2014-05-14T18:10:58-05:00 2013-06-30 KPMG LLP 1676 International Drive McLean VA 22102 990 2012-07-01 521372665 NORTHWEST HOSPITAL CENTER INC % NANCY KANE NORT 4106015653 5401 OLD COURT ROAD Suite RANDALLSTOWN MD 21133 DAVID KRAJEWSKI 4106015653 2014-05-12 true 7032868000 2012 2015-11-30 17:44:51Z BRIAN WHITE 5401 OLD COURT ROAD RANDALLSTOWN MD 21133 245547374 false X WWW.LIFEBRIDGEHEALTH.ORG/NORTHWEST X 1984 MD TO IMPROVE THE WELLBEING OF THE COMMUNITY WE SERVE. 20 16 1907 125 10340 381039 613972 220018425 230482944 5474273 6256812 7807158 8193646 233680895 245547374 270 14000 0 0 115403477 116880031 0 0 36939 102396695 108061706 217800442 224955737 15880453 20591637 267747693 292645361 125844022 126644941 141903671 166000420 X SEE SCHEDULE O false false 167185008 14000 230482944 NORTHWEST 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. 167185008 true true false true false false false false false false true false false false true true false true false false false false false false false false true true true false true false false false false false false false true false false false false false true true false false false true 158 0 true 1907 true true true false false false false false false false false false X 20 16 false false false false true true true true true false false true true true true true true true true false CA MD X NANCY KANE 4106015653 2401 WEST BELVEDERE AVENUE Baltimore MD 21215 WARREN GREEN 1.0 45.0 X X 0 1524297 49933 BRIAN WHITE 40.0 X X 442410 0 82554 WALTER AMPREY PHD 1.0 X 0 0 0 RONALD ATTMAN 1.0 X 0 0 0 RICHARD AZRAEL 1.0 X 0 0 0 EUGENE A FRIEDMAN 1.0 X 0 1188 0 IRA HIMMEL 1.0 X JUAN JUANTEGUY MD 1.0 X 0 0 0 DONALD KIRSON 1.0 X 0 1188 0 DOUGLAS LEDERMAN 1.0 X X 0 0 0 AUDREY LIFCOVICH 1.0 X 0 0 0 STANFORD H MALINOW MD 1.0 X 0 0 0 JOSEPH MIGLIARA 1.0 X X 0 0 0 THOMAS F OBRECHT 1.0 X 0 0 0 DEBORAH S PHELPS 1.0 X 0 0 0 PAUL L SAVAL 1.0 X 0 0 0 BENAJMIN SCHAPIRO 1.0 X 0 0 0 WILLIAM I SMULYAN MD 1.0 X 0 1188 0 BARRY S WALTERS MD 1.0 X 0 0 0 JOEL R WOHL 1.0 X 0 0 0 ALAN D YARBRO 1.0 X X 0 0 0 Philip J Jacobs 1.0 X 0 0 0 RONALD GINSBERG 40.0 X 434074 0 20538 CANDACE HAMNER 40.0 X 305163 0 12801 SUSAN JALBERT 40.0 X 295901 0 44576 CHARLES ORLANDO 1.0 45.0 X 0 804097 181378 David Krajewski 40.0 X 421480 0 62455 DAWN LEONARD MD 40.0 X 419145 0 32319 ABDALLAH KAFROUNI 40.0 X 395146 0 31629 MAYER GORBATY MD 40.0 X 399220 0 30784 ALAN DAVIS 40.0 X 331220 0 21470 Chaitanta Ravi 40.0 X 321235 0 25661 3764994 2331958 596098 125 false true false CROTHALL 13028 COLLECTION CENTER DR CHICAGO IL 60693 CONTRACT CLEANING 4791922 ARAMARK CORPORATION HSS 27271 NETWORK PLACE CHICAGO IL 60603 CAFETERIA MANAGEMENT 2239902 ALLIANT STAFFING 7201 WISCONSIN AVENUE BETHESDA MD 20814 AGENCY NURSING 624376 DAVITA OWINGS MILLS PO BOX 403008 ATLANTA GA 30384 RENAL DIALYSIS 591455 TRANSCEND SERVICES INC PO BOX 740209 ATLANTA GA 303740209 TRANSCRIPTION 519462 28 296927 317045 613972 PATIENT REVENUE 900099 230482944 230482944 230482944 4745380 4745380 0 0 109756 109756 0 109756 109756 1511432 1511432 0 0 0 CAFETERIA SALES 900099 1192868 1192868 PHARMACY SALES 900099 3557060 3557060 MISCELLANEOUS 900099 3333962 10340 3323622 8083890 245547374 230482944 10340 14440118 14000 14000 0 0 0 1145742 1108803 36939 0 92947771 72462690 20485081 3108155 2548687 559468 13381412 9902681 3478731 6296951 5163500 1133451 0 0 0 0 0 0 19817007 6172108 13644899 625546 37846 587700 5220984 924203 4296781 0 0 3665135 2915209 749926 50856 50295 