. THE MSH COMPENSATION COMMITTEE REVIEWS AND APPROVES ACCEPTANCE AND/OR MODIFICATIONS TO THE SERP PLAN. THE MSH'S SERP PLAN OUTLINES THE ANNUAL EARNINGS PER THE INDIVIDUAL PARTICIPANTS AS WELL AS THE TIME FRAMES OF VESTMENT PER THOSE RESPECTIVE INDIVIDUALS. THE PLAN VESTS UPON TWO YEARS OF SERVICE OR ATTAINMENT OF AGE 65. CY17 payments increase in value of the benefit not vested Loren F Chandler $6,801 $1,051 David Berkey $34,513 $1,368 Rachel Dvorken $41,025 $1,628 Charles Weis Jr $51,670 $2,058 Karen Teitelbaum $54,406 $2,294 Debra Wesley $65,482 $866 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. X 4 205336 fmv false true false Form 990, part i, line 1 DESCRIBE THE ORGANIZATION'S MISSION OR MOST SIGNIFICANT ACTIVITIES AS A MEMBER OF SINAI HEALTH SYSTEM, MOUNT SINAI HOSPITAL MEDICAL CENTERS MISSION IS TO IMPROVE THE HEALTH OF THE INDIVIDUALS AND COMMUNITIES IT SERVES BY PROVIDING COMPREHENSIVE MEDICAL, SURGICAL, PEDIATRIC, PSYCHIATRIC, AND INTENSIVE CARE SERVICES. THE VISION IS TO BE A NATIONAL MODEL FOR THE DELIVERY OF URBAN HEALTHCARE. FORM 990, PART III, LINE 1 BRIEFLY DESCRIBE THE ORGANIZATIONS MISSION AS A MEMBER OF SINAI HEALTH SYSTEM, MOUNT SINAI HOSPITAL MEDICAL CENTERS MISSION IS TO IMPROVE THE HEALTH OF THE INDIVIDUALS AND COMMUNITIES IT SERVES BY PROVIDING COMPREHENSIVE MEDICAL, SURGICAL, PEDIATRIC, PSYCHIATRIC, AND INTENSIVE CARE SERVICES. THE VISION IS TO BE A NATIONAL MODEL FOR THE DELIVERY OF URBAN HEALTHCARE. FORM 990, PART III, LINE 4A PROGRAM SERVICE ACCOMPLISHMENTS PATIENT CARE MOUNT SINAI HOSPITAL MEDICAL CENTER (MOUNT SINAI HOSPITAL) IS A 319-LICENSED BED ACUTE CARE AND TEACHING HOSPITAL AFFILIATED WITH THE JEWISH FEDERATION OF METROPOLITAN CHICAGO. THE MEDICAL CENTER IS AN INTEGRAL PART OF THE SINAI HEALTH SYSTEM'S CORE MISSION TO IMPROVE THE HEALTH OF THE INDIVIDUALS AND COMMUNITIES IT SERVES. FOUNDED IN 1919, THE HOSPITAL CONTINUES TO PROVIDE CARE TO DIVERSE COMMUNITIES THROUGHOUT THE CHICAGO AREA. MOUNT SINAI HOSPITAL IS LOCATED ON A CAMPUS OF APPROXIMATELY EIGHT ACRES AT THE INTERSECTION OF OGDEN AND CALIFORNIA AVENUES ON CHICAGO'S NEAR WEST SIDE, AND PROVIDES A SIGNIFICANT PORTION OF THE TOTAL MEDICAL SERVICES AVAILABLE TO WEST SIDE RESIDENTS. THESE SERVICES INCLUDE A FULL SPECTRUM OF CARE, INCLUDING MEDICAL, SURGICAL, PEDIATRIC, LEVEL III PERINATAL, INTENSIVE CARE AND PSYCHIATRIC SERVICES. MOUNT SINAI HOSPITAL PROVIDES EXCELLENT EMERGENCY AND MATERNAL CHILD HEALTH CARE. IN 2003, THE STATE OF ILLINOIS OFFICIALLY RECOGNIZED