2014-05-16T13:57:18-07:00 2013-06-30 990 2012-07-01 362170133 Holy Cross Hospital HOLY 7732575443 2701 West 68th Street Chicago IL 60629 Loren Chandler 2014-05-16 false 2012 2016-02-25 16:41:14Z X Alan H Channing 15th California Ave Chicago IL 60608 123406159 false false X www.holycrosshospital.org X 1928 IL The Hospital is a Catholic Health Care Organization sponsored by the Sister of St. Casimir. By our commitment to witness to the healing mission of Jesus, we contribute to healthy communities and promote quality health care to all with compassion. 52 49 1074 3 0 510792 337966 111339197 121483000 76656 142442 2204228 1379304 114130873 123342712 0 0 52528351 54963227 0 0 60479884 63312431 113008235 118275658 1122638 5067054 78674121 150672222 57913516 34117027 20760605 116555195 The Hospital is a Catholic Health Care Organization sponsored by the Sister of St. Casimir. By our commitment to witness to the healing mission of Jesus, we contribute to healthy communities and promote quality health care to all with compassion. false false 110756271 122186516 The Hospital is a not-for-profit Catholic hospital that serves a large area of Chicago's Southwest side. Located in Marquette Park, the Hospital provides emergency, medical/surgical, specialty, diagnostic and primary care services to communities that are home to mostly African American and Latino families. Many of the patients the Hospital serves are uninsured or under insured. The emergency department sees an average of 50,000 patient per year and have more ambulance daily visits than any other Illinois hospital. The hospital is a Disproportionate Share Hospital and is a vital safety net hospital. 110756271 true true false true false false false false false false true true false false true true false true false false false false false false false false true true false false true false false false false false false false false false false false false false false false false true false false false false true 1074 0 true 1074 true false false false false false false true true false 0 false false false false false false false false false false X 52 49 false false false false true true true true true false false true true true true true true true true false X Holy Cross Hospital 7732575443 2701 West 68th Street Chicago IL 60629 X William Singer 0.00 0.00 0 0 0 Ruth Rothstein 0.00 0.00 0 0 0 Richard Gilford 0.00 0.00 0 0 0 Lenard Baritz 0.00 0.00 0 0 0 Klaus Wisiol 0.00 0.00 0 0 0 AR Umans 0.00 0.00 0 0 0 Bruce Stickler 0.00 0.00 0 0 0 Lawrence Sherman 0.00 0.00 0 0 0 Harold Sherman 0.00 0.00 0 0 0 Bettylu Saltman 0.00 0.00 0 0 0 Abraham Morgan 0.00 0.00 0 0 0 Michael Mitchel 0.00 0.00 0 0 0 Susan Manilow 0.00 0.00 0 0 0 Ernest Karmin 0.00 0.00 0 0 0 Bernard Kalish 0.00 0.00 0 0 0 Richard Hoffman 0.00 0.00 0 0 0 Alan Inbinder 0.00 0.00 0 0 0 Henri Havdala MD 0.00 0.00 0 0 0 Howard Gilbert 0.00 0.00 0 0 0 Paul Francis 0.00 0.00 0 0 0 Paul Cherner 0.00 0.00 X 0 0 0 Terry Wheat 0.00 0.00 X 0 0 0 Sr Immacula Wendt 0.00 0.00 X 0 0 0 Steve Topel 0.00 0.00 X 0 0 0 Robert Steele 0.00 0.00 X 0 0 0 Alan Solow 0.00 0.00 X 0 0 0 Ben Soldinger 0.00 0.00 X 0 0 0 Robert Shakno 0.00 0.00 X 0 0 0 Maurice Schwartz 0.00 0.00 X 0 0 0 Wayne Pierce 0.00 0.00 X 0 0 0 Gloria Materre 0.00 0.00 X 0 0 0 Bret Maxwell 0.00 0.00 X 0 0 0 Robert Markin 0.00 0.00 X X 0 0 0 Gary Keller 0.00 0.00 X 0 0 0 Jonathan Jonas 0.00 0.00 X 0 0 0 Albert Grace 0.00 0.00 X 0 0 0 Neal Goldstein 0.00 0.00 X 0 0 0 Aida Giachello 0.00 0.00 X 0 0 0 Mark Frish 0.00 0.00 X 0 0 0 Leslie Davis 0.00 0.00 X 0 0 0 John Danaher MD 0.00 0.00 X 0 0 0 Charles Brown 0.00 0.00 X 0 0 0 Daniel Cantrell 0.00 0.00 X 0 0 0 Kenneth Luccioni 0.00 0.00 X X 0 0 0 Sharson Rossmark 12.00 0.00 X X 0 0 0 Gary Niederpruem 20.00 0.00 X X 0 0 0 Yogi Ahluwalia MD 0.00 0.00 X 0 0 0 Loren Chandler 0.00 0.00 X 0 0 0 Alan H Channing 0.00 0.00 X 0 0 0 Wayner Lener 40.00 0.00 X 551598 0 0 Paul Toeodo 40.00 0.00 X 229164 0 3590 Catherine Kalial 40.00 0.00 X 160522 0 4632 Kathryn Loeb 40.00 0.00 X 152695 0 4002 Dennis Ryan 40.00 0.00 X 149000 0 4002 1242979 16226 5 false true false Superior Health Linens LLC 230006 Momentum Place Chicago IL 606890006 Support Services 872286 Renovo Solutions 1801 East Park CourtPlace BldgD 206 Santa Ana CA 92701 R & M Plant Equipmen 596681 Emergency Room Care Providers Dept 4034 PO Box 3065 Oakbrook ILLinois IL 605223065 Medical Services 875208 Alcantara Noel GMDSC