View data for this organization below, or select additional hospitals to create a comparison view.
Compare tax-exempt hospitals

Search tax-exempt hospitals
for comparison purposes.

Mount Sinai Hospital Medical Center

Mount Sinai Hospital Medical Center
15th Street & California Ave
Chicago, IL 60608
Bed count431Medicare provider number140018Member of the Council of Teaching HospitalsYESChildren's hospitalNO
EIN: 361509000
Display data for year:
Community Benefit Spending- 2021
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)
28.57%
Spending by Community Benefit Category- 2021
(as % of total functional expenses)
* = CBI denoted preventative categories
Community Benefit Spending Compared to Functional Expenses, 2010-2021
Additional data

Community Benefit Expenditures: 2021

  • All tax-exempt organizations file a Form 990 with the IRS for every tax year. If the tax-exempt organization operates one or more hospital facilities during the tax year, the organization must attach a Schedule H to Form 990. On Part I of Schedule H, the organization records the expenditures it made during the tax year for various types of community benefits; 9 types are shown on this web tool. By default, this web tool presents community benefit expenditures as a percentage of the organization’s functional expenses, which it reports on Form 990, Part IX, Line 25, Column A. (The more commonly heard term, ‘total operating expenses’, which organizations report to CMS, is generally about 90% of the ‘functional expenses’). The user may change the default to see the dollar expenditures.

    • Operating expenses$ 407,788,510
      Total amount spent on community benefits
      as % of operating expenses
      $ 116,486,155
      28.57 %
  • Amount spent in the following IRS community benefit categories:
      • Financial Assistance at cost
        as % of operating expenses
        $ 45,444,860
        11.14 %
        Medicaid
        as % of operating expenses
        $ 0
        0 %
        Costs of other means-tested government programs
        as % of operating expenses
        $ 3,423,790
        0.84 %
        Health professions education
        as % of operating expenses
        $ 8,590,887
        2.11 %
        Subsidized health services
        as % of operating expenses
        $ 51,324,710
        12.59 %
        Research
        as % of operating expenses
        $ 362,419
        0.09 %
        Community health improvement services and community benefit operations*
        as % of operating expenses
        Note: these two community benefit categories are reported together on the Schedule H, part I, line 7e.
        $ 5,761,277
        1.41 %
        Cash and in-kind contributions for community benefit*
        as % of operating expenses
        $ 1,578,212
        0.39 %
        Community building*
        as % of operating expenses
        $ 1,427,649
        0.35 %
    • * = CBI denoted preventative categories
    • Community building activities details:
        • Did tax-exempt hospital report community building activities?YES
          Number of activities or programs (optional)0
          Physical improvements and housing0
          Economic development0
          Community support0
          Environmental improvements0
          Leadership development and training for community members0
          Coalition building0
          Community health improvement advocacy0
          Workforce development0
          Other0
          Persons served (optional)0
          Physical improvements and housing0
          Economic development0
          Community support0
          Environmental improvements0
          Leadership development and training for community members0
          Coalition building0
          Community health improvement advocacy0
          Workforce development0
          Other0
          Community building expense
          as % of operating expenses
          $ 1,427,649
          0.35 %
          Physical improvements and housing
          as % of community building expenses
          $ 0
          0 %
          Economic development
          as % of community building expenses
          $ 0
          0 %
          Community support
          as % of community building expenses
          $ 0
          0 %
          Environmental improvements
          as % of community building expenses
          $ 0
          0 %
          Leadership development and training for community members
          as % of community building expenses
          $ 0
          0 %
          Coalition building
          as % of community building expenses
          $ 0
          0 %
          Community health improvement advocacy
          as % of community building expenses
          $ 1,427,649
          100 %
          Workforce development
          as % of community building expenses
          $ 0
          0 %
          Other
          as % of community building expenses
          $ 0
          0 %
          Direct offsetting revenue$ 0
          Physical improvements and housing$ 0
          Economic development$ 0
          Community support$ 0
          Environmental improvements$ 0
          Leadership development and training for community members$ 0
          Coalition building$ 0
          Community health improvement advocacy$ 0
          Workforce development$ 0
          Other$ 0

    Other Useful Tax-exempt Hospital Information: 2021

    • In addition to community benefit and community building expenditures, the Schedule H worksheet includes sections on what percentage of bad debt can be attributable to patients eligible for financial assistance, and questions on the tax-exempt hospital's debt collection policy. When searching a specific tax-exempt hospital in this web tool, Section II provides information about bad debt and the financial assistance policy, and whether the state in which the tax-exempt hospital resides has expanded Medicaid coverage under the federal ACA.

      • Of the tax-exempt hospital’s overall operating expenses, amount reported as bad debt
        as % of operating expenses
        $ 13,291,694
        3.26 %
        Is the tax-exempt hospital considered a "sole community hospital" under the Medicare program?NO
    • Information about the tax-exempt hospital's Financial Assistance Policy and Debt Collection Policy

      The Financial Assistance Policy section of Schedule H has changed over the years. The questions listed below reflect the questions on the 2009-2011 Schedule H forms and the answers tax-exempt hospitals provided for those years. The Financial Assistance Policy requirements were changed under the ACA. In the future, as the Community Benefit Insight web site is populated with 2021 data and subsequent years, the web tool will also be updated to reflect the new wording and requirements. In the meantime, if you have any questions about this section, we encourage you to contact your tax-exempt hospital directly.

