2011-05-11T13:31:24-04:00 2010-06-30 KPMG LLP 1676 International Drive McLean VA 22102 990 2009-07-01 520486540 Sinai Hospital of Baltimore Inc SINA 4106015653 2401 West Belvedere Avenue Baltimore MD 21215 Charles Orlando 2011-04-25 true 7032868000 2009 2016-02-24 21:20:13Z Neil Meltzer 2401 West Belvedere Avenue Baltimore MD 21215 665020222 false X www.lifebridgehealth.org X 1868 MD TO PROVIDE QUALITY PATIENT CARE, EDUCATE MEDICAL STUDENTS & RESIDENTS, AND ENGAGE IN MEDICAL RESEARCH TO IMPROVE THE LIVES OF OUR PATIENTS AND OUR COMMUNITY. 44 36 5496 265 9175045 0 13569891 9700692 616920692 623560141 -731321 3214701 18498727 28544688 648257989 665020222 111035 90400 0 0 315343856 329621280 0 0 69696 316696378 321051871 632151269 650763551 16106720 14256671 530874853 538139367 357752599 359208379 173122254 178930988 SINAI HOSPITAL OF BALTIMORE HAS A LONGSTANDING MISSION TO PROVIDE QUALITY PATIENT CARE, EDUCATE MEDICAL STUDENTS AND RESIDENTS WHO WILL BECOME PHYSICIANS IN OUR COMMUNITY AND BEYOND, AND ENGAGE IN MEDICAL RESEARCH TO IMPROVE THE LIVES OF OUR PATIENTS, OUR FRIENDS AND FAMILY, AND OUR COMMUNITY. WE HAVE FOCUSED OUR ATTENTION ON QUALITY PATIENT CARE FOR MORE THAN 140 YEARS. THROUGH A JEWISH-SPONSORED HEALTH CARE ORGANIZATION, SINAI HOSPITAL'S DOORS HAVE BEEN OPEN TO CARE FOR THE SICK AND NEEDY REGARDLESS OF RACE, RELIGION OR ABILITY TO PAY. LOCATED IN NORTHWEST BALTIMORE CITY, SINAI HOSPITAL MEETS THE HEALTH CARE NEEDS OF AN EVER EXPANDING AND CULTURALLY DIVERSE POPULATION, MANY OF WHOM DO NOT HAVE ACCESS TO PRIMARY HEALTH CARE. SIGNIFICANT PORTIONS OF OUR SURROUNDING COMMUNITY FREQUENT SINAI ER-7 USING THIS EMERGENCY ROOM AS A DOCTOR'S OFFICE. LACK OF ACCESS TO HEALTH CARE IS A GROWING PROBLEM FOR MANY AMERICANS, AND SINAI HOSPITAL'S DOCTORS, NURSES AND ALLIED HEALTH CARE PROFESSIONALS U false false 476674327 90400 603172060 SINAI HOSPITAL OF BALTIMORE, INC. IS RESPONSIBLE FOR THE MANAGEMENT AND DAY-TO-DAY OPERATIONS OF THE 470 BED ACUTE-CARE HOSPITAL. THE HOSPITAL PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. THE HOSPITAL DOES NOT PURSUE THE COLLECTION OF THESE AMOUNTS. THE TOTAL EXPENSE FOR THIS ACTIVITY WAS $6,888,156. 29379500 20388081 Sinai Clinical Professionals provides multi-specialty medical care 506053827 true true false true false false false false true true false true false false false false false false false false true true false true false false false false false false false true false false false false true true true false false true 445 0 true 5496 true true true false false false false false false false false 44 36 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 LYNN E ABESHOUSE 1.0 X 0 0 0 LEONARD ATTMAN 1.0 X X 0 0 0 LAURA BLACK 1.0 X X 0 0 0 SCOTT BROWN MD 1.0 X 295597 0 57377 JOSEPH A COOPER 1.0 X 0 0 0 HELEN COPLAN 1.0 X 0 0 0 MICHAEL DOPKIN 1.0 X 0 0 0 JEROME H FADER 1.0 X 0 0 0 RONNIE B FOOTLICK 1.0 X 0 0 0 STANLEY FRIEDLER MD 1.0 X 0 0 0 LOUIS F FRIEDMAN ESQUIRE 1.0 X 0 0 0 BARRY L GARBER 1.0 X 0 0 0 BRIAN J GIBBONS 1.0 X 0 0 0 LOWELL R GLAZER 1.0 X X 0 0 0 WARREN GREEN 1.0 X X 1320668 0 102313 LINDA HAAS 1.0 X 0 0 0 NANCY HACKERMAN 1.0 X 0 0 0 DAVID KUNTZ 1.0 X 0 0 0 ALVIN LAPIDUS 1.0 X 0 0 0 BARRY F LEVIN ESQUIRE 1.0 X 0 0 0 ANDREW S LEVINE 1.0 X 0 0 0 JON H LEVINSON 1.0 X 0 0 0 ERIC M LEVITT 1.0 X 0 0 0 BRENDA WEIL MANDEL 1.0 X 0 0 0 R DONALD MCDANIEL JR 1.0 X 0 0 0 NEIL M MELTZER 40.0 X X 687549 0 195540 BRIAN L MOFFET ESQUIRE 1.0 X 0 0 0 A SAMUEL PENN 1.0 X 0 0 0 HAROLD N PEREMEL 1.0 X 0 0 0 ROBERT J POST 1.0 X 0 0 0 JEFFREY POWERS 1.0 X 0 0 0 JEROME P REICHMISTER MD 1.0 X 108333 0 0 JACQUES R RUBIN 1.0 X 0 0 0 PHILIP E SACHS 1.0 X 0 0 0 BENJAMIN S SCHAPIRO 1.0 X 0 0 0 JOHN SHMERLER 1.0 X 0 0 0 BRUCE SHOLK 1.0 X 0 0 0 TODD SIBEL 1.0 X 0 0 0 BARRY A STOLER 1.0 X 0 0 0 STANLEY V