PO Box 2909 Darien IL 605617909 Medical Services 1416068 24 IHIM LLC 2000 Spring Road Suite 200 Oak Brook Il IL 60523 Medical Services 587791 5 336846 1120 337966 Net Patient Revenue 624100 28869000 28869000 Medicare/Medicaid 624100 92614000 92614000 121483000 116559 116559 0 0 265241 63447 201794 201794 201794 25883 25883 25883 25883 0 0 0 Patient Parking 621400 94133 94133 Cafeteria and Vending 621400 380761 380761 All other 621400 702616 702616 1177510 123342712 122185616 819130 X 0 0 0 0 1857699 1857699 0 44372142 43640145 731997 0 4924738 4648953 275785 3808648 3608868 199780 0 1058841 1058841 95004 95004 229167 229167 0 0 18035249 14918500 3116749 3398 3398 2283981 2177200 106781 0 0 0 66569 64927 1642 0 21931 11364 10567 13240 13240 0 5852661 5852661 2800806 2800806 all other expenses 2191755 2191755 medicaid assessment 6404731 6404731 medical supplies 11510937 11510937 Bad debt 11951242 11951242 792919 728377 64542 118275658 110756271 7519387 0 3015585 5679428 15320028 13844855 232625 623880 11812870 12592974 0 0 0 1555118 1502404 557457 461664 106500827 3278152 33475578 103222675 0 11684979 9469667 0 0 1019881 3274675 78674121 150672222 17740240 20288078 40173276 13828949 57913516 34117027 X 16815493 115828144 3945112 727051 20760605 116555195 78674121 150672222 X 5067054 90727536 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 229168 false true 29852 259020 false false Part II-B, Line 1i Part II-B, Line 1i - Other Activities Description The amount of $20,239 represented 32% for American Hospital Assn and $9613 represented 29% of Illinois Hospital Assn membership dues allocable to lobbing activities. 801611 801611 83434304 1529629 81904675 1544085 18497 1525588 19324106 1730026 17594080 1396721 1396721 103222675 9469667 Steward Fees 3158000 Professional Liability 9509707 Pension and Post retirement 1161242 13828949 X Part X Part X : FIN48 Footnote Schedule D Part X Line 2INCOME TAXES: THE CORPORATION, MOUNT SINAI, SCHWAB, HOLY CROSS, SMG, AND SCI ARE TAX-EXEMPT ORGANIZATIONS UNDER INTERNAL REVENUE CODE SECTION 501(C)(3) AND EACH AS REQUIRED FILES A FORM 990 (RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX) ANNUALLY. HCHP FILES FEDERAL AND ILLINOIS FORMS 1120 (U.S. CORPORATION INCOME TAX RETURN) ANNUALLY.THE CORPORATION ADOPTED FASB ISSUED GUIDANCE FOR UNCERTAINTY IN INCOME TAXES. THE GUIDANCE PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR THE CONSOLIDATED FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAXEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. EXAMPLES OF TAX POSITIONS COMMON TO HEALTH SYSTEMS INCLUDE SUCH MATTERS AS THE FOLLOWING: THE TAX-EXEMPT STATUS OF EACH ENTITY, THE NATURE, CHARACTERIZATION AND TAXABILITY OF JOINT VENTURE INCOME AND VARIOS 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 SHEETS ALONG WITH ANY ASSOCIATED INTEREST AND PENALTIES THAT WOULD BE PAYABLE TO THE TAXING AUTHORITIES UPON EXAMINATION. AS OF JUNE 30, 2013 AND 2012, THERE WERE NOT UNRECOGNIZED TAX BENEFITS IDENTIFIED AND RECORDED.FORMS 990 AND 1120 FILED BY THE CORPORATION, MOUNT SINAI, SCHWAB, HCH, SMG, AND 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 AND 1120 FILED BY THE CORPORATION, MOUNT SINAI, SCHWAB, HCH, SMG, AND SCI ARE NO LONGER SUBJECT TO EXAMINATION OF THE YEARS ENDED JUNE 30, 2009 AND PRIOR SINCE. false false true X true X 600.000000000 true true true false true true 10341527 10341527 0.09730 31349300 31736739 -387430 0.90260 41690827 31736739 9954097 0.99990 6925 6925 0.00010 6925 6925 0.00010 41697752 31736739 9961022 1.00000 true 11971577 981119 40732263 27422031 13310232 X true true 1 1 Holy Cross Hospital

2701 West 68th Street Chicago IL 60629

www.holycrosshospital.org X X X X X Holy Cross Hospital 1 true X X X X X X X X X X 13 true false true X X X true false false true true 600.0000 false true X X X X X false true X X true false X X X X X true false false Part VI - States Where Community Benefit Report Filed IL Part VI - Affilated Health Care System Roles and Promotion Parish Nurse Program - Through the Hospitals ParishNurse Program, the Hospital has dedicated a nurse to conduct bloodpressure screenings and ongoing health assessments for approximately 100regular parishioners. The nurse also attends church meetings where shereceives information about the sick parishioners at home and in nursinghomes. Arrangements are made to assist the sick parishioners. Thehospital participates with