2025-05-15T14:33:59-05:00 2024-06-30 331498605 PLANTE & MORAN PLLC 10 S RIVERSIDE PLAZA 9TH FLOOR CHICAGO IL 60606 990 2023-07-01 363305449 MOUNT SINAI COMMUNITY FOUNDATION MOUN 7732572937 2750 WEST 15TH PLACE CHICAGO IL 60608 DIMAS ORTEGA DEPUTY CFO 7732572937 2025-05-14 1 1 DAVID LOWENTHAL P00378651 3122071040 2025-05-14 2023 2025-03-06 01:10:19Z SINAI MEDICAL GROUP DR NGOZI O EZIKE MD 2750 WEST 15TH PLACE CHICAGO IL 60608 109551965 0 X WWW.SINAICHICAGO.ORG X 1995 IL TO IMPROVE THE HEALTH OF THE INDIVIDUALS AND COMMUNITIES WE SERVE. 25 24 462 32 0 0 2646063 4788119 98311979 104433695 0 0 327070 330151 101285112 109551965 0 0 0 0 82602004 88452974 0 0 0 47463869 48362375 130065873 136815349 -28780761 -27263384 15953627 18538314 73164138 76333925 -57210511 -57795611 X TO IMPROVE THE HEALTH OF THE COMMUNITY IT SERVES BY ENSURING THE AVAILABILITY OF MEDICAL, SURGICAL, AND PRIMARY CARE PHYSICIANS AND ADVANCED PRACTICE PROVIDERS AND HIGH-QUALITY HEALTHCARE SERVICES. SINAI MEDICAL GROUP HAS OVER 251 PRIMARY AND SPECIALTY CARE PHYSICIANS AND ADVANCED PRACTICE PROVIDERS REPRESENTING OVER 36 MEDICAL AND SURGICAL SPECIALTIES SUCH AS CARDIOLOGY, ENDOCRINOLOGY, GASTROENTEROLOGY, NEPHROLOGY, NEUROLOGY, NEUROSURGERY, ONCOLOGY, ORTHOPEDICS AND UROLOGY. MOST PHYSICIANS ARE BOARD CERTIFIED AND FELLOWSHIP TRAINED IN THEIR INDIVIDUAL SPECIALTIES. SINAI MEDICAL GROUP PHYSICIANS AND ADVANCED PRACTICE PROVIDERS, PRACTICE AT ELEVEN COMMUNITY-BASED OUTPATIENT CENTERS LOCATED ON SINAI HEALTH SYSTEM'S MAIN CAMPUS AND THROUGHOUT THE HEALTH SYSTEM'S SERVICE AREA. 0 0 35729373 30014493 INTERNAL MEDICINETHE SINAI MEDICAL GROUP DEPARTMENT OF MEDICINE PROVIDES SERVICES TO PATIENTS OF THE SINAI HEALTH SYSTEM THROUGH A FULL ARRAY OF MEDICAL SPECIALISTS INCLUDING THE MEDICAL SPECIALTIES OF CARDIOLOGY, DERMATOLOGY, ENDOCRINOLOGY, GASTROENTEROLOGY, GERIATRIC MEDICINE, NEPHROLOGY, NEUROLOGY, ONCOLOGY/HEMATOLOGY AND PULMONARY/CRITICAL CARE. THE DEPARTMENT PROVIDES CARE FOR INPATIENT ADMISSIONS IN ADDITION TO THE PROVISION OF OUTPATIENT DIALYSIS SERVICES, INTERVENTIONAL AND DIAGNOSTIC CARDIOLOGY SERVICES, AS WELL AS OUTPATIENT VISITS THROUGHOUT THE NETWORK OF NINE COMMUNITY-BASED CLINICS AND NINE HOSPITAL BASED CLINICS. 21115522 24232906 SURGERYTHE SINAI MEDICAL GROUP DEPARTMENT OF SURGERY PROVIDES SERVICES TO PATIENTS OF SINAI HEALTH SYSTEM THROUGH A FULL ARRAY OF PEDIATRIC AND ADULT SURGICAL SPECIALISTS INCLUDING THE SURGICAL SPECIALTIES OF GENERAL SURGERY, HAND, NEUROLOGY, OPHTHALMOLOGY, ORTHOPEDIC, OTOLARYNGOLOGY, PEDIATRICS, PLASTICS, PODIATRY, THORACIC, TRAUMA, UROLOGY, NEUROSURGERY AND VASCULAR SURGERY. AS MOUNT SINAI HOSPITAL IS A LEVEL 1 TRAUMA PROVIDER, THE DEPARTMENT IS STAFFED TWENTY-FOUR HOURS PER DAY AND HAS NECESSARY TRAUMA CARE PROVIDERS ON DUTY AROUND THE CLOCK. 