2016-05-16T16:44:06-07:00 2015-06-30 990 2014-07-01 362179802 Schwab Rehabilitation Hospital and Care Network SCHW 7735422000 1401 S California Avenue Chicago IL 60608 Charles Weis Executive V.P./C.F.O 2016-05-16 false 2014 2016-12-15 16:53:06Z 41351241 false false X WWW.SINAI.ORG X 1922 IL 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. Schwab 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 including American Sig 51 49 455 6 0 174836 154570 39111953 40127810 1290563 916219 108885 152642 40686237 41351241 0 0 23854085 23394840 0 145212 15088469 16559964 38942554 39954804 1743683 1396437 84424873 85751776 28925906 28741231 55498967 57010545 X As a member organization of Sinai Health System, Schwab Rehabilitation Hospital has a mission of improving the health of the individuals and communities it serves by providing comprehensive inpatient, short term subacute and outpatient physical rehabilitation services. Schwab 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 including American Sig false false 9908186 15957480 Patient CareAccreditation 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. 44% of eligible RN staff is certified in Rehabilitation Nursing. Nursing completes 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, trachestomy 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 Board 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 three (3) years. Nurses are encouraged to continue their education and attain specialty certification. 44% of our eligible RNs have achieved rehabilitation nursing certification indicating advanced preparation and knowledge in the field. Additionally, our nurses participate in a shared decision-making council and a clinical ladder program which encourages projects to 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. 7533056 17859710 TherapySchwab 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 has a robust and well-respected Clinical Education program having affiliations with Physical Therapy, Occupational Therapy, and Communications Disorders programs across all of Chicagoland along with numerous out-of-state programs as well. 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. 1025253 4554408 Pharmacy:Schwab Anticoagulation Program: Adverse Drug Event PreventionThe 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. 711882 1998492 19178377 true true false 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 false false false true false false false false true 5 0 true 455 true false false false false false false false false 0 false false false false false false false false false false X 51 49 false false false false true true true true true false false true true true true true true true true false IL X Schwab Rehabilitation Hospital 7732572417 1401 S California Ave Chicago IL 60608 Kenneth Luccioni Director 1.00 0.00 X 0 0 0 Gary Niederpruem Chairman 1.00 0.00 X 0 0 0 Maurice Schwartz Director 1.00 0.00 X 0 0 0 John Danaher MD Director 1.00 0.00 X 0 0 0 Karen Teitelbaum President & CEO 9.00 31.00 X X 125363 396986 65994 Yogi Ahluwalia MD Director 1.00 0.00 X 0 0 0 Leslie Davis Director 1.00 0.00 X 0 0 0 Gloria Materre Director 1.00 0.00 X 0 0 0 Robert Markin Secretary 1.00 0.00 X 0 0 0 Wayne Pierce Director 1.00 0.00 X 0 0 0 Sr Immacula Wendt Director 1.00 0.00 X 0 0 0 John Benevides Director 1.00 0.00 X 0 0 0 Anne Donnelly Director 1.00 0.00 X 0 0 0 Scott Miller Director 1.00 0.00 X 0 0 0 Tom Nodine Director 1.00 0.00 X 0 0 0 Harold Sherman Director 1.00 0.00 X 0 0 0 Alex Pissios Director 1.00 0.00 X 0 0 0 Keith Wakefield Director 1.00 0.00 X 0 0 0 Aida Giachello Director 1.00 0.00 X 0 0 0 Albert Grace Director 1.00 0.00 X 0 0 0 Richard Gilford Director 1.00 0.00 X 0 0 0 Daniel Ash Director 1.00 0.00 X 0 0 0 Henri Havdala MD Director 1.00 0.00 X 0 0 0 Jonathan Jonas Director 1.00 0.00 X 0 0 0 William Singer Director 1.00 0.00 X 0 0 0 Gary Keller Director 1.00 0.00 X 0 0 0 Bret Maxwell Director 1.00 0.00 X 0 0 0 Susan Manilow Director 1.00 0.00 X 0 0 0 Laurie Hernandez Director 1.00 0.00 X 0 0 0 Bob Wolfberg Director 1.00 0.00 X 0 0 0 Sharon Rossmark Vice Chair 1.00 0.00 X 0 0 0 Mark J Frish Director 1.00 0.00 X 0 0 0 Daniel Katz Director 1.00 0.00 X 0 0 0 Robert Steele Director 1.00 0.00 X 0 0 0 Rey Gonzalez Director 1.00 0.00 X 0 0 0 Abraham Morgan