NORTHWEST HOSPITAL CENTER INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
NORTHWEST HOSPITAL CENTER INC (EIN 52-1372665)
Tax period
2012-07-01 to 2013-06-30
Filed
2014-05-14
IRS object ID
201401349349308010
Schema version
2012v2.3
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

FieldValueIRS element (for citing)
Timestamp2014-05-14T18:10:58-05:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1KPMG LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11676 International DriveAddressLine1
CityMcLeanCity
StateVAState
ZIP Code22102ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN521372665EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1NORTHWEST HOSPITAL CENTER INCBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% NANCY KANEInCareOfName
Name ControlNORTNameControl
Phone4106015653Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line15401 OLD COURT ROADAddressLine1
Address Line2SuiteAddressLine2
CityRANDALLSTOWNCity
StateMDState
ZIP Code21133ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDAVID KRAJEWSKIName
TitleSENIOR VICE PRESIDENT/CFOTitle
Phone4106015653Phone
Date Signed2014-05-12DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone7032868000Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonBRIAN WHITENameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line15401 OLD COURT ROADAddressLine1
CityRANDALLSTOWNCity
StateMDState
ZIP Code21133ZIPCode
FieldValueIRS element (for citing)
Gross Receipts245547374GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.LIFEBRIDGEHEALTH.ORG/NORTHWESTWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1984YearFormation
State Legal DomicileMDStateLegalDomicile
Activity Or Mission DescriptionTO IMPROVE THE WELLBEING OF THE COMMUNITY WE SERVE.ActivityOrMissionDescription
Nbr Voting Members Governing Body20NbrVotingMembersGoverningBody
Nbr Independent Voting Members16NbrIndependentVotingMembers
Total Nbr Employees1907TotalNbrEmployees
Total Nbr Volunteers125TotalNbrVolunteers
Total Gross UBI10340TotalGrossUBI
Contributions Grants Prior Year381039ContributionsGrantsPriorYear
Contributions Grants Current Year613972ContributionsGrantsCurrentYear
Program Service Revenue Prior Year220018425ProgramServiceRevenuePriorYear
Program Service Revenue CY230482944ProgramServiceRevenueCY
Investment Income Prior Year5474273InvestmentIncomePriorYear
Investment Income Current Year6256812InvestmentIncomeCurrentYear
Other Revenue Prior Year7807158OtherRevenuePriorYear
Other Revenue Current Year8193646OtherRevenueCurrentYear
Total Revenue Prior Year233680895TotalRevenuePriorYear
Total Revenue Current Year245547374TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year270GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY14000GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year115403477SalariesEtcPriorYear
Salaries Etc Current Year116880031SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year36939TotalFundrsngExpCurrentYear
Other Expense Prior Year102396695OtherExpensePriorYear
Other Expenses Current Year108061706OtherExpensesCurrentYear
Total Expenses Prior Year217800442TotalExpensesPriorYear
Total Expenses Current Year224955737TotalExpensesCurrentYear
Revenues Less Expenses Prior Year15880453RevenuesLessExpensesPriorYear
Revenues Less Expenses CY20591637RevenuesLessExpensesCY
Total Assets BOY267747693TotalAssetsBOY
Total Assets EOY292645361TotalAssetsEOY
Total Liabilities BOY125844022TotalLiabilitiesBOY
Total Liabilities EOY126644941TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY141903671NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY166000420NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionSEE SCHEDULE OMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense167185008Expense
Grants14000Grants
Revenue230482944Revenue
DescriptionNORTHWEST HOSPITAL CENTER, INC. IS RESPONSIBLE FOR THE MANAGEMENT AND DAY-TO-DAY OPERATIONS OF THE 225 BED ACUTE-CARE AND 29 BED SUB ACUTE-CARE UNIT. THE HOSPITAL PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. TOTAL CHARITY CARE AT COST WAS $3,957,922.Description
Total Program Service Expense167185008TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096158NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees1907NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members20NbrVotingGoverningBodyMembers
Number Independent Voting Members16NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledCAStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledMDStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonNANCY KANENamePerson
Telephone Number4106015653TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12401 WEST BELVEDERE AVENUEAddressLine1
CityBaltimoreCity
StateMDState
ZIP Code21215ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (32 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
WARREN GREEN
CEO/DIRECTOR1.045.0XX0152429749933
BRIAN WHITE
PRESIDENT/COO/DIRECTOR40.0XX442410082554
WALTER AMPREY PHD
DIRECTOR1.0X000
RONALD ATTMAN
SECRETARY1.0X000
RICHARD AZRAEL
DIRECTOR1.0X000
EUGENE A FRIEDMAN
DIRECTOR1.0X011880
IRA HIMMEL
DIRECTOR1.0X
JUAN JUANTEGUY MD
DIRECTOR1.0X000
DONALD KIRSON
DIRECTOR1.0X011880
DOUGLAS LEDERMAN
VICE CHAIRMAN1.0XX000
AUDREY LIFCOVICH
DIRECTOR1.0X000
STANFORD H MALINOW MD
DIRECTOR1.0X000
JOSEPH MIGLIARA
TREASURER1.0XX000
THOMAS F OBRECHT
DIRECTOR1.0X000
DEBORAH S PHELPS
DIRECTOR1.0X000
PAUL L SAVAL
DIRECTOR1.0X000
BENAJMIN SCHAPIRO
DIRECTOR1.0X000
WILLIAM I SMULYAN MD
DIRECTOR1.0X011880
BARRY S WALTERS MD
DIRECTOR1.0X000
JOEL R WOHL
DIRECTOR1.0X000
ALAN D YARBRO
CHAIRMAN1.0XX000
Philip J Jacobs
Director1.0X000
RONALD GINSBERG
VP MEDICAL AFFAIRS40.0X434074020538
CANDACE HAMNER
VP CARE MANAGEMENT40.0X305163012801
SUSAN JALBERT
VP PATIENT CARE SERVICES40.0X295901044576
CHARLES ORLANDO
SR. VICE PREISDENT/CFO1.045.0X0804097181378
David Krajewski
SR. VICE PRESIDENT/CFO40.0X421480062455
DAWN LEONARD MD
SURGEON40.0419145032319X
ABDALLAH KAFROUNI
INTENSIVIST40.0395146031629X
MAYER GORBATY MD
PHYSICIAN-IN-CHIEF40.0399220030784X
ALAN DAVIS
PHYSICIAN40.0331220021470X
Chaitanta Ravi
Physician40.0321235025661X
FieldValueIRS element (for citing)
Total Reportable Comp From Org3764994TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs2331958TotalReportableCompFrmRltdOrgs
Total Other Compensation596098TotalOtherCompensation
Number Individuals GT100 K125NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
CROTHALL
13028 COLLECTION CENTER DRCHICAGOIL60693CONTRACT CLEANING4791922
ARAMARK CORPORATION HSS
27271 NETWORK PLACECHICAGOIL60603CAFETERIA MANAGEMENT2239902
ALLIANT STAFFING
7201 WISCONSIN AVENUEBETHESDAMD20814AGENCY NURSING624376
DAVITA OWINGS MILLS
PO BOX 403008ATLANTAGA30384RENAL DIALYSIS591455
TRANSCEND SERVICES INC
PO BOX 740209ATLANTAGA303740209TRANSCRIPTION519462
FieldValueIRS element (for citing)
Number Of Contractors GT100 K28NumberOfContractorsGT100K
Government Grants296927GovernmentGrants
All Other Contributions317045AllOtherContributions
Total Contributions613972TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPATIENT REVENUEDescription
Business Code900099BusinessCode
Total Revenue Column230482944TotalRevenueColumn
Related Or Exempt Function Income230482944RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue230482944TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column4745380TotalRevenueColumn
Exclusion$4,745,380ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real109756Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real109756Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column109756TotalRevenueColumn
Exclusion$109,756ExclusionAmount

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column1511432TotalRevenueColumn
Exclusion$1,511,432ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmountUnrelated Business RevenueUnrelatedBusinessRevenue
CAFETERIA SALES9000991192868$1,192,868
PHARMACY SALES9000993557060$3,557,060
MISCELLANEOUS9000993333962$3,323,62210340
FieldValueIRS element (for citing)
Total Other Revenue8083890TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column245547374TotalRevenueColumn
Related Or Exempt Function Income230482944RelatedOrExemptFunctionIncome
Unrelated Business Revenue10340UnrelatedBusinessRevenue
Exclusion$14,440,118ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total14000Total
Program Services14000ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1145742Total
Management And General1108803ManagementAndGeneral
Fundraising36939Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total92947771Total
Program Services72462690ProgramServices
Management And General20485081ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total3108155Total
Program Services2548687ProgramServices
Management And General559468ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total13381412Total
Program Services9902681ProgramServices
Management And General3478731ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total6296951Total
Program Services5163500ProgramServices
Management And General1133451ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total0Total

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total19817007Total
Program Services6172108ProgramServices
Management And General13644899ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total625546Total
Program Services37846ProgramServices
Management And General587700ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total5220984Total
Program Services924203ProgramServices
Management And General4296781ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total3665135Total
Program Services2915209ProgramServices
Management And General749926ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total50856Total
Program Services50295ProgramServices
Management And General561ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total734445Total
Program Services381882ProgramServices
Management And General352563ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total4497727Total
Program Services4497727ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total11745067Total
Program Services8775358ProgramServices
Management And General2969709ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total314671Total
Program Services314671ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
SUPPLIES34218053284726935745360
PROVISION FOR BAD DEBT1692378416923784
PROFESSIONAL & TECHNICAL892167164850122436659
AGENCY NURSES10987401098740

