2011-05-13T07:17:41-07:00 2010-06-30 990 2009-07-01 362179802 Schwab Rehabilitation Hospital and Care Network SCHW 7735422000 1401 California Blvd Chicago IL 60608 Charles Weis 2011-05-13 2009 2016-02-24 21:20:13Z Charles Weis 1401 S California Blvd Chicago IL 60608 33713913 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 and outpatient physical rehabilitation services. Schwab performs these services in the areas of traumatic brain injury, stroke, amputation, and spinal cord injury for adult and pediatric patients. Schwab extended services assist patients in rejoining their communities guiding them in accessing public transportation, accessible housing, education and recreation. The peer mentoring programs pair individuals with previously acquired disabilities with patients for whom living with disabilities is new.Schwab is a teaching hospital hosting residents and other health professions. Schwab Rehabilitation Hospital supports its patient diversity with medical interpreters and capacity for interpretation in over 150 languages including American Sign Language.Schwab Extended Service's In My Shoes Violenc 57 54 392 11 0 479267 396591 42502839 31769397 376135 1283140 349360 264785 43707601 33713913 0 0 23770107 24640017 0 64589 16976825 17499325 40746932 42139342 2960669 -8425429 80007456 82562469 32808406 32665742 47199050 49896727 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 and outpatient physical rehabilitation services. Schwab performs these services in the areas of traumatic brain injury, stroke, amputation, and spinal cord injury for adult and pediatric patients. Schwab extended services assist patients in rejoining their communities guiding them in accessing public transportation, accessible housing, education and recreation. The peer mentoring programs pair individuals with previously acquired disabilities with patients for whom living with disabilities is new.Schwab is a teaching hospital hosting residents and other health professions. Schwab Rehabilitation Hospital supports its patient diversity with medical interpreters and capacity for interpretation in over 150 languages including American Sign Language.Schwab Extended Service's In My Shoes Violenc false false 6699309 21654720 Patient CareStaff Nurse EngagementSchwab Rehabilitation Hospitals instituted a Nursing Professional Practice Council comprised of nursing leadership and staff nurses representing all nursing units. This council gives an opportunity for staff nurses to become involved in important decisions affecting their practice and care of patients. Staff Nurses from the Professional Practice Council worked together with leadership to build a nursing acuity system. This system provides a more accurate picture of staffing needs for patient care, reflecting the complexity of each patient. The tools are customized to meet the unique needs of each individual unit throughout the hospital.Implemented Bed Side Medication Verification ( BMV) which is bar code scanning on Medication and Patient wrist bands. This process improved Patient safety by assuring the Right patient gets the Right medication.These nurses also built a Nursing Clinical Ladder program to promote staff nursing involvement in hospital committees, projects, certification and continuing education. They achieve recognition and advancement as they continue in the program. They also recommended and achieved a bonus for nurses who achieve specialty certification. 5341073 30217370 Therapy: Schwab provides to our patient a variety of critical necessary occupational, physical, and speech therapeutic services. These patient services addressed and are best described as the following:Occupational therapy services assists with self care, such as getting to the bathroom, showering, grooming, and eating. This therapy may include training on using assistive devices for greater reach, or to conserve energy. Depending on the patient illness or injury, the occupational therapist will help educate the at-home caregivers as to what to do now, or in the next phase of the patient's recovery, whether it is at home with home health, in our inpatient or outpatient rehabilitation facility Schwab Rehabilitation Hospital and Care Network. Physical therapy services helps to increase mobility, and starts at the bedside, helping with repositioning and exercises