WEST BALTIMORE RENAISSANCE FOUNDATION INC: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- WEST BALTIMORE RENAISSANCE FOUNDATION INC (EIN 84-3355332)
- Tax period
- 2019-09-10 to 2020-06-30
- Filed
- 2021-05-20
- IRS object ID
- 202131409349300023
- Schema version
- 2019v5.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-05-20T11:31:28-05:00 | ReturnTs |
| Tax Period End | 2020-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 205991824 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SC&H GROUP INC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 910 RIDGEBROOK ROAD | AddressLine1Txt |
| City | SPARKS | CityNm |
| State Abbreviation | MD | StateAbbreviationCd |
| ZIP | 21152 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2019-09-10 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 843355332 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WEST BALTIMORE RENAISSANCE FOUNDATION | BusinessNameLine1Txt |
| Business Name Line2 | INC | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | WEST | BusinessNameControlTxt |
| Phone | 4106015653 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2401 W BELVEDERE AVENUE | AddressLine1Txt |
| City | BALTIMORE | CityNm |
| State Abbreviation | MD | StateAbbreviationCd |
| ZIP | 21215 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DAVID KRAJEWSKI | PersonNm |
| Person Title | EXECUTIVE VP/CFO | PersonTitleTxt |
| Phone | 4106015653 | PhoneNum |
| Signature | 2021-05-20 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | LORI S BURGHAUSER | PreparerPersonNm |
| PTIN | P00370694 | PTIN |
| Phone | 4104031500 | PhoneNum |
| Preparation | 2021-05-20 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Initial Return | Yes (X) | InitialReturnInd |
| Principal Officer | KURT SOMMER | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2401 W BELVEDERE AVENUE | AddressLine1Txt |
| City | BALTIMORE | CityNm |
| State Abbreviation | MD | StateAbbreviationCd |
| ZIP | 21215 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $2,758,118 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | N/A | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Other Organization Dsc | 501(C)(3) | OtherOrganizationDsc |
| Formation | 2019 | FormationYr |
| Legal Domicile State | MD | LegalDomicileStateCd |
| Activity Or Mission | TO EMPOWER WEST BALTIMORE RESIDENTS AND COMMUNITIES THROUGH STRATEGIC INVESTMENTS THAT EXPAND SERVICES, AMENITIES, AND OPPORTUNITIES THAT LEAD TO A LASTING IMPACT ON HEALTH AND QUALITY OF LIFE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 7 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 4 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 4 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| CY Contributions Grants | $2,758,118 | CYContributionsGrantsAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| CY Total Revenue | $2,758,118 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| CY Salaries Comp Emp Bnft Paid | $39,946 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| CY Other Expenses | $0 | CYOtherExpensesAmt |
| CY Total Expenses | $39,946 | CYTotalExpensesAmt |
| CY Revenues Less Expenses | $2,718,172 | CYRevenuesLessExpensesAmt |
| Total Assets EOY | $2,960,372 | TotalAssetsEOYAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances EOY | $2,960,372 | NetAssetsOrFundBalancesEOYAmt |
