Attach to Form 990 or Form 990-EZ.
Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
| (i)Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
| (A)
Mount Sinai Hospital |
361509000 | Yes | 17,349,242 | 0 | ||
| (B)
Mount Sinai Community Foundation |
363305449 | Yes | 2,155,996 | 0 | ||
| (C)
Schwab Rehabilitation |
362179802 | Yes | 3,241,019 | 0 | ||
| (D)
Sinai Community Institute |
363932824 | Yes | 549,584 | 0 | ||
| (E)
Holy Cross Hospital |
362170133 | Yes | 5,431,260 | 0 | ||
Total 5
|
28,727,101 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .... | ||||||
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....... | ||||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 4 | Total. Add lines 1 through 3 | ||||||
| 5 | The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f).. | ||||||
| 6 | Public support. Subtract line 5 from line 4. | ||||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | ||||||
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | ||||||
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | ||||||
| 10 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. | ||||||
| 11 | Total support Add lines 7 through 10. | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | ||||||
| 2 | Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose...... | ||||||
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513.. | ||||||
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | ||||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 6 | Total. Add lines 1 through 5. | ||||||
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons... | ||||||
| b | Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year. | ||||||
| c | Add lines 7a and 7b.. | ||||||
| 8 | Public support (Subtract line 7c from line 6.) | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | ||||||
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | ||||||
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | ||||||
| 11 | Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on. | ||||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) .. | ||||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | ||||||
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e | Discount claimed for blockage or other factors (explain in detail in Part VI): | |||||
| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by .035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| 7 | Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions) | |||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | ||
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
||
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | ||
| 4 Amounts paid to acquire exempt-use assets | ||
| 5 Qualified set-aside amounts (prior IRS approval required) | ||
| 6 Other distributions (describe in Part VI). See instructions | ||
| 7Total annual distributions. Add lines 1 through 6. | ||
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
||
| 9 Distributable amount for 2014 from Section C, line 6 | ||
| 10 Line 8 amount divided by Line 9 amount | ||
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2014 |
(iii) Distributable Amount for 2014 |
|
|---|---|---|---|---|
|
1
Distributable amount for 2014 from Section C, line 6 |
||||
|
2
Underdistributions, if any, for years prior to 2014 (reasonable cause required--see instructions) |
||||
| 3 Excess distributions carryover, if any, to 2014: | ||||
| a From 2009.......X | ||||
| b From 2010.......X | ||||
| c From 2011.......X | ||||
| d From 2012.......X | ||||
| e From 2013....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2014 distributable amount | ||||
|
i
Carryover from 2009 not applied (see instructions) |
||||
| j Remainder. Subtract lines 3g, 3h, and 3i from 3f. | ||||
| 4Distributions for 2014 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2014 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from 4. | ||||
|
5
Remaining underdistributions for years prior to 2014, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions) |
||||
|
6
Remaining underdistributions for 2014. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions) |
||||
|
7 Excess distributions carryover to 2015. Add lines 3j and 4c. |
||||
| 8 Breakdown of line 7: | ||||
| a From 2010.......X | ||||
| b From 2011.......X | ||||
| c From 2012.......X | ||||
| d From 2013....... | ||||
| e From 2014....... | ||||
| Facts And Circumstances Test |
|---|
| Return Reference | Explanation |
|---|---|
| Part IV, Section B, Line 1: Explanation Of How Supported Orgs. Managed Actvities | The directors, trustees or membership of one or more supported organizations did have the power to regularly appoint or elece at least amajority of the organization's directors or trustees at all times during the tax year. |
| Software ID: | 14000265 |
| Software Version: | 2014v6.0 |
Attach to Form 990 or 990-EZ.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is at| Return Reference | Explanation |
|---|---|
| Form 990, Part III, Line 4d: Other Program Services Description | OTHER PROGRAM SERVICES 4: HUD Project:The intervention, entitled Helping Chicagos Westside Adults Breathe and Thrive: A Health Homes Approach to Improving Respiratory Health (HCWABT), is the first to examine the effects of a Community Health Worker (CHW)-based intervention on improving asthma management among adults. HCWABT builds off of SUHIs Helping Children Breathe and Thrive (HCBT) program, which officially ended in August 2013. The program served both adults and children with asthma living in CHA developments on the Westside, and saw significant improvements in overall asthma management and reductions in asthma triggers found in the home environment among participants. HCWABT is a three year project and officially kicked off in November of 2013. HCWABT is SUHIs eighth asthma grant, and when completed, SUHI will have been intervening to improve asthma management in some of Chicagos most vulnerable communities for over 15 years. CHWs conduct 5-6 home visits over the course of the 12-month intervention, where they provide comprehensive asthma and healthy homes education. We have completed seven months of recruitment. Methods of recruitment that have been implemented include referrals from: Sinai Emergency Department, Sinai inpatient units (hospitalizations), Sinai physicians and the Chicago Housing Authority. As of June 30, 1026 referrals were received. Forty-one percent of these referrals came from Sinais Emergency Department but since contact information is limited to patients medical files, usually half of ED referrals were never