      • Does the organization have a written financial assistance (charity care) policy?YES
        Did the tax-exempt hospital rely upon Federal Poverty Guidelines (FPG) to determine when to provide free or discounted care for patients?YES
        Amount of the tax-exempt hospital’s bad debt (at cost) attributed to patients eligible under the organization’s financial assistance (charity care) policy
        as % of operating expenses
        $ 4,053,967
        30.50 %
    • Did the tax-exempt hospital, or an authorized third party, take any of the following collection activities before determining whether the patient was eligible for financial assistance:
      • Reported to credit agencyNot available
    • Under the ACA, states have the choice to expand Medicaid eligibility for their residents up to 138% of the federal poverty guidelines. The Medicaid expansion provision of the ACA did not go into effect until January 2014, so data in this web tool will not reflect each state's current Medicaid eligibility threshold. For up to date information, please visit the Terms and Glossary under the Resources tab.

      • After enactment of the ACA, has the state in which this tax-exempt hospital is located expanded Medicaid?YES
    • The federal poverty guidelines (FPG) are set by the government and used to determine eligibility for many federal financial assistance programs. Tax-exempt hospitals often use FPG guidelines in their Financial Assistance policies to determine which patients will qualify for free or discounted care.

      • If not, is the state's Medicaid threshold for working parents at or below 76% of the federal poverty guidelines?Not available
    • In addition to the federal requirements, some states have laws stipulating community benefit requirements as a result of tax-exemption. The laws vary from state to state and may require the tax-exempt hospitals to submit community benefit reports. Data on this web tool captures whether or not a state had a mandatory community benefit reporting law as of 2011. For more information, please see Community Benefit State Law Profiles Comparison at The Hilltop Institute.

      • Does the state in which the tax-exempt hospital is located have a mandatory community benefit reporting statute?YES

    Community Health Needs Assessment Activities: 2021

    • The ACA requires all 501(c)(3) tax-exempt hospitals to conduct a Community Health Needs Assessment (CHNA) every three years, starting with the hospital's tax year beginning after March 23, 2012. The 2011 Schedule H included an optional section of questions on the CHNA process. This web tool includes responses for those hospitals voluntary reporting this information. The web tool will be updated to reflect changes in these questions on the 2012 and subsequent Schedule H forms.

      • Did the tax-exempt hospital report that they had conducted a CHNA?YES
        Did the CHNA define the community served by the tax-exempt hospital?YES
        Did the CHNA consider input from individuals that represent the broad interests of the community served by the tax-exempt hospital?YES
        Did the tax-exempt hospital make the CHNA widely available (i.e. post online)?YES
        Did the tax-exempt hospital adopt an implementation strategy to address the community needs identified by the CHNA?YES

