FURP.ORG / PUBLIC DATA EXPLORER

NORTHWEST HOSPITAL CENTER INC: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
NORTHWEST HOSPITAL CENTER INC (EIN 52-1372665)
Tax period
2009-07-01 to 2010-06-30
Filed
2011-05-11
IRS object ID
201111319349302076
Schema version
2009v1.7
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-05-11T13:31:23-04:00Timestamp
Tax Period End Date2010-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1KPMG LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11676 International DriveAddressLine1
CityMcLeanCity
StateVAState
ZIP Code22102ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN521372665EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Northwest Hospital Center IncBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlNORTNameControl
Phone4106015653Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line15401 Old Court RoadAddressLine1
CityRandallstownCity
StateMDState
ZIP Code21133ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameCharles OrlandoName
TitleCFOTitle
Date Signed2011-04-25DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone7032868000Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonErik WexlerNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line15401 Old Court RoadAddressLine1
CityRandallstownCity
StateMDState
ZIP Code21133ZIPCode
FieldValueIRS element (for citing)
Gross Receipts210836836GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501cXOrganization501c
Web Sitewww.lifebridgehealth.org/northwest.cfmWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1984YearFormation
State Legal DomicileMDStateLegalDomicile
Activity Or Mission DescriptionTO IMPROVE THE WELLBEING OF THE COMMUNITY WE SERVE.ActivityOrMissionDescription
Nbr Voting Members Governing Body26NbrVotingMembersGoverningBody
Nbr Independent Voting Members22NbrIndependentVotingMembers
Total Nbr Employees1882TotalNbrEmployees
Total Nbr Volunteers175TotalNbrVolunteers
Total Gross UBI15298TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year10632780ContributionsGrantsPriorYear
Contributions Grants Current Year489934ContributionsGrantsCurrentYear
Program Service Revenue Prior Year200603900ProgramServiceRevenuePriorYear
Program Service Revenue CY203817082ProgramServiceRevenueCY
Investment Income Prior Year-2753122InvestmentIncomePriorYear
Investment Income Current Year4656686InvestmentIncomeCurrentYear
Other Revenue Prior Year1782926OtherRevenuePriorYear
Other Revenue Current Year1873134OtherRevenueCurrentYear
Total Revenue Prior Year210266484TotalRevenuePriorYear
Total Revenue Current Year210836836TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year2650GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY8850GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year99805397SalariesEtcPriorYear
Salaries Etc Current Year103251333SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year56946TotalFundrsngExpCurrentYear
Other Expense Prior Year90680369OtherExpensePriorYear
Other Expenses Current Year93226463OtherExpensesCurrentYear
Total Expenses Prior Year190488416TotalExpensesPriorYear
Total Expenses Current Year196486646TotalExpensesCurrentYear
Revenues Less Expenses Prior Year19778068RevenuesLessExpensesPriorYear
Revenues Less Expenses CY14350190RevenuesLessExpensesCY
Total Assets BOY211234370TotalAssetsBOY
Total Assets EOY223313395TotalAssetsEOY
Total Liabilities BOY98159049TotalLiabilitiesBOY
Total Liabilities EOY98809599TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY113075321NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY124503796NetAssetsOrFundBalancesEOY
Mission DescriptionNorthwest 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-seven 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 2010, the hospital admitted 12,498 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 2010, northwest ER-7 recorded 61,456 visits. In keeping with the hospital's mission to improve the wellbeing of the community, Northwest Hospital adhereMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense148712707Expense
Grants8850Grants
Revenue203817082Revenue
DescriptionNORTHWEST HOSPITAL CENTER, INC. IS RESPONSIBLE FOR THE MANAGEMENT AND DAY-TO-DAY OPERATIONS OF THE 221 BED ACUTE-CARE AND 29 BED SUB ACUTE-CARE HOSPITAL. HOSPITAL PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. TOTAL CHARITY CARE AT COST WAS $1,848,339.Description
Total Program Service Expense148712707TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Balance Sheet Amounts ReportedtrueBalanceSheetAmountsReported
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096130NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees1882NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Nbr Voting Governing Body Members26NbrVotingGoverningBodyMembers
