FURP.ORG / PUBLIC DATA EXPLORER

ACCESS COMMUNITY HEALTH NETWORK: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
ACCESS COMMUNITY HEALTH NETWORK (EIN 36-3317058)
Tax period
2011-07-01 to 2012-06-30
Filed
2012-12-20
IRS object ID
201223559349300032
Schema version
2011v1.2
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)
Timestamp2012-12-20T14:11:48-08:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BENFORD BROWN & ASSOCIATES LLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line18334 S STONY ISLAND AVEAddressLine1
CityCHICAGOCity
StateILState
ZIP Code606171759ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN363317058EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1ACCESS COMMUNITY HEALTH NETWORKBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlACCENameControl
Phone3125262100Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1222 NORTH CANAL ST 3RD FLOORAddressLine1
CityCHICAGOCity
StateILState
ZIP Code60606ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMAHOMED OUEDRAOGOName
TitleCFOTitle
Phone3125262100Phone
Date Signed2012-09-20DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameLATASHA M DAVISName
Phone7737311300Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonMAHOMED OUEDRAOGONameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1222 NORTH CANAL ST 3RD FLOORAddressLine1
CityCHICAGOCity
StateILState
ZIP Code60606ZIPCode
FieldValueIRS element (for citing)
Gross Receipts125347562GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.accesscommunityhealth.netWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1985YearFormation
State Legal DomicileILStateLegalDomicile
Activity Or Mission DescriptionThe mission of ACCESS is to provide high quality, comprehensive community-based health care for the underserved in the greater Chicago area and beyond.ActivityOrMissionDescription
Nbr Voting Members Governing Body18NbrVotingMembersGoverningBody
Nbr Independent Voting Members18NbrIndependentVotingMembers
Total Nbr Employees1118TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year10669642ContributionsGrantsPriorYear
Contributions Grants Current Year22608673ContributionsGrantsCurrentYear
Program Service Revenue Prior Year117758177ProgramServiceRevenuePriorYear
Program Service Revenue CY92008992ProgramServiceRevenueCY
Investment Income Current Year0InvestmentIncomeCurrentYear
Other Revenue Prior Year4616025OtherRevenuePriorYear
Other Revenue Current Year10729897OtherRevenueCurrentYear
Total Revenue Prior Year133043844TotalRevenuePriorYear
Total Revenue Current Year125347562TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year68022805SalariesEtcPriorYear
Salaries Etc Current Year64496724SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year26165TotalFundrsngExpCurrentYear
Other Expense Prior Year71158368OtherExpensePriorYear
Other Expenses Current Year58220655OtherExpensesCurrentYear
Total Expenses Prior Year139181173TotalExpensesPriorYear
Total Expenses Current Year122717379TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-6137329RevenuesLessExpensesPriorYear
Revenues Less Expenses CY2630183RevenuesLessExpensesCY
Total Assets BOY53834690TotalAssetsBOY
Total Assets EOY48041621TotalAssetsEOY
Total Liabilities BOY43193044TotalLiabilitiesBOY
Total Liabilities EOY41540443TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY10641646NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY6501178NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionThe mission of ACCESS is to provide high quality, comprehensiveMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense10122284Expense
Revenue9865975Revenue
DescriptionCOMMUNITY HEALTH CENTERSDescription

Activity2 Activity2

FieldValueIRS element (for citing)
Expense1719274Expense
Revenue1712285Revenue
DescriptionWESTSIDE HEALTHY STARTDescription

Activity3 Activity3

FieldValueIRS element (for citing)
Expense1583615Expense
Revenue1327698Revenue
DescriptionSAMSHADescription