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total228020Total
Program Services43922ProgramServices
Management And General184098ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total224955737Total
Program Services167185008ProgramServices
Management And General57733790ManagementAndGeneral
Fundraising36939Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY4877BOY
EOY5078EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY52668646BOY
EOY64862725EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY1044141BOY
EOY1207395EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY25753231BOY
EOY28923333EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY3518478BOY
EOY3410644EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY483162BOY
EOY676628EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis260617135LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec147034079LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY108031110BOY
EOY113583056EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY75401157BOY
EOY78986258EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY842891BOY
EOY990244EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY267747693BOY
EOY292645361EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY33459334BOY
EOY35417971EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY249321BOY
EOY231902EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY92135367BOY
EOY90995068EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY125844022BOY
EOY126644941EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY138238925BOY
EOY160584357EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY3664746BOY
EOY5416063EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY141903671BOY
EOY166000420EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY267747693BOY
EOY292645361EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses20591637ReconcilationRevenueExpenses
Reconciliation Unrealized Invest3021889ReconciliationUnrealizedInvest
Reconcilation Other Changes483223ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteerstrueVolunteers
Paid Staff Or ManagementtruePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorstrueDirectContactLegislators
Direct Contact Legislators$13,528DirectContactLegislatorsAmount
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$53,002OtherActivitiesAmount
Total Lobbying Expenditures IIB66530TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierLOBBYING ACTIVITIESIdentifier
Return ReferenceSCHEDULE C , PART II-BReturnReference
ExplanationLOBBYING INCLUDES A PORTION OF THE MARYLAND HOSPITAL ASSOCIATION DUES RELATED TO LOBBYING ACTIVITIES DURING THE YEAR ENDED JUNE 30, 2013 AND OTHER LOBBYING ACTIVITIES PERFORMED ON BEHALF OF THE HOSPITAL REGARDING COMMUNITY STABILIZATION AND DEVELOPMENT, INTERVENTIONAL CARDIOLOGY, HEALTH CARE MALPRACTICE, AND PROGRAM FUNDING.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
Current Year Minus3 YearsCurrentYearMinus3Years
Current Year Minus4 YearsCurrentYearMinus4Years

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis7619238OtherCostOrOtherBasis
Book Value7619238BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis126351263OtherCostOrOtherBasis
Depreciation51297316Depreciation
Book Value75053947BookValue
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovements

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis111212727OtherCostOrOtherBasis
Depreciation95736763Depreciation
Book Value15475964BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis15433907OtherCostOrOtherBasis
Depreciation0Depreciation
Book Value15433907BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings113583056TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (6 entries)

DescriptionDescriptionAmountAmount
CAPTIVE PROFESSIONAL LIABILITY$590,780
WORKERS COMPENSATION$878,414
DEFERRED COMPENSATION$66,836
ASSET RETIREMENT OBLIGATION$610,000
DUE TO AFFILIATES BONDS$79,263,815
OTHER L.T.LIABILITIES$9,585,223
FieldValueIRS element (for citing)
Total Of Amounts90995068TotalOfAmounts

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierUNCERTAIN TAX POSITIONS FOR FIN 48Identifier
Return ReferenceSCHEDULE D PART XReturnReference
ExplanationTHE ORGANIZATION IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF LIFEBRIDGE HEALTH, INC. AND SUBSIDIARIES. LIFEBRIDGE HEALTH AND ITS NOT-FOR-PROFIT SUBSIDIARIES HAVE BEEN RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE ORGANIZATION ACCOUNTS FOR UNCERTAIN TAX POSITIONS IN ACCORDANCE WITH ASC TOPIC 740. THE ORGANIZATION'S FINANCIAL STATEMENTS DO NOT INCLUDE ANY LIABILITY FOR UNCERTAIN TAX POSITIONS IN ACCORDANCE WITH ASC TOPIC 740.Explanation

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
FPG Reference Free CaretrueFPGReferenceFreeCare

Other Percentage OtherPercentage

FieldValueIRS element (for citing)
OtherXOther
Free Other Percentage300.FreeOtherPercentage
FieldValueIRS element (for citing)
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare

Discounted Other DiscountedOther

FieldValueIRS element (for citing)
OtherXOther
Discounted Other Percentage500.DiscountedOtherPercentage
FieldValueIRS element (for citing)
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgettrueExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense2235818TotalCommunityBenefitExpense
Net Community Benefit Expense2235818NetCommunityBenefitExpense
Percent Of Total Expense0.00990PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense2235818TotalCommunityBenefitExpense
Net Community Benefit Expense2235818NetCommunityBenefitExpense
Percent Of Total Expense0.00990PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense1382188TotalCommunityBenefitExpense
Net Community Benefit Expense1382188NetCommunityBenefitExpense
Percent Of Total Expense0.00610PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense703095TotalCommunityBenefitExpense
Net Community Benefit Expense703095NetCommunityBenefitExpense
Percent Of Total Expense0.00310PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense3703410TotalCommunityBenefitExpense
Net Community Benefit Expense3703410NetCommunityBenefitExpense
Percent Of Total Expense0.01650PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense74266TotalCommunityBenefitExpense
Net Community Benefit Expense74266NetCommunityBenefitExpense
Percent Of Total Expense0.00030PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense166374TotalCommunityBenefitExpense
Net Community Benefit Expense166374NetCommunityBenefitExpense
Percent Of Total Expense0.00070PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense6029333TotalCommunityBenefitExpense
Net Community Benefit Expense6029333NetCommunityBenefitExpense
Percent Of Total Expense0.02670PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense8265151TotalCommunityBenefitExpense
Net Community Benefit Expense8265151NetCommunityBenefitExpense
Percent Of Total Expense0.03660PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Total Community Building Expense139388TotalCommunityBuildingExpense
Net Community Building Expense139388NetCommunityBuildingExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense139388TotalCommunityBuildingExpense
Net Community Building Expense139388NetCommunityBuildingExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReported
Bad Debt Expense$16,923,784BadDebtExpenseAmount
Amount Attributable To9560192AmountAttributableTo
Amount Reimbursed By Medicare101118615AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare81727596CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall19391019MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1NORTHWEST HOSPITAL CENTER INCBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line15401 OLD COURT ROADAddressLine1
CityRANDALLSTOWNCity
StateMDState
ZIP Code21133ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours
OtherSUB-ACUTEOther

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1NORTHWEST HOSPITAL CENTER INCBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
CHNA ConductedtrueCHNAConducted
Community DefinitionXCommunityDefinition
Community DemographicsXCommunityDemographics
Existing ResourcesXExistingResources
How Data ObtainedXHowDataObtained
Community Health NeedsXCommunityHealthNeeds
Other Health IssuesXOtherHealthIssues
Identifying ProcessXIdentifyingProcess
Consulting ProcessXConsultingProcess
Information GapsXInformationGaps
Needs Assessment Conducted13NeedsAssessmentConducted
Take Into AccounttrueTakeIntoAccount
Other FacilitiesfalseOtherFacilities
CHNA Widely AvailabletrueCHNAWidelyAvailable
On RequestXOnRequest
Adopt Implement StrategyXAdoptImplementStrategy
Execute Implement StrategyXExecuteImplementStrategy
Prioritize Health NeedsXPrioritizeHealthNeeds
Prioritize ServicesXPrioritizeServices
All Needs AddressedfalseAllNeedsAddressed
Organization Incur Excise TaxfalseOrganizationIncurExciseTax
Eligibility Criteria ExplainedtrueEligibilityCriteriaExplained
Uses FPG FreetrueUsesFPGFree
FPG Free Percent300.FPGFreePercent
Uses FPG DiscountedtrueUsesFPGDiscounted
FPG Discount Percent500.FPGDiscountPercent
Explains BasistrueExplainsBasis
State RegulationXStateRegulation
Explains Application MethodtrueExplainsApplicationMethod
Includes Publicity MeasurestrueIncludesPublicityMeasures
Attached To InvoicesXAttachedToInvoices
Posted In Emergency RoomXPostedInEmergencyRoom
Posted In Admission OfficeXPostedInAdmissionOffice
Provided On AdmissionXProvidedOnAdmission
Available On RequestXAvailableOnRequest
Actions On NonpaymenttrueActionsOnNonpayment
Collection ActivitiesfalseCollectionActivities
Notify Upon AdmissionXNotifyUponAdmission
Notify Before DischargeXNotifyBeforeDischarge
Notified All PatientsXNotifiedAllPatients
Documented DeterminationXDocumentedDetermination
Nondiscrim Emergency Care PolicytrueNondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally BilledfalseAmountsGenerallyBilled
Gross ChargestrueGrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (14 entries)

