2018-05-15T15:10:35-05:00 2017-06-30 ERNST & YOUNG US LLP 950 MAIN AVENUE STE 1800 CLEVELAND OH 44113 990 2016-07-01 362179802 Schwab Rehabilitation Hospital and care network % LOREN CHANDLER CFO SCHW 7735422000 1401 S California Avenue Chicago IL 60608 Loren Chandler CFO 7735422000 2018-05-15 true Erica M Yike P01608257 2168615000 2016 2022-09-23 18:48:47Z KAREN TEITELBAUM 1401 S California Avenue Chicago IL 60608 41644531 false X www.sinai.org X 1922 IL SEE SCHEDULE O 26 25 426 7 0 250662 216121 38625617 40268012 836071 1160398 55935 0 39768285 41644531 0 0 0 0 24107956 22836313 0 0 217836 15556126 16581932 39664082 39418245 104203 2226286 82521246 85177370 25376158 25912739 57145088 59264631 X As a member of Sinai Health System, Schwab Rehabilitation Hospital (Schwab or the Hospital) has a mission of improving the health of the individuals and communities it serves by providing comprehensive inpatient short term subacute and outpatient physical rehabilitation services. false false 20426242 14997134 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. 33% 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 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. THESE EFFORTS HAVE HELPED US SUSTAIN BELOW AVERAGE FALL RATES ACROSS ALL OF THE NURSING UNITS. 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 FIVE (5) YEARS WITH A 100% COMPLIANCE RATE OF USE. NURSES ARE ENCOURAGED TO CONTINUE THEIR EDUCATION AND ATTAIN SPECIALTY CERTIFICATIONS. 33% 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 patient. Several of our nurses are also recipients of the DAISY Award, a national program recognizing the compassionate care provided to patients. 6616635 19198620 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-LARYNGEAL 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 CHICAGO LAND. 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 PHYSICAL THERAPY, OCCUPATIONAL THERAPY, AND COMMUNICATIONS DISORDER PROGRAMS ACROSS ALL OF CHICAGO LAND, 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. 858821 4187723 Pharmacy SCHWAB ANTICOAGULATION PROGRAM 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. PART III, LINE 4D- ATTACHMENT Other Program Services Support Services Materials Management works with Nursing and Therapies 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. intervention programs 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. 9895330 1884535 37797028 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 true true false false true X 0 0 true 426 true false false false false false false false false false false X 26 25 false false false false true true true true true false false true true true true true true true true false IL X LOREN CHANDLER CFO 7732575658 1500 S CALIFORNIA AVE Chicago IL 60608 X Robert Markin Director & Board Chair 2.0 10.0 X X 0 0 0 Albert Grace Director & Vice Chair 2.0 10.0 X X 0 0 0 Leslie Davis Director & Secretary 2.0 10.0 X X 0 0 0 Jonathan Jonas Director & Treasurer 2.0 10.0 X X 0 0 0 Daniel Ash Director 2.0 10.0 X 0 0 0 John Benevides Director 2.0 10.0 X 0 0 0 Anne Donnelly Director 2.0 10.0 X 0 0 0 Alex Dubuclet Director 2.0 10.0 X 0 0 0 Mark Frisch Director 2.0 10.0 X 0 0 0 Laurie Hernandez Director 2.0 10.0 X 0 0 0 Daniel Katz MD Director 2.0 38.0 X 0 605550 25981 Abraham Morgan Director 2.0 10.0 X 0 0 0 Tom Nodine Director 2.0 10.0 X 0 0 0 Gary Niederpruem Director 2.0 10.0 X 0 0 0 Alex Pissios Director 2.0 10.0 X 0 0 0 Bettylu Saltzman Director 2.0 10.0 X 0 0 0 Robert Shakno Director 2.0 10.0 X 0 0 0 Keith Wakefield Director 2.0 10.0 X 0 0 0 Bob Wolfberg Director 2.0 10.0 X 0 0 0 Roxanne Decyk Director 2.0 10.0 X 0 0 0 Vivian Funches Director 2.0 10.0 X 0 0 0 Alejandra Garza Director 2.0 10.0 X 0 0 0 Wayne Lerner Director 2.0 10.0 X 0 0 0 Josh Metnick Director 2.0 10.0 X 0 0 0 Lee Miller Director 2.0 10.0 X 0 0 0 Sr Immacula Wendt Director 2.0 10.0 X 0 0 0 Karen Teitelbaum CEO 2.0 40.0 X 0 747897 7954 Charles Weis Jr President & CFO 4.4 38.6 X 0 518321 13667 Michelle Gittler