seven catholic churches in conducting healtheducation workshops and assist the uninsured with referrals.Senior Groups - There are 30 senior groups that meet once a month fordiagnostic testing, health assessments and health education. Most ofthese seniors are in their 80s and 90s and the Hospital assists themwith having ongoing physician appointments and helping them with theirmedical needs, by ongoing health assessment and transition to assistedliving or homemaker referrals. Vaccine for Children Program with CDPH - The Hospital works closely with grade school and high school nurses in the community. The purpose of thisprogram is to assist children who are in need of recommended immunizations to remain in school. Vaccines are administered during school hours. Mostof these children are on Medicaid or have no insurance. The vaccines areobtained from CDPH and the parents are not charged for administering thevaccines. The Hospital also documents in the state I CARE REGISTRY allimmunizations given and assists the school nurses with medicalimmunizations by verifying the students immunizations found in the statesystem.Community Health Fairs - The Hospitals representatives attend communitygroup events and fairs. The Hospital provides free health screenings andhealth education materials at these events. On average, there areapproximately 40 events per year.Influenza Program - The Hospital administers flu immunizations during theyear. These flu shots were administered at senior group meetings,churches and health fairs for community groups. We formed a jointinfluenza program with Walgreens who provided free influenza vaccines topeople with no insurance and ten area churches.Hospital Referrals for At Risk Seniors - Under this program, in certainsituations, the Hospitals health care professional will make a home visit to asses an at risk seniors living situation after discharge from the Hospital.Participation in Community Health Speakers Bureau - The Hospitals health care professional participate in promoting healthy lifestyles by volunteering to be speakers whenever Community and civic groups ask for assistance in having a speaker for their events. Part VI - Explanation Of How Organization Furthers Its Exempt Purpose Holy Cross Hospital has posted in the Inpatient andOutpatient Admission areas and on its website the notice of its CharityCare Policies. This includes taking steps to ensure that Charity Careliterature, brochures and applications forms for Charity Care are readilyaccessible to patients at the Hospitals key locations. Notification ofthe availability of charity care is also printed on patient statements.Financial Counselors are located on campus that review the patient census for Inpatient, Outpatient and Surgical areas to assist in-house patients identifies the availability of potential insurance coverage and assist them with completing financial aid paperwork. At the earliest time feasible, HCH personnel obtains the necessary patient financial records and documentation regarding eligibility for any and all types ofalternative funding to expedite processing of patient Charity CareApplications. Part VI - Community Building Activities No community building activities (as reported in Part II) are reported. Holy Cross Hospital reports all community related activities as part of Part I - Charity Careand Certain Other Community Benefits. Part VI - Community Information Holy Cross Hospital uses various methods to assessthe health care needs of the community it serves. Important informationis gathered from the Census Updates, Illinois Department of Healthcare and Family Services, the Department of Public Health, Cook County Department of Public Health, City of Chicago Department of Public Health, University of Chicago Urban Health Initiatives, Churches, community organizations and advocacy groups.Because of the Hospitals close relationship with leaders of the NewCommunities Program, the Hospital was instrumental in establishing theHealthy Chicago Lawn advocacy coalition. Holy Cross Hospital has servedas the host site and primary health resource for the majority of HealthyChicago Lawn Coalitions planning, education and advocacy initiatives.Healthy Chicago Lawn has prompted the development of many relational,educational and promotional health awareness activities in the ChicagoLawn community. As a result of the partnership with communityorganizations, Holy Cross