MOUNT SINAI HOSPITAL MEDICAL CENTER: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
MOUNT SINAI HOSPITAL MEDICAL CENTER (EIN 36-1509000)
Tax period
2010-07-01 to 2011-06-30
Filed
2012-05-15
IRS object ID
201211369349301571
Schema version
2010v3.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-05-15T07:09:17-07:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Ernst & Young US LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1111 Monument Cir Ste 2600AddressLine1
CityIndianapolisCity
StateINState
ZIP Code46204ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN361509000EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1MOUNT SINAI HOSPITAL MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlMOUNNameControl
Phone7732576264Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1CALIFORNIA AVENUE AT 15TH STREETAddressLine1
CityCHICAGOCity
StateILState
ZIP Code60608ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameCHARLES WEIS JRName
TitleEXEC VICE PRES & CFOTitle
Date Signed2012-05-15DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameAngela MooreName
Phone3176817431Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonWEIS JR CHARLESNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

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Address Line1CALIFORNIA AVENUE AT 15TH STAddressLine1
CityCHICAGOCity
StateILState
ZIP Code60608ZIPCode
FieldValueIRS element (for citing)
Gross Receipts307470160GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501c3XOrganization501c3
Web SiteWWW.SINAI.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1918YearFormation
State Legal DomicileILStateLegalDomicile
Activity Or Mission DescriptionMount Sinai Hospital's mission is to improve the health of the individuals and communities we serve. The vision is to be a national model for the delivery of urban healthcare.ActivityOrMissionDescription
Nbr Voting Members Governing Body52NbrVotingMembersGoverningBody
Nbr Independent Voting Members49NbrIndependentVotingMembers
Total Nbr Employees2451TotalNbrEmployees
Total Nbr Volunteers98TotalNbrVolunteers
Total Gross UBI1950TotalGrossUBI
Net Unrelated Business Txbl Income-50NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year9599094ContributionsGrantsPriorYear
Contributions Grants Current Year8460375ContributionsGrantsCurrentYear
Program Service Revenue Prior Year298703259ProgramServiceRevenuePriorYear
Program Service Revenue CY294924047ProgramServiceRevenueCY
Investment Income Prior Year713471InvestmentIncomePriorYear
Investment Income Current Year1499713InvestmentIncomeCurrentYear
Other Revenue Prior Year2539875OtherRevenuePriorYear
Other Revenue Current Year2586025OtherRevenueCurrentYear
Total Revenue Prior Year311555699TotalRevenuePriorYear
Total Revenue Current Year307470160TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year1851000GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY2000000GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year118562383SalariesEtcPriorYear
Salaries Etc Current Year119796187SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year91476TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY9407TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year728378TotalFundrsngExpCurrentYear
Other Expense Prior Year192477837OtherExpensePriorYear
Other Expenses Current Year188731696OtherExpensesCurrentYear
Total Expenses Prior Year312982696TotalExpensesPriorYear
Total Expenses Current Year310537290TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-1426997RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-3067130RevenuesLessExpensesCY
Total Assets BOY162556409TotalAssetsBOY
Total Assets EOY169717616TotalAssetsEOY
Total Liabilities BOY174788215TotalLiabilitiesBOY
Total Liabilities EOY184558169TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-12231806NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-14840553NetAssetsOrFundBalancesEOY
Mission DescriptionMount Sinai Hospital's mission is to improve the health of the individuals and communities we serve. The vision is to be a national model for the delivery of urban healthcare.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense252848776Expense
Grants2000000Grants
Revenue291575691Revenue
DescriptionLiving the mission of improving the health of the individuals and communities we serveMount Sinai Hospital (MSH) was established in 1919 as a 60-bed hospital to serve Eastern European Jewish immigrants in the area, and it continues to focus on the medical and social needs of the communities in west and south Chicago. Today the hospital is a 319-bed teaching, research and tertiary care facility providing high quality, essential services to communities that are among the most economically challenged in Chicago. The neighborhoods have many challenges--high rates of crime, low rates of high school graduation and employment. Sinai welcomes and respects all patients and is intent on working with individuals, families and communities to assure positive health outcomes.Mount Sinai Hospital is recognized nationally and regionally for quality patient care and innovative, community-based health improvement programs. Sinai's highly skilled physicians and caregivers consistently provide exceptional medical, surgical, behavioral health, therapeutic and diagnostic services to the thousands of patients who walk through its doors each year. FeaturesLevel I Trauma Center for adult and pediatric emergencies-highest level of care (one of only four designated trauma centers in Chicago)Level III Neonatal Intensive Care Unit Center-highest level of care for fragile newbornsPediatric Intensive Care Unit-specialized care for children with serious or life-threatening injuries or illnessesSinai Children's Hospital (located within the hospital) includes pediatric cardiology, gastroenterology, nephrology, allergy, endocrinology, urology, physical medicine and rehabilitation, and neurologyPrimary Stroke CenterSpecialty services include cardiovascular services, cancer care center, stroke center, orthopedics, minimally invasive surgery, diabetes and geriatrics.Routine and innovative cardiology and cardiovascular surgery Comprehensive Cancer Care Center provides integrated services to oncology patients and offers patients access to the most current treatments through appropriate clinical trials.Inpatient and outpatient behavioral healthAdvanced imaging technology includes 1.5T MRI, digital mammography, 64-slice CT Cardiac Catheterization LaboratoryMajor teaching hospital that trains more than 700 healthcare professionals through undergraduate, graduate, residency and fellowship programsSinai Interpreter Services, Deaf Access Program and Illinois Video Interpreter Network (IVIN) make health-related communications available 24/7 for foreign language speaking patients and deaf or hard of hearing patientsAccreditations and CertificationsThe Joint Commission Gold Seal of ApprovalQuality and safety are core values at MSH as evidenced through earning the Joint Commission Gold Seal of Approval and high national quality measure composite scores for fiscal year 2011: Acute Myocardial Infarction: 99.4/100 Heart Failure: 99.5/100 Pneumonia: 98.3/100 Surgical Care Improvement Project: 98.2/100College of American Pathologists Accreditation; CMS Clinical Laboratory Improvement Amendments (CLIA)CertificationEmergency Department Approved for Pediatrics Certification (EDAP)American College of Surgeons Commission on Cancer AccreditationAmerican Institute of Ultrasound in Medicine Ultrasound Practice AccreditationSociety of Chest Pain Centers Accredited Chest Pain CenterThe Joint Commission Primary Stroke Center Designation Additional Quality RecognitionsSurgical Care Improvement Project (SCIP)Innovation in Quality Award (Illinois Hospital Association)Illinois Hospital Association Pledge Quality Achievement AwardBasic Operating Statistics for FY 2011Patient days:79,340Average length of stay:3.90 daysEmergency room visits:56,236Outpatient surgeries:3,797Charity care at cost:$19,288,630Total community benefits:$49,765,377Member of Sinai Health System with a total of $92,784,177 community benefitsDescription