IdentifierIdentifierExplanationExplanation
PART I LINE 3C FINANCIAL ASSISTANCE ELIGIBILITY CRITERIANORTHWEST HOSPITAL 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. THE CRITERIA FOR CHARITY CARE CONSIDER GROSS INCOME AND FAMILY SIZE ACCORDING TO CURRENT FEDERAL POVERTY GUIDELINES. PATIENTS WITH AN ANNUAL INCOME UP TO 300% OF THE FEDERAL POVERTY LEVEL MAY HAVE 100% OF THEIR HOSPITAL BILLS COVERED BY FINANCIAL ASSISTANCE. TO QUALIFY, THE PATIENT MUST SHOW PROOF OF INCOME 300% OR LESS OF THE FEDERAL POVERTY GUIDELINES. PATIENTS SLIGHTLY ABOVE 300% ANNUAL INCOME MAY HAVE A PORTION OF THEIR MEDICAL BILLS COVERED BY FINANCIAL ASSISTANCE BASED ON A SLIDING SCALE. ELIGIBILITY IS CALCULATED BASED ON THE NUMBER OF PEOPLE LIVING IN THE HOUSEHOLD.
PART I LINE 7 COMMUNITY BENEFITS AT COSTMARYLAND'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 PAYORS RATES, WHICH DOES NOT ENABLE MARYLAND HOSPITALS TO BREAK-OUT ANY OFFSETTING REVENUE RELATED TO UNCOMPENSATED CARE. COMMUNITY BENEFIT EXPENSES ARE EQUAL TO MEDICAID REVENUES IN MARYLAND, AS SUCH, THE NET EFFECT IS 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.
PART II - COMMUNITY BUILDING ACTIVITIES:DECISIONS REGARDING THE SELECTION OF COMMUNITY NEEDS TO ADDRESS DEPEND ON THE HOSPITAL DEPARTMENTS INVOLVED AND THE CONSTITUENCIES THEY SERVE. DECISIONS MAY ALSO INVOLVE HOW THE COMMUNITY ASSESSMENT WAS DONE, AND FOR WHAT PURPOSE. EACH YEAR, NORTHWEST HOSPITAL CONDUCTS DISASTER DRILLS, PROVIDES DISASTER READINESS EDUCATION, AND PURCHASES SUPPLIES IN ORDER TO PREPARE AND RESPOND TO LOCAL AND STATE EMERGENCIES. THE HOSPITAL ANNUALLY REVIEWS PREPAREDNESS STRATEGIES TO ENSURE THAT THEY RESPOND TO COMMUNITY NEEDS AND ALIGN WITH DISASTER PREPAREDNESS PRIORITIES OUTLINED BY THE MARYLAND DEPARTMENT OF HEALTH AND MENTAL HYGIENE'S OFFICE OF PREPAREDNESS AND RESPONSE. DURING FY 2012, THE HOSPITAL CONDUCTED SEVERAL CODE ORANGE DRILLS TO PREPARE FOR POTENTIAL LOCAL HAZMAT SITUATIONS AND PARTICIPATED IN A NATIONAL DISASTER MEDICAL SYSTEM DRILL. DISASTER PREPAREDNESS FUNDS ALSO SUPPORTED EDUCATIONAL PROGRAMS AND SUPPLY ACQUISITION TO ENSURE THAT THE HOSPITAL IS EQUIPPED AND PREPARED TO PROVIDE IMMEDIATE QUALITY CARE TO PATIENTS AND COMMUNITY RESIDENTS IN THE FACE OF EMERGENCIES.
PART III, LINE 4 BAD DEBT EXPENSE:THE PREPARATION OF CONSOLIDATED FINANCIAL STATEMENTS, IN CONFORMITY WITH U.S. GENERALLY ACCEPTED ACCOUNTING PRINCIPLES, REQUIRES MANAGEMENT TO MAKE ESTIMATES AND ASSUMPTIONS. 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 ARE USED TO ASSIST IN THE RECOVERY OF BAD DEBT DOLLARS AFTER ALL INTERNAL COLLECTION EFFORTS HAVE BEEN EXHAUSTED. IN SO DOING, THE COLLECTION AGENCIES MUST OPERATE CONSISTENTLY WITH NORTHWEST HOSPITAL'S GOAL OF MAXIMUM BAD DEBT RECOVERY AND STRICT ADHERENCE WITH FAIR DEBT COLLECTIONS PRACTICES ACT (FDCPA) RULES AND REGULATIONS, WHILE MAINTAINING POSITIVE PATIENT RELATIONS.
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.
PART III, LINE 9B CHARITY CARE AND FINANCIAL ASSISTANCE:NORTHWEST HOSPITAL 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. THE CRITERIA FOR CHARITY CARE CONSIDER GROSS INCOME AND FAMILY SIZE ACCORDING TO CURRENT FEDERAL POVERTY GUIDELINES. PATIENTS WITH AN ANNUAL INCOME UP TO 300% OF THE FEDERAL POVERTY LEVEL MAY HAVE 100% OF THEIR HOSPITAL BILLS COVERED BY FINANCIAL ASSISTANCE. TO QUALIFY, THE PATIENT MUST SHOW PROOF OF INCOME 300% OR LESS OF THE FEDERAL POVERTY GUIDELINES. PATIENTS SLIGHTLY ABOVE 300% ANNUAL INCOME MAY HAVE A PORTION OF THEIR MEDICAL BILLS COVERED BY FINANCIAL ASSISTANCE BASED ON A SLIDING SCALE. ELIGIBILITY IS CALCULATED BASED ON THE NUMBER OF PEOPLE LIVING IN THE HOUSEHOLD.
PART V, LINE 1J - OTHER CHNA DESCRIPTIONS:THERE WERE NO INFORMATION GAPS IDENTIFIED IN THE ASSESSMENT. IN ADDITION TO THE ITEMS LISTED IN LINE 1, THE CHNA DESCRIBES THE HOSPITAL'S DEMOGRAPHICS. PART V, LINE 3 - COMMUNITY REPRESENTATIVES: LIFEBRIDGE HEALTH, INC., A REGIONAL MARYLAND HEALTH SYSTEM WITH HOSPITALS LOCATED IN BOTH BALTIMORE CITY AND BALTIMORE COUNTY, INITIATED EARLY TALKS WITH BOTH BALTIMORE CITY AND BALTIMORE COUNTY HEALTH DEPARTMENTS AROUND LOCAL HEALTH IMPROVEMENT PLANS TO SUPPORT THE MARYLAND STATE HEALTH IMPROVEMENT PLAN (SHIP). BECAUSE NORTHWEST SERVES PATIENTS IN BALTIMORE COUNTY AS WELL AS BALTIMORE CITY, PARTNERSHIPS DEVELOPED WITH BOTH HEALTH DEPARTMENTS WERE IMPORTANT FOR ASSESSMENT COMPLETION AS WELL AS THE PLANNING AND IMPLEMENTATION OF COMMUNITY HEALTH IMPROVEMENT PROJECTS. IN SUPPORT OF NORTHWEST'S GROWING PARTNERSHIP WITH THE BALTIMORE COUNTY HEALTH DEPARTMENT AND THE BALTIMORE CITY HEALTH DEPARTMENT, REPRESENTATIVES FROM EACH WERE INVITED TO PRESENT THEIR LOCAL HEALTH IMPROVEMENT PLANS TO LIFEBRIDGE HEALTH, INC.'S COMMUNITY MISSION COMMITTEE (CMC), A LIFEBRIDGE BOARD COMMITTEE THAT GUIDES AND MONITORS COMMUNITY BENEFIT PROGRAMMING. BALTIMORE COUNTY HEALTH DEPARTMENT'S DEPUTY DIRECTOR, MS. DELLA LEISTER, PRESENTED THE BALTIMORE COUNTY HEALTH IMPROVEMENT PLAN AND MS. SARAH MORRIS-COMPTOM, DIRECTOR OF POLICY AND PLANNING, PRESENTED THE BALTIMORE CITY HEALTH DEPARTMENT'S HEALTH IMPROVEMENT INITIATIVE, HEALTHY BALTIMORE 2015. DUE TO LOCATION OF HOSPITALS, SINAI HOSPITAL REPRESENTATIVES TAKE PRIMARY RESPONSIBILITY FOR PARTNERSHIP WITH THE BALTIMORE CITY HEALTH DEPARTMENT, AND A NORTHWEST REPRESENTATIVE PARTICIPATES AS A MEMBER OF THE BALTIMORE COUNTY HEALTH IMPROVEMENT COALITION. THE CHNA TEAM FURTHER STRENGTHENED NORTHWEST'S PARTNERSHIP WITH BALTIMORE COUNTY BY MEETING WITH BALTIMORE COUNTY HEALTH DEPARTMENT REPRESENTATIVES IN EARLY 2013 TO SHARE COMMUNITY FEEDBACK AND EXPLORE OPPORTUNITIES TO PARTNER ON THE DEVELOPMENT OF A COMMUNITY HEALTH IMPROVEMENT PROJECT IN RESPONSE TO NORTHWEST'S CHNA RESULTS. ANOTHER PARTICIPANT IN NORTHWEST'S CHNA PROCESS WAS THE NORTHWEST HOSPITAL HEALTH POLICY ADVISORY BOARD (NWHPAB), A GROUP OF HOSPITAL AND COMMUNITY STAKEHOLDERS WHOSE GROUP PURPOSE IS TO ENGAGE COMMUNITY LEADERS AROUND IMPORTANT HEALTH ISSUES. THIS GROUP PROVIDED KEY GUIDANCE IN THE DEVELOPMENT OF A PROCESS FOR CONDUCTING THE CHNA. FOR EXAMPLE, THE GROUP PROVIDED AN EARLY RECOMMENDATION TO USE WRITTEN AND ELECTRONIC SURVEYS TO REACH COMMUNITY MEMBERS. TO SUPPLEMENT THE DATA RECEIVED FROM SURVEYS, THE CHNA TEAM DECIDED TO ALSO HOLD A COMMUNITY FEEDBACK SESSION AT THE RANDALLSTOWN COMMUNITY CENTER, A LOCATION RECOMMENDED BY A NWHPAB MEMBER. OVERALL, THE NWHPAB'S CONTRIBUTION TO THE ASSESSMENT PROCESS INCLUDED SPREADING THE WORD ABOUT THE ASSESSMENT THROUGH BOTH ORAL AND WRITTEN METHODS, DISTRIBUTING AND COLLECTING COMMUNITY SURVEYS WITHIN PERSONAL AND PROFESSIONAL NETWORKS, AT COMMUNITY MEETINGS AND EVENTS, OFFERING RECOMMENDATIONS FOR THE PLANNING OF COMMUNITY FORUMS, DISTRIBUTING COMMUNITY FORUM FLYERS AND ATTENDING KEY COMMUNITY EVENTS IN SUPPORT OF THE ASSESSMENT. NORTHWEST ALSO USED ITS ROUTINE PRACTICE OF COLLABORATING WITH COMMUNITY AND HUMAN SERVICE PARTNERS IN ORDER TO ENHANCE COMMUNITY INVOLVEMENT AND INPUT DURING THE CHNA PROCESS. PARTNERS WHO PROVIDED SUPPORT FOR THE CHNA INCLUDE: TONY BAYSMORE, SPECIAL ASSISTANT TO BALTIMORE COUNTY EXECUTIVE KEVIN KAMENETZ, THE RANDALLSTOWN COMMUNITY CENTER, THE LOCAL CHAPTER OF DELTA SIGMA THETA SORORITY, AS WELL AS LOCAL AREA CHURCHES, FAITH-BASED INSTITUTIONS, SCHOOLS AND RECREATION-BASED PROGRAMS. IN ADDITION, A NEW PARTNERSHIP EMERGED FOLLOWING NORTHWEST'S FIRST COMMUNITY FEEDBACK SESSION IN NOVEMBER 2012. IN ATTENDANCE WAS AN ACTIVE MEMBER OF THE LIBERTY ROAD COMMUNITY COUNCIL (LRCC) WHO INVITED MEMBERS OF THE CHNA TEAM TO ATTEND A LRCC BOARD MEETING TO PRESENT AND RECEIVE FEEDBACK ABOUT COMMUNITY HEALTH NEEDS AND STRATEGIES FOR IMPROVING COMMUNITY HEALTH. ASSISTANCE FROM PARTNERS DESCRIBED ABOVE INCLUDED SPREADING THE WORD ABOUT THE ASSESSMENT, DISTRIBUTING AND COLLECTING COMMUNITY SURVEYS, PROVIDING SPACE AND ALLOCATING MEETING TIME FOR GATHERING COMMUNITY INPUT ON HEALTH NEEDS, AND OFFERING CONSISTENT SUPPORT FOR OTHER TASKS AS NEEDED. IN ADDITION, PARTNERS CONTRIBUTED THEIR OWN FEEDBACK ABOUT COMMUNITY HEALTH NEEDS. ANOTHER KEY ROLE OF COMMUNITY PARTNERS WILL BE PARTICIPATION IN PROJECT-PLANNING AS WE DETERMINE SPECIFIC COMPONENTS OF THE COMMUNITY-WIDE COMMUNITY HEALTH IMPROVEMENT PROJECT AND THE ROLE THAT EACH COMMUNITY PARTNER WILL PLAY IN ITS IMPLEMENTATION. THE FOLLOWING COMMUNITY MEMBERS WERE CONSULTED: DELLA J. LEISTER, DEPUTY HEALTH OFFICER BALTIMORE COUNTY HEALTH DEPARTMENT; SARAH MORRIS-COMPTON, DIRECTOR OFFICE OF POLICY AND PLANNING, BALTIMORE CITY HEALTH DEPARTMENT; TONY BAYSMORE, SPECIAL ASSISTANT TO BALTIMORE COUNTY EXECUTIVE KEVIN KAMENETZ BALTIMORE COUNTY EXECUTIVE OFFICE; GLORIA MARROW, M.A. DELTA SIGMA THETA SORORITY; L'AARON JOHNSON, LIBERTY ROAD COMMUNITY COUNCIL, INC.; NORTHWEST HOSPITAL HEALTH POLICY ADVISORY BOARD AND MEMBERS OF THE COMMUNITY WHO ATTENDED NORTHWEST HOSPITAL COMMUNITY FEEDBACK SESSIONS. PART V, LINE 5A - CHNA REPORT AVAILABILITY (WEBSITE): HTTP://WWW.LIFEBRIDGEHEALTH.ORG/UPLOADS/PUBLIC/DOCUMENTS/COMMUNITY%20HEALT H/NORTHWEST%20HOSPITAL_COMMUNITYHEALTHNEEDSASSESSMENTIMPLEMENT ATIONSTRATEGY_JUNE%202013.PDF PART V, LINE 5C - CHNA REPORT AVAILABILITY (OTHER): COPIES OF THE CHNA WERE DISTRIBUTED TO KEY COMMUNITY PARTNERS. PART V, LINE 7 - NEEDS THAT HOSPITAL FACILITY FAILED TO ADDRESS: WHEN NORTHWEST HOSPITAL AND SINAI HOSPITAL MERGED IN 1988 TO FORM THE LIFEBRIDGE HEALTH, INC. SYSTEM, EACH HOSPITAL BROUGHT ITS OWN APPROACH TO COMMUNITY BENEFIT