2025-05-15T14:32:47-05:00 2024-06-30 331498605 PLANTE & MORAN PLLC 10 S RIVERSIDE PLAZA 9TH FLOOR CHICAGO IL 60606 990 2023-07-01 362170133 HOLY CROSS HOSPITAL HOLY 7732572937 2701 WEST 68TH STREET CHICAGO IL 60629 DIMAS ORTEGA DEPUTY CFO 7732572937 2025-05-14 1 1 DAVID LOWENTHAL P00378651 3122071040 2025-05-14 2023 2025-03-06 01:10:19Z DR NGOZI O EZIKE MD 2701 WEST 68TH STREET CHICAGO IL 60629 116600905 0 X WWW.SINAICHICAGO.COM X 1928 IL AS A MEMBER OF SINAI HEALTH SYSTEM, HOLY CROSS HOSPITAL'S MISSION IS TO IMPROVE THE HEALTH OF THE INDIVIDUALS AND COMMUNITIES IT SERVES BY PROVIDING EMERGENCY, MEDICAL, SURGICAL, AND PRIMARY CARE SERVICES. THE VISION IS TO BE A NATIONAL MODEL FOR THE DELIVERY OF URBAN HEALTHCARE. THE RELIGIOUS SPONSORS OF HOLY CROSS HOSPITAL ARE THE SISTERS OF ST CASMIR AND THE ETHICAL AND RELIGIOUS DIRECTIVES FOR CATHOLIC HEALTH CARE SERVICES ARE FOLLOWED. 25 24 702 38 0 0 9844858 8207569 105063020 107810159 123493 73663 488930 509514 115520301 116600905 0 0 0 0 46590428 55383316 0 0 0 89432744 75322178 136023172 130705494 -20502871 -14104589 91499871 89946003 53623561 66111434 37876310 23834569 THE HOSPITAL IS A CATHOLIC HEALTH CARE ORGANIZATION SPONSORED BY THE SISTERS 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. 0 0 108865593 107810159 THE HOSPITAL IS A NOT-FOR-PROFIT CATHOLIC HOSPITAL THAT SERVES A LARGE AREA OF CHICAGO'S SOUTHWEST SIDE. LOCATED ADJACENT TO MARQUETTE PARK, THE HOSPITAL PROVIDES EMERGENCY, MEDICAL/SURGICAL, SPECIALTY, DIAGNOSTICS, BEHAVIORAL HEALTH AND PRIMARY CARE SERVICES TO COMMUNITIES THAT ARE HOME TO MOSTLY RACIALLY DIVERSE AND LOW-INCOME FAMILIES. THE EMERGENCY DEPARTMENT SEES APPROXIMATELY 41,078 PATIENTS PER YEAR AND 16,703 AMBULANCE VISITS. THE HOSPITAL IS A DISPROPORTIONATE SHARE HOSPITAL AND IS A VITAL SAFETY NET HOSPITAL. 108865593 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 1 702 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 0 X DIMAS ORTEGA 7732575964 1500 S CALIFORNIA AVENUE CHICAGO IL 60608 NGOZI EZIKE MD PRESIDENT & CEO 6.00 34.00 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 1/2024 6.00 34.00 X 0 299388 2988 RUSSELL FIORELLA SYSTEM CHIEF MEDICAL OFFICER 20.00 20.00 X 0 609509 29236 ELIZABETH CONNOLLY GENERAL COUNSEL 6.00 34.00 X 0 425179 3816 ILIANA ANDREA MORA CHIEF OPERATING OFFICER - BEG 6/2023 6.00 34.00 X 0 307458 24535 JASON SPIGNER CHIEF HUMAN RESOURCES OFFICER 6.00 34.00 X 0 397577 17135 KENNETH SLAWKOWSKI CHIEF INFORMATION OFFICER 6.00 34.00 X 0 327264 6548 ANSELMA QUIRANTE HCH STAFF NURSE 40.00 0.00 X 191634 0 0 ELMER ESCALON TEAM LDR RN 40.00 0.00 X 173305 0 31764 LORNA ESTEBAN STAFF NURSE RN 40.00 0.00 X 187482 0 9559 SONIA VAZQUEZ DIRECTOR TELEMETRY 40.00 0.00 X 172487 0 1090 KAREN TEITELBAUM PRESIDENT & CEO - THRU 12/2022 0.00 0.00 X 0 152527 440 GARY KRUGEL CFO - THRU APR. 2023 0.00 0.00 X 0 190757 8959 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 724908 3516979 142670 96 1 1 0 SODEXO INC PO BOX 360170 PITTSBURGH PA 152516170 FOOD SERVICES 4413167 PROFESSIONAL CLINICAL LABORATORIES 2434 INTERSTATE PLAZA DRIVE HAMMOND IN 46324 LAB SERVICES 3799581 CEP AMERICA 2100 POWELL STREET SUITE 400 EMERYVILLE CA 946081803 STAFFING SERVICES 3031495 ALLIED UNIVERSAL SECURITY SERVICES PO BOX 828854 PHILADELPHIA PA 191828854 SECURITY SERVICES 2423519 OWENS & MINOR 935 MURFIELD DRIVE HANOVER PARK IL 60133 MEDICAL SERVICES 1357653 20 8040569 167000 8207569 MEDICARE & MEDICAID REVENUE 621110 69991084 69991084 PATIENT REVENUE 621110 33589784 33589784 PHARMACY 621110 2946715 2946715 INTERCOMPANY REVENUE 900099 549970 549970 PARKING GARAGE 812930 67679 67679 664927 664927 107810159 14035 14035 509514 0 509514 509514 509514 59628 0 59628 59628 59628 116600905 107810159 0 583177 160193 160193 45019640 36365248 8654392 312612 251621 60991 7165086 5767178 1397908 2725785 2193984 531801 689609 689609 10820 10820 6995261 3838427 3156834 2208 2208 208197 87080 121117 23183 3644 19539 2760579 2760579 22643 19821 2822 3286 1518 1768 208803 168066 40737 5485674 4415419 1070255 1271839 1023703 248136 INTERCO PURCHASED SVCS 23548401 22309499 1238902 PROVIDER ASSESSMENT 9450588 9450588 DRUGS AND MED SUPPLIES 9219842 9219842 BAD DEBT 6698123 6698123 8723122 7051832 1671290 130705494 108865593 21839901 0 1260113 693904 1364884 820884 9945537 17826423 1441088 1486142 1930155 565626 143262612 76750956 70835593 66511656 1396166 295930 3326335 1745438 91499871 89946003 8327793 8467507 45295768 57643927 53623561 66111434 X 37876310 23669569 165000 37876310 23834569 91499871 89946003 -14104589 62848 0 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1700000 1700000 101235638 45072422 56163216 109714 87539 22175 40217260 31590995 8626265 66511656 DUE TO AFFILIATE 39551489 OTHER CURRENT LIABILITY 1188841 OTHER NON-CURRENT LIABILITY 2383000 SELF INSURANCE 2691190 PROFESSIONAL LIABILITY 9145421 DUE TO THIRD PARTY 2528270 RIGHT OF USE LIABILITY 155716 57643927 X PART X, LINE 2: INCOME TAXES 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. 