FURP.ORG / PUBLIC DATA EXPLORER

NORTHWEST HOSPITAL CENTER INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
NORTHWEST HOSPITAL CENTER INC (EIN 52-1372665)
Tax period
2010-07-01 to 2011-06-30
Filed
2012-05-14
IRS object ID
201241359349300114
Schema version
2010v3.7
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-05-14T06:58:17-05:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1KPMG LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11676 International DriveAddressLine1
CityMcLeanCity
StateVAState
ZIP Code22102ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN521372665EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1NORTHWEST HOSPITAL CENTER INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlNORTNameControl
Phone4106015653Phone

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NameCharles OrlandoName
TitleCFOTitle
Date Signed2012-05-10DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone7032868000Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonERIK WEXLERNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line15401 OLD COURT ROADAddressLine1
CityRANDALLSTOWNCity
StateMDState
ZIP Code21133ZIPCode
FieldValueIRS element (for citing)
Gross Receipts221997727GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.LIFEBRIDGEHEALTH.ORG/NORTHWEST.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1984YearFormation
State Legal DomicileMDStateLegalDomicile
Activity Or Mission DescriptionTO IMPROVE THE WELLBEING OF THE COMMUNITY WE SERVE.ActivityOrMissionDescription
Nbr Voting Members Governing Body23NbrVotingMembersGoverningBody
Nbr Independent Voting Members19NbrIndependentVotingMembers
Total Nbr Employees1848TotalNbrEmployees
Total Nbr Volunteers175TotalNbrVolunteers
Total Gross UBI627TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year489934ContributionsGrantsPriorYear
Contributions Grants Current Year512236ContributionsGrantsCurrentYear
Program Service Revenue Prior Year203817082ProgramServiceRevenuePriorYear
Program Service Revenue CY213852681ProgramServiceRevenueCY
Investment Income Prior Year4656686InvestmentIncomePriorYear
Investment Income Current Year5533258InvestmentIncomeCurrentYear
Other Revenue Prior Year1873134OtherRevenuePriorYear
Other Revenue Current Year2099552OtherRevenueCurrentYear
Total Revenue Prior Year210836836TotalRevenuePriorYear
Total Revenue Current Year221997727TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year8850GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY4000GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year103251333SalariesEtcPriorYear
Salaries Etc Current Year108529228SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year62936TotalFundrsngExpCurrentYear
Other Expense Prior Year93226463OtherExpensePriorYear
Other Expenses Current Year96765789OtherExpensesCurrentYear
Total Expenses Prior Year196486646TotalExpensesPriorYear
Total Expenses Current Year205299017TotalExpensesCurrentYear
Revenues Less Expenses Prior Year14350190RevenuesLessExpensesPriorYear
Revenues Less Expenses CY16698710RevenuesLessExpensesCY
Total Assets BOY223313394TotalAssetsBOY
Total Assets EOY267491663TotalAssetsEOY
Total Liabilities BOY98809598TotalLiabilitiesBOY
Total Liabilities EOY131224887TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY124503796NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY136266776NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionSEE SCHEDULE OMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense151023299Expense
Grants4000Grants
Revenue213852681Revenue
DescriptionNORTHWEST 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 HOSPITAL. 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 $3,692,338.Description
Total Program Service Expense151023299TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096130NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees1848NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members23NbrVotingGoverningBodyMembers
Number Independent Voting Members19NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledCAStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledMDStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonNANCY KANENamePerson
Telephone Number4106015653TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12401 WEST BELVEDERE AVENUEAddressLine1
CityBaltimoreCity
StateMDState
ZIP Code21215ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (35 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
ERIK WEXLER
PRESIDENT/COO/DIRECTOR40.0XX5978350109810
GERALD ABRAMS
DIRECTOR1.0X000
WALTER AMPREY PHD
DIRECTOR1.0X000
RONALD ATTMAN
SECRETARY/DIRECTOR1.0XX000
RICHARD AZRAEL
DIRECTOR1.0X000
STACEY BERNER MD
DIRECTOR1.0X1060000
ROBERT I DAMIE
DIRECTOR1.0X000
EUGENE A FRIEDMAN
DIRECTOR1.0X118800
IRA HIMMEL
DIRECTOR1.0X000
JUAN JUANTEGUY MD
DIRECTOR1.0X000
DONALD KIRSON
DIRECTOR1.0X118800
DOUGLAS LEDERMAN
VICE CHAIRMAN/DIRECTOR1.0XX000
AUDREY LIFCOVICH
DIRECTOR1.0X000
STANFORD H MALINOW MD
DIRECTOR1.0X000
ANDREW MALIS
DIRECTOR1.0X000
JOSEPH MIGLIARI
TREASURER/DIRECTOR1.0XX000
BILL MILLER
DIRECTOR1.0X000
THOMAS F OBRECHT
DIRECTOR1.0X000
DEBORAH S PHELPS
DIRECTOR1.0X000
DALIAH SALAHUDDIN
DIRECTOR1.0X000
BENJAMIN SCHAPIRO
DIRECTOR1.0X000
WILLIAM I SMULYAN MD
DIRECTOR1.0X000
BARRY S WALTERS MD
DIRECTOR1.0X000
JOEL R WOHL
DIRECTOR1.0X118800
ALAN D YARBRO
CHAIRMAN/DIRECTOR1.0XX000
WARREN GREEN
CEO/DIRECTOR1.0XX090389341081
CHARLES ORLANDO
CHIEF FINANCIAL OFFICER1.0X0532604131005
RONALD GINSBERG
VP MEDICAL AFFAIRS40.0X475459050501
CANDACE HAMNER
VP CARE MANAGEMENT40.0X208956030903
SUSAN JALBERT
VP PATIENT CARE SERVICES40.0X218885039308
DAWN LEONARD MD
SURGEON40.0372664025774X
ALAN DAVIS
PHYSICIAN40.0314091016228X
MURTUZA AHMED
PHYSICIAN40.0252975020749X
WILLIAM GEIS
PHYSICIAN40.0237191020198X
ABDALLAH KAFROUNI
INTENSIVIST40.0378160021011X
FieldValueIRS element (for citing)
Total Reportable Comp From Org3070380TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1436497TotalReportableCompFrmRltdOrgs
Total Other Compensation506568TotalOtherCompensation
Number Individuals GT100 K95NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
CROTHALL HEALTHCARE INC
13028 COLLECTION CENTER DRCHICAGOIL60693CONTRACT CLEANING3689431
ARAMARK CORPORATION HSS
25271 NETWORK PLACECHICAGOIL60603FOOD SERV MANAGEMENT2252972
DAVITA OWINGS MILLS
PO BOX 403008ATLANTAGA30384RENAL DIALYSIS754505
ALLIANT STAFFING
7201 WISCONSIN AVENUEBETHESDAMD20814AGENCY NURSING431824
MEDICAL DICTATION SERVICES
PO BOX 11407BIRMINGHAMAL35246TRANSCRIPTION427958
FieldValueIRS element (for citing)
Number Of Contractors GT100 K28NumberOfContractorsGT100K
Government Grants335598GovernmentGrants
All Other Contributions176638AllOtherContributions
Total Contributions512236TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPATIENT REVENUEDescription
Business Code900099BusinessCode
Total Revenue Column213852681TotalRevenueColumn
Related Or Exempt Function Income213852681RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue213852681TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column3996317TotalRevenueColumn
Exclusion$3,996,317ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real306416Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real306416Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column306416TotalRevenueColumn
Exclusion$306,416ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities1536941Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities1536941Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column1536941TotalRevenueColumn
Exclusion$1,536,941ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmountUnrelated Business RevenueUnrelatedBusinessRevenue
CAFETERIA SALES9000991290966$1,290,966
PHARMACY SALES900099104719$104,719
MISCELLANEOUS900099397451$396,824627
FieldValueIRS element (for citing)
Total Other Revenue1793136TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column221997727TotalRevenueColumn
Related Or Exempt Function Income213852681RelatedOrExemptFunctionIncome
Unrelated Business Revenue627UnrelatedBusinessRevenue
Exclusion$7,632,183ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total4000Total
Program Services4000ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1501135Total
Program Services694344ProgramServices
Management And General743855ManagementAndGeneral
Fundraising62936Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total86497271Total
Program Services65987108ProgramServices
Management And General20510163ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1897006Total
Program Services1574510ProgramServices
Management And General322496ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total12717529Total
Program Services9064448ProgramServices
Management And General3653081ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total5916287Total
Program Services4910519ProgramServices
Management And General1005768ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total0Total

