2023-05-11T06:37:03-05:00 2022-06-30 BDO USA LLP 8401 GREENSBORO DRIVE 800 MCLEAN VA 22102 990 2021-09-01 520591555 GRACE MEDICAL CENTER INC % NANCY KANE GRAC 4106016161 2000 W BALTIMORE STREET BALTIMORE MD 21223 DAVID KRAJEWSKI EXECUTIVE VP/CFO 4106016161 2023-05-09 true DAVID KRAJEWSKI 999009999 Marc Berger P01871563 7038930600 2 2021 2023-04-26 12:10:37Z DANIEL BLUM 2000 W BALTIMORE STREET BALTIMORE MD 21223 23799704 false X WWW.LIFEBRIDGEHEALTH.ORG/GRACE/GRACE.ASPX X 1920 MD TO PROVIDE QUALITY COMPASSIONATE HEALTH CARE AND COMMUNITY-BASED SERVICES THAT SEEK TO IMPROVE THE HEALTH OF THE COMMUNITY. 6 4 509 4 0 0 7372082 592277 30060071 21402433 -3228000 -337361 673012 1583747 34877165 23241096 0 0 0 0 33309634 17971908 0 0 0 29840636 16116499 63150270 34088407 -28273105 -10847311 110112234 106741883 99061699 90324904 11050535 16416979 X THE MISSION IS TO PROVIDE COMPASSIONATE HEALTHCARE SERVICES FOR ALL, REGARDLESS OF PATIENTS' SOCIO-ECONOMIC STATUS AND ABILITY TO PAY. false true 24876571 0 22906691 SEE SCHEDULE O. 24876571 true true false true false false false false true false true false false true true false true true false false false false false false false false true true false false true false false false false false false false false false false false false false true false false false true 58 0 true 509 true false false false false false false false false false false false false X 6 4 false false false false true true true true true false false true true true true true true false false false MD X NANCY KANE 4106015653 10090 RED RUN BLVD OWINGS MILLS MD 21117 X NEIL MELTZER PRESIDENT/CEO LBH 0.0 40.0 X 0 3103147 60154 David Krajewski ex officio-Assistant Treasurer 1.0 40.0 X 0 1586119 227190 Jason Weiner ex officio-Assistant Secretary 1.0 40.0 X 0 908657 145235 DANIEL BLUM President & COO Sinai & Grace 1.0 40.0 X X 0 921795 103756 Matthew Poffenroth MD VICE PRESIDENT 1.0 40.0 X 0 835822 161645 REBECCA ALTMAN VICE PRESIDENT 1.0 40.0 X 0 401095 73792 ARSALAN SHEIKH MD CHAIR OF MEDICINE 40.0 0.0 X 429230 0 30286 THEODORA BALIS MD PRIMARY CARE PHYSICIAN 40.0 0.0 X 351353 0 30790 SHANTA POWELL MD PHYSICIAN 40.0 0.0 X 336284 0 31049 DAVID HAUSER MD PSYCHIATRIST 40.0 0.0 X 333339 0 11503 Mohamed Dauda MD President Medical Staff 40.0 0.0 X 293798 0 30430 Yasmeen Ahmed MD PHYSICIAN 40.0 0.0 X 274232 0 29748 Chideha Ohuoha MD Physician 40.0 0.0 X 283699 0 2746 MATT ANSEL THRU 122021 Executive Director 40.0 0.0 X 217889 0 26390 Jonathan Davidov CHAIR 1.0 0.0 X X 0 0 0 DENNIS WEINMAN Vice Chair/Secretary/Treasurer 1.0 0.0 X X 0 0 0 Michael Gaines Sr Director 1.0 0.0 X 0 0 0 Venroy July DIRECTOR 1.0 0.0 X 0 0 0 2519824 7756635 964714 56 true true false MEP HEALTH LLC 4535 Dressler Road NW CANTON OH 44718 Physician Services 1456822 CROTHALL HEALTHCARE 1500 LIBERTY RIDGE DRIVE SUITE 210 WAYNE PA 19087 Contract Cleaning 1209166 UNIVERSAL PROTECTION 36 S Charles Street 2204 BALTIMORE MA 21201 Security Services 877885 JOHNSON CONTROLS INC 5757 N Green Bay Avenue MILWAUKEE WI 53201 EQUIP. MAINTENANCE 717637 MORRISON MANAGEMENT PO Box 102289 ATLANTA GA 303682269 Food Services 601031 29 16941 575336 592277 PATIENT SERVICE REVENUE 621110 21402433 21402433 21402433 0 0 0 79489 79489 0 79489 0 79489 221247 558608 -337361 -337361 -337361 0 0 0 0 0 0 0 0 0 340B PHARMACY 446110 284291 284291 MISCELLANEOUS REVENUE 900099 261264 261264 FMF ALLOCATION 900099 958703 958703 1504258 23241096 22906691 0 -257872 X 0 0 0 0 1028023 750457 277566 0 13860035 11025972 2834063 207335 164002 43333 1649005 1304360 344645 1227510 970958 256552 0 0 0 0 0 0 6189391 4075307 2114084 0 43960 4457 39503 815526 96187 719339 0 0 1507863 1163713 344150 6203 6023 180 0 21265 9073 12192 520841 520841 0 3754920 2564892 1190028 0 SUPPLIES 3162197 2735393 426804 0 DUES/MEMBERSHIP 29044 5777 23267 0 BANK FEES 65289 0 65289 0 34088407 24876571 9211836 0 4937438 14806327 0 0 0 0 5617153 4476620 0 0 0 0 750 750 883667 372152 166744 67360 120604506 65429403 53164419 55175103 0 0 0 0 0 0 0 0 45342063 31843571 110112234 106741883 14407101 6290353 0 0 11331431 7650540 0 0 0 0 0 0 42717576 35582745 0 0 30605591 40801266 99061699 90324904 X 10897684 15989346 152851 427633 11050535 16416979 110112234 106741883 X -10847311 45337 16168418 X X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false true 27088 false true 17374 44462 false false SCHEDULE C, PART II-B, LINE 1, LOBBYING ACTIVITIES: LOBBYING INCLUDES A PORTION OF THE MARYLAND HOSPITAL ASSOCIATION DUES RELATED TO LOBBYING ACTIVITIES PERFORMED ON BEHALF OF THE HOSPITAL REGARDING COMMUNITY STABILIZATION AND DEVELOPMENT, HEALTH CARE MALPRACTICE, HEALTHCARE FACILITIES AND BUDGETS. false true X 1369700 1369700 64064950 23337220 40727730 52596382 42092183 10504199 2573474 2573474 55175103 ASSETS LIM TO USE - CONSTRUCT 30084496 RIGHT OF USE ASSET - OPERATING 1043075 OTHER ASSET 716000 31843571 0 INTERCOMPANY PAYABLES 39041106 LEASE LIABILITIES 1044160 OTHER MISC LIABILITIES 716000 40801266 X 23623794 45337 45337 23578457 -337361 -337361 23241096 34425768 337361 337361 34088407 34088407 SCHEDULE D, PART IV, LINE 2B: GRACE MEDICAL CENTER HELD, SAFEGUARDED, MANAGED AND ACCOUNTED FOR THE SOCIAL SECURITY FUNDS OF CERTAIN PATIENTS. THESE FUNDS WERE HELD IN AN FDIC INSURED BANKING INSTITUTION. WITH THE ASSISTANCE OF HOSPITAL PERSONNEL, FUNDS WERE GENERALLY ACCESSED BY THE PATIENT THROUGH THE USE OF ATM CARDS OR VISA GIFT CARDS WHICH WAS PURCHASED ON THEIR BEHALF. SCHEDULE D, PART X, LINE 2: THE CORPORATION HAS BEEN RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE CORPORATION ACCOUNTS FOR UNCERTAIN TAX POSITIONS IN ACCORDANCE WITH FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) ACCOUNTING STANDARDS CODIFICATION (ASC) TOPIC 740, INCOME TAXES. SCHEDULE D, PART XI, LINE 4B: LOSS ON FIXED ASSETS ($ 337,361) SCHEDULE D, PART XII, LINE 2D: LOSS ON FIXED ASSETS $ 337,361 true true true X 300. true X 500. true true false true true 100167 100167 0.00290 -144996 -144996 0.00420 -44829 -44829 0.00130 6406914 3716416 2690498 0.07830 122250 122250 0.00360 854769 854769 0.02490 15819 15819 0.00050 7399752 3716416 3683336 0.10730 7354923 3716416 3638507 0.10600 1347 1347 1347 1347 true 257562 123226 3024996 3856044 -831048 X true true 1 1 GRACE MEDICAL CENTER INC 2000 W BALTIMORE STREET BALTIMORE MD 21215 https://www.lifebridgehealth.org/Grace/G X X X X GRACE MEDICAL CENTER INC 1 false false true X X X X X X X X X 20 true false false true X SEE SCHEDULE H, PART V, SECTION C X X true 20 true SEE SCHEDULE H, PART V, SECTION C false true X 300. 