1 1 X 1 X 300.000000000000 1 X 600.000000000000 1 1 0 1 1 9145511 9145511 0.07370 61973689 66708742 0 0.00000 4021522 2367623 1653899 0.01330 75140722 69076365 10799410 0.08700 1045789 1045789 0.00840 120863 120863 0.00100 435593 435593 0.00350 4000 4000 0.00000 1606245 1606245 0.01290 76746967 69076365 12405655 0.09990 314672 314672 0.00250 314672 314672 0.00250 1 6698123 371060 7708021 7741876 -33855 X 1 1 1 1 HOLY CROSS HOSPITAL 2750 W 68TH STREET CHICAGO IL 60629 WWW.SINAICHICAGO.ORG 0000992 X X HOLY CROSS HOSPITAL 1 0 0 1 X X X X X X X X X 22 1 0 0 1 X TINYURL.COM/53RHMHCE X 1 22 0 1 0 1 X 300.000000000000 600.000000000000 X X 1 1 X X X 1 X HTTPS://WWW.SINAICHICAGO.ORG/EN/PATIENTS-VISITORS/INSURANCE/ X HTTPS://WWW.SINAICHICAGO.ORG/EN/PATIENTS-VISITORS/INSURANCE/ X HTTPS://WWW.SINAICHICAGO.ORG/EN/PATIENTS-VISITORS/INSURANCE/ X X X X X X 1 X 0 X X X X 1 X 0 0 HOLY CROSS HOSPITAL PART V, SECTION B, LINE 5: HOLY CROSS HOSPITAL TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE COMMUNITY. IN 2022 MOUNT SINAI HOSPITAL PARTNERED WITH THE ALLIANCE FOR HEALTH EQUITY TO CONDUCT A COMPREHENSIVE COMMUNITY INPUT PROCESS TO BETTER UNDERSTAND THE NEEDS AND ASSETS OF THE COMMUNITIES THAT MAKE UP THEIR PRIMARY SERVICE AREAS. SINAI HEALTH SYSTEM IS A MEMBER OF THE ALLIANCE FOR HEALTH EQUITY, WHICH HELPED TO CONDUCT A CITYWIDE CHNA FROM WHICH SHS GATHERED MOST OF OUR DATA. THE ALLIANCE FOR HEALTH EQUITY (ALLIANCE) IS A COLLABORATION OF 34 HOSPITALS, 7 HEALTH DEPARTMENTS, AND COMMUNITY-BASED ORGANIZATIONS ACROSS CHICAGO AND SUBURBAN COOK COUNTY WORKING TO IMPROVE HEALTH EQUITY, WELLNESS, AND QUALITY OF LIFE ACROSS 77 CHICAGO COMMUNITY AREAS AND 125 COOK COUNTY SUBURBAN MUNICIPALITIES. THE ILLINOIS PUBLIC HEALTH INSTITUTE (IPHI) SERVES AS THE ALLIANCE'S BACKBONE ORGANIZATION. THE PURPOSE OF THE ALLIANCE IS TO IMPROVE POPULATION AND COMMUNITY HEALTH BY: 1) PROMOTING HEALTH EQUITY; 2) SUPPORTING CAPACITY BUILDING, SHARED LEARNING, AND CONNECTING LOCAL INITIATIVES; 3) ADDRESSING SOCIAL AND STRUCTURAL DETERMINANTS OF HEALTH; 4) DEVELOPING BROAD CITY- AND COUNTY-WIDE INITIATIVES AND CREATING SYSTEMS; 5) ENGAGING COMMUNITY PARTNERS AND WORKING COLLABORATIVELY WITH COMMUNITY LEADERS; 6) DEVELOPING DATA SYSTEMS TO SUPPORT SHARED IMPACT MEASUREMENT AND COMMUNITY ASSESSMENT; AND 7) COLLABORATING ON POPULATION HEALTH POLICY AND ADVOCACY. IN LATE 2021, THE ALLIANCE GATHERED PRIMARY DATA FROM COMMUNITY MEMBERS (OVER 5,000 SURVEYS AND 43 FOCUS GROUPS CONDUCTED BY THE ALLIANCE WITH COMMUNITY MEMBER THROUGHOUT CHICAGO AND SUBURBAN COOK). THE SURVEYS WERE AVAILABLE ONLINE IN ENGLISH AND SPANISH. SURVEY QUESTIONS ASKED PARTICIPANTS ABOUT THE HEALTH STATUS OF THEIR COMMUNITIES, COMMUNITY STRENGTHS, OPPORTUNITIES FOR IMPROVEMENT, PRIORITY HEALTH NEEDS, AND COVID-19 IMPACTS. HOSPITALS, COMMUNITY-BASED ORGANIZATIONS, AND HEALTH DEPARTMENTS DISTRIBUTED THE SURVEYS TO GAIN INSIGHT FROM PRIORITY POPULATIONS THAT HAVE BEEN HISTORICALLY EXCLUDED IN ASSESSMENT PROCESSES. THE INTENTION OF THE COMMUNITY INPUT SURVEY WAS TO COMPLEMENT EXISTING SURVEYS SUCH AS THE HEALTHY CHICAGO SURVEY AND BEHAVIORAL RISK FACTOR SURVEILLANCE SURVEY / CDC PLACES.FOR THE FOCUS GROUPS, PARTICIPANTS WERE SELECTED TO REPRESENT COMMUNITIES THAT ARE HISTORICALLY MARGINALIZED AND SYSTEMICALLY EXCLUDED FROM ASSESSMENT AND DECISION-MAKING PROCESSES. THESE COMMUNITIES FACE AN UNEQUAL BURDEN OF HEALTH INEQUITIES. PARTICIPANTS WERE 14 YEARS OLD OR OLDER AND REPRESENTED A DIVERSE RANGE OF ETHNIC, RACIAL, RELIGIOUS, AND SOCIOECONOMIC BACKGROUNDS.FOCUS GROUP FACILITATORS ASKED PARTICIPANTS ABOUT COMMUNITY STRENGTHS, COMMUNITY HEALTH NEEDS, THE UNDERLYING ROOT CAUSES OF HEALTH NEEDS, COVID-19 IMPACTS, NEEDS RELATED TO PANDEMIC RECOVERY, SOLUTIONS TO IDENTIFIED HEALTH NEEDS, AND COMMUNICATION STRATEGIES. THESE GROUPS WERE HELD IN BOTH ENGLISH AND SPANISH, AS APPROPRIATE.AS PART OF ITS WORK TO IMPROVE COMMUNITY HEALTH, THE ALLIANCE CONDUCTS A COLLABORATIVE COUNTY AND CITYWIDE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). THE 2022 CHNA IS THE THIRD CONSECUTIVE COLLABORATIVE CHNA IN COOK COUNTY AND CHICAGO AND WAS INTENTIONALLY BUILT ON THE SUCCESS OF PREVIOUS EFFORTS, INCLUDING 2016 AND 2019 COLLABORATIVE CHNAS, HEALTHY CHICAGO 2025, AND COOK COUNTY WEPLAN (2022). THE ALLIANCE WORKED CLOSELY WITH ITS STEERING COMMITTEE AND THE CITY AND COUNTY HEALTH DEPARTMENTS TO COMPILE, DESIGN, AND CREATE THE CHNA TO MEET