    Supplemental Information: 2021

    This section presents qualitative information submitted by the hospital, verbatim from the 990H record.
    • Statement of Program Service Accomplishments
      Description of the organization's program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
    • 4A (Expenses $ 304546060 including grants of $ 1190383) (Revenue $ 262109513)
      PATIENT CAREMOUNT SINAI HOSPITAL MEDICAL CENTER (MOUNT SINAI HOSPITAL OR MSH) IS A 319-LICENSED BED ACUTE CARE AND TEACHING HOSPITAL AFFILIATED WITH THE JEWISH FEDERATION OF METROPOLITAN CHICAGO. MSH IS AN INTEGRAL PART OF THE SINAI HEALTH SYSTEM'S CORE MISSION TO IMPROVE THE HEALTH OF THE INDIVIDUALS AND COMMUNITIES IT SERVES. FOUNDED IN 1919, MSH PROVIDES A SIGNIFICANT PORTION OF THE TOTAL MEDICAL SERVICES AVAILABLE TO WEST SIDE RESIDENTS. THESE SERVICES INCLUDE A FULL SPECTRUM OF CARE, INCLUDING MEDICAL, SURGICAL, PEDIATRIC, LEVEL III PERINATAL, INTENSIVE CARE, EMERGENCY, MATERNAL CHILD, AND PSYCHIATRIC SERVICES. THE HOSPITAL'S EMERGENCY DEPARTMENT IS ONE OF FOUR LEVEL I TRAUMA CENTERS IN CHICAGO.CHARITY CAREMOUNT SINAI HOSPITAL PROVIDED $24,395,816 OF CHARITY CARE AT COST TO PATIENTS WHO WERE UNABLE TO PAY FOR SERVICES. SINCE SO MANY OF OUR PATIENTS ARE UNINSURED OR OTHERWISE UNABLE TO AFFORD CARE, CHARITY CARE IS A VITAL PART OF OUR MISSION TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE.COMMUNITY OUTREACHAS PART OF OUR MISSION TO IMPROVE THE HEALTH OF OUR COMMUNITIES, MSH HAS LAUNCHED SEVERAL INITIATIVES TO STUDY AND ADDRESS SPECIFIC HEALTH ISSUES. THE SINAI URBAN HEALTH INSTITUTE (SUHI) IS A NATIONALLY RECOGNIZED RESEARCH ORGANIZATION FUNDED AND OPERATED THROUGH MOUNT SINAI HOSPITAL. SUHI HAS PUBLISHED GROUNDBREAKING RESEARCH ON RACIAL DISPARITIES, HIV, SMOKING RATES, ASTHMA, DIABETES, BREAST CANCER, AND OTHER HEALTH THREATS FACING LOW-INCOME MINORITY POPULATIONS.AN OVERVIEW OF MOUNT SINAI HOSPITAL PERFORMANCE DURING FISCAL YEAR 2021IS GIVEN BELOW:- PATIENT DAYS: 59,978- AVERAGE LENGTH OF STAY: 4.94 DAYS- EMERGENCY ROOM VISITS: 38,549- OUTPATIENT SURGERIES: 3,320- CHARITY CARE (AT COST): $24,395,816ACCREDITATIONS AND CERTIFICATIONS:- PALLIATIVE MEDICINE PROGRAM RECOGNIZED FOR OUTSTANDING ACHIEVEMENT BY THE COLEMAN FOUNDATION- OUTPATIENT PSYCHIATRY PROGRAMS ACCREDITED BY CARF- NATIONAL EXCELLENCE IN HEALTHCARE 2014 AWARD WINNER FOR OVERALL QUALITY CARE FROM PROFESSIONAL RESEARCH CONSULTANTS- GET WITH THE GUIDELINES STROKE GOLD-PLUS QUALITY ACHIEVEMENT AWARD WINNER FROM THE AMERICAN HEART ASSOCIATION AND AMERICAN STROKE ASSOCIATION- ONCOLOGY PRACTICE INITIATIVE CERTIFICATION PROGRAM, AN AFFILIATED PROGRAM OF THE AMERICAN SOCIETY OF CLINICAL ONCOLOGY- OB ULTRASOUND DEPARTMENT ACCREDITED BY THE AMERICAN INSTITUTE OF ULTRASOUND MEDICINE- MAMMOGRAPHY ACCREDITED BY THE AMERICAN COLLEGE OF RADIOLOGY- THE JOINT COMMISSION GOLD SEAL OF APPROVAL- EMERGENCY DEPARTMENT APPROVED FOR PEDIATRICS CERTIFICATION (EDAP)- AMERICAN COLLEGE OF SURGEONS COMMISSION ON CANCER- ACCREDITED CHEST PAIN CENTER BY THE SOCIETY OF CHEST PAIN CENTERSPRIMARY STROKE CENTER AWARDS:- INNOVATION IN QUALITY AWARD (ILLINOIS HOSPITAL ASSOCIATION)- ILLINOIS HOSPITAL ASSOCIATION PLEDGE QUALITY ACHIEVEMENT AWARD- DEAF ILLINOIS AWARD FOR BEST HEALTH SERVICES IN 2007, 2009 AND 2011- ORGAN AND TISSUE DONOR NETWORK'S GIFT OF HOPE SILVER MEDAL OF HONOR
      4B (Expenses $ 38863814 including grants of $ 0) (Revenue $ 123433099)