11488469 9326944 RADIOLOGYTHE SINAI MEDICAL GROUP DEPARTMENT OF RADIOLOGY PROVIDES RADIOLOGICAL SPECIALTY SERVICES RANGING FROM DIAGNOSTIC RADIOLOGY, GENERAL ULTRASOUND, VASCULAR ULTRASOUND, OB/GYN ULTRASOUND, INTERVENTIONAL RADIOLOGY, MAGNETIC RESONANCE, COMPUTED TOMOGRAPHY, MAMMOGRAPHY AND RADIATION THERAPY. THE DEPARTMENT ALSO OFFERS COMMUNITY-BASED CLINICAL SERVICES AT VARIOUS LOCATIONS. THE DEPARTMENT IS STAFFED TO FACILITATE TRAUMA CARE AT MOUNT SINAI HOSPITAL. THE DEPARTMENT ALSO OFFERS SERVICES IN PEDIATRICS, OB/GYNE, FAMILY MEDICINE, PSYCHIATRY, AND PATHOLOGY. 48515050 37834259 ANESTHESIA AND OTHERSTHE DEPARTMENT OF ANESTHESIA AT MOUNT SINAI HOSPITAL IS AN INTEGRAL PART OF THE SURGICAL SERVICES DEPARTMENT. ANESTHESIA SERVICES ARE PROVIDED BY A GROUP OF HIGHLY TRAINED ANESTHESIOLOGISTS AND CERTIFIED REGISTERED NURSE ANESTHETISTS SPECIFICALLY TRAINED IN ANESTHESIOLOGY PROVIDING GENERAL ANESTHESIA, REGIONAL ANESTHESIA, SEDATION AND PAIN MANAGEMENT PROCEDURES. WE COVER CASES INCLUDING OPEN HEART, NEUROSURGERY, NEONATAL, THORACIC AND PEDIATRIC. 48515050 37834259 116848414 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 1 0 0 1 462 1 0 0 0 0 0 0 0 0 0 0 0 0 X 25 24 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 IL X DIMAS ORTEGA 7732575964 1500 S CALIFORNIA AVENUE CHICAGO IL 60608 NGOZI EZIKE MD PRESIDENT & CEO 2.00 38.00 X X 0 807320 6600 BRIAN DOLAN DIRECTOR & CHAIRMAN 2.00 10.00 X X 0 0 0 STEPHEN A MORALES DIRECTOR & VICE CHAIR 2.00 10.00 X X 0 0 0 ALEJANDRA GARZA DIRECTOR & VICE CHAIR - THRU 08/24 2.00 10.00 X X 0 0 0 VIVIAN FUNCHES DIRECTOR & SECRETARY - BEG. 10/24 2.00 10.00 X X 0 0 0 LESLIE DAVIS DIRECTOR & SECRETARY - THRU 10/24 2.00 10.00 X X 0 0 0 KENNETH AVNER DIRECTOR & TREASURER 2.00 10.00 X X 0 0 0 ONYINYECHI DANIEL DIRECTOR 2.00 10.00 X 0 0 0 MICHAEL R DAVENPORT MD DIRECTOR 2.00 10.00 X 0 0 0 ROXANNE J DECYK DIRECTOR 2.00 10.00 X 0 0 0 ANNE DONNELLY DIRECTOR 2.00 10.00 X 0 0 0 EMILY DOSKOW DIRECTOR 2.00 10.00 X 0 0 0 FR WILLIAM GROGAN DIRECTOR 2.00 10.00 X 0 0 0 AVERY HART MD DIRECTOR 2.00 10.00 X 0 0 0 MICHAEL J HAYES DIRECTOR 2.00 10.00 X 0 0 0 NAKISHA HOBBS DIRECTOR 2.00 10.00 X 0 0 0 WAYNE M LERNER DIRECTOR - THRU 10/2023 2.00 10.00 X 0 0 0 BARTLETT JOHNSON DIRECTOR 2.00 10.00 X 0 0 0 ROBERT MARKIN DIRECTOR 2.00 10.00 X 0 0 0 BRET MAXWELL DIRECTOR 2.00 10.00 X 0 0 0 LEE MILLER DIRECTOR 2.00 10.00 X 0 0 0 WILBUR MILHOUSE DIRECTOR 2.00 10.00 X 0 0 0 LESLIE MITCHEL-BOND DIRECTOR - THRU 10/2023 2.00 10.00 X 0 0 0 ABRAHAM MORGAN DIRECTOR 2.00 10.00 X 0 0 0 KATYA NUQUES DIRECTOR 2.00 10.00 