Activity2 Activity2

FieldValueIRS element (for citing)
DescriptionIn addition to core hospital competencies, there is Sinai Urban Health Institute(SUHI) which is a public health-focused group of epidemiologists, research assistants and health educators who use data-driven research to study chronic disease prevalence that is unique to the communities served by Mount Sinai Hospital. The mission of SUHI is grounded in the belief that in order to serve its neighbors well, it's important to understand not only patients, but the entire community. The results of research shape its programs so that better community engagement, disease prevention and treatment will reduce disparities.The outreach programs described below address chronic diseases prevalent in communities served by Sinai. While the SUHI efforts in and of themselves are grant supported but they interface with the clinical capability of Mount Sinai Hospital and make it more likely that community members will get the screenings or care they need. For example, the West Side Pediatric Asthma Intervention works with Sinai Children's Hospital in order to teach parents the medical side of managing their children's asthma. The mammography department and other women's imaging, surgery, and oncology are involved with the Avon Breast Cancer Navigator Project."Avon "Helping Her Live" Breast Cancer Project-Funded by Avon, this program provides breast health education outreach initiatives and patient navigator services. In FY 2011, SUHI made contact with more than 6,000 women, many of whom went on to have mammograms for the first time."Chicago Westside Pediatric Asthma Intervention-This home visit-based program is designed to ease the asthma burden experienced by many Westside Chicago families. It provides resources and support needed to more thoroughly address the issues that impede a family's ability to effectively manage a child's asthma."North Lawndale Diabetes Intervention-With one of the highest diabetes rates in the city of Chicago, North Lawndale has been selected for SUHI's diabetes outreach program, "Block by Block." Community health workers visit homes throughout the neighborhood with the goal of increasing early detection rates and encouraging better self-management of diabetes. "Humboldt Park Diabetes Intervention-Diabetes prevalence and mortality among Puerto Ricans in Humboldt Park is disproportionately higher than other communities in Chicago and the United States. A task force was developed to identify people with diabetes and effectively address diabetes prevalence in this neighborhood."Avon Breast Cancer Navigator Project-Specially trained patient navigators assist women through the Sinai system to obtain breast health services, including screening mammograms, follow-up to abnormal mammograms, services for women with breast symptoms and any treatment as needed."West Rogers Park Obesity Intervention-West Rogers Park has seen an increase in childhood obesity. SUHI is fighting this problem with programs that, for example, award grants to schools for the purchase of physical education equipment and educational materials.Awards in FY 2011:"Environmental Protection Agency's Leadership in Environmental Asthma Management Award"American Hospital Association NOVA Award for excellent work in the area of Pediatric Asthma"Premier Cares Award Finalist (Asthma project)"Greening of Paseo Boricua Award for support of the Greater Humboldt Park Community Health Initiative"The Henry P. Russe, MD, Citation for Exemplary Compassion in Healthcare from The Institute of Medicine of Chicago and Rush University Medical CenterDescription
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Number Forms Transmitted With1096373NumberFormsTransmittedWith1096
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Form990 Part VII Section A Form990PartVIISectionA (71 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
WISIOL KLAUS
Trustee1.00X000
WILSON DAVID
ASST VICE PRES40.00138508013142X
WHEAT TERRY
Trustee1.00X000
WEIS JR CHARLES
CFO & Exec VP32.0040185310046350442X
UMANS AR
Trustee1.00X000
TYSON LANCE C
Trustee1.00X000
TOWNSELL RICHARD
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TEITELBAUM KAREN
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SINGER WILLIAM
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SHERMAN LAWRENCE A
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SHERMAN HAROLD L
Trustee1.00X000
SHAKNO ROBERT J
Trustee1.00X000
SEYMORE HARRIET
Trustee1.00X000
SCHWARTZ MAURICE A MD
Trustee1.00X000
SALTZMAN BETTYLU K
Trustee1.00X000
ROTHSTEIN RUTH
Trustee1.00X000
ROSSMARK SHARON
Secretary1.00X000
PIERCE WAYNE L
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PACURA LORI JEAN
Vice President32.001680784201911430X
NIEDERPRUEM GARY J
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MORGAN ABRAHAM C
Trustee1.00X000
MITCHEL-BOND LESLIE
Trustee1.00X000
MITCHEL MICHAEL M
Trustee1.00X000
MAXWELL BRET R
Trustee1.00X000
MARKIN ROBERT
Trustee1.00X000
MANSON LAWRENCE A
Trustee1.00X000
MANILOW SUSAN
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LUCCIONI KENNETH
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KOCH STEVEN
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KELLER GARY N
Trustee1.00X000
KARMIN ERNEST A
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JOHNSON BARBARA
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HOLLENBACH DANIEL
Trustee1.00X000
HOFFMAN RICHARD E
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HAVDALA HENRI S MD
Trustee1.00X000
HAVDALA ELLEN
Trustee1.00X000
HARRIS REDESSA
Trustee1.00X000
GOMEZANGEL G
Trustee1.00X000
GOLDSTEIN NEAL
Trustee1.00X000
GLISPIE GLEATHA
Trustee1.00X000
GISTENSON STEVEN H
Trustee1.00X000
GILBERT HOWARD N
Trustee1.00X000
GIACHELLO AIDA L PhD
Trustee1.00X000
FRISH MARK J
Trustee1.00X000
FRANCIS PAUL
Trustee1.00X000
FISHMAN LESLIE M
Trustee1.00X000
EDEN MABBORANG
NURSE40.00148486011493X
DVORKENRACHEL
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DAVID HOEKSTRA
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DASKAL FIONA
Trustee1.00X000
CHERNER PAUL J
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CANTRELLDANIEL F
Trustee1.00X000
BROWN CHARLES
Trustee1.00X000
BOYD-CLARK ROBIN
Trustee1.00X000
BLACKWELL-BRYSON CHERYL
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ANA PROFETA
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ALBERTGRACE
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AHLUWALIA YOGI MD
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Total Reportable Comp Frm Rltd Orgs321520TotalReportableCompFrmRltdOrgs
Total Other Compensation255180TotalOtherCompensation
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SODEXO INC & AFFILIATES
PO BOX 70060CHICAGOIL60673FOOD SERVICE2268380
SODEXO INC & AFFILIATES
4880 PAYSPHERE CIRCLECHICAGOIL60674PLANT OPERATIONS SER3750609
QUEST DIAGNOSTICS
PO BOX 12989CHICAGOIL60693LABORATORY SERVICES1309872
DELL MARKETING LP
101 CUMBERLAND AVE STE 1000MADISONTN37115BILLING/COLLECTION4379834
AMERICAN HERITAGE PROTECTIVE SVCS
5100 W 127TH STALSIPIL60803SECURITY TRANSP1878821
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Federated Campaigns684677FederatedCampaigns
Government Grants6733035GovernmentGrants
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Net Income From Gaming NetIncomeFromGaming

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Net Income Or Loss NetIncomeOrLoss

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DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
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PHARMACY JOINT VENTURE424210174365$174,365
INT INC ON ACCESS LOAN900099953914$953,914

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Exclusion$486,660ExclusionAmount
FieldValueIRS element (for citing)
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Total Revenue TotalRevenue

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Unrelated Business Revenue1950UnrelatedBusinessRevenue
Exclusion$7,432,144ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