Physician 40.0 0.0 X 297403 0 19677 Gioia Herring-Williams Physician 40.0 0.0 X 256750 0 276 Steven Krais Physician 40.0 0.0 X 248650 0 6837 Raymond Lee Physician 40.0 0.0 X 235047 0 22900 Lisa Thornton Physician 40.0 0.0 X 228528 0 20703 1266378 1871768 117995 48 false true false G4S SOLUTIONS USA INC PO BOX 277469 ATLANTA GA 303847469 SECURITY 448883 SUPERIOR HEALTH LINENS LLC 230006 MOMENTUM PLACE CHICAGO IL 606890006 LAUNDRY 157715 INTEGRATED CONTROL TECHNOLOGIES LLC 450 FENTON LANE SUITE 900 WEST CHICAGO IL 60185 OPERATION AIR SYSTEM 100500 3 0 60274 155847 0 216121 PATIENT SERVICES 622310 39986343 39986343 0 0 LEASED PHYSICIANS 541990 215457 215457 0 0 PARKING 812930 40631 40631 0 0 OTHER 900099 25581 25581 0 0 40268012 1160398 1160398 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 41644531 40268012 0 1160398 0 0 0 0 0 0 0 0 101260 0 101260 0 0 0 0 0 19118705 18258908 859797 0 388961 388961 0 0 1911595 1686792 224803 0 1315792 1315792 0 0 0 0 0 0 63994 0 63994 0 9250 8500 750 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30579 30213 366 0 332 332 0 0 0 0 0 0 433905 433905 0 0 12917 6469 6448 0 0 0 0 0 53521 53521 0 0 695816 695816 0 0 0 0 0 0 1051703 1051703 0 0 516082 516082 0 0 ICT PROF SERVICES 4189073 3971237 0 217836 TAX ASSESSMENT 3748792 3748792 0 0 CONTRACT/PROFESSIONAL 2645546 2645546 0 0 MEDICAL SUPPLIES 1533384 1520905 12479 0 1597038 1463554 133484 39418245 37797028 1403381 217836 0 71831 151228 62260 60803 0 0 9936465 12763835 0 0 0 0 0 0 56810 48032 187730 125276 37819268 23339281 15122418 14479987 3009159 3315696 2817342 3083063 0 0 0 0 51257231 51149450 82521246 85177370 2906048 3175938 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22470110 22736801 25376158 25912739 X 56532400 58721592 612688 543039 0 0 57145088 59264631 82521246 85177370 2226286 -37091 0 0 -69652 X X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 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 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 HEALTH SYSTEM COLLABORATES WITH THE AMERICAN HOSPITAL ASSOCIATION, THE ILLINOIS HOSPITAL ASSOCIATION, THE PREMIER HOSPITAL ALLIANCE, AND THE JEWISH FEDERATION OF METROPOLITAN CHICAGO/JEWISH UNITED FUND. AT THE STATE LEVEL, SINAI UTILIZES TWO OUTSIDE LOBBYING FIRMS. 495490 495490 29718007 16290691 13427316 92958 96568 -3610 7512813 6952022 560791 14479987 DEFERRED BOND 292118 DUE FROM THE AFFILIATES 50175842 DUE FROM UNRESTRICTED FUNDS 189608 OTHER ASSETS 18600 OTHER RECEIVABLES 472408 DUE FROM THIRD PARTIES 874 51149450 0 ASSSET RETIREMENT OBLIGATION 770641 CURRENT PORTION SELF INSURANCE 235762 DUE TO THIRD PARTY PAYOR 1237005 DEFERRED LIABILITIES 379598 DUE FROM UNRESTRICTED 189608 SELF INSURANCE LIABILITY 2596119 TAXABLE BONDS PAYABLE 16652280 OTHER CURRENT LIABILITY 675788 22736801 X FIN 48(ASC740)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. PRO 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, 2017 and 2016, 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, 2013 and prior. true true X true X 300. true X 600. true true false true true 807754 807754 0.02100 2393552 15424636 3201306 15424636 807754 0.02100 88844 88844 0.00230 1180869 908241 272628 0.00710 604956 604956 0.01580 1874669 908241 966428 0.02520 5075975 16332877 1774182 0.04620 false 991000 212511 5388926 5948195 -559269 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 PART V, LINE 5- ACCOUNT INPUT FROM PERSON WHO REPRESENTS THE COMMUNITY In 2015 Schwab rehabilitation hospital (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 notably, 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. Part V, Line 7a - CHNA Websit HTTP://www.sinai.org/content/community-health-needs-assessments-chna Part V, Line 11 - Significant needs Schwab rehabilitation hospital is now using the implementation plan that was created as part of June 2016 chna. The chna identifies significant health needs and barriers faced by the communities served by Schwab. Schwab leaders developed an implementation plan and