| Mission | WE TAKE RESPONSIBILITY FOR IMPROVING THE HEALTH OF OUR COMMUNITY THROUGH CARE MANAGEMENT, ENHANCING WORKFORCE DEVELOPMENT, PROVIDING ACCESS TO HEALTHY FOOD AND PROVIDING FAMILY SUPPORT. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $0 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $0 | RevenueAmt |
| Desc | WE TAKE RESPONSIBILITY FOR IMPROVING THE HEALTH OF OUR COMMUNITY THROUGH CARE MANAGEMENT, ENHANCING WORKFORCE DEVELOPMENT, PROVIDING ACCESS TO HEALTHY FOOD AND PROVIDING FAMILY SUPPORT. BEING THAT THE ORGANIZATION WAS FORMED ON SEPTEMBER 10, 2019, MORE SIGNIFICANT ACTIVITIES WILL BE PRESENT IN THE FISCAL YEAR ENDING JUNE 30, 2021. | Desc |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 7 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 4 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | Yes (1) | LocalChaptersInd |
| Policies Reference Chapters | Yes (1) | PoliciesReferenceChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NANCY KANE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 4106015653 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2401 WEST BELVEDERE AVE | AddressLine1Txt |
| City | BALTIMORE | CityNm |
| State Abbreviation | MD | StateAbbreviationCd |
| ZIP | 21215 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (10 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|---|
| NEIL MELTZER | |||||||
| CHAIRMAN | 1.00 | 40.00 | Yes (X) | Yes (X) | $0 | $2,328,138 | $409,143 |
| LETITIA DZIRASA | |||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| EDITH GILLIARD-CANTY | |||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| SUSAN MANI MD | |||||||
| DIRECTOR | 1.00 | 40.00 | Yes (X) | $0 | $461,247 | $69,374 | |
| MARK MARTIN PHD | |||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| SISTER MARY SHIMO | |||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| LESLIE SIMMONS | |||||||
| DIRECTOR/EVP & COO OF LBH | 1.00 | 40.00 | Yes (X) | $0 | $1,179,170 | $285,431 | |
| DAVID KRAJEWSKI | |||||||
| TREASURER | 1.00 | 40.00 | Yes (X) | $0 | $1,261,959 | $390,457 | |
| JASON WEINER | |||||||
| SECRETARY | 1.00 | 40.00 | Yes (X) | $0 | $591,819 | $107,297 | |
| DWAYNE RICHARDSON | |||||||
| COO | 40.00 | 1.00 | Yes (X) | $31,001 | $310,418 | $54,066 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $31,001 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $6,132,751 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,315,768 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $2,758,118 | RelatedOrganizationsAmt |
| Total Contributions | $2,758,118 | TotalContributionsAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,758,118 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $39,940 | TotalAmt |
| Management And General | $39,940 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6 | TotalAmt |