500. X X true true X X X true X SEE SCHEDULE H, PART V, SECTION C X SEE SCHEDULE H, PART V, SECTION C X SEE SCH H, PART V, SEC C X X X X X X true X false X X X X true X false false SCHEDULE H, PART V, SECTION B, LINE 5: THE CHNA TEAM USED A MULTI-PRONGED APPROACH TO SOLICIT INPUT FROM THE WEST BALTIMORE COMMUNITY REGARDING THEIR HEALTH NEEDS. DATA COLLECTION METHODOLOGIES INCLUDED SURVEYS, STAKEHOLDER INTERVIEWS, AND FOCUS GROUPS. THE TEAM ENGAGED WITH REPRESENTATIVES OF THE COMMUNITY (E.G., MARYLAND DEPARTMENT OF HEALTH AND MENTAL HYGIENE AND THE BALTIMORE CITY HEALTH DEPARTMENT) WHO HAD KNOWLEDGE OF PUBLIC HEALTH ISSUES AND INSIGHT INTO THE BROAD INTERESTS OF THE COMMUNITIES SERVED BY THE ORGANIZATION AS WELL AS THE SPECIFIC NEEDS OF THE MEDICALLY UNDERSERVED, LOW-INCOME AND VULNERABLE POPULATIONS, AND PEOPLE WITH CHRONIC DISEASES. THE CHNA WORK GROUP MET WITH SENIORS, RE-ENTRY RESIDENTS, FAITH-BASED STAKEHOLDERS, COMMUNITY LEADERS, HEALTH CARE PROVIDERS, NEIGHBORHOOD ASSOCIATIONS, REPRESENTATIVES FROM COMMUNITY-BASED ORGANIZATIONS AND OTHER KEY COMMUNITY STAKEHOLDERS WITH AN INTIMATE KNOWLEDGE OF THE WEST BALTIMORE COMMUNITY AND ITS HEALTH NEEDS. TWO HUNDRED SEVENTY-THREE (273) SURVEYS WERE COLLECTED WITHIN THE DEFINED SERVICE AREA. ELEVEN (11) STAKEHOLDER INTERVIEWS AND THREE (3) FOCUS GROUPS WERE CONDUCTED BETWEEN JANUARY AND MARCH 2020. ALL METHODS FOCUSED ON COMMUNITY HEALTH NEEDS, COMMUNITY ASSETS AND RESOURCES AVAILABLE TO RESPOND TO THE COMMUNITY HEALTH NEEDS, BARRIERS AND CHALLENGES TO ACCESSING THE COMMUNITY ASSETS AND RESOURCES, AND WAYS IN WHICH GRACE MEDICAL CENTER COULD HELP ADDRESS THE HEALTH NEEDS. SCHEDULE H, PART V, SECTION B, LINE 7A: HTTPS://WWW.LIFEBRIDGEHEALTH.ORG/UPLOADS/PUBLIC/DOCUMENTS/POPULATION%20HEA LTH/GRACE%20MEDICAL%20CENTER_CHNA_FINAL.PDF SCHEDULE H, PART V, SECTION B, LINE 7D: COPIES OF THE CHNA WERE DISTRIBUTED TO KEY COMMUNITY PARTNERS. SCHEDULE H, PART V, SECTION B, LINE 10A: https://www.lifebridgehealth.org/Uploads/Public/Documents/Grace%20Medical% 20Center/Grace-Medical-Center-Implementation-Plan.pdf SCHEDULE H, PART V, SECTION B, LINE 11: GRACE MEDICAL CENTER CHNA IMPLEMENTATION PLAN IN THE WINTER AND SPRING OF 2019 BON SECOURS HOSPITAL IN SOUTHWEST BALTIMORE CONDUCTED ITS TRI-ANNUAL COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA"). THE CHNA INCLUDED COMMUNITY MEETINGS, SURVEYS AND INTERVIEWS WITH THOSE WHO HAVE A KNOWLEDGE OF PUBLIC HEALTH, THE BROAD INTERESTS OF THE COMMUNITY SERVED, AS WELL AS SPECIAL KNOWLEDGE OF THE MEDICALLY UNDERSERVED, LOW-INCOME AND VULNERABLE POPULATIONS AND PEOPLE WITH CHRONIC CONDITIONS. THE CHNA WAS COMPLETED AND APPROVED BY THE HOSPITAL BOARD OF DIRECTORS IN JULY 2020. THE FOLLOWING HEALTH AND SOCIAL CONDITIONS WERE IDENTIFIED AS SIGNIFICANT NEEDS OF THE COMMUNITY BEING SERVED: - BEHAVIORAL HEALTH/SUBSTANCE ABUSE/OPIOIDS - CRIME AND RELATED TRAUMA - CHRONIC CONDITIONS - HOUSING AND HOMELESSNESS - ACCESS TO PRIMARY PHYSICIANS - COMMUNITY ENGAGEMENT - CHILDREN'S HEALTH - EMPLOYMENT & WORKFORCE DEVELOPMENT - HEALTH EDUCATION WITHIN THE PUBLIC EDUCATION SYSTEM - TRANSPORTATION - ACCESS TO HEALTHY FOODS - SUPPORT FOR SENIOR SERVICES - YOUTH SERVICES (AGES 5-18) - FINANCIAL COUNSELING AND LITERACY - COORDINATION OF SERVICES ACROSS COMMUNITY PRIOR TO DEVELOPMENT OF AN ASSOCIATED CHNA IMPLEMENTATION PLAN, BON SECOURS HOSPITAL WAS SOLD TO LIFEBRIDGE HEALTH, A MULTI-HOSPITAL HEALTH SYSTEM WITHIN MARYLAND. BON SECOURS HOSPITAL WAS RENAMED GRACE MEDICAL CENTER. IN THE SPRING OF 2021, THE LEADERSHIP OF GRACE MEDICAL CENTER REVIEWED THE COMPLETED CHNA AND PRIORITIZED THE FOLLOWING IDENTIFIED NEEDS FOR DEVELOPMENT OF A CHNA IMPLEMENTATION PLAN FOR APPROVAL AND ADOPTION BY ITS BOARD: - BEHAVIORAL HEALTH/SUBSTANCE ABUSE/OPIOIDS - ACCESS TO PRIMARY AND SPECIALTY CARE PROVIDERS - CHRONIC CONDITIONS - CRIME AND TRAUMA - COMMUNITY ENGAGEMENT & DEVELOPMENT - TRANSPORTATION FOR ITS HOSPITALS' 2018 CHNA IMPLEMENTATION PLANS LIFEBRIDGE HEALTH ORGANIZED ITS PRIORITIZED NEEDS INTO THREE MAJOR CATEGORIES: HEALTH, SOCIAL AND ENVIRONMENTAL, AND ACCESS AND DEVELOPED SPECIFIC GOALS AND ACTIONS. SIMILARLY, GRACE MEDICAL CENTER HAS DEVELOPED A SIMILAR IMPLEMENTATION PLAN FOR THE PRIORITIZED NEEDS ABOVE CONSISTENT WITH THE LIFEBRIDGE HEALTH MODEL. HEALTH -BEHAVIORAL HEALTH/SUBSTANCE ABUSE/OPIOIDS: SUBSTANCE ABUSE TREATMENT PROGRAMMING TO PREVENT OVERDOSE FATALITIES AMONG ENROLLEES IN OPIOID TREATMENT PROGRAMS AS WELL AS THE SOUTHWEST BALTIMORE COMMUNITY IN GENERAL. IMPROVE THE HEALTH STATUS OF RESIDENTS OF SOUTHWEST BALTIMORE BY INCREASING THE NUMBER OF SBIRT INTERVENTIONS AND OVERDOSE SURVIVOR'S OUTREACH PROGRAM (OSOP) REFERRALS. GRACE MEDICAL'S SCREENING BRIEF INTERVENTION REFERRAL TO TREATMENT ("SBIRT") IS DESIGNED SO THAT ALL PATIENTS THAT ENTER THE HOSPITAL THROUGH THE EMERGENCY DEPARTMENT OR THROUGH A DIRECT ADMISSION ARE SCREENED BY HOSPITAL NURSING STAFF AS PART OF THE NURSING ASSESSMENT. NURSES AND OTHER MEMBERS OF THE HEALTH CARE TEAM REFER PATIENTS AT HIGH RISK TO PEER RECOVERY COACHES (PRCO) TO PROVIDE BRIEF INTERVENTIONS AND REFERRALS TO TREATMENT. -AMBULATORY CLINICS (PRIMARY CARE, MULTI-SPECIALTY, AND PEDIATRIC): IMPROVE AND EXPAND ACCESS TO PRIMARY CARE, PREVENTIVE SERVICES, AND SPECIALTY CARE. IMPROVE THE HEALTH OF THE COMMUNITY BY INCREASING THE NUMBER OF PEOPLE CONNECTED TO A PRIMARY CARE MEDICAL HOME AND INCREASING ANNUAL PRIMARY CARE VISITS -CARE TRANSITIONS, CASE MANAGEMENT, AND COMMUNITY PROGRAMS: IMPROVE THE HEALTH STATUS OF SOUTHWEST BALTIMORE RESIDENTS BY ENGAGING THE COMMUNITY IN SCREENINGS AND EDUCATIONAL EVENTS THAT PROMOTE HEALTHIER LIFESTYLES AND BETTER SELF-MANAGEMENT OF HEALTH AND CHRONIC CONDITIONS. IMPROVE MANAGEMENT OF CHRONIC CONDITIONS BY EARLY IDENTIFICATION OF PATIENTS AT RISK, PROVISION OF CARE, MANAGEMENT OF THOSE WITH CHRONIC CONDITIONS, AND ENROLLMENT INTO CARE MANAGEMENT AND/OR CARE TRANSITIONS PROGRAMS SOCIAL AND ENVIRONMENTAL -CRIME AND TRAUMA: 1. PROVIDE VIOLENCE INTERVENTION & PREVENTION AWARENESS TRAINING FOR ALL GMC STAFF ON ALL FORMS OF VIOLENCE & ABUSE 2. ASSESS NEED FOR ONSITE VIOLENCE RESPONDERS & COMMUNITY VIOLENCE INTERRUPTERS (I.E. ESTABLISH A SAFE STREETS SITE) TO ENSURE THAT PATIENTS WHO HAVE BEEN VICTIMS OF GUN VIOLENCE, STABBINGS, DOMESTIC VIOLENCE, ELDER ABUSE, AND OTHER FORMS OF VIOLENCE HAVE THE SUPPORT NEEDED WHILE AT GRACE MEDICAL AND WITHIN THE COMMUNITY 3. PROVIDE CASE MANAGEMENT, INCLUDING INDIVIDUALIZED NEEDS ASSESSMENTS, TAILORED CASE PLANNING, AND COMMUNITY-BASED CLIENT ADVOCACY, FOR SURVIVORS OF VIOLENCE RELATED TRAUMA 4. PROVIDE TRAUMA RESPONSIVE MENTAL HEALTH SERVICES FOR SURVIVORS OF VIOLENCE RELATED TRAUMA 5. PROVIDE SCHOOL-BASED VIOLENCE PREVENTION SERVICES, INCLUDING ACADEMIC ENRICHMENT OPPORTUNITIES, LIFE SKILLS TRAINING, AND STUDENT SUPPORT GROUPS THROUGH AN EVIDENCE-BASED VIOLENCE PREVENTION CURRICULUM -COMMUNITY ENGAGEMENT AND DEVELOPMENT: MULTIPLE COMMUNITY-BASED INITIATIVES TO ADDRESS KEY HEALTH AND SOCIO-ECONOMIC CHALLENGES IN WEST BALTIMORE. PROMOTE QUALITY, HEALTHY FOOD