2017-05-15T10:47:33-05:00 2016-06-30 ERNST & YOUNG US LLP 155 N Wacker Drive Chicago IL 60606 990 2015-07-01 362179802 Schwab Rehabilitation Hospital and Care Network % Schwab Rehabilitation Hospit SCHW 7735422000 1401 S California Avenue Chicago IL 60608 CHARLES WEIS EXECUTIVE VP & CFO 7735422000 2017-05-12 true MELANIE A McPEAK P01346034 3128792000 2015 2021-01-29 14:40:06Z CHARLES WEIS EVP CFO 1401 S California Avenue Chicago IL 60608 39768285 false X www.sinai.org X 1922 IL SEE SCHEDULE O 32 30 439 3 0 154570 250662 40127810 38625617 916219 836071 152642 55935 41351241 39768285 0 0 0 0 23394840 24107956 0 0 125688 16559964 15556126 39954804 39664082 1396437 104203 85751776 82521246 28741231 25376158 57010545 57145088 X As a member of Sinai Health System, Schwab Rehabilitation Hospital (Scwab 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. The Hospital performs these services in the areas of stroke, traumatic brain injury, spinal cord injury, amputation, and general rehabilitation for adult and pediatric patients. Schwab Extended Services departments assist patients in rejoining their communities guiding them in accessing public transportation, accessible housing, education and recreation. The peer mentoring programs pairs individuals with previously acquired disabilities with patients for whom living with disabilities is new. Schwab is a teaching hospital hosting residents and allied health students. Schwab rehabilitation hospital supports its patient diversity with medical interpreters and capacity for interpretation in over 150 languages incl false false 9914023 0 14764527 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 four (4) 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 standards of care and positively impact patient outcomes on their units. Several of our nurses are also recipients of the DAISY Award, a national program recognizing the compassionate care provided to patients. 6809733 0 17765461 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 Chicagoland. Schwab Audiologist are fluent in both ASL and Spanish, and serve all age ranges from infant to geriatric adults. Audiology is available to our inpatients, should a sudden hearing loss occur related to a new medical condition, otherwise patients are scheduled for visits following discharge from the hospital. Psychology Services focus on patients adjusting to the "new normal" of living with a disability; concentrating on loss, anxiety, depression, role definition, and patient and family coping. In addition, they assist patients with encouragement to participate in their overall plan of care. All therapies 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 Chicagoland, as well as with numerous out-of-state programs. Dozens of students come to Schwab each year to complete the final stages of their graduate level clinical internship, supported by Clinical Instructors among Schwab staff therapists, and prepare for employment as entry-level clinicians. Therapists hold a variety of specialty skills and certifications. Specializations held among our staff includes: APTA Neurological, Pediatric, and Orthopedic Clinical Specialists, RESNA-certified clinicians, LANA-certified, and NDT-trained therapists, Vital Stim certifications, Lee Silverman Voice, and many other specialties. 981749 0 4427829 Pharmacy Schwab Anticoagulation Program Adverse Drug Event Prevention The Medication Use Safety Improvement Committee addresses Anticoagulation therapy at Mount Sinai and Schwab Rehabilitation Hospital. Anticoagulation medications are considered high risk in that they require close monitoring for continued dose adjustments to maintain therapeutically effective dose levels, while having a high potential for adverse patient events. Addressing regulatory standards and best practices for overall Venous Thrombo-Embolism prevention, anticoagulation treatment protocols were reviewed, updated and approved. The Medication Use Safety Improvement Committee also reviewed data from the Institute for Healthcare Improvement (IHI) anticoagulation trigger tool document, which provides screening criteria for adverse drug events. This data assisted the