Hospital has become more accessible to communitygroups and residents. There has been an increased awareness of theservices provided by the Hospital which has resulted in positive healthoutcomes in the communities served by Holy Cross Hospital.The Hospital also assesses the needs of the community through the ParishNurse program. Community Outreach nurse attend church meetings whereinformation is received about the sick parishioners at home and in nursinghomes. There are three large Catholic churches in the community that havea formal HCH Parish Nurse program. The Hospital has designated a nurse toservice these churches. The nurse conducts blood pressure screenings andhealth assessments for 100 regular parishioners. New parishioners, whoare uninsured, are assisted with referrals. Also, home visit arrangements are made for at risk seniors. The Hospital also has a volunteer team at churches to assist with health fairs and health education events, such as the MERCK Pharmaceuticals sponsored Diabetes Education program for the Latino community.Another source for assessing the health care needs of the community isthrough membership in 10 community organizations each of which is deeply39 invested in addressing one or more social determinants of health, such as housing, violence and youth services. Community groups have requested the Hospital for health care professionals to join their boards and assist with the direction of their advocacy and policies. Unpaid Hospital staff have become members of board of these organizations, which has helped the Hospital identify the needs of the community and in turn communicate to the leadership of these organization the resources the Hospital has toserve them. Part VI - Needs Assessment Holy Cross Hospitals policy is to provide those whoare indigent, as defined by Regionally Adjusted Federal PovertyGuidelines, with Charity Care or Partial Charity Care to relieve thefinancial burden associated with medically necessary treatment. TheHospitals policy establishes appropriate procedures for providing freecare to qualified patients. It also serves to ensure compliance with allapplicable federal, state, and local laws. The Financial Aid policies are available to all of the Hospitals indigent patients, who may beuninsured/underinsured or have suffered a catastrophic injury. TheHospitals Self-pay Debt Reduction Policy provides Uninsured,Underinsured, low-income and medically indigent patients with DebtReduction Provisions in order to alleviate the burdensome financialobligations associated with receiving acute and unexpected medical care. Number of Hospital Faciltiy - 1 Part V, Line 18e - Other Actions Took Before Any Collection Actions Mount 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 financialassistance. Number of Hospital Faciltiy - 1 Part V, Line 3 - Account Input from Person Who Represent the Community HCH partnered with community-based organizations to facilitate four focus groups with 48 community members. There were two focus groups conducted in Chicago Lawn, one in Englewood and another in West Englewood. The purpose of these focus groups was to gain insight into the most pressing health conditions affecting each community, the barriers to overcoming those issues, and how a community hospital such as HCH can help improve the community's health. These groups were held in both English and Spanish, as appropriate.Many people contributed to this report. Among these has been the staff of the Sinai Urban Health Institute. These are ALL people trained in public health (most are graduates of schools of public health with MPH or PhD degrees). One of the authors (Dr. Whitman) was the founding member of the Epidemiology Program of the Chicago Department of Public Health. That program grew from 0 to 53 people during his 10-year tenure at the Department. We thus believe that the public health credentials of the authors of this report are substantial and notable. Number of Hospital Faciltiy - 1 Part V, Line 1j - Description of Other Needs Assessment Holy Cross Hospital as a part of Sinai Health System serves a population base of over one 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 andLatino patients. Over 60% of Sinai's patients are Medicaid recipients and 13% areuninsured. 