STOVALL 1.0 X 0 0 0 HILLEL TENDLER ESQUIRE 1.0 X X 0 0 0 MARC TERRILL 1.0 X 0 0 0 MARY TILBURY 1.0 X 0 0 0 BARRY WALDMAN MD 1.0 X 346349 0 26618 ELLEN WASSERMAN 1.0 X 0 0 0 ROBIN WEIMAN 1.0 X 0 0 0 JERRY HENDERSON 40.0 X 190999 0 25234 LEATEEN JOHNSON 40.0 X 294453 0 60277 LORRIE LIANG 40.0 X 256209 0 52217 IDA SAMET 40.0 X 271146 0 50128 DANIEL SILVERMAN MD 40.0 X 443819 0 49327 MICHAEL MONT MD 40.0 X 1132335 0 142062 PAUL GURBEL MD 40.0 X 862646 0 115221 FOUAD ABBAS MD 40.0 X 875103 0 79910 RONALD DELANOIS MD 40.0 X 832962 0 75469 RICHARD NORTH MD 40.0 X 709915 0 121967 8628083 0 1153660 555 false true false ARAMARK CORPORATION HSS 25271 NETWORK PLACE CHICAGO IL 60603 CAFETERIA MANAGEMENT 6958957 CROTHALL SERVICES GROUP 13028 COLLECTION CENTER DRIVE CHICAGO IL 60693 CONTRACT CLEANING 2906422 EMCARE INC 7032 COLLECTION CENTER DRIVE CHICAGO IL 60693 AGENCY NURSING 1629754 MEDICAL DICTATION SERVICES INC PO BOX 11407 BIRMINGHAM AL 35246 TRANSCRIPTION 1257600 RENAL TREATMENT CENTER PO BOX 403008 ATLANTA GA 30384 RENAL DIALYSIS 1191844 79 2339682 2375046 4985964 9985 9700692 NET PATIENT REVENUE 900099 396499601 396499601 LAB REVENUE 900099 601020 601020 MEDICARE/MEDICAID PAYMENTS 900099 226459520 226459520 623560141 2886586 2886586 0 0 2551353 2551353 2551353 2551353 328115 328115 328115 328115 0 0 0 MISC. OPERATING REVENUE 561439 21152724 12578699 8574025 CAFETERIA SALES 900099 4127797 4127797 OCCUPATIONAL HEALTH REVENUE 900099 48049 48049 664765 664765 25993335 665020222 636250634 9175045 9893851 90400 90400 0 0 0 2100295 2030599 69696 0 268356952 203709784 64647168 7988725 6569212 1419513 31988261 21749399 10238862 19187047 15733379 3453668 0 47148 47148 0 0 0 0 77827168 39677026 38150142 1073280 659697 413583 0 0 0 4742760 2097685 2645075 520458 151716 368742 0 1355697 534603 821094 10828919 10828919 0 35798669 35798669 3685572 3047919 637653 SUPPLIES 121566332 114432181 7134151 PROVISION FOR BAD DEBT 27038216 27038216 PROFESSIONAL AND TECHNICAL 18210715 11601645 6609070 UTILITIES 8279585 6209689 2069896 AGENCY NURSES 4453600 4442687 10913 5623752 1681001 3942751 650763551 506053827 144640028 69696 10535 971949 78984220 67995886 10098943 9309523 78086198 76956449 48267 160478 13159717 17550586 3479135 2837481 506836505 265696548 229607813 241139957 51045409 48903987 52076147 56238444 14278469 16074627 530874853 538139367 85738162 81099641 23580220 22484923 248434217 255623815 357752599 359208379 X 126538449 128341436 36985716 40892973 9598089 9696579 173122254 178930988 530874853 538139367 X false true true X true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED true true false false false false true false true 106926 106926 false false Lobbying Activity Explanation SCHEDULE C , PART II 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 TRAUMA CENTER FUNDING, FINANCIAL ASSISTANCE/DEBT COLLECTION POLICIES, PATIENT CENTERED MEDICAL HOME, TAX CREDIT FOR FITNESS ACTIVITIES, COMMUNITY STABILIZATION AND DEVELOPMENT, HEALTH CARE MALPRACTICE, REIMBURSEMENT NON-PARTICIPATING PROVIDERS, AND CAPITAL FUNDING. 9598089 4096 13310 81084 9696579 9646565 39365 -31828 56013 9598089 1.00000 false true true 1200072 1200072 350982726 162308851 188673875 1866550 936613 929937 142642010 102451084 40190926 10145147 10145147 241139957 ECONOMIC INTEREST IN FNDTN 56238444 F 56238444 0 DEFERRED COMPENSATION 1880152 PROFESSIONAL LIABILITY 2034172 PENSION LIABILITY 37337405 ASSET RETIREMENT OBLIGATION 1090000 DUE TO AFFILIATES BONDS 208913979 DUE TO AFFILIATES RELATED PARTY 1683518 CAPITAL LEASES 2684589 255623815 FOOTNOTE IN FINANCIAL STATEMENTS FOR FIN 48 SCHEDULE D, PART X 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 Schedule D, Part V THE PERMANENTLY ENDOWED FUNDS HELD BY THE RELATED ORGANIZATIONS, THE BALTIMORE JEWISH HEALTH FOUNDATION, INC. AND