Sinai Chicago

What it reported doing in 2024

Patient care resident physicians identify pre-existing social determinants of health that impact health outcomes for their patients. These factors are integrated into a comprehensive treatment plan for their patients. This includes identification of needs for accessing medications including printing out coupons for medications, referrals for substance use disorders, and identification of equipment lending closets so patents can get everything they need regardless of their insurance status. Many of the residents are accepted for sub-specialty fellowships to further hone their skills in management of specialty rehabilitation conditions, including pain medicine, spinal cord injury medicine, brain injury medicine, and sports medicine. Schwab residents have been actively participating in quality improvement projects, which they submitted to the american board of physical medicine and rehabilitation as a "banked" project for their board certification requirements. Additionally, the schwab residents have had presentations accepted at multiple national meetings. The schwab physical medicine and rehabilitation residency program is an accreditation council for graduate medical education (acgme) accredited post graduate training program for specialization in physical medicine and rehabilitation. Five (5) residents per year are admitted to the program for three (3) years of training (total of 15 residents each year). Schwab residents are recognized as graduating with the ability to care for persons with a wide range of disabling conditions, including competence in stroke, spinal cord injury, traumatic brain injury, complex medical conditions, and a wide range of patients who have problems with one or more social determinants of health, including geriatric and pediatric patients with disabilities. Many of the residents are accepted for sub-specialty fellowships to further hone their skills in management of specialty rehabilitation conditions. Schwab residents are also involved in administrative rotations, and quality and patient safety focused process improvement projects. Schwab's residency program was awarded the 2020 dewitt c. Baldwin jr. Award, presented by the acgme and the arnold p. Gold foundation to recognize institutions with accredited residency/fellowship programs that are exemplary in fostering a respectful, supportive environment for medical education and the delivery of patient care, which leads to the personal and professional development of learners. Out of 700 sponsoring institutions, schwab was one of six institutions selected to be surveyed and interviewed for the award. Schwab was 1 of 3 winners. In 2021, the acgme and the gold foundation requested that schwab present a seminar entitled fostering human is him in medical education for the annual meeting. Nursing care is provided 24/7 by rns, lpns, cnas. The staff are supervised and assisted by nurse managers and supervisors. 20% of eligible rn staff are certified in rehabilitation nursing. Nurses complete comprehensive assessments upon admission and follow-up assessments on every shift. Basic care includes medication administration, wound care, bladder and bowel management, advocacy and patient education, and carryover of what is learned in the therapy arena onto the nursing unit. More complicated care may include respiratory care, tracheotomy care, dialysis, tube feedings and iv therapy. The nursing department had several papers and posters selected in 2019 and 2020 for presentation at national conferences, such as the association of rehabilitation nurses. Rehabilitation services staff members participate in research projects, team conferences, interdisciplinary hospital committees, and attend meetings of various professional organizations. Several physiatrists and hospital leaders serve on boards of local, state and national organizations. Therapists keep current with best practices by attending professional continuing education courses and by sharing knowledge via in-

Financial Efficiency

• Mission deployment rate: 70.3%; rating input score 70
• Program expense ratio: 70.4%; rating input score 70
• Fundraising efficiency: Limited

Transparency & Controls

• Consistency checks: 91.7%; rating input score 92; 8th percentile among comparable filings
• Pay-setting controls: 0 of 6 controls in place; rating input score 0
  • Compensation committee: Missing
  • Independent consultant: Missing
  • Other Form 990s reviewed: Missing
  • Written employment contract: Missing
  • Compensation survey or study: Missing
  • Board or committee approval: Missing
• Foreign activity oversight: Limited
• Grant itemization coverage: Limited
• Major donor itemization: Yes; rating input score 100
• Related-party transparency: Limited

Accountability

• Independent voting board: 95.7%; rating input score 96; 49th percentile among comparable filings
• Governance controls: 9 of 9 controls in place; rating input score 100
  • Conflict-of-interest policy: Pass
  • Whistleblower policy: Pass
  • Document-retention policy: Pass
  • CEO compensation review process: Pass
  • Other executive compensation review process: Pass
  • Form 990 shared with the board: Pass
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Pass
  • Independent financial-statement audit: Pass

Sustainability

• Operating margin: 0.3%; rating input score 33; 33rd percentile among comparable filings
• Total-asset coverage ratio: 1.69; rating input score 57; 57th percentile among comparable filings
• Liabilities to assets ratio: 0.21; rating input score 67; 67th percentile among comparable filings
• Officer compensation ratio: 4%; rating input score 26; 26th percentile among comparable filings

Growth

• Program expense growth: 4.2% per year; rating input score 100; 33rd percentile among comparable filings
• Revenue growth: 1.5% per year; rating input score 100; 11th percentile among comparable filings
• Asset growth: 0.6% per year; rating input score 100; 9th percentile among comparable filings