2011-05-11T13:31:23-04:00 2010-06-30 KPMG LLP 1676 International Drive McLean VA 22102 990 2009-07-01 521372665 Northwest Hospital Center Inc NORT 4106015653 5401 Old Court Road Randallstown MD 21133 Charles Orlando 2011-04-25 true 7032868000 2009 2016-02-24 21:20:13Z Erik Wexler 5401 Old Court Road Randallstown MD 21133 210836836 false X www.lifebridgehealth.org/northwest.cfm X 1984 MD TO IMPROVE THE WELLBEING OF THE COMMUNITY WE SERVE. 26 22 1882 175 15298 0 10632780 489934 200603900 203817082 -2753122 4656686 1782926 1873134 210266484 210836836 2650 8850 0 0 99805397 103251333 0 0 56946 90680369 93226463 190488416 196486646 19778068 14350190 211234370 223313395 98159049 98809599 113075321 124503796 Northwest Hospital Center has always had a vision of being a recognized leader in clinical quality and customer care - a vision that has not lost focus in the forty-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 adhere false false 148712707 8850 203817082 NORTHWEST HOSPITAL CENTER, INC. IS RESPONSIBLE FOR THE MANAGEMENT AND DAY-TO-DAY OPERATIONS OF THE 221 BED ACUTE-CARE AND 29 BED SUB ACUTE-CARE HOSPITAL. HOSPITAL PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. TOTAL CHARITY CARE AT COST WAS $1,848,339. 148712707 true true false true false false false false false 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 false true true false false true 130 0 true 1882 true true true false false false false false false false false 26 22 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 GERALD ABRAMS 1.0 X 0 0 0 WALTER AMPREY PHD 1.0 X X 0 0 0 RONALD ATTMAN 1.0 X 0 0 0 RICHARD AZRAEL 1.0 X 0 0 0 STACEY BERNER MD 1.0 X 11263 0 0 ROBERT DAMIE 1.0 X 0 0 0 RONNIE B FOOTLICK 1.0 X 0 0 0 EUGENE A FRIEDMAN ESQUIRE 1.0 X 0 0 0 WARREN A GREEN 1.0 X X 0 1320668 102313 IRA K HIMMEL ESQUIRE 1.0 X 0 0 0 BETTY J HINES 1.0 X 0 0 0 ROBERT A HOFFMAN 1.0 X 0 0 0 JUAN JUANTEGUY MD 1.0 X 0 0 0 DONALD KIRSON 1.0 X 0 0 0 DOUGLAS LEDERMAN 1.0 X 0 0 0 AUDREY LIFCOVICH 1.0 X 0 0 0 STANDFORD H MALINOW MD 1.0 X 0 0 0 ANDREW MALIS 1.0 X 0 0 0 JOSEPH MIGLIARA 1.0 X 0 0 0 BILL MILLER 1.0 X 0 0 0 DEBORAH S PHELPS 1.0 X 0 0 0 JM SCHAPIRO 1.0 X X 0 0 0 DAVID SIGMAN MD 1.0 X 10000 0 0 WILLIAM SMULYAN MD 1.0 X X 0 0 0 BARRY WALTERS MD 1.0 X 0 0 0 ERIK WEXLER 40.0 X X 499600 0 143031 JOEL WOHL 1.0 X 0 0 0 ALAN D YARBRO 1.0 X X 0 0 0 RONALD GINSBERG MD 40.0 X 468627 0 72703 CANDACE HAMNER 40.0 X 230868 0 44237 SUSAN JALBERT 40.0 X 229436 0 46713 JOHN BRUNSON MD 12.0 X 0 752792 69316 ABDALLAH KAFROUNI 40.0 X 330888 0 29279 WILLIAM GEIS MD 40.0 X 274671 0 25115 ALAN DAVIS MD 40.0 X 270813 0 24028 CHAITANYA RAVI 40.0 X 217979 0 28090 2544145 2073460 584825 104 false true false CROTHALL HEALTHCARE INC 13028 COLLECTION CENTER DR CHICAGO IL 60693 CONTRACT CLEANING 3008991 ARAMARK CORPORATION HSS 25271 NETWORK PLACE CHICAGO IL 60603 CAFETERIA MANAGEMENT 2252972 DAVITA OWINGS MILLS PO BOX 403008 ATLANTA GA 30384 RENAL DIALYSIS 754505 MEDICAL DICTATION SERVICES PO BOX 11407 BIRMINGHAM