NORTHWEST HOSPITAL CENTER INC: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- NORTHWEST HOSPITAL CENTER INC (EIN 52-1372665)
- Tax period
- 2011-07-01 to 2012-06-30
- Filed
- 2013-05-14
- IRS object ID
- 201331349349303178
- Schema version
- 2011v1.5
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-05-14T14:12:38-05:00 | Timestamp |
| Tax Period End Date | 2012-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KPMG LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1676 International Drive | AddressLine1 |
| City | McLean | City |
| State | VA | State |
| ZIP Code | 22102 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 521372665 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORTHWEST HOSPITAL CENTER INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of Name | % NANCY KANE | InCareOfName |
| Name Control | NORT | NameControl |
| Phone | 4106015653 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5401 OLD COURT ROAD | AddressLine1 |
| City | RANDALLSTOWN | City |
| State | MD | State |
| ZIP Code | 21133 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | DAVID KRAJEWSKI | Name |
| Title | SENIOR VICE PRESIDENT/CFO | Title |
| Date Signed | 2013-05-13 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7032868000 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | BRIAN WHITE | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5401 OLD COURT ROAD | AddressLine1 |
| City | RANDALLSTOWN | City |
| State | MD | State |
| ZIP Code | 21133 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 233680894 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.LIFEBRIDGEHEALTH.ORG/NORTHWEST.COM | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1984 | YearFormation |
| State Legal Domicile | MD | StateLegalDomicile |
| Activity Or Mission Description | TO IMPROVE THE WELLBEING OF THE COMMUNITY WE SERVE. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 20 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 16 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1896 | TotalNbrEmployees |
| Total Nbr Volunteers | 180 | TotalNbrVolunteers |
| Total Gross UBI | 4428 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 512236 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 381039 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 213852681 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 220018425 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 5533258 | InvestmentIncomePriorYear |
| Investment Income Current Year | 5474272 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 2099552 | OtherRevenuePriorYear |
| Other Revenue Current Year | 7807158 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 221997727 | TotalRevenuePriorYear |
| Total Revenue Current Year | 233680894 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 4000 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 270 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 108529228 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 115403477 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 71827 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 96765789 | OtherExpensePriorYear |
| Other Expenses Current Year | 102396695 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 205299017 | TotalExpensesPriorYear |
| Total Expenses Current Year | 217800442 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 16698710 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 15880452 | RevenuesLessExpensesCY |
| Total Assets BOY | 267491663 | TotalAssetsBOY |
| Total Assets EOY | 267747693 | TotalAssetsEOY |
| Total Liabilities BOY | 131224887 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 125844022 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 136266776 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 141903671 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | SEE SCHEDULE O | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 156049409 | Expense |
| Grants | 270 | Grants |
| Revenue | 220018425 | Revenue |
| Description | NORTHWEST HOSPITAL CENTER, INC. IS RESPONSIBLE FOR THE MANAGEMENT AND DAY-TO-DAY OPERATIONS OF THE 221 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 $3,134,830. | Description |
| Total Program Service Expense | 156049409 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | true | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Financial Stmt Attached | true | FinancialStmtAttached |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | true | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transaction Related Entity | false | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 166 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 1896 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | true | UnrelatedBusinessIncome |
| Form990-T Filed | true | Form990-TFiled |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 20 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 16 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | CA | StatesWhereCopyOfReturnIsFiled |
| States Where Copy Of Return Is Filed | MD | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | NANCY KANE | NamePerson |
| Telephone Number | 4106015653 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2401 WEST BELVEDERE AVENUE | AddressLine1 |
| City | Baltimore | City |
| State | MD | State |
| ZIP Code | 21215 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (32 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|
| WARREN GREEN | ||||||||
| CEO/DIRECTOR | 1.0 | X | X | 0 | 1438899 | 43091 | ||
| BRIAN WHITE | ||||||||
| PRESIDENT/COO/DIRECTOR | 1.0 | X | X | 126170 | 166600 | 47694 | ||
| GERALD ABRAMS | ||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |||
| WALTER AMPREY PHD | ||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |||
| RONALD ATTMAN | ||||||||
| SECRETARY | 1.0 | X | X | 0 | 0 | 0 | ||
| RICHARD AZRAEL | ||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |||
| EUGENE A FRIEDMAN | ||||||||
| DIRECTOR | 1.0 | X | 0 | 1188 | 0 | |||
| IRA HIMMEL | ||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |||
| JUAN JUANTEGUY MD | ||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |||
| DONALD KIRSON | ||||||||
| DIRECTOR | 1.0 | X | 0 | 1188 | 0 | |||
| DOUGLAS LEDERMAN | ||||||||
| VICE CHAIRMAN | 1.0 | X | X | 0 | 0 | 0 | ||
| AUDREY LIFCOVICH | ||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |||
| STANFORD H MALINOW MD | ||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |||
| JOSEPH MIGLIARA | ||||||||
| TREASURER | 1.0 | X | X | 0 | 0 | 0 | ||
| THOMAS F OBRECHT | ||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |||
| DEBORAH S PHELPS | ||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |||
| PAUL L SAVAL | ||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |||
| BENAJMIN SCHAPIRO | ||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |||
| WILLIAM I SMULYAN MD | ||||||||
| DIRECTOR | 1.0 | X | 0 | 1188 | 0 | |||
| BARRY S WALTERS MD | ||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |||
| JOEL R WOHL | ||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |||
| ALAN D YARBRO | ||||||||
| CHAIRMAN | 1.0 | X | X | 0 | 0 | 0 | ||
| RONALD GINSBERG | ||||||||
| VP MEDICAL AFFAIRS | 40.0 | X | 566562 | 0 | 17358 | |||
| CANDACE HAMNER | ||||||||
| VP CARE MANAGEMENT | 40.0 | X | 262236 | 0 | 10704 | |||
| SUSAN JALBERT | ||||||||
| VP PATIENT CARE SERVICES | 40.0 | X | 273633 | 0 | 41325 | |||
| CHARLES ORLANDO | ||||||||
| SR. VICE PREISDENT/CFO | 1.0 | X | 0 | 773252 | 125950 | |||
| DAWN LEONARD MD | ||||||||
| SURGEON | 40.0 | 410527 | 0 | 28155 | X | |||
| ABDALLAH KAFROUNI | ||||||||
| INTENSIVIST | 40.0 | 343186 | 0 | 23379 | X | |||
| MAYER GORBATY MD | ||||||||
| PHYSICIAN-IN-CHIEF | 40.0 | 347029 | 0 | 26621 | X | |||
| ALAN DAVIS | ||||||||
| PHYSICIAN | 40.0 | 308628 | 0 | 16181 | X | |||
| WILLIAM GEIS | ||||||||
| PHYSICIAN | 40.0 | 261834 | 0 | 20679 | X | |||
| ERIK WEXLER | ||||||||
| FORMER PRESIDENT/COO/DIRECTOR | 40.0 | 594089 | 0 | 51363 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 3493894 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 2382315 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 452500 | TotalOtherCompensation |
| Number Individuals GT100 K | 147 | NumberIndividualsGT100K |
| Formers Listed | true | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| CROTHALL HEALTHCARE INC | |||||
| 13028 COLLECTION CENTER DR | CHICAGO | IL | 60693 | CONTRACT CLEANING | 3869041 |
| ARAMARK CORPORATION HSS | |||||
| 27271 NETWORK PLACE | CHICAGO | IL | 60603 | CAFETERIA MANAGEMENT | 2474898 |
| TRANSCEND SERVICES | |||||
| PO BOX 740209 | ATLANTA | GA | 30374 | TRANSCRIPTION | 728113 |
| DAVITA OWINGS MILLS | |||||
| PO BOX 403008 | ATLANTA | GA | 30384 | RENAL DIALYSIS | 619090 |
| ALLIANT STAFFING | |||||
| 7201 WISCONSIN AVENUE | BETHESDA | MD | 20814 | AGENCY NURSING | 500644 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 36 | NumberOfContractorsGT100K |
| Government Grants | 242886 | GovernmentGrants |
| All Other Contributions | 138153 | AllOtherContributions |
| Total Contributions | 381039 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | PATIENT REVENUE | Description |
| Business Code | 900099 | BusinessCode |
| Total Revenue Column | 220018425 | TotalRevenueColumn |
| Related Or Exempt Function Income | 220018425 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 220018425 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 3616048 | TotalRevenueColumn |
| Exclusion | $3,616,048 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 258287 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 258287 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 258287 | TotalRevenueColumn |
| Exclusion | $258,287 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 1858224 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 1858224 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1858224 | TotalRevenueColumn |
| Exclusion | $1,858,224 | ExclusionAmount |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | ExclusionExclusionAmount | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|---|
| CAFETERIA SALES | 900099 | 1303310 | 0 | $1,303,310 | |
| PHARMACY SALES | 900099 | 2388798 | 0 | $2,388,798 | |
| MISCELLANEOUS | 900099 | 3856763 | 0 | $3,852,335 | 4428 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 7548871 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 233680894 | TotalRevenueColumn |
| Related Or Exempt Function Income | 220018425 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 4428 | UnrelatedBusinessRevenue |
| Exclusion | $13,277,002 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 270 | Total |
| Program Services | 270 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1738168 | Total |
| Management And General | 1666341 | ManagementAndGeneral |
| Fundraising | 71827 | Fundraising |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 90045239 | Total |
| Program Services | 67536751 | ProgramServices |
| Management And General | 22508488 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3050234 | Total |
| Program Services | 2501192 | ProgramServices |
| Management And General | 549042 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14515010 | Total |
| Program Services | 10279474 | ProgramServices |
| Management And General | 4235536 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6054826 | Total |
| Program Services | 4964958 | ProgramServices |
| Management And General | 1089868 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 32000 | Total |
| Management And General | 32000 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 20277654 | Total |
| Program Services | 3414852 | ProgramServices |
| Management And General | 16862802 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 469123 | Total |
| Program Services | 30973 | ProgramServices |
| Management And General | 438150 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3509268 | Total |
| Program Services | 650253 | ProgramServices |
| Management And General | 2859015 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3146507 | Total |
| Program Services | 2398203 | ProgramServices |
| Management And General | 748304 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 51372 | Total |
| Program Services | 51372 | ProgramServices |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 752018 | Total |
| Program Services | 390611 | ProgramServices |
| Management And General | 361407 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4522425 | Total |
| Program Services | 4522425 | ProgramServices |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11723359 | Total |
| Program Services | 8440818 | ProgramServices |
| Management And General | 3282541 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 280278 | Total |
| Program Services | 280278 | ProgramServices |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| SUPPLIES | 33968300 | 29266390 | 4701910 |
| PROVISION FOR BAD DEBT | 14507314 | 14507314 | |
| PROFESSIONAL & TECHNICAL | 7624475 | 5466240 | 2158235 |
| AGENCY NURSES | 1301555 | 1301555 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 231047 | Total |
| Program Services | 45480 | ProgramServices |
| Management And General | 185567 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 217800442 | Total |
| Program Services | 156049409 | ProgramServices |
| Management And General | 61679206 | ManagementAndGeneral |
| Fundraising | 71827 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9946 | BOY |
| EOY | 4877 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 45718252 | BOY |
| EOY | 52668646 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1135416 | BOY |
| EOY | 1044141 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 28150804 | BOY |
| EOY | 25753231 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2973816 | BOY |
| EOY | 3518478 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 501421 | BOY |
| EOY | 483162 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 243404161 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 135373051 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 110393086 | BOY |
| EOY | 108031110 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 77434359 | BOY |
| EOY | 75401157 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1174563 | BOY |
| EOY | 842891 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 267491663 | BOY |
| EOY | 267747693 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 37843997 | BOY |
| EOY | 33459334 | EOY |
Grants Payable GrantsPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 219943 | BOY |
| EOY | 249321 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Escrow Account Liability EscrowAccountLiability
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Loans From Officers Directors LoansFromOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 93160947 | BOY |
| EOY | 92135367 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 131224887 | BOY |
| EOY | 125844022 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 133016665 | BOY |
| EOY | 138238925 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3250111 | BOY |
| EOY | 3664746 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 136266776 | BOY |
| EOY | 141903671 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 267491663 | BOY |
| EOY | 267747693 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 15880452 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -10243557 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | true | FederalGrantAuditRequired |
| Federal Grant Audit Performed | true | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbying | |
| Total Direct Lobbying | TotalDirectLobbying | |
| Total Lobbying Expenditures | TotalLobbyingExpenditures | |
| Other Exempt Purpose Expenditures | OtherExemptPurposeExpenditures | |
| Total Exempt Purpose Expenditures | TotalExemptPurposeExpenditures | |
| Lobbying Nontaxable | LobbyingNontaxableAmount | |
| Grassroots Nontaxable | GrassrootsNontaxableAmount | |
| Tot Lobbying Grassroot Minus Non Tx | TotLobbyingGrassrootMinusNonTx | |
| Tot Lobby Expend Mns Lobbying Nontx | TotLobbyExpendMnsLobbyingNontx | |
| Volunteers | true | Volunteers |
| Paid Staff Or Management | true | PaidStaffOrManagement |
| Media Advertisements | false | MediaAdvertisements |
| Mailings Members | false | MailingsMembers |
| Publications Or Broadcast | false | PublicationsOrBroadcast |
| Grants Other Organizations | false | GrantsOtherOrganizations |
| Direct Contact Legislators | true | DirectContactLegislators |
| Direct Contact Legislators | $10,984 | DirectContactLegislatorsAmount |
| Rallies Demonstrations | false | RalliesDemonstrations |
| Other Activities | true | OtherActivities |
| Other Activities | $58,825 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 69809 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | false | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | LOBBYING ACTIVITIES | Identifier |
| Return Reference | SCHEDULE C , PART II-B | ReturnReference |
| Explanation | LOBBYING INCLUDES A PORTION OF THE MARYLAND HOSPITAL ASSOCIATION DUES RELATED TO LOBBYING ACTIVITIES DURING THE YEAR ENDED JUNE 30, 2012 AND OTHER LOBBYING ACTIVITIES PERFORMED ON BEHALF OF THE HOSPITAL REGARDING COMMUNITY STABILIZATION AND DEVELOPMENT, INTERVENTIONAL CARDIOLOGY, HEALTH CARE MALPRACTICE, AND CAPITAL FUNDING. | Explanation |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts | |
| Current Year Minus3 Years | CurrentYearMinus3Years |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 7452990 | OtherCostOrOtherBasis |
| Book Value | 7452990 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 123950609 | OtherCostOrOtherBasis |
| Depreciation | 44890959 | Depreciation |
| Book Value | 79059650 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Leasehold Improvements | LeaseholdImprovements |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 107803268 | OtherCostOrOtherBasis |
| Depreciation | 90482092 | Depreciation |
| Book Value | 17321176 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 4197294 | OtherCostOrOtherBasis |
| Depreciation | 0 | Depreciation |
| Book Value | 4197294 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 108031110 | TotalOfBookValueLandBuildings |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (6 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| CAPTIVE PROFESSIONAL LIABILITY | $590,780 |
| WORKERS COMPENSATION | $850,000 |
| DEFERRED COMPENSATION | $72,773 |
| ASSET RETIREMENT OBLIGATION | $610,000 |
| DUE TO AFFILIATES BONDS | $80,264,885 |
| OTHER L.T.LIABILITIES | $9,746,929 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 92135367 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | UNCERTAIN TAX POSITIONS FOR FIN 48 | Identifier |
| Return Reference | SCHEDULE D PART X | ReturnReference |
| Explanation | 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. | Explanation |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
Other Percentage OtherPercentage
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Free Other Percentage | 300. | FreeOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
| Pcent300 | X | Pcent300 |
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | false | ExpensesExceededBudget |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | true | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1708720 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 1708720 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00780 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1708720 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 1708720 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00780 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1480967 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 1480967 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00680 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 551033 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 551033 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00250 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 4359639 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 4359639 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02000 | PercentOfTotalExpense |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 88335 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 88335 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00040 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 77477 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 77477 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00040 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 6557451 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 6557451 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03010 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 8266171 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 8266171 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03790 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 117385 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 117385 | NetCommunityBuildingExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 117385 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 117385 | NetCommunityBuildingExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReported |
| Bad Debt Expense | $14,507,314 | BadDebtExpenseAmount |
| Amount Attributable To | 7907587 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 99148499 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 85269851 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 13878648 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORTHWEST HOSPITAL CENTER INC | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5401 OLD COURT ROAD | AddressLine1 |
| City | RANDALLSTOWN | City |
| State | MD | State |
| ZIP Code | 21133 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
| Other | SUB-ACUTE | Other |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORTHWEST HOSPITAL CENTER INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| CHNA Conducted | false | CHNAConducted |
| Eligibility Criteria Explained | true | EligibilityCriteriaExplained |
| Uses FPG Free | true | UsesFPGFree |
| FPG Free Percent | 300. | FPGFreePercent |
| Uses FPG Discounted | true | UsesFPGDiscounted |
| FPG Discount Percent | 500. | FPGDiscountPercent |
| Explains Basis | true | ExplainsBasis |
| State Regulation | X | StateRegulation |
| Explains Application Method | true | ExplainsApplicationMethod |
| Includes Publicity Measures | true | IncludesPublicityMeasures |
| Attached To Invoices | X | AttachedToInvoices |
| Posted In Emergency Room | X | PostedInEmergencyRoom |
| Posted In Admission Office | X | PostedInAdmissionOffice |
| Provided On Admission | X | ProvidedOnAdmission |
| Available On Request | X | AvailableOnRequest |
| Actions On Nonpayment | true | ActionsOnNonpayment |
| Collection Activities | false | CollectionActivities |
| Notify Upon Admission | X | NotifyUponAdmission |
| Notify Before Discharge | X | NotifyBeforeDischarge |
| Notified All Patients | X | NotifiedAllPatients |
| Documented Determination | X | DocumentedDetermination |
| Nondiscrim Emergency Care Policy | true | NondiscrimEmergencyCarePolicy |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | false | AmountsGenerallyBilled |
| Gross Charges | true | GrossCharges |
Form990 Schedule H Part VI Form990ScheduleHPartVI (14 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| 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 PAYOR'S RATES, WHICH DOES NOT ENABLE MARYLAND HOSPITALS TO BREAKOUT ANY OFFSETTING REVENUE RELATED TO UNCOMPENSATED CARE. THE COST OF RENDERING SERVICES FOR MEDICAL ASSISTANCE PATIENTS ARE EQUAL TO MEDICAID REVENUES IN MARYLAND. THUS 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 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. |
| 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: | DURING FY 2012, NORTHWEST HOSPITAL BEGAN A FORMAL COMMUNITY HEALTH NEEDS ASSESSMENT AS REQUIRED AND DEFINED BY THE PATIENT PROTECTION AND AFFORDABLE CARE ACT AND SECTION 501(R) OF THE INTERNAL REVENUE CODE. IT WILL BE COMPLETED IN THE CURRENT FISCAL YEAR (FY13). LIFEBRIDGE HEALTH, INC., THE HOSPITAL'S PARENT CORPORATION, PERFORMED ITS LAST COMPLETE ASSESSMENT IN FY2005 AND HAS SINCE RELIED UPON INFORMAL METHODS FOR IDENTIFYING COMMUNITY NEEDS (E.G. CONSULTATION WITH COMMUNITY PARTNERS AND RESIDENTS, AND REVIEW OF HOSPITAL-LEVEL DISCHARGE DATA). THE CURRENT PROCESS USED TO IDENTIFY HEALTH NEEDS OF NORTHWEST HOSPITAL'S COMMUNITY INCLUDES ANALYZING PRIMARY AND SECONDARY DATA AT BOTH HOSPITAL AND COMMUNITY LEVELS AND INVOLVING COMMUNITY MEMBERS AND KEY COMMUNITY GROUPS IN FURTHER IDENTIFICATION OF PRIORITY CONCERNS AND NEEDS. THE HOSPITAL IS COMMITTED TO ALIGNING ITS PRIORITIES WITH LOCAL, STATE AND NATIONAL HEALTH IMPROVEMENT INITIATIVES SUCH AS THE MARYLAND STATE HEALTH IMPROVEMENT PLAN (SHIP), AND THE LOCAL ACTION PLAN DEVELOPED BY THE BALTIMORE COUNTY HEALTH COALITION TO ACHIEVE SHIP. A) CLINICAL DEPARTMENT NEED RECOGNITION BASED ON DAILY PATIENT CARE AND PROFESSIONAL EXPERIENCE, B) PARTICIPATION IN COMMUNITY COALITIONS AND/OR COLLABORATION WITH THE HEALTH DEPARTMENT AND/OR OTHER PARTNERS, AND C) CONSULTATION WITH COMMUNITY RESIDENTS, AGENCIES, ORGANIZATIONS AND HEALTH CARE PROVIDERS. METHOD A: CLINICAL DEPARTMENT RECOGNITION BASED ON DAILY PATIENT CARE AND PROFESSIONAL EXPERIENCE FOR MANY OF THE CLINICAL DEPARTMENTS, INFORMAL NEEDS ASSESSMENTS ARE PERFORMED AS A BY-PRODUCT OF DAILY PATIENT CARE AS STAFF ENCOUNTER THE NEEDS OF THOSE WHO SEEK SERVICES. FOR EXAMPLE, PRIOR TO THE DEVELOPMENT OF THE FREEDOM TO SCREEN PROGRAM, NORTHWEST HOSPITAL'S BREAST CENTER REFERRED UNINSURED WOMEN TO THE BALTIMORE COUNTY HEALTH DEPARTMENT OR OTHER LOCAL BREAST AND CERVICAL CANCER SCREENING PROGRAM FACILITIES FOR FREE BREAST CANCER SCREENINGS (CLINICAL BREAST EXAM AND MAMMOGRAPHY). IN ORDER TO BETTER SERVE THOSE UNINSURED WOMEN WHO SEEK BREAST CARE AT NORTHWEST, WE DEVELOPED THE FREEDOM TO SCREEN PROGRAM. THIS PROGRAM NOW PROVIDES CULTURALLY COMPETENT BREAST CANCER EDUCATION AND ACCESS TO SCREENING SERVICES TO UNDERSERVED WOMEN IN BOTH BALTIMORE COUNTY AND CITY. THE PROGRAM PARTICULARLY BENEFITS WOMEN WHO WOULD OTHERWISE BE INELIGIBLE FOR FREE SCREENINGS. METHOD B: PARTICIPATION IN COMMUNITY COALITIONS AND/OR COLLABORATION WITH THE HEALTH DEPARTMENT AND/OR OTHER PARTNERS ANOTHER WAY OF PARTICIPATING IN COMMUNITY NEEDS ASSESSMENT IS WHEN HOSPITAL STAFF SERVE ON COMMUNITY COALITIONS THAT PERFORM AN ASSESSMENT OR PLANNING FUNCTION. THE EMERGENCY MEDICAL SERVICES (EMS) DEPARTMENT AT NORTHWEST HOSPITAL COLLABORATES WITH THE BALTIMORE COUNTY FIRE DEPARTMENT TO IDENTIFY EDUCATIONAL NEEDS OF THOSE WHO PROVIDE DIRECT ASSISTANCE TO THE COMMUNITY DURING EMERGENCIES. NORTHWEST STAFF CONDUCTED AN INFORMAL NEEDS ASSESSMENT VIA IN-PERSON ENCOUNTERS AND INFORMATIONAL FLYERS TO REQUEST INPUT ON TOPICS TO INCLUDE IN THE EDUCATIONAL CURRICULUM OF COMMUNITY EDUCATION EVENTS. FOR EXAMPLE, LOCAL VOLUNTEER EMS COMPANIES REQUESTED INFORMATION ON LOCAL GANGS AND A GANG AWARENESS EVENT WAS DEVELOPED. METHOD C: CONSULTATION WITH COMMUNITY RESIDENTS, AGENCIES, ORGANIZATIONS AND HEALTH CARE PROVIDERS DURING FY12, NORTHWEST HOSPITAL LEADERSHIP INVITED THE BALTIMORE COUNTY HEALTH DEPARTMENT'S DEPUTY DIRECTOR TO PRESENT BALTIMORE COUNTY'S HEALTH IMPROVEMENT PLAN TO LIFEBRIDGE HEALTH, INC.'S COMMUNITY MISSION COMMITTEE. THIS PRESENTATION MARKED THE BEGINNING OF A COMMITMENT TOWARD PARTNERING ON ISSUES OF HEALTH IMPROVEMENT IN THE STATE HEALTH IMPROVEMENT PLAN (SHIP), THE BALTIMORE COUNTY DEPARTMENT OF HEALTH FORMED THE BALTIMORE COUNTY HEALTH COALITION TO IDENTIFY, PRIORITIZE AND RESPOND TO PRESSING HEALTH NEEDS IN BALTIMORE COUNTY. A NORTHWEST HOSPITAL REPRESENTATIVE IS A MEMBER OF THIS LOCAL COALITION. NORTHWEST HOSPITAL CONTINUES TO CONSULT AND COLLABORATE WITH PUBLIC HEALTH AND SAFETY ORGANIZATIONS, SUCH AS THE BALTIMORE COUNTY HEALTH AND FIRE DEPARTMENTS, PRIVATE HEALTH PROVIDERS AND COMMUNITY RESIDENTS, TO BETTER UNDERSTAND COMMUNITY HEALTH NEEDS AND PRIORITIES. MEMBERS OF NORTHWEST HOSPITAL'S HEALTH POLICY ADVISORY BOARD ALSO REPRESENT KEY COMMUNITY GROUPS INCLUDING LOCAL GOVERNMENT, AND PROVIDE THE HOSPITAL WITH KEY GUIDANCE IN THE IDENTIFICATION OF LOCAL HEALTH NEEDS AND THE DEVELOPMENT OF APPROPRIATE HOSPITAL-LED RESPONSES. |
| 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. AS A WHOLE, THE NORTHWEST HOSPITAL COMMUNITY BENEFIT SERVICE AREA IS HOME TO 111,281 RESIDENTS WITH AN AVERAGE HOUSEHOLD INCOME OF $63,379 COMPARED TO THE BALTIMORE COUNTY MEDIAN HOUSEHOLD INCOME OF $62,543 AND THE MARYLAND STATE AVERAGE OF $71,647. |
| 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, 21% OF MEDICAID-RECEIVING INPATIENTS LIVE IN 21133 WHICH SHOWS 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 FY12, PRIMARY SERVICE AREA ZIP CODES FOR NORTHWEST HOSPITAL (21133, 21208, 21207, 21244 AND 21117) ACCOUNTED FOR 8,130 OR 56% OF TOTAL INPATIENT ADMISSIONS. MEDICAID PATIENTS ACCOUNTED FOR 2.1% OF ALL NORTHWEST HOSPITAL ENCOUNTERS IN FY12. OF THE TOTAL MEDICAID CASES, 21% RESIDE IN THE 21133 ZIP CODE WHERE THE HOSPITAL IS LOCATED. 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. SINAI HOSPITAL OF BALTIMORE AND LEVINDALE HEBREW GERIATRIC CENTER AND HOSPITAL ARE AFFILIATES OF NORTHWEST HOSPITAL CENTER. DISCHARGED PATIENTS REQUIRING CHRONIC AND SUB-ACUTE CARE ARE OFTEN ADMITTED TO LEVINDALE FOR FURTHER CARE. |
| PART VI, LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORT: | THE COST BENEFIT REPORT IS FILED IN THE STATE OF MARYLAND. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (12 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| RONALD GINSBERG | |||||||||||||
| 281301 | 0 | 196514 | 0 | 88747 | 0 | 469 | 0 | 16889 | 0 | 583920 | 0 | 61200 | 0 |
| WARREN GREEN | |||||||||||||
| 0 | 791069 | 0 | 473282 | 0 | 174548 | 0 | 25442 | 0 | 17649 | 0 | 1481990 | 0 | 149048 |
| CANDACE HAMNER | |||||||||||||
| 180077 | 0 | 44684 | 0 | 37475 | 0 | 1665 | 0 | 9039 | 0 | 272940 | 0 | 20189 | 0 |
| SUSAN JALBERT | |||||||||||||
| 200125 | 0 | 47582 | 0 | 25926 | 0 | 24308 | 0 | 17017 | 0 | 314958 | 0 | 21320 | 0 |
| CHARLES ORLANDO | |||||||||||||
| 0 | 421320 | 0 | 210159 | 0 | 141773 | 0 | 103035 | 0 | 22915 | 0 | 899202 | 0 | 112860 |
| BRIAN WHITE | |||||||||||||
| 68099 | 166500 | 55239 | 0 | 2832 | 100 | 0 | 24990 | 2023 | 20681 | 128193 | 212271 | 0 | 0 |
| ERIK WEXLER | |||||||||||||
| 259013 | 0 | 230954 | 0 | 104122 | 0 | 43054 | 0 | 8309 | 0 | 645452 | 0 | 98431 | 0 |
| DAWN LEONARD MD | |||||||||||||
| 325610 | 0 | 45140 | 0 | 39777 | 0 | 8198 | 0 | 19957 | 0 | 438682 | 0 | 0 | 0 |
| ABDALLAH KAFROUNI | |||||||||||||
| 249769 | 0 | 92621 | 0 | 796 | 0 | 2030 | 0 | 21349 | 0 | 366565 | 0 | 0 | 0 |
| MAYER GORBATY MD | |||||||||||||
| 326097 | 0 | 20832 | 0 | 100 | 0 | 7664 | 0 | 18957 | 0 | 373650 | 0 | 0 | 0 |
| ALAN DAVIS | |||||||||||||
| 219308 | 0 | 88190 | 0 | 1130 | 0 | 656 | 0 | 15525 | 0 | 324809 | 0 | 0 | 0 |
| WILLIAM GEIS | |||||||||||||
| 177467 | 0 | 63195 | 0 | 21172 | 0 | 1562 | 0 | 19117 | 0 | 282513 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| 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 $149,048 ERIK WEXLER $ 98,431 RONALD GINSBERG $ 61,200 CANDACE HAMNER $ 20,189 SUSAN JALBERT $ 21,320 CHARLES ORLANDO $112,860 |
| 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. MR. WEXLER RECEIVED COMPENSATION AS PRESIDENT/ COO FOR NORTHWEST HOSPITAL CENTER, 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. HIS COMPENSATION WAS PAID BY SINAI HOSPITAL OF BALTIMORE, 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. HIS COMPENSATION WAS PAID BY NORTHWEST HOSPITAL CENTER, INC. |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (4 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| ACME PAPER AND SUPPLY CO | |||
| SEE PART V | 2200000 | SEE PART V | false |
| CARLSON LANE LLC | |||
| SEE PART V | 791758 | SEE PART V | false |
