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      <Form990PartVIISectionAGrp>
        <PersonNm>Bob Wolfberg</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Roxanne Decyk</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Vivian Funches</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Alejandra Garza</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Wayne Lerner</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Josh Metnick</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Lee Miller</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Sr Immacula Wendt</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Charles Weis Jr</PersonNm>
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        <PersonNm>Karen Teitelbaum</PersonNm>
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        <PersonNm>Sharon Homan</PersonNm>
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        <PersonNm>Bakul Patel</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Robert Tarver</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Lauren Sullivan</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Brent Spyrka</PersonNm>
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      <ContractorCompensationGrp>
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          <USAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
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      <ContractorCompensationGrp>
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        <ContractorAddress>
          <USAddress>
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      <ContractorCompensationGrp>
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      <ContractorCompensationGrp>
        <ContractorName>
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          <USAddress>
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        <FundraisingAmt>741</FundraisingAmt>
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        <ProgramServicesAmt>100446</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1406849</ManagementAndGeneralAmt>
        <FundraisingAmt>21049</FundraisingAmt>
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        <FundraisingAmt>0</FundraisingAmt>
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        <ProgramServicesAmt>232694</ProgramServicesAmt>
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      <TravelGrp>
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        <ProgramServicesAmt>18222</ProgramServicesAmt>
        <ManagementAndGeneralAmt>46346</ManagementAndGeneralAmt>
        <FundraisingAmt>515</FundraisingAmt>
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      <PymtTravelEntrtnmntPubOfclGrp>
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      </PymtTravelEntrtnmntPubOfclGrp>
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        <ProgramServicesAmt>16909</ProgramServicesAmt>
        <ManagementAndGeneralAmt>21822</ManagementAndGeneralAmt>
        <FundraisingAmt>740</FundraisingAmt>
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      <PaymentsToAffiliatesGrp>
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        <FundraisingAmt>0</FundraisingAmt>
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        <ProgramServicesAmt>18769</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3959631</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>99271</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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        <ProgramServicesAmt>478</ProgramServicesAmt>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>226366</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4225722</ManagementAndGeneralAmt>
        <FundraisingAmt>90588</FundraisingAmt>
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      <OtherExpensesGrp>
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        <ManagementAndGeneralAmt>113736</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>OTHER OVERHEAD TO AFFILIATES</Desc>
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        <FormAndLineReferenceDesc>DESIGNATION OF SUPPORTED ORGANIZATIONS</FormAndLineReferenceDesc>
        <ExplanationTxt>Schedule A, Part IV, Section A, Line 1 Sinai Health Systems (SHS) Articles of Incorporation designate its supported organization by class and purpose, which is permissible under section 1.509(a)-4(c). Per the Articles of Incorporation, SHS promotes the interest of any not-for-profit and federally tax-exempt organization that is affiliated with SHS.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part II-B, Lines 1b &amp; 1h</FormAndLineReferenceDesc>
        <ExplanationTxt>Supplemental information 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. Some expenses are allocated to Mount Sinai Hospital and Holy Cross Hospital but the expenses 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. A portion of dues from the American Hospital Association and the Illinois Hospital Association support federal lobbying. At the state level, Sinai utilizes two outside lobbying firms.</ExplanationTxt>
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        <ExplanationTxt>FIN 48(ASC 740) Footnote 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 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 not subject to examination for the years ended June 30, 2013 and prior.</ExplanationTxt>
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        <PersonNm>Charles Weis Jr</PersonNm>
        <TitleTxt>CFO</TitleTxt>
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        <PersonNm>Karen Teitelbaum</PersonNm>
        <TitleTxt>CEO &amp; President</TitleTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Schedule J, Part I, Question 1a</FormAndLineReferenceDesc>
        <ExplanationTxt>The sinai health system, for business purposes is a corporate member of the standard club and the university 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, Part I, LIne 3 - Methods Used to determine CEO compensation THE ORGANIZATION PAYS OUT COMPENSATION 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: 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 MOUNT SINAI HOSPITAL'S ESTABLISHED GOALS. THE COMMITTEE MAINTAINS WRITTEN MINUTES WHICH ARE MAINTAINED IN EXECUTIVE ADMINISTRATION. FORM 990, PART I, LINE 4B - SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN MOUNT SINAI HOSPITAL'S (MSH) 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. Karen Teitelbaum $47,370 Charles Weis Jr $20,655 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 ORGANIZATION PERFORMANCE OF SINAI HEALTH SYSTEMS AND ITS RELATED ENTITIES THROUGH THE ALIGNMENT OF EXECUTIVE COMPENSATION WITH SYSTEM STRATEGIES AND PROGRAMS AND ENSURE COMPLIANCE WITH APPLICABLE LAW. THE VOTING MEMBERS OF THE COMMITTEE ARE INDEPENDENT MEMBERS OF THE BOARD OF DIRECTORS. THE COMMITTEE ESTABLISHES DETAILED GOALS ANNUALLY OR MORE FREQUENTLY AS CIRCUMSTANCES REQUIRE. THE COMMITTEE ESTABLISHES DETAILED GOALS ANNUALLY FOR THE PRESIDENT AND CEO AND OTHER EXECUTIVES, AND REVIEWS PERFORMANCE AGAINST THESE GOALS ON AN ANNUAL BASIS. THE COMMITTEE ANNUALLY ENGAGES AN OUTSIDE INDEPENDENT COMPENSATION CONSULTANT TO BENCHMARK THE SALARIES AND BENEFITS OF THE ORGANIZATION'S ASSISTANT VICE PRESIDENT AND ABOVE. COMPENSATION IS BASED ON DETAILED WRITTEN PERFORMANCE OF THE PRESIDENT AND CEO, EACH ELEMENT OF COMPENSATION, DATA OF COMPENSATION PROGRAM IN EFFECT FOR CEOS OF COMPARABLE ORGANIZATIONS, AND CONDUCTS AN ANNUAL REVIEW OF CEO PERFORMANCE AGAINST ESTABLISHED GOALS. THE COMMITTEE MAINTAINS WRITTEN MINUTES WHICH ARE MAINTAINED IN EXECUTIVE ADMINISTRATION.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4A</FormAndLineReferenceDesc>