Director 1.00 0.00 X 0 0 0 Paul Cherner Director 1.00 0.00 X 0 0 0 Bettylu Saltzman Director 1.00 0.00 X 0 0 0 Robert Shakno Director 1.00 0.00 X 0 0 0 Paul Francis Director 1.00 0.00 X 0 0 0 Howard Gilbert Director 1.00 0.00 X 0 0 0 Richard Hoffman Director 1.00 0.00 X 0 0 0 Ben Soldinger Director 1.00 0.00 X 0 0 0 Steve Topel Director 1.00 0.00 X 0 0 0 Bernard Kalish Director 1.00 0.00 X 0 0 0 Ernest Karmin Director 1.00 0.00 X 0 0 0 AR Umans Director 1.00 0.00 X 0 0 0 Lawrence Sherman Director 1.00 0.00 X 0 0 0 Terry Wheat Director 1.00 0.00 X 0 0 0 Bruce K Stickler Director 1.00 0.00 X 0 0 0 Klaus Wisiol Director 1.00 0.00 X 0 0 0 Loren Chandler COO 1.00 39.00 X 3964 294337 57900 Anita Halvrosen Vice President 40.00 0.00 X 150108 0 3246 Karl Sandin President 40.00 0.00 X 312053 0 7286 Mark Multach CMO 3.00 37.00 X 9919 114068 3598 Joel C Frazier Vice President 1.00 39.00 X 3737 157004 10431 Tanvir Mangat Chief Strategy 4.00 36.00 X 8047 78490 24700 Charles Weis EVP and CFO 7.00 33.00 X 84228 383708 67016 Lisa Thornton Physician 40.00 0.00 X 225498 0 34988 Raymond Lee Physician 40.00 0.00 X 215280 0 14730 Michelle Gittler Physician 40.00 0.00 X 221965 0 32379 Edward Park Physician 40.00 0.00 X 231700 0 5116 Mary Lawler Physician 40.00 0.00 X 204518 0 17137 1796380 1424593 344521 39 false true false AMERICAN HERITAGE PROTECTIVE 5100 W 127TH ST ALSIP IL 60803 SECURITY/TRANSPORT 392407 SUPERIOR HEALTH LINENS LLC 1160 PIERSON DRIVE SUITE 104 BATAVIA IL 60510 LAUNDRY SERVICES 196285 SODEXO INC & AFFILIATES PO BOX 70060 CHICAGO IL 606730060 Housekeeping Service 110531 3 82566 72004 154570 ALL OTHER PROGRAM SERVICE 900099 5800 5800 CAFETERIA 722210 MEDICAL DIRECTOR 541900 245488 245488 PARKING 812930 38430 38430 PATIENT SERVICES 900099 39838092 39838092 40127810 916219 916219 0 0 0 0 0 0 0 Other Revenue 900099 152642 152642 152642 41351241 41044029 152642 0 0 0 0 739449 739449 0 19512590 16124125 3388465 427309 427309 1305584 8281 1297303 1409908 1409908 0 36699 36699 35004 35004 0 0 0 0 0 26108 11467 14641 946210 468702 477508 0 438197 4069 434128 17985 6438 11547 0 58880 49370 9510 716919 716919 0 1096542 1096542 113483 112015 1468 ICT PROF SERVICES 3613047 63756 3404079 145212 TAX ASSESSMENT 3287977 3287977 CONTRACT/PROFESSIONAL 2636255 417401 2218854 SUPPLIES 1925757 1809596 116161 1610901 103157 1507744 39954804 19178377 20631215 145212 304131 124732 612569 614013 0 5172138 7168348 0 0 0 59845 50263 206340 184989 36733743 21249224 16255985 15484519 2755204 2945296 2893128 2912635 0 0 56165533 56266981 84424873 85751776 2453426 2455879 18461864 17883186 8010616 8402166 28925906 28741231 X 55022238 56418674 476729 591871 55498967 57010545 84424873 85751776 X 1396437 115141 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 495490 495490 28548108 14621240 13926868 95260 95243 17 7594885 6532741 1062144 15484519 DEFERRED BOND 323153 DUE FROM THE AFFILIATES 55412967 DUE FROM UNRESTRICTED FUNDS 189608 OTHER ASSETS 18600 OTHER RECEIVABLES 322653 56266981 ASSET RETIREMENT OBLIGATION 726928 BLUE CROSS LIABILITY -117658 CURRENT PORTION SELF INS 337544 DEFERRED LIABILITIES 331375 DUE FROM UNRESTRICTED 189608 DUE TO/FROM MEDICARE&MEDICAID 3687833 HAP LIABILITY -176769 MCD DISPROPORTIONATE/HMO 220124 MCD-TAP 299 OTHER CURRENT LIABILITY 517865 PPO LIABILITY 174703 Rounding 1 SELF INSURANCE LIABILITY 2537434 THIRD PARTY ALLOWANCES -458505 THIRD PARTY RESERVE 431384 8402166 X Part X : FIN48 Footnote INCOME TAXES: MOUNT SINAI, SCHWAB, SMG, HOLY CROSS, 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. HCHP 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 TAXEN 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, 2015 AND 2014, THERE WERE NOT 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, 2011 AND PRIOR. true true X true X true X 600.000000000 true true true false true true 425613 425613 0.01070 12793722 12527624 266098 0.00670 13219335 12527624 691711 0.01740 179020 179020 0.00450 1943802 1319709 624093 0.01560 622050 622050 0.01560 2744872 1319709 1425163 0.03570 15964207 13847333 2116874 0.05310 false 1010414 252604 8238654 9322912 -1084258 X true true 1 1 Schwab Rehabilitation Hospital 1401 S California Avenue Chicago IL 60608 X Schwab Rehabilitation Hospital 1 false false true X X 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_Schwab_0712.2.pdf