rollout strategy that aligns with the hospital's strategic plan and will be implemented over the course of three years. Schwab is addressing the following significant health needs: - stroke - violence - diabetes Part V, Line 16a and 16b - FAP Documents Website HTTP://www.sinai.org/content/financial-assistance-0 Schedule H, Part V, Section b, lines 16c & 16i - FAP documents During the preparation of its June 30, 2017 Form 990, Schwab Rehabilitation Hospital discovered that its financial assistance policy (FAP) and plain language summary of the FAP were not translated into the primary languages spoken by limited English proficiency populations. In addition, the plain language summary of the FAP, as well as the translated versions of the FAP and plain language summary of the FAP were not widely available on a website. Upon discovering these omissions, Schwab Rehabilitation Hospital immediately took action and is currently taking steps to correct these issues. Part I, Line 6a - related organization community benefit report the community benefit report is prepared by the parent corporation Sinai health system (36-3166895). Part I, Line 7 - Explanation of Costing Methodology the costing methodology utilized throughout this report is the cost to charge ratios based on the Medicare and Medicaid costs reports. total cost per the Medicare cost report worksheet b, part 1 column 27 divided by total inpatient gross revenue. part i, line 7, column f - explanation of bad debt expense THE 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. THE BAD DEBT EXPENSE IS $990,986. part i, line 7g - cost associated with physical clinics no subsidized health services were reported. PART III, line 2 - METHODOLOGY USED TO ESTIMATE BAD DEBT EXPENSE Schwab 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 INCLUDING COMMUNITY BENEFIT 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. the corporation 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 4 - BAD DEBT EXPENSE per audited financial statements note 1 patient accounts receivable, the corporation maintains allowances for uncollectible accounts for estimated losses resulting from a payor's inability to make payments on accounts. the corporation estimates the allowance for uncollectible accounts based upon management's assessment of historical and expected net collections considering historical business and economic conditions, trends in health care coverage, and other collection indicators. the corporation recognizes a significant amount of patient service revenue at the time services are rendered even though the corporation does not assess the patient's ability to pay at that time. as a result, the provision for bad debts is presented as a deduction from patient service revenue (net of contractual provisions and discounts). for uninsured patients that do not qualify for charity care, the corporation establishes an allowance to reduce the carrying value of such receivable to their estimated net realizable value. management assesses the adequacy of the allowance for uncollectible accounts based on historical write-off experience. After satisfaction of amounts due from insurance, the corporation follows established guidelines for placing certain past-due balances with collection agencies, subject to the terms of certain restrictions on collection efforts as determined by the corporation. the corporation generally does not charge interest on past due accounts. a significant portion of the corporation's provision for doubtful accounts relates to self-pay patients, as well as co-payments and deductibles owed to the corporation by patients with insurance. PART III, LINE 8 - EXPLANATION OF SHORTFALL AS COMMUNITY BENEFIT All shortfall is treated as a community benefit. PART III, LINE 9B - PROVISIONS ON COLLECTION PRACTICES FOR QLFD PATIENTS Staff will apply the same collection standards to all patients who receive services. Staff will comply with Fair Debt Collection Practices and The Fair Patient Billing