Number Independent Voting Members22NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledCAStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledMDStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonNancy KaneNamePerson
Telephone Number4106015653TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12401 WEST BELVEDERE AVENUEAddressLine1
CityBaltimoreCity
StateMDState
ZIP Code21215ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (36 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
GERALD ABRAMS
DIRECTOR1.0X000
WALTER AMPREY PHD
CHAIRMAN/DIRECTOR1.0X000X
RONALD ATTMAN
DIRECTOR1.0X000
RICHARD AZRAEL
DIRECTOR1.0X000
STACEY BERNER MD
DIRECTOR1.0X1126300
ROBERT DAMIE
DIRECTOR1.0X000
RONNIE B FOOTLICK
EX-OFFICIO DIRECTOR1.0X000
EUGENE A FRIEDMAN ESQUIRE
DIRECTOR1.0X000
WARREN A GREEN
CEO/EX-OFFICIO DIRECTOR1.0X01320668102313X
IRA K HIMMEL ESQUIRE
DIRECTOR1.0X000
BETTY J HINES
DIRECTOR1.0X000
ROBERT A HOFFMAN
DIRECTOR1.0X000
JUAN JUANTEGUY MD
DIRECTOR1.0X000
DONALD KIRSON
DIRECTOR1.0X000
DOUGLAS LEDERMAN
DIRECTOR1.0X000
AUDREY LIFCOVICH
DIRECTOR1.0X000
STANDFORD H MALINOW MD
DIRECTOR1.0X000
ANDREW MALIS
DIRECTOR1.0X000
JOSEPH MIGLIARA
DIRECTOR1.0X000
BILL MILLER
DIRECTOR1.0X000
DEBORAH S PHELPS
DIRECTOR1.0X000
JM SCHAPIRO
TREASURER/DIRECTOR1.0X000X
DAVID SIGMAN MD
PHYSICIAN/DIRECTOR1.0X1000000
WILLIAM SMULYAN MD
SECRETARY/DIRECTOR1.0X000X
BARRY WALTERS MD
DIRECTOR1.0X000
ERIK WEXLER
PRESIDENT/COO/DIRECTOR40.0X4996000143031X
JOEL WOHL
DIRECTOR1.0X000
ALAN D YARBRO
VICE CHAIRMAN/DIRECTOR1.0X000X
RONALD GINSBERG MD
VP MEDICAL AFFAIRS40.0468627072703X
CANDACE HAMNER
VP CARE MANAGEMENT40.0230868044237X
SUSAN JALBERT
VP PATIENT CARE40.0229436046713X
JOHN BRUNSON MD
PHYSICIAN12.0075279269316X
ABDALLAH KAFROUNI
INTENSIVIST40.0330888029279X
WILLIAM GEIS MD
Physician40.0274671025115X
ALAN DAVIS MD
PHYSICIAN40.0270813024028X
CHAITANYA RAVI
HOSPITALIST40.0217979028090X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2544145TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs2073460TotalReportableCompFrmRltdOrgs
Total Other Compensation584825TotalOtherCompensation
Number Individuals GT100 K104NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
CROTHALL HEALTHCARE INC
13028 COLLECTION CENTER DRCHICAGOIL60693CONTRACT CLEANING3008991
ARAMARK CORPORATION HSS
25271 NETWORK PLACECHICAGOIL60603CAFETERIA MANAGEMENT2252972
DAVITA OWINGS MILLS
PO BOX 403008ATLANTAGA30384RENAL DIALYSIS754505
MEDICAL DICTATION SERVICES
PO BOX 11407BIRMINGHAMAL35246Transcription719461
HSI INC
7600 OSLER DRIVETOWSONMD21204AGENCY NURSING287939
FieldValueIRS element (for citing)
Number Of Contractors GT100 K26NumberOfContractorsGT100K
Government Grants232361GovernmentGrants
All Other Contributions257573AllOtherContributions
Total Contributions489934TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPATIENT REVENUEDescription
Business Code900099BusinessCode
Total Revenue Column203817082TotalRevenueColumn
Related Or Exempt Function Income203817082RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue203817082TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column3222103TotalRevenueColumn
Exclusion$3,222,103ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real313508Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real313508Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column313508TotalRevenueColumn
Exclusion$313,508ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities1434583Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities1434583Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column1434583TotalRevenueColumn
Exclusion$1,445,890ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
MISCELLANEOUS90009933369015298$318,392
CAFETERIA SALES9000991225936$1,225,936
FieldValueIRS element (for citing)
Total Other Revenue1559626TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column210836836TotalRevenueColumn
Related Or Exempt Function Income203817082RelatedOrExemptFunctionIncome
Unrelated Business Revenue15298UnrelatedBusinessRevenue
Exclusion$6,525,829ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total8850Total
Program Services8850ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1428531Total
Management And General1371585ManagementAndGeneral
Fundraising56946Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total83196074Total
Program Services63244513ProgramServices
Management And General19951561ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1705670Total
Program Services1398649ProgramServices
Management And General307021ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total11102294Total
Program Services7691606ProgramServices
Management And General3410688ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total5818764Total
Program Services4771386ProgramServices
Management And General1047378ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total0Total