REGULATORY REQUIREMENTS FOR NONPROFIT HOSPITALS.CHNA METHODOLOGY - PRIMARY AND SECONDARY DATA COLLECTION ALLIANCE COLLABORATIVE CHNA REPORT THE ALLIANCE COLLECTED PRIMARY DATA VIA FOUR METHODS: ALLIANCE FOR HEALTH EQUITY PARTNERS COLLECTED PRIMARY DATA THROUGH FOUR METHODS:- COMMUNITY INPUT SURVEYS;- COMMUNITY RESIDENT FOCUS GROUPS;- HEALTHCARE AND SOCIAL SERVICE PROVIDER FOCUS GROUPS; AND- REGIONAL STAKEHOLDER LISTENING SESSIONSALLIANCE PARTNERS AND STAKEHOLDERS IDENTIFIED, GATHERED, AND ANALYZED SECONDARY DATA FROM A VARIETY OF SOURCES. THE DATA WAS ORGANIZED INTO SIX CATEGORIES: SOCIAL AND STRUCTURAL DETERMINANTS OF HEALTH, HEALTHCARE DELIVERY AND CLINICAL CARE, HEALTH BEHAVIORS, BEHAVIORAL HEALTH (MENTAL HEALTH AND SUBSTANCE USE DISORDERS), MATERNAL AND CHILD HEALTH, AND HEALTH OUTCOMES (BIRTH OUTCOMES, MORBIDITY, AND MORTALITY). FOR COMPLETE INFORMATION ABOUT THE ALLIANCE, THE COLLABORATIVE CHNA PROCESS, AND DATA COLLECTION, SEE THE COLLABORATIVE CHNA REPORT AT HTTPS://ALLHEALTHEQUITY.ORG/PROJECTS/2022-CHNA-REPORT/MANY PEOPLE CONTRIBUTED TO THE CHNA REPORT, INCLUDING 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). WE THUS BELIEVE THAT THE PUBLIC HEALTH CREDENTIALS OF THE AUTHORS OF THIS REPORT ARE SUBSTANTIAL AND NOTABLE.IN 2024, HOLY CROSS HOSPITAL CONTINUED TO PARTNER WITH THE ALLIANCE IN PLANNING FOR THE COMPLETION OF ITS 2025 CHNA. HOLY CROSS HOSPITAL PART V, SECTION B, LINE 11: EXPLANATION OF NEEDS ADDRESSED/NOT ADDRESSED:HOLY CROSS HOSPITAL'S 2022 CHNA IDENTIFIED SIGNIFICANT HEALTH NEEDS AND BARRIERS TO CARE FACED BY THE COMMUNITIES SERVED BY HOLY CROSS HOSPITAL. SUBSEQUENTLY, HOLY CROSS HOSPITAL LEADERS, IN COLLABORATION WITH SINAI URBAN HEALTH INSTITUTE STAFF, DEVELOPED THE HOLY CROSS HOSPITAL 2022 COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP). HOLY CROSS HOSPITAL'S CHIP IS A COMMUNITY-CENTERED, THREE-YEAR PLAN THAT TACKLES THE HEALTH CHALLENGES IDENTIFIED IN THE CHNA.HOLY CROSS HOSPITAL IS STRATEGICALLY ADDRESSING THE FIVE SIGNIFICANT HEALTH NEEDS IDENTIFIED FROM ITS CHNA BY TARGETING HEALTH STRATEGIES ASSOCIATED WITH EACH SIGNIFICANT HEALTH NEED. THE FOLLOWING ARE THE DESCRIPTION, GOAL, AND HEALTH STRATEGIES OF EACH SIGNIFICANT HEALTH NEED:- SOCIAL DETERMINANTS OF HEALTH: SOCIAL DETERMINANTS INCLUDE A BROAD RANGE OF FACTORS THAT ARE NOT TRADITIONALLY CONSIDERED "HEALTH-RELATED," BUT ARE CRITICALLY IMPORTANT TO ACHIEVING OPTIMAL WELLBEING. SOCIAL DETERMINANTS OF HEALTH INCLUDE FACTORS SUCH AS FINANCIAL SECURITY AND ECONOMIC OPPORTUNITY, HEALTHY FOOD ACCESS AND AFFORDABILITY, SAFE HOUSING, AND FREEDOM FROM INJUSTICE.- GOAL: LEVERAGE OUR COMMUNITY AND PROFESSIONAL PARTNERSHIPS TO COLLABORATIVELY ADDRESS THE SOCIAL DETERMINANTS OF HEALTH AND BUILD STRUCTURAL EQUITY ACROSS SYSTEMS.- HEALTH STRATEGIES: FOOD ACCESS; ECONOMIC VITALITY; ACCESSIBLE TRANSPORTATION; SAFE HOUSING; SCREENING FOR SOCIAL DETERMINANTS OF HEALTH (SDOH). ONE SUCH PROGRAM INTEGRATES COMMUNITY HEALTH WORKERS (CHWS) INTO INPATIENT FLOORS, INCLUDING BEHAVIORAL HEALTH AT HOLY CROSS. IN ADDITION FOR SCREENING FOR SDOH,CHWS PROVIDE LINKAGES TO PRIMARY CARE, SOCIAL WORK, AND OTHER RESOURCES. IN 2024, SUHI ESTABLISHED A NEW CHW CAREER PATHWAY FOCUSED ON BEHAVIORAL HEALTH (BH), AND NOW HAS ABOUT 3 BH CHWS WORKING ON INPATIENT FLOORS WITHIN SINAI CHICAGO. - COMMUNITY SAFETY: COMMUNITIES AND PEOPLE CANNOT THRIVE WHILE FEELING UNSAFE IN THEIR NEIGHBORHOODS. WITHIN THIS PRIORITY, HOLY CROSS HOSPITAL WILL SEEK MULTISECTOR SOLUTIONS THAT CREATE SAFE COMMUNITIES, FREE FROM VIOLENCE, AND ALSO ADDRESS THE TRAUMA CAUSED BY PAST VIOLENCE.- GOAL: COLLABORATE, INITIATE, AND ACTIVATE VIOLENCE PREVENTION, TREATMENT, AND REHABILITATION SERVICES AND PROGRAMS TO ENSURE THE COMMUNITIES HOLY CROSS HOSPITAL SERVES ARE SAFE AND WELCOMING FOR EVERYONE.- HEALTH STRATEGIES: RESEARCH ACTIVISM; TRAUMA RESPONSE; PARTNERSHIPS FOR SAFE COMMUNITIES; WELCOMING IMMIGRANTS.- EQUITABLE HEALTH CARE ACROSS THE LIFESPAN: THIS PRIORITY FOCUSES ON ACCESS TO HIGH QUALITY PRIMARY AND SPECIALTY CARE, AS WELL AS ADEQUATE INSURANCE COVERAGE. WITHIN THIS AIM, WE WILL ENSURE THAT QUALITY, AGE- AND ABILITY-APPROPRIATE HEALTH CARE IS ACCESSIBLE TO ALL, REGARDLESS OF RACE, ETHNICITY, ZIP CODE, INCOME, INVOLVEMENT WITH THE JUSTICE SYSTEM, GENDER IDENTITY, SEXUAL ORIENTATION, OR CITIZENSHIP.- GOAL: IMPROVE ACCESS TO HIGH QUALITY PREVENTATIVE AND SPECIALTY CARE THAT RESPECTFULLY RESPONDS TO THE UNIQUE NEEDS OF EVERY INDIVIDUAL ACROSS THEIR LIFESPAN BY OFFERING CULTURALLY RESPONSIVE CARE ALIGNED WITH ANTI-RACIST APPROACHES. - HEALTH STRATEGIES: COVERAGE; PRIMARY CARE EXPANSION AND PARTNERSHIP; INTEGRATED CARE; CULTURALLY-SENSITIVE CARE; REPRESENTATIVE HEALTH CARE; AND CAREGIVER WELLNESS.