AL 35246 Transcription 719461 HSI INC 7600 OSLER DRIVE TOWSON MD 21204 AGENCY NURSING 287939 26 232361 257573 489934 PATIENT REVENUE 900099 203817082 203817082 203817082 3222103 3222103 0 0 313508 313508 313508 313508 1434583 1434583 1434583 1445890 0 0 0 MISCELLANEOUS 900099 333690 15298 318392 CAFETERIA SALES 900099 1225936 1225936 1559626 210836836 203817082 15298 6525829 8850 8850 0 0 0 1428531 1371585 56946 0 83196074 63244513 19951561 1705670 1398649 307021 11102294 7691606 3410688 5818764 4771386 1047378 0 0 0 0 0 0 14962515 3231587 11730928 407168 18638 388530 0 0 0 795373 666216 129157 44973 44937 36 0 654100 322430 331670 3674844 3674844 0 11506490 11506490 356119 356119 SUPPLIES 29248306 26624431 2623875 PROVISION FOR BAD DEBT 15716903 15716903 PROFESSIONAL & TECHNICAL 6851204 5220855 1630349 UTILITIES 2906418 2179813 726605 CONTRACT CLEANING 2252361 6786 2245575 3849689 2027654 1822035 196486646 148712707 47716993 56946 4304 4744 36895581 39816484 1957074 1549442 22621134 20838245 2081075 2241310 614254 425241 210160110 113867445 88691447 96292665 57410436 61151229 959065 994035 211234370 223313395 23814609 24600780 241874 225523 74102566 73983296 98159049 98809599 X 109442012 121341612 3633309 3162184 113075321 124503796 211234370 223313395 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 54158 54158 false Lobbying Activities SCHEDULE C , PART II-B LOBBYING INCLUDES A PORTION OF THE MARYLAND HOSPITAL ASSOCIATION DUES RELATED TO LOBBYING ACTIVITIES DURING THE YEAR ENDED JUNE 30, 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. 5682110 5682110 94082463 33200526 60881937 0 0 0 98437826 80666919 17770907 11957711 11957711 96292665 0 CAPTIVE PROFESSIONAL LIABILITY 576613 WORKERS COMPENSATION 541324 DEFERRED COMPENSATION 147979 ASSET RETIREMENT OBLIGATION 610000 DUE TO AFFILIATES BONDS 72107380 73983296 FIN 48 Footnote per Consolidated Audit Report 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. true true true X 300. true X true true false true true 1848339 1848339 0.00940 1848339 1848339 0.00940 14577 870670 8310 862360 0.00440 1120 372967 372967 0.00190 4181017 4181017 0.02100 56791 56791 0.00030 15697 5481445 8310 5473135 0.02760 15697 7329784 8310 7321474 0.03700 51338 51338 51338 51338 false 15712131 8564303 81495674 80228977 1266697 X true true Northwest Hospital Center Inc

5401 Old Court Road Randallstown MD 21133

X X X SUB-ACUTE Northwest Hospital Center, Inc. provides services without charge or at amounts less than its established rates, to patients who meet the criteria of its charity care policy. The criteria for charity care consider gross income and family size according to current Federal Poverty Guidelines. Patients with an annual income up to 300% of the Federal Poverty Level may have 100% of their hospital bills covered by financial assistance. To qualify, the patient must show proof of income 300% or less of the Federal Poverty Guidelines. Patients slightly above 300% annual income may have a portion