      PATIENT SERVICE-THERAPY & DIAGNOSTICSWITH AN AGING POPULATION, REACHING AND PROVIDING HEALTH CARE TO OUR SENIORS ON A TIMELY BASIS HAS BECOME CRITICAL. SINAI HOME HEALTH THROUGH ITS TRAINED NURSES KEEPS IN CONTACT WITH SENIORS THROUGH PERIODIC HOME VISITS. SUCH VISITS PROVIDE AN OPPORTUNITY TO DO A GENERAL CHECKUP ON THEIR HEALTH, ENSURE THE PATIENTS ARE TAKING THE PRESCRIBED MEDICATION AND TO DISCUSS THEIR HEALTH CONCERNS. THIS PROGRAM HAS BEEN WELL RECEIVED IN THE COMMUNITY. SINAI IS ALSO DEVELOPING A DEDICATED GERIATRIC SERVICE LINE IN ORDER TO PROVIDE SUPERIOR CONTINUITY OF CARE.FOR ONCOLOGY PATIENTS, THE SINAI HEALTH SYSTEM CANCER CARE CENTER WAS ESTABLISHED IN 2008. WITH THE SUPPORT OF THE COLEMAN FOUNDATION, AN INTEGRATED ONCOLOGY CENTER WAS CREATED THAT LINKS PHYSICIANS' OFFICES, A CHEMOTHERAPY CENTER AND AN INPATIENT UNIT ALL IN ONE AREA.
      4C (Expenses $ 13549199 including grants of $ 0) (Revenue $ 1261590)
      TEACHING & RESEARCHMOUNT SINAI HOSPITAL PROVIDES UNDERGRADUATE TRAINING FOR MEDICAL STUDENTS IN SIX MAJOR SPECIALTIES - MEDICINE, SURGERY, OBSTETRICS/GYNECOLOGY, PEDIATRICS, PSYCHIATRY AND PHYSICAL MEDICINE AS WELL AS A NUMBER OF SUB-SPECIALTIES. THE HOUSE STAFF PROGRAM PROVIDES TRAINING FOR RESIDENTS AND FELLOWS IN MAJOR CLINICAL AREAS. IN 2008, RELATIONSHIPS WITH ACADEMIC MEDICAL CENTERS WERE EXPANDED THAT ENRICH THE PATIENT CARE RESOURCES AVAILABLE THROUGH AFFILIATIONS WITH NORTHWESTERN MEMORIAL HOSPITAL, THE UNIVERSITY OF CHICAGO MEDICAL CENTER, RUSH UNIVERSITY MEDICAL CENTER, THE UNIVERSITY OF ILLINOIS-CHICAGO AND ROSALIND FRANKLIN UNIVERSITY.RESEARCH PROGRAMS AT MOUNT SINAI HOSPITAL ARE ONGOING IN SEVERAL FIELDS INCLUDING CANCER DETECTION AND TREATMENT, CHILD ABUSE, TRAUMA AND EMERGENCY MEDICINE, PEDIATRIC HIV/AIDS, UROLOGY, RHEUMATOLOGY, HEMATOLOGY AND NEONATOLOGY.
      Facility Information
      Schedule H (Form 990) Section C. Supplemental Information for Part V, Section B.
      MOUNT SINAI HOSPITAL
      PART V, SECTION B, LINE 5: MOUNT SINAI 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, AND 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.
      MOUNT SINAI HOSPITAL
      "PART V, SECTION B, LINE 11: EXPLANATION OF NEEDS ADDRESSED/NOT ADDRESSEDMOUNT SINAI HOSPITAL'S 2022 CHNA IDENTIFIED SIGNIFICANT HEALTH NEEDS AND BARRIERS TO CARE FACED BY THE COMMUNITIES SERVED BY MOUNT SINAI HOSPITAL. SUBSEQUENTLY, MOUNT SINAI HOSPITAL LEADERS, IN COLLABORATION WITH SINAI URBAN HEALTH INSTITUTE STAFF, DEVELOPED THE MOUNT SINAI HOSPITAL 2022 COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP). MOUNT SINAI HOSPITAL'S CHIP IS A COMMUNITY-CENTERED, THREE-YEAR PLAN THAT TACKLES THE HEALTH CHALLENGES IDENTIFIED IN THE CHNA. MOUNT SINAI 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.- HEALTH STRATEGIES: FOOD ACCESS; ECONOMIC VITALITY; ACCESSIBLE TRANSPORTATION; SAFE HOUSING; FREEDOM FROM INJUSTICE. - COMMUNITY SAFETY: COMMUNITIES AND PEOPLE CANNOT THRIVE WHILE FEELING UNSAFE IN THEIR NEIGHBORHOODS. WITHIN THIS PRIORITY, WE 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 THAT TIE TO SENATOR DURBIN'S CHICAGO HEAL INITIATIVE, AND WORK TO ENSURE OUR COMMUNITIES ARE SAFE AND WELCOMING FOR EVERYONE, REGARDLESS OF DOCUMENTATION STATUS.- 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 QUALITY, AGE- AND ABILITY-APPROPRIATE HEALTH CARE, REGARDLESS OF RACE, ETHNICITY, ZIP CODE, INCOME, JUSTICE SYSTEM INVOLVEMENT, GENDER IDENTITY, SEXUAL ORIENTATION, OR STATUS. - HEALTH STRATEGIES: COVERAGE; PRIMARY CARE EXPANSION AND PARTNERSHIP; INTEGRATED CARE; CULTURALLY-COMPETENT AND LINGUISTICALLY ALIGNED CARE; ANTI-RACIST APPROACHES WITHIN OUR OWN SYSTEM; 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 WHEN COMMUNITY MEMBERS FALL ILL.- 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 CARE.