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Program Services2000000ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

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Total0Total

Foreign Grants ForeignGrants

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Total0Total

Benefits To Members BenefitsToMembers

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Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

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Total3583497Total
Management And General3583497ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

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Total0Total

Other Salaries And Wages OtherSalariesAndWages

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Program Services88166250ProgramServices
Management And General11517286ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

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Program Services809747ProgramServices
Management And General138691ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

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Program Services7198215ProgramServices
Management And General1232883ManagementAndGeneral

Payroll Taxes PayrollTaxes

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Program Services6104126ProgramServices
Management And General1045492ManagementAndGeneral

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Management And General17306551ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

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Program Services22556ProgramServices
Management And General165578ManagementAndGeneral

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Management And General190815ManagementAndGeneral

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Management And General386616ManagementAndGeneral

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Fundraising9407Fundraising

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Total0Total

Fees For Services Other FeesForServicesOther

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Management And General7836732ManagementAndGeneral

Advertising Advertising

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Program Services10851ProgramServices

Office Expenses OfficeExpenses

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Program Services3542101ProgramServices
Management And General2882359ManagementAndGeneral

Information Technology InformationTechnology

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Management And General895618ManagementAndGeneral

Royalties Royalties

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Total0Total

Occupancy Occupancy

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Total8568140Total
Program Services2889140ProgramServices
Management And General5679000ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total408062Total
Program Services159046ProgramServices
Management And General249016ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total72490Total
Program Services60762ProgramServices
Management And General11728ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total5092657Total
Program Services5092657ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total8781119Total
Program Services6146783ProgramServices
Management And General2634336ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total5236789Total
Program Services5200885ProgramServices
Management And General35904ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
PROVIDER ASSESSMENT1393832213938322
LINEN & BEDDING10487341048734
LABORATORY SERVICES21274842127484
DRUGS & SUPPLIES3002640830026408
BAD DEBTS5872700458727004

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total2409750Total
Program Services522745ProgramServices
Management And General1168034ManagementAndGeneral
Fundraising718971Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total310537290Total
Program Services252848776ProgramServices
Management And General56960136ManagementAndGeneral
Fundraising728378Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY6294831BOY
EOY8423103EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY3285870BOY
EOY5278531EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY32892376BOY
EOY33680859EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY5470765BOY
EOY3867851EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY2502486BOY
EOY2851131EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY2735119BOY
EOY1951754EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis245725928LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec165367703LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY77759596BOY
EOY80358225EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY12859727BOY
EOY13695080EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY3452587BOY
EOY3747805EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY15303052BOY
EOY15863277EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY162556409BOY
EOY169717616EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY50023379BOY
EOY59675205EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY71612304BOY
EOY70357152EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY969804BOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY5203160BOY
EOY2737501EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY46979568BOY
EOY51788311EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY174788215BOY
EOY184558169EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-12879809BOY
EOY-15321724EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY573003BOY
EOY481171EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY75000BOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-12231806BOY
EOY-14840553EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY162556409BOY
EOY169717616EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-3067130ReconcilationRevenueExpenses
Reconcilation Other Changes458383ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Form4720 Filed4955 TaxfalseForm4720Filed4955Tax
Correction MadefalseCorrectionMade
VolunteerstrueVolunteers
Paid Staff Or ManagementtruePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorstrueDirectContactLegislators
Direct Contact Legislators$220,853DirectContactLegislatorsAmount
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$165,763OtherActivitiesAmount
Total Lobbying Expenditures IIB386616TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3
Form4720 Filed4912 TaxfalseForm4720Filed4912Tax

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierPart II-B, Line 1iIdentifier
Return ReferencePart II-B, Line 1i - Other Activities DescriptionReturnReference
ExplanationLobbies on issues primarily related to Medicaid reimbursement, uncompensated care and appropriations. VENDOR EXPENSES % LOBBYING AMOUNTMCHC 46,522 20% 9,304IHHSA (AHA DUES) 1,570 25% 392IHHSA DUES 21,264 25% 5,316FLETCHER,TOPOL & O'BRIEN 225,000 67% 150,750Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance1661446BeginningOfYearBalance
Investment Earnings Or Losses314428InvestmentEarningsOrLosses
End Of Year Balance1975874EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance1555143BeginningOfYearBalance
Investment Earnings Or Losses106303InvestmentEarningsOrLosses
End Of Year Balance1661446EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance1962060BeginningOfYearBalance
Investment Earnings Or Losses-406917InvestmentEarningsOrLosses
End Of Year Balance1555143EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance1.00000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.00001PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.00001TermEndowmentEOYBalance
Endowments Held By Unrelated OrgstrueEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RfalseAreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis1725650OtherCostOrOtherBasis
Book Value1725650BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis142923610OtherCostOrOtherBasis
Depreciation86715896Depreciation
Book Value56207714BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis682066OtherCostOrOtherBasis
Depreciation586026Depreciation
Book Value96040BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis71793099OtherCostOrOtherBasis
Depreciation50135932Depreciation
Book Value21657167BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis28601503OtherCostOrOtherBasis
Depreciation27929849Depreciation
Book Value671654BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings80358225TotalOfBookValueLandBuildings