CHILDREN'S HOSPITAL AT SINAI FOUNDATION, WERE USED TO SUPPORT THE ACTIVITIES FOR SINAI HOSPITAL OF BALTIMORE, INC. true true true X 300. true X true true false true true 6888156 6888156 0.01060 6888156 6888156 0.01060 12795 3590881 6497 3584384 0.00600 19376390 19376390 0.03000 38605 21102743 21102743 0.03200 101 942911 942911 0.00100 276 208409 208409 51777 45221334 6497 45214837 0.06900 51777 52109490 6497 52102993 0.07960 83687 83687 680 135554 135554 231 10444 10444 217023 217023 911 446708 446708 false 25711985 14456132 182727046 171262224 11464822 X true true Sinai Hospital of Baltimore

2401 West Belvedere Avenue Baltimore MD 21215

X X X X X Sinai Clinical Professionals LLC

515 Fairmount Avenue Towson MD 21286

multi-specialty Sinai Hospital of Baltimore, Inc. provides services 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 consider gross income and family size according to current Federal Poverty Guidelines. To qualify, the patient must show proof of income 300% or less of the Federal Poverty Guidelines. A sliding scale is used to determine eligibility for those whose income exceeds 300%. Eligibility is calculated based on the number of people living in the household. The program covers uninsured, under-insured and patient liability after insurance(s) pay. Approvals are granted for a six or twelve month period of time and patients are encouraged to re-apply for continued eligibility. 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 rate, 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 Sinai 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. Sinai Hospital of Baltimore, Inc. provides services 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 consider gross income and family size according to current Federal Poverty Guidelines. To qualify, the patient must show proof of income 300% or less of the Federal Poverty Guidelines. A sliding scale is used to determine eligibility for those whose income exceeds 300%. Eligibility is calculated based on the number of people living in the household. The program covers uninsured, under-insured and patient liability after insurance(s) pay. Approvals are granted for a six or twelve month period of time and patients are encouraged to re-apply for continued eligibility. Community needs assessments are done in a variety of ways, according to the hospital departments involved and the constituencies they serve. Below are several of the methods used by Sinai Hospital to identify community needs. Method A: Clinical department recognition based on daily patient care. 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, when the Department of Psychiatry developed an Intensive Outpatient/Partial Hospitalization program, it identified needs beyond clinical treatment of mental illness for patients living in poverty. Method B: Identification through participation in a community coalition. Another way the hospital has identified community needs is through participating in or serving on community coalitions that perform a planning function. For example, the Director of Community Initiatives represented Sinai on the Baltimore City Babies Born Healthy Leadership in Action Program. This group performed a comprehensive needs assessment on the health needs of women of childbearing age to improve birth outcomes in Baltimore. The resulting recommendations of this group then became the basis for the Strategy to Improve Birth Outcomes adopted in 2009 by the Baltimore City Health Department. Method C: Assessment by an external consultant. This means was used to conduct a needs assessment necessary to identify a priority community health need and develop an intervention in response, as charged by the health system's Board and President. As part of that assessment process, the