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 childrenper 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. Holy Cross Hospital Emergency Department has56,000 patient visits per year; the equivalent of six patients every hour. Among those patients the proportion of uninsured patients is 30% - greater than twice the proportion of uninsured patients for Mount Sinai Hospital in total. Holy Cross Hospital's service area has an average household income of $49,840. Part III, Line 9b - Provisions On Collection Practices For Qualified Patients Holy Cross Hospital's collection process includes both letter and call series built toinform patients' of their outstanding balances and to explain available paymentoptions. If the patient is uninsured a discount is applied to the patient's accountin accordance with Illinois Patient Uninsured Act. In addition, resources are madeavailable to patients throughout the collections process. These resources include: acharity program targeted to low income individuals residing in Sinai Health Systemcore service area, and non-interest bearing payment plans that start as low as $25 amonth. The debt collection practices only apply to charity patients to the extent ofthe copayments or patient portion balances and not to amounts that have beenapproved as charity or financial assistance. Part III, Line 8 - Explanation Of Shortfall As Community Benefit Consistent with Medicare guidelines, rules & regulations, non-allowable costs areoffset on worksheet A via A-8 adjustments. General Overhead cost centers costs arestep 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 Expense The collection of receivables from third-partypayors and patients is the Hospitals primary source of cash foroperations and is critical to its operating performance. The primarycollection risks relate to uninsured patient accounts and patient accountsfor which the primary insurance payor has paid, but patient responsibilityamounts (deductibles and copayments) remain outstanding. Patientreceivables, where a third-party payor is responsible for paying theamount, are carried at a net amount determined by the original charge forthe service provided, less an estimate made for contractual adjustments ordiscounts provided to third-party payors.Patient receivables due directly from the patients are carried at the cost attributable to patients eligible under the Hospitals charity care policy original charge for the service provided less amounts covered by third-party payors, discounts for patients that are uninsured and anestimated allowance for doubtful receivables. Management estimates thisallowance based on the aging of its accounts receivable and its historicalcollection experience for each payor type. Recoveries of receivablespreviously written off are recorded as a reduction of bad debt expensewhen received. Using the cost to charge ratio of 24.83%, the cost of baddebt is approximately $2,399,000.The past due status of receivables is determined on a case-by-case basisdepending on the payor responsible. Interest is generally not charged onpast due accounts.Prior to writing-off the amounts as bad debts expense, Holy CrossHospitals Patient Financial Services department reviews the self-paybalances. Where the patient has chosen not to cooperate with our CharityCare Policy, the Hospital utilizes a program that accesses the patientscredit information and identifies patients that qualify for charity careunder our policy. These reports show that approximately 33% of alluninsured patients and patients with a self-pay balance after insurancepayment, qualify for charity care. The amount of Bad Debts expense at Part III, Line 2 - Methodology Used To Estimate Bad Debt Expense Holy Cross Hospital first determines if a patient qualifies for charity care. If apatient is classified as charity care they would not be included as bad debt. Somepatients do not desire to complete the charity care applications and as such can beincluded in the bad debt amounts. One example of a patient population that does notcomplete charity care applications is undocumented workers. The corporationestimates bad debt expense based upon management's assessment of historical andexpected net collections considering historical business and economic conditions,trends in health care coverage, and other collection indicators. Management assessesthe allowance for uncollectible accounts based upon historical write-off experience. Part I, Line 7, Column F - Explanation of Bad Debt Expense The bad debt expense was included on Form 990,Part