X 0 0 0 DAVID SMITH DIRECTOR 2.00 10.00 X 0 0 0 RACHEL STERNBERG DIRECTOR - THRU 10/2023 2.00 10.00 X 0 0 0 VINCENT WILLIAMS DIRECTOR 2.00 10.00 X 0 0 0 DIMAS ORTEGA CFO, INTERIM -04/2023 THRU 01/2024 2.00 38.00 X 0 299388 2988 ELIZABETH CONNOLLY GENERAL COUNSEL 2.00 38.00 X 0 425179 3816 ILIANA ANDREA MORA CHIEF OPERATING OFFICER - BEG 6/2023 2.00 38.00 X 0 307458 24535 JASON SPIGNER CHIEF HUMAN RESOURCES OFFICER 2.00 38.00 X 0 397577 17135 KENNETH SLAWKOWSKI CHIEF INFORMATION OFFICER 2.00 38.00 X 0 327264 6548 ADITYA GUPTA PHYSICIAN CHAIR 40.00 0.00 X 1640684 0 15363 AMAR SHAH PHYSICIAN CHAIR 40.00 0.00 X 1428244 0 42220 DAVID E DE BRUIN PHYSICIAN 40.00 0.00 X 875828 0 40389 JONATHAN F BEAN PHYSICIAN 40.00 0.00 X 887116 0 38364 TAMEEM SOUMAN PHYSICIAN 40.00 0.00 X 982231 0 40389 GARY KRUGEL CFO - THRU 04/2023 0.00 0.00 X 0 190757 8959 KAREN TEITELBAUM PRESIDENT & CEO - THRU 12/2022 0.00 0.00 X 0 152527 440 DAVID CAPONE CFO, INTERIM - 01/2023 THRU 04/2023 0.00 0.00 X 0 0 0 WILLIAM FOLEY COO, INTERIM - 10/2022 THRU 10/2023 0.00 0.00 X 0 0 0 5814103 2907470 247746 5 1 1 0 NORTH AMERICAN PARTNERS IN ANESTHESIA PO BOX 936947 ATLANTA GA 311936824 ANESTHESIA SERVICES 10972814 UNIVERSITY OF ILLINOIS AT CHICAGO 1200 W HARRISON ST CHICAGO IL 60607 MEDICAL SERVICES 7183897 XTEND HEALTHCARE ADVANCE REVENUE 90 VOLUNTEER DR SUITE 150 HENDERSONVILLE TN 37075 REVENUE CYCLE MANAGEMENT 2740872 VASCULAR ASSOCIATES OF ILLINOIS 1950 M HARLEM AVE ESMWOOD PARK IL 60707 HEALTHCARE SERVICES 970801 PORTILLO CLEANING SERVICES 2217 WESTWOOD DR BERWYN IL 60162 CLEANING SERVICES 460702 17 4770937 17182 4788119 INTERCOMPANY MANAGEMENT REIMBURSE 900099 50047653 50047653 PATIENT REVENUE 621110 44737844 44737844 TEACHING STIPENDS 900099 6623107 6623107 MEDICAL SERVICES 621110 3025091 3025091 104433695 330151 0 330151 330151 330151 109551965 104433695 0 330151 X 80613804 66054951 14558853 636828 521817 115011 3503649 2870890 632759 3698693 3030709 667984 54605 54605 2141 2141 25683202 25109177 574025 -43328 -43328 123407 42283 81124 774005 768503 5502 663201 530561 132640 316 103 213 2784 1785 999 231667 189828 41839 1855291 1827229 28062 6379120 5227051 1152069 INTERCO PUCHARSED SVCS 6926611 5229870 1696741 BAD DEBT 3293041 3293041 DRUGS & MEDICAL SUPPLIE 1362092 1362092 PURCHASED SERVICES 393723 322617 71106 660497 465907 194590 136815349 116848414 19966935 0 6451777 12477328 3048994 800869 195811 111858 9612140 7997911 1766870 1614229 443056 296888 210000 210000 3837119 3027142 15953627 18538314 15027621 13502174 102825 16425 58033692 62815326 73164138 76333925 X -57311734 -57909104 101223 113493 -57210511 -57795611 15953627 18538314 X -27263384 26678284 X 0 1 X 1 1 1 X X X 1 MOUNT SINAI HOSPITAL 361509000 3 1 27264405 0 1 27264405 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 PART IV, LINE 6 SINAI MEDICAL GROUP ALSO PROVIDES SUPPORT TO HOLY CROSS HOSPITAL (HCH) AND SCHWAB REHABILITATION HOSPITAL, WHICH ARE RELATED ORGANIZATIONS WITHIN THE SINAI HEALTH SYSTEM. BOTH ENTITIES ARE PUBLICLY SUPPORTED ORGANIZATIONS. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 571823 571823 1506984 1057989 448995 2908874 2544390 364484 4624459 4395532 228927 1614229 RIGHT OF USE ASSET 1392328 OTHER ASSETS 1634814 3027142 ACCRUED SELF INSURANCE 6153851 CURRENT PORTION OF SELF INSURANCE 515097 DUE TO AFFILIATES 50510640 OTHER CURRENT LIABILITIES 4208018 RIGHT OF USE LIABILITY 1384689 DEFERRED COMPENSATION 43031 62815326 X PART X, LINE 2: MOUNT SINAI, SCHWAB, HOLY CROSS, SMG, AND SCI ARE EXEMPT FROM TAX UNDER THE PROVISIONS OF INTERNAL REVENUE CODE SECTION 501(C)(3). PRO IS A FOR-PROFIT SUBSIDIARY AND IS SUBJECT TO FEDERAL INCOME TAX ON ITS EARNINGS. U.S. GAAP REQUIRES MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE CORPORATION AND RECOGNIZE A TAX LIABILITY IF THE CORPORATION HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE IRS OR OTHER APPLICABLE TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE CORPORATION, AND HAS CONCLUDED THAT, AS OF JUNE 30, 2024 AND 2023, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE CORPORATION IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. MANAGEMENT BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO 2019. 0 1 0 0 0 0 0 0 0 ADITYA GUPTA PHYSICIAN CHAIR 1001604 0 626829 0 12251 0 6185 0 9178 0 1656047 0 0 0 AMAR SHAH PHYSICIAN CHAIR 819858 0 600000 0 8386 0 6600 0 35620 0 1470464 0 0 0 TAMEEM SOUMAN PHYSICIAN 551900 0 425000 0 5331 0 6600 0 33789 0 1022620 0 0 0 JONATHAN F BEAN PHYSICIAN 547121 0 327016 0 12979 0 6600 0 31764 0 925480 0 0 0 DAVID E DE BRUIN PHYSICIAN 510997 0 356500 0 8331 0 6600 0 33789 0 916217 0 0 0 NGOZI EZIKE MD PRESIDENT & CEO 0 795498 0 0 0 11822 0 6600 0 0 0 813920 0 0 ELIZABETH CONNOLLY GENERAL COUNSEL 0 400931 0 0 0 24248 0 3659 0 157 0 428995 0 0 JASON SPIGNER CHIEF HUMAN RESOURCES OFFICER 0 366745 0 0 0 30832 0 6600 0 10535 0 414712 0 0 KENNETH SLAWKOWSKI CHIEF INFORMATION OFFICER 0 323488 0 0 0 3776 0 6548 0 0 0 333812 0 0 ILIANA ANDREA MORA CHIEF OPERATING OFFICER - BEG 6/2023 0 307098 0 0 0 360 0 0 0 24535 0 331993 0 0 DIMAS ORTEGA CFO, INTERIM -04/2023 THRU 01/2024 0 298557 0 0 0 831 0 2988 0 0 0 302376 0 0 GARY KRUGEL CFO - THRU 04/2023 0 158609 0 0 0 32148 0 3215 0 5744 0 199716 0 0 KAREN TEITELBAUM PRESIDENT & CEO - THRU 12/2022 0 18755 0 0 0 133772 0 0 0 440 0 152967 0 0 PART I, LINE 3 