- HEALTH STRATEGIES: CARE ACCESS AND LINKAGE; CULTURALLY-INFORMED BEHAVIORAL HEALTH CARE; TRANSFORM BEHAVIORAL HEALTH CARE DELIVERY. IN ADDITION TO PURSUING INNOVATIVE HEALTH CARE APPROACHES, MOUNT SINAI 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 2022, 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 COLLABORATIVES AND PARTNERSHIPS REGARDING COVID-19:SUHI 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. SUHI'S ROLES INCLUDE THE PROVISION OF INITIAL TRAINING TO THE WORKFORCE, AND THE UPSKILLING OF THE CONTACT TRACERS WITH SKILLS THAT PREPARE THEM FOR FUTURE CAREER OPPORTUNITIES ONCE THE COVID-19 CRISIS HAS PASSED. SINAI COMMUNITY INSTITUTE ALSO LED CONTRACT TRACING EFFORTS. NOW THAT WE ARE IN THE COVID RECOVERY PHASE, SUHI IS ALSO SUPPORTING THE EXPANSION OF TRAINING FOR CHWS BEYOND COVID 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 IN ORDER TO ENHANCE CURRENT AND FUTURE COVID-19 VACCINATION, PREVENTION, MITIGATION, AND RESPONSE EFFORTS. 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. ADDITIONALLY, SUHI'S COMMUNITY HEALTH INNOVATION (CHI) TEAM WAS ENLISTED BY SINAI TO LINK COMMUNITY HEALTH WORKERS (CHWS) WITH SOCIAL WORKER REFERRALS FROM SINAI'S ERS OR INPATIENT UNITS TO HELP PERSONS DISCHARGED WITH A COVID-19 DIAGNOSIS. CHW'S FOLLOW UP WITH PATIENTS VIRTUALLY AND PROVIDE RESOURCES, LINKAGES, AND REFERRALS TO WRAP-AROUND SERVICES AS APPROPRIATE.MOUNT SINAI HOSPITAL'S CHIP WAS INTEGRATED WITH THE CHIPS OF SCHWAB REHABILITATION HOSPITAL AND HOLY CROSS HOSPITAL TO DEVELOP A SYSTEM-WIDE SINAI CHICAGO CHIP. THE SINAI CHICAGO CHIP IS BEING CONVERTED TO A PUBLICALLY AVAILABLE VERSION THAT WILL EVENTUALLY SIT ON THE SINAI CHICAGO WEBSITE."
      PART V, SECTION B, LINE 3E AND 3G:
      MOUNT SINAI HOSPITAL'S 2022 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 2022, WE HAVE LEVERAGED THE 2022 CHNA TO ENSURE MOUNT SINAI HOSPITAL IS RESPONSIVE TO THE HEALTH AND SOCIAL NEEDS OF THE POPULATIONS IT SERVES.
      PART V, LINE 7A, CHNA WEBSITE:
      HTTPS://WWW.SINAICHICAGO.ORG/EN/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS-CHNA-AND-COMMUNITY-HEALTH-IMPROVEMENT-PLAN-CHIP/
      PART V, LINE 10A, IMPLEMENTATION STRATEGY WEBSITE:
      HTTPS://WWW.SINAICHICAGO.ORG/EN/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS-CHNA-AND-COMMUNITY-HEALTH-IMPROVEMENT-PLAN-CHIP/
      Supplemental Information
      Schedule H (Form 990) Part VI
      PART I, LINE 6A:
      RELATED ORGANIZATION COMMUNITY BENEFIT REPORT THE COMMUNITY BENEFIT REPORT IS PREPARED BY PARENT CORPORATION SINAI HEALTH SYSTEM (36-3166895).
      PART I, LINE 7:
      EXPLANATION OF COSTING METHODOLOGYTHE COSTING METHODOLOGY USED TO CALCULATE THE AMOUNTS REPORTED ON SCHEDULE H, PART I, LINES 7A AND 7B IS THE COST-TO-CHARGE RATIO PER JUNE 30, 2022 MEDICARE COST REPORT FILED. IRS WORKSHEET 3 (SCHEDULE H, LINE 7B) INSTRUCTIONS REQUIRE INCLUDING THE PROVIDER TAX EXPENSES IN COLUMN (C), TOTAL COMMUNITY BENEFIT EXPENSE, AS WELL AS INCLUDING THE PROVIDER TAX REVENUE AND SEVERAL SUPPLEMENTAL PAYMENTS UNDER THE AFFORDABLE CARE ACT IN COLUMN (D), DIRECT OFFSETTING REVENUE. THE PROVIDER TAX REVENUE IS INTENDED TO ASSIST SAFETY NET HOSPITALS TO PROVIDE SERVICES TO THE COMMUNITY. WE BELIEVE THAT TO OFFSET MEDICAID SHORTFALL WITH THE NET INCOME DISTORTS THE RESULT. THEREFORE, WE ARE PROVIDING THE PERCENTAGES AS IF THE NET WERE NOT PRESENTED AS AN OFFSET. IN ADDITION, THE OTHER AFFORDABLE CARE ACT SUPPLEMENTAL PAYMENTS SHOULD ALSO NOT BE CONSIDERED IN THE CALCULATION. IF THESE ITEMS WERE REMOVED FROM THE CALCULATION, NET COMMUNITY BENEFIT EXPENSE ON LINE 7B, COLUMN (E) WOULD HAVE BEEN $81,949,203 OR 20.8 PERCENT OF TOTAL EXPENSE. THIS WOULD HAVE INCREASED THE TOTAL NET COMMUNITY BENEFIT EXPENSE ON LINE 7K, COLUMN (E) FROM $116,486,155 TO $198,435,358 OR 50.3 PERCENT OF TOTAL EXPENSE. MOUNT SINAI HOSPITAL'S TRUE COMMUNITY BENEFIT IS BETTER REPRESENTED BY THIS PERCENTAGE.