| Management And General | $6 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $39,946 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $39,946 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $241,683 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $549,707 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $2,168,982 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $0 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $2,168,982 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $2,960,372 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $2,960,372 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $2,960,372 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $2,960,372 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $2,718,172 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $242,200 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | $2,758,118 | CurrentTaxYearAmt |
| Total | $2,758,118 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | $2,758,118 | CurrentTaxYearAmt |
| Total | $2,758,118 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $2,758,118 | PublicSupportTotal170Amt |
| Total Support | $2,758,118 | TotalSupportAmt |
| First5 Years170 | Yes (X) | First5Years170Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | 5-YEAR COMPUTATION PERIOD | FormAndLineReferenceDesc |
| Explanation | THE 2019 TAX PERIOD ON SCH A, PART II REPRESENTS A SHORT YEAR FROM 9/10/19 TO 6/30/20 AS THAT WAS THE ORGANIZATION'S YEAR OF FORMATION. | ExplanationTxt |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,168,982 | OtherCostOrOtherBasisAmt |
| Book Value | $2,168,982 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $2,168,982 | TotalBookValueLandBuildingsAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NEIL MELTZER | ||||||||||||||
| CHAIRMAN | $0 | $999,827 | $0 | $842,880 | $0 | $485,431 | $0 | $388,916 | $0 | $20,227 | $0 | $2,737,281 | $0 | $357,770 |
| SUSAN MANI MD | ||||||||||||||
| DIRECTOR | $0 | $354,552 | $0 | $100,592 | $0 | $6,103 | $0 | $45,303 | $0 | $24,071 | $0 | $530,621 | $0 | $0 |
| LESLIE SIMMONS | ||||||||||||||
| DIRECTOR/EVP & COO OF LBH | $0 | $704,152 | $0 | $318,661 | $0 | $156,357 | $0 | $265,490 | $0 | $19,941 | $0 | $1,464,601 | $0 | $100,342 |
| DAVID KRAJEWSKI | ||||||||||||||
| TREASURER | $0 | $763,808 | $0 | $350,836 | $0 | $147,315 | $0 | $364,121 | $0 | $26,336 | $0 | $1,652,416 | $0 | $90,169 |
| JASON WEINER | ||||||||||||||
| SECRETARY | $0 | $382,090 | $0 | $198,002 | $0 | $11,727 | $0 | $87,237 | $0 | $20,060 | $0 | $699,116 | $0 | $0 |
| DWAYNE RICHARDSON | ||||||||||||||
| COO | $23,099 | $231,296 | $7,402 | $74,120 | $500 | $5,002 | $2,702 | $27,056 | $2,207 | $22,101 | $35,910 | $359,575 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3 | COMPENSATION FOR THE CEO IS DETERMINED BY THE CEO'S DIRECT REPORT SUPERVISOR AND HUMAN RESOURCES LOCATED AT A RELATED ORGANIZATION WITHIN THE LIFEBRIDGE HEALTH INC SYSTEM. |
| PART I, LINE 4B | DURING THE YEAR, THE FOLLOWING DIRECTORS AND OFFICERS PARTICIPATED IN A LIFEBRIDGE HEALTH SPONSORED SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: DAVID KRAJEWSKI $ 337,265 NEIL MELTZER $ 361,442 JASON WEINER $ 68,318 DWAYNE RICHARDSON $ 28,561 SUSAN MANI $ 43,907 LESLIE SIMMONS $ 241,199 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 $ 105,878 NEIL MELTZER $ 428,403 LESLIE SIMMONS $ 115,877 |