of their medical bills covered by financial assistance based on a sliding scale. Eligibility is calculated based on the number of people living in the household. Maryland's regulatory system creates a unique process for hospital payment that differs from the rest of the nation. The Health Services Cost Review Commission, (HSCRC) determines payment through a rate-setting process and all payors, including governmental payors, pay the same amount for the same services delivered at the same hospital. Maryland's unique all-payor system includes a method for referencing Uncompensated Care in each payors rates, which does not enable Maryland hospitals to break-out any offsetting revenue related to Uncompensated Care. Community benefit expenses are equal to Medicaid revenues in Maryland, as such, the net effect is zero. The exception to this is the impact on the hospital of its share of the Medicaid assessment. In recent years, the state of Maryland has closed fiscal gaps in the state Medicaid budget by assessing hospitals through the rate-setting system. The preparation of consolidated financial statements, in conformity with U.S. generally accepted accounting principles, requires management to make estimates and assumptions. All patient accounts are handled consistently and appropriately to maximize cash flow and to identify bad debt accounts timely. Active accounts are considered bad debt accounts when they meet specific collection activity guidelines and/or are reviewed by the appropriate management and deemed to be uncollectible. Every effort is made to identify and pursue all account balance liquidation options including, but not limited to third party payor reimbursement, patient payment arrangements, Medicaid eligibility and Financial Assistance. Third party receivable management agencies provide extended business office services and insurance outsource services to ensure maximum effort is taken to recover insurance and self-pay dollars before transfer to bad debt. Contractual arrangements with third party collection agencies are used to assist in the recovery of bad debt dollars after all internal collection efforts have been exhausted. In so doing, the collection agencies must operate consistently with 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. 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. Northwest Hospital Center, Inc. provides services without charge or at amounts less than its established rates, to patients who meet the criteria of its charity care policy. The criteria for charity care consider gross income and family size according to current Federal Poverty Guidelines. Patients with an annual income up to 300% of the Federal Poverty Level may have 100% of their hospital bills covered by financial assistance. To qualify, the patient must show proof of income 300% or less of the Federal Poverty Guidelines. Patients slightly above 300% annual income may have a portion of their medical bills covered by financial assistance