2011-05-11T10:35:08-04:00 2010-06-30 KPMG LLP 1676 International Drive McLean VA 22102 990 2009-07-01 520607913 Levindale Hebrew Geriatric Center and Hospital Inc LEVI 4106015653 2434 West Belvedere Avenue Baltimore MD 21215 Charles Orlando 2011-05-10 true 7032868000 2009 2016-02-24 21:20:13Z Aric Spitulnik 2434 West Belvedere Ave Baltimore MD 21215 78694367 false X www.lifebridgehealth.org/levindale X 1965 MD Levindale is a geriatric center and hospital dedicated to providing superior service in a cost effective manner for the aged, frail and ill in institutional, community and home settings. 22 19 955 150 0 0 1291627 458969 83697218 76692177 -3868696 944174 562045 597808 81682194 78693128 5500 3276 0 45173919 46235302 0 17809 35573527 33611056 80752946 79849634 929248 -1156506 74832648 75256690 23990507 24890458 50842141 50366232 Levindale is a geriatric center and hospital dedicated to providing superior service in a cost effective manner for the aged, frail and ill in institutional, community and home settings. As an advocate for the elderly, Levindale accepts a leadership role in defining and developing, in collaboration with other agencies, a comprehensive continuum of nursing, medical, and social services within the Jewish community of the Baltimore metropolitan area. Programs are operated within the values inherent in Judaism pursuant to Levindale's charter. Program service accomplishments: Part III Levindale Hebrew Geriatric Center and Hospital is a specialty hospital and nursing home with 292 beds. Levindale provides specialty long-stay hospital service, rehabilitation care, psychiatric care, comprehensive nursing care & outpatient adult day care. Levindale's mission is to provide to the community quality medical healthcare regardless of race, creed, sex, national origin, age or ability to pay. Levindal false false 44006865 3276 54111697 LEVINDALE OPERATES A 120 BED CHRONIC HOSPITAL 6526898 11889850 LEVINDALE OPERATES A 146 BED SKILLED NURSING FACILITY 3683661 4498894 LEVINDALE OPERATES A 26 BED SUB-ACUTE UNIT 5021668 6191736 SEE ATTACHMENT 2 5021668 6191736 59239092 true true false true false false false false true true false true false false false false false false false false true false false true false false false false false false false false false false false false false true true false false true 90 0 true 955 true false false false false false false false false false 22 19 false false false false true true true true true false false true true true true true true true true false MD X Nancy Kane 4106015653 2401 W Belvedere Avenue Baltimore MD 21215 JACK L BARBER 1.0 X 0 0 0 JASON A BLAVATT ESQUIRE 1.0 X X 0 0 0 RONNIE L BUERGER 1.0 X 0 0 0 SHARON CAPLAN SIOR 1.0 X 0 0 0 ANNETTE COOPER 1.0 X 0 0 0 RONNIE B FOOTLICK 1.0 X 0 0 0 JASON A FRANK ESQUIRE 1.0 X 0 0 0 SHELLEY GOLDSEKER 1.0 X 0 0 0 WARREN GREEN 1.0 X X 0 1320668 102313 SUE W GUBEN ESQUIRE 1.0 X 0 0 0 MARLENE KOEPPEL 1.0 X 0 0 0 SUSAN LEVY STROHM MD 1.0 X X 309938 0 61624 ALAN KOTZ 1.0 X X 0 0 0 EDWARD L MORRIS MD 1.0 X 0 0 0 BETSY NARROW 1.0 X 0 0 0 HOWARD PERLOW 1.0 X 0 0 0 ABBA D POLIAKOFF ESQUIRE 1.0 X 0 0 0 MICHAEL H RENBAUM 1.0 X X 0 0 0 BERNARD RUBIN MD 1.0 X 0 0 0 ROBERT SMELKINSON 1.0 X 0 0 0 ARIC SPITULNIK 1.0 X X 208843 0 47022 DAVID UHLFELDER CPA 1.0 X X 0 0 0 CHARLES S WINNER ESQUIRE 1.0 X 0 0 0 RICHARD YAFFE 1.0 X 0 0 0 CATHY GALLO 40.0 X 0 0 0 RAUL LUJAN 40.0 X 193598 0 40417 SURAIYA BEGUM MD 40.0 X 236852 0 21694 SUNIL RAJANI MD 40.0 X 197904 0 23363 BABATUNDE AJANI MD 40.0 X 196632 0 21026 GIZAW WOLDEHIWOT MD 40.0 X 194347 0 22028 PATRICIA PALMERE NASON 40.0 X 172391 0 30812 RONALD ROTHSTEIN X 257116 0 34026 1967621 1320668 404325 33 true true false ARAMARK CORPORATION HSS PO BOX 828441 PHILADELPHIA PA 19182 CAFETERIA MGMT 2581329 RENAL TREATMENT CENTERS PO BOX 403008 ATLANTA GA 30384 RENAL DIALYSIS 675478 LOVING CARE SERVICES INC 