PROGRAMMING. NORTHWEST HOSPITAL CREATED COMMUNITY HEALTH EDUCATION PROGRAMS TO HELP ITS RESIDENTS STAY HEALTHY THROUGH HEALTH PROMOTION AND PREVENTION EFFORTS WHILE SINAI HOSPITAL BUILT SERVICES TO INTERVENE WITH AND TREAT SYMPTOMS OF EXTREME POVERTY EXPERIENCED BY AREA RESIDENTS. THESE PHILOSOPHIES CONTINUE TO DRIVE COMMUNITY BENEFIT PROGRAMMING AT EACH HOSPITAL. NORTHWEST HOSPITAL RECOGNIZES THAT NOT ALL IDENTIFIED COMMUNITY NEEDS CAN BE ADDRESSED AND THAT DIFFICULT CHOICES MUST BE MADE TO PRESERVE THE HOSPITAL'S CORE MISSION AND PROPERLY ALLOCATE LIMITED RESOURCES TO THE AREAS OF GREATEST NEED. IF AN IDENTIFIED NEED IS OUTSIDE THE PURVIEW OF THE HOSPITAL'S KEY PURPOSE OF PROVIDING QUALITY HEALTHCARE, WE SEARCH FOR WAYS IN WHICH OUR COMMUNITY PARTNERS MAY BE ABLE TO ADDRESS OUR COMMUNITY'S NEEDS WHILE THE HOSPITAL PLAYS A MORE SECONDARY ROLE. FOR EXAMPLE, WHEN OUR PARTNER, THE BALTIMORE COUNTY DEPARTMENT OF HEALTH, IDENTIFIED INFANT MORTALITY AS A HEALTH PRIORITY FOR BALTIMORE COUNTY, NORTHWEST HOSPITAL DEFERRED TO OTHER BALTIMORE COUNTY PROVIDERS AND TO SINAI HOSPITAL, THE NEAREST BIRTHING HOSPITAL, TO ADDRESS THIS IMPORTANT NEED. THIS DECISION WAS MADE BECAUSE IT IS NOT IN NORTHWEST'S CORE MISSION TO PROVIDE MATERNITY CARE, AS THE HOSPITAL IS NOT A BIRTHING HOSPITAL. HOWEVER, IT IS IN THE BEST INTEREST OF NORTHWEST HOSPITAL TO SUPPORT INFANT MORTALITY REDUCTION EFFORTS INDIRECTLY THROUGH PARTNERSHIP BUILDING AND GENERAL HEALTH PROMOTION EFFORTS. PART V, LINE 19D - INDIVIDUALS ELIGIBLE FOR FINANCIAL ASSISTANCE: NORTHWEST HOSPITAL CENTER, INC. PROVIDES SERVICES WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED REGULATED 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 SIX OR TWELVE MONTH PERIOD OF TIME AND PATIENTS ARE ENCOURAGED TO RE-APPLY FOR CONTINUED ELIGIBILITY. ELIGIBILITY.
PART V, LINE 21 - INDIVIDUALS ELIGIBLE FOR FINANCIAL ASSISTANCE:ONLY THOSE PATIENTS APPROVED RETROSPECTIVELY (DETERMINED ELIGIBLE AFTER THE DATE OF SERVICE) WOULD HAVE BEEN CHARGED AT THE FULL ESTABLISHED RATES. ONCE ELIGIBILITY IS DETERMINED, CHARGES WOULD THEN BE ADJUSTED IN ACCORDANCE WITH THE CHARITY CARE POLICY AS SPECIFIED ABOVE.
PART VI, LINE 2 NEEDS ASSESSMENT:NORTHWEST HOSPITAL ("NORTHWEST") CONDUCTED ITS FIRST FEDERALLY REQUIRED COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN FISCAL YEAR 2013 (JULY 1, 2012 - JUNE 30, 2013). INVOLVEMENT OF RESIDENTS, STAKEHOLDERS AND COMMUNITY PARTNERS WAS AN ESSENTIAL COMPONENT OF THE CHNA PROCESS. NORTHWEST'S CHNA COMPLIES WITH THE NEW INTERNAL REVENUE SERVICE (IRS) MANDATE REQUIRING ALL NOT-FOR-PROFIT 501( C) (3) HOSPITALS TO CONDUCT A CHNA AND IMPLEMENT A COMMUNITY HEALTH IMPROVEMENT PROJECT ONCE EVERY THREE YEARS. THE PROCESS USED TO IDENTIFY HEALTH NEEDS OF NORTHWEST'S COMMUNITY INCLUDED ANALYZING PRIMARY AND SECONDARY HEALTH DATA AT BOTH THE HOSPITAL AND COMMUNITY LEVEL, AND INVOLVING PUBLIC HEALTH EXPERTS, COMMUNITY MEMBERS AND KEY COMMUNITY GROUPS IN FURTHER IDENTIFICATION OF PRIORITY CONCERNS AND NEEDS. THE CHNA TEAM COLLECTED AND ANALYZED 339 SURVEYS FROM INDIVIDUALS LIVING IN NORTHWEST'S PRIMARY SERVICE AREA ZIP CODES AND HELD A COMMUNITY FEEDBACK SESSION ATTENDED BY COMMUNITY RESIDENTS AND STAKEHOLDERS. THE CHNA TEAM EVALUATED RESULTS FROM SURVEYS, ONE COMMUNITY FEEDBACK SESSION AND PUBLIC HEALTH EXPERTS' RECOMMENDATIONS TO PRIORITIZE NORTHWEST'S TOP COMMUNITY HEALTH NEEDS. AN ASSESSMENT OF HOSPITAL RESOURCES, EXPERTISE AND CAPACITY LED TO A DECISION TO FOCUS THE RESULTING COMMUNITY HEALTH IMPROVEMENT PROJECT ON THE "HEART DISEASE CLUSTER" (INCLUDING HEART DISEASE, DIABETES AND STROKE). THROUGHOUT THE ASSESSMENT PROCESS, THE HOSPITAL WORKED TO ALIGN ITS PRIORIES WITH LOCAL, STATE AND NATIONAL HEALTH IMPROVEMENT INITIATIVES INCLUDING THE BALTIMORE COUNTY HEALTH IMPROVEMENT PLAN, MARYLAND STATE HEALTH IMPROVEMENT PLAN (SHIP), AND HEALTH PEOPLE 2020.
PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE:HSCRC MANDATED PATIENT INFORMATION SHEET AND FINANCIAL ASSISTANCE INFORMATION IS MADE AVAILABLE TO THE PUBLIC THROUGH MULTIPLE SOURCES INCLUDING: THE ADMISSION PACKET, SIGNAGE AND PAMPHLETS LOCATED IN PATIENT ACCESS, THE EMERGENCY ROOM, PATIENT FINANCIAL SERVICES, AS WELL AS OTHER PATIENT ACCESS POINTS THROUGHOUT THE HOSPITAL.
PART VI, LINE 4 COMMUNITY INFORMATION:NORTHWEST HOSPITAL IS LOCATED IN THE RANDALLSTOWN COMMUNITY OF BALTIMORE COUNTY, SERVING BOTH ITS IMMEDIATE NEIGHBORS AND OTHERS FROM THROUGHOUT THE BALTIMORE COUNTY REGION. THE COMMUNITY SERVED BY NORTHWEST HOSPITAL CAN BE DEFINED BY ITS (A) PRIMARY SERVICE AREA (PSA) AND (B) COMMUNITY BENEFIT SERVICE AREA (CBSA), THE AREA TARGETED FOR COMMUNITY HEALTH IMPROVEMENT. (A) THE PRIMARY SERVICE AREA (PSA) IS COMPRISED OF ZIP CODES FROM WHICH THE TOP 60% OF PATIENT DISCHARGES ORIGINATE. (B) THE COMMUNITY BENEFIT SERVICE AREA (CBSA) IS COMPRISED OF ZIP CODES OR GEOGRAPHIC AREAS, TARGETED FOR COMMUNITY BENEFIT PROGRAMMING DUE TO THE AREA'S DEMONSTRATION OF NEED. DUE TO THE PROXIMITY OF ZIP CODES 21133, 21244 AND THE COUNTY PORTION OF 21207 MAKE UP THE HOSPITAL'S COMMUNITY BENEFIT SERVICE AREA. AS A WHOLE, THE NORTHWEST HOSPITAL COMMUNITY BENEFIT SERVICE AREA IS HOME TO 111,489 RESIDENTS WITH AN AVERAGE HOUSEHOLD INCOME OF $58,515 COMPARED TO THE BALTIMORE COUNTY MEDIAN HOUSEHOLD INCOME OF $62,441 AND THE MARYLAND STATE AVERAGE OF $72,419.
PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH:NORTHWEST HOSPITAL'S COMMUNITY BENEFIT SERVICES ARE OPEN TO THE BROAD PUBLIC; HOWEVER, DUE TO THE HOSPITAL'S LOCATION WITHIN ZIP CODE 21133 (RANDALLSTOWN), THE MAJORITY OF COMMUNITY BENEFIT ACTIVITIES REACH COMMUNITY MEMBERS RESIDING IN 21133. AS NOTED, 76.7% OF MEDICAID-RECEIVING INPATIENTS LIVE IN BALTIMORE COUNTY WHICH SHOW THAT A SIGNIFICANT PORTION OF PEOPLE LIVING IN THE HOSPITAL'S DIRECT SERVICE AREA WOULD BENEFIT FROM COMMUNITY BENEFIT ACTIVITIES. SOME OF NORTHWEST ACTIVITIES CENTER ON COMMUNITY EDUCATION AND THEREFORE REACH BEYOND RANDALLSTOWN AND INTO MORE DISTANT LOCATIONS WITHIN OUR PRIMARY SERVICE AREA INCLUDING GWYNN OAK (21207) AND WINDSOR MILL (21244). IN FY13, PRIMARY SERVICE AREA ZIP CODES FOR NORTHWEST HOSPITAL (21133, 21208, 21207, 21244, 21136 AND 21117) ACCOUNTED FOR 10,401 OR 70% OF TOTAL INPATIENT ADMISSIONS. MEDICAID PATIENTS (INCLUDING MEDICAID AND MEDICAID HMO PAYORS) ACCOUNTED FOR 12.3% OF ALL ACUTE CARE ADMISSIONS AND 25.9% OF EMERGENCY DEPARTMENT VISITS IN FY 2013. SELF-PAY, OFTEN CONSIDERED "UNINSURED" PATIENTS ACCOUNTED FOR 8.5% OF ACUTE CARE ADMISSIONS AND 15.7% OF EMERGENCY DEPARTMENT VISITS. THE ZIP CODE WITH THE HIGHEST PERCENTAGE OF NORTHWEST'S UNINSURED PATIENT ENCOUNTERS WAS 21133 (14%).
PART VI, LINE 6 AFFILIATED HEALTH CARE SYSTEM:NORTHWEST HOSPITAL IS A COMMUNITY HOSPITAL WITH AN ATTENDING STAFF OF APPROXIMATELY 700 PHYSICIANS, INCLUDING SEVERAL SPECIALTIES. THOSE SPECIALTIES INCLUDE, BUT ARE NOT LIMITED TO CARDIOLOGY, PULMONARY, GENERAL SURGERY, ORTHOPEDICS, VASCULAR AND INFECTIOUS DISEASE. WHILE WE HAVE NARROWED THE GAPS IN GYNECOLOGY, OPHTHALMOLOGY, NEUROLOGY, NEUROSURGERY, VASCULAR AND COLORECTAL SURGERY, THERE ARE STILL GAPS IN DERMATOLOGY, RHEUMATOLOGY, INFECTIOUS DISEASES, PSYCHIATRY AND ORTHOPEDIC SPECIALTIES IN HAND AND SPINE.
PART VI, LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORT:THE COST BENEFIT REPORT IS FILED IN THE STATE OF MARYLAND.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1SUSAN G KOMEN MARYLAND AFFILIATEBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1200 E JOPPA ROADAddressLine1
Address Line2SUITE 407AddressLine2
CityTOWSONCity
StateMDState
ZIP Code21286ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient522053491EINOfRecipient
IRC Section501(c)(3)IRCSection
Amount Of Cash Grant10000AmountOfCashGrant
Purpose Of GrantSPONSORSHIPPurposeOfGrant
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierGRANTS AND ASSISTANCEIdentifier
Return ReferenceFORM 990, PART IV, LINE 22ReturnReference
ExplanationTHE LIFEBRIDGE HEALTH SPONSORSHIP COMMITTEE REVIEWS SUBMITTED REQUESTS MONTHLY AND MAINTAINS RECORDS TO SUBSTANTIATE THE AMOUNT OF SPONSORSHIPS PROVIDED BY LIFEBRIDGE HEALTH INC. AND ITS SUBSIDIARIES. SELECTION CRITERIA FOR SPONSORSHIPS ARE BASED ON THE SPECIFIC REQUEST OF THE APPLICANT AND ANY PRIOR HISTORY OF SPONSORSHIPS AWARDED BY THE LIFEBRIDGE SYSTEM. MEMBERS OF THE LIFEBRIDGE EXECUTIVE COMMITTEE REVIEW THE SPONSORSHIP COMMITTEE AWARDS AND PROVIDE RECOMMENDATIONS AS NEEDED.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (12 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
WARREN GREEN
CEO/DIRECTOR096095703223530240987029023020910015742300214987
BRIAN WHITE
PRESIDENT/COO/DIRECTOR334351099203088560617770207770524964000
RONALD GINSBERG
VP MEDICAL AFFAIRS2852210824880663650375901677904546120332390
CANDACE HAMNER
VP CARE MANAGEMENT179574057253068336038170898403179640422210
SUSAN JALBERT
VP PATIENT CARE SERVICES20730306089702770102767201690403404770213150
CHARLES ORLANDO
SR. VICE PREISDENT/CFO048034301660780157676015872302265509854750129016
DAWN LEONARD MD
SURGEON3342280451400397770108480214710451464000
ABDALLAH KAFROUNI
INTENSIVIST29261209813904395049350266940426775032940
MAYER GORBATY MD
PHYSICIAN-IN-CHIEF32612007300001000108400199440430004000
ALAN DAVIS
PHYSICIAN24528608441601518035350179350352690000
David Krajewski
SR. VICE PRESIDENT/CFO29886309019903241804031002214504839350273390
Chaitanta Ravi
Physician217402083621020212030460226150346896000