ACCESS IN WEST BALTIMORE THROUGH AN INITIATIVE, E.G. FOOD EDUCATION, FOOD MARKET OR ORGANIZATIONAL PARTNERSHIP. EXPAND LIFEBRIDGE HEALTH LIVE NEAR YOUR WORK PROGRAM IN THE WEST BALTIMORE SERVICE AREA. IN PARTNERSHIP WITH POPULATION HEALTH AND BALTIMORE CHILD ABUSE CENTER (BCAC), OFFER TWO HEALTH EDUCATION-BASED WORKSHOPS AND/OR EVENTS EACH YEAR TO THE WEST BALTIMORE COMMUNITY. BUILD PARTNERSHIPS WITH TWO WORKFORCE DEVELOPMENT ORGANIZATIONS AND CONDUCT TWO OUTREACH EVENTS PER YEAR TO CONNECT AREA RESIDENTS TO EMPLOYMENT OPPORTUNITIES. ACCESS -TRANSPORTATION: PROVIDE TRANSPORTATION TO COMMUNITY RESIDENTS FOR CLINIC APPOINTMENTS AND DIALYSIS TREATMENTS THE FOLLOWING NEEDS WERE NOT SPECIFICALLY INCLUDED IN THE IMPLEMENTATION PLAN AS THE NEEDS ARE BEING ADDRESSED IN CONJUNCTION WITH OTHER PARTNERING ORGANIZATIONS THAT HAVE NUMEROUS PROGRAMS AND SERVICES AVAILABLE TO ADDRESS MANY OF THE IDENTIFIED COMMUNITY HEALTH NEEDS. - HOUSING AND HOMELESSNESS - COMMUNITY ENGAGEMENT- EMPLOYMENT & WORKFORCE DEVELOPMENT - HEALTH EDUCATION WITHIN THE PUBLIC EDUCATION SYSTEM - ACCESS TO HEALTHY FOODS - SUPPORT FOR SENIOR SERVICES - YOUTH SERVICES (AGES 5-18) - FINANCIAL COUNSELING AND LITERACY - COORDINATION OF SERVICES ACROSS COMMUNITY SCHEDULE H, PART V, SECTION B, LINE 16A: https://www.lifebridgehealth.org/Main/LifeBridgeHealthFinancialAssistance. aspx SCHEDULE H, PART V, SECTION B, LINE 16B: https://www.lifebridgehealth.org/Main/LifeBridgeHealthFinancialAssistance. aspx SCHEDULE H, PART V, SECTION B, LINE 16C: https://www.lifebridgehealth.org/Main/LifeBridgeHealthFinancialAssistance. aspx SCHEDULE H, PART V, SECTION B, LINE 22C: CHARGES FOR ALL HOSPITAL PATIENTS ARE STATE REGULATED. SERVICES ARE CHARGED TO ALL HOSPITAL PATIENTS AT THE SAME RATE. CHARGES FOR INDIVIDUALS FOUND ELIGIBLE FOR FAP BASED ON 300% OR LESS OF THE FEDERAL POVERTY LEVEL (FPL) ARE WRITTEN-OFF IN FULL TO FAP (THERE IS NO PATIENT LIABILITY). CHARGES FOR INDIVIDUALS WHOSE PRESUMPTIVE FPL SCORE IS <200 ARE WRITTEN OFF TO FAP IN FULL (THERE IS NO PATIENT LIABILITY). CHARGES FOR INDIVIDUALS FOUND ELIGIBLE FOR FAP BASED ON THE HSCRC'S FINANCIAL HARDSHIP CRITERIA OF 301%-500% OF FPL ARE CHARGED NO MORE THAN 25% OF THE ANNUAL HOUSEHOLD INCOME PER THE HSCRC'S FINANCIAL HARDSHIP CRITERIA. THE DIFFERENCE BETWEEN THE TOTAL CHARGES AND THE CALCULATED 25% OF THE ANNUAL HOUSEHOLD INCOME IS WRITTEN OFF TO FAP. 4 GRACE MEDICAL NEW HOPE 2401 West Baltimore Street Baltimore MD 21223 BEHAVIORAL HEALTH SERVICES GRACE MEDICAL CIBSSCMPACTNEW PHASES 6000 METRO DRIVE SUITE 110 BALTIMORE MD 21215 BEHAVIORAL HEALTH SERVICES FAMILY HEALTH AND WELLNESS 2000 WEST BALTIMORE STREET SUITE 3 BALTIMORE MD 21223 COMMUNITY MEDICAL CENTER GRACE MEDICAL CIBSADAPT 2401 WEST BALTIMORE STREET BALTIMORE MD 21223 BEHAVIORAL HEALTH SERVICES SCHEDULE H, PART I, LINE 3C: GRACE MEDICAL CENTER, INC. PROVIDES SERVICES WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES TO PATIENTS WHO MEET THE CRITERIA OF ITS CHARITY CARE POLICY. IT DOES NOT PURSUE THE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE AND THOSE AMOUNTS ARE NOT REPORTED AS REVENUE. THE CRITERIA CONSIDER GROSS INCOME AND FAMILY SIZE ACCORDING TO CURRENT FEDERAL POVERTY GUIDELINES. TO QUALIFY, THE PATIENT MUST SHOW PROOF OF INCOME 300% OR LESS OF THE FEDERAL POVERTY GUIDELINES. A SLIDING SCALE IS USED TO DETERMINE ELIGIBILITY FOR THOSE WHOSE INCOME EXCEEDS 300%. ELIGIBILITY IS CALCULATED BASED ON THE NUMBER OF PEOPLE LIVING IN THE HOUSEHOLD. THE PROGRAM COVERS UNINSURED, UNDER-INSURED AND PATIENT LIABILITY AFTER INSURANCE(S) PAY. APPROVALS ARE GRANTED FOR A TWELVE MONTH PERIOD OF TIME AND PATIENTS ARE ENCOURAGED TO RE-APPLY FOR CONTINUED ELIGIBILITY. SCHEDULE H, PART I, LINE 7: MARYLAND'S REGULATORY SYSTEM CREATES A UNIQUE PROCESS FOR HOSPITAL PAYMENT THAT DIFFERS FROM THE REST OF THE NATION. THE HEALTH SERVICES COST REVIEW COMMISSION (HSCRC) DETERMINES PAYMENT THROUGH A RATE-SETTING PROCESS AND ALL PAYORS, INCLUDING GOVERNMENTAL PAYORS, PAY THE SAME AMOUNT FOR THE SAME SERVICES DELIVERED AT THE SAME HOSPITAL. MARYLAND'S UNIQUE ALL-PAYOR SYSTEM INCLUDES A METHOD FOR REFERENCING UNCOMPENSATED CARE IN EACH PAYOR'S RATES, WHICH DOES NOT ENABLE MARYLAND HOSPITALS TO BREAK-OUT ANY OFFSETTING REVENUE RELATED TO UNCOMPENSATED CARE. THE COST OF RENDERING SERVICES FOR MEDICAL ASSISTANCE PATIENTS IS APPROXIMATELY EQUAL TO MEDICAID REVENUES IN MARYLAND. THUS, THE NET EFFECT IS APPROXIMATELY ZERO. THE EXCEPTION TO THIS IS THE IMPACT ON THE HOSPITAL OF ITS SHARE OF THE MEDICAID ASSESSMENT. IN RECENT YEARS, THE STATE OF MARYLAND HAS CLOSED FISCAL GAPS IN THE STATE MEDICAID BUDGET BY ASSESSING HOSPITALS THROUGH THE RATE-SETTING SYSTEM. SCHEDULE H, PART I, LINE 7A - I: THE FOLLOWING COSTING METHODOLOGIES WERE USED TO CALCULATE LINES 7A THROUGH 7I ON THE COMMUNITY BENEFIT REPORT. OFFSETTING REVENUE - REVENUE FROM THE ACTIVITY DURING THE YEAR THAT OFFSETS THE TOTAL COMMUNITY BENEFIT EXPENSE OF THAT ACTIVITY. IT INCLUDES ANY REVENUE GENERATED BY THE ACTIVITY OR PROGRAM, SUCH AS A PAYMENT OR REIMBURSEMENT FOR SERVICES PROVIDED TO PROGRAM PATIENTS. OFFSETTING REVENUE INCLUDES RESTRICTED GRANTS OR CONTRIBUTIONS USED TO PROVIDE A COMMUNITY BENEFIT, BUT DOES NOT INCLUDE UNRESTRICTED GRANTS OR CONTRIBUTIONS THAT THE ORGANIZATION USES TO PROVIDE COMMUNITY BENEFIT. DIRECT COSTS - DIRECT COSTS INCLUDE SALARIES, EMPLOYEE BENEFITS, SUPPLIES, INTEREST ON FINANCING, TRAVEL AND OTHER COSTS THAT ARE DIRECTLY ATTRIBUTABLE TO THE SPECIFIC SERVICE AND THAT WOULD NOT EXIST IF THE SERVICE OR EFFORT DID NOT EXIST. INDIRECT COSTS - INDIRECT COSTS ARE COSTS NOT ATTRIBUTED TO PRODUCTS AND/OR SERVICES THAT ARE INCLUDED IN THE CALCULATION OF COSTS FOR COMMUNITY BENEFIT. THESE COULD INCLUDE, BUT ARE NOT LIMITED TO, SALARIES FOR HUMAN RESOURCES AND FINANCE DEPARTMENTS, INSURANCE AND OVERHEAD EXPENSES SCHEDULE H, PART I, LINE 7G: PART II, COMMUNITY BUILDING ACTIVITIES: GRACE MEDICAL CENTER, INC. ADDRESSES VARIOUS COMMUNITY CONCERNS INCLUDING HEALTH IMPROVEMENT, POVERTY, WORKFORCE DEVELOPMENT, AND ACCESS TO HEALTH CARE. GRACE MEDICAL CENTER, INC. CONDUCTS COMMUNITY HEALTH EDUCATION AND SUPPORT GROUPS, HEALTH FAIRS AND SCREENINGS FOR THE COMMUNITIES SERVED. GRACE MEDICAL CENTER, INC. WORKS WITH STATE AND LOCAL LEADERSHIP TO ADDRESS COMMUNITY NEEDS AND PROVIDE HEALTHCARE SERVICES TO THE POOR AND UNDERSERVED. SCHEDULE H, PART III, LINE 2: BAD DEBT EXPENSE IS ESTIMATED BY USING HISTORICAL RATES FOR EACH PAYOR AND THE LENGTH OF TIME THE RECEIVABLE HAS BEEN OUTSTANDING. THESE RATES ARE REVISITED FROM TIME TO TIME AND ADJUSTED WHEN DEEMED APPROPRIATE. ANY ADDITIONAL RESERVES ARE DETERMINED BY THE HOSPITAL'S EXECUTIVES. SCHEDULE H, PART III, LINE 3: GRACE MEDICAL CENTER, INC. DETERMINES ELIGIBILITY FOR FINANCIAL ASSISTANCE THROUGH OTHER VARIOUS MEANS