committee in determining which interventions need to be made at the respective hospital and the type of intervention: education, protocol changes, formulary changes and management of the medication. The Pharmacy department worked closely with Schwab Rehabilitation Hospital in recommending anticoagulation education to nurses, Residents and attending Physicians. This education focused on prescribing, dose adjustment, administration and monitoring of anticoagulants and helped decrease the number of adverse drug events. Education was provided several times and will continue to be provided to promote a culture of medication safety. PART III, LINE 4D- ATTACHMENT Other Program Services Support Services Other Program Service Accomplishments in Education, Lab, Patient-Related Services, Psychology, Radiology, Rehabilitation, Communication, and Other 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. Some points of interest and highlights include 6 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. 675523 2578735 18381028 true true false false false false false false false true false false true true true false true false false false false false false false false true true false false true false false false false false false false false false false false false false true false false false true X 5 0 true 439 true false false false false false false false false false false X 32 30 false false false false true true true true true false false true true true true true true true true false IL X Schwab Rehabilitation Hospit 7732572417 1401 S California Ave Chicago IL 60608 AR Umans Director 1.0 5.0 X 0 0 0 Abraham Morgan Director 1.0 5.0 X 0 0 0 Aida Giachello Director 1.0 5.0 X 0 0 0 Albert Grace Vice Chair 1.0 5.0 X X 0 0 0 Alex duBuclet Director 1.0 5.0 X 0 0 0 Alex Pissios Director 1.0 5.0 X 0 0 0 Anne Donnelly Director 1.0 5.0 X 0 0 0 Bettylu Saltzman Director 1.0 5.0 X 0 0 0 Bob Wolfberg Director 1.0 5.0 X 0 0 0 Daniel Ash Director 1.0 5.0 X 0 0 0 Daniel Katz MD Director 1.0 39.0 X 0 503020 20503 Gary Keller Director 1.0 5.0 X 0 0 0 Gary Niederpruem Director 1.0 5.0 X 0 0 0 John Benevides Director 1.0 5.0 X 0 0 0 John Danaher MD Director 1.0 5.0 X 0 0 0 Jonathan Jonas Treasurer 1.0 5.0 X X 0 0 0 Karen Teitelbaum Ex-Officio 2.0 38.0 X X 0 748382 77474 Keith Wakefield Director 1.0 5.0 X 0 0 0 Kenneth Luccioni Director 1.0 5.0 X 0 0 0 Laurie Hernandez Director 1.0 5.0 X 0 0 0 Leslie Davis Secretary 1.0 5.0 X X 0 0 0 Mark Frisch Director 1.0 5.0 X 0 0 0 Rey Gonzalez Director 1.0 5.0 X 0 0 0 Robert Markin Chairman 1.0 5.0 X X 0 0 0 Robert Shakno Director 1.0 5.0 X 0 0 0 Robert Steele Director 1.0 5.0 X 0 0 0 Sharon Rossmark Director 1.0 5.0 X 0 0 0 Sr Immacula Wendt Director 1.0 5.0 X 0 0 0 Steve Topel Director 1.0 5.0 X 0 0 0 Terry Wheat Director 1.0 5.0 X 0 0 0 Tom Nodine Director 1.0 5.0 X 0 0 0 Wayne Pierce Director 1.0 5.0 X 0 0 0 Loren Chandler Exec. VP & COO 2.0 38.0 X 0 435704 68775 Charles Weis Jr Exec. VP for Admin & CFO 4.4 35.6 X 0 616755 75351 James Wilson Vice President - Finance 8.0 32.0 X 0 113696 1420 Mark Multach Chief Medical Officer 2.8 37.2 X 0 490189 45362 Rachel Dvorken Exec. VP & Gen. Counsel 2.0 38.0 X 0 405602 47882 Aaron Austin Vice President-Human Resources 3.02 36.98 X 0 295403 44048 Roberta Rakove Exec. VP & Gen. Counsel 2.4 37.6 X 0 240619 10041 Justin Schneider Vice President - Operations 2.4 37.6 X 0 182290 9121 Joel Craig Frazier Vice President 2.4 37.6 X 0 175696 9429 Tanvir Mangat VP/Chief Strategy Officer 2.8 37.2 X 0 285338 35811 Karl Sandin President 40.0 0.0 X 378239 0 12676 Raymond Lee Physician 40.0 0.0 X 228858 0 15900 Michelle Gittler Physician 40.0 0.0 X 226290 0 28028 Gioia Herring-Williams Physician 40.0 0.0 X 227438 0 10571 Lisa Thornton Physician 40.0 0.0 X 225484 0 29507 Mary Lawler Physician 40.0 0.0 X 203850 0 20157 Suzette Mahneke Vice President Nursg Adm &CNO 0.0 0.0 X 0 186290 2268 1490159 4678984 564324 39 true true false G4S SOLUTIONS USA INC SECURITY 388163 SUPERIOR HEALTH LINENS LLC LAUNDRY 222022 2 0 102268 148394 0 250662 PATIENT SERVICES 622310 38359397 38359397 0 0 MEDICAL DIRECTOR 541990 228760 228760 0 0 PARKING 812930 37460 37460 0 0 38625617 836071 