- CHRONIC AND INFECTIOUS DISEASE: THIS PRIORITY AREA INCLUDES A FOCUS ON PREVENTING AND TREATING CARDIO METABOLIC DISEASE (HEART DISEASE, STROKE, AND DIABETES), CANCER, AND INFECTIOUS DISEASE (PREDOMINANTLY HIV AND HEPATITIS).- GOAL: PREVENT THE ONSET OF INFECTIOUS AND CHRONIC DISEASE, AND PROVIDE EXCELLENCE IN CARE AND DISEASE MANAGEMENT, THROUGH OUR SERVICES AND OUR PARTNERSHIPS.- HEALTH STRATEGIES: COMMUNITY-BASED PREVENTION; PREVENTIVE SERVICES; CARE CONTINUITY.- BEHAVIORAL HEALTH: WE CANNOT TREAT THE WHOLE PERSON WITHOUT ADDRESSING BEHAVIORAL HEALTH. IN THIS FOCUS AREA, WE WILL ADDRESS THE GREAT BURDEN OF MENTAL HEALTH AND SUBSTANCE USE DISORDERS WITHIN OUR COMMUNITIES, PROVIDING TIMELY AND CULTURALLY SENSITIVE CARE TO THOSE IN NEED.- GOAL: IMPROVE AWARENESS, ACCESS, AND LINKAGE TO BEHAVIORAL HEALTH SERVICES AND PROVIDE CULTURALLY SENSITIVE CARE TO ALL.- HEALTH STRATEGIES: CARE ACCESS AND LINKAGE; CULTURALLY-INFORMED BEHAVIORAL HEALTH CARE; TRANSFORM BEHAVIORAL HEALTH CARE DELIVERY. IN ADDITION TO PURSUING INNOVATIVE HEALTH CARE APPROACHES, HOLY CROSS HOSPITAL'S APPROACHES ALSO INCLUDE COLLABORATION WITH COMMUNITY RESIDENTS AND ORGANIZATIONS AS WELL AS PARTNERS THROUGHOUT THE CITY TO ADDRESS THE UNIQUE NEEDS OF THE COMMUNITIES IT SERVES. IT IS OUR GOAL TO PROVIDE THE BEST CARE POSSIBLE TO ADDRESS THE NEEDS OF THE COMMUNITIES WE SERVE.IN TAX YEAR 2024, SINAI CHICAGO CONTINUED AN EXPANDED RESPONSE WITHIN CHRONIC AND INFECTIOUS DISEASE AS NECESSITATED BY THE COVID-19 PANDEMIC. SINAI CHICAGO HAS ADDRESSED THE CHALLENGES IN TREATMENT AND PREVENTION PRESENTED BY COVID-19 THROUGH THE ESTABLISHMENT OF EFFECTIVE, COMMUNITY-ENGAGED STRATEGIES TO ENHANCE COMMUNITY HEALTH. SINAI CHICAGO ENTITIES ARE PART OF MULTIPLE COLLABORATES AND PARTNERSHIPS REGARDING COVID-19 AND RESPONDING TO ITS AFTERMATH: SINAI URBAN HEALTH INSTITUTE (SUHI), THE COMMUNITY-ENGAGED RESEARCH ARM OF SINAI HEALTH SYSTEM (PARENT ORGANIZATION OF HOLY CROSS HOSPITAL) IS AN ORIGINAL MEMBER OF WHAT WAS INITIALLY CALLED "THE CHICAGOLAND METRO VACCINE CORPS PROGRAM AND IS NOW THE CHICAGOLAND VACCINE PARTNERSHIP, AN INITIATIVE MANAGED BY PARTNERS IN HEALTH, AND INCLUDING OVER 160 PARTNERS REPRESENTING PUBLIC HEALTH, HEALTH CARE, ACADEMIC, SOCIAL SERVICE, AND COMMUNITY SECTORS. THE GOAL OF THE VACCINE CORPS IS TO AMPLIFY "HYPER-LOCAL, COMMUNITY-LED, CULTURALLY RESPONSIVE STRATEGIES FOR EQUITABLE DISTRIBUTION OF THE COVID-19 VACCINES" THEREBY LEVERAGING COLLABORATION TO BETTER ADDRESS VACCINE HESITANCY AND TO INCREASE VACCINE UPTAKE AMONG THE COMMUNITIES MOST ADVERSELY AFFECTED BY COVID-19.- SUHI PARTNERED WITH CHICAGO DEPARTMENT OF PUBLIC HEALTH, CHICAGO COOK WORKFORCE PARTNERSHIP, THE UNIVERSITY OF ILLINOIS AT CHICAGO SCHOOL OF PUBLIC HEALTH, NORC AT THE UNIVERSITY OF CHICAGO, AND MALCOLM X COLLEGE TO TRAIN AND OVERSEE THE PROGRESS OF CHICAGO'S COMMUNITY-BASED CONTACT TRACING WORKFORCE IN 2020, WHICH TRANSITIONED TO A COVID-10 COMMUNITY RESPONSE CORPS IN 2021/2022, AND NOW HAS TRANSITIONED TO A COMMUNITY RESPONSE CORPS FOCUSED ON ADDRESSING THE CHRONIC PUBLIC HEALTH CRISIS THAT CONTINUE TO PLAGUE MARGINALIZED COMMUNITIES SUCH AS HIGHER RATES OF POORLY CONTROLLED CHRONIC DISEASE, BEHAVIORAL HEALTH, AND SOCIAL DETERMINANTS OF HEALTH. SUHI'S ROLES INCLUDE THE PROVISION OF INITIAL TRAINING TO THE WORKFORCE, AND THE UPSKILLING OF THE CONTACT TRACERS/ RESOURCE COORDINATORS AS COMMUNITY HEALTH WORKERS (CHWS) READY TO RESPOND TO OTHER HEALTH AND SOCIAL ISSUES NOW THAT THE ACUTE COVID-19 CRISIS HAS PASSED. SINAI COMMUNITY INSTITUTE ALSO LED CONTRACT TRACING EFFORTS. NOW THAT WE ARE IN THE COVID RECOVERY PHASE, SUHI IS FURTHER SUPPORTING THE EXPANSION OF SPECIALIZED TRAINING FOR CHWS AND THEIR CONNECTION TO EMPLOYMENT. - SINAI PARTICIPATES IN THE CHICAGOLAND CEAL COVID COLLABORATIVE WHICH SEEKS TO IMPROVE COVID-19 VACCINATION AND ENGAGEMENT IN QUALITY THERAPEUTIC CARE AND TRIALS FOR LOW-INCOME BLACK AND LATINX COMMUNITIES IN THE CHICAGO AREA TO ENHANCE CURRENT AND FUTURE COVID-19 VACCINATION, PREVENTION, MITIGATION, AND RESPONSE EFFORTS. IN 2023, THE CEAL TEAM BEGAN EXPANDING TOWARDS OTHER HEALTH INEQUITIES THAT AFFECT THE COMMUNITIES THAT WERE DISPROPORTIONATELY AFFECTED BY COVID; INCLUDING TRAINING CHWS TO BETTER RESPOND TO VACCINE HESITANCY OVERALL (NON-COVID SPECIFIC) AND DEVELOPING AND PILOTING A TRAINING FOR CHWS IN PUBLIC SAFETY. - SINAI PARTICIPATES IN THE RACIAL EQUITY RAPID RESPONSE TEAM (RERT) WHICH GATHERS COVID-19 RELATED DATA TO FURTHER ENABLE RESEARCH AND ANALYSIS IN PRIORITIZED COMMUNITIES.