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANPART III, LINE 4BDURING THE YEAR, THE FOLLOWING NORTHWEST HOSPITAL CENTER BOARD MEMBERS AND OFFICERS WERE PARTICIPANTS IN A LIFEBRIDGE HEALTH SPONSORED SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN AND RECEIVED THE FOLLOWING PAYMENTS: WARREN A GREEN $214,987 RONALD GINSBERG $ 33,239 CANDACE HAMNER $ 42,221 SUSAN JALBERT $ 21,315 CHARLES ORLANDO $129,016 DAVID KRAJEWSKI $ 27,339 BRIAN WHITE NONE ABDALLAH KAFROUNI $ 3,294 CHAITANTA RAVI NONE ALAN DAVIS NONE DAWN LEONARD NONE MAYER GORBATY NONE
COMPENSATION INFORMATIONPART III, LINE 4BMR. GREEN'S COMPENSATION WAS PAID BY SINAI HOSPITAL OF BALTIMORE. HE RECEIVED COMPENSATION AS PRESIDENT / CEO LIFEBRIDGE HEALTH, INC., NOT AS A DIRECTOR. DR. GINSBERG RECEIVED COMPENSATION AS VP MEDICAL AFFAIRS, NOT AS A DIRECTOR. MS. HAMNER RECEIVED COMPENSATION AS VP CARE MANAGEMENT, NOT AS A DIRECTOR. MS. JALBERT RECEIVED COMPENSATION AS VP PATIENT CARE SERVICES, NOT AS A DIRECTOR. MR. ORLANDO RECEIVED COMPENSATION AS CFO/SR VP FOR LIFEBRIDGE HEALTH, INC, NOT AS A DIRECTOR. HIS COMPENSATION WAS PAID BY SINAI HOSPITAL OF BALTIMORE, INC. MR. KRAJEWSKI RECEIVED COMPENSATION AS CHEIF FINANCIAL OFFICER OF LIFEBRIDGE HEALTH, INC., NOT AS A DIRECTOR. HIS COMPENSATION WAS PAID BY NORTHWEST HOSPITAL, INC. MR. WHITE RECEIVED COMPENSATION AS VP BUSINESS DEVELOPMENT FOR LIFEBRIDGE HEALTH, INC. FOR A PORTION OF THE YEAR. HIS COMPENSATION WAS PAID BY SINAI HOSPITAL OF BALTIMORE, INC. MR. WHITE RECEIVED COMPENSATION AS PRESIDENT OF NORTHWEST HOSPITAL, NOT AS A DIRECTOR. HIS COMPENSATION WAS PAID BY NORTHWEST HOSPITAL CENTER, INC.