Other Assets OtherAssets (5 entries)

DescriptionDescriptionBook ValueBookValue
SELF INS INV46996
OTHER ACCOUNTS RECEIVABLE4152758
NET ADVANCES TO AFFILIATES3314265
DEF BOND ISSUE COST LESS AMORT1672269
BOARD DESIGNATED INV6676989
FieldValueIRS element (for citing)
Total Book Value Other Assets15863277TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescriptionAmountAmount
SELF INSURANCE RESERVE$38,152,496
OTHER NON CURRENT LIABILITIES$472,418
DUE TO THIRD PARTIES$5,970,397
CAPITAL LEASE$4,830,998
ASSET RETIREMENT OBLIGATION$2,362,002
FieldValueIRS element (for citing)
Total Of Amounts51788311TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Part XPart X : FIN48 FootnoteINCOME TAXES: THE CORPORATION, MOUNT SINAI, SCHWAB,SCF AND SCI ARE TAX-EXEMPT ORGANIZATIONS UNDER INTERNAL REVENUE CODE SECTION 501 (C)(3) AND EACH ARE REQUIRED TO FILE A FORM 990 (RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX) ANNUALLY.THE CORPORATION ADOPTED FASB ISSUED GUIDANCE FOR UNCERTAINTY IN INCOME TAXES. THIS 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 CONSOLIDATED FINANCIAL STATEMENTS IN THE PERIOD DURING WHICH, BASED ON ALL AVAILABLE EVIDENCE, MANAGEMENT BELIEVES THAT IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL BE SUSTAINED UPON EXAMINATION, INCLUDING THE RESOLUTION OF APPEALS OR LITIGATION PROCESSES, IF ANY.TAX POSITIONS ARE NOT OFFSET OR AGGREGATED WITH OTHER POSITIONS. TAX POSITIONS THAT MEET THE "MORE LIKELY THAN NOT" RECOGNITION THRESHOLD ARE MEASURED AS THE LARGEST AMOUNT OF TAX BENEFIT THAT IS MORE THAN 50 PERCENT LIKELY TO BE REALIZED ON SETTLEMENT WITH THE APPLICABLE TAXING AUTHORITY. THE PORTION OF THE BENEFITS ASSOCIATED WITH TAX POSITIONS TAKEN THAT EXCEEDS THE AMOUNT MEASURED AS DESCRIBED ABOVE IS REFLECTED AS A LIABILITY FOR UNRECOGNIZED TAX BENEFITS IN THE CONSOLIDATED BALANCE SHEET ALONG WITH ASSOCIATED INTEREST AND PENALTIES THAT WOULD BE PAYABLE TO THE TAXING AUTHORITIES UPON EXAMINATION. AS OF JUNE 30, 2011 AND 2010.THERE WERE NO UNRECOGNIZED TAX BENEFITS IDENTIFIED AND RECORDED. FORMS 990 FILED BY THE CORPORATION, MOUNT SINAI, SCHWAB, SCF, SCI 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 FILED BY THE CORPORATION, MOUNT SINAI, SCHWAB, SCF AND SCI ARE NO LONGER SUBJECT TO EXAMINATION FOR THE YEARS 2007 AND PRIOR.
Part V, Line 4Part V, Line 4: Intended uses of the endowment fund.The funds are used for general operating purposes. The interest from the fund is utilized for unrestricted purposes.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare

Discounted Other DiscountedOther

FieldValueIRS element (for citing)
OtherXOther
Discounted Other Percentage600.000000000DiscountedOtherPercentage
FieldValueIRS element (for citing)
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgetfalseExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense19288630TotalCommunityBenefitExpense
Net Community Benefit Expense19288630NetCommunityBenefitExpense
Percent Of Total Expense0.06210PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense19288630TotalCommunityBenefitExpense
Net Community Benefit Expense19288630NetCommunityBenefitExpense
Percent Of Total Expense0.06210PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense1966973TotalCommunityBenefitExpense
Net Community Benefit Expense1966973NetCommunityBenefitExpense
Percent Of Total Expense0.00630PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense4742654TotalCommunityBenefitExpense
Net Community Benefit Expense4742654NetCommunityBenefitExpense
Percent Of Total Expense0.01530PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense22067120TotalCommunityBenefitExpense
Net Community Benefit Expense22067120NetCommunityBenefitExpense
Percent Of Total Expense0.07110PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense1700000TotalCommunityBenefitExpense
Net Community Benefit Expense1700000NetCommunityBenefitExpense
Percent Of Total Expense0.00550PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense30476747TotalCommunityBenefitExpense
Net Community Benefit Expense30476747NetCommunityBenefitExpense
Percent Of Total Expense0.09820PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense49765377TotalCommunityBenefitExpense
Net Community Benefit Expense49765377NetCommunityBenefitExpense
Percent Of Total Expense0.16030PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReported
Bad Debt Expense$37,224,004BadDebtExpenseAmount
Amount Attributable To14716323AmountAttributableTo
Amount Reimbursed By Medicare51379725AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare38867365CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall12512360MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number0FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1Mount Sinai HospitalBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1California Ave at 15th StreetAddressLine1
CityChicagoCity
StateILState
ZIP Code60608ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
Childrens HospitalXChildrensHospital
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Mount Sinai HospitalBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities3NumberOfOtherFacilities

Other Facilities OtherFacilities (3 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
Sinai Touhy Pharmacy LLC
2907 W Touhy AvenueChicagoIL60645Pharmacy drugs and Pharmaceuticals
Sinai Community Pharmacy Inc
California Avenue at 15th StreetChicagoIL60608Pharmacy drugs and Pharmaceuticals
HAWTHORNE MRI
4701 W CERMARKCICEROIL60804Magnetic Resonance Imaging

Form990 Schedule H Part VI Form990ScheduleHPartVI (15 entries)

Return ReferenceReturnReferenceExplanationExplanation
Part VI - States Where Community Benefit Report FiledIL
Part VI - Affilated Health Care System Roles and PromotionMount Sinai Hospital is part of Sinai Health System. Sinai Health System has organizations such as Sinai Community Institute, The 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
Part VI - Explanation Of How Organization Furthers Its Exempt PurposeMount Sinai Hospital, as a part of Sinai Health System, has a board comprised of respected leaders in banking, finance, manufacturing, legal, health care and other industries. Mount Sinai Hospital extends medical staff privileges to all qualified physicians for all departments. Mount Sinai Hospital invests any surplus funds into improving patient care.
Part VI - Community Building ActivitiesNo community building activities (as reported in Part II) are reported. Mount Sinai Hospital reports all community related activities as part of Part I - Charity Care and Certain Other Community Benefits.
Part VI - Community InformationMount Sinai Hospital, 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. There were 2,002 inpatient admissions to Sinai Children's Hospital and its Pediatric Intensive Care Unit in 2010. Also in 2010. the Neonatal Intensive Care Unit admitted 314 patients and there were 3,143 births in the Labor and Delivery Unit.
Part VI - Patient Education of Eligibility for AssistanceMount Sinai Hospital informs patients of the charity care policy through signage in the hospital, written communication, statements and related corporation Sinai Health System website. Each hospital bill, invoice, or other summary of charges to an uninsured patient shall include with it, or on it, a prominent statement that an Uninsured Patient who meets certain income requirements may qualify for an Uninsured Discount along with information regarding how the patient may apply for financial assistance.