- SUHI'S HEALTH EQUITY AND ASSESSMENT RESEARCH TEAM WORKED WITH MATTER, OCC, P33; CCHHS, RUSH, ST. ANTHONY, UIC, UNIVERSITY OF CHICAGO; COMMUNITY HEALTH, A VARIETY OF FQHCS, AND HOWARD BROWN HEALTH CENTER TO CONTRIBUTE TO THE CHICAGOLAND COVID-19 COMMONS, A DATABASE THAT PROVIDED QUALIFIED RESEARCHERS WITH A COLLABORATIVE PLATFORM ENABLING DATA ANALYSIS TO IMPROVE OUR UNDERSTANDING OF THE VIRUS AND SUPPORT THE RAPID DEVELOPMENT OF SOLUTIONS. INTERNALLY, SINAI CREATED A MULTI-FACETED SYSTEM FOR SURVEILLANCE, INCIDENCE TRACKING, ORGANIZATION, DOCUMENTATION, AND REPORTING IN A RESOURCE CENTER WHICH OFFERED COVID-19 CLINICAL CARE GUIDELINES FOR MANAGEMENT, TRANSMISSIONS PRECAUTIONS, HOME CARE CLINICAL GUIDELINES, HOME CARE PATIENT INSTRUCTIONS, AND INSTRUCTIONS AND DOCUMENTATION DESIGNED TO MINIMIZE SPREAD INSIDE HOUSEHOLDS SUCH AS CLEANING AND DISINFECTION INSTRUCTIONS, HOW TO CARE FOR PERSONS WITH COVID-19, AND ADJUSTMENTS NEEDED IN DAILY LIFE. PART V, SECTION B, LINE 3E AND 3G: HOLY CROSS HOSPITAL'S 2022 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PROVIDES A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY IDENTIFIED IN THE CHNA. THE COMMUNITY HEALTH PRIORITIES ARE CONSISTENT WITH THOSE BROUGHT FORWARD IN OUR 2019 CHNA AND CHIP PROCESSES, ALLOWING FOR STABILITY IN OUR STRATEGIC APPROACHES TO COMMUNITY HEALTH IMPROVEMENT OVER TIME. IN TAX YEAR 2024, WE HAVE CONTINUED TO LEVERAGE THE 2022 CHNA TO ENSURE HOLY CROSS HOSPITAL IS RESPONSIVE TO THE HEALTH AND SOCIAL NEEDS OF THE POPULATIONS IT SERVES. WE HAVE ALSO BEGUN PLANS FOR THE 2025 CHNA AND CHIP. PART V, LINE 7A, CHNA WEBSITE: HTTPS://WWW.SINAICHICAGO.ORG/WP-CONTENT/UPLOADS/2022/10/SINAI-CHICAGO-2022-CHNA_HOLY-CROSS-HOSPITAL.PDF PART V, LINE 10B, IMPLEMENTATION STRATEGY WEBSITE: HTTPS://WWW.SINAICHICAGO.ORG/WP-CONTENT/UPLOADS/2022/10/SINAI-CHICAGO-2022-CHNA_HOLY-CROSS-HOSPITAL.PDF 1 1 - ST CASIMIR CLINIC AT HOLY CROSS HOSPITA 2601 WEST MARQUETTE ROAD CHICAGO IL 60629 OUTPATIENT BEHAVIOR HEALTH CLINIC PART I, LINE 6A: RELATED ORGANIZATION COMMUNITY BENEFIT REPORTTHE COMMUNITY BENEFIT REPORT FOR HOLY CROSS HOSPITAL WAS FILED INDIVIDUALLY WITH THE STATE OF IL UNDER ITS FEIN 36-2170133. PART I, LINE 7: THE COSTING METHODOLOGY USED TO CALCULATE THE AMOUNTS REPORTED ON SCHEDULE H, PART I, LINES 7A AND 7B IS THE COST-TO-CHARGE RATIO PER THE JUNE 30, 2024 MEDICARE COST REPORT FILED.TRUE TOTAL COMMUNITY BENEFIT IS $40.7 MILLION:THE STATE OF ILLINOIS, THROUGH THE AFFORDABLE CARE ACT AND OTHER GOVERNMENT PROGRAMS, MAKE REGULAR PROVIDER TAX PAYMENTS AND OTHER SUPPLEMENTAL PAYMENTS INTENDED TO ASSIST SAFETY NET HOSPITALS IN PROVIDING VITAL SERVICES TO THE COMMUNITY. IN COMPLIANCE WITH REPORTING GUIDELINES, WE HAVE SHOWN THESE STATE SUPPLEMENT PAYMENTS AS REIMBURSEMENT FOR MEDICAID CHARGES, BUT IN DOING SO, IT MASKS THE TRUE BENEFIT HOLY CROSS HOSPITAL BRINGS TO THE COMMUNITY. WITHOUT THESE SUPPLEMENTAL PAYMENTS, UNREIMBURSED MEDICAID COSTS [SCHEDULE H, LINE 7B] TOTAL $23,572,435 OR 19.01% OF TOTAL EXPENSE. WITHOUT THESE SUBSIDIES, THE HOSPITAL'S TOTAL BENEFIT TO THE COMMUNITY [SCHEDULE H, LINE 7K] WOULD BE $40,713,142 OR 32.83% OF TOTAL EXPENSE. PART I, LN 7 COL(F): EXPLANATION OF BAD DEBT EXPENSEBAD 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. BAD DEBT EXPENSE IS $6,698,123. ESTIMATED AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY IS ESTIMATE AT $371,060. THIS ESTIMATE WAS ARRIVED AT BY APPLYING THE SELF PAY PAYER MIX PERCENTAGE TO THE TOTAL BAD DEBT. PART I, LINE 7A, 7B & 7C: NET COMMUNITY BENEFIT EXPENSE FOR FINANCIAL ASSISTANCE, MEDICAID, AND OTHER MEANS-TESTED GOVERNMENT PROGRAMSHOLY CROSS HOSPITAL PROVIDED APPROXIMATELY $9.1 MILLION IN FINANCIAL ASSISTANCE TO THE PATIENTS IT SERVED THIS YEAR, IN ADDITION TO UNREIMBURSED COST OF $1.7 MILLION TO PROVIDE CARE FOR MEDICARE-MEDICAID DUAL ELIGIBLE PATIENTS. THESE SHORTFALLS WERE OFFSET BY A $4.7 MILLION MEDICAID SURPLUS. THIS SURPLUS IS ATTRIBUTABLE TO RECEIPTS TOTALING $40.9 MILLION IN PROVIDER TAX REVENUES AND OTHER ACA PAYMENTS. THE PRIMARY PURPOSE OF THESE SUPPLEMENTAL PAYMENTS IS TO OFFSET THE COSTS OF PROVIDING CARE AND OTHER COMMUNITY SERVICES FOR THE HOSPITAL'S DISPROPORTIONALLY HIGH MEDICAID AND FINANCIAL INDIGENT POPULATIONS.ON AN AGGREGATED BASIS, THIS YEAR SINAI HEALTH SYSTEM PROVIDED $49.0 MILLION IN FINANCIAL ASSISTANCE, IN ADDITION TO A MEDICAID SHORTFALL OF $51.2 MILLION. UNREIMBURSED SYSTEM COSTS TO PROVIDE CARE FOR MEDICARE-MEDICAID DUAL ELIGIBLE PATIENTS TOTALED $6.4 MILLION PART III, LINE 2: METHODOLOGY USED TO ESTIMATE BAD DEBT EXPENSEFOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS, WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL, THE CORPORATION RECORDS SIGNIFICANT IMPLICIT PRICE CONCESSIONS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. PART III, LINE 3: METHODOLOGY OF ESTIMATED AMOUNT & RATIONALE FOR INCLUDING COMMUNITY BENEFIT HOLY CROSS HOSPITAL