reached. Although only 22% of total referrals came from the Chicago Housing Authority, this referral source accounts for one third of the successful baseline visits we have completed, since participants initiated their own referral. Nearly 21% of total referrals were ineligible for HCWABT, in large part due to their home zip code being outside of the service area. A few ineligible participants were given one-time teaching sessions since they could not be enrolled in the program. As of June 30, 175 adults have completed their baseline visit and are enrolled in the program. Recruitment for this grant and this phase of the program will end August 30, 2015. Data collected through the end of June included 12-month follow-ups for 37 participants. We can already see significant improvements in outcomes in symptoms, health resource utilization and quality of life (QOL) among participants who have completed the intervention. There has been a 68% reduction in daytime symptoms for those who have so far completed the HCWABT intervention. Additionally, hospitalizations due to asthma have decreased by 50% and asthma-related Emergency Department visits have decreased by 57%. Furthermore, the overall QOL score increased from an average of 3.4 to 4.2 over the twelve-month period. QOL activity limitation sub-score was 1.1 points higher for adults at the end of the intervention than at baseline (from 3.4 to 4.5) All five of the adult QOL scores increased by at least 0.6 point and usually much more. These changes indicate clinical and statistical significance. The improvements in frequency of symptoms, urgent health resource utilization and quality of life all confirm that we are reaching our target population of adults with evidence of poor asthma control and in need of intensive intervention.The Greater Humboldt Park Community Diabetes Empowerment Center at 2753 West Division Street, Chicago is a community-driven partnership of five medical providers (Sinai Health Systems, Northwestern Medicine, Norwegian American Hospital, Saints Mary and Elizabeth Medical Center, and the Public Health Institute) and three community organizations (The Greater Humboldt Park Community of Wellness, The Puerto Rican Cultural Center, and Pueblo Sin Fronteras). The Center is a highly visible community resource to prevent and control Type 2 diabetes for the residents of Greater Humboldt Park and surrounding neighborhoods. Since Type 2 diabetes is impacted by both physiological and social determinants of health, the Center is part of a multi-level community-driven approach that provides health education, physical activities, nutritional counseling, and social support to neighborhood residents in a community environment that facilitates collaborative learning about diabetes. The Center strives to inform, advocate, and empower residents -- regardless of literacy, language, insurance status, or income to reduce the health risks associated with diabetes. Sinai Health System is a strong and long-term partner with this work.Grant funds are used to support:1.Operational infrastructure at the Diabetes Empowerment Center such as telephone, internet, alarm services, cleaning and maintenance supplies;2.The Muevete Physical Activity Program including salary of the Muevete Coordinator, stipends for community physical activity leaders, printing of forms and outreach material, equipment, supplies and healthy snacks for physical activity events and meetings. The Muevete Program provides physical activity programs in a variety of community-based settings throughout the project area. The programs are designed primarily to facilitate weight loss and improve glycemic control among people with diabetes as well as without diabetes. The Muevete Coordinator trains community volunteer facilitators to lead and administer the physical activity program at each location. Muevete organizes physical activity oriented community events and has developed a Network of community programs and organizations doing similar work in the project area. Muevete offers free use of two treadmills, Dance Aerobics, Zumba, and Pilates.3.Expenses for health education and cooking classes, including healthy snacks, printing, equipment, supplies, teaching material, and incentives. Health education and nutrition classes are offered weekly.Programming remained consistent in FY2015, with solid participation and turnout from the community. |
| Form 990, Part VI, Line 11b: Form 990 Review Process | The 990 was initially prepared by the Finance Staff with multi disciplinary inputfrom Public Affairs, Corporate Integrity and other appropriate staff of theorganization. The 990 was then reviewed by senior finance staff and other members ofSenior Leadership. 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 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 Board 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 15b: Compensation Review and Approval Process for Officers and Key Employees | Sinai Health System has an Executive Compensation Committee to support the organizational performance of Sinai Health System and its related entities through the alignment of executive compensation with system strategies and programs and ensure compliance with applicable law. The voting members of the Committee are independent members of the Board of Directors. The Committee meets twice annually, or more frequently, as circumstances require. The Committee establishes detailed goals annually for the President and CEO and other executives, and reviews performance against these goals on an annual basis. The Committee annually engages an outside, independent compensation consultant to benchmark the salaries and benefits of the organization's Assistant Vice Presidents and above, as well as a few directors. Compensation is based on detailed written performance appraisals and external market data. In executive session, the Committee reviews the performance of the President and CEO, each element of compensation, data of compensation programs in effect for CEOs of comparable organizations, and conducts an annual review of CEO performance against established goals. The Committee maintains written minutes which are maintained in Executive Administration. |
| Form 990, Part VI, Line 19: Other Organization Documents Publicly Available | Governing documents, conflict of interest and financial statements are made available upon request and after review by management. |
| Other Changes In Net Assets Or Fund Balances - Other Decreases | Restricted Funds = -$22267 |
| Software ID: | 14000265 |
| Software Version: | 2014v6.0 |