MOUNT SINAI HOSPITAL MEDICAL CENTER'S PEDIATRIC SERVICE AS A "CHILDREN'S HOSPITAL WITHIN A HOSPITAL". MEANWHILE, THE HOSPITAL'S EMERGENCY DEPARTMENT IS ONE OF ONLY FOUR LEVEL I TRAUMA CENTERS IN CHICAGO. CHARITY CARE MOUNT SINAI HOSPITAL PROVIDED $23,945,486 OF CHARITY CARE AT COST TO PATIENTS WHO WERE UNABLE TO PAY FOR SERVICES. SINCE SO MANY OF OUR PATIENTS ARE UNINSURED OR OTHERWISE UNABLE TO AFFORD CARE, CHARITY CARE IS A VITAL PART OF OUR MISSION TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE. AS PART OF OUR MISSION TO IMPROVE THE HEALTH OF OUR COMMUNITIES, MOUNT SINAI HOSPITAL HAS LAUNCHED SEVERAL INITIATIVES TO STUDY AND ADDRESS SPECIFIC HEALTH ISSUES. THE SINAI URBAN HEALTH INSTITUTE (SUHI) IS A NATIONALLY RECOGNIZED RESEARCH ORGANIZATION FUNDED AND OPERATED THROUGH MOUNT SINAI HOSPITAL. SUHI HAS PUBLISHED GROUNDBREAKING RESEARCH ON RACIAL DISPARITIES, HIV, SMOKING RATES, ASTHMA, DIABETES, BREAST CANCER, AND OTHER HEALTH THREATS FACING LOW-INCOME MINORITY POPULATIONS. NORTH LAWNDALE HAS THE HIGHEST HIV DEATH RATE IN CHICAGO. IN ADDITION TO THE FULL SPECTRUM OF MEDICAL CARE FOR THE DISEASE, MOUNT SINAI HOSPITAL HAS PIONEERED A PEER EDUCATION PROGRAM INTENDED TO REDUCE THE RATE OF COMPLICATIONS AND MORTALITY IN NORTH LAWNDALE. ASTHMA IS A MAJOR HEALTH PROBLEM AMONG LOW-INCOME URBAN POPULATIONS LIKE MOUNT SINAI HOSPITAL'S. RESEARCH CONDUCTED BY SUHI PROMPTED A STATE-FUNDED EFFORT TO REDUCE ASTHMA RATES THROUGH COMMUNITY EDUCATION IN THE EMERGENCY DEPARTMENT. THIS INITIATIVE WAS SO SUCCESSFUL THE ILLINOIS DEPARTMENT OF PUBLIC HEALTH EXPANDED IT INTO THE STATEWIDE CONTROLLING PEDIATRIC ASTHMA THROUGH COLLABORATION AND EDUCATION PROGRAMs. MOUNT SINAI HOSPITAL WORKED WITH COMMUNITY LEADERS TO HELP OUR NEIGHBORS GAIN HEALTH COVERAGE BY ENROLLING IN THE ILLINOIS KID CARE INSURANCE PLAN. THE PLAN IS INTENDED TO BENEFIT LOW-INCOME CHILDREN AND PREGNANT WOMEN. ALSO, THE MOUNT SINAI CHILDREN'S HOSPITAL RECENTLY LAUNCHED SINAI FIT, AN EXPANSION OF THE PEDIATRIC WEIGHT MANAGEMENT CLINIC TO ENGAGE YOUTH IN PHYSICAL EXERCISE WHILE ALSO TEACHING PARENTS TO CREATE HEALTHY FAMILY LIFESTYLE CHANGES IN DIET AND EXERCISE. MOUNT SINAI HOSPITAL IS SENSITIVE TO THE HEALTH CARE NEEDS OF DEAF AND HARD-OF-HEARING PEOPLE IN THE COMMUNITY. OUR DEAF ACCESS PROGRAM, WHICH WON THE DEAF ILLINOIS AWARD FOR BEST HEALTH, PROVIDES A FULL COMPLEMENT OF ASL INTERPRETERS, DOCTORS AND SUPPORTING STAFF FLUENT IN SIGN LANGUAGE. MOUNT SINAI HOSPITAL WAS THE FIRST HOSPITAL IN THE