Act when interacting with the patient or guarantor. Schwabs collection process includes both letter and call series built 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 the Illinois patient uninsured act. in addition, resources are made available to patients throughout the collections process. these resources included 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 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 prevalence then guides the design of community services and also assures there is no bias based on race, gender, or patients ability to pay. Schwab is related to organizations such as Sinai community institute, mount Sinai community foundation and Sinai urban health institute (suhi) who partner with neighborhood groups and the community overall to understand health and well-being needs. suhi, in particular, conducts comprehensive door-to-door health needs assessments. Schwab also supports Sinai community institute and SUHI by providing clinicians and health educators to community education series "how healthy is your zip code". 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 Educators 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 patient 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 750,000 people located on the west side of Chicago. One outlying facility, Sinais 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 60% of Sinais patients are Medicaid recipients and 15% are uninsured. Sinais interpreter services support 150 different languages, including American Sign Language, making Sinai one of the strongest medical programs in the nation for deaf and hard of hearing patients. Sinai is one of the largest Medicaid providers in Illinois. Ninety-three percent of Sinais patients are individuals classified in minority race categories. 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 Schwab is part of the Sinai health system. the Sinai health system is a unique health care delivery system on the west and southwest sides of Chicago. mount Sinai hospital was founded in 1919 to provide care to eastern European Jewish immigrants in the area as well as to create a place for Jewish doctors to practice. the Sinai health system now serves predominantly black and Latino communities, but our mission has remained the same. This mission addresses our desire to make a difference in both the individuals and the communities we serve. As we develop innovative and effective ways to do this, we strive to become the national model for the delivery of urban health care. Along with Schwab, the system includes Mount Sinai hospital, holy cross hospital, Sinai children's hospital, Sinai medical group, the Sinai community institute, and the Sinai urban health Institute. For more information on the Sinai health system, visit http://www.sinai.org/. Part VI, Line 7 - states where community benefit report filed IL false true false false false false false false false Karen Teitelbaum CEO 0 682437 0 0 0 65460 0 0 0 7954 0 755851 0 0 Charles Weis Jr President & CFO 0 463824 0 0 0 54497 0 0 0 13667 0 531988 0 0 Daniel Katz MD Director 0 574396 0 0 0 31154 0 0 0 25981 0 631531 0 0 Michelle Gittler Physician 277393 0 0 0 20010 0 0 0 19677 0 317080 0 0 0 Gioia Herring-Williams Physician 245439 0 0 0 11311 0 0 0 276 0 257026 0 0 0 Steven Krais Physician 227789 0 0 0 20861 0 0 0 6837 0 255487 0 0 0 Raymond Lee Physician 217683 0 0 0 17364 0 0 0 22900 0 257947 0 0 0 Lisa Thornton Physician 195508 0 0 0 33020 0 0 0 20703 0 249231 0 0 0 Form 990, part i, line 3 - methods used by related org to establish CEO Compensation THE ORGANIZATION PAYS OUT COMPENSATION BASED ON THE FOLLOWING PROCEDURESAND GUIDELINES: SINAI HEALTH SYSTEM (SHS) HAS AN EXECUTIVE COMPENSATION 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, ANDREVIEWS 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'S ESTABLISHED GOALS. THE COMMITTEE MAINTAINS WRITTEN MINUTES WHICH ARE MAINTAINED IN EXECUTIVE WHICH ARE MAINTAINED IN EXECUTIVE ADMINISTRATION. FORM 