FIRST DETERMINES IF A PATIENT QUALIFIES FOR CHARITY CARE. IF A PATIENT IS CLASSIFIED AS CHARITY CARE, THEY WOULD NOT BE INCLUDED AS BAD DEBT. SOME PATIENTS DO NOT DESIRE TO COMPLETE THE CHARITY CARE APPLICATIONS AND AS SUCH CAN BE INCLUDED IN THE BAD DEBT AMOUNTS. ONE EXAMPLE OF A PATIENT POPULATION THAT DOES NOT COMPLETE CHARITY CARE APPLICATIONS IS UNDOCUMENTED WORKERS.COSTS OF PROVIDING ELIGIBLE CHARITY CARE ARE CALCULATED USING THE COST-TO-CHARGE RATIO PER JUNE 30, 2024 MEDICARE COST REPORT FILED. PART III, LINE 4: BAD DEBT EXPENSETHE CORPORATION'S PATIENT ACCOUNTS RECEIVABLE BALANCE CONSISTS OF AMOUNTS DUE FROM ITS PATIENTS AND THIRD-PARTY PAYORS. ACCOUNTS RECEIVABLE FOR PATIENTS, INSURANCE COMPANIES, AND GOVERNMENTAL AGENCIES ARE BASED ON GROSS CHARGES, REDUCED BY EXPLICIT PRICE CONCESSIONS PROVIDED TO THIRD-PARTY PAYORS, DISCOUNTS PROVIDED TO QUALIFYING INDIVIDUALS AS PART OF THE CORPORATION'S FINANCIAL ASSISTANCE POLICY, AND IMPLICIT PRICE CONCESSIONS PROVIDED PRIMARILY TO SELF-PAY PATIENTS. ESTIMATES FOR EXPLICIT PRICE CONCESSIONS ARE BASED ON PROVIDER CONTRACTS, PAYMENT TERMS FOR RELEVANT PROSPECTIVE PAYMENT SYSTEMS, AND HISTORICAL EXPERIENCE ADJUSTED FOR ECONOMIC CONDITIONS AND OTHER TRENDS AFFECTING THE CORPORATION'S ABILITY TO COLLECT OUTSTANDING AMOUNTS.FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS, WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL, THE CORPORATION RECORDS SIGNIFICANT IMPLICIT PRICE CONCESSIONS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE.AN ALLOWANCE FOR CREDIT LOSSES IS ESTABLISHED FOR AMOUNTS EXPECTED TO BE UNCOLLECTIBLE OVER THE CONTRACTUAL LIFE OF THE RECEIVABLES. THE CORPORATION EVALUATES PATIENT RECEIVABLES TO DETERMINE THE ALLOWANCE FOR CREDIT LOSSES BASED ON SIMILAR RISK CHARACTERISTICS THAT EXIST WITHIN CERTAIN CLASSES OF PAYORS. THE CORPORATION CALCULATES THE ALLOWANCE USING AN EXPECTED LOSS MODEL THAT CONSIDERS THE CORPORATION'S ACTUAL HISTORICAL LOSS RATES ADJUSTED FOR CURRENT ECONOMIC CONDITIONS AND REASONABLE AND SUPPORTABLE FORECASTS. THE CORPORATION CONSIDERS MARKET TRENDS, FUTURE ECONOMIC CONDITIONS, AND CREDIT RATINGS OF ITS PAYORS WHEN MAKING ADJUSTMENTS FOR REASONABLE AND SUPPORTABLE FORECASTS. UNCOLLECTIBLE AMOUNTS ARE WRITTEN OFF AGAINST THE ALLOWANCE FOR CREDIT LOSSES IN THE PERIOD THEY ARE DETERMINED TO BE UNCOLLECTIBLE. RECOVERIES OF AMOUNTS PREVIOUSLY WRITTEN OFF ARE RECOGNIZED WHEN RECEIVED. PART III, LINE 8: EXPLANATION OF SHORTFALL AS COMMUNITY BENEFITTHE MEDICARE SHORTFALL FOR FY24 WAS $33,855. HOLY CROSS HOSPITAL UTILIZED THE COST TO CHARGE RATIO PER MEDICARE COST REPORT TO ESTIMATE COST TO PROVIDE CARE TO MEDICARE PATIENTS. SUCH COST IS OFFSET BY MEDICARE RECEIPTS TO DETERMINE SHORTFALL. PART III, LINE 9B: PROVISION ON COLLECTION PRACTICES FOR QUALIFIED PATIENT ASSISTANCE HOLY CROSS HOSPITAL'S COLLECTION PROCESS INCLUDES BOTH LETTERS AND CALLS 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 COLLECTION PROCESS. THE RESOURCE INCLUDES A CHARITY PROGRAM TARGETED TO LOW INCOME INDIVIDUALS ALONG WITH PAYMENT PLANS THAT START AS LOW AS $25 A MONTH. THE DEBT COLLECTION PRACTICES ONLY APPLY TO CHARITY PATIENTS TO THE EXTENT OF COPAYMENTS OR PATIENT PORTION BALANCES AND NOT TO INCLUDE AMOUNTS THAT HAVE BEEN APPROVED AS CHARITY OR FINANCIAL ASSISTANCE. FORM 990, SECTION B, LINE 11 CONTINUED: ADDITIONALLY, SUHI'S COMMUNITY HEALTH INNOVATION (CHI) TEAM INTEGRATED COMMUNITY HEALTH WORKERS (CHWS) INTO THE HEALTH SYSTEM TO ADDRESS PATIENT NEEDS ON INPATIENT UNITS AND TRANSITIONS HOME AFTER DISCHARGE. THROUGH CHW'S ASSISTING PATIENTS PROGRAM, CHWS ADDRESS PATIENTS' EXPERIENCE, ASSESS PATIENTS' HEALTH RELATED SOCIAL NEEDS, FOLLOW UP WITH PATIENTS AFTER DISCHARGE, AND PROVIDE RESOURCES, LINKAGES, EDUCATION SUPPORT, AND REFERRALS TO WRAP-AROUND SERVICES AS APPROPRIATE.SUHI, WITH ENLACE CHICAGO AND NORTH LAWNDALE COMMUNITY COORDINATION COUNCIL, CONVENES THE ONE LAWNDALE COMMUNITY HEALTH COLLECTIVE (OLCHC); A 40 ORGANIZATION AND 300 INDIVIDUAL STRONG COLLABORATIVE THAT SERVES RESIDENTS OF NORTH LAWNDALE AND SOUTH LAWNDALE. OLCHC PARTNERED TO CREATE AN ACTIVE TRAINING AND SUPPORT NETWORK FOR COMMUNITY HEALTH WORKERS (CHW); EQUIPPING CHWS AND THEIR ORGANIZATIONS WITH SKILLS TO HELP THEIR NEIGHBORS BETTER NAVIGATE HEALTH CARE; INCREASE ACCESS TO PREVENTIVE SERVICES, HEALTH, SOCIAL SERVICE, AND WELLNESS RESOURCES; AND INCREASE EDUCATION AND AWARENESS AROUND BEHAVIORAL HEALTH. SUHI'S POPULATION HEALTH CAREER PATHWAYS: ADVANCED CHW TRAINING AND WORKFORCE DEVELOPMENT PROGRAM PROVIDES COMMUNITY RESIDENTS WITH ADVANCED TRAINING IN THREE CHW PATHWAYS (HEALTH EDUCATION, BEHAVIORAL HEALTH, SYSTEM NAVIGATION), MENTORSHIP, TECHNICAL TRAINING, CAREER COACHING AND LINKAGES