METHODS USED BY RELATED ORG TO ESTABLISH CEO COMPENSATION THE ORGANIZATION PAYS OUT COMPENSATION BASED ON THE FOLLOWING PROCEDURES AND GUIDELINES: SINAI HEALTH SYSTEM (SHS) HAS A HUMAN RESOURCES COMMITTEE TO SUPPORT THE ORGANIZATIONAL 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 ESTABLISHES DETAILED GOALS 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: A) DETAILED WRITTEN PERFORMANCE OF THE PRESIDENT AND CEO; B) EACH ELEMENT OF COMPENSATION, DATA OF THE COMPENSATION PROGRAM IN EFFECT FOR CEOS OF COMPARABLE ORGANIZATIONS; AND C) ANNUAL REVIEW OF CEO PERFORMANCE CONDUCTED AGAINST SHS ESTABLISHED GOALS. THE COMMITTEE MAINTAINS WRITTEN MINUTES WHICH ARE MAINTAINED IN EXECUTIVE ADMINISTRATION. PART I, LINE 4B SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN: SINAI HEALTH SYSTEM'S (SHS) SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) WAS ESTABLISHED AS A NON-QUALIFIED RETIREMENT PLAN FOR ITS KEY EMPLOYEES, SPECIFICALLY THE CHIEF EXECUTIVE STAFF. THIS PLAN PROVIDES ADDED BENEFITS THAT MAY BE ABOVE AND BEYOND THOSE THRESHOLDS COVERED IN OTHER TRADITIONAL RETIREMENT PLANS. SHS'S SERP IS ENTIRELY FUNDED BY THE EMPLOYER, SHS. THE SHS COMPENSATION COMMITTEE REVIEWS AND APPROVES ACCEPTANCE AND/OR MODIFICATIONS TO THE SERP PLAN. THE SHS'S SERP PLAN OUTLINES THE ANNUAL EARNINGS PER THE INDIVIDUAL PARTICIPANTS AS WELL AS THE TIME FRAMES OF VESTMENT PER THOSE RESPECTIVE INDIVIDUALS. THE PLAN VESTS UPON TWO YEARS OF SERVICE OR ATTAINMENT OF AGE 65. THE FOLLOWING INDIVIDUALS PARTICIPATED IN THE PLAN AND RECEIVED A DISTRIBUTION FROM OR HAD AMOUNTS VEST IN THE PLAN: ELIZABETH CONNOLLY $25,825 JASON SPIGNER $25,243 NGOZI EZIKE, M.D. PARTICIPATED IN THE PLAN BUT WAS NOT YET ELIGIBLE FOR CONTRIBUTIONS AND DID NOT RECEIVE ANY DISTRIBUTIONS OR HAVE ANY AMOUNTS VEST IN THE PLAN DURING THE CALENDAR YEAR 2023. PART I, LINE 7 NON-FIXED PAYMENTS SINAI HEALTH SYSTEM HAS A HUMAN RESOURCES COMMITTEE TO SUPPORT THE ORGANIZATIONAL 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 ESTABLISHES DETAILED GOALS 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. FORM 990, PART VI, SECTION A, LINE 1A EXPLANATION OF DELEGATED BOARD AUTHORITY TO COMMITTEE THE EXECUTIVE COMMITTEE CONSISTS OF THE BOARD CHAIR, VICE CHAIR(S), SECRETARY, TREASURER AND PRESIDENT, AND ANY OTHER MEMBERS DESIGNATED BY THE BOARD CHAIR. THE EXECUTIVE COMMITTEE HAS THE POWER TO TRANSACT ALL REGULAR BUSINESS OF THE SINAI HEALTH SYSTEM DURING THE PERIOD BETWEEN MEETINGS OF THE BOARD, SUBJECT TO ANY PRIOR LIMITATION IMPOSED BY THE BOARD OR BY LAW. WHEN ACTION IS TAKEN BY THE EXECUTIVE COMMITTEE, IT WILL BE REPORTED TO THE BOARD AT THE NEXT MEETING OF THE BOARD. FORM 