990, PART I, LINE 4B - SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN MOUNT SINAI HOSPITAL'S SUPPLEMENTAL EARLY 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. UNLIKE NON-QUALIFIED PLANS, IN WHICH THE KEY EXECUTIVES ELECT TO DEFER THEIR COMPENSATION IN ORDER TO RECEIVE THAT COMPENSATION AT A LATER DATE, MOUNT SINAI HOSPITAL'S SUPPLEMENTAL EARLY RETIREMENT PLAN IS ENTIRELY FUNDED BY THE EMPLOYER (MOUNT SINAI HOSPITAL AND MEDICAL CENTER). THE MSH COMPENSATION COMMITTEE REVIEWS AND APPROVES ACCEPTANCE AND/OR MODIFICATIONS TO THE SERP PLAN. THE MSH'S SERP PLAN OUTLINES THE YEARLY EARNINGS PER THE INDIVIDUAL PARTICIPANTS AS WELL AS THE TIME FRAMES OF VESTMENT PER THOSE RESPECTIVE INDIVIDUALS. Charles Weis Jr. $49,697 Karen Teitelbaum $47,370 FORM 990, PART I LINE 7 - NON-FIXED PAYMENTS THE ORGANIZATION PAYS OUT BONUSES BASED ON THE FOLLOWING PROCEDURES AND GUIDELINES: SINAI HEALTH SYSTEM HAS AN EXECUTIVE COMPENSATION 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. 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. PArt V, Question 1a SCHWAB REHABILITATION HOSPITAL REPORTED 0 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 Schwab's ACCOUNTS PAYABLE REPORTABLE ON FORM 1096 ARE PAID BY SINAI HEALTH SYSTEM ("SHS"), WHICH ISSUES ALL FORMS 1099 AND THEN TRANSFERS THE EXPENSE TO Schwab. THE COMPENSATION AMOUNTS REPORTED IN THIS 990 REFLECT THE AMOUNT TRANSFERRED TO THE CORPORATION FROM SHS. Part VI, Line 1a THE EXECUTIVE COMMITTEE OF SCHWAB REHABILITATION HOSPITAL CONSISTS OF THE BOARD CHAIRMAN, AND AT LEAST 15 BUT NO MORE THAN 17, MEMBERS OF THE BOARD OF DIRECTORS. THE BOARD CHAIRMAN APPOINTS THE MEMBERS OF THE EXECUTIVE COMMITTEE. THE EXECUTIVE COMMITTEE HAS THE POWER TO TRANSACT REGULAR BUSINESS OF THE CORPORATION DURING THE PERIOD BETWEEN MEETINGS OF THE BOARD, SUBJECT TO LIMITATIONS IMPOSED BY THE BOARD OR LAW. WHEN ACTION IS TAKEN BY THE EXECUTIVE COMMITTEE, IT IS REPORTED TO THE BOARD. Form 990, Part VI, Line 6 Sinai Health System (EIN 36-3166895) is the sole member of Schwab Rehabilitation Hospital. Part VI, Line 7a Board members are nominated by the Board Recruitment, Education, and Nominating Committee of the sole corporate member, Sinai Health System, and elected by the members from among those persons approved for appointment by the sole corporate member. Part VI, Line 7b 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. Part VI, Line 11b 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. Part VI, Line 12c THE CONFLICT OF INTEREST DISCLOSURE FORM IS COMPLETED AND SIGNED ANNUALLY BY ALL BOARD MEMBERS, EMPLOYED PHYSICIANS, MANAGEMENT PERSONNEL AS WELL AS OTHER EMPLOYEES WHO ARE IN A POSITION TO INFLUENCE PURCHASING DECISIONS, AFFILIATIONS OR REFERRALS, HIRING DECISIONS OR CONTRACTS. THE FORM IS COMPLETED ON APPOINTMENT TO THE BOARD OF DIRECTORS OF SINAI HEALTH SYSTEM OR ANY ONE OF ITS ENTITIES, UPON HIRE FOR ANY RELEVANT JOB CATEGORY OR AT THE TIME OF APPOINTMENT TO THE MEDICAL STAFF. IN ADDITION TO THE ANNUAL FILING OF THE FORM, AN UPDATE IS REQUIRED TO BE FILED ANY TIME THERE HAS BEEN A CHANGE. 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 INTEGRITY OFFICER WHO WILL REVIEW POTENTIAL CONFLICTS WITH THE SINAI HEALTH SYSTEM CHIEF EXECUTIVE OFFICER AND CHAIRMAN OF THE BOARD OF directors. Part VI, Line 15a & 15b SINAI HEALTH SYSTEM HAS AN EXECUTIVE COMPENSATION COMMITTEE TO SUPPORT THE ORGANIZATIONAL PERFORMANCE OF SINAI HEALTH SYSTEM 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 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 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. Part VI, line 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST AND AFTER REVIEW BY MANAGEMENT. PArt X, Line 25 THE OUTSTANDING BONDS PAYABLE REPORTED ON PART X, LINE 25 WERE PREVIOUSLY REPORTED ON PART X, LINE 20 IN THE PRIOR YEAR. THE BALANCE SHEET FOR THIS YEAR AND LAST YEAR HAVE BEEN UPDATED TO REFLECT THE FACT THAT THESE BONDS ARE NOT TAX EXEMPT. 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