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total14962515Total
Program Services3231587ProgramServices
Management And General11730928ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total407168Total
Program Services18638ProgramServices
Management And General388530ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total0Total

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total795373Total
Program Services666216ProgramServices
Management And General129157ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total44973Total
Program Services44937ProgramServices
Management And General36ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total654100Total
Program Services322430ProgramServices
Management And General331670ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total3674844Total
Program Services3674844ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total11506490Total
Program Services11506490ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total356119Total
Program Services356119ProgramServices

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
SUPPLIES29248306266244312623875
PROVISION FOR BAD DEBT1571690315716903
PROFESSIONAL & TECHNICAL685120452208551630349
UTILITIES29064182179813726605
CONTRACT CLEANING225236167862245575

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total3849689Total
Program Services2027654ProgramServices
Management And General1822035ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total196486646Total
Program Services148712707ProgramServices
Management And General47716993ManagementAndGeneral
Fundraising56946Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY4304BOY
EOY4744EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY36895581BOY
EOY39816484EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY1957074BOY
EOY1549442EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY22621134BOY
EOY20838245EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY2081075BOY
EOY2241310EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY614254BOY
EOY425241EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis210160110LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec113867445LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY88691447BOY
EOY96292665EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY57410436BOY
EOY61151229EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY959065BOY
EOY994035EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY211234370BOY
EOY223313395EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY23814609BOY
EOY24600780EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY241874BOY
EOY225523EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY74102566BOY
EOY73983296EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY98159049BOY
EOY98809599EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY109442012BOY
EOY121341612EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY3633309BOY
EOY3162184EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY113075321BOY
EOY124503796EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY211234370BOY
EOY223313395EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteerstrueVolunteers
Paid Staff Or ManagementtruePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorstrueDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$54,158OtherActivitiesAmount
Total Lobbying Expenditures IIB54158TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierLobbying ActivitiesIdentifier
Return ReferenceSCHEDULE C , PART II-BReturnReference
ExplanationLOBBYING INCLUDES A PORTION OF THE MARYLAND HOSPITAL ASSOCIATION DUES RELATED TO LOBBYING ACTIVITIES DURING THE YEAR ENDED JUNE 30, 2010 AND OTHER LOBBYING ACTIVITIES PERFORMED ON BEHALF OF THE HOSPITAL FOR FINANCIAL ASSISTANCE / DEBT COLLECTION, PATIENT CENTERED MEDICAL HOME, TAX CREDIT FOR FITNESS ACTIVITIES, COMMUNITY STABILIZATION AND DEVELOPMENT, HEALTH CARE MALPRACTICE, REIMBURSEMENT FOR NON-PARTICIPATING PROVIDERS, AND CAPITAL FUNDING.Explanation

Schedule D IRS990ScheduleD

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

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis5682110OtherCostOrOtherBasis
Book Value5682110BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis94082463OtherCostOrOtherBasis
Depreciation33200526Depreciation
Book Value60881937BookValue

Leasehold Improvements LeaseholdImprovements

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

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis98437826OtherCostOrOtherBasis
Depreciation80666919Depreciation
Book Value17770907BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis11957711OtherCostOrOtherBasis
Book Value11957711BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings96292665TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescriptionAmountAmount
CAPTIVE PROFESSIONAL LIABILITY$576,613
WORKERS COMPENSATION$541,324
DEFERRED COMPENSATION$147,979
ASSET RETIREMENT OBLIGATION$610,000
DUE TO AFFILIATES BONDS$72,107,380
FieldValueIRS element (for citing)
Total Of Amounts73983296TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierFIN 48 Footnote per Consolidated Audit ReportIdentifier
Return ReferenceSCHEDULE D, PART XReturnReference
ExplanationTHE 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.Explanation