222 MILFORD MILL RD PIKESVILLE MD 21208 AGENCY NURSING 494334 HEALTHCARE LEGAL SOLUTIONS 1333 H STREET NW WASHINGTON DC 20005 COLLECTION SERVICES 337876 CROTHALL SERVICES GROUP 13028 COLLECTION CENTER DR CHICAGO IL 60693 CONTRACT CLEANING 336722 13 297387 27307 134275 458969 PATIENT SERVICE REVENUE 900099 12761260 12761260 MEAL PROGRAMS 900099 428419 428419 MEDICARE/MEDICAID PAYMENTS 900099 63502498 63502498 76692177 945413 945413 0 0 146414 146414 146414 146414 1239 -1239 -1239 -1239 0 0 0 CAFETERIA/VENDING 900099 178712 178712 PURCHASE DISCOUNTS 900099 4418 4418 DAYCARE SHUTTLE 900099 76000 76000 192264 192264 451394 78693128 76696595 0 1537564 3276 3276 0 0 0 712378 694569 17809 0 35504839 26113886 9390953 1850394 1480315 370079 5370778 3625822 1744956 2796913 2237530 559383 0 17404 15914 1490 0 0 0 0 8536760 3852985 4683775 75703 44671 31032 0 0 0 28713 11718 16995 0 0 238791 91427 147364 217545 217545 0 3292085 3292085 0 SUPPLIES 14364949 13283264 1081685 PROVISION FOR BAD DEBT 1798523 1798523 PROFESSIONAL & TECHNICAL 1492533 912166 580367 UTILITIES 1189701 892276 297425 PURCHASED TEMPORARY HELP 823223 632917 190306 1535126 732772 802354 79849634 59239092 20592733 17809 10532339 10785805 2072478 1476097 43764 388631 14219551 10080250 75073 73046 51137 109766 46390121 25036698 18715002 21353423 21450799 22615370 7150919 7975591 521586 398711 74832648 75256690 7158126 6182175 3143962 3194279 13688419 15514004 23990507 24890458 X 43479740 42699636 3139167 3443362 4223234 4223234 50842141 50366232 74832648 75256690 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED true true false false false false true false true 35794 35794 false Schedule C Lobbying Activity Explanation LOBBYING INCLUDES A PORTION OF THE MARYLAND HOSPITAL ASSOCIATION DUES RELATED TO LOBBYING ACTIVITIES DURING THE YEAR ENDED JUNE 30, 2010 AND OTHER LOBBYING ACTIVITIES PERFORMED ON BEHALF OF THE HOSPITAL FOR FINANCIAL ASSISTANCE, TAX CREDIT FOR FITNESS ACTIVITIES, COMMUNITY STABILIZATION AND DEVELOPMENT, HEALTHCARE MALPRACTICE, MANAGED CARE PROGRAM, AND CAPITAL FUNDING. 4223234 4223234 4223234 4223234 1.00000 false true true 28706711 18091153 10615558 11142201 6491855 4650346 6541208 453690 6087518 21353422 ECONOMIC INTEREST IN FNDTN 7975591 F 7975591 0 PENSION LIABILITY 9421111 DEFERRED COMPENSATION 18374 CAPTIVE PROFESSIONAL LIABILITY 203509 A/P - RELATED PARTIES 1914385 OTHER LIABILITIES 1560000 A/P DUE TO AFFILIATE BONDS 2396625 15514004 FIN 48 FOOTNOTE PER CONSOLIDATED AUDIT REPORT THE ORGANIZATION IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF LIFEBRIDGE HEALTH, INC. AND SUBSIDIARIES. IN JULY 2006, THE FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) ISSUED FASB INTERPRETATION NO. 48 (FIN 48), ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. FIN 48 REQUIRES THAT THE CORPORATION RECOGNIZE THE IMPACT OF AN UNCERTAIN TAX POSITION IN ITS FINANCIAL STATEMENTS IF THAT POSITION IS MORE LIKELY THAN NOT TO BE SUSTAINED ON AUDIT, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE CORPORATION ADOPTED FIN 48 DURING 2008 AND THE IMPACT WAS IMMATERIAL TO THE FINANCIAL STATEMENTS. ENDOWMENT FUNDS THE PERMANENTLY ENDOWED FUNDS HELD BY THE BALTIMORE JEWISH ELDERCARE FOUNDATION, INC. ARE USED TO SUPPORT LEVINDALE HEBREW GERIATRIC CENTER AND HOSPITAL, INC. true true true X 300. true X true true true false false 1499056 1499056 0.01880 17947762 17947762 0.22480 19446818 19446818 0.24360 19446818 19446818 0.24360 false 1156583 32214134 28887491 3326643 X true true Levindale Hebrew Geriatric Center

2434 West Belvedere Avenue Baltimore MD 21215

X SPECIALTY HOSPITAL Levindale Hebrew Geriatric Center

2434 WEST BELVEDERE AVENUE BALTIMORE MD 21215

NURSING HOME Levindale Hebrew Geriatric Center

2434 WEST BELVEDERE AVENUE BALTIMORE MD 21215