| COMPENSATION PROVIDED BY RELATED ORGANIZATIONS: | MR. KRAJEWSKI RECEIVED COMPENSATION AS EXECUTIVE VP AND CHIEF FINANCIAL OFFICER OF LIFEBRIDGE HEALTH, INC., NOT AS AN OFFICER OF WEST BALTIMORE RENAISSANCE FOUNDATION, INC. MR. MELTZER RECEIVED COMPENSATION AS PRESIDENT AND CHIEF EXECUTIVE OFFICER OF LIFEBRIDGE HEALTH, INC., NOT AS AN OFFICER OF WEST BALTIMORE RENAISSANCE FOUNDATION, INC. MR. WEINER RECEIVED COMPENSATION AS SENIOR VICE PRESIDENT AND GENERAL COUNSEL OF LIFEBRIDGE HEALTH, INC., NOT AS AN OFFICER OF WEST BALTIMORE RENAISSANCE FOUNDATION, INC. MS. MANI RECEIVED COMPENSATION AS VICE PRESIDENT OF CLINCIAL TRANSFORMATION AT LIFEBRIDGE HEALTH, INC., NOT AS AN OFFICER OF WEST BALTIMORE RENAISSANCE FOUNDATION, INC. MS. SIMMONS RECEIVED COMPENSATION AS EXECUTIVE VICE PRESIDENT AND CHIEF OPERATING OFFICER OF LIFEBRIDGE HEALTH, INC., NOT AS A DIRECTOR. MR. RICHARDSON RECEIVED COMPENSATION FROM A RELATED ORGANIZATION ON ACCOUNT OF HIS EMPLOYMENT AT THE RELATED ORGANIZATION, NOT AS AN OFFICER OF WEST BALTIMORE RENAISSANCE FOUNDATION, INC. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | THE CORPORATION SHALL HAVE ONE MEMBER: LIFEBRIDGE HEALTH, INC. (THE "MEMBER") A MARYLAND NONSTOCK CORPORATION. MEMBERSHIP IN THE CORPORATION SHALL NOT BE TRANSFERABLE. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE ORGANIZATION SHALL HAVE EIGHT DIRECTORS, EACH WITH FULL VOTING RIGHTS, AS FOLLOWS: A. THREE DIRECTORS DESIGNATED BY THE MEMBER (EACH, A "LIFEBRIDGE DIRECTOR, AND COLLECTIVELY, THE "LIFEBRIDGE DIRECTORS"). B. ONE DIRECTOR DESIGNATED BY BON SECOURS BALTIMORE HEALTH CORPORATION. C. ONE DIRECTOR DESIGNATED BY THE BALTIMORE CITY MAYOR'S OFFICE. D. ONE DIRECTOR DESIGNATED BY THE MARYLAND DEPARTMENT OF HEALTH. E. ONE DIRECTOR DESIGNATED BY EITHER THE HSCRC OR ANOTHER ORGANIZATION SELECTED BY THE HSCRC (EACH DIRECTOR UNDER (B) THROUGH (E), A "DESIGNATED DIRECTOR"). F. ONE COMMUNITY DIRECTOR. |
| FORM 990, PART VI, SECTION A, LINE 7B | THE MEMBER SHALL HAVE EXCLUSIVE AND COMPLETE AUTHORITY AND DISCRETION TO MANAGE THE OPERATIONS AND AFFAIRS OF THE CORPORATION AND TO MAKE ALL DECISIONS REGARDING THE BUSINESS OF THE CORPORATION. FORM 990, PART VI, SECTION B, LINE 10A: THE POLICIES DESCRIBED IN PART VI, SECTION B, LINES 10A-16B APPLY TO WEST BALTIMORE RENAISSANCE FOUNDATION, INC. AND ITS AFFILIATES AS LISTED BELOW: CALHOUN STREET INVESTMENTS, LLC CALHOUN STREET INVESTMENTS II, LLC |
| 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 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 (410-601-4832) OR CONFIDENTIAL COMPLIANCE HOTLINE (1-844-732-6233). 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: | TRANSFERS FROM AFFILIATE 242,200. |
| FORM 990, PART XII, LINE 2C: | DURING FY20, LIFEBRIDGE HEALTH, INC. ESTABLISHED WEST BALTIMORE RENAISSANCE FOUNDATION, INC. THE AUDIT COMMITTEE REVIEW PROCESS FOR WEST BALTIMORE RENAISSANCE FOUNDATION, INC. WILL FOLLOW LIFEBRIDGE HEALTH, INC.'S AUDIT COMMITTEE REVIEW PROCESS. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Total IncomeTotalIncomeAmt | End Of Year AssetsEndOfYearAssetsAmt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|
| CALHOUN STREET INVESTMENTS LLC | ||||||||
| 2354 MCKENZIE ROAD | ELLICOTT CITY | MD | 21042 | REAL ESTATE | MD | $0 | $0 | WEST BALTIMORE RENAISSANCE FOUNDATION INC |
| CALHOUN STREET INVESTMENTS II LLC | ||||||||
| 2354 MCKENZIE ROAD | ELLICOTT CITY | MD | 21042 | REAL ESTATE | MD | $0 | $2,411,025 | WEST BALTIMORE RENAISSANCE FOUNDATION INC |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (16 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| LEVINDALE HEBREW GERIATRIC CENTER AND HOSPITAL INC | ||||||||||