SUCH AS ELIGIBLE FOR NON-REIMBURSABLE MEDICAID PROGRAMS, ENROLLED IN MEANS-TESTED SOCIAL PROGRAMS, ENROLLED IN STATE OF MARYLAND GRANT FUNDED PROGRAMS WHERE REIMBURSEMENT IS LESS THAN THE CHARGE, OUT-OF-STATE MEDICAID PROGRAMS, MARYLAND MEDICAID ELIGIBLE AFTER ADMISSION, MARYLAND MEDICAID AND IF THE PATIENT WAS DENIED MEDICAID FOR NOT MEETING DISABILITY REQUIREMENTS. SCHEDULE H, PART III, LINE 4: ALL PATIENT ACCOUNTS ARE HANDLED CONSISTENTLY AND APPROPRIATELY TO MAXIMIZE CASH FLOW AND TO IDENTIFY BAD DEBT ACCOUNTS TIMELY. ACTIVE ACCOUNTS ARE CONSIDERED BAD DEBT ACCOUNTS WHEN THEY MEET SPECIFIC COLLECTION ACTIVITY GUIDELINES AND/OR ARE REVIEWED BY THE APPROPRIATE MANAGEMENT AND DEEMED TO BE UNCOLLECTIBLE. EVERY EFFORT IS MADE TO IDENTIFY AND PURSUE ALL ACCOUNT BALANCE LIQUIDATION OPTIONS, INCLUDING BUT NOT LIMITED TO THIRD PARTY PAYOR REIMBURSEMENT, PATIENT PAYMENT ARRANGEMENTS, MEDICAID ELIGIBILITY AND FINANCIAL ASSISTANCE. THIRD PARTY RECEIVABLE MANAGEMENT AGENCIES PROVIDE EXTENDED BUSINESS OFFICE SERVICES AND INSURANCE OUTSOURCE SERVICES TO ENSURE MAXIMUM EFFORT IS TAKEN TO RECOVER INSURANCE AND SELF-PAY DOLLARS BEFORE TRANSFER TO BAD DEBT. CONTRACTUAL ARRANGEMENTS WITH THIRD PARTY COLLECTION AGENCIES WERE USED TO ASSIST IN THE RECOVERY OF BAD DEBT AFTER ALL INTERNAL COLLECTION EFFORTS HAVE BEEN EXHAUSTED. IN SO DOING, THE COLLECTION AGENCIES MUST OPERATE CONSISTENTLY WITH THE GOAL OF MAXIMUM BAD DEBT RECOVERY AND STRICT ADHERENCE WITH FAIR DEBT COLLECTIONS PRACTICES ACT (FDCPA) RULES AND REGULATIONS, WHILE MAINTAINING POSITIVE PATIENT RELATIONS SCHEDULE H, PART III, LINE 8: COSTING METHODOLOGY - MEDICARE ALLOWABLE COSTS, TOTAL REVENUE RECEIVED FROM MEDICARE (DSH & IME) AND MEDICARE ALLOWABLE COSTS ARE DERIVED FROM THE ANNUAL MEDICARE COST REPORT. THE INPATIENT ROUTINE COSTS ARE DERIVED FROM THE STEP-DOWN METHODOLOGY BASED ON ACCEPTED STATISTICAL ALLOCATION WITH A UNIFORM PER DIEM COST FOR EACH PAYOR TYPE. THE ANCILLARY MEDICARE ALLOWABLE COSTS ARE INITIALLY DERIVED FROM THE STEP-DOWN METHODOLOGY BUT ARE ALLOCATED TO THE PAYOR TYPES BASED ON THE RATIO OF COST TO CHARGE FOR EACH PAYOR. SCHEDULE H, PART III, LINE 9B: PATIENTS CAN BE DETERMINED ELIGIBLE FOR FINANCIAL ASSISTANCE (F.A.) PROSPECTIVELY OR RETROSPECTIVELY. THE F.A. ELIGIBILITY PERIOD EXPIRES ONE YEAR FROM THE MONTH ELIGIBILITY IS APPROVED FOR MEDICALLY NECESSARY SERVICES. THE PATIENT IS ASKED TO PROVIDE THE F.A. APPROVAL LETTER FOR SERVICES PROVIDED WITHIN THE ELIGIBILITY PERIOD. THE HOSPITAL WILL MAKE EVERY EFFORT TO IDENTIFY PATIENTS ELIGIBLE FOR F.A., ALTHOUGH HOSPITAL SYSTEMS DO NOT ALLOW FOR THIS TO BE AUTOMATED. BALANCES APPROVED FOR FINANCIAL ASSISTANCE ARE WRITTEN-OFF TO A ZERO BALANCE AND THEREFORE NOT PURSUED BY INTERNAL COLLECTION PROCESSES OR THIRD PARTY AGENCIES. BALANCES ALREADY PLACED WITH THIRD PARTY AGENCIES ARE WRITTEN-OFF TO A ZERO BALANCE AND THE ACCOUNTS ARE CLOSED AND RETURNED BY THE THIRD PARTY AGENCY. SCHEDULE H, PART VI, LINE 2: GRACE MEDICAL CENTER ASSESSES AND CONTINUALLY RESPONDS TO CHANGING COMMUNITY NEEDS THROUGH THE SERVICES OFFERED. GRACE MEDICAL CENTER JOINS AN EXISTING COMMUNITY-BASED NEEDS ASSESSMENT EVERY THREE YEARS AND UPDATES ARE PROVIDED BETWEEN ASSESSMENTS. GRACE MEDICAL CENTER INCORPORATES PLANNING FOR COMMUNITY BENEFITS AS PART OF ITS ANNUAL BUSINESS AND STRATEGIC PLANNING PROCESSES. GRACE MEDICAL CENTER RECOGNIZES THE HEALTH OF THE COMMUNITY IS INFLUENCED BY SOCIAL, ECONOMIC, AND ENVIRONMENTAL FACTORS, NOT JUST BY DISEASE AND ILLNESS. OUR COMMUNITY BENEFIT ANALYSIS INCLUDES BOTH QUALITATIVE AND QUANTITATIVE DATA; DEMOGRAPHICS INCLUDING RACE, AGE, AND ETHNICITY; SOCIOECONOMIC DATA INCLUDING INCOME, EDUCATION, AND HEALTH INSURANCE RATES; PRIMARY CARE AND CHRONIC DISEASE NEEDS OF UNINSURED PERSONS; AND DATA ON HEALTH DISPARITIES IN HEALTH OUTCOMES AMONG MINORITY GROUPS. GRACE MEDICAL CENTER COMMUNITY BENEFITS COMMITTEES MEET TO PROVIDE OVERSIGHT TO THE ORGANIZATION'S COMMUNITY BENEFITS PROGRAM. GRACE MEDICAL CENTER WORKS CLOSELY WITH HEALTH AND HUMAN SERVICE ORGANIZATIONS IN THE AREA, PARTNERING WITH SOME TO PROVIDE SERVICES TO AVOID DUPLICATION. SCHEDULE H, PART VI, LINE 3: THE FOLLOWING DESCRIBES MEANS USED AT GRACE MEDICAL CENTER TO INFORM AND ASSIST PATIENTS REGARDING ELIGIBLITY FOR FINANCIAL ASSISTANCE UNDER GOVERNMENTAL PROGRAMS AND THE HOSPITAL'S CHARITY CARE PROGRAM. FINANCIAL ASSISTANCE NOTICES, INCLUDING CONTACT INFORMATION, ARE POSTED IN THE BUSINESS OFFICE AND ADMITTING, AS WELL AS POINTS OF ENTRY AND REGISTRATION THROUGHOUT THE HOSPITAL. PATIENT FINANCIAL SERVICES BROCHURE 'FREEDOM TO CARE' IS AVAILABLE TO ALL INPATIENTS. BROCHURES ARE ALSO AVAILABLE IN ALL OUTPATIENT REGISTRATION AND SERVICE AREAS. GRACE MEDICAL EMPLOYS A FINANICAL ASSISTANCE LIAISON WHO IS AVAILABLE TO ANSWER QUESTIONS AND TO ASSIST PATIENTS AND FAMILY MEMBERS WITH THE PROCESS OF APPLYING FOR FINANCIAL ASSISTANCE. A PATIENT INFORMATION SHEET IS MADE AVAILABLE TO ALL PATIENTS PRIOR TO DISCHARGE. GRACE MEDICAL'S UNINSURED (SELF-PAY) AND UNDER-INSURED (MEDICARE BENEFICIARY WITH NO SECONDARY) MEDICAL ASSISTANCE ELIGIBILITY PROGRAM SCREENS, ASSISTS WITH THE APPLICATION PROCESS AND ULTIMATELY CONVERTS PATIENTS TO VARIOUS MEDICAL ASSISTANCE COVERAGE AND INCLUDES ELIGIBILITY SCREENING AND ASSISTANCE WITH COMPLETING THE FINANCIAL ASSISTANCE APPLICATION AS PART OF THAT PROCESS. ALL HOSPITAL STATEMENTS AND ACTIVE ACCOUNTS RECEIVABLE OUTSOURCE VENDORS INCLUDE A MESSAGE REFERENCING THE AVAILABILITY OF FINANCIAL ASSISTANCE FOR THOSE WHO ARE EXPERIENCING FINANCIAL DIFFICULTY AND PROVIDES CONTACT INFORMATION TO DISCUSS GRACE'S FINANCIAL ASSISTANCE PROGRAM. COLLECTION AGENCIES' INITIAL STATEMENT REFERENCES THE AVAILABILITY OF FINANCIAL ASSISTANCE FOR THOSE WHO ARE EXPERIENCING FINANCIAL DIFFICULTY AND PROVIDES CONTACT INFORMATION TO DISCUSS GRACE'S FINANCIAL ASSISTANCE PROGRAM. ALL HOSPITAL PATIENT FINANCIAL SERVICES STAFF, ACTIVE ACCOUNTS RECEIVABLE OUTSOURCE VENDORS, COLLECTION AGENCIES AND MEDICAID ELIGIBILITY VENDORS ARE TRAINED TO IDENTIFY POTENTIAL FINANCIAL ASSISTANCE ELIGIBILITY AND ASSIST PATIENTS WITH THE FINANCIAL ASSISTANCE APPLICATION PROCESS. FINANCIAL ASSISTANCE APPLICATION AND INSTRUCTIONS COVER SHEET IS AVAILABLE IN RUSSIAN, SPANISH AND FRENCH. GRACE MEDICAL HOSTS AND PARTICIPATES IN VARIOUS DEPARTMENT OF HEALTH AND MENTAL HYGIENE AND MARYLAND HOSPITAL ASSOCIATION SPONSORED CAMPAIGNS LIKE 'COVER THE UNINSURED WEEK'. SCHEDULE H, PART VI, LINE 4: GRACE MEDICAL'S SERVICE AREA INCLUDES 40.5% OF BALTIMORE CITY'S POPULATION. GRACE MEDICAL'S SERVICE AREA IS SIMILAR TO BALTIMORE CITY AND MARYLAND IN REGARD TO AGE AND GENDER, BUT IS DIFFERENT IN TERMS OF RACE/ETHNICITY AND INCOME. THE AREA HAS A LOWER HOUSEHOLD INCOME AND A LARGER PROPORTION OF AFRICAN AMERICANS THAN BALTIMORE CITY AND MARYLAND. THE AREA ALSO EXPERIENCES A HIGHER RATE OF PUBLIC INSURANCE THAN MARYLAND. WITHIN GRACE MEDICAL'S SERVICE AREA'S SEVEN ZIP CODES THERE IS WIDE VARIATION. ZIP CODES 21217 AND 21223 HAVE A POPULATION THAT IS YOUNGER THAN THE OTHER ZIP CODES, WHILE 21215 AND 21216 HAVE A POPULATION THAT IS OLDER THAN THE OTHER ZIP CODES. THERE IS ALSO WIDE VARIATION IN RACE/ETHNICITY AND INSURANCE COVERAGE WITHIN THE AREA. OVERALL, THE AREA IS A MAJORITY AFRICAN AMERICAN, LOW INCOME, AND IN MOST ZIP CODES PUBLICLY INSURED. 