IX, Line 25, column A but was subtracted from the total expenses for purpose of calculating the percentage in this column.The bad debt expense is $11,971,577 Part I, Line 7 - Explanation of Costing Methodology The costing metholodogy utilized throughout thisreport is the cost to charge ratios based on the Medicare and Medicaidcost reports.Total cost per the Medicare Cost Report worksheet B,PT1 column 27 divided by totalinpatient and outpatient gross revenue. Part I, Line 6a - Related Organization Community Benefit Report The community benefit report is prepared by parent corporation Sinai Health System.Holy Cross Hospital prepares and files the Annual Non-Profit HospitalCommunity Benefit Plan Report with the office of the Attorney Generalof the State of Illinois. X true true false false false false false false false false false false Wayner Lener 550410 1188 551598 729001 Paul Toeodo 229164 3590 232754 272996 Kathryn Loeb 152695 4002 156697 Dennis Ryan 149000 4002 153002 203509 Catherine Kalial 160522 4632 165154 337420 Sch J, Part I, Line 1a Part I, Line 1a: Relevant information in regards to selections on 1a. HCH pays for the social club dues of Wayne Lerner. the social club is used for hospital business and the expenses is not included in his compensation. Form 990, Part XI, Line 9 Other Changes In Net Assets Or Fund Balances - Other Increases = $90727536 Form 990, Part VI, Line 19 Form 990, Part VI, Line 19: Other Organization Documents Publicly Available File the Financial Statement with the Illinois Charitable Organization Annual ReportFile the Annual Financial Statements990 Public Disclosure Community BenefitsFile the A-133 Grant ReportFile Form SF-SAC to the Federal Audit Clearinghouse Form 990, Part VI, Line 15b Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees Review by the compensation committee and independent auditors. Form 990, Part VI, Line 15a Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management Review by the compensation committee 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. 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 or Committee Chair for appropriate conflict management procedures, including abstention from participation in certain decisions. Form 990, Part VI, Line 11b Form 990, Part VI, Line 11b: Form 990 Review Process The 990 was initially prepared by the Finance Staff with multi disciplinary input from Public Affairs, Corporate Integrity and other appropriate staff of the organization. The 990 was then reviewed by Senior Finance staff and other members of Senior Leadership. Prior to the filing, the 990 was made available via email to Finance Board Committee. The 990 form was presented as a discussion item for the Finance Board Committee where members had an opportunity for questions and comments. The 990 was also made available via email to the full Board of Directors. Form 990, Part VI, Line 6 Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder The board member of Sinai Health System and Affiliates HOLY CROSS HEALTH PARTNERS INC 2701 WEST 68TH STREET CHICAGO IL 60629 364109153 CONTRACTING AND CLAIMS ADMINISTRATION IL HOLY CROSS HOSPITAL false SINAI COMMUNITY INSTITUTE INC 2653 W ODGEN AVE CHICAGO IL 60608 363932824 COMMUNITY SERVICE IL 501(C) 3 7 SINAI HEALTH SYSTEM false MOUNT SINAI COMMUNITY FOUNDATION 2750 W 15TH PLACE CHICAGO IL 60608 363305449 IL 501 (C) 3 509 (A) (3) SINAI HEALTH SYSTEM false MOUNT SINAI HOSPITAL 15TH AND CALIFORNIA AVE CHICAGO IL 60608 361509000 HEALTH CARE IL 501 (C ) 3 170 (B ) (1) (A) SINAI HEALTH SYSTEM false SCHWAB REHABILITATIN HOSPITAL 1401 CALIFORNIA BLVD CHICAGO IL 60608 362179802 HEALTH CARE IL 501( C)3 170 (B) (1) (A) SINAI HEALTH SYSTEM false SINAI HEALTH SYSTEM 2750 W 15th Place Chicago IL 60608 363166895 Health Care IL 501(c)3 509(A)(3) NA false HOLY CROSS HEALTH PARTNER INC36-4109153 2701 WEST 68TH STREET CHICAGO IL 60629 CONTRACTING & CLAIMS ADMINISTRATION IL HOLY CROSS HOSPITAL C CORP 1.00000 false false false true false false false false false false false true false false false false true false false false HOLY CROSS HEALTH PARTNERS INC p 83000 FMV HOLY CROSS HEALTH PARTNERS INC k 536991 FMV Part IV, Identification of Related Organization Taxable as Corp or Trust: Holy Cross Health Partners, Inc.Ein: 36-41091532701 West 68th StreetChicago, Il 60629Primary Activity: Contracting and Claims AdministrationDirect Controlling Entity: Holy Cross Hospital