Part VI - Needs AssessmentMount Sinai Hospital begins outreach and assessment of community health by first evaluating which health conditions and diseases are prevalent among its inpatients and outpatients. Determination of prevalence then guides the design of community services also assures there is no bias based on race, gender, or patients' ability to pay. Mount Sinai 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 assessment. 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. Mount Sinai also supports Sinai Community Institute and Sinai Urban Health Institute by providing clinicians and health educators to provide 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.
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 requesting. 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 balance 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 III, Line 8 - Explanation Of Shortfall As Community BenefitConsistent with Medicare guidelines, rules & regulations, non-allowable costs are offset on worksheet A via A-8 adjustments. General Overhead cost centers costs are step down on Worksheet B using various approved statistics such as square footage, gross salaries, pounds, FTE's and etc.
Part III, Line 4 - Bad Debt ExpenseMount Sinai Hospital first determines if a patient qualifies for charity care. If a patient is classified as charity care they would not be included as bad debt. Some patients do not desire to complete the charity care applications and as such can be included in the bad debt amounts. One example of a patient population that does not complete charity care applications is undocumented workers. The corporation estimates bad debt expense based upon management's assessment of historical and expected net collections considering historical business and economic conditions, trends in health care coverage, and other collection indicators. Management assesses the allowance for uncollectible accounts based upon historical write-off experience.
Part I, Line 7g - Costs Associated With Physicans ClinicsMount Sinai reported in subsidized health services $20,798,807 as support to Sinai Medical Group which provides specialty care to the community. Mount Sinai also reported $936,000 as support to Sinai Community Institute which provides a wide array of community health support.
Part I, Line 7, Column F - Explanation of Bad Debt ExpenseThe bad debt expense is $37,224,004
Part I, Line 7 - Explanation of Costing MethodologyTotal cost per the Medicare Cost Report worksheet B,PT1 column 27 divided by total inpatient and outpatient gross revenue.
Part I, Line 6a - Related Organization Community Benefit ReportThe community benefit report is prepared by related corporation Sinai Health System.
Part I, Line 3c - Charity Care Eligibility Criteria (FPG Is Not Used)Not Applicable since Mount Sinai Hospital uses either 200% of Federal Poverty Guidelines for free care or 600% of Federal Poverty Guidelines for discounted care.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantAmount Of Non Cash AssistanceAmountOfNonCashAssistancePurpose Of GrantPurposeOfGrant
LAWNDALE CHRISTIAN HEALTH CENTER
3860 W OGDENCHICAGOIL60623363308953501 (c) 31500000CAPITAL AND OPERATING
IL HOSPITAL REF FOUNDA
1151 E WARRENVILLE RDNAPERVILLEIL60566237421930501 (c) (3)1500000Capital & Operating
ACCESS COMMUNITY HEALTH NETWORK
1501 S CALIFORNIA AVECHICAGOIL60608363317058501 (c) (3)17000000OPERATING
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants3TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierGrantmaker's Description of How Grants are UsedIdentifier
ExplanationThis is an extension of our mission to help these agencies provide services to the underserved and uninsured individuals within our primary service area.All awarded grants usage are monitored annually. The recipient reports to Sinai Health System the allocations and expenditures of the application and usage of disbursed grant awards. The awarded grants fund the uncompensated services which the recipient's provide.Grant is provided to the Illinois Hospital Research and Education Foundation for its operational support on its endeavor of supporting Illinois Hospitals in in providing access to quality health care to the people of the State of lllinois by helping to address the disparate and negative effects of the Illinois Medicaid program.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentstrueAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException
Rebuttable Presumption ProcedurefalseRebuttablePresumptionProcedure

