2012-05-14T06:58:17-05:00 2011-06-30 KPMG LLP 1676 International Drive McLean VA 22102 990 2010-07-01 521372665 NORTHWEST HOSPITAL CENTER INC NORT 4106015653 5401 OLD COURT ROAD RANDALLSTOWN MD 21133 Charles Orlando 2012-05-10 true 7032868000 2010 2016-02-24 21:20:13Z ERIK WEXLER 5401 OLD COURT ROAD RANDALLSTOWN MD 21133 221997727 false X WWW.LIFEBRIDGEHEALTH.ORG/NORTHWEST.COM X 1984 MD TO IMPROVE THE WELLBEING OF THE COMMUNITY WE SERVE. 23 19 1848 175 627 0 489934 512236 203817082 213852681 4656686 5533258 1873134 2099552 210836836 221997727 8850 4000 0 0 103251333 108529228 0 0 62936 93226463 96765789 196486646 205299017 14350190 16698710 223313394 267491663 98809598 131224887 124503796 136266776 X SEE SCHEDULE O false false 151023299 4000 213852681 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 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. 151023299 true true false true false false false false false true false false false true false 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 130 0 true 1848 true false false false false false false false false false false X 23 19 true 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 ERIK WEXLER 40.0 X X 597835 0 109810 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 STACEY BERNER MD 1.0 X 10600 0 0 ROBERT I DAMIE 1.0 X 0 0 0 EUGENE A FRIEDMAN 1.0 X 1188 0 0 IRA HIMMEL 1.0 X 0 0 0 JUAN JUANTEGUY MD 1.0 X 0 0 0 DONALD KIRSON 1.0 X 1188 0 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 ANDREW MALIS 1.0 X 0 0 0 JOSEPH MIGLIARI 1.0 X X 0 0 0 BILL MILLER 1.0 X 0 0 0 THOMAS F OBRECHT 1.0 X 0 0 0 DEBORAH S PHELPS 1.0 X 0 0 0 DALIAH SALAHUDDIN 1.0 X 0 0 0 BENJAMIN SCHAPIRO 1.0 X 0 0 0 WILLIAM I SMULYAN MD 1.0 X 0 0 0 BARRY S WALTERS MD 1.0 X 0 0 0 JOEL R WOHL 1.0 X 1188 0 0 ALAN D YARBRO 1.0 X X 0 0 0 WARREN GREEN 1.0 X X 0 903893 41081 CHARLES ORLANDO 1.0 X 0 532604 131005 RONALD GINSBERG 40.0 X 475459 0 50501 CANDACE HAMNER 40.0 X 208956 0 30903 SUSAN JALBERT 40.0 X 218885 0 39308 DAWN LEONARD MD 40.0 X 372664 0 25774 ALAN DAVIS 40.0 X 314091 0 16228 MURTUZA AHMED 40.0 X 252975 0 20749 WILLIAM GEIS 40.0 X 237191 0 20198 ABDALLAH KAFROUNI 40.0 X 378160 0 21011 3070380 1436497 506568 95 false true false CROTHALL HEALTHCARE INC 13028 COLLECTION CENTER DR CHICAGO IL 60693 CONTRACT CLEANING 3689431 ARAMARK CORPORATION HSS 25271 NETWORK PLACE CHICAGO IL 60603 FOOD SERV MANAGEMENT 2252972 DAVITA OWINGS MILLS PO BOX 403008 ATLANTA GA 30384 RENAL DIALYSIS 754505 ALLIANT STAFFING 7201 WISCONSIN AVENUE BETHESDA MD 20814 AGENCY NURSING 431824 MEDICAL DICTATION SERVICES PO BOX 11407 BIRMINGHAM AL 35246 TRANSCRIPTION 427958 28 335598 176638 512236 PATIENT REVENUE 900099 213852681 213852681 213852681 3996317 3996317 0 0 306416 306416 306416 306416 1536941 1536941 1536941 1536941 0 0 0 CAFETERIA SALES 900099 1290966 1290966 PHARMACY SALES 900099 104719 104719 MISCELLANEOUS 900099 397451 627 396824 1793136 221997727 213852681 627 7632183 4000 4000 0 0 0 1501135 694344 743855 62936 0 86497271 65987108 20510163 1897006 1574510 322496 12717529 9064448 3653081 5916287 4910519 1005768 0 0 0 0 0 0 19852497 3632595 16219902 510606 20723 489883 3186405 796911 2389494 0 0 4099976 593533 3506443 48361 48330 31 0 746516 391019 355497 3595637 3595637 0 9931433 9931433 280439 280439 SUPPLIES 31267306 27875382 3391924 PROVISION FOR BAD DEBT 14506115 14506115 PROFESSIONAL & TECHNICAL 7130921 5541907 1589014 AGENCY NURSING 1544824 1544824 DUES AND MEMBERSHIPS 64753 29522 35231 205299017 151023299 54212782 62936 4744 9946 39816484 45718252 1549442 1135416 20838245 28150804 2241310 2973816 425241 501421 234118720 123725634 96292665 110393086 61151229 77434359 994034 1174563 223313394 267491663 24600779 37843997 225523 219943 73983296 93160947 98809598 131224887 X 121341612 133016665 3162184 3250111 124503796 136266776 223313394 267491663 X 16698710 -4935730 X false true true X true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED true true false false false false true 9940 false true 47508 57448 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, 2011 AND OTHER LOBBYING ACTIVITIES PERFORMED ON BEHALF OF THE HOSPITAL FOR COMMUNITY STABILIZATION AND DEVELOPMENT, HEALTH CARE MALPRACTICE, INTERVENTIONAL RADIOLOGY, AND CAPITAL FUNDING. 5723096 5723096 114923378 38527657 76395721 0 0 0 101616114 85197977 16418137 11856132 0 11856132 110393086 0 CAPTIVE PROFESSIONAL LIABILITY 590780 WORKERS COMPENSATION 805657 DEFERRED COMPENSATION 191133 ASSET RETIREMENT OBLIGATION 610000 DUE TO AFFILIATES BONDS 81063377 OTHER L.T.LIABILITIES 9900000 93160947 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 1826075 1826075 0.00900 1826075 1826075 0.00900 8680 1529497 1529497 0.00750 720 529979 529979 0.00260 6632692 6632692 0.04790 94539 94539 0.00050 9400 8786707 8786707 0.05850 9400 10612782 10612782 0.06750 274324 274324 274324 274324 false 14506115 7171288 98913127 83602651 15310476 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 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 MARYLANDS 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 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 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. X X X X X false true false false false false false false false ERIK WEXLER 417856 0 21470 0 158509 0 92087 0 17723 0 707645 0 147920 0 WARREN GREEN 0 810127 0 0 0 93766 0 22992 0 18089 0 944974 0 64516 CHARLES ORLANDO 0 363139 0 0 0 169465 0 112256 0 18749 0 663609 0 141045 RONALD GINSBERG 276155 0 121752 0 77552 0 31906 0 18595 0 525960 0 50603 0 CANDACE HAMNER 175748 0 1176 0 32032 0 20181 0 10722 0 239859 0 19938 0 SUSAN JALBERT 190462 0 11195 0 17228 0 21311 0 17997 0 258193 0 12951 0 DAWN LEONARD MD 372664 0 0 0 0 0 5748 0 20026 0 398438 0 0 0 ALAN DAVIS 176897 0 136164 0 1030 0 0 0 16228 0 330319 0 0 0 MURTUZA AHMED 222758 0 30032 0 185 0 0 0 20749 0 273724 0 0 0 WILLIAM GEIS 172094 0 43443 0 21654 0 0 0 20198 0 257389 0 0 0 ABDALLAH KAFROUNI 267742 0 109997 0 421 0 0 0 21011 0 399171 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 $64,516 ERIK WEXLER $147,920 CHARLES ORLANDO $141,045 RONALD GINSBERG $50,603 CANDACE HAMNER $19,938 SUSAN JALBERT $12,951 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. 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. MR RONALD ATTMAN DIRECTOR 1808648 SEE PART V false MR THOMAS F OBRECHT DIRECTOR 581396 SEE PART V false DR BARRY S WALTERS MD DIRECTOR 327057 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 $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. ORGANIZATION'S MISSION 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-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 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 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 POLICY FORM 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 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. 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 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 OTHER CHANGES IN NET ASSETS FORM 990, PART XI, LINE 5 TRANSFER 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) LIFEBRIDGE HEALTH INC 2401 WEST BELVEDERE AVENUE BALTIMORE MD 21215 521402373 PARENT MD 501(C)(3) 11B LBH SINAI HOSPITAL OF BALTIMORE INC 2401 WEST BELVEDERE AVENUE BALTIMORE MD 21215 520486540 HOSPITAL MD 501(C)(3) 3 LBH LEVINDALE HEBREW GERIATRIC CTR HOSPITAL 2434 WEST BELVEDERE AVENUE BALTIMORE MD 21215 520607913 SPEC HOSP MD 501(C)(3) 3 LBH COURTLAND GARDENS NURSING AND REHAB CTR 7920 SCOTTS LEVEL ROAD BALTIMORE MD 21208 520607907 SKILL NURSING MD 501(C)(3) 9 LBH CHILDREN'S HOSPITAL OF BALTIMORE CITY 2401 WEST BELVEDERE AVENUE BALTIMORE MD 21215 520591592 CHAR. SUPPORT MD 501(C)(3) 11B LBH THE BALTIMORE JEWISH HEALTH FOUNDATION 2401 WEST BELVEDERE AVENUE BALTIMORE MD 21215 522111541 CHAR. SUPPORT MD 501(C)(3) 11B LBH CHILDREN'S HOSPITAL AT SINAI FOUNDATION 2401 WEST BELVEDERE AVENUE BALTIMORE MD 21215 522167587 CHAR. SUPPORT MD 501(C)(3) 11B LBH THE BALTIMORE JEWISH ELDERCARE FNDTN 2401 WEST BELVEDERE AVENUE BALTIMORE MD 21215 522337669 CHAR SUPPORT MD 501(C)(3) 11B LBH LIFEBRIDGE INVESTMENTS INC 2401 WEST BELVEDERE AVENUE BALTIMORE MD 21215 521483166 HEALTHCARE MD LBH C CORP HEALTHSTAR MEDICAL SERVICES IN 2401 WEST BELVEDERE AVENUE BALTIMORE MD 21215 521829098 HEALTHCARE MD LBH C CORP PRACTICE DYNAMICS INC 124 BUSINESS CENTER DRIVE REISTERSTOWN MD 21136 521960319 HEALTHCARE MD LBH C CORP SURGICAL ONCOLOGY ASSOCIATES INC 2401 WEST BELVEDERE AVENUE BALTIMORE MD 21215 521804659 HEALTHCARE MD LBH 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 10619330