consultant interviewed key informants including hospital staff and leadership, community service providers and other community representatives. The consultant also performed an extensive review of public health data from City, County, and State health departments. In addition, interviews occurred with the Health Commissioners of both Baltimore City and Baltimore County to determine their priorities, existing programs, and potential for partnerships. Method D: Collaboration with the Health Department and/or other partners. During FY 2009 Sinai representatives from both the Finance and Community Initiatives departments participated in a series of meetings for hospital representatives convened by the Baltimore City Health Commissioner to collaborate on the Community Benefit reporting process and possible collaborative community benefit activities. Since the conclusion of those meetings we have been holding discussions with representatives from the Health Department and another hospital to develop collaboration on two specific programs. We have also used the results of the latest formal needs assessment commissioned by the Baltimore City Health Department to guide our planning in our health equity initiatives. Method E: Consultation with community residents, agencies, organizations, and health care providers. In 2010 Sinai implemented the community component of its Health Equity initiative by convening a Community Advisory Panel. The purpose of this group is to advise the hospital on priority health needs in our community, and to partner to develop a community-based project to respond to the social determinants of poor health affecting Sinai's neighbors and patients. This group consists of community residents (representing Russian, Hispanic and Caribbean immigrants, Orthodox Jews, and African American residents) and representatives of various organizations that either provide services in the Park Heights community , or operate on a city or state level (Baltimore City Public Schools, HUD, DHMH Office of Minority Health and Health Disparities, Baltimore City Health Department, Morgan State University, University of Maryland, Baltimore City Council and State of Maryland House of Delegates). The following describes means used at Sinai Hospital to inform and assist patients regarding eligibility for financial assistance under governmental programs and the hospital's charity care program. Financial Assistance notices, including contact information, are posted in the Business Office and Admitting, as well as at points of entry and registration throughout the Hospital. Patient Financial Services Brochure 'Freedom to Care' is available to all inpatients. Brochures are also available in all outpatient registration and service areas. Sinai Hospital employs a Financial Assistance Liaison who is available to answer questions and to assist patients and family members with the process of applying for Financial Assistance. A Patient Information Sheet is given to all inpatients prior to discharge and mailed to all inpatients with the Maryland Summary Statement. Sinai Hospital's uninsured (self-pay) and under-insured (Medicare beneficiary with no secondary) Medical Assistance Eligibility Program screens, assists with the application process and ultimately converts patients to various Medical Assistance coverage and includes eligibility screening and assistance with completing the Financial Assistance application as part of that process. Sinai Hospital participates with local Associated Jewish Charities to provide Financial Assistance eligibility for qualifying patients. All Hospital statements and active accounts receivable outsource vendors include a message referencing the availability of Financial Assistance for those who are experiencing financial