855000 0 -18929 0 0 0 0 0 0 0 0 0 OTHER REVENUE 900099 55935 55935 0 0 55935 39768285 39536552 0 -18929 0 0 0 0 0 0 0 0 378239 0 378239 0 0 0 0 0 20284326 15878527 4405799 0 461621 350528 111093 0 1568651 1192175 376476 0 1415119 1075490 339629 0 0 0 0 0 62117 0 62117 0 28412 0 28412 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24259 5563 18696 0 730 730 0 0 0 0 0 0 431636 388472 43164 0 22111 10813 11298 0 0 0 0 0 50189 13344 36845 0 716193 644574 71619 0 0 0 0 0 1113103 1001793 111310 0 107113 106071 1042 0 ICT Prof Services 3960831 49257 3785886 125688 Tax Assessment 3215004 0 3215004 0 Contract/Professional 2502850 424034 2078816 0 Supplies 1818172 1717290 100882 0 1503406 137580 1365826 39664082 18381028 21157366 125688 0 0 0 0 124732 71831 614013 62260 0 0 7168348 9936465 0 0 0 0 0 0 50263 56810 184989 187730 37425514 22303096 15484519 15122418 2945296 3009159 2912635 2817342 0 0 0 0 56266981 51257231 85751776 82521246 2455879 2906048 0 0 0 0 17883186 17275608 0 0 0 0 0 0 0 0 8402166 5194502 28741231 25376158 X 56418674 56532400 591871 612688 0 0 57010545 57145088 85751776 82521246 X 104203 9524 0 0 20816 X X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 495490 495490 0 29224086 15451480 13772606 0 95260 95906 0 0 7610678 6756356 854322 0 15122418 Deferred Bond 307635 Due From The Affiliates 49949222 Due From Unrestricted Funds 189608 Other Assets 18600 Other Receivables 792166 51257231 0 Asset Retirement Obligation 770641 Blue Cross Liability -77344 Current Portion Self Insurance 335762 Deferred Liabilities 341506 Due From Unrestricted 189608 Due To/From Medicare & Medicaid 79610 Self Insurance Liability 2310608 Other Current Liability 615215 Third Party Reserve 196041 PPO & HAP Liability 432855 5194502 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, 2016 and 2015, 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, 2012 and prior. true true X true X 300. true X 600. true true true false true true 407923 407923 0.01030 9085870 7207341 1878529 0.04740 9493793 7207341 2286452 0.05770 83635 83635 0.00210 2042947 1290869 752078 0.01900 622050 0 622050 0.15700 0 0 2748632 1290869 1457763 0.17810 12242425 8498210 3744215 0.23580 false 925533 231383 7581683 8486474 -904791 X true true 1 1 SCHWAB REHABILITATION HOSPITAL 1401 CALIFORNIA AVENUE CHICAGO IL 60608 WWW.SCHWABREHAB.ORG 0002147 X SCHWAB REHABILITATION HOSPITAL 1 true false true X X X X X X X X 13 true false false true X WWW.SCHWABREHAB.ORG X X true 13 true www.sinai.org/sites/default/files/SHS_CHNA_Sc false false X 300. 600. X X X true true X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X true X X true X X X X false X X false false PART V, LINE 3J- DESCRIPTION OF OTHER NEEDS ASSESSMENT The focal points of Schwab's CHNA are not limited to only health concerns of the community, it also includes other elements of input. Survey participants mentioned mental health and parenting skills as key issues affecting health (See Section 7). Research participants discussed the lack of accessible housing and transportation that prevented them from accessing healthcare and from enjoying a higher quality of life. These issues are outside the scope of a hospital and thus are not included in our action plan; we can have a greater impact by concentrating on the focal issues described above. Beyond these issues, people with and without disabilities within Schwabs PSA have many other health concerns; we hope you will also read the CHNA reports for Mount Sinai Hospital and Holy Cross Hospital to gain a better understanding of some of these issues, and how other hospitals within Sinai Health System are developing their own action plans to improve the health of their Communities (which, of course, overlap with Schwabs PSA). PART V, LINE 5- ACCOUNT INPUT FROM PERSON WHO REPRESENTS THE COMMUNITY Many people have helped write this report. Among these have been the staff and leadership of Schwab and SUHI, 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 substential and notable. In this section we share data collected in three different ways: in person surveys of Schwab patients and families, online surveys of Schwab staff, and Town Hall forums. 