      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 $13,291,694. ESTIMATED AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY IS $3,455,840.
      PART I, LINE 7A, 7B, 7C:
      MOUNT SINAI HOSPITAL PROVIDED APPROXIMATELY $45.4 MILLION IN FINANCIAL ASSISTANCE TO THE PATIENTS IT SERVED THIS YEAR, IN ADDITION TO UNREIMBURSED COST OF $3.4 MILLION TO PROVIDE CARE FOR MEDICARE DUAL ELIGIBLE AND DISABLE PATIENTS. THESE SHORTFALLS WERE OFFSET BY AN $11.2 MILLION MEDICAID SURPLUS. THE MEDICAID SURPLUS WAS DUE TO RECEIPTS OF PROVIDER TAX REVENUES AND OTHER ACA PAYMENTS. THE PRIMARY PURPOSE OF THESE SUPPLEMENTAL PAYMENTS WAS TO OFFSET THE COSTS TO PROVIDE CARE AND OTHER COMMUNITY SERVICES FOR THE HOSPITAL'S DISPROPORTIONALLY HIGH MEDICAID AND FINANCIAL INDIGENT POPULATIONS.ON AN AGGREGATED BASIS, SINAI HEALTH SYSTEM PROVIDED $54.5 MILLION IN FINANCIAL ASSISTANCE, IN ADDITION TO A MEDICAID SHORTFALL OF $49.5 MILLION. UNREIMBURSED COSTS TO PROVIDE CARE FOR MEDICARE DUAL ELIGIBLE AND DISABLE PATIENTS TOTALED $4.5 MILLION.
      PART III, LINE 2:
      METHODOLOGY USED TO ESTIMATE BAD DEBT EXPENSE 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.
      PART III, LINE 3:
      METHODOLOGY OF ESTIMATED AMOUNT & RATIONALE FOR INCLUDING COMMUNITY BENEFITMOUNT SINAI 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.
      PART III, LINE 4:
      BAD DEBT EXPENSEACCOUNTS RECEIVABLE FOR PATIENTS, INSURANCE COMPANIES, AND GOVERNMENTAL AGENCIES ARE BASED ON GROSS CHARGES, REDUCED BY EXPLICIT PRICE CONCESSIONS PROVIDED TO THIRD-PARTY PAYERS, 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 THE YEARS ENDED JUNE 30, 2022 AND 2021, CHANGES IN ITS ESTIMATES OF IMPLICIT PRICE CONCESSIONS, DISCOUNTS, AND CONTRACTUAL ADJUSTMENTS FOR PERFORMANCE OBLIGATIONS SATISFIED IN PRIOR YEARS WERE NOT SIGNIFICANT.SUBSEQUENT CHANGES THAT ARE DETERMINED TO BE THE RESULT OF AN ADVERSE CHANGE IN THE PATIENT'S ABILITY TO PAY ARE RECORDED AS BAD DEBT EXPENSE.
      PART III, LINE 8:
      EXPLANATION OF SHORTFALL AS COMMUNITY BENEFITTHERE WAS NO SHORTFALL THIS YEAR. MOUNT SINAI 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 PATIENTS MOUNT SINAI HOSPITAL'S COLLECTION PROCESS INCLUDES BOTH LETTERS AND CALLS TO INFORM PATIENTS OF THEIR OUTSTANDING BALANCES 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 AMOUNTS THAT HAVE BEEN APPROVED AS CHARITY OR FINANCIAL ASSISTANCE.
      PART VI, LINE 3:
      PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCEMOUNT 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 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 5:
      PROMOTION OF COMMUNITY HEALTH MOUNT SINAI HOSPITAL IS A PART OF SINAI HEALTH SYSTEM. THE SYSTEM HAS A VOLUNTEER BOARD COMPRISED OF RESPECTED LEADERS IN BANKING, FINANCE, MANUFACTURING, LEGAL, HEALTH CARE AND OTHER INDUSTRIES. MOUNT SINAI HOSPITAL EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS FOR ALL DEPARTMENTS. MOUNT SINAI HOSPITAL INVESTS ANY SURPLUS FUNDS INTO IMPROVING PATIENT CARE.
      PART VI, LINE 7, REPORTS FILED WITH STATES
      IL
      PART VI, LINE 2:
      NEEDS ASSESSMENTIN ADDITION TO THE COMMUNITY AND HOSPITAL/OFFICE-BASED HEALTHCARE SURVEYS, FOCUS GROUPS, AND DATA ANALYSES DESCRIBED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT PLAN FOR MOUNT SINAI HOSPITAL, THE HOSPITAL UTILIZES THE FOLLOWING CHANNELS TO GAIN GREATER INSIGHT INTO THE HEALTH NEEDS OF ITS COMMUNITIES:1) COMMUNITY AND HOSPITAL/OFFICE-BASED HEALTH SCREENINGS. IN FY2022, THE COMMUNITY RELATIONS DEPARTMENT COORDINATED THE PARTICIPATION OF SINAI HEALTH SYSTEM'S PROGRAMS AND DEPARTMENTS IN 167 HEALTH FAIRS, PRESENTATIONS, TRAININGS, VIRTUAL SESSIONS, AND OTHER COMMUNITY EVENTS, IN BENEFIT OF MORE THAN 70 PARTNERS IN SERVICE AREAS, AND MORE THAN 1,900 COMMUNITY MEMBERS. A TOTAL OF 737 COMMUNITY HEALTH SCREENINGS WERE PROVIDED (319 GLUCOSE, 217 CHOLESTEROL, AND 201 BLOOD PRESSURE). MORE THAN 3,000 GIVEAWAYS AND MORE THAN 5,000 FLYERS WITH SINAI'S PROGRAMS AND SERVICES WERE DISTRIBUTED.2) PRESENTATION OF PATIENTS IN THE EMERGENCY DEPARTMENT AND NEEDS NOTED DURING THE VISIT.3) PARTNERSHIP ACTIVITIES WITH COMMUNITY-BASED ORGANIZATIONS. IN PARTICULAR, MOUNT SINAI HOSPITAL PARTNERED WITH THE ALLIANCE FOR HEALTH EQUITY, A COLLABORATIVE OF 37 HOSPITALS ACROSS CHICAGO AND SUBURBAN COOK COUNTY, TO CONDUCT A COMPREHENSIVE COMMUNITY INPUT PROCESS TO BETTER UNDERSTAND THE NEEDS AND ASSETS OF THE COMMUNITIES THAT MAKE UP ITS PRIMARY SERVICE AREAS. MOUNT SINAI HOSPITAL FOCUSED ON THE HEALTH AND SOCIAL SERVICES NEEDS OF THE POPULATIONS SERVED. MOUNT SINAI HOSPITAL BEGINS OUTREACH AND ASSESSMENT OF COMMUNITY HEALTH BY FIRST EVALUATING WHICH HEALTH CONDITIONS AND DISEASES ARE PREVALENT AMONG ITS INPATIENTS AND OUTPATIENTS. DETERMINATION OF PREVALENCE THEN GUIDES THE DESIGN OF COMMUNITY SERVICES AND ALSO ASSURES THERE IS NO BIAS BASED ON RACE, GENDER, OR PATIENT'S ABILITY TO PAY. MOUNT SINAI HOSPITAL ALSO WORKS CLOSELY WITH OTHER SINAI CHICAGO ENTITIES, INCLUDING SINAI COMMUNITY INSTITUTE (SCI), MOUNT SINAI COMMUNITY FOUNDATION, AND SINAI URBAN HEALTH INSTITUTE (SUHI), WHICH PARTNER WITH NEIGHBORHOOD GROUPS AND THE COMMUNITY IN VARIOUS WAYS TO UNDERSTAND HEALTH NEEDS AND IMPROVE OVERALL WELLBEING. DURING FY22, MOUNT SINAI HOSPITAL SHARED THE 2019 AND THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT FINDINGS AND THE SINAI'S COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) 2019-2022 WITH LOCAL RESIDENTS AND COMMUNITY GROUPS, FORGING INTERVENTIONAL PARTNERSHIPS. TOGETHER THEY CONFIRMED THE NEED FOR EDUCATION AND OTHER INTERVENTIONS FOR ASTHMA, OBESITY, DIABETES, AND BREAST CANCER. ADDITIONALLY, SUHI AND THE SINAI'S COMMUNITY RELATIONS DEPARTMENT MANAGES VARIOUS COMMUNITY ADVISORY COMMITTEES COMPRISING RESIDENTS ACROSS MOUNT SINAI HOSPITAL'S SERVICE AREA TO GUIDE COMMUNITY-BASED INITIATIVES AND ASSESSMENTS. MOUNT SINAI HOSPITAL ALSO SUPPORTS SINAI COMMUNITY INSTITUTE, SUHI AND THE COMMUNITY RELATIONS DEPARTMENT BY SCHEDULING CLINICIANS AND HEALTH EDUCATORS TO PARTICIPATE IN HEALTH FAIRS, COMMUNITY FORUMS AND OTHER EDUCATIONAL EVENTS TO PROVIDE HEALTH SCREENINGS, AND EDUCATION ON PREVENTION. THESE FORUMS ARM PARTICIPANTS WITH KNOWLEDGE ABOUT THE CHRONIC DISEASES THAT CAN AFFECT THEM AND ACTION PLANS FOR AVOIDING OR MANAGING THOSE DISEASES.4) PARTICIPATION IN COMMUNITY HEALTH IMPLEMENTATION PLANS. SINAI CHICAGO HAS A STRONG PRESENCE AT NETWORKS IN SERVICE AREAS THAT FOCUS ON WELLNESS. THE EVP FOR COMMUNITY OUTREACH CHAIRS THE HEALTH AND WELLNESS COMMITTEE OF THE NORTH LAWNDALE COMMUNITY COORDINATING COUNCIL (NLCCC), AND THE DIRECTOR OF COMMUNITY RELATIONS CO-CHAIRS THE HEALTH COMMITTEES OF THE MARSHALL SQUARE RESOURCE NETWORK (MSRN), AND THE BRIGHTON PARK NEIGHBORHOOD NETWORK (BPNN). OUR SUHI TEAM CO-LEADS THE EAST GARFIELD PARK BEST BABIES ZONE COMMUNITY ADVISORY TEAM, AND OUR SUHI AND SCI TEAMS