40.5% OF BALTIMORE CITY'S RESIDENTS ARE WITHIN GRACE MEDICAL'S SERVICE AREA. ZIP CODES 21215, 21229, AND 21217 COMPRISE THE LARGEST SEGMENTS OF THE AREA, AND REPRESENT 59.6% OF THE TOTAL RESIDENTS IN THE AREA. HOUSEHOLD INCOMES ARE MUCH LOWER IN THE AREA ON AVERAGE THAN THE STATE OF MARYLAND AND BALTIMORE CITY. 29.9% HAVE AN INCOME UNDER $25,000. 55.1% OF HOUSEHOLD INCOMES ARE BELOW $50,000, WHEREAS 50.3% OF BALTIMORE CITY AND 26.3% OF MARYLAND HOUSEHOLD INCOMES ARE BELOW $50,000. 57.3% OF MARYLAND HOUSEHOLD INCOMES ARE $75,000 OR OVER, WHILE 27.6% OF GRACE MEDICAL'S SERVICE AREA HOUSEHOLDS HAVE AN INCOME OF $75,000 OR OVER. THE AREA HAS A HIGHER PERCENT OF INDIVIDUALS THAT HAVE PUBLIC INSURANCE COMPARED TO MARYLAND. MORE THAN 30% OF THEIR POPULATION IS ENROLLED IN PUBLIC INSURANCE. THERE IS ALSO A HIGHER PROPORTION OF UNINSURED PERSONS COMPARED TO BALTIMORE AND MARYLAND. FOUR OF 7 ZIP CODES WITHIN THE GRACE MEDICAL SERVICE AREA HAVE 50% OR MORE OF THEIR POPULATION ENROLLED IN PUBLIC INSURANCE. THE GRACE MEDICAL SERVICE AREA ALSO HAS ONE OF THE HIGHEST DISEASE BURDEN AND SOME OF THE WORST INDICATORS OF SOCIAL DETERMINANTS OF HEALTH OF ANY COMMUNITY IN MARYLAND. THESE NEIGHBORHOODS ESTABLISH THE LOWER EXTREMES FOR HEALTH DISPARITIES IN THE CITY AND THE STATE ACROSS ALL MAJOR CHRONIC ILLNESSES. FAMILIES IN THE ZONE EXPERIENCE POVERTY (20%) AT HIGHER RATES THAN THOSE IN MARYLAND (6%) AND IN BALTIMORE CITY (17%). LIFE EXPECTANCY CAN BE UP TO 12 YEARS SHORTER IN THESE ZIP CODES THAN IN OTHER PARTS OF MARYLAND. SCHEDULE H, PART VI, LINE 5: GRACE MEDICAL OPERATES AN EMERGENCY ROOM OPEN TO ALL PERSONS REGARDLESS OF ABILITY TO PAY. IN ADDITION TO PROVIDING EMERGENCY SERVICES, GRACE MEDICAL ALSO PROVIDES MINOR EMERGENCY AND URGENT CARE SERVICES TO ALL REGARDLESS OF ABILITY TO PAY. GRACE MEDICAL PARTICIPATES IN MEDICAID, MEDICARE, CHAMPUS, AND OTHER GOVERNMENT-SPONSORED HEALTH CARE PROGRAMS. GRACE MEDICAL'S EMERGENCY DEPARTMENT TREATS A LARGE NUMBER OF PATIENTS WHO USE THE FACILITY FOR PRIMARY CARE NEEDS. PATIENT DEMOGRAPHICS REFLECT THE CHANGING COMMUNITY. AS IN OTHER COMMUNITIES, SOME AREA PHYSICIANS PLACE LIMITS ON THEIR ACCEPTANCE OF MEDICAID PATIENTS. IN ADDITION, SOME PRIMARY CARE PHYSICIANS REFER PATIENTS WITH AFTERHOURS NEEDS DIRECTLY TO AREA EMERGENCY ROOMS. COMMUNITY GROUPS AND INDIVIDUALS ARE VERY SUPPORTIVE OF GRACE MEDICAL CENTER. SCHEDULE H, PART VI, LINE 6: SINCE NOVEMBER 1, 2019, GRACE MEDICAL HAS BEEN A COMPONENT OF LIFEBRIDGE HEALTH, A NONPROFIT HEALTH SYSTEM THAT PROVIDES A WIDE VARIETY OF HEALTH CARE AND RELATED SERVICES TO THE RESIDENTS OF CENTRAL MARYLAND. THE COMPONENTS OF THE LIFEBRIDGE SYSTEM WORK TOGETHER CLOSELY TO ENSURE THAT AS MANY AS POSSIBLE OF THE COMMUNITY'S NEEDS ARE MET IN AN INTEGRATED NONDUPLICATIVE MANNER. SCHEDULE H, PART VI, LINE 7: THE COMMUNITY BENEFIT REPORT IS FILED IN THE STATE OF MARYLAND. false true false false false false false false false REBECCA ALTMAN VICE PRESIDENT 0 328534 0 72561 0 0 43437 0 30355 0 474887 0 0 Chideha Ohuoha MD Physician 283699 0 0 0 0 0 0 0 2746 0 286445 0 0 0 MATT ANSEL THRU 122021 Executive Director 190885 0 27004 0 0 0 0 0 26390 0 244279 0 0 0 THEODORA BALIS MD PRIMARY CARE PHYSICIAN 331353 0 20000 0 0 0 0 0 30790 0 382143 0 0 0 DAVID HAUSER MD PSYCHIATRIST 308339 0 25000 0 0 0 0 0 11503 0 344842 0 0 0 Mohamed Dauda MD President Medical Staff 272598 0 2000 0 19200 0 0 0 30430 0 324228 0 0 0 SHANTA POWELL MD PHYSICIAN 323784 0 12500 0 0 0 0 0 31049 0 367333 0 0 0 Matthew Poffenroth MD VICE PRESIDENT 0 562783 0 258657 0 14382 0 130852 0 30793 0 997467 0 0 DANIEL BLUM President & COO Sinai & Grace 0 650018 0 259675 0 12102 0 72800 0 30956 0 1025551 0 0 ARSALAN SHEIKH MD CHAIR OF MEDICINE 359147 0 70083 0 0 0 0 0 30286 0 459516 0 0 0 David Krajewski ex officio-Assistant Treasurer 0 743929 0 505741 0 336449 0 197271 0 29919 0 1813309 0 280798 Jason Weiner ex officio-Assistant Secretary 0 436068 0 349371 0 123218 0 119556 0 25679 0 1053892 0 0 Yasmeen Ahmed MD PHYSICIAN 268898 0 5334 0 0 0 0 0 29748 0 303980 0 0 0 NEIL MELTZER PRESIDENT/CEO LBH 0 1052468 0 1442162 0 608517 0 34349 0 25805 0 3163301 0 402199 SCHEDULE J, PART I, LINE 3: SINCE NOVEMBER 1, 2020, THE ORGANIZATION HAS BEEN PART OF LIFEBRIDGE HEALTH ("LBH"). THE COMPENSATION OF THE ORGANIZATION'S PRESIDENT IS ESTABLISHED BY LBH AS PART OF ITS PROCESS FOR SETTING EXECUTIVE COMPENSATION ACROSS THE HEALTH SYSTEM. METHODS USED BY LBH INCLUDE A COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. SCHEDULE J, PART I, LINES 4B: The following directors and officers participated in a LifeBridge Health sponsored supplemental nonqualified retirement plan during the year. The amounts reported below represent employer contributions to the Section 457(f) plan made during the year: David Krajewski $ 159,849 MATTHEW POFFENROTH, MD $ 117,066 JASON WEINER $ 93,461 DANIEL BLUM $ 72,800 REBECCA ALTMAN $ 37,311 DURING THE YEAR, THE FOLLOWING DIRECTORS AND OFFICERS RECEIVED PAYMENTS AS PART OF THEIR PARTICIPATION IN A LIFEBRIDGE HEALTH SPONSORED SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: David Krajewski $ 299,687 JASON WEINER $ 93,008 NEIL MELTZER $ 550,299 COMPENSATION PROVIDED BY RELATED ORGANIZATIONS: MR. BLUM RECEIVED COMPENSATION AS A SENIOR VICE PRESIDENT OF LIFEBRIDGE HEALTH, INC./PRESIDENT OF SINAI HOSPITAL OF BALTIMORE, INC. & GRACE MEDICAL CENTER, NOT AS A DIRECTOR. MR. KRAJEWSKI RECEIVED COMPENSATION AS AN EXECUTIVE VICE PRESIDENT AND THE CHIEF FINANCIAL OFFICER OF LIFEBRIDGE HEALTH, INC., NOT AS AN OFFICER OF GRACE MEDICAL CENTER, INC. MR. WEINER RECEIVED COMPENSATION AS A SENIOR VICE PRESIDENT AND THE GENERAL COUNSEL OF LIFEBRIDGE HEALTH, INC., NOT AS AN OFFICER OF GRACE MEDICAL CENTER, INC. MR. POFFENROTH RECEIVED COMPENSATION AS A SENIOR VICE PRESIDENT OF LIFEBRIDGE HEALTH, INC., NOT AS AN OFFICER OF GRACE MEDICAL CENTER, INC. MR. MELTZER RECEIVED COMPENSATION AS THE CHIEF EXECUTIVE OFFICER AND PRESIDENT OF LIFEBRIDGE HEALTH, INC., NOT AS A DIRECTOR OR OFFICER OF GRACE MEDICAL CENTER, INC. MS. ALTMAN RECEIVED COMPENSATION AS A VICE PRESIDENT AND THE CHIEF INTEGRATION OFFICER OF LIFEBRIDGE HEALTH, INC., NOT AS A DIRECTOR OR OFFICER OF GRACE MEDICAL CENTER, INC. DR. DAUDA RECEIVED COMPENSATION AS AN EMPLOYED PHYSICIAN OF GRACE MEDICAL