Schedule H IRS990ScheduleH

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

Other Percentage OtherPercentage

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

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense1848339TotalCommunityBenefitExpense
Net Community Benefit Expense1848339NetCommunityBenefitExpense
Percent Of Total Expense0.00940PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense1848339TotalCommunityBenefitExpense
Net Community Benefit Expense1848339NetCommunityBenefitExpense
Percent Of Total Expense0.00940PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Persons Served14577PersonsServed
Total Community Benefit Expense870670TotalCommunityBenefitExpense
Direct Offsetting Revenue8310DirectOffsettingRevenue
Net Community Benefit Expense862360NetCommunityBenefitExpense
Percent Of Total Expense0.00440PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Persons Served1120PersonsServed
Total Community Benefit Expense372967TotalCommunityBenefitExpense
Net Community Benefit Expense372967NetCommunityBenefitExpense
Percent Of Total Expense0.00190PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense4181017TotalCommunityBenefitExpense
Net Community Benefit Expense4181017NetCommunityBenefitExpense
Percent Of Total Expense0.02100PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense56791TotalCommunityBenefitExpense
Net Community Benefit Expense56791NetCommunityBenefitExpense
Percent Of Total Expense0.00030PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Persons Served15697PersonsServed
Total Community Benefit Expense5481445TotalCommunityBenefitExpense
Direct Offsetting Revenue8310DirectOffsettingRevenue
Net Community Benefit Expense5473135NetCommunityBenefitExpense
Percent Of Total Expense0.02760PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Persons Served15697PersonsServed
Total Community Benefit Expense7329784TotalCommunityBenefitExpense
Direct Offsetting Revenue8310DirectOffsettingRevenue
Net Community Benefit Expense7321474NetCommunityBenefitExpense
Percent Of Total Expense0.03700PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Total Community Building Expense51338TotalCommunityBuildingExpense
Net Community Building Expense51338NetCommunityBuildingExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense51338TotalCommunityBuildingExpense
Net Community Building Expense51338NetCommunityBuildingExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReported
Bad Debt Expense$15,712,131BadDebtExpenseAmount
Amount Attributable To8564303AmountAttributableTo
Amount Reimbursed By Medicare81495674AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare80228977CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall1266697MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

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

Form990 Schedule H Part V Form990ScheduleHPartV

Name Name

FieldValueIRS element (for citing)
Business Name Line1Northwest Hospital Center IncBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line15401 Old Court RoadAddressLine1
CityRandallstownCity
StateMDState
ZIP Code21133ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours
OtherSUB-ACUTEOther

Form990 Schedule H Part VI Form990ScheduleHPartVI

FieldValueIRS element (for citing)
Income Based CriteriaNorthwest Hospital Center, Inc. provides services without charge or at amounts less than its established rates, to patients who meet the criteria of its charity care policy. The criteria for charity care consider gross income and family size according to current Federal Poverty Guidelines. Patients with an annual income up to 300% of the Federal Poverty Level may have 100% of their hospital bills covered by financial assistance. To qualify, the patient must show proof of income 300% or less of the Federal Poverty Guidelines. Patients slightly above 300% annual income may have a portion of their medical bills covered by financial assistance based on a sliding scale. Eligibility is calculated based on the number of people living in the household.IncomeBasedCriteria
Costing Method UsedMaryland'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.CostingMethodUsed
Bad Debt FootnoteThe preparation of consolidated financial statements, in conformity with U.S. generally accepted accounting principles, requires management to make estimates and assumptions. All patient accounts are handled consistently and appropriately to maximize cash flow and to identify bad debt accounts timely. Active accounts are considered bad debt accounts when they meet specific collection activity guidelines and/or are reviewed by the appropriate management and deemed to be uncollectible. Every effort is made to identify and pursue all account balance liquidation options including, but not limited to third party payor reimbursement, patient payment arrangements, Medicaid eligibility and Financial Assistance. Third party receivable management agencies provide extended business office services and insurance outsource services to ensure maximum effort is taken to recover insurance and self-pay dollars before transfer to bad debt. Contractual arrangements with third party collection agencies are used to assist in the recovery of bad debt dollars after all internal collection efforts have been exhausted. In so doing, the collection agencies must operate consistently with Northwest Hospital's goal of maximum bad debt recovery and strict adherence with Fair Debt Collections Practices Act (FDCPA) rules and regulations, while maintaining positive patient relations.BadDebtFootnote
Shortfall As Community BenefitTotal 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.ShortfallAsCommunityBenefit
Debt Collection PolicyNorthwest 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.DebtCollectionPolicy
Needs AssessmentCommunity 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. 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, our domestic violence identification and intervention program recognized in their routine crisis response that women with the most potentially lethal domestic violence, including strangulation, needed additional identification and outreach. Method B: Participation in community coalitions. Another way of participating in community needs assessment is when hospital staff serve on community coalitions that perform a planning function. In the above example, our domestic violence staff was familiar with an evidence-based lethality assessment tool and the need to implement its use with medical providers and police because of their participation on a statewide coalition that identified the need to better identify the victims most at risk for being killed by an intimate partner. Method C: Program development based on expressed client need. In some situations hospital staff develop community benefit programming for groups with whom they may have experience, but for whom they wish to provide new programming or services to meet their specific expressed needs and interests. For example, Community Health Education staff have much experience providing health promotion programming to citizens of nearby neighborhoods. In FY10 this department mailed a Community Health Needs Assessment Survey to 674 households in three nearby Randallstown communities. The results of those surveys were then used to design health education programming for Randallstown. Method D: Formal needs assessment conducted by an external consultant. Finally, on occasion the hospital commissions an external consultant to conduct a formal needs assessment on community health needs. During FY 05 we used this means 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, she interviewed the Health Commissioners of both Baltimore City and Baltimore County to determine their priorities, existing programs, and potential for partnerships.NeedsAssessment
Patient Education AssistanceFinancial 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.PatientEducationAssistance
Community InformationNorthwest Hospital is located in the Randallstown community of Baltimore County, serving both its immediate neighbors and others from throughout the Baltimore County region. Northwest's primary service area consists of six zip codes: 21136 (Reisterstown), 21133 (Randallstown), 21117 (Owings Mills), 21208 (Pikesville), 21244 (Windsor Mill) and 21207 (Gwynn Oak). As a whole, this primary service area is home to 290,756 residents with an average household income of $76,542. In 2010, the unemployment rate was 6.1%, and 17.9% of families had a household income under $25,000. Also in this area, 88.7% of residents graduated from high school or higher education. Racial distribution in this area is 60.4% Black, 31.3% White, 3.3% Hispanic, 2.8% Asian/Pacific Islander and 2.3% other. The life expectancy for African Americans in Baltimore County is 75.8 years, for Whites 78.5 years with an overall life expectancy of 78.1 years. In 2010, the hospital saw a total of 103,324 cases, 24% of these cases were either on Medical Assistance or self-paid. In the ER/Outpatient 41% of cases were either Medical Assistance or self-paid, and 16.8% of inpatient cases were also in this category.CommunityInformation
Community Building ActivitiesDecisions 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.CommunityBuildingActivities
Affiliated Health Care SystemNorthwest 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.AffiliatedHealthCareSystem