based on a sliding scale. Eligibility is calculated based on the number of people living in the household. Community needs assessments are done in a variety of ways, according to the hospital departments involved and the constituencies they serve. The following are used most commonly: A) clinical department need recognition based on daily patient care and professional experience, B) participation in community coalitions, C) program development based on expressed client needs, and D) formal needs assessment conducted by an external consultant. 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. Financial Assistance information is made available to the public through multiple sources including: the admission packet, signage and pamphlets located in Patient Access, the Emergency Room, Patient Financial Services, as well as other patient access points throughout the hospital, HSCRC mandated Patient Information Sheet and Patient Access and Patient Financial Services staff. Northwest 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. Decisions regarding the selection of community needs to address depend on the hospital departments involved and the constituencies they serve. Decisions may also involve how the community assessment was done, and for what purpose. Northwest Hospital is a community hospital with an attending staff of approximately 700 physicians, including several specialties like neurosurgery and infectious disease. Sinai Hospital of Baltimore and Levindale Hebrew Geriatric Center and Hospital are affiliates of Northwest Hospital Center. Discharged patients requiring chronic and sub-acute hospitalization are often admitted to Levindale for further care. true X Grants and Assistance Schedule I, Part IV, line 22 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 X X X false true false false false false false false false WARREN A GREEN 0 766390 0 110701 0 443577 0 0 0 102313 0 1422981 0 1059816 ERIK WEXLER 413982 0 55198 0 30420 0 87764 0 55267 0 642631 0 22554 0 RONALD GINSBERG MD 296135 0 150478 0 22014 0 33168 0 39535 0 541330 0 16513 0 CANDACE HAMNER 180190 0 28380 0 22298 0 20181 0 24056 0 275105 0 15588 0 SUSAN JALBERT 190279 0 29969 0 9188 0 21311 0 25402 0 276149 0 8440 0 JOHN BRUNSON MD 0 519221 0 93843 0 139728 0 0 0 69316 0 822108 0 ABDALLAH KAFROUNI 215839 0 115049 0 0 0 0 0 29279 0 360167 0 0 0 WILLIAM GEIS MD 188128 0 77842 0 8701 0 0 0 25115 0 299786 0 0 0 ALAN DAVIS MD 178218 0 92595 0 0 0 0 0 24028 0 294841 0 0 0 CHAITANYA RAVI 209563 0 8416 0 0 0 0 0 28090 0 246069 0 0 0 Supplemental NonQualified Retirement Plan Form 990, Schedule J, Part III, Line 4b DURING THE YEAR, THE FOLLOWING NORTHWEST HOSPITAL CENTER BOARD MEMBERS AND OFFICERS WERE PARTICIPANTS IN A LIFEBRIDGE HEALTH SPONSORED SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN AND RECEIVED THE FOLLOWING PAYMENTS: WARREN A GREEN $1,373,687 ERIK WEXLER $22,554 RONALD GINSBERG $16,513 CANDACE HAMNER $15,888 SUSAN JALBERT $8,440 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. 