U.S. TO OFFER A VIDEOPHONE BOOTH THAT GIVES MOUNT SINAI HOSPITAL PATIENTS AND THE DEAF COMMUNITY OF CHICAGO A NEW WAY TO COMMUNICATE WITHIN THE HEARING COMMUNITY. FORM 990, PART III, LINE 4B PROGRAM SERVICE ACCOMPLISHMENTS PATIENT SERVICE-THERAPY & DIAGNOSTICS WITH AN AGING POPULATION, REACHING AND PROVIDING HEALTH CARE TO OUR SENIORS ON A TIMELY BASIS HAS BECOME CRITICAL. SINAI HOME HEALTH THROUGH ITS TRAINED NURSES KEEPS IN CONTACT WITH SENIORS THROUGH PERIODIC HOME VISITS. SUCH VISITS PROVIDE AN OPPORTUNITY TO DO A GENERAL CHECKUP ON THEIR HEALTH, ENSURE THE PATIENTS ARE TAKING THE PRESCRIBED MEDICATION AND TO DISCUSS THEIR HEALTH CONCERNS. THIS PROGRAM HAS BEEN WELL RECEIVED IN THE COMMUNITY. SINAI IS ALSO DEVELOPING A DEDICATED GERIATRIC SERVICE LINE IN ORDER TO PROVIDE SUPERIOR CONTINUITY OF CARE. FOR ONCOLOGY PATIENTS, THE SINAI HEALTH SYSTEM CANCER CARE CENTER WAS ESTABLISHED IN 2008. WITH THE SUPPORT OF THE COLEMAN FOUNDATION, AN INTEGRATED ONCOLOGY CENTER WAS CREATED THAT LINKS PHYSICIANS' OFFICES, A CHEMOTHERAPY CENTER AND AN INPATIENT UNIT ALL IN ONE AREA. FORM 990, PART III, LINE 4C PROGRAM SERVICE ACCOMPLISHMENTS TEACHING & RESEARCH MOUNT SINAI HOSPITAL PROVIDES UNDERGRADUATE TRAINING FOR MEDICAL STUDENTS IN SIX MAJOR SPECIALTIES - MEDICINE, SURGERY, OBSTETRICS/GYNECOLOGY, PEDIATRICS, PSYCHIATRY AND PHYSICAL MEDICINE AS WELL AS A NUMBER OF SUB-SPECIALTIES. THE HOUSE STAFF PROGRAM PROVIDES TRAINING FOR RESIDENTS AND FELLOWS IN MAJOR CLINICAL AREAS. IN 2008, RELATIONSHIPS WITH ACADEMIC MEDICAL CENTERS WERE EXPANDED THAT ENRICH THE PATIENT CARE RESOURCES AVAILABLE THROUGH AFFILIATIONS WITH NORTHWESTERN MEMORIAL HOSPITAL, THE UNIVERSITY OF CHICAGO MEDICAL CENTER, RUSH UNIVERSITY MEDICAL CENTER, THE UNIVERSITY OF ILLINOIS-CHICAGO AND ROSALIND FRANKLIN UNIVERSITY. RESEARCH PROGRAMS AT MOUNT SINAI HOSPITAL ARE ONGOING IN SEVERAL FIELDS INCLUDING CANCER DETECTION AND TREATMENT, CHILD ABUSE, TRAUMA AND EMERGENCY MEDICINE, PEDIATRIC HIV/AIDS, UROLOGY, RHEUMATOLOGY, HEMATOLOGY AND NEONATOLOGY. FORM 990, PART III, LINE 4D OTHER PROGRAM SERVICES OTHER SERVICES PROVIDED BY MOUNT SINAI HOSPITAL INCLUDE: THE LEVEL I TRAUMA CENTER; LEVEL III NEONATAL CENTER; COMPREHENSIVE SUBSTANCE-ABUSE TREATMENT; CHURCH, SCHOOL AND COMMUNITY- BASED HEALTH EDUCATION; LABORATORY AND SCREENING SERVICES. SINAI ALSO PROVIDES A WIDE ARRAY OF DEDICATED PROGRAMS, INCLUDING COMMUNITY MENTAL HEALTH, OCCUPATIONAL HEALTH, DIABETES EDUCATION, OBESITY PREVENTION, BREAST CANCER