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 3 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. PART V, LINE 7D Facility: Schwab Rehabilitation hospital www.sinai.org/sites/default/files/MSH_CHNA_0716.4.pdf PART V, LINE 13B-CRITERIA FOR PROVIDING DISCONTINUED CARE IF NOT FPG For eligible services, the cost of care will be discounted (to uninsured discount level) for patients who: 1.Are uninsured and/or underinsured with annual family incomes not in excess of 300% of the Federal Poverty Level but not in excess of 600% of the Federal Poverty Level, and 2.Have exhausted all other payment options, including private coverage, federal, state, and local medical assistance programs, and other forms of assistance provided by third-parties. Uninsured Discount: Uninsured patients with incomes in excess of 600% of the Federal Poverty Level for medically necessary services provided by a SHS Affiliate shall be granted a discount. The maximum collectable amount shall not exceed 25% of the annual family income beginning on the first date the patient receives healthcare services determined to be eligible for the uninsured discount at SHS. PART I, LINE 6A- RELATED ORGANIZATION COMMUNITY BENEFIT REPORT The community benefit report is prepared by related corporation Sinai Health System. Sinai Health System in total contributed $102,958,189 to charity care and community benefits of which $25,545,142 is charity care and $77,413,047 is other community benefits. Of these amounts Schwab Rehabilitation Hospital contributed $12,242,425 to charity and other community benefits of which $407,923 is charity care and $11,834,502 is other community benefits. PART I, LINE 7- EXPLANATION OF COSTING METHODOLOGY Total cost per the Medicare Cost Report worksheet B,Part 1 column 26 divided by total inpatient and outpatient gross revenue. PART I, LINE 7G- COST ASSOCIATED WITH PHYSICAL CLINICS No subsidized health services were reported. PART III, SECTION A, LINE 2. Schwab Rehabilitation 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. If the patient does qualify for bad debt the amount of bad debt is identified by determining the related covered services and derived from the deductible and coinsurance amounts. The insurance voucher will identify deductible and coinsurance amounts due on the account. The hospital collector records these amounts in the account notes in Meditech. Once payment is received by the primary payor, the account is netted down to the expected deductible or coinsurance amount. The collector must perform customary collection efforts by making phone calls or generating collection efforts to Self Pay patients or billing IDPA for the deductible and coinsurance. After reasonable collection efforts are made and the account remains unpaid, it is deemed uncollectable and written off to bad debt. The corporation 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 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. Collection practices will follow the mission and values of the Hospital and all staff will treat our patients and guarantors with consideration and in a professional manner. Identify Self-pay and Uninsured Balances. Uninsured residents of Illinois are eligible for a discount of 70% of total charges and may be eligible for additional assistance following the full Financial Assistance Policy. The hospital will, through the billing system, submit monthly statements to patients or guarantors indicating the patient balance due. During this time, the billing system will reflect a minimum of three collection attempts. Staff will also provide communication concering Sinai Health System's financial assistance policy and program. At the conclusion of this period, if internal collection efforts have not secured qualifying payment, agreeable payment arrangements, automated notification of charity qualification, or application for financial assistance, the account may be placed to external collections. On occasion the Patient Accounts department may modify the standard collection process based on specific circumstances; for example, to accelerate the cycle of the internal collection process where