LEAD THE COMMUNITY ALIGNMENT BOARDS FOR CHICAGO'S WEST AND SOUTHWEST SIDES FOR FAMILY CONNECTS CHICAGO (A POSTPARTUM HOME-VISITING PROGRAM). TEAM MEMBERS ALSO SIT ACROSS WORKGROUPS ON WEST SIDE UNITED A COMMUNITY-BASED INITIATIVE TO IMPROVE HEALTH EQUITY ON THE WEST SIDE OF THE CITY. THROUGH THE COMMUNITY RELATIONS DEPARTMENT, SINAI CHICAGO ALSO PARTICIPATES IN A TOTAL OF 20 NETWORKS, COALITIONS AND QUALITY OF LIFE PLANS IN NEIGHBORHOODS WITHIN THE MOUNT SINAI AND HOLY CROSS HOSPITALS SERVICE AREAS.5) THIS FY22, THE COMMUNITY RELATIONS TEAM KICKED OFF THE COMMUNITY HEALTH WORKERS INFORMATIONAL SESSIONS. THE GOAL OF THESE PRESENTATIONS IS TO PROVIDE AN OVERVIEW TO THE CHW TEAMS OF OUR PARTNERS ABOUT SINAI CHICAGO SERVICES, THE REFERRAL PROCESS, CHARITY CARE OPTIONS, AND FINANCIAL ASSISTANCE TO INDIVIDUALS WITH NO INSURANCE. COMMUNITY RELATIONS WORKS WITH THE SINAI CHICAGO BUSINESS DEVELOPMENT AND PROVIDER ENTERPRISES STRATEGY TEAM, THE PATIENT ACCESS/MSH ADMITTING DEPARTMENT, AND PARTNER ESPERANZA HEALTH CENTERS TO PUT TOGETHER THESE PRESENTATIONS/TRAININGS FOR CHWS. IN FY22 THE PROGRAM STARTED WITH AROUND 25 STAFF MEMBERS OF ENLACE CHICAGO AND CAROLE ROBERTSON CENTER FOR LEANING.6) COMMUNITY EDUCATION ON COVID-19 BASIC FACTS, PREVENTION AND TESTING. SINAI HEALTH SYSTEM CONTINUED WORKING WITH A VARIETY OF PARTNERS, CONVENERS, ELECTED OFFICIALS, SCHOOLS AND CHURCHES IN SERVICE AREAS TO DISSEMINATE RESOURCES RELATED TO CORONAVIRUS. ADDITIONALLY, SINAI DEVELOPED A COMMUNICATION STRATEGY TO REACH OUT DIRECTLY TO PARTNERS, PATIENTS, CLIENTS AND COMMUNITY MEMBERS THROUGH PRINTED FLYERS, EMAILS, SOCIAL MEDIA, RADIO AND TV INTERVIEWS, AND PHONE CALLS TO PROVIDE INFORMATION RELATED TO THE PANDEMIC AND HOW TO PREVENT CONTAGION. A COVID-19 HOTLINE WITH BILINGUAL SERVICES (ENGLISH AND SPANISH), AND A WEBSITE WERE CREATED TO ASSESS THIS NEED. SINAI COMMUNITY INSTITUTE CANVASED NEIGHBORHOODS ON THE GREATER WEST SIDE OF CHICAGO TO PROVIDE COVID-19 UPDATES, SURVEYS, AND VACCINE EDUCATION TO ASSIST RESIDENTS IN SCHEDULING A COVID-19 VACCINE. PERFORMED COVID-19 EDUCATION AND ASSISTED WITH VACCINE SCHEDULING VIA PHONE BANKING. HOSTED VACCINE EDUCATION TOWN HALL MEETINGS. PROVIDED VACCINE EDUCATION AND OUTREACH AT POPUP VACCINE CLINICS AND LOCAL EVENTS. THE COMMUNITY RELATIONS DEPARTMENT CRD ORGANIZED OR COORDINATED THE PARTICIPATION OF SINAI'S SPECIALISTS IN 24 VIRTUAL EVENTS THAT ADDRESSED COVID-19 PREVENTION, PEDIATRIC VACCINATION, MENTAL HEALTH, DIABETES, KIDNEY FAILURE, ACCESS TO HEALTHCARE, EXPANSION OF HEALTHCARE INSURANCE FOR IMMIGRANTS, RESOURCES FOR CAREGIVERS TAKING CARE OF SENIORS, AND OTHER TOPICS.
      PART VI, LINE 4:
      COMMUNITY INFORMATIONMOUNT SINAI HOSPITAL, AS A PART OF SINAI HEALTH SYSTEM, SERVES A DIVERSE POPULATION OF 870,000 PEOPLE LOCATED ON THE WEST AND SOUTHWEST SIDE OF CHICAGO. SINAI HEALTH SYSTEM SERVES PRIMARILY AFRICAN-AMERICAN AND LATINO PATIENTS.OVER 65.6% OF MOUNT SINAI HOSPITAL'S PATIENTS ARE MEDICAID RECIPIENTS AND 4.6% ARE UNINSURED. MOUNT SINAI ADMITS 1,649 INPATIENTS TO SINAI CHILDREN'S HOSPITAL INCLUSIVE OF PEDIATRIC VISITS FOR ASTHMA AND DIABETES.SINAI'S NEONATAL INTENSIVE CARE UNIT CARED FOR 180 NEONATAL PATIENTS AND OBSTETRICS CARED FOR 1,649 MOTHERS. MOUNT SINAI HOSPITAL EMERGENCY DEPARTMENT HAD 34,894 PATIENT VISITS.MOUNT SINAI HOSPITAL'S MEDICAL INTERPRETER SERVICES SUPPORTS OVER 77 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. MOUNT SINAI HOSPITAL TREATS MORE MEDICAID PATIENTS THAN ANY OTHER HOSPITAL IN ILLINOIS.
      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 HTTP://WWW.SINAICHICAGO.ORG/.