| 2434 WEST BELVEDERE AVE | BALTIMORE | MD | 21215 | 520607913 | GERIATRIC HOSPITAL DEDICATED TO PROVIDING SERVICE TO THE AGED | MD | 501(C)(3) | LINE 3 | LIFEBRIDGE HEALTH INC | 0 |
| SINAI HOSPITAL OF BALTIMORE INC | ||||||||||
| 2401 WEST BELVEDERE AVENUE | BALTIMORE | MD | 21215 | 520486540 | PROVIDE MEDICAL CARE, EDUCATE STUDENTS, PERFORM MEDICAL RESEARCH | MD | 501(C)(3) | LINE 3 | LIFEBRIDGE HEALTH INC | 0 |
| COURTLAND GARDENS NURSING AND REHABILITATION CENTER | ||||||||||
| 2434 WEST BELVEDERE AVE | BALTIMORE | MD | 21215 | 520607907 | SKILLED NURSING CARE FOR THE ELDERLY AND DISABLED | MD | 501(C)(3) | LINE 10 | LEVINDALE HEBREW CERIATRIC CENTER AND HOSPITAL INC | 0 |
| NORTHWEST HOSPITAL CENTER INC | ||||||||||
| 5401 OLD COURT ROAD | RANDALLSTOWN | MD | 21133 | 521372665 | A HOSPITAL ASPIRING TO IMPROVE THE WELLBEING OF THE COMMUNITY IT SERVES | MD | 501(C)(3) | LINE 3 | LIFEBRIDGE HEALTH INC | 0 |
| CHILDREN'S HOSPITAL OF BALTIMORE CITY | ||||||||||
| 2401 WEST BELVEDERE AVENUE | BALTIMORE | MD | 21215 | 520591592 | CHARITY SUPPORT FOR SINAI HOSPITAL OF BALTIMORE INC | MD | 501(C)(3) | LINE 12B, II | LIFEBRIDGE HEALTH INC | 0 |
| THE BALTIMORE JEWISH HEALTH FOUNDATION INC | ||||||||||
| 2401 WEST BELVEDERE AVENUE | BALTIMORE | MD | 21215 | 522111541 | CHARITY SUPPORT FOR SINAI HOSPITAL OF BALTIMORE INC | MD | 501(C)(3) | LINE 12B, II | LIFEBRIDGE HEALTH INC | 0 |
| CHILDREN'S HOSPITAL AT SINAI FOUNDATION | ||||||||||
| 2401 WEST BELVEDERE AVENUE | BALTIMORE | MD | 21215 | 522167587 | CHARITY SUPPORT FOR SINAI HOSPITAL OF BALTIMORE INC | MD | 501(C)(3) | LINE 12B, II | LIFEBRIDGE HEALTH INC | 0 |
| THE BALTIMORE JEWISH ELDERCARE FOUNDATION | ||||||||||
| 2401 WEST BELVEDERE AVENUE | BALTIMORE | MD | 21215 | 522337669 | CHARITY SUPPORT FOR LEVINDALE HEBREW GERIATRIC CENTER HOSPITAL | MD | 501(C)(3) | LINE 12B, II | LIFEBRIDGE HEALTH INC | 0 |
| CARROLL COUNTY HEALTH SERVICES CORPORATION | ||||||||||
| 200 MEMORIAL AVENUE | WESTMINSTER | MD | 21157 | 520691413 | CHARITY SUPPORT FOR CARROLL HOSPITAL CENTER, INC. | MD | 501(C)(3) | LINE 12B, II | LIFEBRIDGE HEALTH INC | 0 |
| CARROLL HOSPITAL CENTER INC | ||||||||||
| 200 MEMORIAL AVENUE | WESTMINSTER | MD | 21157 | 521452024 | A HOSPITAL COMMITTED TO THE HIGHEST QUALITY HEALTH CARE | MD | 501(C)(3) | LINE 3 | CARROLL COUNTY HEALTH SERVICES CORPORATION | 0 |
| CARROLL HOSPITAL CENTER FOUNDATION INC | ||||||||||
| 200 MEMORIAL AVENUE | WESTMINSTER | MD | 21157 | 521115038 | CHARITY SUPPORT FOR CARROLL HOSPITAL CENTER, INC. & CARROLL HOSPICE | MD | 501(C)(3) | LINE 12A, I | CARROLL HOSPITAL CENTER INC | 0 |
| BRIDGINGLIFE INC (FKA CARROLL HOSPICE INC) | ||||||||||
| 292 STONER AVENUE | WESTMINSTER | MD | 21157 | 521565870 | HOSPICE | MD | 501(C)(3) | LINE 7 | CARROLL HOSPITAL CENTER INC | 0 |
| PARTNERSHIP FOR A HEALTHIER CARROLL COUNTY INC | ||||||||||
| 200 MEMORIAL AVENUE | WESTMINSTER | MD | 21157 | 522156892 | HEALTH SERVICES | MD | 501(C)(3) | LINE 7 | CARROLL HOSPITAL CENTER INC | 0 |
| THE BALTIMORE CHILD ABUSE CENTER INC CHILD ADVOCACY NETWORK | ||||||||||
| 2300 NORTH CHARLES STREET | BALTIMORE | MD | 21218 | 521681279 | CHILD ABUSE SUPPORT, TREATMENT, AND PREVENTION | MD | 501(C)(3) | LINE 7 | LIFEBRIDGE HEALTH INC | 0 |