CENTER, INC., NOT AS A DIRECTOR OF GRACE MEDICAL CENTER, INC. FORM 990, Part III, Line 3: Grace Medical Center, Inc. ("Grace") had historically operated an acute care general hospital known as Grace Medical Center (formerly known as Bon Secours Hospital) located at 2000 W. Baltimore Street, Baltimore, Maryland 21223. In 2021, Grace and its affiliate, Sinai Hospital of Baltimore, Inc., which operates an acute care general hospital located at 2401 W. Belvedere Avenue, Baltimore, Maryland 21215 ("Sinai"), jointly submitted an application to the Maryland Health Care Commission (the "Commission") to convert Grace Medical Center to a freestanding medical facility ("FMF"). Under Maryland law, an FMF is a facility offering medical and health services similar in nature to, but more narrow in scope than, those which may be provided by a hospital. For example, an FMF is generally not permitted to provide inpatient services and may only retain patients overnight for observation. In addition, under Maryland law, an FMF must be an administrative part of an acute care general hospital, which is referred to as the "parent hospital" of the FMF. In the conversion plan submitted to the Commission, Sinai would serve as the parent hospital for the FMF. Therefore Sinai, and not Grace, would hold the applicable FMF license and be responsible for its day-to-day operations. Following approval of the application by the Commission, Grace Medical Center converted to an FMF operated by Sinai, effective March 1, 2022 (the "Conversion Date"). Despite the fact that it is no longer licensed to operate an acute care general hospital, the principal purpose of Grace has continued to be the provision of medical care and related services. Following the Conversion Date, Grace has continued to provide medical and health services under numerous service lines unrelated to the FMF, including those described below. In addition, because Grace is the owner of the facility and related real property on which the FMF is located, as well as the employer of many of the individuals needed to operate the FMF, Sinai and Grace entered into several agreements, effective as of the Conversion Date, pursuant to which Grace leases to Sinai the real property constituting the FMF, as well as certain equipment and employees necessary for Sinai to operate the FMF. Below is a brief summary of certain services provided by Grace following the Conversion Date: 1. Outpatient dialysis services; 2. Outpatient physical therapy, vascular, and mammography services; 3. The following ambulatory services provided by physicians, providers, or technicians employed or contracted by Grace: a. Family Medicine; b. Endocrinology; c. Gastroenterology; d. Orthopedics; e. Podiatry; f. Anti-coagulation clinic; g. Dietician; and h. Ancillary services; 4. Ambulatory care management services, including, but not limited to, complex case management, and transitional care management programs to engage at risk populations in care coordination services to promote healthy behaviors and improved health outcomes while decreasing unnecessary utilization of healthcare resources and improving total cost of care; 5. Community health and wellness programs including, but not limited to community screenings, health education, disease management, smoking cessation, health and housing, faith community partnerships, mobile health clinics, and COVID vaccinations in the community; 6. Numerous mental health programs, including the following: a. Mental Health Case Management Services (Specialized Case Management Program) - a mental health case management program accredited by the Commission on Accreditation of Rehabilitation Facilities ("CARF") which provides clients experiencing varying degrees of mental illness with assistance in gaining access to needed medical, mental health, social, educational, and other community-based services; b. Supported Employment Services - a CARF-accredited vocational program that aims to assist clients living with mental illness to gain meaningful employment; and c. Assisted Outpatient Treatment - pilot program under the State of Maryland for high inpatient utilizers to provide wrap-around support services for the severely mentally ill that are mandated to receive treatment by a court magistrate. Grace currently operates the only program of this type in the State of Maryland; 7. Substance use disorder treatment services, including, but not limited to, Screening Brief Intervention and Referral to Treatment and Overdose Survivor Outreach Program, at New Hope Treatment Center; 8. Residential services for women in recovery from substance use at Tania House (1847 West Lexington Avenue, Baltimore, MD 21223); 9. New Phases Psychiatric Rehabilitation Program - a CARF-accredited adult day program providing support and structure to individuals living with severe mental illness designed to assist individuals with societal reintegration and promote symptom management and patient independence; 10. New Phases Residential Program - a CARF-accredited housing program serving individuals with severe mental illness providing supervision and rehabilitation services to assist individuals reintegrating into society with the core goal of obtaining independent housing; 11. Mobile Treatment Team (Assertive Community Treatment) - a CARF-accredited program providing a multifaceted approach to caring for and treating individuals with a severe mental health diagnosis and who are unable to utilize traditional outpatient mental health services as a way to manage their illness(es). 12. Leasing space (including examination rooms and a physician office or work space), on a session basis, to affiliated entities providing the following specialty services on an outpatient basis: a. Obstetrics/ Gynecology; b. General Surgery; c. Pediatrics; d. Ophthalmology; e. Cardiology; and f. Infectious Disease; 13. Leasing space (including examination rooms and a physician office or work space), on a session basis, to private practice physician practices providing the following specialty services on an outpatient basis: a. Nephrology; b. Cardiology; and c. Vascular Surgery; 14. Leasing space at below fair market value rates (or without cost) to other non-profit entities, such as Medicine for Peace, Inc. and Healthcare for the Homeless, Inc., for the provision of medical services. FORM 990, PART III, LINE 4A, PROGRAM SERVICE ACCOMPLISHMENTS: OUTPATIENT SERVICES: RENAL DIALYSIS, HIV/AIDS SERVICES, MENTAL HEALTH, SUBSTANCE ABUSE TREATMENT, HEALTH EDUCATION, PEDIATRICS, OBGYN SERVICES, CARDIAC REHABILITATION AND WELLNESS PROGRAMS AND TELE-HEALTH PROGRAM FOR PATIENTS WITH CONGESTIVE HEART DISEASE. THE HOSPITAL OPERATES AN EMERGENCY ROOM THAT IS OPEN 24 HOURS PER DAY, SEVEN DAYS PER WEEK, SERVING PERSONS