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
ACME PAPER AND SUPPLY COMPANY
SEE PART V2400000SEE PART Vfalse
BALTIMORE HEART ASSOCIATES
SEE PART V333304SEE PART Vfalse
OBRECHT REALTY SERVICES
SEE PART V5326134SEE PART Vfalse

Form990 Schedule L Part V Form990ScheduleLPartV

FieldValueIRS element (for citing)
IdentifierBUSINESS TRANSACTIONS - NORTHWESTIdentifier
Return ReferenceFORM 990, SCHEDULE L, PART IV, LINE 28CReturnReference
ExplanationNORTHWEST HOSPITAL CENTER, INC. AND THE LIFEBRIDGE HEALTH SUBSIDIARIES RECEIVED $2,400,000 IN PAPER SUPPLIES FROM ACME PAPER AND SUPPLY, CO. ONE OF THE DIRECTORS OF NORTHWEST HOSPITAL CENTER, MR. RONALD ATTMAN, IS AN OWNER OF THE FIRM. ALL TRANSACTIONS WERE AT FAIR MARKET VALUE AND NEGOTIATED AT ARM'S LENGTH. NORTHWEST HOSPITAL CENTER, INC. AND THE LIFEBRIDGE HEALTH SUBSIDIARIES PAID $4,460,117 IN CONSTRUCTION SERVICES TO OBRECHT REALTY SERVICES. ONE OF THE DIRECTORS OF NORTHWEST HOSPITAL CENTER, MR. OBRECHT, IS AN OWNER OF THE FIRMS. ALL TRANSACTIONS WERE AT FAIR MARKET VALUE AND NEGOTIATED AT ARM'S LENGTH. NORTHWEST HOSPITAL CENTER, INC. AND THE LIFEBRIDGE HEALTH SUBSIDIARIES RECEIVED $333,304 IN EKG AND ECHO READING SERVICES FROM BALTIMORE HEART ASSOCIATES, PA. ONE OF THE DIRECTORS OF NORTHWEST HOSPITAL CENTER, DR. WALTERS, IS AN OWNER OF THE FIRM. ALL TRANSACTIONS WERE AT FAIR MARKET VALUE AND NEGOTIATED AT ARM'S LENGTH.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
MISSION STATEMENTFORM 990, PART III, LINE 1NORTHWEST HOSPITAL CENTER HAS ALWAYS HAD A VISION OF BEING A RECOGNIZED LEADER IN CLINICAL QUALITY AND CUSTOMER CARE - A VISION THAT HAS NOT LOST FOCUS IN THE FIFTY YEARS SINCE THIS RANDALLSTOWN, MARYLAND HOSPITAL OPENED ITS DOORS. NORTHWEST HOSPITAL HAS KEPT PACE WITH THE GROWTH OF THE COMMUNITY AND TODAY SERVES MORE THAN 250,000 HOUSEHOLDS IN NORTHWEST BALTIMORE CITY AND PORTIONS OF BALTIMORE, CARROLL AND HOWARD COUNTIES. IN 2013, THE HOSPITAL ADMITTED 14,818 PATIENTS, MOST OF WHOM ACCESSED HOSPITAL SERVICES THROUGH THE EMERGENCY DEPARTMENT. NORTHWEST HOSPITAL'S EMERGENCY DEPARTMENT BECAME THE FIRST POINT OF CONTACT FOR MANY PEOPLE WHO NEEDED MEDICAL CARE BUT WHO HAD NO HEALTH CARE INSURANCE. THIS MIRRORED NATIONAL TRENDS AND LED HOSPITAL ADMINISTRATORS TO BUILD A NEW EMERGENCY ROOM TO MEET THE INCREASING DEMAND FOR SERVICE. IN 2013, NORTHWEST ER-7 RECORDED 63,878 VISITS. IN KEEPING WITH THE HOSPITAL'S MISSION TO IMPROVE THE WELLBEING OF THE COMMUNITY, NORTHWEST HOSPITAL ADHERES TO ITS LONGSTANDING POLICY OF PROVIDING CARE FOR ANY AND ALL WHO SEEK MEDICAL TREATMENT REGARDLESS OF RACE, RELIGION OR ABILITY TO PAY. THE HOSPITAL'S CHARITY CARE POLICY IS WELL POSTED AND OFFERS A REASONABLE AMOUNT OF CARE AT NO CHARGE OR AT REDUCED RATES TO ELIGIBLE PERSONS WHO DO NOT HAVE INSURANCE, MEDICARE OR MEDICAL ASSISTANCE. ELIGIBILITY FOR FREE CARE, REDUCED RATES AND EXTENDED PAYMENT PLANS IS DETERMINED ON A CASE BY CASE BASIS. A HALLMARK OF NORTHWEST HOSPITAL'S COMMITMENT TO THE COMMUNITY IS ITS ONGOING EFFORTS TO PROVIDE FREE HEALTH SCREENINGS AND USEFUL HEALTH EDUCATION THROUGH ITS COMMUNITY HEALTH EDUCATION PROGRAMS. COUNTLESS HEALTH FAIRS, BLOOD PRESSURE SCREENINGS, HEART HEALTH RISK ASSESSMENTS, DIABETES SUPPORT GROUP MEETINGS, FOOD AND NUTRITION COUNSELING AND SMOKING CESSATION CLASSES ARE OFFERED IN SENIOR CENTERS, CHURCH BASEMENTS, COMMUNITY CENTERS AND AREA SCHOOLS THROUGHOUT THE YEAR. NORTHWEST HOSPITAL HAS DEDICATED FULL-TIME STAFF, INCLUDING NURSE EDUCATORS, WHO DEVELOP PROGRAMS TO SHARE VALUABLE HEALTH-RELATED INFORMATION WITH MEMBERS OF THE COMMUNITY. ONE SUCH PROGRAM, THE NORTHWEST DOMESTIC VIOLENCE PROGRAM (DOVE), IS DESIGNED TO PROVIDE IMMEDIATE CRISES RESPONSE AND FOLLOW-UP SERVICES TO VICTIMS OF INTIMATE PARTNER VIOLENCE. SERVICES INCLUDE IMMEDIATE CRISIS RESPONSE, COURT ACCOMPANIMENT, INDIVIDUAL THERAPY, GROUP SUPPORT AS WELL AS CASE MANAGEMENT SERVICES. IN 2013, 758 VICTIMS WERE IDENTIFIED, 260 VICTIMS IN HOSPITAL, 442 VICTIMS REFERRED BY POLICE AND THE REST REFERRED BY COMMUNITY OR SELF. OF THESE, 260 VICTIMS RECEIVED CRISIS INTERVENTION, ALL 442 OF THE POLICE REFERRED VICTIMS RECEIVED ATTEMPTED HOME VISITS FROM THE POLICE AND DOVE STAFF. IF THEY WERE NOT REACHED, THEY DID RECEIVE PHONE CALLS AND INFORMATION. 87 VICTIMS RECEIVED COURT ACCOMPANIMENT, 47 VICTIMS RECEIVED INDIVIDUAL THERAPY, 68 VICTIMS RECEIVED GROUP SUPPORT, AND 3747 CASE MANAGEMENT SERVICES WERE PROVIDED.
GOVERNING BODY MEMBERSFORM 990, PART VI, LINES 6 AND 7THE CORPORATION SHALL HAVE ONE MEMBER: LIFEBRIDGE HEALTH, INC., (THE "MEMBER") A MARYLAND NONSTOCK CORPORATION. MEMBERSHIP IN THE CORPORATION SHALL NOT BE TRANSFERABLE. 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.
REVIEW OF FORM 990 BY GOVERNING BODY AND COMMITTEESFORM 990, PART VI, LINE 11:THE LIFEBRIDGE EXEMPT ENTITIES 990'S ARE INITIALLY REVIEWED BY THE CORPORATE DIRECTOR OF FINANCE. IN ADDITION, AN INDEPENDENT ACCOUNTING FIRM ALSO REVIEWS ALL THE 990 RETURNS. A FORMAL MEETING IS THEN SCHEDULED WITH THE CHIEF FINANCIAL OFFICER, ASSISTANT VICE PRESIDENT OF FINANCE, GENERAL COUNSEL AND THE CORPORATE DIRECTOR OF FINANCE 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 AT THE MEETING IMMEDIATELY PRIOR TO THE FILING DATE FOR REVIEW.
CONFLICT OF INTEREST POLICYFORM 990, PART VI, LINE 12C:LIFEBRIDGE AND ALL OF ITS SUBSIDIARIES REQUIRE ALL EMPLOYEES, MEDICAL STAFF, MEMBERS OF THE BOARD, AND THE EXECUTIVE STAFF 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 OR DIRECTOR) 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 IS A PARTY TO THE TRANSACTION, OR IF THE INDIVIDUAL HAS, DIRECTLY OR INDIRECTLY A CURRENT OR POTENTIAL OWNERSHIP OR INVESTMENT INTEREST IN A PARTY TO THE TRANSACTION OR A CURRENT OR POTENTIAL COMPENSATION ARRANGEMENT WITH A PARTY TO THE TRANSACTION. A "COMPENSATION ARRANGEMENT" INCLUDES DIRECT AND INDIRECT REMUNERATION AS WELL AS GIFTS OR FAVORS OF A SUBSTANTIAL NATURE. AN INDIVIDUAL WILL BE CONSIDERED TO HAVE A CONFLICT OF INTEREST WITH RESPECT TO A MATTER OR TRANSACTION IF A MEMBER OF THE INDIVIDUAL'S IMMEDIATE FAMILY HAS SUCH A CONFLICT. FOR THESE PURPOSES, A "MEMBER" OF AN INDIVIDUAL'S "IMMEDIATE FAMILY" MEANS AN INDIVIDUAL'S SPOUSE, MOTHER, FATHER, MOTHER-IN-LAW, FATHER-IN-LAW, GRANDFATHER, GRANDMOTHER, BROTHER, SISTER, BROTHER-IN-LAW, SISTER-IN-LAW, SON, DAUGHTER, SON-IN-LAW, OR DAUGHTER-IN-LAW. "STEP" RELATIONSHIPS (E.G., STEPCHILDREN AND STEPPARENTS) WILL BE TREATED THE SAME AS BLOOD RELATIONSHIPS, EXCEPT AS DETERMINED OTHERWISE IN A SPECIFIC CIRCUMSTANCE BY THE LIFEBRIDGE CEO OR THE PRESIDENT OR DESIGNEE OF THE APPROPRIATE LIFEBRIDGE SUBSIDIARY. ORDINARILY, OWNERSHIP OF LESS THAN 5% OF AN ENTITY DOES NOT CONSTITUTE AN OWNERSHIP INTEREST FOR WHICH DISCLOSURE IS NEEDED. 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 EITHER THE CHAIRMAN OF THE BOARD OR THE OFFICE OF GENERAL COUNSEL. ONE OR MORE QUESTIONNAIRES ARE SENT OUT TO MEMBERS OF THE BOARD ON AN ANNUAL BASIS. IF QUESTIONS ARISE OR FURTHER GUIDANCE IS SOUGHT, CONFLICTS SHOULD ALSO BE REPORTED TO THE INTEGRITY HOTLINE OR OFFICE OF GENERAL COUNSEL. NOTHING IN THIS DEFINITION IS INTENDED TO RELIEVE ANY PERSON OF ANY ADDITIONAL OBLIGATIONS THAT MAY BE IMPOSED BY STATE OR FEDERAL LAW.