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total19852497Total
Program Services3632595ProgramServices
Management And General16219902ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total510606Total
Program Services20723ProgramServices
Management And General489883ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total3186405Total
Program Services796911ProgramServices
Management And General2389494ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total4099976Total
Program Services593533ProgramServices
Management And General3506443ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total48361Total
Program Services48330ProgramServices
Management And General31ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total746516Total
Program Services391019ProgramServices
Management And General355497ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total3595637Total
Program Services3595637ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total9931433Total
Program Services9931433ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total280439Total
Program Services280439ProgramServices

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
SUPPLIES31267306278753823391924
PROVISION FOR BAD DEBT1450611514506115
PROFESSIONAL & TECHNICAL713092155419071589014
AGENCY NURSING15448241544824
DUES AND MEMBERSHIPS647532952235231

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total205299017Total
Program Services151023299ProgramServices
Management And General54212782ManagementAndGeneral
Fundraising62936Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY4744BOY
EOY9946EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY39816484BOY
EOY45718252EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY1549442BOY
EOY1135416EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY20838245BOY
EOY28150804EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY2241310BOY
EOY2973816EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY425241BOY
EOY501421EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis234118720LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec123725634LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY96292665BOY
EOY110393086EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY61151229BOY
EOY77434359EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY994034BOY
EOY1174563EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY223313394BOY
EOY267491663EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY24600779BOY
EOY37843997EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY225523BOY
EOY219943EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY73983296BOY
EOY93160947EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY98809598BOY
EOY131224887EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY121341612BOY
EOY133016665EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY3162184BOY
EOY3250111EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY124503796BOY
EOY136266776EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY223313394BOY
EOY267491663EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses16698710ReconcilationRevenueExpenses
Reconcilation Other Changes-4935730ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteerstrueVolunteers
Paid Staff Or ManagementtruePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorstrueDirectContactLegislators
Direct Contact Legislators$9,940DirectContactLegislatorsAmount
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$47,508OtherActivitiesAmount
Total Lobbying Expenditures IIB57448TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierLOBBYING ACTIVITIESIdentifier
Return ReferenceSCHEDULE C , PART II-BReturnReference
ExplanationLOBBYING INCLUDES A PORTION OF THE MARYLAND HOSPITAL ASSOCIATION DUES RELATED TO LOBBYING ACTIVITIES DURING THE YEAR ENDED JUNE 30, 2011 AND OTHER LOBBYING ACTIVITIES PERFORMED ON BEHALF OF THE HOSPITAL FOR COMMUNITY STABILIZATION AND DEVELOPMENT, HEALTH CARE MALPRACTICE, INTERVENTIONAL RADIOLOGY, AND CAPITAL FUNDING.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis5723096OtherCostOrOtherBasis
Book Value5723096BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis114923378OtherCostOrOtherBasis
Depreciation38527657Depreciation
Book Value76395721BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis0OtherCostOrOtherBasis
Depreciation0Depreciation
Book Value0BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis101616114OtherCostOrOtherBasis
Depreciation85197977Depreciation
Book Value16418137BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis11856132OtherCostOrOtherBasis
Depreciation0Depreciation
Book Value11856132BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings110393086TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (6 entries)