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained
No Grant More Than5000XNoGrantMoreThan5000

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierGrants and AssistanceIdentifier
Return ReferenceSchedule I, Part IV, line 22ReturnReference
ExplanationThe 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.Explanation

Schedule J IRS990ScheduleJ

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

Form990 Schedule J Part II Form990ScheduleJPartII (10 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
WARREN A GREEN
0766390011070104435770001023130142298101059816
ERIK WEXLER
41398205519803042008776405526706426310225540
RONALD GINSBERG MD
296135015047802201403316803953505413300165130
CANDACE HAMNER
18019002838002229802018102405602751050155880
SUSAN JALBERT
190279029969091880213110254020276149084400
JOHN BRUNSON MD
051922109384301397280006931608221080
ABDALLAH KAFROUNI
215839011504900000292790360167000
WILLIAM GEIS MD
18812807784208701000251150299786000
ALAN DAVIS MD
17821809259500000240280294841000
CHAITANYA RAVI
2095630841600000280900246069000

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Supplemental NonQualified Retirement PlanForm 990, Schedule J, Part III, Line 4bDURING THE YEAR, THE FOLLOWING NORTHWEST HOSPITAL CENTER BOARD MEMBERS AND OFFICERS WERE PARTICIPANTS IN A LIFEBRIDGE HEALTH SPONSORED SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN AND RECEIVED THE FOLLOWING PAYMENTS: WARREN A GREEN $1,373,687 ERIK WEXLER $22,554 RONALD GINSBERG $16,513 CANDACE HAMNER $15,888 SUSAN JALBERT $8,440
Supplemental InformationForm 990, Schedule JMr. 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. Wexler received compensation as President/ COO for Northwest Hospital Center, Inc. not as a Director. Dr. Ginsberg received compensation as VP Medical Affairs, not as a Director. Ms. Hamner received compensation as VP Care Management, not as a Director. Ms. Jalbert received compensation as VP Patient Care Services, not as a Director. Dr. Sigman and Dr. Berner are Directors of Northwest Hospital Center and received $10,000 and $11,263 respectively, as officers of the medical staff. John Brunson MD devoted 30% of his time to Northwest Hospital. He also provided physician services to Sinai Hospital of Baltimore for the remaining 70% of his time. His compensation was paid by Sinai Hospital. Compensation shown in Schedule J represents Dr Brunson's total compensation for 100% of the hours he worked.