patients or guarantors are uncooperative or mail cannot be delivered. Conversely, the department may elect to extend internal collections if the debtor has provided good faith effort to pay the account or apply for coverage or assistance. On occasion, balances may be waived based on specific circumstances involving the account for the patient i.e. timely filing or payment from insurance. At no time will waivers of patient out of pocket balances be standard practice. Any waivers must be approved by administration or the Director of Patient Accounts. Accounts may be requested to be returned from an external collection agency with a satisfying qualifying event. Once an account is transferred to a collection agency to pursue collection activity within the guidelines of this policy and all state and federal regulations, the collection agency will proceed with reasonable collection action. No legal action shall be brought against patient for nonpayment of an account, without the written approval of the Director of Patient Accounts. If all reasonable collection actions have been taken by the collection agency to collect a debt and the collection agency determines that the account is uncollectable, the account shall be closed and returned to Sinai Health System. PART V- EXPLANATION OF NUMBER OF FACILITY TYPE There are no healthcare facilities, other than those required to be licensed,registered, or similarly recognized as a health care facility under state law. PART V, LINES 16A, 16B & 16C THE FINANCIAL ASSISTANCE POLICY, APPLICATION AND A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY ARE AVAILABLE ONLINE AT WWW.SINAI.ORG/CONTENT/FINANCIAL-ASSISTANCE-0 PART VI- 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. Sinai shared the health 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. Schwab also supports Sinai Community Institute and Sinai Urban Health Institute 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. Through its community-based asthma education interventions, Sinai demonstrated that for every $1 invested in the community health educators, up to $14 in acute care services can be avoided. Schwab also specifically builds healthier communities through the In My Shoes Violence Prevention program. In My Shoes educators, all former gang members who have disabilities, most using wheel chairs, visit schools and community groups, explaining what gang membership is really like. The educator's language is plain, direct and non-judgmental, but it addresses what youthful audience members have never thought about: the possibility of living with a disability. PART VI- 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- 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, Sinai's Touhy Clinic on the north side of Chicago, sees refugees from many nations (for example Sudan, Iraq and Burma) as well as resident Orthodox Jewish and Russian populations. Otherwise, Sinai Health System serves primarily African-American and Latino patients. Over 60% of Sinai's patients are Medicaid recipients and 15% are uninsured. Sinai's 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 Sinai's patients are individuals classified in minority race categories. PART VI- COMMUNITY BUILDING ACTIVITIES No community building activities (as reported in Part II) are reported. Schwab reports all community related activities as part of Part I - Charity Care and Certain Other Community Benefits. PART VI- EXPLANATION OF HOW ORGANIZATION FURTHERS ITS EXEMPT PURPOSE 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- AFFILIATED HEALTH CARE SYSTEM ROLES AND PROMOTION Schwab is part of Sinai Health System. Sinai Health System has organizations such as Sinai Community Institute, Mount Sinai Community Foundation and Sinai Urban Health Institute who partner with neighborhood groups and the community overall to understand health and well-being needs. Sinai Community Institute mostly concentrates on serving women, infants and children; families; and building individual potential. Sinai Community Institute and Sinai Urban Health Institute have created "How Healthy is Your Zip Code" which brings together providers, residents and