DescriptionDescriptionAmountAmount
CAPTIVE PROFESSIONAL LIABILITY$590,780
WORKERS COMPENSATION$805,657
DEFERRED COMPENSATION$191,133
ASSET RETIREMENT OBLIGATION$610,000
DUE TO AFFILIATES BONDS$81,063,377
OTHER L.T.LIABILITIES$9,900,000
FieldValueIRS element (for citing)
Total Of Amounts93160947TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

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

Schedule H IRS990ScheduleH

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

Other Percentage OtherPercentage

FieldValueIRS element (for citing)
OtherXOther
Free Other Percentage300.FreeOtherPercentage
FieldValueIRS element (for citing)
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent300XPcent300
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgetfalseExpensesExceededBudget
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense1826075TotalCommunityBenefitExpense
Net Community Benefit Expense1826075NetCommunityBenefitExpense
Percent Of Total Expense0.00900PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense1826075TotalCommunityBenefitExpense
Net Community Benefit Expense1826075NetCommunityBenefitExpense
Percent Of Total Expense0.00900PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Persons Served8680PersonsServed
Total Community Benefit Expense1529497TotalCommunityBenefitExpense
Net Community Benefit Expense1529497NetCommunityBenefitExpense
Percent Of Total Expense0.00750PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Persons Served720PersonsServed
Total Community Benefit Expense529979TotalCommunityBenefitExpense
Net Community Benefit Expense529979NetCommunityBenefitExpense
Percent Of Total Expense0.00260PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense6632692TotalCommunityBenefitExpense
Net Community Benefit Expense6632692NetCommunityBenefitExpense
Percent Of Total Expense0.04790PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense94539TotalCommunityBenefitExpense
Net Community Benefit Expense94539NetCommunityBenefitExpense
Percent Of Total Expense0.00050PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Persons Served9400PersonsServed
Total Community Benefit Expense8786707TotalCommunityBenefitExpense
Net Community Benefit Expense8786707NetCommunityBenefitExpense
Percent Of Total Expense0.05850PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Persons Served9400PersonsServed
Total Community Benefit Expense10612782TotalCommunityBenefitExpense
Net Community Benefit Expense10612782NetCommunityBenefitExpense
Percent Of Total Expense0.06750PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Total Community Building Expense274324TotalCommunityBuildingExpense
Net Community Building Expense274324NetCommunityBuildingExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense274324TotalCommunityBuildingExpense
Net Community Building Expense274324NetCommunityBuildingExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReported
Bad Debt Expense$14,506,115BadDebtExpenseAmount
Amount Attributable To7171288AmountAttributableTo
Amount Reimbursed By Medicare98913127AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare83602651CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall15310476MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

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

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

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

Address Address

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

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1NORTHWEST HOSPITAL CENTER INCBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber

Form990 Schedule H Part VI Form990ScheduleHPartVI (13 entries)