to increase strength, and increasing mobility. The therapist may recommend assistive devices, such as wheelchairs, walkers, canes, or gait belts to help along the recovery of independence with getting from place to place. Exercises to help build strength may be advised before you take on the challenge of getting out of bed safely, then walking a few steps, and perhaps advancing to more challenging activities. Depending on the illness or injury, our physical therapist will help the patient progress as smoothly and safely as possible. The physical therapists also work as a comprehensive treatment team to help prevent or treat infected wounds, and promote wound healing. Speech-language pathology improves communication, cognition, and swallowing. The therapist works with the patient during the session, upon consultation if our physician or the therapist evaluates that the patient is having difficulty swallowing. The therapist may evaluate the patient's swallowing food and drink, and/ or may recommend the patient have a swallowing test in the radiology department that includes drinking and eating with moving x-rays taken; test such as a modified barium swallow study. There may be some other techniques or adjustments to the foods and drinks that the patient swallows, in order to swallow safely and prevent further complications after the illness or injury. Our speech-language pathology staff also provides other supportive studies and services for our community. Our speech-language pathologist evaluate patient communications to determine if there has been any changes in the patient's ability to understand spoken or written language or the patients' ability to speak and write after illness or injury. Our Acute Care therapists work provide a comprehensive level of care and offer an array of other healthcare professionals, to help recovery the process start right immediately. 1243120 10119920 Pharmacy:Schwab Anticoagulation Program: Adverse Drug Event PreventionThe Anticoagulation Oversight Committee was initiated to address anticoagulation therapy at Mount Sinai & Schwab Rehabilitation Hospitals. 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. The Anticoagulation Oversight Committee reviewed & made changes to existing treatment protocols while addressing regulatory standards & best practices for overall hospital Venous Thrombo-Embolism prevention. This committee also reviewed data from an 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 & the type of intervention: education, protocol changes, formulary changes and management of the medication. The committee worked closely with Schwab Rehabilitation Hospital in recommending anticoagulation education to Nurses, Residents and attending Physicians by Pharmacists. 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. 6307854 7940980 19591356 true true false false false false false false false false true false true false false false false false false false false true false false true true false false false false false false false false false false false false false false false true false false false true 8 0 true 392 true false false false false false false false false false false false 0 false false false false false false false false 57 54 true false false false true true true true true false false false true true true true true true true true false false IL X Schwab Rehabilitation Hospital 7732572636 1401 South California Chicago IL 60608 Yogi Ahluwalia MD 1.00 X 0 0 0 William Singer 1.00 X 0 0 0 Terry Wheat 1.00 X 0 0 0 Suzan RaynerMD 40.00 X 281680 0 11643 Susan Manilow 1.00 X 0 0 0 Steven Koch 1.00 X 0 0 0 Steven Gistenson 1.00 X 0 0 0 Sharon Rossmark 1.00 X 0 0 0 Ruth Rothstein 1.00 X 0 0 0 Robin Boyd-Clark 1.00 X 0 0 0 Robert Steele 1.00 X 0 0 0 Robert Shakno 1.00 X 0 0 0 Robert Markin 1.00 X 0 0 0 Richard Townsell 1.00 X 0 0 0 Richard Hoffman 1.00 X 0 0 0 Richard Gilford 1.00 X 0 0 0 Redessa Harris 1.00 X 0 0 0 Paul Francis 1.00 X 0 0 0 Paul Cherner 1.00 X 0 0 0 Neal Goldstein 1.00 X 0 0 0 MICHELLE GITTLERMD 40.00 X 220499 0 22029 Michael Mitchel 0. X 0 0 0 Maurice Schwartz MD 1.00 X 0 0 0 MARY LAWLER MD 32.00 X 196336 0 1326 Luther Brewster 1.00 X 0 0 0 Lori Jean Pacura 8.00 X 0 0 0 LISA THORNTONMD 40.00 X 214124 0 19500 Leslie Mitchel-Bond 1.00 X 0 0 0 Leslie Fishman 1.00 X 0 0 0 Leslie Davis 1.00 X 0 0 0 Lenard Baritz 