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. Mr Ronald Attman Director See Schedule O Schedule O Disclosures GOVERNING BODY MEMBERS FORM 990, PART VI, LINES 6 AND 7: THE CORPORATION SHALL HAVE ONE MEMBER: LIFEBRIDGE HEALTH, INC., (THE "MEMBER") A MARYLAND NONSTOCK CORPORATION. MEMBERSHIP IN THE CORPORATION SHALL NOT BE TRANSFERABLE. THE MEMBER SHALL HAVE THE EXCLUSIVE POWER AND AUTHORITY TO TAKE THE FOLLOWING ACTIONS: (1) EXCEPT FOR EX OFFICIO DIRECTORS AS PROVIDED FOR IN THE BYLAWS, TO NOMINATE, ELECT, AND REMOVE, WITH OR WITHOUT CAUSE, THE DIRECTORS OF THE CORPORATION; (2) TO APPOINT THE PRESIDENT OF THE CORPORATION WITH THE ADVICE AND CONSENT OF THE BOARD OF DIRECTORS; TO NOMINATE AND ELECT THE CORPORATION'S CHAIR, VICE CHAIR, SECRETARY, AND TREASURER; AND TO REMOVE EACH OF THE ABOVE-NAMED OFFICERS (WITH OR WITHOUT CAUSE), PROVIDED THAT THE BOARD OF DIRECTORS OF THE CORPORATION SHALL ALSO HAVE THE POWER TO REMOVE ANY OFFICER OF THE CORPORATION. REVIEW OF FORM 990 BY GOVERNING BODY AND COMMITTEES FORM 990, PART VI, LINE 11: THE LIFEBRIDGE EXEMPT ENTITIES 990'S ARE INITIALLY REVIEWED BY THE CORPORATE DIRECTOR OF FINANCE. IN ADDITION, AN INDEPENDENT ACCOUNTING FIRM ALSO REVIEWS ALL THE 990 RETURNS. A FORMAL MEETING IS THEN SCHEDULED WITH THE CHIEF FINANCIAL OFFICER, VICE PRESIDENTS OF FINANCE AND GENERAL COUNSEL, CORPORATE CONTROLLER AND THE CORPORATE DIRECTOR OF FINANCE TO REVIEW IN THEIR ENTIRETY ALL THE LIFEBRIDGE EXEMPT ENTITIES 990'S. MANAGEMENT THEN PROVIDES A COPY OF THE 990'S TO EACH INDIVIDUAL BOARD DIRECTOR AT THE MEETING IMMEDIATELY PRIOR TO THE FILING DATE FOR REVIEW. CONFLICT OF INTEREST POLICY FORM 990, PART VI, LINE 12C: LIFEBRIDGE AND ALL OF ITS SUBSIDIARIES SHALL REQUIRE ALL EMPLOYEES, MEDICAL STAFF, MEMBERS OF THE BOARD, AND THE EXECUTIVE STAFF TO DISCLOSE ANY ACTIVITIES THAT COULD RESULT IN A POSSIBLE CONFLICT OF INTEREST. AN ANNUAL QUESTIONNAIRE IS DISTRIBUTED TO THE EMPLOYEES TITLED DIRECTORS AND ABOVE AND IT IS ALSO SENT TO ALL THE LIFEBRIDGE AND SUBSIDIARY BOARD MEMBERS. THE OFFICE OF THE GENERAL COUNSEL REVIEWS ALL RESPONSES AND DETERMINES WHETHER A POTENTIAL CONFLICT EXISTS. IF A CONFLICT IS IDENTIFIED, THE PERSON INVOLVED WOULD RECUSE HIM/HERSELF FROM DELIBERATIONS REGARDING THE TRANSACTIONS. AN INDIVIDUAL IS CONSIDERED TO HAVE A CONFLICT OF INTEREST WITH REGARD TO A MATTER OR TRANSACTION IF THE INDIVIDUAL HAS A PERSONAL OR FINANCIAL INTEREST THAT HAS THE POTENTIAL TO INFLUENCE THE ACTION TAKEN BY THE INDIVIDUAL ON BEHALF OF LIFEBRIDGE OR ANY OF ITS SUBSIDIARIES. AN INDIVIDUAL IS CONSIDERED TO HAVE A "PERSONAL INTEREST" IN A MATTER IF IT IS LIKELY TO HAVE A DIRECT AND MATERIAL IMPACT ON THE INDIVIDUAL'S RELATIONSHIP WITH LIFEBRIDGE OR ANY OF ITS SUBSIDIARIES (E.G., THE INDIVIDUAL'S CONTINUED MEMBERSHIP ON A SUBSIDIARY HOSPITAL'S MEDICAL STAFF), OR ON THE INDIVIDUAL'S OWN HEALTH CARE, OR THE INDIVIDUAL IS PERSONALLY INVOLVED IN A SUBSTANTIAL WAY (E.G., SERVES AS AN OFFICER OR DIRECTOR) WITH