IdentifierIdentifierExplanationExplanation
PART I LINE 3C FINANCIAL ASSISTANCE ELIGIBILITY CRITERIANORTHWEST HOSPITAL CENTER, INC. PROVIDES SERVICES WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES, TO PATIENTS WHO MEET THE CRITERIA OF ITS CHARITY CARE POLICY. THE CRITERIA FOR CHARITY CARE CONSIDER GROSS INCOME AND FAMILY SIZE ACCORDING TO CURRENT FEDERAL POVERTY GUIDELINES. PATIENTS WITH AN ANNUAL INCOME UP TO 300% OF THE FEDERAL POVERTY LEVEL MAY HAVE 100% OF THEIR HOSPITAL BILLS COVERED BY FINANCIAL ASSISTANCE. TO QUALIFY, THE PATIENT MUST SHOW PROOF OF INCOME 300% OR LESS OF THE FEDERAL POVERTY GUIDELINES. PATIENTS SLIGHTLY ABOVE 300% ANNUAL INCOME MAY HAVE A PORTION OF THEIR MEDICAL BILLS COVERED BY FINANCIAL ASSISTANCE BASED ON A SLIDING SCALE. ELIGIBILITY IS CALCULATED BASED ON THE NUMBER OF PEOPLE LIVING IN THE HOUSEHOLD.
PART I LINE 7 COMMUNITY BENEFITS AT COSTMARYLANDS 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. MARYLANDS UNIQUE ALL-PAYOR SYSTEM INCLUDES A METHOD FOR REFERENCING UNCOMPENSATED CARE IN EACH PAYORS RATES, WHICH DOES NOT ENABLE MARYLAND HOSPITALS TO BREAK-OUT ANY OFFSETTING REVENUE RELATED TO UNCOMPENSATED CARE. COMMUNITY BENEFIT EXPENSES ARE EQUAL TO MEDICAID REVENUES IN MARYLAND, AS SUCH, THE NET EFFECT IS ZERO. THE EXCEPTION TO THIS IS THE IMPACT ON THE HOSPITAL OF ITS SHARE OF THE MEDICAID ASSESSMENT. IN RECENT YEARS, THE STATE OF MARYLAND HAS CLOSED FISCAL GAPS IN THE STATE MEDICAID BUDGET BY ASSESSING HOSPITALS THROUGH THE RATE-SETTING SYSTEM.
PART II - COMMUNITY BUILDING ACTIVITIES:DECISIONS REGARDING THE SELECTION OF COMMUNITY NEEDS TO ADDRESS DEPEND ON THE HOSPITAL DEPARTMENTS INVOLVED AND THE CONSTITUENCIES THEY SERVE. DECISIONS MAY ALSO INVOLVE HOW THE COMMUNITY ASSESSMENT WAS DONE, AND FOR WHAT PURPOSE. THE COMMUNITY SERVICE CORPS, A GROUP OF EMPLOYEE VOLUNTEERS, STAFFS COMMUNITY SERVICE PROJECTS SUCH AS PAINTING LOCAL SCHOOLS, PARK BEAUTIFICATION, HOME IMPROVEMENT FOR SENIORS, HOLIDAY PARTIES FOR CHILDREN WHOSE MOTHERS ARE IN RESIDENTIAL SUBSTANCE ABUSE TREATMENT AT A NEARBY FACILITY, AND AN ANNUAL THANKSGIVING BASKET DISTRIBUTION TO NEEDY COMMUNITY RESIDENTS. THE BUILDING BRIDGES MENTORING PROGRAM TRAINS LIFEBRIDGE HEALTH STAFF TO SERVE AS ROLE MODELS AND LIFE COACHES FOR STUDENTS IN SELECTED COMMUNITY SCHOOLS. THE MENTORS AND MENTEES MEET REGULARLY TO EXPLORE HEALTHCARE CAREERS AND FOCUS ON THE SKILLS AND ABILITIES FOR SUCCESS AT SCHOOL AND IN THE COMMUNITY. THE MINORITY BUSINESS DEVELOPMENT PROGRAM PROMOTES AND STRENGTHENS RELATIONSHIPS WITH WOMEN AND MINORITY-OWNED BUSINESSES TO CONTRIBUTE TO THE OVERALL ECONOMIC GROWTH OF THE COMMUNITIES WE SERVE.
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 HOSPITALS 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.
LINE 2 NEEDS ASSESSMENT:DURING FY 2011, NORTHWEST HOSPITAL DID NOT CONDUCT A FORMAL COMMUNITY HEALTH NEEDS ASSESSMENT AS DEFINED BY THE PATIENT PROTECTION AND AFFORDABLE CARE ACT. LIFEBRIDGE HEALTH, THE HOSPITALS PARENT CORPORATION, PERFORMED A FORMAL ASSESSMENT THAT MEETS THOSE REQUIREMENTS DEFINED BY ACA IN FY 2005. HOWEVER, IN THE YEARS SINCE 2005, INFORMAL COMMUNITY HEALTH NEEDS ASSESSMENTS HAVE BEEN DONE IN A VARIETY OF WAYS, ACCORDING TO THE HOSPITAL DEPARTMENTS INVOLVED AND THE POPULATION GROUPS THEY SERVE. BELOW ARE SEVERAL OF THOSE METHODS USED BY THE HOSPITAL TO IDENTIFY COMMUNITY HEALTH NEEDS. 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 HOSPITALS 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 WITHTHE 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 AS A RESULT OF VOLUNTARY PARTICIPATION IN THE LEAPFROG GROUP, AN ORGANIZATION FOCUSED ON HELPING HOSPITALS TO IMPROVE HEALTH CARE SAFETY, QUALITY, AND CUSTOMER VALUE, NORTHWEST HOSPITAL DEVELOPED THE COMMUNITY-BASED PATIENT SAFETY ADVISORY COUNCIL (CBPSAC). IN FY2010, THE CBPSAC BEGAN MEETING TO DISCUSS HOW TO INVOLVE THE COMMUNITY TO ADDRESS QUALITY AND SAFETY ISSUES. THEY CHOSE TO FOCUS ON EDUCATION RELATED TO PATIENT SAFETY AND DEVELOPED A 'COMMUNITY HEALTH ASSESSMENT SURVEY.' THE SURVEY SOUGHT TO BETTER UNDERSTAND COMMUNITY RESIDENTS' NEED FOR EDUCATION AND INFORMATION RELATED TO MEDICATION SAFETY, IN-HOME CARE GIVING, SIGNS OF DECREASED INDEPENDENCE, COMMUNITY RESOURCES/SERVICES RELATED TO IN-HOME HEALTH SAFETY AND CHRONIC MEDICAL CONDITIONS AND INFORMATION ABOUT SPECIFIC CHRONIC MEDICAL CONDITIONS (E.G. DIABETES, HYPERTENSION, ARTHRITIS, ETC). IN ADDITION TO QUERYING TOPICS OF INTEREST, THE SURVEY ATTEMPTED TO MAKE DELIVERY OF SERVICE OPTIMALLY ACCESSIBLE AND CONVENIENT FOR COMMUNITY MEMBERS. DURING FY2011, THE 'COMMUNITY HEALTH ASSESSMENT SURVEY' WAS DISTRIBUTED TO 676 HOUSEHOLDS WITHIN THE FIELDSTONE, HERNWOOD AND STEVENSWOOD COMMUNITIES THAT AGREED TO PARTNER WITH NORTHWEST FOR THE COMMUNITY NEEDS ASSESSMENT. THE CBPSAC RECEIVED 107 COMPLETED SURVEYS AND AS A RESULT OF THE SURVEY RESPONSES, IN THE FALL OF 2010, NORTHWEST HELD A COMMUNITY HEALTH FAIR THAT OFFERED HEALTH EDUCATION AND RESOURCES IDENTIFIED BY THE COMMUNITY AS IMPORTANT HEALTH TOPICS.
LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: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, HSCRC MANDATED PATIENT INFORMATION SHEET AND PATIENT ACCESS AND PATIENT FINANCIAL SERVICES STAFF.
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. NORTHWESTS PRIMARY SERVICE AREA AS DEFINED BY THE HSCRC CONSISTS OF SIX ZIP CODES: 21133 (RANDALLSTOWN), 21136 (REISTERSTOWN), 21117 (OWINGS MILLS), 21208 (PIKESVILLE), 21244 (WINDSOR MILL) AND 21207 (GWYNN OAK). AS A WHOLE, THIS PRIMARY SERVICE AREA IS HOME TO 181,023 RESIDENTS WITH AN AVERAGE MEDIAN HOUSEHOLD INCOME RANGING FROM $41,375 IN 21207 TO $60,005 IN 21117 AND AN AVERAGE OF $51,907.
LINE 5 PROMOTION OF COMMUNITY HEALTH:NORTHWEST HOSPITALS COMMUNITY BENEFIT SERVICES ARE OPEN TO THE BROAD PUBLIC; HOWEVER, DUE TO THE HOSPITALS LOCATION WITHIN ZIP CODE 21133 (RANDALLSTOWN), THE MAJORITY OF COMMUNITY BENEFIT ACTIVITIES REACH COMMUNITY MEMBERS RESIDING IN 21133. AS NOTED, 36.5% OF MEDICAID-RECEIVING INPATIENTS LIVE IN 21133 WHICH SHOWS THAT A SIGNIFICANT PORTION OF PEOPLE LIVING IN THE HOSPITALS 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). NOTABLE IS THE HIGH PROPORTION OF ER USE BY THOSE LIVING IN 21133, 21207 AND 21244, WHICH TOGETHER ACCOUNT FOR NEARLY HALF, 29,517 OR 48% OF NORTHWESTS 61,838 ER ENCOUNTERS, REFLECTING THE USE OF THE ER FOR PRIMARY MEDICAL CARE. OF THE HOSPITALS TOTAL ER VISITS IN FY2011, 27% WERE MEDICAL ASSISTANCE OR SELF PAY. THE DOMESTIC VIOLENCE PROGRAM (DOVE) AT NORTHWEST HOSPITAL SCREENS, IDENTIFIES AND PROVIDES SERVICES TO VICTIMS OF DOMESTIC VIOLENCE. SERVICES INCLUDE PROVIDING IMMEDIATE CRISIS INTERVENTION FOR IDENTIFIED VICTIMS, SAFETY PLANNING, ADVOCACY, COURT ACCOMPANIMENT AND SUPPORTIVE COUNSELING. THROUGH A PARTNERSHIP WITH THE BALTIMORE COUNTY HEALTH DEPARTMENT, THE FREEDOM TO SCREEN PROGRAM AT NORTHWEST HOSPITAL PROVIDES BREAST HEALTH EDUCATION, AWARENESS AND SCREENING TO BALTIMORE COUNTY RESIDENTS.
LINE 6 AFFILIATED HEALTH CARE SYSTEM:NORTHWEST HOSPITAL IS A COMMUNITY HOSPITAL WITH AN ATTENDING STAFF OF APPROXIMATELY 700 PHYSICIANS, INCLUDING SEVERAL SPECIALTIES LIKE NEUROSURGERY AND INFECTIOUS DISEASE. SINAI HOSPITAL OF BALTIMORE AND LEVINDALE HEBREW GERIATRIC CENTER AND HOSPITAL ARE AFFILIATES OF NORTHWEST HOSPITAL CENTER. DISCHARGED PATIENTS REQUIRING CHRONIC AND SUB-ACUTE HOSPITALIZATION ARE OFTEN ADMITTED TO LEVINDALE FOR FURTHER CARE.
LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORT:THE COST BENEFIT REPORT IS FILED IN THE STATE MARYLAND.