TO EMPLOYERS FOR POSSIBLE EMPLOYMENT.HOLY CROSS HOSPITAL'S CHIP WAS INTEGRATED WITH THE CHIPS OF SCHWAB REHABILITATION HOSPITAL AND MOUNT SINAI HOSPITAL TO DEVELOP A SYSTEM-WIDE SINAI CHICAGO CHIP. THE SINAI CHICAGO CHIP IS BEING CONVERTED TO A PUBLICLY AVAILABLE VERSION THAT WILL EVENTUALLY SIT ON THE SINAI CHICAGO WEBSITE. PART VI, LINE 2: NEEDS ASSESSMENTHOLY CROSS HOSPITAL USES VARIOUS METHODS TO ASSESS THE HEALTH CARE NEEDS OF THE COMMUNITY IT SERVES. IMPORTANT INFORMATION IS 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, CHURCHES, COMMUNITY ORGANIZATIONS AND ADVOCACY GROUPS. HOLY CROSS HOSPITAL HAS TAKEN LEADERSHIP ROLES IN PARTNERSHIP WITH SOUTHWEST ORGANIZING PROJECT, GREATER SOUTHWEST DEVELOPMENT CORPORATION, METROPOLITAN FAMILY SERVICES AND CATHOLIC CHARITIES CHICAGO. AS A RESULT OF THE PARTNERSHIPS WITH COMMUNITY ORGANIZATIONS, HOLY CROSS HOSPITAL HAS BECOME MORE ACCESSIBLE TO COMMUNITY GROUPS AND RESIDENTS. THERE HAS BEEN AN INCREASED AWARENESS OF THE SERVICES PROVIDED BY THE HOSPITAL WHICH HAS RESULTED IN POSITIVE HEALTH OUTCOMES IN THE COMMUNITIES SERVED BY HOLY CROSS HOSPITAL. THROUGH A PARTNERSHIP DEVELOPED BY THE CITY OF CHICAGO DEPARTMENT OF PUBLIC HEALTH, FEDERALLY QUALIFIED HEALTH CENTERS, COMMUNITY INSTITUTIONS AND CHURCHES HELPED TO SUBSTANTIALLY LOWER THE IMPACT OF COVID IN SOME OF WHAT WERE THE INITIALLY HIGHEST TRANSMISSION RATES FOR COMMUNITIES IN THE STATE.THROUGH CONNECTIONS WITH CHURCHES, SCHOOLS, SOCIAL SERVICE AGENCIES AND COMMUNITY ORGANIZATIONS, HOLY CROSS HOSPITAL HAS 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. HOSPITAL STAFF HAVE BECOME UNPAID BOARD MEMBERS OF THESE ORGANIZATIONS, WHICH HAS HELPED THE HOSPITAL IDENTIFY THE NEEDS OF THE COMMUNITY AND IN TURN COMMUNICATE TO THE LEADERSHIP OF THESE ORGANIZATIONS THE RESOURCES THE HOSPITAL HAS TO SERVE THEM. PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCEHOLY CROSS HOSPITAL INFORMS PATIENTS OF THE CHARITY CARE POLICY THROUGH SIGNAGE IN THE HOSPITAL, WRITTEN COMMUNICATION, STATEMENTS AND RELATED CORPORATION SINAI HEALTH SYSTEM WEBSITE. EACH HOSPITAL BILL, INVOICE, OR OTHER SUMMARY OF CHARGES TO AN UNINSURED PATIENT SHALL INCLUDE WITH IT, OR ON IT, A PROMINENT STATEMENT THAT AN UNINSURED PATIENT WHO MEETS CERTAIN INCOME REQUIREMENTS MAY QUALIFY FOR AN UNINSURED DISCOUNT ALONG WITH INFORMATION REGARDING HOW THE PATIENT MAY APPLY FOR FINANCIAL ASSISTANCE. PART VI, LINE 4: COMMUNITY INFORMATIONHOLY CROSS HOSPITAL, AS A PART OF SINAI HEALTH SYSTEM, SERVES A DIVERSE POPULATION OF OVER 430,000 PEOPLE LOCATED ON THE SOUTHWEST SIDE OF CHICAGO. SINAI'S ANTILLAS CLINIC ON THE NORTHWEST SIDE OF CHICAGO, SEES REFUGEES FROM MANY NATIONS (FOR EXAMPLE SUDAN, IRAQ AND BURMA). OTHERWISE, SINAI HEALTH SYSTEM SERVES PRIMARILY AFRICAN-AMERICAN AND LATINO PATIENTS. OTHERWISE, SINAI HEALTH SYSTEM SERVES PRIMARILY AFRICAN-AMERICAN AND LATINO PATIENTS. APPROXIMATELY 47.5% OF HOLY CROSS HOSPITAL'S PATIENTS ARE MEDICAID RECIPIENTS AND 8.3% ARE UNINSURED. HOLY CROSS HOSPITAL TREATS MORE MEDICAID PATIENTS THAN ANY OTHER HOSPITAL IN ILLINOIS. HOLY CROSS HAS ADMITTED OVER 2,089 MEDICAID PATIENTS PER YEAR. HOLY CROSS HOSPITAL EMERGENCY DEPARTMENT HAD 37,251 PATIENT VISITS. HOLY CROSS HOSPITAL'S MEDICAL INTERPRETER SERVICES SUPPORTS OVER 240 DIFFERENT LANGUAGES INCLUDING AMERICAN SIGN LANGUAGE, MAKING SINAI HEALTH SYSTEM A BEST PRACTICE MEDICAL INTERPRETER PROGRAM IN THE NATION FOR DEAF AND HARD OF HEARING PATIENTS AND THE LIMITED ENGLISH PROFICIENT PATIENTS. PART VI, LINE 5: PROMOTION OF COMMUNITY HEALTHHOLY CROSS HOSPITAL, A CATHOLIC HOSPITAL, IS A PART OF SINAI CHICAGO HEALTH SYSTEM. THE SYSTEM HAS A VOLUNTEER BOARD COMPRISED OF RESPECTED LEADERS IN BANKING, FINANCE, MANUFACTURING, LEGAL, HEALTH CARE AND OTHER INDUSTRIES. HOLY CROSS HOSPITAL EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS FOR ALL DEPARTMENTS. HOLY CROSS HOSPITAL INVESTS ANY SURPLUS FUNDS INTO IMPROVING PATIENT CARE.HOLY CROSS ALSO PARTICIPATES IN THE FOLLOWING COMMUNITY BENEFIT PROGRAMS:- THROUGH SINAI HEALTH SYSTEM AFFILIATION, HOLY CROSS HOSPITAL HAS OPENED SEVERAL LEVELS OF BEHAVIORAL HEALTH CARE WHERE NONE PREVIOUSLY EXISTED. BEHAVIORAL HEALTH UNITS, A COMMUNITY MENTAL HEALTH CENTER AND AN ADDICTION TREATMENT CENTER HAVE BEEN INSTITUTED DUE TO COMMUNITY NEEDS.- SINAI CHICAGO HEALTH SYSTEM CENTERS FOR ADVANCED WOUND CARE AND DIABETES TREATMENT HAVE BEEN ESTABLISHED AT HOLY CROSS HOSPITAL.- COMMUNITY HEALTH OUTREACH - THE HOSPITAL'S REPRESENTATIVES HOST AND ATTEND COMMUNITY GROUP EVENTS AND PARTICIPATE IN COMMUNITY HEALTH FAIRS. THE HOSPITAL HAS PROVIDED FREE HEALTH SCREENINGS AND HEALTH EDUCATION MATERIALS AT THESE EVENTS.