SUBACUTE NURSINGHOME Levindale Hebrew Geriatric Center and Hospital, Inc. provides care without charge or at amounts less than its established rates, to patients who meet the criteria of its charity care policy. It does not pursue the collection of amounts determined to qualify as charity care and those amounts are not reported as revenue. The criteria 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. Maryland's regulatory system creates a unique process for hospital payment that differs from the rest of the nation. The Health Services Cost Review Commission, (HSCRC) determines payment through a rate-setting process and all payors, including governmental payors, pay the same amount for the same services delivered at the same hospital. Maryland's unique all-payor system includes a method for referencing Uncompensated Care in each payors rates, which does not enable Maryland hospitals to break-out any offsetting revenue related to Uncompensated Care. Community benefit expenses are equal to Medicaid revenues in Maryland, as such, the net effect is zero. The exception to this is the impact on the hospital of its share of the Medicaid assessment. In recent years, the state of Maryland has closed fiscal gaps in the state Medicaid budget by assessing hospitals through the rate-setting system. 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 Levindale Hebrew Geriatric Center and Hospital's goal of maximum bad debt recovery and strict adherence with Fair Debt Collections Practices Act (FDCPA) rules and regulations, while maintaining positive patient relations. 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. Levindale Hebrew Geriatric Center and Hospital, Inc. provides care without charge or at amounts less than its established rates, to patients who meet the criteria of its charity care policy. It does not pursue the collection of amounts determined to qualify as charity care and those amounts are not reported as revenue. The criteria 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. Community needs assessments are done in a variety of ways, according to the hospital departments involved and the constituencies they serve. The following are used most commonly: A) clinical department need recognition based on daily patient care and professional experience, B) participation in community coalitions, C) program development based on expressed client needs, and D) formal needs assessment conducted by an external consultant. Financial Assistance information is made available to the public through multiple sources including: the admission packet, pamphlets located in Patient Access, Patient Financial Services, as well as other patient access points throughout the hospital. Levindale Hebrew Geriatric Center and Hospital is located in the northwest quadrant of Baltimore City. It draws many patients from the neighborhoods proximate to the facility. Consistent with its mission to serve the Jewish community, Levindale also serves patients from throughout the Baltimore metropolitan area. In addition, as one of a small number of chronic hospitals in the state, Levindale draws patients from across central Maryland. Levindale Hebrew Geriatric Center and Hospital provides meals to residents who are unable to prepare a meal for themselves due to age and medical conditions. Levindale provides meals to adult day care and assisted living facilities in the neighborhood. Sinai Hospital of Baltimore and Northwest Hospital are affiliates and discharged patients requiring chronic and sub-acute hospitalization are often admitted to Levindale for further care. X X X X X false true false false false false false false false WARREN GREEN 0 766390 0 110701 0 443577 0 0 0 102313 0 1422981 0 1059816 SUSAN LEVY STROHM MD 251014 0 38405 0 20519 0 28114 0 33510 0 371562 0 16149 0 ARIC SPITULNIK 186190 0 22653 0 0 0 21452 0 25570 0 255865 0 0 0 RAUL LUJAN 164631 0 19675 0 9292 0 18439 0 21978 0 234015 0 8589 0 SURAIYA BEGUM MD 158737 0 78115 0 0 0 