Schedule J IRS990ScheduleJ

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

Form990 Schedule J Part II Form990ScheduleJPartII (11 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
ERIK WEXLER
4178560214700158509092087017723070764501479200
WARREN GREEN
0810127000937660229920180890944974064516
CHARLES ORLANDO
0363139000169465011225601874906636090141045
RONALD GINSBERG
276155012175207755203190601859505259600506030
CANDACE HAMNER
1757480117603203202018101072202398590199380
SUSAN JALBERT
19046201119501722802131101799702581930129510
DAWN LEONARD MD
3726640000057480200260398438000
ALAN DAVIS
176897013616401030000162280330319000
MURTUZA AHMED
2227580300320185000207490273724000
WILLIAM GEIS
172094043443021654000201980257389000
ABDALLAH KAFROUNI
26774201099970421000210110399171000

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANPART III, LINE 4BDURING THE YEAR, THE FOLLOWING NORTHWEST HOSPITAL CENTER BOARD MEMBERS AND OFFICERS WERE PARTICIPANTS IN A LIFEBRIDGE HEALTH SPONSORED SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN AND RECEIVED THE FOLLOWING PAYMENTS: WARREN A GREEN $64,516 ERIK WEXLER $147,920 CHARLES ORLANDO $141,045 RONALD GINSBERG $50,603 CANDACE HAMNER $19,938 SUSAN JALBERT $12,951
COMPENSATION INFORMATIONPART III, LINE 4BMR. GREEN'S COMPENSATION WAS PAID BY SINAI HOSPITAL OF BALTIMORE. HE RECEIVED COMPENSATION AS PRESIDENT / CEO LIFEBRIDGE HEALTH, INC., NOT AS A DIRECTOR. MR. ORLANDO RECEIVED COMPENSATION AS CHIEF FINANCIAL OFFICER LIFEBRIDGE HEALTH, INC. HIS COMPENSATION WAS PAID BY SINAI HOSPITAL OF BALTIMORE, INC. MR. WEXLER RECEIVED COMPENSATION AS PRESIDENT/ COO FOR NORTHWEST HOSPITAL CENTER, INC. NOT AS A DIRECTOR. DR. BERNER IS A DIRECTOR OF NORTHWEST HOSPITAL CENTER AND RECEIVED $10,600 AS AN OFFICER OF THE MEDICAL STAFF.