PROCESS FOR DETERMINING EXECUTIVE COMPENSATIONFORM 990, PART VI, LINE 15A & 15B:EXECUTIVE COMPENSATION AT LIFEBRIDGE HEALTH IS OVERSEEN BY THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS. COMMITTEE MEMBERS MAY NOT HAVE ANY FINANCIAL TIES TO THE ORGANIZATION AND MUST BE BOARD MEMBERS OF LIFEBRIDGE HEALTH OR A LIFEBRIDGE HOSPITAL. THE CHAIR OF THE LIFEBRIDGE HEALTH BOARD OF DIRECTORS SERVES AS COMMITTEE CHAIR. THE COMMITTEE PROVIDES A REPORT OF ITS ACTIVITIES TO THE FULL BOARD OF DIRECTORS AT LEAST ANNUALLY. COMPENSATION PACKAGES HAVE BEEN DESIGNED TO ATTRACT AND RETAIN SKILLED AND EXPERIENCED EXECUTIVES AND TO INCENTIVIZE THEM TO WORK TOWARD KEY STRATEGIC OBJECTIVES. THE COMMITTEE EMPLOYS INDEPENDENT CONSULTANTS TO ENSURE THAT COMPENSATION LEVELS ARE CONSISTENT WITH MARKET NORMS. GREATEST EMPHASIS IS PLACED UPON DATA FROM HEALTHCARE ORGANIZATIONS OF COMPARABLE SIZE AND ORGANIZATIONAL COMPLEXITY IN THE MID-ATLANTIC REGION. ALL EXECUTIVE INCENTIVE AND BENEFIT PROGRAMS ARE ESTABLISHED BY THE COMPENSATION COMMITTEE, AS IS THE BASE SALARY OF THE CHIEF EXECUTIVE OFFICER AND ALL SENIOR VICE PRESIDENTS. BASE SALARIES OF OTHER EXECUTIVES ARE SET BY THEIR RESPECTIVE SUPERVISORS, IN ACCORDANCE WITH GUIDELINES ESTABLISHED BY THE COMMITTEE AND SUBJECT TO THE COMMITTEE'S OVERSIGHT. A SUBSTANTIAL PORTION OF ALL EXECUTIVES' TOTAL COMPENSATION IS CONTINGENT UPON THE ACHIEVEMENT OF BOTH SYSTEM-WIDE AND INDIVIDUAL OBJECTIVES. EACH YEAR'S SYSTEM-WIDE OBJECTIVES ARE APPROVED BY THE COMPENSATION COMMITTEE AND TYPICALLY INCLUDE BOTH FINANCIAL AND NONFINANCIAL GOALS. AN EXECUTIVE WHO FAILS TO ACHIEVE THE OBJECTIVES ESTABLISHED FOR THE INCENTIVE PROGRAMS WILL EARN BELOW MARKET LEVELS; CONVERSELY, THE ATTAINMENT OF EXTRAORDINARY RESULTS WILL BE REWARDED BY ABOVE-AVERAGE COMPENSATION.
GOVERNING DOCUMENTS, FINANCIAL STATEMENTS AND CONFLICT POLICYFORM 990, PART VI, LINE 19IT 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. BOARD OF DIRECTORS ADDRESS FORM 990, PART VI, LINE 9 ALL OF THE OFFICERS, DIRECTORS, TRUSTEES, AND KEY EMPLOYEES LISTED IN PART VII, SECTION A, CAN BE REACHED AT THE ORGANIZATION'S MAILING ADDRESS: NORTHWEST HOSPITAL CENTER INC., 5401 OLD COURT ROAD RANDALLSTOWN, MD 21133.
DUE TO AFFILIATES - BONDSON JANUARY 8, 2008, LIFEBRIDGE HEALTH, INC., TOGETHER WITH ITS AFFILIATES SINAI HOSPITAL OF BALTIMORE, NORTHWEST HOSPITAL CENTER, LEVINDALE HEBREW AND GERIATRIC CENTER, CHILDREN'S HOSPITAL AT SINAI FOUNDATION, AND THE BALTIMORE JEWISH HEALTH FOUNDATION (COLLECTIVELY, THE OBLIGATED GROUP) BORROWED $285,815,000 FROM THE MARYLAND HEALTH AND HIGHER EDUCATIONAL FACILITIES AUTHORITY (THE AUTHORITY) TO FINANCE THE ADVANCE REFUNDING OF THE 2004 SERIES A AND 2004 SERIES B BONDS AND TO FINANCE VARIOUS CONSTRUCTION AND RENOVATION PROJECTS. THE AUTHORITY OBTAINED THE FUNDS FOR THIS FINANCING THROUGH THE ISSUANCE OF BONDS UNDER THE MARYLAND HEALTH AND HIGHER EDUCATIONAL FACILITIES AUTHORITY (MHHEFA) REVENUE BONDS, LIFEBRIDGE HEALTH ISSUE, SERIES 2008, COLLATERALIZED BY ALL RECEIPTS OF THE OBLIGATED GROUP. THE BONDS WERE ISSUED AT A PREMIUM OF $3,278,562, OF WHICH NORTHWEST'S PORTION IS $834,106, WHICH IS BEING AMORTIZED OVER THE LIFE OF THE BOND ISSUE. THE MEMBERS OF THE OBLIGATED GROUP ARE JOINTLY AND SEVERALLY LIABLE FOR REPAYMENT OF THE PRINCIPAL AND LOAN AND INTEREST THEREON. AS OF JUNE 30, 2013, $274,974,870 OF THE TOTAL AMOUNT BORROWED APPEARS AS DUE TO LIFEBRIDGE HEALTH, OF WHICH NORTHWEST'S PORTION IS $69,956,922. ALL THE BONDS WERE ISSUED IN THE NAME OF LIFEBRIDGE AND ARE REPORTED ON SCHEDULE K OF ITS FORM 990. ON MARCH 30, 2011, LIFEBRIDGE HEALTH, INC., TOGETHER WITH ITS AFFILIATES SINAI HOSPITAL OF BALTIMORE, NORTHWEST HOSPITAL CENTER, LEVINDALE HEBREW AND GERIATRIC CENTER, CHILDREN'S HOSPITAL AT SINAI FOUNDATION, AND THE BALTIMORE JEWISH HEALTH FOUNDATION (COLLECTIVELY, THE OBLIGATED GROUP) BORROWED $50,695,000 FROM THE MARYLAND HEALTH AND HIGHER EDUCATIONAL FACILITIES AUTHORITY (THE AUTHORITY) TO FINANCE A CONSTRUCTION AND EXPANSION PROJECT OF LEVINDALE HEBREW GERIATRIC CENTER & HOSPITAL AND TO FINANCE VARIOUS CONSTRUCTION AND RENOVATION PROJECTS AT SINAI HOSPITAL OF BALTIMORE AND NORTHWEST HOSPITAL CENTER. THE AUTHORITY OBTAINED THE FUNDS FOR THIS FINANCING THROUGH THE ISSUANCE OF BONDS UNDER THE MARYLAND HEALTH AND HIGHER EDUCATIONAL FACILITIES AUTHORITY (MHHEFA) REVENUE BONDS, LIFEBRIDGE HEALTH ISSUE, SERIES 2011, COLLATERALIZED BY ALL RECEIPTS OF THE OBLIGATED GROUP. THE BONDS WERE ISSUED AT A DISCOUNT OF $55,766, OF WHICH, NORTHWEST'S PORTION IS $10,199, WHICH IS BEING AMORTIZED OVER THE LIFE OF THE BOND ISSUE. THE MEMBERS OF THE OBLIGATED GROUP ARE JOINTLY AND SEVERALLY LIABLE FOR REPAYMENT OF THE PRINCIPAL AND LOAN AND INTEREST THEREON. AS OF JUNE 30, 2013, $49,870,329 OF THE TOTAL AMOUNT BORROWED, OF WHICH NORTHWEST'S PORTION IS $9,120,369, APPEARS AS DUE TO LIFEBRIDGE HEALTH. ALL THE BONDS WERE ISSUED IN THE NAME OF LIFEBRIDGE AND ARE REPORTED ON SCHEDULE K OF ITS FORM 990.
FORM 990, SCHEDULE K PART II, LINE 11THE FINAL ALLOCATION OF PROCEEDS FROM THE JANUARY 2008 MARYLAND HEALTH AND HIGHER EDUCATIONAL FACILITIES BOND PROCEEDS WAS COMPLETE IN DECEMBER 2010. THE FINAL ALLOCATION OF PROCEEDS FROM THE MARCH 2011 MARYLAND HEALTH AND HIGHER EDUCATIONAL FACILITIES BOND PROCEEDS WAS COMPLETE IN 2013. LIFEBRIDGE HEALTH DID MAINTAIN ADEQUATE RECORDS TO SUPPORT THE FINAL ALLOCATION.
OTHER CHANGES IN NET ASSETSFORM 990, PART XI, LINE 9TRANSFER FROM AFFILIATE..................... $5,205,601 INCREASE PLEDGE RECEIVABLE.................. $1,539,192 RESTRICTED GIFTS/GRANTS RECEIVED............ $ 212,123 EQUITY (PAID IN EXCESS OF PAR)..............($6,473,693) ------------ TOTAL $ 483,223