| LIFEBRIDGE HEALTH INC | ||||||||||
| 2401 WEST BELVEDERE AVENUE | BALTIMORE | MD | 21215 | 521402373 | TO SUPPORT THE CHARITABLE MISSIONS OF ITS SUBSIDIARIES. | MD | 501(C)(3) | LINE 12C, III-FI | 0 | |
| GRACE MEDICAL CENTER INC | ||||||||||
| 2000 W BALTIMORE STREET | BALTIMORE | MD | 21223 | 520591555 | ACUTE CARE HOSPITAL | MD | 501(C)(3) | LINE 3 | LIFEBRIDGE HEALTH INC | 0 |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (26 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|
| CARDIOVASCULAR ASSOCIATES OF MARYLAND LLC | |||||||
| 2401 WEST BELVEDERE AVENUE | BALTIMORE | MD | 21215 | 462935110 | MEDICAL SERVICES | MD | N/A |
| CARROLL COUNTY RADIOLOGY LLC | |||||||
| 7253 AMBASSADOR ROAD | BALTIMORE | MD | 21244 | 522190849 | RADIOLOGY | MD | N/A |
| CARROLL OCCUPATIONAL HEALTH LLC | |||||||
| 7001 CORPORATE CENTER COURT | WESTMINSTER | MD | 21157 | 202769332 | MEDICAL SERVICES | MD | N/A |
| HOMECARE MARYLAND LLC | |||||||
| 8028 RITCHIE HIGHWAY SUITE 210B | PASADENA | MD | 21122 | 261378175 | HOME HEALTH SERVICES | MD | N/A |
| LIFEBRIDGE CARDIOLOGY OF PARKVILLE LLC | |||||||
| 2401 WEST BELVEDERE AVENUE | BALTIMORE | MD | 21215 | 463742313 | MEDICAL SERVICES | MD | N/A |
| LIFEBRIDGE COMMUNITY GASTROENTEROLOGY LLC | |||||||
| 2401 WEST BELVEDERE AVENUE | BALTIMORE | MD | 21215 | 462863298 | MEDICAL SERVICES | MD | N/A |
| LIFEBRIDGE COMMUNITY PEDIATRICS LLC | |||||||
| 2401 WEST BELVEDERE AVENUE | BALTIMORE | MD | 21215 | 462842468 | MEDICAL SERVICES | MD | N/A |
| LIFEBRIDGE COMMUNITY PULMONOLOGY LLC | |||||||
| 2401 WEST BELVEDERE AVENUE | BALTIMORE | MD | 21215 | 461401312 | MEDICAL SERVICES | MD | N/A |
| LIFEBRIDGE GYNECOLOGY OF PIKESVILLE LLC | |||||||
| 2401 WEST BELVEDERE AVENUE | BALTIMORE | MD | 21215 | 462949092 | MEDICAL SERVICES | MD | N/A |
| LIFEBRIDGE MEDICAL ASSOCIATES LLC | |||||||
| 2401 WEST BELVEDERE AVENUE | BALTIMORE | MD | 21215 | 462941505 | MEDICAL SERVICES | MD | N/A |
| LIFEBRIDGE NEUROSCIENCES LLC (ORTHOPEDIC SPECIALISTS LLC) | |||||||
| 2401 WEST BELVEDERE AVENUE | BALTIMORE | MD | 21215 | 450719598 | MEDICAL SERVICES | MD | N/A |
| LIFEBRIDGE PRIMARY CARE OF ELDERSBURG LLC | |||||||
| 2401 WEST BELVEDERE AVENUE | BALTIMORE | MD | 21215 | 383897702 | MEDICAL SERVICES | MD | N/A |
| LIFEBRIDGE PRIMARY CARE OF NORTH CARROLL LLC | |||||||
| 2401 WEST BELVEDERE AVENUE | BALTIMORE | MD | 21215 | 800883321 | MEDICAL SERVICES | MD | N/A |
| LIFEBRIDGE REHABILITATION SERVICES LLC | |||||||
| 2401 WEST BELVEDERE AVENUE | BALTIMORE | MD | 21215 | 811504380 | REHABILITATION SERVICES | MD | N/A |
| ELLICOTT CITY ASC MANAGEMENT LLC | |||||||
| 2401 WEST BELVEDERE AVENUE | BALTIMORE | MD | 21215 | 522331663 | MEDICAL SERVICES | MD | N/A |
| SURGICENTER OF BALTIMORE LLC | |||||||
| 2401 WEST BELVEDERE AVENUE | BALTIMORE | MD | 21215 | 521658841 | MEDICAL SERVICES | MD | N/A |
| MOUNT AIRY MED-SERVICES LLC | |||||||
| 200 MEMORIAL AVENUE | WESTMINSTER | MD | 21157 | 465632176 | MEDICAL SERVICES | MD | N/A |
| SPRINGWELL PARTNERS LLC | |||||||
| 2200 PINE HILL FARMS LANE | HUNT VALLEY | MD | 21030 | 271971171 | ASSISTED LIVING | MD | N/A |
| LIFEBRIDGE SUBURBAN PHYSICIAN GROUP II LLC | |||||||
| 5401 OLD COURT ROAD | RANDALLSTOWN | MD | 21133 | 814209029 | MEDICAL SERVICES | MD | N/A |