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
MR RONALD ATTMAN
DIRECTOR1808648SEE PART Vfalse
MR THOMAS F OBRECHT
DIRECTOR581396SEE PART Vfalse
DR BARRY S WALTERS MD
DIRECTOR327057SEE PART Vfalse

Form990 Schedule L Part V Form990ScheduleLPartV

FieldValueIRS element (for citing)
IdentifierBUSINESS TRANSACTIONS - NORTHWESTIdentifier
Return ReferenceFORM 990, SCHEDULE L, PART IV, LINE 28CReturnReference
ExplanationNORTHWEST HOSPITAL CENTER, INC. AND THE LIFEBRIDGE HEALTH SUBSIDIARIES RECEIVED $1,808,648 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 $581,396 IN RENT TO GREENSPRING OFFICE ONE, LLC AND CARLSON LANE, LLC. 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 $327,057 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 (6 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ORGANIZATION'S MISSIONFORM 990, PART III, LINE 1NORTHWEST HOSPITAL CENTER HAS ALWAYS HAD A VISION OF BEING A RECOGNIZED LEADER IN CLINICAL QUALITY AND CUSTOMER CARE - A VISION THAT HAS NOT LOST FOCUS IN THE FORTY-EIGHT 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 2011, THE HOSPITAL ADMITTED 12,600 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 2011, NORTHWEST ER-7 RECORDED 61,838 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, HEART HEALTH AND LIFESTYLE SCREENING, IS DESIGNED TO PROVIDE HEART HEALTH AND LIFESTYLE SCREENING AND FOLLOW-UP TO INDIVIDUALS IN THE HOSPITAL'S SERVICE AREAS. THE SCREENING PROGRAM CONSISTS OF PRE-SCREENING SELF-ADMINISTERED QUESTIONNAIRE, ASSESSMENT INCLUDING LAB WORK, BLOOD PRESSURE TESTING AND BODY COMPOSITION ASSESSMENT, WRITTEN FOLLOW-UP SENT TO ALL PARTICIPANTS, AND 3-MONTH FOLLOW-UP. FOR PEOPLE AT-RISK, A REGISTERED NURSE FOLLOWS UP AND PROVIDES COUNSELING VIA PHONE TO ENCOURAGE BEHAVIOR CHANGE AND NECESSARY MEDICAL FOLLOW-UP. IN 2011, 184 PEOPLE RECEIVED SCREENINGS; 97.8% RESPONDED AT 3-MONTH FOLLOW-UP; 8.9% SHARED RESULTS WITH THEIR DOCTORS; AND 37.8% MADE AT LEAST ONE BEHAVIOR CHANGE RELEVANT TO IMPROVING HEALTH (E.G. QUIT SMOKING, LOST WEIGHT, ETC.)
GOVERNING BODY MEMBERSFORM 990, PART VI, LINES 6 AND 7THE CORPORATION SHALL HAVE ONE MEMBER: LIFEBRIDGE HEALTH, INC., (THE "MEMBER") A MARYLAND NONSTOCK CORPORATION. MEMBERSHIP IN THE CORPORATION SHALL NOT BE TRANSFERABLE. THE MEMBER SHALL HAVE THE EXCLUSIVE POWER AND AUTHORITY TO TAKE THE FOLLOWING ACTIONS: (1) EXCEPT FOR EX OFFICIO DIRECTORS AS PROVIDED FOR IN THE BYLAWS, TO NOMINATE, ELECT, AND REMOVE, WITH OR WITHOUT CAUSE, THE DIRECTORS OF THE CORPORATION; (2) TO APPOINT THE PRESIDENT OF THE CORPORATION WITH THE ADVICE AND CONSENT OF THE BOARD OF DIRECTORS; 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 AND 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 AT THE MEETING IMMEDIATELY PRIOR TO THE FILING DATE FOR REVIEW.
CONFLICT OF INTEREST POLICYFORM 990, PART VI, LINE 12C:LIFEBRIDGE AND ALL OF ITS SUBSIDIARIES SHALL 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. AN ANNUAL QUESTIONNAIRE IS DISTRIBUTED TO THE EMPLOYEES TITLED DIRECTORS AND ABOVE AND IT IS ALSO SENT TO ALL THE LIFEBRIDGE AND SUBSIDIARY BOARD MEMBERS. THE OFFICE OF THE GENERAL COUNSEL REVIEWS ALL RESPONSES AND DETERMINES WHETHER A POTENTIAL CONFLICT EXISTS. IF A CONFLICT IS IDENTIFIED, THE PERSON INVOLVED WOULD RECUSE HIM/HERSELF FROM DELIBERATIONS REGARDING THE TRANSACTIONS. AN INDIVIDUAL IS CONSIDERED TO HAVE A CONFLICT OF INTEREST WITH REGARD TO A MATTER OR TRANSACTION IF THE INDIVIDUAL HAS A PERSONAL OR FINANCIAL INTEREST THAT HAS THE POTENTIAL TO INFLUENCE THE ACTION TAKEN BY THE INDIVIDUAL ON BEHALF OF LIFEBRIDGE OR ANY OF ITS SUBSIDIARIES. AN INDIVIDUAL IS CONSIDERED TO HAVE A "PERSONAL INTEREST" IN A MATTER IF IT IS LIKELY TO HAVE A DIRECT AND MATERIAL IMPACT ON THE INDIVIDUAL'S RELATIONSHIP WITH LIFEBRIDGE OR ANY OF ITS SUBSIDIARIES (E.G., THE INDIVIDUAL'S CONTINUED MEMBERSHIP ON A SUBSIDIARY HOSPITAL'S MEDICAL STAFF), OR ON THE INDIVIDUAL'S OWN HEALTH CARE, OR THE INDIVIDUAL IS PERSONALLY INVOLVED IN A SUBSTANTIAL WAY (E.G., SERVES AS AN OFFICER OR DIRECTOR) WITH ANOTHER ORGANIZATION THAT HAS A SIGNIFICANT INTEREST IN THE MATTER. AN INDIVIDUAL IS CONSIDERED TO HAVE A "FINANCIAL INTEREST" IN A TRANSACTION IF THE INDIVIDUAL IS A PARTY TO THE TRANSACTION, OR IF THE INDIVIDUAL HAS, DIRECTLY OR INDIRECTLY A CURRENT OR POTENTIAL OWNERSHIP OR INVESTMENT INTEREST IN A PARTY TO THE TRANSACTION OR A CURRENT OR POTENTIAL COMPENSATION ARRANGEMENT WITH A PARTY TO THE TRANSACTION. A "COMPENSATION ARRANGEMENT" INCLUDES DIRECT AND INDIRECT REMUNERATION AS WELL AS GIFTS OR FAVORS OF A SUBSTANTIAL NATURE. AN INDIVIDUAL WILL BE CONSIDERED TO HAVE A CONFLICT OF INTEREST WITH RESPECT