Form990 Schedule J Part II Form990ScheduleJPartII (12 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgBonus Filing OrgBonusFilingOrgOther Compensation Filing OrgOtherCompensationFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Related OrgsBonusRelatedOrgsOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Related OrgsTotalCompensationRelatedOrgs
WILSON DAVID
984981458825422254010602151650
WEIS JR CHARLES
262370993284015531434930844259565593248311003978591841110163
TEITELBAUM KAREN
18483858357253622176171542974721232253890516908145073797197342
PACURA LORI JEAN
1362881614915641307762371773923407240373910769134744135
JUSTIN SCHNEIDER
11910718224165961052154979
JOEL CRAIG FRAZIER
1173461566017353260010521163480
JEANETTE CORONEL
1391028392435820386823160713
EDEN MABBORANG
1338346263838921269367159979
DVORKENRACHEL
2153293626334828308051192318417
DAVID HOEKSTRA
1328661806416189314110440180700
CHANNING ALAN
4987761421497649453810791662032491
ANA PROFETA
1382338624833817253844160764

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSch J, Part I, Line 7Identifier
Return ReferencePart I, Line 7: Non-Fixed payments not listed aboveReturnReference
ExplanationNON FIXED PAYMENTS NOT LISTED.SCHEDULE J,PART I LINE 7 MOUNT SINAI HOSPITAL 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 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 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.Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1IHFA 2003 ISSSUEBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN370988139IssuerEIN
CUSIP Number45200PZC4CUSIPNumber
Date Issued2003-12-18DateIssued
Issue Price73947792IssuePrice
Description Of PurposeREFUND BONDS ISSUED 09/30/96DescriptionOfPurpose
DefeasedfalseDefeased
On Behalf Of IssuerfalseOnBehalfOfIssuer
Pool FinancingfalsePoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Total Proceeds73947792TotalProceeds
Amount In Reserve Fund4948560AmountInReserveFund
Issuance Costs From Proceeds1887445IssuanceCostsFromProceeds
Year Of Subst Completion2003YearOfSubstCompletion
Current RefundingtrueCurrentRefunding
Advance RefundingfalseAdvanceRefunding
Final Allocation MadetrueFinalAllocationMade
Adequate Books And Recds MaintaindtrueAdequateBooksAndRecdsMaintaind

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T FiledtrueForm8038TFiled
Variable Rate IssuefalseVariableRateIssue
Hedge Identified In Books And RecdsfalseHedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GICtrueGrossProceedsInvestedInGIC

Name Of GIC Provider NameOfGICProvider

FieldValueIRS element (for citing)
Business Name Line1ROBO BANKBusinessNameLine1
FieldValueIRS element (for citing)
Regulatory Safe Harbor SatisfiedtrueRegulatorySafeHarborSatisfied
Gross Proceeds InvestedfalseGrossProceedsInvested
Exception To RebatefalseExceptionToRebate