561 0 734445 381882 352563 4497727 4497727 0 11745067 8775358 2969709 314671 314671 SUPPLIES 34218053 28472693 5745360 PROVISION FOR BAD DEBT 16923784 16923784 PROFESSIONAL & TECHNICAL 8921671 6485012 2436659 AGENCY NURSES 1098740 1098740 228020 43922 184098 224955737 167185008 57733790 36939 4877 5078 52668646 64862725 1044141 1207395 25753231 28923333 0 0 0 0 0 0 3518478 3410644 483162 676628 260617135 147034079 108031110 113583056 75401157 78986258 0 0 0 0 0 0 842891 990244 267747693 292645361 33459334 35417971 0 0 249321 231902 0 0 0 0 0 0 0 0 0 0 92135367 90995068 125844022 126644941 X 138238925 160584357 3664746 5416063 0 0 141903671 166000420 267747693 292645361 X 20591637 3021889 483223 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED true true false false false false true 13528 false true 53002 66530 false LOBBYING ACTIVITIES SCHEDULE C , PART II-B LOBBYING 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. 7619238 7619238 126351263 51297316 75053947 111212727 95736763 15475964 15433907 0 15433907 113583056 0 CAPTIVE PROFESSIONAL LIABILITY 590780 WORKERS COMPENSATION 878414 DEFERRED COMPENSATION 66836 ASSET RETIREMENT OBLIGATION 610000 DUE TO AFFILIATES BONDS 79263815 OTHER L.T.LIABILITIES 9585223 90995068 UNCERTAIN TAX POSITIONS FOR FIN 48 SCHEDULE D PART X THE 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. true true true X 300. true X 500. true true true false true true 2235818 2235818 0.00990 2235818 2235818 0.00990 1382188 1382188 0.00610 703095 703095 0.00310 3703410 3703410 0.01650 74266 74266 0.00030 166374 166374 0.00070 6029333 6029333 0.02670 8265151 8265151 0.03660 139388 139388 139388 139388 false 16923784 9560192 101118615 81727596 19391019 X true true 1 1 NORTHWEST HOSPITAL CENTER INC

5401 OLD COURT ROAD RANDALLSTOWN MD 21133

X X X SUB-ACUTE NORTHWEST HOSPITAL CENTER INC 1 true X X X X X X X X X 13 true false true X X X X X false false true true 300. true 500. true X true true X X X X X true false X X X X true X false true PART I LINE 3C FINANCIAL ASSISTANCE ELIGIBILITY CRITERIA 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 I LINE 7 COMMUNITY BENEFITS AT COST MARYLAND'S REGULATORY SYSTEM CREATES A UNIQUE PROCESS FOR HOSPITAL PAYMENT THAT DIFFERS FROM THE REST OF THE NATION. THE HEALTH SERVICES COST REVIEW COMMISSION, (HSCRC) DETERMINES PAYMENT THROUGH A RATE-SETTING PROCESS AND ALL PAYORS, INCLUDING GOVERNMENTAL PAYORS, PAY THE SAME AMOUNT FOR THE SAME SERVICES DELIVERED AT THE SAME HOSPITAL. MARYLAND'S UNIQUE ALL-PAYOR SYSTEM INCLUDES A METHOD FOR REFERENCING UNCOMPENSATED CARE IN EACH 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. true SUSAN G KOMEN MARYLAND AFFILIATE 200 E JOPPA ROAD SUITE 407 TOWSON MD 21286 522053491 501(c)(3) 10000 SPONSORSHIP 1 GRANTS AND ASSISTANCE FORM 990, PART IV, LINE 22 THE 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. X X X X false true false false false false false false false WARREN GREEN 0 960957 0 322353 0 240987 0 29023 0 20910 0 1574230 0 214987 BRIAN WHITE 334351 0 99203 0 8856 0 61777 0 20777 0 524964 0 0 0 RONALD GINSBERG 285221 0 82488 0 66365 0 3759 0 16779 0 454612 0 33239 0 CANDACE HAMNER 179574 0 57253 0 68336 0 3817 0 8984 0 317964 0 42221 0 SUSAN JALBERT 207303 0 60897 0 27701 0 27672 0 16904 0 340477 0 21315 0 CHARLES ORLANDO 0 480343 0 166078 0 157676 0 158723 0 22655 0 985475 0 129016 DAWN LEONARD MD 334228 0 45140 0 39777 0 10848 0 21471 0 451464 0 0 0 ABDALLAH KAFROUNI 292612 0 98139 0 4395 0 4935 0 26694 0 426775 0 3294 0 MAYER GORBATY MD 326120 0 73000 0 100 0 10840 0 19944 0 430004 0 0 0 ALAN DAVIS 245286 0 84416 0 1518 0 3535 0 17935 0 352690 0 0 0 David Krajewski 298863 0 90199 0 32418 0 40310 0 22145 0 483935 0 27339 0 Chaitanta Ravi 217402 0 83621 0 20212 0 3046 0 22615 0 346896 0 0 0 SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PART III, LINE 4B DURING 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 INFORMATION PART III, LINE 4B MR. 