990, PART VI, SECTION A, LINE 6 EXPLANATION OF CLASSES OF MEMBERS OR SHAREHOLDERS THE SOLE CORPORATE MEMBER OF THE CORPORATION SHALL BE SINAI HEALTH SYSTEM, AN ILLINOIS NOT-FOR-PROFIT CORPORATION. THE SOLE CORPORATE MEMBER HAS CERTAIN DELEGATED POWERS SET FORTH IN THE CORPORATE BYLAWS. FORM 990, PART VI, SECTION A, LINE 7A HOW MEMBERS OR SHAREHOLDERS ELECT GOVERNING BODY DIRECTORS ARE ELECTED BY THE SOLE CORPORATE MEMBER, SINAI HEALTH SYSTEM, FOR A TERM OF 3 YEARS FROM AMONG THOSE PERSONS NOMINATED BY THE SINAI HEALTH SYSTEM GOVERNANCE COMMITTEE. THE GOVERNANCE COMMITTEE SHALL BE RESPONSIBLE FOR SELECTING AND REVIEWING PROSPECTIVE CANDIDATES FOR ELECTION TO THE BOARD OF DIRECTORS, COMMUNICATING EXPECTATIONS OF INDIVIDUAL BOARD MEMBERS, AND RECRUITING PROSPECTIVE BOARD MEMBERS WITH A FOCUS ON DIVERSITY, EXPERIENCE, AND EXPERTISE. ALL PROSPECTIVE DIRECTORS ARE REQUIRED TO COMPLETE A CONFLICT-OF-INTEREST FORM AS PART OF THE APPLICATION PROCESS, AND ANNUALLY THEREAFTER. FORM 990, PART VI, SECTION A, LINE 7B DECISIONS OF GOVERNING BODY APPROVAL BY MEMBERS OR SHAREHOLDERS THE SOLE CORPORATE MEMBER, WORKING CLOSELY WITH THE CORPORATION'S BOARD OF DIRECTORS, HAS CERTAIN RESERVED POWERS OVER SIGNIFICANT CORPORATE ACTIONS, INCLUDING MATTERS SUCH AS APPOINTMENT OF CORPORATE OFFICERS, AMENDMENT OF GOVERNING DOCUMENTS, APPROVAL OF A MERGER, CONSOLIDATION OR DISSOLUTION, APPROVAL OF BUDGETS AND STRATEGIC PLANS, APPROVAL OF INDEPENDENT CERTIFIED PUBLIC ACCOUNTANTS FOR THE ORGANIZATION, AND APPROVAL OF NON-BUDGETED LONG-TERM DEBT. THE SOLE CORPORATE MEMBER ALSO ENSURES THAT THE CORPORATION IS IN COMPLIANCE WITH ITS STATED CORPORATE AND CHARITABLE PURPOSE AND MISSION. FORM 990, PART VI, SECTION B, LINE 11B FORM 990 REVIEW PROCESS THE FORM 990 INFORMATION WAS INITIALLY PROVIDED BY THE FINANCE STAFF WITH MULTI-DISCIPLINARY INPUT FROM PUBLIC AFFAIRS, CORPORATE COMPLIANCE AND OTHER APPROPRIATE STAFF OF THE ORGANIZATION. THE FORM 990 WAS THEN PREPARED BY AN INDEPENDENT PUBLIC ACCOUNTING FIRM AND REVIEWED BY SENIOR FINANCE STAFF AND OTHER MEMBERS OF SENIOR LEADERSHIP. PRIOR TO THE FILING, THE FORM 990 WAS MADE AVAILABLE TO THE FULL BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 12C PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST THE CONFLICT-OF-INTEREST DISCLOSURE FORM IS COMPLETED AND SIGNED ANNUALLY BY ALL BOARD MEMBERS AND OTHER EMPLOYEES WHO ARE IN A POSITION TO INFLUENCE PURCHASING DECISIONS, AFFILIATIONS OR REFERRALS, HIRING DECISIONS OR CONTRACTS. 