1.00 X 0 0 0 Lawrence Sherman 1.00 X 0 0 0 Lawrence Manson 1.00 X 0 0 0 Lance Tyson 1.00 X 0 0 0 Klaus Wisiol 1.00 X 0 0 0 Kenneth Luccioni 1.00 X 0 0 0 Karen Teitelbaum 16.00 X 0 0 0 James Hadley 1.00 X 0 0 0 Howard Gilbert 1.00 X 0 0 0 Henri Havdala MD 1.00 X 0 0 0 Harriet Seymore 1.00 X 0 0 0 Harold Sherman 1.00 X 0 0 0 Gleatha Glispie 1.00 X 0 0 0 GIOA HERRING-WILLIAMSMD 0. X 198104 0 4427 Gary Niederpruem 1.00 X 0 0 0 Gary Keller 1.00 X 0 0 0 Fiona Daskal 1.00 X 0 0 0 Ernest Karmin 1.00 X 0 0 0 Ernest Jenkins 1.00 X 0 0 0 Ellen Havdala 1.00 X 0 0 0 Elizabeth Gracie 1.00 X 0 0 0 EDWARD PARKMD 40.00 X 231928 0 4929 David Hoekstra 4.00 X 0 0 0 Daniel Hollenbach 1.00 X 0 0 0 Daniel Cantrell 1.00 X 0 0 0 Cheryl Blackwell-Bryson 1.00 X 0 0 0 Charles Brown 1.00 X 0 0 0 Charles Weis 8.00 X X 0 0 0 Bruce K Stickler 1.00 X 0 0 0 Brett Maxwell 1.00 X 0 0 0 Bettylu Saltzman 1.00 X 0 0 0 Bernard Kalish 1.00 X 0 0 0 Ben Soldinger 1.00 X 0 0 0 Barbara Johnson 1.00 X 0 0 0 Ari Benmosche 1.00 X 0 0 0 Alan Solow 1.00 X 0 0 0 Alan Inbinder 1.00 X 0 0 0 Alan Channing 1.00 X X X 0 0 0 Aida Giachello 1.00 X 0 0 0 Abraham Morgan 1.00 X 0 0 0 AR Umans 1.00 X 0 0 0 1342671 63854 6 false true false RECOVERCARE 3599 MARSHALL LANE BENSALEM PA 19020 BED SUPPLIES/EQUIP 107591 FRESENIUS MEDICAL CARE 4013 PAYSHERE CIRCLE CHICAGO IL 60674 PHARMACY SUPPLIES 170638 CHICAGO DISABILITY TRANSIT 230 E OHIO STREET CHICAGO IL 60611 TRANSPORTATION 150564 3 99331 297260 396591 WEISS HOSPITAL 446788 446788 STEPS SERVICE 10913 10913 PATIENT SERVICES 31168754 31168754 MEDICAL DIRECTOR 142942 142942 31769397 1283140 1283140 0 0 0 0 0 0 0 Other Revenue 264785 264785 264785 33713913 33052537 264785 0 0 0 0 656796 656796 0 20895676 14612355 6283321 321531 218641 102890 1460130 20409 1439721 1305884 912100 393784 0 18486 18486 -34667 -34667 0 0 0 0 0 43189 19319 23870 0 0 401614 401614 23066 6684 16382 0 104074 15219 88855 1225246 1225246 0 1511008 1511008 362051 362051 TAX ASSESSMENT 3143364 3143364 SUPPLIES 2759221 2527985 231236 ICT PROF SERVICES 1342932 7812 1270531 64589 ENVIRONMENTAL SERVICES 1722524 740 1721784 BAD DEBT 1342310 1342310 3534907 1250092 2284815 42139342 19591356 22483397 64589 1250629 1668530 460521 366442 0 4799369 5045267 0 0 0 75601 58642 124082 192402 35233329 15611686 20232221 19621643 2517767 2768552 0 0 0 50547266 52840991 80007456 82562469 4708709 4592994 21766952 21380392 6332745 6692356 32808406 32665742 X 46783764 49490854 415286 405873 47199050 49896727 80007456 82562469 X false true true X true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 495490 495490 27841537 10320841 17520696 95260 89645 5615 6726062 5201200 1524862 74980 74980 19621643 TRUSTED INVESTMENTS 676853 SELF INSURANCE TRUST FUND 32473 OTHER RECEIVABLES 261019 OTHER INVESTMENTS 136414 OTHER ASSETS 18600 DUE FROM UNRESTRICTED FUNDS 128735 DUE FROM THIRD PARTIES DUE FROM THE AFFILIATES 48173908 DEFERRED BOND 643684 52840991 THIRD PARTY RESERVE 1179222 SUBACUTE BLUE CROSS LIABILITY 10530 SELF INSURANCE 3437135 PPO LIABILITY 203764 OTHER CURRENT LIABILITY 648168 HAP LIABILITY 85777 DUE TO/FROM MEDICAID 40558 DUE FROM UNRESTRICTED 128735 CURRENT PORTION SELF INS 392509 CONTINUITY BONUS 6445 BLUE CROSS LIABILITY 13471 ASSET RETIREMENT OBLIGATION 546042 6692356 Part X Part X : FIN48 Footnote INCOME TAXES: THE CORPORATIONS MOUNT SINAI. SCHWAB,SCF AND SCI ARE TAX-EXEMPTORGANIZATIONS 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 MATTER 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 ISRECOGNIZED 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 MEED 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, 2010 AND 2009, THERE WERENO 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. true true X true X true X 600.000000000 true true true false true true 958961 958961 0.02280 958961 958961 0.02280 366920 366920 0.00870 370395 370395 0.00880 1 1 737316 737316 0.01750 1696277 1696277 0.04030 false 1570378 730104 false false Schwab Rehabilitation Hospital

1401 California Blvd Chicago IL 60608