difficulty and provides contact information to discuss Sinai's Financial Assistance Program. Collection agencies initial statement references the availability of Financial Assistance for those who are experiencing financial difficulty and provides contact information to discuss Sinai's Financial Assistance Program. All Hospital Patient Financial Services staff, active accounts receivable outsource vendors, collection agencies and Medicaid Eligibility vendors are trained to identify potential Financial Assistance eligibility and assist patients with the Financial Assistance application process. Financial Assistance application and instruction cover sheet is available in Russian and Spanish. Sinai Hospital hosts and participates in various Department of Health and Mental Hygiene and Maryland Hospital Association sponsored campaigns like 'Cover the Uninsured Week'. Sinai Hospital of Baltimore is located in the northwest quadrant of Baltimore City, serving both its immediate neighbors and others from throughout the Baltimore City and County region. The neighborhoods surrounding Sinai are identified by the Baltimore Neighborhood Indicators Alliance (BNIA) as Southern Park Heights (Park Heights) and Pimlico/Arlington/Hilltop (Pimlico). Together they constitute an area that is predominately African American with a below average median family income, but above average rates for unemployment, and other social determinants of poor health. Park Heights and Pimlico's median household income was $21,218 and $26,012 respectively. This is compared to Baltimore City's median household income of $30,078. The percent of families earning less than the federal self-sufficiency standard in Park Heights was 56% for married couples with 1-5 children and 85% for "other" families with 1-5 children. Pimlico's indicators were 59% for married couples and 83% for "other" families. The unemployment rate for Baltimore City was 10.9 %. Park Heights and Pimlico had unemployment rates of 15.5% and 13.8% respectively. The five zip codes that represent the primary service area in calendar year 2009 were 21215, 21207, 21216, 21208, 21209. The Baltimore City Health Department uses Community Statistical Areas (CSA) when analyzing health outcomes and risk factors. The data provided for the primary racial composition, median income and households below poverty level was obtained from the US Census Bureau. The life expectancy data was obtained from the Baltimore City Health Department. The racial composition and income distribution of these zip codes reflect the segregation and income disparity characteristic of the Baltimore metropolitan region. As indicated above, those zip codes that have a predominantly African American population, including 21215, in which the hospital is located, reflect the racial segregation and poverty representative of Baltimore City. This is in contrast to neighboring Baltimore County zip codes (21208 & 21209) in which the median household income is much higher, and in which the population is predominantly white. Notable is the high proportion of Emergency Room use by those in the 3 city zip codes, which together account for over half, 33,740 or 56% of Sinai's 60,718 Emergency Room encounters, reflecting the use of the Emergency Room for primary medical care. Of Sinai Hospital's total 60,718 Emergency Room visits in 2010 58%, or 35,401, were Medical Assistance or self pay. Decisions regarding the selection of community needs to address depend on the hospital departments involved and the constituencies they serve. Sinai Hospital develops community benefit programming based on identified needs and hospital resources available to address those needs. As a teaching hospital with its own accredited, non-university-affiliated residency training programs, Sinai