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonMr Ronald AttmanNamePerson
FieldValueIRS element (for citing)
RelationshipDirectorRelationship
Description Of TransactionSee Schedule ODescriptionOfTransaction

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (2 entries)

IdentifierIdentifierExplanationExplanation
Schedule O DisclosuresGOVERNING 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. 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
Schedule O DisclosuresDUE TO AFFILIATES - BONDS FORM 990, SCHEDULE K ON JANUARY 8, 2008, NORTHWEST HOSPITAL CENTER, INC., TOGETHER WITH ITS AFFILIATES LIFEBRIDGE HEALTH, SINAI HOSPITAL OF BALTIMORE, LEVINDALE HEBREW AND GERIATRIC CENTER, CHILDREN'S HOSPITAL AT SINAI FOUNDATION, AND THE BALTIMORE JEWISH HEALTH FOUNDATION (COLLECTIVELY, THE OBLIGATED GROUP) BORROWED $285,815,000 FROM THE MARYLAND HEALTH AND HIGHER 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 NORTHWEST'S PORTION IS $760,063 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 $71,347,317 OF THE TOTAL AMOUNT BORROWED APPEARS ON NORTHWEST 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. BUSINESS TRANSACTIONS FORM 990, SCHEDULE L, PART IV, LINE 28C Northwest Hospital Center, Inc. and the LifeBridge Health, Inc. subsidiaries received $2,250,000 in paper supplies from Acme Paper and Supply, Co. One of the directors of Northwest Hospital Center, Mr. Attman, is an owner of the firm. All transactions were at fair market value and negotiated at arm's length.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (8 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
LIFEBRIDGE HEALTH INC
2401 West Belvedere AvenueBaltimoreMD21215521402373ParentMD501 (c) (3)11bLBH
SINAI HOSPITAL OF BALTIMORE INC
2401 West Belvedere AvenueBaltimoreMD21215520486540HospitalMD501 (c) (3)3LBH
LEVINDALE HEBREW GERIATRIC CTR HOSPITAL
2434 West Belvedere AvenueBaltimoreMD21215520607913Spec HospMD501 (c) (3)3LBH
COURTLAND GARDENS NURSING AND REHAB CTR
7920 Scotts Level RoadBaltimoreMD21208520607907Skill NursingMD501 (c) (3)9LBH
CHILDREN'S HOSPITAL OF BALTIMORE CITY
2401 West Belvedere AvenueBaltimoreMD21215520591592CHAR. SUPPORTMD501 (c) (3)11bLBH
THE BALTIMORE JEWISH HEALTH FOUNDATION
2401 West Belvedere AvenueBaltimoreMD21215522111541CHAR. SUPPORTMD501 (c) (3)11bLBH
CHILDREN'S HOSPITAL AT SINAI FOUNDATION
2401 West Belvedere AvenueBaltimoreMD21215522167587CHAR. SUPPORTMD501 (c) (3)11bLBH
THE BALTIMORE JEWISH ELDERCARE FNDTN
2401 West Belvedere AvenueBaltimoreMD21215522337669CHAR SUPPORTMD501 (c) (3)11bLBH

Form990 Schedule R Part IV Form990ScheduleRPartIV (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityAddress Line1AddressForeign/AddressLine1CityAddressForeign/CityProvince Or StateAddressForeign/ProvinceOrStateCountryAddressForeign/CountryPostal CodeAddressForeign/PostalCodeLegal Domicile Foreign CountryLegalDomicileForeignCountry
Lifebridge Investments Inc
2401 West Belvedere AvenueBaltimoreMD21215521483166HEALTHCAREMDLBHC Corp
HealthStar Medical Services Inc
2401 West Belvedere AvenueBaltimoreMD21215521829098HEALTHCAREMDLBHC Corp
Practice Dynamics Inc
124 Business Center DriveReisterstownMD21136521960319HEALTHCAREMDLBHC Corp
Surgical Oncology Associates Inc
2401 West Belvedere AvenueBaltimoreMD21215521804659HEALTHCAREMDLBHC Corp
LifeBridge Insurance Company Ltd
980415396INSURANCELBHC CorpPO Box 1109Grand CaymanCayman IslandsCJKY1-1102CJ
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgstrueRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
LIFEBRIDGE HEALTH INC
B4424568
LIFEBRIDGE HEALTH INC
I67060