X The community benefit report is prepared by related corporation Sinai Health System. Total cost per the Medicare Cost Report worksheet B,PT1 column 27 divided by total inpatient and outpatient gross revenue. No subsidized health services were reported The bad debt expense is $1,570,378. Schwab 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. Consistent 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. Schwab has no formal written debt collection policy. However, Schwab's collection process includes both letter and call series built to inform patients' of their outstanding balances and to explain available payment options. If the patient is uninsured a discount is applied to the patient's account in accordance with Illinois Patient Uninsured Act. In addition, resources are made available to patients throughout the collections process. These resources include: a charity program targeted to low income individuals residing in Sinai Health System core service core area, and non-interest bearing payment plans that start as low as $25 a month. There are no healthcare facility, other than those required to be licensed, registered, or similarly recognized as a health care facility under state law. Schwab 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. 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 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. 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. Schwab also specifically builds healthier communities through the In My Shoes violence program. In My Shoes educators, all former gang members and people with 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. 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 Discount along with information regarding how the patient may apply for financial assistance. Schwab, as a part of Sinai Health System, serves a population base of over 1 million 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 13% 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 treats more Medicaid patients than any other hospital in Illinois. Ninety-four percent of Sinai's patients are individuals classified in minority race categories. Sinai treats 107,000 children per year and admits 6,000 inpatients to Sinai Children's Hospital inclusive of pediatric visits for asthma and diabetes. Sinai's neonatal intensive care unit sees approximately 370 neonatal patients per year and obstetrics cares for 2,000 mothers categorized as high risk pregnancies. Schwab's service area has an average household income of $49,840. 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. 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. 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. IL X X X X X false false false false false false false true false false Suzan RaynerMD 245662 24121 11897 9000 2643 293323 MICHELLE GITTLERMD 199302 5304 15893 12730 9299 242528 MARY LAWLER MD 189971 4100 2265 594 732 197662 LISA THORNTONMD 196929 1500 15695 13140 6360 233624 GIOA HERRING-WILLIAMSMD 181474 16630 3380 1047 202531 EDWARD PARKMD 212179 3128 16621 3992 937 236857 Sch J, Part I, Line 7 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 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. IHFA 2003 ISSUE 370988139 45200PZC4 2003-12-29 23557208 REFUND BONDS ISSUED 1996 false false 23557208 1576440 601775 1996 true false true true true false false true ROBOBANK true false false Form 990, Part VI, Line 19 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. Form 990, Part VI, Line 15b 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 12c 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, affiliations or referrals, hiring decisions or contracts. The Conflict of Interest Disclsoure Form is completed on appointment to the Board of Directors of Sinai Health System or any one of its entities, upon hire for any relevant job category or at the time of appointment to the Medical Staff. In addition to the annual filing of the form, we require an update to be filed any time there has been a change. Conflicts disclosed on the Conflict of Interest Disclosure Form are taken into consideration when making board committee assignments. In addition, individuals who have a conflict of interest must abstain from participating in decisions affecting the interested parties and make it clear why they are abstaining. If the potential for conflict of interest exists, employees and physicians are required to discuss the situation with management. Board Members of the Sinai Health System or any of its entities should report potential conflicts to the Chief Integrity Officer who will review potential conflicts with the Sinai Health System