        <ExplanationTxt>Program Service Accomplishments Sinai Health System is the parent organization and provides administrative management support to its affiliated organizations to enable them to improve the health and communities it serves. Located on the west side of the city of Chicago and serving a population base of 1.5 million people in its service area ZIP codes, Sinai Health System (Sinai) consists of six member organizations. They are Mount Sinai Hospital, Holy Cross Hospital, Schwab Rehabilitation Hospital, Sinai Community Institute, Sinai Medical Group, and Sinai Urban Health Institute. Sinai has a number of clinics that are located on the west and south sides of Chicago. There is also one facility, Sinai's Touhy Clinic on the north side of Chicago, which sees refugees from many nations (for example Sudan, Iraq and Burma) as well as resident Orthodox Jewish and Russian populations. With the exception of the Touhy Clinic, Sinai Health System serves primarily African-American and Latino patients. Sinai's programs and community outreach are based on scientific epidemiological assessments of local neighborhoods done by Sinai Urban Health Institute (SUHI). In addition to the work of epidemiologists, SUHI community health educators work with neighborhood groups and go door to door for further identification of individuals with chronic disease and for intervention in disease processes. SUHI also conducts health disparities research, develops innovative community health interventions, delivers community health worker training and consultation, and provides a broad scope of evaluation services. Part III, Line 4a and 4b describe the top program services that Sinai conducts with SUHI.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>PROGRAM SERVICE ACCOMPLISHMENTS Breast cancer is the second leading cause of cancer death among US women. Breast cancer mortality can be reduced through use of mammography and through treatment, both of which can be increased through targeted outreach. Determining which groups experience high rates of breast cancer prevalence and mortality can help guide outreach and intervention efforts. Research shows race/ethnic differences in breast cancer incidence and mortality. Hispanic women in the US generally display lower rates of breast cancer incidence and mortality than their non-Hispanic counterparts. However, we know that examining data at the Hispanic aggregate level masks important differences among subgroups. For example, studies of stroke and diabetes mortality among US Puerto Ricans and Mexicans reveal much higher rates among Puerto Ricans compared to their Mexican and Hispanic counterparts. Thus, it is critical to examine Hispanic subgroups individually. This project seeks to improve our understanding of the breast cancer prevalence and mortality rates among Hispanic subgroups in the US. Specifically, the primary aim is to calculate the breast cancer prevalence and mortality rates of Mexican, Puerto Rican, Cuban, Central American, South American, and Latin American women in the US. We will determine whether any of the between-group differences are statistically significant to highlight where targeted outreach efforts may be needed for groups with significantly higher mortality rates.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, Line 4C</FormAndLineReferenceDesc>
        <ExplanationTxt>Program Service Accomplishments Sinai Health Systems Mount Sinai Hospital and Holy Cross Hospital are located in community areas with high incidences of HIV. Routine HIV screening efforts in these two hospitals identify about 200 HIV positive individuals annually. In order to provide treatment and other needed social services to these individuals, the Mount Sinai Hospital Infectious Disease Center (MSHIDC) receives grant funding for outpatient ambulatory health services, as well as case management services. The main goals of these services are to: 1.Provide patients with medical care to manage their HIV 2.Provide patients with case management services to help them address barriers to care 3.Achieve virologic suppression through medication adherence Sinai practices routine screening to identify newly diagnosed and known HIV positive individuals. We currently offer case management services to all (both new and known) HIV positive patients to help ensure medication adherence. Our clinic population is comprised of patients who come from the community and is 78% Black, 21% Latino, 25% MSM, and 48% cisgender women. In 2017, 18% of the patients seen in the MSHIDC were Black MSM.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>Explanation of Delegated Board Authority to Committee The Executive Committee consists of the Board Chair, Vice Chair(s), Secretary, Treasurer and President. The Executive Committee has the power to transact all regular business of the Sinai Health System during the period between meetings of the Board, subject to any prior limitation imposed by the Board or by law. When action is taken by the Executive Committee, it will be reported to the Board at the next meeting of the Board.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>Description of classes of persons and the nature of their rights Board members are nominated by the Board Recruitment, Education, and Nominating Committee of Sinai Health System, and elected by the members from among those persons approved for appointment by Sinai Health System.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>Describe the process used by management &amp;/or govening body to review 990 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 &amp; Young, LLP and reviewed by senior finance staff and other members of senior leadership. Prior to the filing, the Form 990 was made available to the full board of directors.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>Describe the process to monitor transactions for conflicts of interest 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, LINE 15A &amp; 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>Compensation review &amp; approval process - officers &amp; key employees 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 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 executive session, the Committee reviews the performance of the President and CEO, each element of compensation, data of compensation programs in effect for CEOs of comparable organizations, and conducts an annual review of CEO performance against established goals. The Committee maintains written minutes which are maintained in Executive Administration.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>Governing documents Governing documents, conflict of interest and financial statements are made available upon request and after review by management.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9</FormAndLineReferenceDesc>
        <ExplanationTxt>Other Change in Net Assets Assets Released from restriction for operation = $812,004</ExplanationTxt>
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