- PARTICIPATION IN COMMUNITY HEALTH SPEAKERS BUREAU THE HOSPITAL'S HEALTH CARE PROFESSIONALS PARTICIPATE IN PROMOTING HEALTHY LIFESTYLES BY VOLUNTEERING TO BE SPEAKERS AS REQUESTED BY COMMUNITY AND CIVIC GROUPS AS FOR ASSISTANCE IN HAVING HEALTH PROFESSIONALS FOR PROGRAMS AND EVENTS.- HOLY CROSS HOSPITAL HOSTS A QUARTERLY OUTREACH COALITION CONNECTIVITY NETWORK (OCCN) FOR COMMUNITY HEALTH AND HUMAN SERVICES COLLABORATIVE EDUCATION, INTERFACE AND SERVICE DELIVERY.- HOLY CROSS HOSPITAL PARTNERS WITH THE SOUTHWEST ORGANIZING PROJECT'S SYSTEM OF CARE TO IMPROVE MENTAL HEALTH WRAP-AROUND CARE FOR YOUTH AND THE RECLAIMING SOUTHWEST CHICAGO CAMPAIGN TO PROVIDE INSTITUTIONAL SUPPORT FOR REBUILDING COMMUNITY THROUGH HOUSING DEVELOPMENT.- HOLY CROSS HOSPITAL IS A MEMBER OF THE SOUTHSIDE HEALTHCARE TRANSFORMATION PROJECT THAT THE STATE HAS DEVELOPED TO IMPROVE ACCESS AND IMPROVED HEALTH OUTCOMES FOR UNDERSERVED COMMUNITIES ON THE SOUTH SIDE OF CHICAGO.- HOLY CROSS HOSPITAL HAS BEEN A PARTNER IN COMMUNITY INSTITUTIONAL RESPONSE TO DETECTION, TESTING, TREATMENT AND VACCINATION FOR COVID-19. PART VI, LINE 6: AFFILIATED HEALTH CARE SYSTEM ROLES AND PROMOTIONLOCATED ON CHICAGO'S WEST AND SOUTHWEST SIDE, SINAI HEALTH SYSTEM IS COMPRISED OF MOUNT SINAI HOSPITAL, HOLY CROSS HOSPITAL, SCHWAB REHABILITATION HOSPITAL, SINAI CHILDREN'S HOSPITAL, SINAI COMMUNITY INSTITUTE, SINAI MEDICAL GROUP, AND SINAI URBAN HEALTH INSTITUTE. THE ENTITIES OF SINAI HEALTH SYSTEM COLLECTIVELY DELIVER A FULL RANGE OF QUALITY INPATIENT AND OUTPATIENT SERVICES, AS WELL AS A LARGE NUMBER OF INNOVATIVE, COMMUNITY-BASED HEALTH, RESEARCH AND SOCIAL SERVICE PROGRAMS. WE FOCUS OUR COLLECTIVE DEPTH OF EXPERTISE AND PASSION TO IMPROVE THE HEALTH OF THE 1.5 MILLION PEOPLE WHO LIVE IN OUR DIVERSE SERVICE AREA. WITH OUR TEAM OF DEDICATED CAREGIVERS, SINAI HEALTH SYSTEM IS COMMITTED TO BUILDING STRONGER, HEALTHIER COMMUNITIES.FOR MORE INFORMATION ON SINAI HEALTH SYSTEM, VISIT HTTPS://WWW.SINAICHICAGO.ORG/. PART VI, LINE 7, REPORTS FILED WITH STATES IL 0 1 0 0 0 0 0 0 0 NGOZI EZIKE MD PRESIDENT & CEO 0 795498 0 0 0 11822 0 6600 0 0 0 813920 0 0 RUSSELL FIORELLA SYSTEM CHIEF MEDICAL OFFICER 0 608102 0 0 0 1407 0 6600 0 22636 0 638745 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 1/2024 0 298557 0 0 0 831 0 2988 0 0 0 302376 0 0 ELMER ESCALON TEAM LDR RN 154629 0 15754 0 2922 0 0 0 31764 0 205069 0 0 0 GARY KRUGEL CFO - THRU APR. 2023 0 158609 0 0 0 32148 0 3215 0 5744 0 199716 0 0 LORNA ESTEBAN STAFF NURSE RN 161676 0 25747 0 59 0 0 0 9559 0 197041 0 0 0 ANSELMA QUIRANTE HCH STAFF NURSE 172070 0 18571 0 993 0 0 0 0 0 191634 0 0 0 SONIA VAZQUEZ DIRECTOR TELEMETRY 170561 0 0 0 1926 0 0 0 1090 0 173577 0 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 ORGANIZTIONS; AND C) ANNUAL REVIEW OF CEO PERFORMANCE IS CONDUCTED AGAINST SHS ESTABLISHED GOALS. THE COMMITTEE MAINTAINS WRITTEN MINUTES WHICH ARE MAINTAINED IN EXECUTIVE ADMINISTRATION. PART I, LINE 4B SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN: MOUNT SINAI HOSPITAL'S (MSH) 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. MSH'S SERP IS ENTIRELY FUNDED BY THE EMPLOYER, MSH. THE MSH COMPENSATION COMMITTEE REVIEWS AND APPROVES ACCEPTANCE AND/OR MODIFICATIONS TO THE SERP PLAN. THE MSH'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 SALRIES 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 OFFICERS OF THE BOARD (I.E., THE CHAIR, VICE CHAIR(S), SECRETARY, TREASURER, PREVIOUS CHAIR (IF APPLICABLE) AND PRESIDENT AND CEO OF THE HEALTH SYSTEM), AND MAY INCLUDE ADDITIONAL MEMBERS AS DETERMINED BY THE BOARD CHAIR. THE EXECUTIVE COMMITTEE HAS THE POWER TO TRANSACT ALL REGULAR BUSINESS OF 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 CORPROATE 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 BUT NOT LIMITED TO 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. SINAI HEALTH SYSTEM 15TH STREET CALIFORNIA AVE CHICAGO IL 60608 363166895 PARENT CORP IL 501(C)(3) 12B TYPE II N/A 0 MT SINAI HOSPITAL MEDICAL CENTER 15TH STREET CALIFORNIA AVE CHICAGO IL 60608 361509000 HEALTHCARE IL 501(C)(3) 3 SINAI HEALTH SYSTEM 0 SCHWAB REHABILITATION HOSPITAL & CARE 1401 S CALIFORNIA AVENUE CHICAGO IL 60608 362179802 HEALTHCARE IL 501(C)(3) 3 SINAI HEALTH SYSTEM 0 MOUNT SINAI COMMUNITY FOUNDATION 2760 W 15TH PL 7TH FLR CHICAGO IL 60608 363305449 HEALTHCARE IL 501(C)(3) 12A TYPE I SINAI HEALTH SYSTEM 0 SINAI COMMUNITY INSTITUTE 2653 WEST OGDEN AVE CHICAGO IL 60608 363932824 HEALTHCARE IL 501(C)(3) 10 SINAI HEALTH SYSTEM 0 PROGRESS HEALTH INC 2701 WEST 68TH STREET CHICAGO IL 60629 364109153 MGMT SERVICES IL N/A C 0 SINAI COMMUNITY PHARMACY CALIFORNIA AVE AND 15TH STREET CHICAGO IL 60608 363383231 PHARMACY IL N/A C 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0