health educators. Additional details of each entity and services are provided in Supplemental Information Line 2. PART VI- STATES WHERE COMMUNITY BENEFIT REPORT FILED IL X X X X X true true false false false false false false false Daniel Katz MD Director 0 503020 0 0 0 0 0 5547 0 14956 0 523523 0 0 Karen Teitelbaum Ex-Officio 0 595612 0 99456 0 53314 0 68634 0 8840 0 825856 0 43504 Loren Chandler Exec. VP & COO 0 372704 0 58200 0 4800 0 52001 0 16774 0 504479 0 0 Charles Weis Jr Exec. VP for Admin & CFO 0 471326 0 96619 0 48810 0 59069 0 16282 0 692106 0 44596 Mark Multach Chief Medical Officer 0 437790 0 52399 0 0 0 31108 0 14254 0 535551 0 0 Rachel Dvorken Exec. VP & Gen. Counsel 0 319451 0 46502 0 39649 0 45557 0 2325 0 453484 0 39303 Aaron Austin Vice President-Human Resources 0 252979 0 39784 0 2640 0 30465 0 13583 0 339451 0 0 Roberta Rakove Exec. VP & Gen. Counsel 0 223896 0 16723 0 0 0 4297 0 5744 0 250660 0 0 Justin Schneider Vice President - Operations 0 169985 0 12305 0 0 0 3463 0 5658 0 191411 0 0 Joel Craig Frazier Vice President 0 163737 0 11959 0 0 0 3278 0 6151 0 185125 0 0 Suzette Mahneke Vice President Nursg Adm &CNO 0 47213 0 0 0 139077 0 0 0 2268 0 188558 0 0 Tanvir Mangat VP/Chief Strategy Officer 0 252383 0 32955 0 0 0 35675 0 136 0 321149 0 0 Karl Sandin President 331363 0 46876 0 0 0 5624 0 7052 0 390915 0 0 0 Raymond Lee Physician 213093 0 15765 0 0 0 4399 0 11501 0 244758 0 0 0 Michelle Gittler Physician 209604 0 16686 0 0 0 13274 0 14754 0 254318 0 0 0 Gioia Herring-Williams Physician 207958 0 19480 0 0 0 9531 0 1040 0 238009 0 0 0 Lisa Thornton Physician 225484 0 0 0 0 0 14308 0 15199 0 254991 0 0 0 Mary Lawler Physician 203850 0 0 0 0 0 8740 0 11417 0 224007 0 0 0 FORM 990, Part I, LIne 3 - Methods Used By Related Org to Establish CEO/Ex THE ORGANIZATION PAYS OUT COMPENSATION 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: 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 MSH'S ESTABLISHED GOALS. THE COMMITTEE MAINTAINS WRITTEN MINUTES WHICH ARE MAINTAINED IN EXECUTIVE ADMINISTRATION. FORM 990, PART I, LINE 4A - SEVERANCE PAYMENTS THE ORGANIZATION PAID SEVERANCE IN THE FORM OF WAGE CONTINUATION TO SUZETTE MAHNEKE, VICE PRESIDENT NURSING ADM. & CNO, IN THE AMOUNT OF $139,076. THE TERMS AND CONDITIONS OF SEVERANCE AGREEMENTS VARY. 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. Aaron Austin $26,080 Charles Weis Jr. $49,966 Karen Teitelbaum $58,720 Loren Chandler $44,345 Mark Multach $31,108 Rachel Dvorkel $39,432 Tanvir Mangat $35,675 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. PART I, LINE 1 Describe the Organizations Mission or Most Significant Activities. 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 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 Explanation of Classes of Members or Shareholder Sinai Health System (EIN 36-3166895) is 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 XI, LINE 9 MISCELLANEOUS ADJUSTMENTS $20,816. Part V, Line 1a THE 2015 FORM 1096 WAS NOT LOCATED PRIOR TO FILING. WE HAVE, THEREFORE, INCLUDED THE 2014 FORM 1096 NUMBER ON PART V, LINE 1A. THE REPORTED NUMBER SHOULD BE SIMILAR TO WHAT WAS ACTUALLY REPORTED ON THE 2015 FORM 1096. Mt Sinai hospital Medical Center California Ave at 15th St Chicago IL 60608 361509000 Healthcare IL 501(c)(3) 3 Sinai Health true Mount Sinai Community Foundation California Ave at 15th St Chicago IL 60608 363305449 Healthcare IL 501(c)(3) 11A Type I Sinai Health true Sinai Community Institute 2653 West Ogden Ave Chicago IL 60608 363932824 Support Org IL 501(c)(3) 7 Sinai Health true Holy Cross Hospital 2701 West 68th Street Chicago IL 60629 362170133 Healthcare IL 501(c)(3) 3 Sinai Health true Sinai Health System 15th street california ave Chicago IL 60608 363166895 Parent corp IL 501(C)(3) 11A- type I NA false PROGRESS HEALTH INC 2701 W 68TH STREET CHICAGO IL 60629 364109153 MGMT SERVICES IL NA C CORP 0 0 0.00000 false false false false false false false false false false false false false true false false false true false false Mount Sinai Hospital Medical Center m 1333476 Cost Mount Sinai Hospital Medical Center q 855000 Cost Mount Sinai Community Foundation m 141501 Cost