TO A MATTER OR TRANSACTION IF A MEMBER OF THE INDIVIDUAL'S IMMEDIATE FAMILY HAS SUCH A CONFLICT. FOR THESE PURPOSES, A "MEMBER" OF AN INDIVIDUAL'S IMMEDIATE FAMILY" MEANS AN INDIVIDUAL'S SPOUSE, MOTHER, FATHER, MOTHER-IN-LAW, FATHER-IN-LAW, GRANDFATHER, GRANDMOTHER, BROTHER, SISTER, BROTHER-IN-LAW, SISTER-IN-LAW, SON, DAUGHTER, SON-IN-LAW, OR DAUGHTER-IN-LAW. "STEP" RELATIONSHIPS (E.G., STEPCHILDREN AND STEPPARENTS) WILL BE TREATED THE SAME AS BLOOD RELATIONSHIPS, EXCEPT AS DETERMINED OTHERWISE IN A SPECIFIC CIRCUMSTANCE BY THE LIFEBRIDGE CEO OR THE PRESIDENT OR DESIGNEE OF THE APPROPRIATE LIFEBRIDGE SUBSIDIARY. ORDINARILY, OWNERSHIP OF LESS THAN 5% OF AN ENTITY DOES NOT CONSTITUTE AN OWNERSHIP INTEREST FOR WHICH DISCLOSURE IS NEEDED. CONFLICTS OF INTEREST ARE TO BE REPORTED BY EMPLOYEES TO THEIR SUPERVISOR, WHO WILL BE RESPONSIBLE FOR DETERMINING WHETHER FURTHER DISSEMINATION IS NECESSARY. MEMBERS OF THE MEDICAL STAFF SHOULD REPORT CONFLICTS TO THE CHIEF OF THEIR DEPARTMENT, AND MEMBERS OF THE BOARD SHOULD REPORT THEM TO EITHER THE CHAIRMAN OF THE BOARD OR THE OFFICE OF GENERAL COUNSEL. ONE OR MORE QUESTIONNAIRES ARE SENT OUT TO MEMBERS OF THE BOARD ON AN ANNUAL BASIS. IF QUESTIONS ARISE OR FURTHER GUIDANCE IS SOUGHT, CONFLICTS SHOULD ALSO BE REPORTED TO THE INTEGRITY HOTLINE OR OFFICE OF GENERAL COUNSEL. NOTHING IN THIS DEFINITION IS INTENDED TO RELIEVE ANY PERSON OF ANY ADDITIONAL OBLIGATIONS THAT MAY BE IMPOSED BY STATE OR FEDERAL LAW.
PROCESS FOR DETERMINING EXECUTIVE COMPENSATIONFORM 990, PART VI, LINE 15A & 15B:EXECUTIVE COMPENSATION AT LIFEBRIDGE HEALTH IS OVERSEEN BY THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS. COMMITTEE MEMBERS MAY NOT HAVE ANY FINANCIAL TIES TO THE ORGANIZATION AND MUST BE BOARD MEMBERS OF LIFEBRIDGE HEALTH OR A LIFEBRIDGE HOSPITAL. THE CHAIR OF THE LIFEBRIDGE HEALTH BOARD OF DIRECTORS SERVES AS COMMITTEE CHAIR. THE COMMITTEE PROVIDES A REPORT OF ITS ACTIVITIES TO THE FULL BOARD OF DIRECTORS AT LEAST ANNUALLY. COMPENSATION PACKAGES HAVE BEEN DESIGNED TO ATTRACT AND RETAIN SKILLED AND EXPERIENCED EXECUTIVES AND TO INCENTIVIZE THEM TO WORK TOWARD KEY STRATEGIC OBJECTIVES. THE COMMITTEE EMPLOYS INDEPENDENT CONSULTANTS TO ENSURE THAT COMPENSATION LEVELS ARE CONSISTENT WITH MARKET NORMS. GREATEST EMPHASIS IS PLACED UPON DATA FROM HEALTHCARE ORGANIZATIONS OF COMPARABLE SIZE AND ORGANIZATIONAL COMPLEXITY IN THE MID-ATLANTIC REGION. ALL EXECUTIVE INCENTIVE AND BENEFIT PROGRAMS ARE ESTABLISHED BY THE COMPENSATION COMMITTEE, AS IS THE BASE SALARY OF THE CHIEF EXECUTIVE OFFICER AND ALL SENIOR VICE PRESIDENTS. BASE SALARIES OF OTHER EXECUTIVES ARE SET BY THEIR RESPECTIVE SUPERVISORS, IN ACCORDANCE WITH GUIDELINES ESTABLISHED BY THE COMMITTEE AND SUBJECT TO THE COMMITTEE'S OVERSIGHT. A SUBSTANTIAL PORTION OF ALL EXECUTIVES' TOTAL COMPENSATION IS CONTINGENT UPON THE ACHIEVEMENT OF BOTH SYSTEM-WIDE AND INDIVIDUAL OBJECTIVES. EACH YEAR'S SYSTEM-WIDE OBJECTIVES ARE APPROVED BY THE COMPENSATION COMMITTEE AND TYPICALLY INCLUDE BOTH FINANCIAL AND NONFINANCIAL GOALS. A GROUP OF SENIOR EXECUTIVES IS ALSO ELIGIBLE TO PARTICIPATE IN A LONG-TERM PAY-FOR-PERFORMANCE PROGRAM. GOALS FOR THIS PROGRAM ARE ESTABLISHED BY THE COMPENSATION COMMITTEE IN THREE-YEAR CYCLES AND ARE RELATED TO THE ORGANIZATION'S LONG-TERM MISSION AND STRATEGIC DIRECTION. AN EXECUTIVE WHO FAILS TO ACHIEVE THE OBJECTIVES ESTABLISHED FOR THE INCENTIVE PROGRAMS WILL EARN BELOW MARKET LEVELS; CONVERSELY, THE ATTAINMENT OF EXTRAORDINARY RESULTS WILL BE REWARDED BY ABOVE-AVERAGE COMPENSATION.
GOVERNING DOCUMENTS, FINANCIAL STATEMENTS AND CONFLICT POLICYFORM 990, PART VI, LINE 19IT IS THE POLICY OF LIFEBRIDGE HEALTH INC. AND ITS SUBSIDIARIES TO MAKE AVAILABLE UPON REQUEST THE AUDITED FINANCIAL STATEMENTS TO THE GENERAL PUBLIC. THE LIFEBRIDGE HEALTH INC. AND SUBSIDIARY GOVERNING DOCUMENTS ARE NOT MADE AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST OR VIA A WEBSITE. THE CONFLICT OF INTEREST POLICY IS INCLUDED ON SCHEDULE O. BOARD OF DIRECTORS ADDRESS FORM 990, PART VI, LINE 9 ALL OF THE OFFICERS, DIRECTORS, TRUSTEES, AND KEY EMPLOYEES LISTED IN PART VII, SECTION A, CAN BE REACHED AT THE ORGANIZATION'S MAILING ADDRESS: NORTHWEST HOSPITAL CENTER INC., 5401 OLD COURT ROAD RANDALLSTOWN, MD 21133
OTHER CHANGES IN NET ASSETSFORM 990, PART XI, LINE 5TRANSFER TO AFFILIATE (6,397,464) INCREASE PLEDGE RECEIVABLE 552,321 RESTRICTED GIFTS/GRANTS RECEIVED 174,845 UNREALIZED INVESTMENT INCOME 7,152,676 NET ASSETS RELEASED FROM RESTRICTION 639,239 NET ASSETS RELEASED FROM GRANT (405,881) EQUITY (PAID IN EXCESS OF PAR) (6,009,228) CAPITAL EXPENDITURES 639,239 ------------ TOTAL ($4,935,730)