ANOTHER ORGANIZATION THAT HAS A SIGNIFICANT INTEREST IN THE MATTER. AN INDIVIDUAL IS CONSIDERED TO HAVE A "FINANCIAL INTEREST" IN A TRANSACTION IF THE INDIVIDUAL IS A PARTY TO THE TRANSACTION, OR IF THE INDIVIDUAL HAS, DIRECTLY OR INDIRECTLY A CURRENT OR POTENTIAL OWNERSHIP OR INVESTMENT INTEREST IN A PARTY TO THE TRANSACTION OR A CURRENT OR POTENTIAL COMPENSATION ARRANGEMENT WITH A PARTY TO THE TRANSACTION. A "COMPENSATION ARRANGEMENT" INCLUDES DIRECT AND INDIRECT REMUNERATION AS WELL AS GIFTS OR FAVORS OF A SUBSTANTIAL NATURE. AN INDIVIDUAL WILL BE CONSIDERED TO HAVE A CONFLICT OF INTEREST WITH RESPECT TO A MATTER OR TRANSACTION IF A MEMBER OF THE INDIVIDUAL'S IMMEDIATE FAMILY HAS SUCH A CONFLICT. FOR THESE PURPOSES, A "MEMBER" OF AN INDIVIDUAL'S IMMEDIATE FAMILY" MEANS AN INDIVIDUAL'S SPOUSE, MOTHER, FATHER, MOTHER-IN-LAW, FATHER-IN-LAW, GRANDFATHER, GRANDMOTHER, BROTHER, SISTER, BROTHER-IN-LAW, SISTER-IN-LAW, SON, DAUGHTER, SON-IN-LAW, OR DAUGHTER-IN-LAW. "STEP" RELATIONSHIPS (E.G., STEPCHILDREN AND STEPPARENTS) WILL BE TREATED THE SAME AS BLOOD RELATIONSHIPS, EXCEPT AS DETERMINED OTHERWISE IN A SPECIFIC CIRCUMSTANCE BY THE LIFEBRIDGE CEO OR THE PRESIDENT OR DESIGNEE OF THE APPROPRIATE LIFEBRIDGE SUBSIDIARY. ORDINARILY, OWNERSHIP OF LESS THAN 5% OF AN ENTITY DOES NOT CONSTITUTE AN OWNERSHIP INTEREST FOR WHICH DISCLOSURE IS NEEDED. CONFLICTS OF INTEREST ARE TO BE REPORTED BY EMPLOYEES TO THEIR SUPERVISOR, WHO WILL BE RESPONSIBLE FOR DETERMINING WHETHER FURTHER DISSEMINATION IS NECESSARY. MEMBERS OF THE MEDICAL STAFF SHOULD REPORT CONFLICTS TO THE CHIEF OF THEIR DEPARTMENT, AND MEMBERS OF THE BOARD SHOULD REPORT THEM TO EITHER THE CHAIRMAN OF THE BOARD OR THE OFFICE OF GENERAL COUNSEL. ONE OR MORE QUESTIONNAIRES ARE SENT OUT TO MEMBERS OF THE BOARD ON AN ANNUAL BASIS. IF QUESTIONS ARISE OR FURTHER GUIDANCE IS SOUGHT, CONFLICTS SHOULD ALSO BE REPORTED TO THE INTEGRITY HOTLINE OR OFFICE OF GENERAL COUNSEL. NOTHING IN THIS DEFINITION IS INTENDED TO RELIEVE ANY PERSON OF ANY ADDITIONAL OBLIGATIONS THAT MAY BE IMPOSED BY STATE OR FEDERAL LAW. PROCESS FOR DETERMINING EXECUTIVE COMPENSATION FORM 990, PART VI, LINE 15A & 15B: EXECUTIVE COMPENSATION AT LIFEBRIDGE HEALTH IS OVERSEEN BY THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS. COMMITTEE MEMBERS MAY NOT HAVE ANY FINANCIAL TIES TO THE ORGANIZATION AND MUST BE BOARD MEMBERS OF LIFEBRIDGE HEALTH OR A LIFEBRIDGE HOSPITAL. THE CHAIR OF THE LIFEBRIDGE HEALTH BOARD OF DIRECTORS SERVES AS COMMITTEE CHAIR. THE COMMITTEE PROVIDES A REPORT OF ITS ACTIVITIES TO THE FULL BOARD OF DIRECTORS AT LEAST ANNUALLY. COMPENSATION PACKAGES HAVE BEEN DESIGNED TO ATTRACT AND RETAIN SKILLED AND EXPERIENCED EXECUTIVES AND TO INCENTIVIZE THEM TO WORK TOWARD KEY STRATEGIC OBJECTIVES. THE COMMITTEE EMPLOYS INDEPENDENT CONSULTANTS TO ENSURE THAT COMPENSATION LEVELS ARE CONSISTENT WITH MARKET NORMS. GREATEST EMPHASIS IS PLACED UPON DATA FROM HEALTHCARE ORGANIZATIONS OF COMPARABLE SIZE AND ORGANIZATIONAL COMPLEXITY IN THE