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense73542857Expense
Revenue136925822Revenue
DescriptionAll other programsDescription
FieldValueIRS element (for citing)
Total Of Other Program Service Exp73542857TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev136925822TotalOfOtherProgramServiceRev
Total Program Service Expense86968030TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingfalseComplianceWithBackupWitholding
Number Of Employees1118NumberOfEmployees
Employment Tax Returns FiledfalseEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionstrueQuidProQuoContributions
Quid Pro Quo DisclosuretrueQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members18NbrVotingGoverningBodyMembers
Number Independent Voting Members18NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledILStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1ACCESS COMMUNITY HEALTH NETWORKBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number3125262088TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1222 NORTH CANAL ST 3RD FLOORAddressLine1
CityCHICAGOCity
StateILState
ZIP Code60606ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (25 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
BENA SULLIVAN
Chairwoman Emeritus1.00XX000
DONNA SIMMMONS
Vice-Chairwoman1.00XX000
TERRY BROWN
Treasurer1.00XX000
DENISE KITCHEN
Chairwoman1.00XX000
OLIVIA BANKS
Board Member1.00X000
PATRICIA BOBB
Board Member1.00X000
DELPHINE GOREE
Board Member1.00X000
DR CHARLES DESHAZER
Board Member1.00X000
ADRIENNE WATSON
Board Member1.00X000
VIRGINIA OVIEDO
Board Member1.00X000
DAVID WISE
Board Member1.00X000
EVE SALAZAR
Board Member1.00X000
ROBERT SHEESLEY
Board Member1.00X000
ERIN STARKEY
Secretary1.00X000
LEOLA TOWNES
Board Member1X
DERRICK TUNG
Board Member1X
DANIELLA LEVITT
Board Member1X
DONNA THOMPSON
Chief Executive Officer40X425849
LINDA SHAPIRO
VP External Affairs40X223221
JOAN D BOOMSMA
Chief Medical Officer40X334583
STEVEN GLASS
Chief Quality Officer40X157116
JULIE BONELLO
Chief Information Officer40X160353
TARIQ BUTT
Deputy Medical Officer40X270678
ELEVA RILEY
Vice-President of Human Resources40X182836
MAHOMED OUEDRAOGO
Chief Financial Officer40X167819
FieldValueIRS element (for citing)
Total Reportable Comp From Org3715732TotalReportableCompFromOrg
Number Individuals GT100 K121NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
SPRINGFIELD SERVICE CORPORATION
8151 183RD STREETTINLEY PARKIL60487Professional services2016135
KRAUSE CONSTRUCTION SERVICES INC
3330 EDISON AVENUE 1BLUE ISLANDIL60803Professional services1762929
CARDINAL BUILDING MAITENANCE
4952 WEST 128TH PLACEALSIPIL60803Professional services1047241
MT SINAIA HOSPITAL
1501 SOUTH CALIFORNIA AVENUECHICAGOIL60618Professional services645581
LABCORP
55 EAST WASHINGTON STREETCHICAGOIL60601Professional services435963
FieldValueIRS element (for citing)
Number Of Contractors GT100 K37NumberOfContractorsGT100K
Government Grants21805097GovernmentGrants
All Other Contributions803576AllOtherContributions
Total Contributions22608673TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumn
Capitation Revenue62149830536433
Net Patient Service Revenue62149859125827
Affiliate contracts6214982346732
FieldValueIRS element (for citing)
Total Program Service Revenue92008992TotalProgramServiceRevenue

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionOtherDescription
Business Code621498BusinessCode
Total Revenue Column10729897TotalRevenueColumn
Related Or Exempt Function Income10729897RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue10729897TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column125347562TotalRevenueColumn
Related Or Exempt Function Income102738889RelatedOrExemptFunctionIncome

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total2100393Total
Program Services0ProgramServices
Management And General2100393ManagementAndGeneral
Fundraising0Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total53584970Total
Program Services39363629ProgramServices
Management And General14221341ManagementAndGeneral
Fundraising0Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total4602129Total
Program Services2643697ProgramServices
Management And General1958432ManagementAndGeneral
Fundraising0Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total4209232Total
Program Services2491010ProgramServices
Management And General1718222ManagementAndGeneral
Fundraising0Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total3219597Total
Program Services2360550ProgramServices
Management And General859047ManagementAndGeneral
Fundraising0Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total13332362Total
Program Services9865523ProgramServices
Management And General3466839ManagementAndGeneral
Fundraising0Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total3514878Total
Program Services2380828ProgramServices
Management And General1134050ManagementAndGeneral
Fundraising0Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
Purchased services15505104892637565775041225
Other expenses51275112973951212862024940
Bad debt8170368817036800
Referred medical services7759459775945900