| OAK FARM SOLUTIONS LLC | |||||||
| 1122 KENILWORTH DRIVE SUITE 307 | TOWSON | MD | 21204 | 474944865 | HOME HEALTH SERVICES | MD | N/A |
| BRINTON WOODS SENIOR LIVING LLC | |||||||
| 9515 DEERECO ROAD SUITE 407 | TIMONIUM | MD | 21093 | 743137876 | ASSISTED LIVING | MD | N/A |
| ELLICOTT CITY AMBULATORY SURGERY CENTER LLLP | |||||||
| 2850 NORTH RIDGE ROAD | ELLICOTT CITY | MD | 21043 | 522331663 | MEDICAL SERVICES | MD | N/A |
| BRINTON WOODS HEALTH CARE CENTER LLC | |||||||
| 9515 DEERECO ROAD SUITE 407 | TIMONIUM | MD | 21093 | 260107427 | REHABILITATION SERVICES | MD | N/A |
| LIFEBRIDGE MULTI-SPECIALTY LLC | |||||||
| 41 MAGNA WAY SUITE 100 | WESTMINSTER | MD | 21157 | 463753120 | MEDICAL SERVICES | MD | N/A |
| LIFEBRIDGE METROPOLITAN PHYSICIAN GROUP II LLC | |||||||
| 2401 WEST BELVEDERE AVENUE | BALTIMORE | MD | 21215 | 814223537 | MEDICAL SERVICES | MD | N/A |
| LIFEBRIDGE LAB MANAGEMENT LLC | |||||||
| 2401 WEST BELVEDERE AVENUE | BALTIMORE | MD | 21215 | 821113874 | LABORATORY SERVICES | MD | N/A |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (12 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd | Foreign PostalForeignAddress/ForeignPostalCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| LIFEBRIDGE INVESTMENTS INC | ||||||||||||||
| 2401 WEST BELVEDERE AVENUE | BALTIMORE | MD | 21215 | 521483166 | INVESTMENT | MD | N/A | C | 0 | |||||
| HEALTHSTAR MEDICAL SERVICES INC | ||||||||||||||
| 2401 WEST BELVEDERE AVENUE | BALTIMORE | MD | 21215 | 521829098 | HEALTHCARE | MD | N/A | C | 0 | |||||
| PRACTICE DYNAMICS INC | ||||||||||||||
| 124 BUSINESS CENTER DRIVE | REISTERSTOWN | MD | 21136 | 521960319 | MANAGEMENT | MD | N/A | C | 0 | |||||
| LIFEBRIDGE INSURANCE COMPANY LTD | ||||||||||||||
| 980415396 | INSURANCE | N/A | C | 0 | PO BOX 1109 KY1-1102 | GRAND CAYMAN | CJ | CJ | ||||||
| LIFEBRIDGE COMMUNITY PHYSICIANS INC | ||||||||||||||
| 2401 WEST BELVEDERE AVENUE | BALTIMORE | MD | 21215 | 800719005 | HEALTHCARE | MD | N/A | C | 0 | |||||
| CARROLL COUNTY GENERAL HOSPITAL SOUTH CARROLL MEDICAL CENTER CONDOMINIUM | ||||||||||||||
| 200 MEMORIAL AVENUE | WESTMINSTER | MD | 21157 | REAL ESTATE | MD | N/A | C | 0 | ||||||
| MED-SERVICES HOLDINGS INC | ||||||||||||||
| 200 MEMORIAL AVENUE | WESTMINSTER | MD | 21157 | MEDICAL SERVICES | MD | N/A | C | 0 | ||||||
| CARROLL COUNTY MED-SERVICES INC | ||||||||||||||
| 200 MEMORIAL AVENUE | WESTMINSTER | MD | 21157 | 521891102 | MEDICAL SERVICES | MD | N/A | C | 0 | |||||
| CARROLL BILLING SERVICES INC | ||||||||||||||
| 200 MEMORIAL AVENUE | WESTMINSTER | MD | 21157 | 300026598 | BILLING SERVICES | MD | N/A | C | 0 | |||||
| CARROLL HEALTH GROUP LLC | ||||||||||||||
| 200 MEMORIAL AVENUE | WESTMINSTER | MD | 21157 | 271956453 | HEALTHCARE | MD | N/A | C | 0 | |||||
| CARROLL URGENT CARE LLC | ||||||||||||||
| 200 MEMORIAL AVENUE | WESTMINSTER | MD | 21157 | 465739154 | HEALTHCARE | MD | N/A | C | 0 | |||||
| LIFEBRIDGE HEALTH ISRAEL LTD | ||||||||||||||
| 515804516 | HEALTHCARE CALL CENTER | N/A | C | 0 | 16 ABBA HILLEL ROAD | RAMAT GAN | IS | IS | 5250608 | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (2 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| LIFEBRIDGE HEALTH INC | ||
| C | $2,758,118 | FMV |
| LIFEBRIDGE HEALTH INC | ||
| S | $242,200 | FMV |
Comments