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (8 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
LIFEBRIDGE HEALTH INC
2401 WEST BELVEDERE AVENUEBALTIMOREMD21215521402373PARENTMD501(c)(3)11BLBHfalse
SINAI HOSPITAL OF BALTIMORE INC
2401 WEST BELVEDERE AVENUEBALTIMOREMD21215520486540HOSPITALMD501(c)(3)3LBHfalse
LEVINDALE HEBREW GERIATRIC CTR HOSPITAL
2434 WEST BELVEDERE AVENUEBALTIMOREMD21215520607913SPEC HOSPMD501(c)(3)3LBHfalse
COURTLAND GARDENS NURSING AND REHAB CTR
7920 SCOTTS LEVEL ROADBALTIMOREMD21208520607907SKILL NURSINGMD501(c)(3)9LBHfalse
CHILDREN'S HOSPITAL OF BALTIMORE CITY
2401 WEST BELVEDERE AVENUEBALTIMOREMD21215520591592CHAR. SUPPORTMD501(c)(3)11BLBHfalse
THE BALTIMORE JEWISH HEALTH FOUNDATION
2401 WEST BELVEDERE AVENUEBALTIMOREMD21215522111541CHAR. SUPPORTMD501(c)(3)11BLBHfalse
CHILDREN'S HOSPITAL AT SINAI FOUNDATION
2401 WEST BELVEDERE AVENUEBALTIMOREMD21215522167587CHAR. SUPPORTMD501(c)(3)11BLBHfalse
THE BALTIMORE JEWISH ELDERCARE FNDTN
2401 WEST BELVEDERE AVENUEBALTIMOREMD21215522337669CHAR SUPPORTMD501(c)(3)11BLBHfalse

Form990 Schedule R Part IV Form990ScheduleRPartIV (6 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityAddress Line1AddressForeign/AddressLine1CityAddressForeign/CityProvince Or StateAddressForeign/ProvinceOrStateCountryAddressForeign/CountryPostal CodeAddressForeign/PostalCodeLegal Domicile Foreign CountryLegalDomicileForeignCountry
LIFEBRIDGE INVESTMENTS INC
2401 WEST BELVEDERE AVENUEBALTIMOREMD21215521483166INVESTMENTMDLBHC CORP
HEALTHSTAR MEDICAL SERVICES IN
2401 WEST BELVEDERE AVENUEBALTIMOREMD21215521829098HEALTHCAREMDLB INVESTMENTSC CORP
PRACTICE DYNAMICS INC
124 BUSINESS CENTER DRIVEREISTERSTOWNMD21136521960319MANAGEMENTMDLB INVESTMENTSC CORP
SURGICAL ONCOLOGY ASSOCIATES INC
2401 WEST BELVEDERE AVENUEBALTIMOREMD21215521804659HEALTHCAREMDLB INVESTMENTSC CORP
LIFEBRIDGE INSURANCE COMPANY LTD
980415396INSURANCELBHC CORPPO BOX 1109GRAND CAYMANCAYMAN ISLANDSCJKY1-1102CJ
LIFEBRIDGE COMMUNITY PHYSICIANS INC
2401 BELVEDERE AVEBALTIMOREMD21212800719005HEALTHCAREMDLBHC CORP
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

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