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. THE SINAI HEALTH SYSTEM CHIEF EXECUTIVE OFFICER AND CHAIR OF THE AUDIT AND COMPLIANCE COMMITTEE DISCUSS ANY POTENTIAL CONFLICTS WITH THE CHAIRMAN OF THE BOARD OF DIRECTORS. BOARD MEMBERS OF THE SINAI HEALTH SYSTEM OR ANY OF ITS ENTITIES ARE REQUIRED TO REPORT POTENTIAL CONFLICTS TO THE CHIEF COMPLIANCE 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, SECTION B, LINE 15 COMPENSATION REVIEW & APPROVAL PROCESS - OFFICERS & KEY EMPLOYEES SINAI HEALTH SYSTEM HAS A HUMAN RESOURCES COMMITTEE THAT APPROVES ALL EXECUTIVE COMPENSATION ARRANGEMENTS, INCLUDING INCENTIVE COMPENSATION. SINAI HEALTH SYSTEM'S HUMAN RESOURCES COMMITTEE SUPPORTS THE ORGANIZATIONAL PERFORMANCE OF SINAI HEALTH SYSTEM AND ITS RELATED ENTITIES THROUGH THE ALIGNMENT OF EXECUTIVE COMPENSATION WITH SYSTEM STRATEGIES AND PROGRAMS, AND ENSURES 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 AN 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, SECTION C, LINE 19 OTHER DOCUMENTS PUBLICLY AVAILABLE GOVERNING DOCUMENTS, CONFLICT OF INTEREST AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G OTHER FEES: PROGRAM SERVICE EXPENSES 25,109,177. MANAGEMENT AND GENERAL EXPENSES 574,025. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 25,683,202. FORM 990, PART XI, LINE 9: INTERCOMPANY BAD DEBT EXPENSE ADJUSTMENT 26,824,452. CHANGE IN JV EQUITY INVESTMENT -146,168. FORM 990, PART XI, PURPOSE OF NET LOSSES: MOUNT SINAI COMMUNITY FOUNDATION INCURS LOSSES TO SUPPORT ITS RELATED ENTITY, MOUNT SINAI HOSPITAL. THESE NET LOSSES ARE REPORTED AS SUBSIDIZED HEALTH SERVICES ON FORM 990, SCHEDULE H OF MOUNT SINAI HOSPITAL. SINAI PATHOLOGY ASSOCIATES INC 1500 S CALIFORNIA AVE CHICAGO IL 60608 770682746 LABORATORY IL 3595224 0 MOUNT SINAI COMMUNITY FOUNDATION SINAI HEALTH SYSTEM 15TH STREET CALIFORNIA CHICAGO IL 60608 363166895 PARENT CORP IL 501(C)(3) LINE 12B, II N/A 0 MOUNT SINAI HOSPITAL MEDICAL CENTER 15TH STREET CALIFORNIA CHICAGO IL 60608 361509000 HEALTHCARE IL 501(C)(3) LINE 3 SINAI HEALTH SYSTEM 0 SCHWAB REHABILITATION HOSPITAL & CARE 1401 S CALIFORNIA AVENUE CHICAGO IL 60608 362179802 HEALTHCARE IL 501(C)(3) LINE 3 SINAI HEALTH SYSTEM 0 HOLY CROSS HOSPITAL 2701 WEST 68TH ST CHICAGO IL 60608 362170133 HEALTHCARE IL 501(C)(3) LINE 3 SINAI HEALTH SYSTEM 0 SINAI COMMUNITY INSTITUTE 2653 WEST OGDEN AVE CHICAGO IL 60608 363932824 HEALTHCARE IL 501(C)(3) LINE 10 SINAI HEALTH SYSTEM 0 MEDICAL DISTRICT HOME DIALYSIS 1111 S WESTERN AVE CHICAGO IL 60608 473012375 HEALTHCARE IL SCF RELATED 363807 671644 0 1 0.70000 PROGRESS HEALTH INC 2701 WEST 68TH STREET CHICAGO IL 60629 364109153 MGMT SERVICES IL N/A C 0 SINAI COMMUNITY PHARMACY CALIFORNIA AVE AT 15TH STREET CHICAGO IL 60606 363833219 PHARMACY IL N/A C 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 MEDICAL DISTRICT HOME DIALYSIS P 51071 COST