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (8 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
LIFEBRIDGE HEALTH INC
2401 WEST BELVEDERE AVENUEBALTIMOREMD21215521402373PARENTMD501(C)(3)11BLBH
SINAI HOSPITAL OF BALTIMORE INC
2401 WEST BELVEDERE AVENUEBALTIMOREMD21215520486540HOSPITALMD501(C)(3)3LBH
LEVINDALE HEBREW GERIATRIC CTR HOSPITAL
2434 WEST BELVEDERE AVENUEBALTIMOREMD21215520607913SPEC HOSPMD501(C)(3)3LBH
COURTLAND GARDENS NURSING AND REHAB CTR
7920 SCOTTS LEVEL ROADBALTIMOREMD21208520607907SKILL NURSINGMD501(C)(3)9LBH
CHILDREN'S HOSPITAL OF BALTIMORE CITY
2401 WEST BELVEDERE AVENUEBALTIMOREMD21215520591592CHAR. SUPPORTMD501(C)(3)11BLBH
THE BALTIMORE JEWISH HEALTH FOUNDATION
2401 WEST BELVEDERE AVENUEBALTIMOREMD21215522111541CHAR. SUPPORTMD501(C)(3)11BLBH
CHILDREN'S HOSPITAL AT SINAI FOUNDATION
2401 WEST BELVEDERE AVENUEBALTIMOREMD21215522167587CHAR. SUPPORTMD501(C)(3)11BLBH
THE BALTIMORE JEWISH ELDERCARE FNDTN
2401 WEST BELVEDERE AVENUEBALTIMOREMD21215522337669CHAR SUPPORTMD501(C)(3)11BLBH

Form990 Schedule R Part IV Form990ScheduleRPartIV (6 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityAddress Line1AddressForeign/AddressLine1CityAddressForeign/CityProvince Or StateAddressForeign/ProvinceOrStateCountryAddressForeign/CountryPostal CodeAddressForeign/PostalCodeLegal Domicile Foreign CountryLegalDomicileForeignCountry
LIFEBRIDGE INVESTMENTS INC
2401 WEST BELVEDERE AVENUEBALTIMOREMD21215521483166HEALTHCAREMDLBHC CORP
HEALTHSTAR MEDICAL SERVICES IN
2401 WEST BELVEDERE AVENUEBALTIMOREMD21215521829098HEALTHCAREMDLBHC CORP
PRACTICE DYNAMICS INC
124 BUSINESS CENTER DRIVEREISTERSTOWNMD21136521960319HEALTHCAREMDLBHC CORP
SURGICAL ONCOLOGY ASSOCIATES INC
2401 WEST BELVEDERE AVENUEBALTIMOREMD21215521804659HEALTHCAREMDLBHC CORP
LIFEBRIDGE INSURANCE COMPANY LTD
980415396INSURANCELBHC CORPPO BOX 1109GRAND CAYMANCAYMAN ISLANDSCJKY1-1102CJ
LIFEBRIDGE COMMUNITY PHYSICIANS INC
2401 BELVEDERE AVEBALTIMOREMD21212800719005HEALTHCAREMDLBHC CORP
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1LIFEBRIDGE HEALTH INCBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeBTransactionType
Amount Involved10619330AmountInvolved