0 21694 258546 0 0 0 SUNIL RAJANI MD 175000 0 21162 0 1742 0 0 0 23363 0 221267 0 0 0 BABATUNDE AJANI MD 157500 0 39016 0 116 0 0 0 21026 0 217658 0 0 0 GIZAW WOLDEHIWOT MD 161170 0 33177 0 0 0 0 0 22028 0 216375 0 0 0 PATRICIA PALMERE NASON 125507 0 19203 0 27681 0 14057 0 16755 0 203203 0 8581 0 RONALD ROTHSTEIN 138596 0 36959 0 81561 0 15523 0 18503 0 291142 0 67401 0 Supplemental Nonqualified Retirement Plan Part I, Line 4B During the year, the following Levindale Hebrew Geriatric Center and Hospital Board members and Officers were participants in a LifeBridge Health sponsored supplemental nonqualified retirement plan and received the following payments: Warren A Green $1,373,689 Susan Levy-Strohm $16,149 Raul Lujan $8,589 Aric Spitulnik NONE A former Director, Mr. Rothstein, who retired during the tax year, also participated in a LifeBridge Health sponsored supplemental retirement plan and received a payment of $67,401. Compensation Provided by Related Organizations MR. GREEN'S COMPENSATION WAS PAID BY SINAI HOSPITAL OF BALTIMORE. HE RECEIVED COMPENSATION AS PRESIDENT / CEO LIFEBRIDGE HEALTH, INC., NOT AS A DIRECTOR. DEFERRED COMPENSATION PAYMENTS OF $1,373,689, INCLUDE $1,059,816 EARNED IN PRIOR YEARS. MR. SPITULNIK RECEIVED COMPENSATION AS PRESIDENT / COO LEVINDALE HEBREW GERIATRIC CENTER AND HOSPITAL, INC., NOT AS A DIRECTOR. SUSAN LEVY-STROHM RECEIVED COMPENSATION AS VP MEDICAL AFFAIRS FOR LEVINDALE HEBREW GERIATRIC CENTER AND HOSPITAL, INC., NOT AS A DIRECTOR. DR. BERNARD RUBIN RECEIVED COMPENSATION FOR ADMINISTRATIVE AND CLINICAL SERVICES PROVIDED TO NORTHWEST HOSPITAL CENTER, INC. LHGCH Schedule O Disclosures 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 PRESIDENTS 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. Schedule O Disclosures (continued) 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 ADDRESSES 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: LEVINDALE HEBREW GERIATRIC CENTER AND HOSPITAL INC 2434 WEST BELVEDERE AVENUE BALTIMORE, MD 21215 GRANTS AND ASSISTANCE FORM 990, SCHEDULE I: Levindale did not make grants of $5,000 or more during the year and therefore, Schedule I was not required. DUE TO AFFILIATES - BONDS FORM 990, SCHEDULE K: On January 8, 2008, Levindale Hebrew Geriatric Center and Hospital (LHGCH), together with its affiliates LifeBridge, Sinai, Northwest, Children's Hospital at Sinai Foundation, and Baltimore Jewish Health Foundation (collectively, the Obligated Group) borrowed $285,815,000 from the Maryland Health and Higher and Higher Educational Facilities Authority. The Authority obtained the funds for this financing through the issuance of bonds under the Maryland Health and Higher and Higher Educational Facilities Authority (MHHEFA) Revenue Bonds, LifeBridge Health issue, Series 2008, collateralized by all receipts of the Obligated Group. The bonds were issued at a premium of $3,278,562 of which LHGCH's portion is $27,730 which is being amortized over the life of the bond issue. The members of the Obligated Group are jointly and severally liable for repayment of the principal and loan and interest thereon. As of June 30, 2010, $2,368,895 of the total amount borrowed appears as the liability of LHGCH on the balance sheet as due to LifeBridge. All the bonds were issued in the name of LifeBridge and are reported on Schedule K of its Form 990. 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 Northwest Hospital Center Inc 5401 Old Court Road Randallstown MD 21133 521372665 HOSPITAL 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 Childrens 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 Childrens 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 Inc 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 Inc 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 980415396 INSURANCE CJ 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 1698361