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total1591376Total
Program Services32640ProgramServices
Management And General1558736ManagementAndGeneral
Fundraising0Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total122717379Total
Program Services86968030ProgramServices
Management And General35723184ManagementAndGeneral
Fundraising26165Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY4040772BOY
EOY2002652EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY4906032BOY
EOY3157101EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY17857523BOY
EOY14456782EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY324893BOY
EOY720399EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis47598872LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec19894185LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY26705470BOY
EOY27704687EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY53834690BOY
EOY48041621EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY22815549BOY
EOY22331200EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY20377495BOY
EOY19209243EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY43193044BOY
EOY41540443EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY10323781BOY
EOY6225008EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY317865BOY
EOY276170EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY10641646BOY
EOY6501178EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY53834690BOY
EOY48041621EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses2630183ReconcilationRevenueExpenses
Reconcilation Other Changes-6770651ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii
Public Support Total1700PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Pertcentage1700PublicSupportPertcentage170
Public Support Total5090PublicSupportTotal509
Public Support Percentage5090PublicSupportPercentage509
Investment Income Percentage0InvestmentIncomePercentage

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 D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis342415InvestmentCostOrOtherBasis
Book Value342415BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis12205661InvestmentCostOrOtherBasis
Depreciation4761281Depreciation
Book Value7444380BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Investment Cost Or Other Basis12026098InvestmentCostOrOtherBasis
Depreciation7561565Depreciation
Book Value4464533BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis23024698InvestmentCostOrOtherBasis
Depreciation7571339Depreciation
Book Value15453359BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings27704687TotalOfBookValueLandBuildings
Total Revenue125347562TotalRevenue
Total Expenses122717379TotalExpenses
Excess Or Deficit For Year2630183ExcessOrDeficitForYear
Excess Or Deficit Per FS2630183ExcessOrDeficitPerFS

Schedule G IRS990ScheduleG

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
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 PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (14 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrgBonus Filing OrgBonusFilingOrg
DONNA THOMPSON
425849425849
LINDA SHAPIRO
223221223221
JOAN BOOMSMA
25958333458375000
STEVEN GLASS
157116157116
JULIE BONELLO
160353160353
TARIQ BUTT
270678270678
ELEVA RILEY
182836182836
MAHOMED OUEDRAOGO
167819167819
JANIE GAWRYS
177938177938
EDWARD C LAMPLEY JR
409916409916
PAULA L CAVENS
311324311324
LEMUEL J SHAFFER
305077305077
KENNETH BRETTS
301870301870
LEO BOLER
287152287152

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierPt I Line 7Identifier
ExplanationPhysicians listed received certain compensation payments based upon measured productivity.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (13 entries)

IdentifierIdentifierExplanationExplanation
Pt VI, Line 11aThe return was e-mailed to all board members for review
and approval.
Pt VI, Line 12cThe board is required to complete conflict of interest
statements on an annual basis and submit to the Corporate
Compliance Officer
Pt VI, Line 15The Compensation Committee reviews the salaries of the
senior leadership team on an annual basis.
Pt VI, Line 19Governing documents are made public upon written request.
Pt VI, Line 5The prior period adjustments were made to properly reflect the
allowance for doubtfurl accounts, accrued salaries and wages, and
the state grants account receivable.
Form 990, Part III, Line 4dALL OTHER PROGRAMS 73542857. 0. XXX-XX-XXXX.
Form 990, Part IX, Line 24fINSURANCE AND INTEREST 1591376. 32640. 1558736. 0.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1SINAI HEALTH SYSTEMSBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11501 S CALIFORNIAAddressLine1
CityCHICAGOCity
StateILState
ZIP Code60608ZIPCode
FieldValueIRS element (for citing)
EIN363317058EIN
Primary Activitieslease agreement and professional servicesPrimaryActivities
Legal Domicile StateILLegalDomicileState
Public Charity Status501(c)(3)PublicCharityStatus
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 OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgtrueLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg