2013-05-14T14:12:38-05:00 2012-06-30 KPMG LLP 1676 International Drive McLean VA 22102 990 2011-07-01 521372665 NORTHWEST HOSPITAL CENTER INC % NANCY KANE NORT 4106015653 5401 OLD COURT ROAD RANDALLSTOWN MD 21133 DAVID KRAJEWSKI 2013-05-13 true 7032868000 2011 2016-02-24 21:20:13Z BRIAN WHITE 5401 OLD COURT ROAD RANDALLSTOWN MD 21133 233680894 false X WWW.LIFEBRIDGEHEALTH.ORG/NORTHWEST.COM X 1984 MD TO IMPROVE THE WELLBEING OF THE COMMUNITY WE SERVE. 20 16 1896 180 4428 0 512236 381039 213852681 220018425 5533258 5474272 2099552 7807158 221997727 233680894 4000 270 0 0 108529228 115403477 0 0 71827 96765789 102396695 205299017 217800442 16698710 15880452 267491663 267747693 131224887 125844022 136266776 141903671 X SEE SCHEDULE O false false 156049409 270 220018425 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. 156049409 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 false false true false false false false false false false true false false false false false true true false false false true 166 0 true 1896 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 X WARREN GREEN 1.0 X X 0 1438899 43091 BRIAN WHITE 1.0 X X 126170 166600 47694 GERALD ABRAMS 1.0 X 0 0 0 WALTER AMPREY PHD 1.0 X 0 0 0 RONALD ATTMAN 1.0 X 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 0 0 0 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 RONALD GINSBERG 40.0 X 566562 0 17358 CANDACE HAMNER 40.0 X 262236 0 10704 SUSAN JALBERT 40.0 X 273633 0 41325 CHARLES ORLANDO 1.0 X 0 773252 125950 DAWN LEONARD MD 40.0 X 410527 0 28155 ABDALLAH KAFROUNI 40.0 X 343186 0 23379 MAYER GORBATY MD 40.0 X 347029 0 26621 ALAN DAVIS 40.0 X 308628 0 16181 WILLIAM GEIS 40.0 X 261834 0 20679 ERIK WEXLER 40.0 X 594089 0 51363 3493894 2382315 452500 147 true true false 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 36 242886 138153 381039 PATIENT REVENUE 900099 220018425 220018425 220018425 3616048 3616048 0 0 258287 258287 258287 258287 1858224 1858224 1858224 1858224 0 0 0 CAFETERIA SALES 900099 1303310 0 1303310 PHARMACY SALES 900099 2388798 0 2388798 MISCELLANEOUS 900099 3856763 0 4428 3852335 7548871 233680894 220018425 4428 13277002 270 270 0 0 0 1738168 1666341 71827 0 90045239 67536751 22508488 3050234 2501192 549042 14515010 10279474 4235536 6054826 4964958 1089868 0 32000 32000 0 0 0 0 20277654 3414852 16862802 469123 30973 438150 3509268 650253 2859015 0 0 3146507 2398203 748304 51372 51372 0 752018 390611 361407 4522425 4522425 0 11723359 8440818 3282541 280278 280278 SUPPLIES 33968300 29266390 4701910 PROVISION FOR BAD DEBT 14507314 14507314 PROFESSIONAL & TECHNICAL 7624475 5466240 2158235 AGENCY NURSES 1301555 1301555 231047 45480 185567 217800442 156049409 61679206 71827 9946 4877 45718252 52668646 1135416 1044141 28150804 25753231 0 0 0 0 0 0 2973816 3518478 501421 483162 243404161 135373051 110393086 108031110 77434359 75401157 0 0 0 0 0 0 1174563 842891 267491663 267747693 37843997 33459334 0 0 219943 249321 0 0 0 0 0 0 0 0 0 0 93160947 92135367 131224887 125844022 X 133016665 138238925 3250111 3664746 0 0 136266776 141903671 267491663 267747693 X 15880452 -10243557 X false true true X true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED true true false false false false true 10984 false true 58825 69809 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, 2012 AND OTHER LOBBYING ACTIVITIES PERFORMED ON BEHALF OF THE HOSPITAL REGARDING COMMUNITY STABILIZATION AND DEVELOPMENT, INTERVENTIONAL CARDIOLOGY, HEALTH CARE MALPRACTICE, AND CAPITAL FUNDING. 7452990 7452990 123950609 44890959 79059650 107803268 90482092 17321176 4197294 0 4197294 108031110 0 CAPTIVE PROFESSIONAL LIABILITY 590780 WORKERS COMPENSATION 850000 DEFERRED COMPENSATION 72773 ASSET RETIREMENT OBLIGATION 610000 DUE TO AFFILIATES BONDS 80264885 OTHER L.T.LIABILITIES 9746929 92135367 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 true true false true true 1708720 1708720 0.00780 1708720 1708720 0.00780 1480967 1480967 0.00680 551033 551033 0.00250 4359639 4359639 0.02000 88335 88335 0.00040 77477 77477 0.00040 6557451 6557451 0.03010 8266171 8266171 0.03790 117385 117385 117385 117385 false 14507314 7907587 99148499 85269851 13878648 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 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 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. X X X X false true false false false false false false false 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 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. 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 BUSINESS TRANSACTIONS - NORTHWEST FORM 990, SCHEDULE L, PART IV, LINE 28C 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. 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 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 LIFEBRIDGE HEALTH INC b 6473694