PREVENTION, SCREENING, AND EDUCATION, AND TEEN PREGNANCY AMONG OTHERS. AN OVERVIEW OF MOUNT SINAI HOSPITAL PERFORMANCE DURING FISCAL YEAR 2018 IS GIVEN BELOW: - PATIENT DAYS: 59,093 - AVERAGE LENGTH OF STAY: 4.93 DAYS - EMERGENCY ROOM VISITS: 42,122 - OUTPATIENT SURGERIES: 4,561 - CHARITY CARE (AT COST): $23,945,486 ACCREDITATIONS AND CERTIFICATIONS: - PALLIATIVE MEDICINE PROGRAM RECOGNIZED FOR OUTSTANDING ACHIEVEMENT BY THE COLEMAN FOUNDATION - OUTPATIENT PSYCHIATRY PROGRAMS ACCREDITED BY CARF - NATIONAL EXCELLENCE IN HEALTHCARE 2014 AWARD WINNER FOR OVERALL QUALITY CARE FROM PROFESSIONAL RESEARCH CONSULTANTS - GET WITH THE GUIDELINES STROKE GOLD-PLUS QUALITY ACHIEVEMENT AWARD WINNER FROM THE AMERICAN HEART ASSOCIATION AND AMERICAN STROKE ASSOCIATION - ONCOLOGY PRACTICE INITIATIVE CERTIFICATION PROGRAM, AN AFFILIATED PROGRAM OF THE AMERICAN SOCIETY OF CLINICAL ONCOLOGY - OB ULTRASOUND DEPARTMENT ACCREDITED BY THE AMERICAN INSTITUTE OF ULTRASOUND MEDICINE - MAMMOGRAPHY ACCREDITED BY THE AMERICAN COLLEGE OF RADIOLOGY - THE JOINT COMMISSION GOLD SEAL OF APPROVAL - EMERGENCY DEPARTMENT APPROVED FOR PEDIATRICS CERTIFICATION (EDAP) - AMERICAN COLLEGE OF SURGEONS COMMISSION ON CANCER - ACCREDITED CHEST PAIN CENTER BY THE SOCIETY OF CHEST PAIN CENTERS PRIMARY STROKE CENTER AWARDS: - INNOVATION IN QUALITY AWARD (ILLINOIS HOSPITAL ASSOCIATION) - ILLINOIS HOSPITAL ASSOCIATION PLEDGE QUALITY ACHIEVEMENT AWARD - DEAF ILLINOIS AWARD FOR BEST HEALTH SERVICES IN 2007, 2009 AND 2011 - ORGAN AND TISSUE DONOR NETWORK'S GIFT OF HOPE SILVER MEDAL OF HONOR FORM 990, PART V, LINE 1A FORM 1096 TRANSMITTAL OF U.S. INFORMATION RETURNS MOUNT SINAI HOSPITAL REPORTS ZERO ON FORM 990, PART V, QUESTION 1A AS IT IS NOT REQUIRED TO FILE FORM 1096, TRANSMITTAL OF U.S. INFORMATION RETURNS. ALL OF THE CORPORATION'S ACCOUNTS PAYABLE REPORTABLE ON FORM 1096 ARE PAID BY SINAI HEALTH SYSTEM, WHICH ISSUES ALL FORMS 1099, AND THE EXPENSE IS TRANSFERRED TO MOUNT SINAI HOSPITAL. FORM 990, PART VI, LINE 1A EXPLANATION OF DELEGATED BOARD 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 SHAREHOLDERS THERE ARE TWO CLASSES OF MEMBERS: THE SOLE CORPORATE MEMBER AND INDIVIDUAL MEMBERS. THE SOLE CORPORATE MEMBER OF THE CORPORATION IS SINAI HEALTH SYSTEM (EIN: 36-3166895), AN ILLINOIS NOT-FOR-PROFIT CORPORATION. IN ADDITION, EVERY MEMBER OF THE JEWISH FEDERATION OF METROPOLITAN CHICAGO SHALL BE AN INDIVIDUAL MEMBER. FORM 990, PART VI, 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 COMPLIANCE AND OTHER APPROPRIATE