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Form 990, Part VI, Line 19Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableGoverning documents and financial statements will be made available upon reasonable request.
Form 990, Part VI, Line 15bForm 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key EmployeesSinai 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 12cForm 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsThe 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 additional to the annual filing of the form, an update is required and files any time there has been a change. 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 Committee assignments. Further, board members are required to disclose potential conflicts relating to Board and Committee proceedings to the appropriate Board and/or Committee Chair for appropriate conflict management procedures, including abstention from participation in certain decisions.
Form 990, Part VI, Line 11Form 990, Part VI, Line 11: Form 990 Review ProcessThe 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. Ernst & Young,LLP reviewed the return for the organization. Priorto the filing, the 990 was reviewed and discussed with the Finance Committee of the Board of Directors. The 990 was also made available [to the full Board ofDirectors/ Executive Committee]
Form 990, Part VI, Line 7aForm 990, Part VI, Line 7a: How Members or Shareholders Elect Governing BodyBoard 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.
Form 990, Part VI, Line 6Form 990, Part VI, Line 6: Explanation of Classes of Members or ShareholderSinai Health System, EIN 36-3166895, is the sole corporate member.
Form 990, Part VI, Line 2Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, EtEllen Havdala has family relationship with Henri Havdala, M.D.,trustee

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1SINAI TOUHY PHARMACY LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12907 W TOUHY AVEAddressLine1
CityCHICAGOCity
StateILState
ZIP Code60645ZIPCode
FieldValueIRS element (for citing)
EIN363305449EIN
Primary ActivitiesPHARMACYPrimaryActivities
Legal Domicile StateILLegalDomicileState
Total Income44058TotalIncome
EOY Assets158526EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1Mount Sinai HospitalBusinessNameLine1

Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrgBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
SINAI HEALTH SYSTEM
CALIFORNIA AVE AT 15TH STCHICAGOIL60608363166895SUPPORT ORGANIZATIONIL501(C)(3)11AN/Afalse
SCHWAB REHABILITATION HOSPITAL AND CARE
CALIFORNIA AVE AT 15TH STCHICAGOIL60608362179802HEALTHCAREIL501(C)(3)3trueSinai Health System
SINAI COMMUNITY INSTITUTEINC
2653 W OGDEN AVECHICAGOIL60608363932824HEALTHCAREIL501(C)(3)7trueSinai Health System
MOUNT SINAI COMMUNITY FOUNDATION
CALIFORNIA AVE AT 15TH STCHICAGOIL60608363305449HEALTHCAREIL501(C)(3)11AtrueSinai Health System

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1HAWTHORNE WORKS MEDICAL IMAGINGBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1747 ASH STREETAddressLine1
CityWINNETKACity
StateILState
ZIP Code60093ZIPCode
FieldValueIRS element (for citing)
EIN203364703EIN
Primary ActivityIMAGINGPrimaryActivity
Legal Domicile StateILLegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1Mount Sinai HospitalBusinessNameLine1
FieldValueIRS element (for citing)
Predominant Income TypeRELATEDPredominantIncomeType
Share Of Total Income106557ShareOfTotalIncome
Share Of EOY Assets66151ShareOfEOYAssets
Disproportionate AllocationsfalseDisproportionateAllocations
General Or Managing PartnertrueGeneralOrManagingPartner
Percentage Ownership0.51PercentageOwnership

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1SINAI COMMUNITY PHARMACY INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1CALIFORNIA AVE AT 15TH STREETAddressLine1
CityCHICAGOCity
StateILState
ZIP Code60608ZIPCode
FieldValueIRS element (for citing)
EIN363832319EIN
Primary ActivityPHARMACYPrimaryActivity
Legal Domicile StateILLegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1Mount Sinai HospitalBusinessNameLine1
FieldValueIRS element (for citing)
Type Of EntityC CORPTypeOfEntity
Share Of Total Income570ShareOfTotalIncome
Share Of EOY Assets801855ShareOfEOYAssets
Percentage Ownership1.00000PercentageOwnership
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgstrueRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (7 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
SINAI COMMUNITY PHARMACY INC
r364023Cost
SINAI COMMUNITY PHARMACY INC
i16800Cost
SCHWAB REHABILITATION HOSPITAL AND CARE
o855000Cost
SCHWAB REHABILITATION HOSPITAL AND CARE
k1779676Cost
SCHWAB REHABILITATION HOSPITAL AND CARE
i19092Cost
MOUNT SINAI COMMUNITY FOUNDATION
l14224229Cost
MOUNT SINAI COMMUNITY FOUNDATION
i443176Cost

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