Hospital employs a faculty of 140 physicians in several specialties including Ophthalmology, Cardiac Surgery, Obstetrics and Gynecology, and Pediatrics. Faculty physicians provide services to patients through a faculty practice plan. When patients request appointments in the faculty practice offices, they are not screened on their ability to pay for services. Physician fees for uninsured patients are determined on a sliding scale based on income. Fees may be waived if a patient has no financial resources. Additionally, in those specialties in which the hospital does not have a faculty, such as Dentistry, Otolaryngology, Vascular and Neurosurgery, we contract with specialists in order to provide continuous care for patients admitted to the hospital through the Emergency Department. Sinai Hospital partners with a Federally Qualified Health Center (FQHC) to provide primary care services to the uninsured and Medicaid recipients. Park West Health System provides primary care on the Sinai campus, with physician services provided by Sinai faculty members. Park West's patients requiring specialty care are referred to Sinai specialists. Northwest Hospital Center and Levindale Hebrew Geriatric Center and Hospital are affiliates of Sinai Hospital. Discharged patients requiring chronic and sub-acute hospitalization are often admitted to Levindale for further care. true AMERICAN HEART ASSOCIATION 4217 Park Place Court Glen Allen VA 23060 135613797 501(c)(3) 15000 Heart Walk AMERICAN HEART ASSOCIATION 415 North Charles St Baltimore MD 21201 135613797 501(c)(3) 25000 Heart Ball 2010 RONALD MCDONALD HOUSE 635 W Lexington Street Baltimore MD 21201 521184957 501(c)(3) 15000 Sponsorship 2 23 GRANTS AND ASSISTANCE SCHEDULE I, PART IV, LINE 2 The LifeBridge Health Sponsorship committee meets monthly and maintains records to substantiate the amount of grants or assistance provided by LifeBridge Health Inc. and its subsidiaries. Selection criteria for assistance awards are based on the specific needs of the organization applying for assistance and any prior history of the grants awarded by the LifeBridge system. Members of the LifeBridge Executive Team review the Sponsorship Committee awards and provide recommendations as needed. X X false false X X X X X false true false false false false false false false SCOTT BROWN MD 275192 0 8833 0 11572 0 20639 0 36738 0 352974 0 13905 0 WARREN GREEN 766390 0 110701 0 443577 0 0 0 102313 0 1422981 0 1059816 0 NEIL M MELTZER 565963 0 72667 0 48919 0 119984 0 75556 0 883089 0 39435 0 BARRY WALDMAN MD 199383 0 145757 0 1209 0 0 0 26618 0 372967 0 0 0 JERRY HENDERSON 183112 0 7887 0 0 0 0 0 25234 0 216233 0 0 0 LEATEEN JOHNSON 245527 0 38302 0 10624 0 27499 0 32778 0 354730 0 9239 0 LORRIE LIANG 212695 0 34821 0 8693 0 23822 0 28395 0 308426 0 13213 0 IDA SAMET 204185 0 35392 0 31569 0 22869 0 27259 0 321274 0 0 0 DANIEL SILVERMAN MD 288464 0 105000 0 50355 0 10817 0 38510 0 493146 0 0 0 MICHAEL MONT MD 830769 0 282000 0 19566 0 31154 0 110908 0 1274397 0 19592 0 PAUL GURBEL MD 862646 0 0 0 0 0 0 0 115221 0 977867 0 0 0 FOUAD ABBAS MD 467307 0 400000 0 7796 0 17524 0 62386 0 955013 0 9506 0 RONALD DELANOIS MD 437962 0 395000 0 0 0 16550 0 58919 0 908431 0 0 0 RICHARD NORTH MD 709915 0 0 0 0 0 26747 0 95220 0 831882 0 0 0 Supplemental NonQualified Retirement Plan Form 990, Schedule J, Line 4b Part III, Supplemental Information During the year, the following Sinai Hospital of Baltimore, Inc. Board members, Officers, and Highest Paid employees were participants in a LifeBridge Health sponsored supplemental nonqualified retirement plan and received the following payments: Warren A Green $1,373,687 Neil Meltzer $ 39,435 Michael Mont MD $ 19,592 Scott Brown MD $ 13,905 Lorrie Liang $ 13,213 Fouad Abbas MD $ 9,506 