REGARDLESS OF THEIR ABILITY TO PAY. SEE SCH H FOR ADDITIONAL INFORMATION. FORM 990, PART VI, SECTION A, LINE 6: THE CORPORATION SHALL HAVE ONE MEMBER, LIFEBRIDGE HEALTH, INC. (THE "MEMBER"), A MARYLAND NON-STOCK CORPORATION. MEMBERSHIP IN THE CORPORATION SHALL NOT BE TRANSFERABLE. FORM 990, PART VI, SECTION A, LINE 7A: THE MEMBER SHALL HAVE THE EXCLUSIVE POWER AND AUTHORITY TO TAKE THE FOLLOWING ACTIONS: (1) EXCEPT FOR EX OFFICIO DIRECTORS AS PROVIDED FOR IN THE BYLAWS, TO NOMINATE, ELECT, AND REMOVE, WITH OR WITHOUT CAUSE, THE DIRECTORS OF THE CORPORATION; (2) TO APPOINT THE PRESIDENT OF THE CORPORATION WITH THE ADVICE AND CONSENT OF THE BOARD OF DIRECTORS; (3) TO NOMINATE AND ELECT THE CORPORATION'S CHAIR, VICE CHAIR, SECRETARY, AND TREASURER; AND (4) TO REMOVE EACH OF THE ABOVE NAMED OFFICERS (WITH OR WITHOUT CAUSE), PROVIDED THAT THE BOARD OF DIRECTORS OF THE CORPORATION SHALL ALSO HAVE THE POWER TO REMOVE ANY OFFICER OF THE CORPORATION. FORM 990, PART VI, SECTION A, LINE 7B: THE MEMBER HAS POWER TO APPOINT AND/OR REMOVE MEMBERS OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B: THE LIFEBRIDGE EXEMPT ENTITIES 990'S ARE INITIALLY REVIEWED BY THE ASSISTANT VICE PRESIDENT OF FINANCIAL REPORTING. IN ADDITION, AN INDEPENDENT ACCOUNTING FIRM ALSO REVIEWS ALL THE 990 RETURNS. A FORMAL MEETING IS THEN SCHEDULED WITH THE CHIEF FINANCIAL OFFICER, VICE PRESIDENT OF FINANCIAL REPORTING, GENERAL COUNSEL AND THE ASSISTANT VICE PRESIDENT OF FINANCIAL REPORTING TO REVIEW IN THEIR ENTIRETY ALL THE LIFEBRIDGE EXEMPT ENTITIES 990'S. MANAGEMENT THEN PROVIDES A COPY OF THE 990'S TO THE AUDIT AND COMPLIANCE COMMITTEE OF THE LIFEBRIDGE HEALTH BOARD AND TO EACH INDIVIDUAL BOARD DIRECTOR PRIOR TO THE FILING DATE FOR REVIEW. FORM 990, PART VI, SECTION B, LINE 12C: ALL DIRECTORS, OFFICERS, EMPLOYEES, MEDICAL STAFF MEMBERS, AND VOLUNTEERS ARE EXPECTED TO RECOGNIZE AND DISCLOSE AT THE EARLIEST POSSIBLE TIME ACTUAL AND POTENTIAL CONFLICTS OF INTEREST. AN INDIVIDUAL IS CONSIDERED TO HAVE A CONFLICT OF INTEREST WITH REGARD TO A MATTER OR TRANSACTION IF THE INDIVIDUAL OR A FAMILY MEMBER OF THE INDIVIDUAL HAS A PERSONAL OR FINANCIAL INTEREST THAT HAS THE POTENTIAL TO INFLUENCE THE ACTION TAKEN BY THE INDIVIDUAL ON BEHALF OF LIFEBRIDGE HEALTH. ADDITIONAL INFORMATION REGARDING WHAT CONSTITUTES A CONFLICT OF INTEREST AND HOW TO DISCLOSE A CONFLICT IS OUTLINED BELOW. LIFEBRIDGE AND ALL OF ITS SUBSIDIARIES SHALL REQUIRE ALL EMPLOYEES, MEDICAL STAFF, AND MEMBERS OF THE BOARD TO DISCLOSE ANY ACTIVITIES THAT COULD RESULT IN A POSSIBLE CONFLICT OF INTEREST. IF A CONFLICT IS IDENTIFIED, THE PERSON INVOLVED WOULD RECUSE HIM/HERSELF FROM DELIBERATIONS REGARDING THE TRANSACTIONS. AN INDIVIDUAL IS CONSIDERED TO HAVE A CONFLICT OF INTEREST WITH REGARD TO A MATTER OR TRANSACTION IF THE INDIVIDUAL HAS A PERSONAL OR FINANCIAL INTEREST THAT HAS THE POTENTIAL TO INFLUENCE THE ACTION TAKEN BY THE INDIVIDUAL ON BEHALF OF LIFEBRIDGE OR ANY OF ITS SUBSIDIARIES. AN INDIVIDUAL IS CONSIDERED TO HAVE A "PERSONAL INTEREST" IN A MATTER IF IT IS LIKELY TO HAVE A DIRECT AND MATERIAL IMPACT ON THE INDIVIDUAL'S RELATIONSHIP WITH LIFEBRIDGE OR ANY OF ITS SUBSIDIARIES (E.G., THE INDIVIDUAL'S CONTINUED MEMBERSHIP ON A SUBSIDIARY HOSPITAL'S MEDICAL STAFF), OR ON THE INDIVIDUAL'S OWN HEALTH CARE, OR THE INDIVIDUAL IS PERSONALLY INVOLVED IN A SUBSTANTIAL WAY (E.G., SERVES AS AN OFFICER, DIRECTOR, TRUSTEE, OR KEY EMPLOYEE) WITH ANOTHER ORGANIZATION THAT HAS A SIGNIFICANT INTEREST IN THE MATTER. AN INDIVIDUAL IS CONSIDERED TO HAVE A "FINANCIAL INTEREST" IN A TRANSACTION IF THE INDIVIDUAL, OR THEIR FAMILY MEMBER, (I) IS A PARTY TO THE TRANSACTION, (II) WILL BENEFIT PERSONALLY FROM THE TRANSACTION, OR (III) HAS, DIRECTLY OR INDIRECTLY, A CURRENT OR ANTICIPATED OWNERSHIP OR INVESTMENT IN, OR COMPENSATION ARRANGEMENT WITH, A PARTY TO THE TRANSACTION. AN OWNERSHIP INTEREST OF LESS THAN 5% IN AN ENTITY WILL NOT, IN AND OF ITSELF, GENERALLY BE CONSIDERED A FINANCIAL INTEREST; HOWEVER, TO THE EXTENT THE INDIVIDUAL'S COMPENSATION FROM THE ENTITY IS DIRECTLY LINKED TO THE ENTITY'S BUSINESS WITH LIFEBRIDGE HEALTH, SUCH COMPENSATION WILL CONSTITUTE A FINANCIAL INTEREST. FOR THE PURPOSES OF THIS POLICY, A "FAMILY MEMBER" INCLUDES SPOUSE OR DOMESTIC PARTNER, PARENTS, BROTHERS AND SISTERS, CHILDREN (WHETHER NATURAL OR ADOPTED), GRANDPARENTS, GRANDCHILDREN, GREAT-GRANDCHILDREN, AND IN-LAWS, SPOUSES OF BROTHERS, SISTERS, CHILDREN, GRANDCHILDREN, AND GREAT-GRANDCHILDREN, AND ANY OTHER MEMBER OF A HOUSEHOLD OF THE INDIVIDUAL. CONFLICTS OF INTEREST ARE TO BE REPORTED BY EMPLOYEES TO THEIR SUPERVISOR, WHO WILL BE RESPONSIBLE FOR DETERMINING WHETHER FURTHER DISSEMINATION IS NECESSARY. MEMBERS OF THE MEDICAL STAFF SHOULD REPORT CONFLICTS TO THE CHIEF OF THEIR DEPARTMENT, AND MEMBERS OF THE BOARD SHOULD REPORT THEM TO THE CHIEF COMPLIANCE OFFICER. QUESTIONNAIRES ARE SENT OUT TO MEMBERS OF THE BOARD ON AN ANNUAL BASIS. IF QUESTIONS ARISE OR FURTHER GUIDANCE IS SOUGHT, INDIVIDUALS CAN CONTACT THE CHIEF COMPLIANCE OFFICER OR CONFIDENTIAL COMPLIANCE HOTLINE. NOTHING IN THIS DEFINITION IS INTENDED TO RELIEVE ANY PERSON OF ANY ADDITIONAL OBLIGATIONS THAT MAY BE IMPOSED BY STATE OR FEDERAL LAW. FORM 990, PART VI, SECTION C, LINE 19: IT IS THE POLICY OF LIFEBRIDGE HEALTH INC. AND ITS SUBSIDIARIES TO MAKE AVAILABLE UPON REQUEST THE AUDITED FINANCIAL STATEMENTS TO THE GENERAL PUBLIC. THE LIFEBRIDGE HEALTH INC. AND SUBSIDIARY GOVERNING DOCUMENTS ARE NOT MADE AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST OR VIA A WEBSITE. THE CONFLICT OF INTEREST POLICY IS INCLUDED ON SCHEDULE O. FORM 990, PART XI, LINE 9, CHANGES IN NET ASSETS: TRANSFERS TO AFFILIATES $ 15,892,746 OTHER ADJUSTMENT $ 275,672 FORM 990, PART XII, LINE 2C: THE AUDIT COMMITTEE REVIEW PROCESS FOR GRACE MEDICAL CENTER, INC. FOLLOWS LIFEBRIDGE HEALTH, INC.'S AUDIT COMMITTEE REVIEW PROCESS. FORM 990 PART IX LINE 11G DESCRIPTION:AGENCY NURSING TOTAL FEES:1204232 FORM 990 PART IX LINE 11G DESCRIPTION:LAUNDRY AND EVS TOTAL FEES:1536464 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER PURCHASED SERVICES TOTAL FEES:882972 FORM 990 PART IX LINE 11G DESCRIPTION:PROFESSIONAL & TECHNICAL TOTAL FEES:2077560 FORM 990 PART IX LINE 11G DESCRIPTION:AMBULANCE SERVICE TOTAL FEES:488163 Carroll Hospital Center Inc 200 Memorial Avenue Westminster MD 21157 521452024 Hospital MD 501(C)(3) 3 CCHS false Bridginglife Inc 292 Stoner Avenue Westminster MD 21157 521565870 Hospice MD 501(C)(3) 7 CHC false Carroll Hospital Center Foundation Inc 200 Memorial Avenue Westminster MD 21157 521115038 Foundation MD 501(C)(3) 12A, I CHC false Partnership for a Healthier Carroll Cty 535 Old Westminster Pike 102 Westminster MD 21157 522156892 Health Svcs MD 501(C)(3) 7 CHC false Levindale Hebrew Geriatric Center Hosp 2434 West