false false true X 300.0000 600.0000 X X X true true X X X true X WWW.SINAI.ORG X X X X X true 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 acessing 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 Schwab's 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 Schwab's PSA). Part V, Line 5 - Account Input from Persons Who Represent 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 substantial 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 - Description of Making Needs Assessment Widely Available www.sinai.org/sites/default/files/MSH CHNA 0716.4.pdf Part V, Line 11 - Explanation of Needs Not Addressed and Reasons Why During the first year of implementing the strategies and actions as identified within the CHNA, Schwab Rehabilitation Hospital has made significant progress. Most all of the listed action items are being addressed through implementation or planning activities during this tax year. Schwab Rehabilitation Hospital remains fully engaged in implementing the strategies and expects to substantially complete the identified plans by the time of the next CHNA. Part V, Line 13b - Criteria For Providing Discounted 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; and2.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 $79,446,133 to charity care and community benefits of which $28,153,972 is charity care and $59,292,141 is other community benefits. Of these amounts Schwab Rehabilitation Hospital contributed $2,771,901 to charity and other community benefits of which $425,613 is charity care and $2,346,288 is other community benefits. Part I, Line 7 - Explanation of Costing Methodology Total cost per the Medicare Cost Report worksheet B,PT1 column 26 divided by total inpatient and outpatient gross revenue. Part I, Line 7, Column F - Explanation of Bad Debt Expense The bad debt expense is $1,010,414 Part I, Line 7g - Costs Associated With Physicans Clinics No subsidized health services were reported Part III, Line 9b - Provisions On Collection Practices For Qualified 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 patient 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 a 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 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 providors 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 - Affilated 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 Part V - Explanation of Number of Facility Type There are no healthcare facility, other than those required to be licensed, registered, or similarly recognized as a health care facility under state law. X X X X X false false false false false false false true false false Anita Halvrosen Vice President 144960 5148 833 2413 153354 Charles Weis EVP and CFO 66356 302290 239 1089 17633 80329 9522 43377 2541 11576 96291 438661 Edward Park Physician 203949 27751 4434 682 236816 Joel C Frazier Vice President 3185 133833 552 23171 72 3033 170 7156 3979 167193 Karen Teitelbaum President & CEO 103920 329083 21443 67903 13809 43729 2029 6427 141201 447142 Karl Sandin President 271912 40141 7286 319339 Lisa Thornton Physician 208841 16657 14308 20680 260486 Loren Chandler COO 3860 286608 104 7729 494 36674 276 20456 4734 351467 Mary Lawler Physician 181020 23498 3866 13271 221655 Michelle Gittler Physician 206094 15871 12739 19640 254344 Raymond Lee Physician 213234 2046 1328 13402 230010 Part I, Line 7: Non-Fixed payments not listed above Schwab Rehabilitation Hospital pays out bonuses based on the procedures below.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 CEOs of comparable organizations, and conducts an annual review of CEO performance against established goals. The committee maintains written minutes which are maintained in Executive Administration. Form 990, Part III, Line 4d: Other Program Services Description OTHER PROGRAM SERVICES 4: Pharmacy:Schwab Anticoagulation Program: Adverse Drug Event PreventionThe 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. OTHER PROGRAM SERVICES 5: Other Program Service Accomplishments in Education, Lab, Patient Related Services, Psychology, Radiology, Rehabilitation, Communication, and Other.Some points of interest and highlights:This includes 6 interventions/programs that help to fill the gaps between what participants need and what is available to them in the community: Accessibility: recommendations for Sinai Health System to increase accessibility for all patients. Community Technology Center: accessible computer lab, education. Disability Resource Center: support, referrals, information, and advocacy. Domestic Violence: support, referrals, information, and advocacy. In My Shoes: violence prevention for youth. Peer Mentoring: positive role modeling and support by and for people with disabilities. Form 990, Part VI, Line 1a: Explanation of Delegated Broad Authority to Committee The Executive Committee 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. Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body Board members are nominated by the Board Recruitment, Education and Nominating Committee of the sole corporate member, Sinai Health System, and elected by the sole corporate member. Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or Shareholders The sole corporate member has certain reserved powers over significant corporate actions, including matters such as appointment of corporate officers, amendment of governing documents, approval of a merger, consolidation or dissolution, approval of budgets and strategic plans, approval of independent certified public accountants for the organization, and approval of non-budgeted long-term debt. Form 990, Part VI, Line 11b: Form 990 Review Process The 990 was initially prepared by the Finance Staff with multi disciplinary inputfrom Public Affairs, Corporate Integrity and other appropriate staff of theorganization. The 990 was then reviewed by senior finance staff and other members ofSenior Leadership. Prior to the filing, the 990 was made available via email to Finance Board Committee . The 990 form was presented as a discussion item for the Finance Board Committee where members had an opportunity for questions and comments. The 990 was also made available via email to the full Board of Directors. Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts The Conflict of Interest Disclosure Form is completed and signed annually by all board members, employed physicians, management personnel as well as other employees who are in a position to influence purchasing decisions. In addition to the annual filing of the form, an update is required to be filed any time there has been a change. Based on the information disclosed, the Chief Integrity Officer, along with other members of management and counsel as needed, implements an appropriate conflict management plan, which may include requiring the interested party to abstain from participation in certain decisions. The information disclosed also is taken into consideration in making Board and Board Committee assignments. Further, board members are required to disclose potential conflicts relating to Board and Committee proceedings to the appropriate Board or Committee Chair for appropriate conflict management procedures, including abstention from participation in certain decisions. Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and 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 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. Form 990, Part VI, Line 19: Other Organization Documents Publicly Available Governing documents, conflict of interest and financial statements are made available upon request and after review by management. Other Changes In Net Assets Or Fund Balances - Other Increases = $115141 MOUNT SINAI HOSPITAL MEDICAL CENTER CALFORNIA AVE AT 15TH ST CHICAGO IL 60608 361509000 HEALTHCARE IL 501(c)(3) 3 SINAI HEALTH SYSTEM false MOUNT SINAI COMMUNITY FOUNDATION CALIFORNIA AVE AT 15TH ST CHICAGO IL 60608 363305449 HEALTHCARE IL 501(c)(3) 11a SINAI HEALTH SYSTEM false SINAI HEALTH SYSTEM CALIFORNIA AVE AT 15th ST CHICAGO IL 60608 363166895 SUPPORTING ORGANIZATION IL 501(c)(3) 11a SINAI HEALTH SYSTEM false SINAI COMMUNITY INSTITUTE 2653 WEST OGDEN AVE CHICAGO IL 60680 363933824 SUPPORTING ORGANIZATION IL 501(c)(3) 7 SINAI HEALTH SYSTEM false HOLY CROSS HOSPITAL 2701 WEST 68TH STREET CHICAGO IL 60629 362170133 CATHOLIC HEALTHCARE ORGANIZATION IL 501(c)(3) 170(b)(1) A SINAI HEALTH SYSTEM 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 1356136 COST MOUNT SINAI HOSPITAL MEDICAL CENTER q 855000 COST MOUNT SINAI COMMUNITY FOUNDATION m 153312 COST