STAFF OF THE ORGANIZATION. THE FORM 990 WAS THEN PREPARED BY ERNST & YOUNG, LLP AND REVIEWED BY SENIOR FINANCE STAFF AND OTHER MEMBERS OF SENIOR LEADERSHIP. PRIOR TO THE FILING, THE FORM 990 WAS MADE AVAILABLE TO THE FULL BOARD OF DIRECTORS. FORM 990, PART VI, LINE 12C 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, LINES 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 SYSTEMS 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 ORGANIZATIONS 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 DOCUMENTS PUBLICLY AVAILABLE GOVERNING DOCUMENTS, CONFLICT OF INTEREST AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST AND AFTER REVIEW BY MANAGEMENT. FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCES Other Changes in Net Assets $(1,733,770) Other Changes in Net Assets $(1,733,770) SINAI TOUHY PHARMACY LLC 2907 W TOUHY AVE CHICAGO IL 60645 363305449 PHARMACY IL 61127 233061 MT SINAI HOS SINAI COMMUNITY PHARMACY CALIFORNIA AVE 15TH STREET CHICAGO IL 60608 363832319 PHARMACY IL -238454 186960 MT SINAI HOS MOUNT SINAI COMMUNITY FOUNDATION 2760 W 15TH PL 7TH FL CHICAGO IL 60608 333305449 HEALTHCARE IL 501(c)(3) 12 TYPE I SINAI HEALTH true SINAI COMMUNITY INSTITUE 2653 WEST OGDEN AVE CHICAGO IL 60608 363932824 HEALTHCARE IL 501(c)(3) 10 SINAI HEALTH true SCHWAB REHABILIATION HOSPITAL & CARE CALIFORNIA AVE AT 15TH PLACE CHICAGO IL 60608 362179802 HEALTHCARE IL 501(c)(3) 3 SINAI HEALTH true SINAI HEALTH SYSTEM CALIFORNIA AVE AT 15TH PL CHICAGO IL 60608 363166895 PARENT CORP IL 501(c)(3) 12 TYPE II NA false HOLY CROSS HOSPITAL 2701 WEST 68TH ST CHICAGO IL 60629 362170133 HEALTHCARE IL 501(c)(3) 3 SINAI HEALTH true MT SINAI HOSP MED CNT ENDOWMENT FNDTN 30 SOUTH WELLS NO 4049 CHICAGO IL 60606 364310820 HEALTHCARE IL 501(c)(3) 12 TYPE i SINAI HEALTH true HAWTHORNE WORKS MEDical IMAGING llc 8930 Waukegan Rd ste 130 morton grove IL 60053 203364703 IMAGING IL MT SINAI HSPTL Related 247491 298333 false 0 true 0.51000 PROGRESS HEALTH INC 2701 W 68TH STREET CHICAGO IL 60629 364109153 MGMT SERVICES IL SINAI HLTH SYS C Corp 0 0 false false false false false true false false false false true false false true false false false true false true SCHWAB REHABILITATION HOSPITAL AND CARE p 1533107 COST MOUNT SINAI COMMUNITY FOUNDATION j 512919 COST holy cross hospital Q 1600104 COST schwab rehabilitation hospital and care e 855000 COST MOUNT SINAI COMMUNITY FOUNDATION m 22046260 cost holy cross hospital e 1007946 cost sinai community institute S 395094 cost