Belvedere Avenue Baltimore MD 21215 520607913 Hospital MD 501(C)(3) 3 LBH false Sinai Hospital of Baltimore Inc 2401 West Belvedere Avenue Baltimore MD 21215 520486540 Hospital MD 501(C)(3) 3 LBH false Courtland Gardens Nursing and Rehab Ctr 2434 West Belvedere Avenue Baltimore MD 21215 520607907 Nursing MD 501(C)(3) 10 LBH false Northwest Hospital Center Inc 5401 Old Court Road Randallstown MD 21133 521372665 Hospital MD 501(C)(3) 3 LBH false Childrens Hospital of Baltimore City Inc 2401 West Belvedere Avenue Baltimore MD 21215 520591592 Hospital supp MD 501(C)(3) 12B, II LBH false The Baltimore Jewish Health Fdn Inc 2401 West Belvedere Avenue Baltimore MD 21215 522111541 Hospital supp MD 501(C)(3) 12B, II LBH false Childrens Hospital at Sinai Foundation 2401 West Belvedere Avenue Baltimore MD 21215 522167587 Hospital supp MD 501(C)(3) 12B, II LBH false The Baltimore Jewish Eldercare Fdn 2401 West Belvedere Avenue Baltimore MD 21215 522337669 Hospital supp MD 501(C)(3) 12B, II LBH false Center for Hope Inc 5400 Preakness Way Baltimore MD 21215 521681279 Child Svcs MD 501(C)(3) 7 LBH false West Baltimore Renaissance Fdn Inc 2401 West Belvedere Avenue Baltimore MD 21215 843355332 Community Ctr MD 501(C)(3) 7 LBH false Carroll County Health Services Corp 200 Memorial Avenue Westminster MD 21157 520691413 Hospital supp MD 501(C)(3) 12B, II LBH false LifeBridge Center for Hope Inc 2401 West Belvedere Avenue Baltimore MD 21215 853920012 Real Estate MD 501(C)(3) 12A, I SHB false LifeBridge Health Inc 2401 West Belvedere Avenue Baltimore MD 21215 521402373 Support MD 501(C)(3) 12C, III NA false Carroll County Radiology LLC 7523 Ambassador Road Baltimore MD 21244 522190849 Radiology MD NA N/A 0 0 false 0 false 0.00000 Carroll Occupational Health LLC 7001 Corporate Center Court Westminster MD 21157 202769332 Medical Services MD NA N/A 0 0 false 0 false 0.00000 Cardiovascular Associates of Maryland 2401 West Belvedere Avenue Baltimore MD 21215 462935110 Medical Services MD NA N/A 0 0 false 0 false 0.00000 LifeBridge Cardiology of Parkville LLC 2401 West Belvedere Avenue Baltimore MD 21215 463742313 Medical Services MD NA N/A 0 0 false 0 false 0.00000 LifeBridge Community Gastroenterology 2401 West Belvedere Avenue Baltimore MD 21215 462863298 Medical Services MD NA N/A 0 0 false 0 false 0.00000 LifeBridge Community Pediatrics LLC 2401 West Belvedere Avenue Baltimore MD 21215 462842468 Medical Services MD NA N/A 0 0 false 0 false 0.00000 LifeBridge Community Pulmonology LLC 2401 West Belvedere Avenue Baltimore MD 21215 461401312 Medical Services MD NA N/A 0 0 false 0 false 0.00000 LifeBridge Gynecology of Pikesville LLC 2401 West Belvedere Avenue Baltimore MD 21215 462949092 Medical Services MD NA N/A 0 0 false 0 false 0.00000 LifeBridge Medical Associates LLC 2401 West Belvedere Avenue Baltimore MD 21215 462941505 Medical Services MD NA N/A 0 0 false 0 false 0.00000 LifeBridge Neurosciences LLC 2401 West Belvedere Avenue Baltimore MD 21215 450719598 Medical Services MD NA N/A 0 0 false 0 false 0.00000 LifeBridge Primary Care of Eldersburg 2401 West Belvedere Avenue Baltimore MD 21215 383897702 Medical Services MD NA N/A 0 0 false 0 false 0.00000 LifeBridge Primary Care of North Carroll 2401 West Belvedere Avenue Baltimore MD 21215 800883321 Medical Services MD NA N/A 0 0 false 0 false 0.00000 Homecare Maryland LLC 8028 Ritchie Highway Pasadena MD 21122 261378175 Home Health Srvc MD NA N/A 0 0 false 0 false 0.00000 LifeBridge Rehabilitation Services LLC 2401 West Belvedere Avenue Baltimore MD 21215 811504380 Rehab Services MD NA N/A 0 0 false 0 false 0.00000 Ellicott City ASC Management LLC 2401 West Belvedere Avenue Baltimore MD 21215 522331663 Medical Services MD NA N/A 0 0 false 0 false 0.00000 Surgicenter of Baltimore LLC 2401 West Belvedere Avenue Baltimore MD 21215 521658841 Medical Services MD NA N/A 0 0 false 0 false 0.00000 Springwell Partners LLC 2200 Pine Hill Farms Lane Hunt Valley MD 21030 271971171 Assisted Living MD NA N/A 0 0 false 0 false 0.00000 LifeBridge Suburban Physician Group II 5401 Old Court Road Randallstown MD 21133 814209029 Medical Services MD NA N/A 0 0 false 0 false 0.00000 LifeBridge Lab Management LLC 2401 West Belvedere Avenue Baltimore MD 21215 821113874 Lab Services MD NA N/A 0 0 false 0 false 0.00000 LifeBridge Metropolitan Physician GrpII 2401 West Belvedere Avenue Baltimore MD 21215 814223537 Medical Services MD NA N/A 0 0 false 0 false 0.00000 LifeBridge Multi-Specialty LLC 41 Magna Way Suite 100 Westminster MD 21157 463753120 Medical Services MD NA N/A 0 0 false 0 false 0.00000 Ellicott City Ambulatory Surgery Center 2850 N Ridge Road Ellicott City MD 21043 522331663 Medical Services MD NA N/A 0 0 false 0 false 0.00000 Oak Farm Solutions LLC 1122 Kenilworth Drive Towson MD 21204 474944865 Home Health Srvc MD NA N/A 0 0 false 0 false 0.00000 MNR Industries LLC 5 Bel Air South Parkway Bel Air MD 21015 331095434 Urgent Care Srvc MD NA N/A 0 0 false 0 false 0.00000 MNR of Frederick County LLC 5 Bel Air South Parkway Bel Air MD 21015 813781457 Urgent Care Srvc MD NA N/A 0 0 false 0 false 0.00000 Baker Rehab Group LLC 197 Thomas Johnson Drive Frederick MD 21702 880864449 Rehab Services MD NA N/A 0 0 false 0 false 0.00000 Advanced Endo Ctr of Howard Cty LLC 8875 Centre Park Drive Columbia MD 21045 522210078 Medical Services MD NA N/A 0 0 false 0 false 0.00000 Carroll County Med-Services Inc 200 Memorial Avenue Westminster MD 21157 521891102 Medical Services MD CCMS INC C Corp 0 0 0.00000 false LifeBridge Investments Inc 2401 West Belvedere Avenue Baltimore MD 21215 521483166 Investment MD LBH C Corp 0 0 0.00000 false Healthstar Medical Services Inc 2401 West Belvedere Avenue Baltimore MD 21215 521829098 Healthcare MD LB INV INC C Corp 0 0 0.00000 false Practice Dynamics Inc 124 Business Center Drive Reisterstown MD 21136 521960319 Management MD LB INV INC C Corp 0 0 0.00000 false LifeBridge Insurance Company Ltd PO Box 1109 Grand Cayman CJ KY1-1102 980415396 Insurance CJ LBH C Corp 0 0 0.00000 false LifeBridge Community Physicians Inc 2401 West Belvedere Avenue Baltimore MD 21215 800719005 Healthcare MD LB INV INC C Corp 0 0 0.00000 false Carroll Billing Services Inc 200 Memorial Avenue Westminster MD 21215 300026598 Billing Services MD CHC INC C Corp 0 0 0.00000 false Carroll County Gen Hosp South Carroll 200 Memorial Avenue Westminster MD 21157 Real Estate MD NA C Corp 0 0 0.00000 false Med-Services Holdings Inc 200 Memorial Avenue Westminster MD 21157 Medical Services MD CCMS INC C Corp 0 0 0.00000 false LifeBridge Health Israel Ltd 16 Abba Hillel Road Rahmat Gan IS 5250608 515804516 Healthcare IS LB INV INC C Corp 0 0 0.00000 false false false false false false false false false false false false false false false false true true true true