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. ACME PAPER AND SUPPLY COMPANY SEE PART V 2400000 SEE PART V false BALTIMORE HEART ASSOCIATES SEE PART V 333304 SEE PART V false OBRECHT REALTY SERVICES SEE PART V 5326134 SEE PART V false BUSINESS TRANSACTIONS - NORTHWEST FORM 990, SCHEDULE L, PART IV, LINE 28C NORTHWEST 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. MISSION STATEMENT FORM 990, PART III, LINE 1 NORTHWEST 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 MEMBERS FORM 990, PART VI, LINES 6 AND 7 THE 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 COMMITTEES FORM 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 POLICY FORM 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 COMPENSATION FORM 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 POLICY FORM 990, PART VI, 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. 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 - BONDS ON 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 11 THE 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 ASSETS FORM 990, PART XI, LINE 9 TRANSFER 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 LIFEBRIDGE HEALTH INC 2401 WEST BELVEDERE AVENUE BALTIMORE MD 21215 521402373 PARENT MD 501(c)(3) 11B LBH false SINAI HOSPITAL OF BALTIMORE INC 2401 WEST BELVEDERE AVENUE BALTIMORE MD 21215 520486540 HOSPITAL MD 501(c)(3) 3 LBH false LEVINDALE HEBREW GERIATRIC CTR HOSPITAL 2434 WEST BELVEDERE AVENUE BALTIMORE MD 21215 520607913 SPEC HOSP MD 501(c)(3) 3 LBH false COURTLAND GARDENS NURSING AND REHAB CTR 7920 SCOTTS LEVEL ROAD BALTIMORE MD 21208 520607907 SKILL NURSING MD 501(c)(3) 9 LBH false CHILDREN'S HOSPITAL OF BALTIMORE CITY 2401 WEST BELVEDERE AVENUE BALTIMORE MD 21215 520591592 CHAR. SUPPORT MD 501(c)(3) 11B LBH false THE BALTIMORE JEWISH HEALTH FOUNDATION 2401 WEST BELVEDERE AVENUE BALTIMORE MD 21215 522111541 CHAR. SUPPORT MD 501(c)(3) 11B LBH false CHILDREN'S HOSPITAL AT SINAI FOUNDATION 2401 WEST BELVEDERE AVENUE BALTIMORE MD 21215 522167587 CHAR. SUPPORT MD 501(c)(3) 11B LBH false THE BALTIMORE JEWISH ELDERCARE FNDTN 2401 WEST BELVEDERE AVENUE BALTIMORE MD 21215 522337669 CHAR SUPPORT MD 501(c)(3) 11B LBH false LIFEBRIDGE INVESTMENTS INC 2401 WEST BELVEDERE AVENUE BALTIMORE MD 21215 521483166 INVESTMENT MD LBH C CORP HEALTHSTAR MEDICAL SERVICES IN 2401 WEST BELVEDERE AVENUE BALTIMORE MD 21215 521829098 HEALTHCARE MD LB INVESTMENTS C CORP PRACTICE DYNAMICS INC 124 BUSINESS CENTER DRIVE REISTERSTOWN MD 21136 521960319 MANAGEMENT MD LB INVESTMENTS C CORP SURGICAL ONCOLOGY ASSOCIATES INC 2401 WEST BELVEDERE AVENUE BALTIMORE MD 21215 521804659 HEALTHCARE MD LB INVESTMENTS C CORP LIFEBRIDGE INSURANCE COMPANY LTD PO BOX 1109 GRAND CAYMAN CAYMAN ISLANDS CJ KY1-1102 980415396 INSURANCE CJ LBH C CORP LIFEBRIDGE COMMUNITY PHYSICIANS INC 2401 BELVEDERE AVE BALTIMORE MD 21212 800719005 HEALTHCARE MD LBH C CORP false true false false false false false false false false false false false false false false false false false