Leateen Johnson $ 9,239 Daniel Silverman MD NONE Ida Samet NONE Supplemental Information Form 990, Schedule J 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. Green's supplemental retirement plan payment includes $1,059,816 earned in prior years. Mr. Meltzer received compensation as President/COO of Sinai Hospital of Baltimore, Inc., not as a Director. $985 was paid by Sinai Hospital of Baltimore, Inc. for Mr. Meltzer's membership at Center Club. Dr Silverman's housing allowance was $43,879. Travel expenses incurred by Officers, Directors, and Executives are substantiated prior to payments and reimbursements at Sinai Hospital of Baltimore, Inc. Dr. Brown and Dr. Waldman received compensation as physicians, not as Directors. Dr Reichmister received compensation as Chief of Orthopedic Surgery, not as a Director. Barry Garber Director See Schedule O false Nancy Hackerman Director See Schedule O false Helen Coplan Director See Schedule O false David Kuntz Director See Schedule O false 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. SCHEDULE O DISCLOSURES 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. FORM 990, SCHEDULE K ON JANUARY 8, 2008, SINAI HOSPITAL OF BALTIMORE, TOGETHER WITH ITS AFFILIATES LIFEBRIDGE HEALTH, LEVINDALE HEBREW GERIATRIC CENTER AND HOSPITAL, NORTHWEST HOSPITAL CENTER, CHILDREN'S HOSPITAL AT SINAI FOUNDATION, AND THE BALTIMORE JEWISH HEALTH FOUNDATION (COLLECTIVELY, THE OBLIGATED GROUP) BORROWED $285,815,000 FROM THE MARYLAND HEALTH AND HIGHER AND HIGHER EDUCATIONAL FACILITIES AUTHORITY (THE AUTHORITY) TO FINANCE THE ADVANCE REFUNDING OF THE 2004 SERIES A AND 2004 SERIES B BONDS AND TO FINANCE VARIOUS CONSTRUCTION AND RENOVATION PROJECTS. THE AUTHORITY OBTAINED THE FUNDS FOR THIS FINANCING THROUGH THE ISSUANCE OF BONDS UNDER THE MARYLAND HEALTH AND HIGHER 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 SINAI'S PORTION IS $2,193,207 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 $206,720,772 OF THE TOTAL AMOUNT BORROWED APPEARS AS A LIABILITY OF SINAI 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. FORM 990, SCHEDULE L, PART IV, LINE 28C Sinai Hospital of Baltimore, Inc. and LifeBridge Health subsidiaries received approximately $499,297 in investment services from the firm Deutsche Bank Alex Brown. Mr. Barry Garber is a Board Director of Sinai Hospital and is an employee of the firm. All transactions were at fair market value and negotiated at arm's length. Sinai Hospital of Baltimore, Inc. and the LifeBridge Health, Inc. subsidiaries received approximately $16,073,795 in construction services from the firm Whiting Turner. Ms. Nancy Hackerman, a Sinai Board Director, has a family member who is an owner of the firm. All transactions were at fair market value and negotiated at arm's length. Ms. Helen Coplan is a Sinai Board Director, and has a family relationship with an owner of Hord, Coplan, Macht, Inc., which provided approximately $3,262,092 in annual receipts for construction services to Sinai Hospital of Baltimore. All transactions were at fair market value and negotiated at arm's length. Sinai Hospital of Baltimore, Inc. and LifeBridge Health subsidiaries received approximately $1,837,891 in services from American Office. Mr. Kuntz is a Board Director of Sinai Hospital and is an employee of the firm. All transactions were at fair market value and negotiated at arm's length. SINAI CLINICAL PROFESSIONALS LLC 515 Fairmount Avenue Towson MD 21286 270192555 Healthcare MD 29379500 3233549 NA LIFEBRIDGE HEALTH INC 2401 West Belvedere Avenue Baltimore MD 21215 521402373 Parent MD 501 C 3 11b LBH NORTHWEST HOSPITAL CENTER INC 5401 Old Court Road Randallstown MD 21133 521372665 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. 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