Chief Executive Officer and Chairman of the Board of Directors. Form 990, Part VI, Line 11 Form 990, Part VI, Line 11: 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. Ernst & Young,LLP reviewed the return for the organization. Priorto the filing, the 990 was reviewed and discussed with the Executive Committee ofthe Board of Directors. The 990 was also made available to the full Board ofDirectors. Form 990, Part VI, Line 7a 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 6 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 2 Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et Ellen Havdala has family relationship with Henri Havdala, M.D. Leslie Mitchel-Bond has family relationship with Michael Mitchel. Form 990, Part III, Line 4d Form 990, Part III, Line 4d : Other Program Services Description OTHER PROGRAM SERVICES 4: Other Program Service Accomplishments in Education, Lab, Patient Related Services, Psychology, Radiology, Rehabilitation, Communication, and Other.Some points of interest and highlights:Extended Services at Schwab: This includes 10 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 patientsCommunity Technology Center: accessible computer lab, educationDisability Resource Center: support, referrals, information, & advocacyDomestic Violence: support, referrals, information, & advocacyHIV Prevention: education re: STDs through informal outreach, case mgmt. & group workshopsIn My Shoes: violence prevention for youthPeer Mentoring: positive role modeling & support by and for people with spinal cord injuries or brain injuriesRecreation: accessible sports, Wii, outingsRefugee Project: support, referrals & information for refugees with disabilitiesVoc-Ed: support toward vocational & educational attainment; vocational classes 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:Extended Services at Schwab: This includes 10 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 OTHER PROGRAM SERVICES 6: Other Program Service Accomplishments in Education, Lab, Patient Related Services, Psychology, Radiology, Rehabilitation, Communication, and Other.Some points of interest and highlights:Extended Services at Schwab: This includes 10 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 OTHER PROGRAM SERVICES 7: Other Program Service Accomplishments in Education, Lab, Patient Related Services, Psychology, Radiology, Rehabilitation, Communication, and Other.Some points of interest and highlights:Extended Services at Schwab: This includes 10 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 OTHER PROGRAM SERVICES 8: Other Program Service Accomplishments in Education, Lab, Patient Related Services, Psychology, Radiology, Rehabilitation, Communication, and Other.Some points of interest and highlights:Extended Services at Schwab: This includes 10 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 OTHER PROGRAM SERVICES 9: Other Program Service Accomplishments in Education, Lab, Patient Related Services, Psychology, Radiology, Rehabilitation, Communication, and Other.Some points of interest and highlights:Extended Services at Schwab: This includes 10 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 OTHER PROGRAM SERVICES 10: Other Program Service Accomplishments in Education, Lab, Patient Related Services, Psychology, Radiology, Rehabilitation, Communication, and Other.Some points of interest and highlights:Extended Services at Schwab: This includes 10 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 SINAI COMMUNITY INSTITUTE 2653 WEST OGDEN CHICAGO IL 60680 363933824 SUPPORTING ORGANIZATION IL 501C3 7 SINAI HEALTH SYSTEM SINAI HEALTH SYSTEM CALIFORNIA AVE At 15th ST Chicago IL 60608 363166895 Supporting Organization IL 501C3 11a Sinai Health System MOUNT SINAI COMMUNITY FOUNDATION CALIFORNIA AVE AT 15TH ST CHICAGO IL 60608 363305449 HEALTHCARE IL 501C3 11a Sinai Health System MOUNT SINAI HOSPITAL MEDICAL CENTER CALFORNIA AVE AT 15TH ST CHICAGO IL 60608 361509000 HEALTHCARE IL 501C3 3 Sinai Health System false false false false false false false false true true true true true false true false false false SINAI HEALTH SYSTEM o 1690382 MOUNT SINAI COMMUNITY FOUNDATION j 79568 MOUNT SINAI COMMUNITY FOUNDATION i 19956 MOUNT SINAI HOSPITAL MEDICAL CENTER o 855000 MOUNT SINAI HOSPITAL MEDICAL CENTER l 1752554 MOUNT SINAI HOSPITAL MEDICAL CENTER i 18540