| OBRECHT REALTY SERVICES | |||
| SEE PART V | 2546804 | SEE PART V | false |
| BALTIMORE HEART ASSOCIATES PA | |||
| SEE PART V | 304275 | SEE PART V | false |
Form990 Schedule L Part V Form990ScheduleLPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | BUSINESS TRANSACTIONS - NORTHWEST | Identifier |
| Return Reference | FORM 990, SCHEDULE L, PART IV, LINE 28C | ReturnReference |
| Explanation | NORTHWEST HOSPITAL CENTER, INC. AND THE LIFEBRIDGE HEALTH SUBSIDIARIES RECEIVED $2,200,000 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 $791,758 IN RENT TO CARLSON LANE, LLC AND $2,546,804 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 $304,275 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 (16 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| 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 FORTY-NINE 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 2012, THE HOSPITAL ADMITTED 12,676 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 2012, NORTHWEST ER-7 RECORDED 62,589 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 2012, 868 VICTIMS WERE IDENTIFIED. OF THESE, 271 VICTIMS RECEIVED CRISIS INTERVENTION, 526 VICTIMS RECEIVED HOME VISITS FROM THE POLICE AND DOVE STAFF, 87 VICTIMS RECEIVED COURT ACCOMPANIMENT, 47 VICTIMS RECEIVED INDIVIDUAL THERAPY, 68 VICTIMS RECEIVED GROUP SUPPORT, AND 1185 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; TO NOMINATE AND ELECT THE CORPORATION'S CHAIR, VICE CHAIR, SECRETARY, AND TREASURER; AND 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, VICE PRESIDENT OF FINANCE, GENERAL COUNSEL, CORPORATE CONTROLLER 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 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, 2012, $277,920,676 OF THE TOTAL AMOUNT BORROWED APPEARS AS DUE TO LIFEBRIDGE HEALTH, OF WHICH NORTHWEST'S PORTION IS $70,706,371. 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, OF WHICH NORTHWEST'S PORTIONS IS $9,271,186. 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, 2012, $50,642,635 OF THE TOTAL AMOUNT BORROWED, OF WHICH NORTHWEST'S PORTION IS $9,261,610, 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 WILL BE COMPLETE IN 2013. LIFEBRIDGE HEALTH DID MAINTAIN ADEQUATE RECORDS TO SUPPORT THE FINAL ALLOCATION. | |
| OTHER CHANGES IN NET ASSETS | FORM 990, PART XI, LINE 5 | TRANSFER FROM AFFILIATE 5,932,997 INCREASE PLEDGE RECEIVABLE 285,608 RESTRICTED GIFTS/GRANTS RECEIVED 129,027 UNREALIZED INVESTMENT INCOME (4,184,500) EQUITY (PAID IN EXCESS OF PAR) (12,406,689) --------------- TOTAL (10,243,557) |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:WARREN GREEN TITLE:CEO/DIRECTOR HOURS:45 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:BRIAN WHITE TITLE:PRESIDENT/COO/DIRECTOR HOURS:40 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:WALTER AMPREY PHD TITLE:DIRECTOR HOURS:1 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:DONALD KIRSON TITLE:DIRECTOR HOURS:1 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:BENAJMIN SCHAPIRO TITLE:DIRECTOR HOURS:6 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:ALAN D YARBRO TITLE:CHAIRMAN HOURS:1 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:CHARLES ORLANDO TITLE:SR. VICE PREISDENT/CFO HOURS:45 |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (8 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| 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 |
Form990 Schedule R Part IV Form990ScheduleRPartIV (6 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Address Line1AddressForeign/AddressLine1 | CityAddressForeign/City | Province Or StateAddressForeign/ProvinceOrState | CountryAddressForeign/Country | Postal CodeAddressForeign/PostalCode | Legal Domicile Foreign CountryLegalDomicileForeignCountry |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | ||||||||||||||
| 980415396 | INSURANCE | LBH | C CORP | PO BOX 1109 | GRAND CAYMAN | CAYMAN ISLANDS | CJ | KY1-1102 | CJ | |||||
| LIFEBRIDGE COMMUNITY PHYSICIANS INC | ||||||||||||||
| 2401 BELVEDERE AVE | BALTIMORE | MD | 21212 | 800719005 | HEALTHCARE | MD | LBH | C CORP | ||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | true | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | false | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | false | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable
Name Of Other Organization NameOfOtherOrganization
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LIFEBRIDGE HEALTH INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | b | TransactionType |
| Amount Involved | 6473694 | AmountInvolved |