MID-ATLANTIC REGION. ALL EXECUTIVE INCENTIVE AND BENEFIT PROGRAMS ARE ESTABLISHED BY THE COMPENSATION COMMITTEE, AS IS THE BASE SALARY OF THE CHIEF EXECUTIVE OFFICER AND ALL SENIOR VICE PRESIDENTS. BASE SALARIES OF OTHER EXECUTIVES ARE SET BY THEIR RESPECTIVE SUPERVISORS, IN ACCORDANCE WITH GUIDELINES ESTABLISHED BY THE COMMITTEE AND SUBJECT TO THE COMMITTEE'S OVERSIGHT. A SUBSTANTIAL PORTION OF ALL EXECUTIVES' TOTAL COMPENSATION IS CONTINGENT UPON THE ACHIEVEMENT OF BOTH SYSTEM-WIDE AND INDIVIDUAL OBJECTIVES. EACH YEAR'S SYSTEM-WIDE OBJECTIVES ARE APPROVED BY THE COMPENSATION COMMITTEE AND TYPICALLY INCLUDE BOTH FINANCIAL AND NONFINANCIAL GOALS. A GROUP OF SENIOR EXECUTIVES IS ALSO ELIGIBLE TO PARTICIPATE IN A LONG-TERM PAY-FOR-PERFORMANCE PROGRAM. GOALS FOR THIS PROGRAM ARE ESTABLISHED BY THE COMPENSATION COMMITTEE IN THREE-YEAR CYCLES AND ARE RELATED TO THE ORGANIZATION'S LONG-TERM MISSION AND STRATEGIC DIRECTION. AN EXECUTIVE WHO FAILS TO ACHIEVE THE OBJECTIVES ESTABLISHED FOR THE INCENTIVE PROGRAMS WILL EARN BELOW MARKET LEVELS; CONVERSELY, THE ATTAINMENT OF EXTRAORDINARY RESULTS WILL BE REWARDED BY ABOVE-AVERAGE COMPENSATION. 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 Disclosures DUE 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. LIFEBRIDGE HEALTH INC 2401 West Belvedere Avenue Baltimore MD 21215 521402373 Parent MD 501 (c) (3) 11b LBH SINAI HOSPITAL OF BALTIMORE INC 2401 West Belvedere Avenue Baltimore MD 21215 520486540 Hospital MD 501 (c) (3) 3 LBH LEVINDALE HEBREW GERIATRIC CTR HOSPITAL 2434 West Belvedere Avenue Baltimore MD 21215 520607913 Spec Hosp MD 501 (c) (3) 3 LBH COURTLAND GARDENS NURSING AND REHAB CTR 7920 Scotts Level Road Baltimore MD 21208 520607907 Skill Nursing MD 501 (c) (3) 9 LBH CHILDREN'S HOSPITAL OF BALTIMORE CITY 2401 West Belvedere Avenue Baltimore MD 21215 520591592 CHAR. SUPPORT MD 501 (c) (3) 11b LBH THE BALTIMORE JEWISH HEALTH FOUNDATION 2401 West Belvedere Avenue Baltimore MD 21215 522111541 CHAR. SUPPORT MD 501 (c) (3) 11b LBH CHILDREN'S HOSPITAL AT SINAI FOUNDATION 2401 West Belvedere Avenue Baltimore MD 21215 522167587 CHAR. SUPPORT MD 501 (c) (3) 11b LBH THE BALTIMORE JEWISH ELDERCARE FNDTN 2401 West Belvedere Avenue Baltimore MD 21215 522337669 CHAR SUPPORT MD 501 (c) (3) 11b LBH Lifebridge Investments Inc 2401 West Belvedere Avenue Baltimore MD 21215 521483166 HEALTHCARE MD LBH C Corp HealthStar Medical Services Inc 2401 West Belvedere Avenue Baltimore MD 21215 521829098 HEALTHCARE MD LBH C Corp Practice Dynamics Inc 124 Business Center Drive Reisterstown MD 21136 521960319 HEALTHCARE MD LBH C Corp Surgical Oncology Associates Inc 2401 West Belvedere Avenue Baltimore MD 21215 521804659 HEALTHCARE MD LBH C Corp LifeBridge Insurance Company Ltd PO Box 1109 Grand Cayman Cayman Islands CJ KY1-1102 980415396 INSURANCE CJ LBH C Corp false true false false false false false false true false false false false false false false false false LIFEBRIDGE HEALTH INC B 4424568 LIFEBRIDGE HEALTH INC I 67060