2026-05-15T13:49:13+00:00 2025-06-30 135381590 BDO USA 8401 GREENSBORO DR STE 800 MCLEAN VA 221023599 990 2024-07-01 520486540 SINAI HOSPITAL OF BALTIMORE INC SINA 4106015653 2401 WEST BELVEDERE AVENUE BALTIMORE MD 21215 DAVID KRAJEWSKI EXECUTIVE VP/CFO 4106015653 2026-05-15 true TODD TERESCO P00247720 7038930600 2026-05-15 2024 2025-03-06 01:10:19Z AMY SHLOSSMAN 2401 WEST BELVEDERE AVENUE BALTIMORE MD 21215 1209204176 false X WWW.LIFEBRIDGEHEALTH.ORG/SINAI X 1868 MD TO PROVIDE QUALITY PATIENT CARE, EDUCATE MEDICAL STUDENTS & RESIDENTS AND ENGAGE IN MEDICAL RESEARCH TO IMPROVE THE LIVES OF OUR PATIENTS AND OUR COMMUNITY. 49 46 6840 96 20734 75386 18358838 32813967 964241823 997599675 22026074 27106224 4155311 5644001 1008782046 1063163867 0 0 0 0 486907780 518119371 0 0 0 471748434 468174970 958656214 986294341 50125832 76869526 811236526 956436870 479216942 544749133 332019584 411687737 (SEE SCHEDULE O) false false 689443496 0 997480464 SINAI HOSPITAL OF BALTIMORE, INC. IS RESPONSIBLE FOR THE MANAGEMENT AND DAY-TO-DAY OPERATIONS OF THE HOSPITAL. THE HOSPITAL OPERATES A 483-BED TERTIARY HOSPITAL THAT IS COMMITTED TO EXCELLENCE IN PATIENT CARE, TEACHING, AND RESEARCH. THE HOSPITAL IS THE LEADING PROVIDER OF INPATIENT AND OUTPATIENT HOSPITAL SERVICES FOR THE RESIDENTS OF NORTHWEST BALTIMORE CITY AND ALSO DRAWS PATIENTS FROM SURROUNDING COMMUNITIES AND AROUND THE REGION AND THE WORLD. THE HOSPITAL HAD MORE THAN 16,500 INPATIENT ADMISSIONS AND MORE THAN 58,700 EMERGENCY ROOM VISITS. THE HOSPITAL HAS A GENEROUS FINANCIAL ASSISTANCE PROGRAM TO ASSIST PATIENTS WHO LACK THE RESOURCES TO PAY FOR THEIR CARE. THE HOSPITAL PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. THE HOSPITAL DOES NOT PURSUE THE COLLECTION OF THESE AMOUNTS. 561466 0 566624 LIFEBRIDGE CARDIOLOGY AT QUARRY LAKE LLC PROVIDES CARE TO PATIENTS IN THE HOSPITAL AND IN THE COMMUNITY. 690004962 true true false true false false false true false true true true false true true true false true false false false false false false false false true true false false true false false false false false false false false true false false false false false true true true true false false true 710 0 true 6840 true true true false false false false false false false false false false false X 49 46 false false false false true true true true true false false false true true true true true true true false false false CA MD X NANCY KANE 4106015653 10090 RED RUN BLVD OWINGS MILLS MD 21117 AMY SHLOSSMAN PRESIDENT SINAI 40.0 2.0 X X 879692 0 9679 DAVID GOLDNER CHAIR 1.0 2.0 X X 0 0 0 DONALD HIMELFARB ASSISTANT SECRETARY 1.0 0 X X 0 0 0 ELIZABETH ZADZIELSKI SINAI MEDICAL EDUCATION CHAIR 40.0 0 X X 475147 0 14661 JESSICA KAHN VICE CHAIR 1.0 0 X X 0 0 0 JONATHAN DAVIDOV PAST CHAIR 1.0 1.0 X X 0 0 0 MICHAEL GAINES TREASURER 1.0 0 X X 0 0 0 ADRIAN GOLDSZMIDT THRU 1224 DIRECTOR, MEDICIAL STAFF PRESIDENT 40.0 0 X 647466 0 75203 AILENE MASH DIRECTOR 1.0 0 X 0 0 0 ALEC LEVIN DIRECTOR (As of 7/1/2024) 1.0 0 X 0 0 0 ALISSA ABRAMSON-DENSKY DIRECTOR 1.0 0 X 0 0 0 ANDREW CUSHNIR DIRECTOR 1.0 3.0 X 0 0 0 BLAIRE MILLER DIRECTOR (As of 7/1/2024) 1.0 0 X 0 0 0 BRETT WEISS DIRECTOR 1.0 0 X 0 0 0 BRUCE HOFFBERGER DIRECTOR, EX OFFICIO, THE ASSOCIATED CHAIR 1.0 3.0 X 0 0 0 CHRISTOPHER WASSON DIRECTOR 1.0 0 X 0 0 0 DANIEL B HIRSCHHORN DIRECTOR 1.0 0 X 0 0 0 DAVID GIBBER DIRECTOR 1.0 0 X 0 0 0 DAWN KIRSTAETTER DIRECTOR 1.0 0 X 0 0 0 ELIZABETH LENROW DIRECTOR 1.0 0 X 0 0 0 ERIC COWAN ESQ DIRECTOR 1.0 0 X 0 0 0 GREGORY ROCHLIN DIRECTOR 1.0 0 X 0 0 0 HAREL TURKEL DIRECTOR 1.0 0 X 0 0 0 HILLEL TENDLER ESQ DIRECTOR 1.0 0 X 0 0 0 HUNTER MCKISSOCK DIRECTOR 1.0 0 X 0 0 0 JAY STEINMETZ DIRECTOR 1.0 0 X 0 0 0 JEFF CHERRY DIRECTOR 1.0 0 X 0 0 0 JILL KOLODNER ESQ DIRECTOR 1.0 0 X 0 0 0 JONATHAN ATTMAN DIRECTOR 1.0 0 X 0 0 0 KIM MUMBY GREEN DIRECTOR 1.0 0 X 0 0 0 KYLE GORE DIRECTOR (AS OF 7/1/2023) 1.0 0 X 0 0 0 LEDAMIEN MYERS DIRECTOR 1.0 0 X 0 0 0 LESLIE FOOTLICK SCHALLER DIRECTOR 1.0 0 X 0 0 0 MANDEE HEINL DIRECTOR 1.0 0 X 0 0 0 MARCY KOLODNY DIRECTOR 1.0 0 X 0 0 0 MAURY WEINSTEIN DIRECTOR 1.0 0 X 0 0 0 MAX THANHOUSER DIRECTOR 1.0 0 X 0 0 0 MELANIE CARTER WILLIAMS DIRECTOR 1.0 0 X 0 0 0 MICHAEL DEMOS DIRECTOR 1.0 0 X 0 0 0 NOAH KODECK DIRECTOR 1.0 0 X 0 0 0 RICHARD BERMAN DIRECTOR 1.0 0 X 0 0 0 ROBIN WEIMAN DIRECTOR 1.0 0 X 0 0 0 SAMUEL LENNON DIRECTOR 1.0 0 X 0 0 0 TORREY SMITH DIRECTOR 1.0 0 X 0 0 0 VENROY JULY ESQ DIRECTOR 1.0 0 X 0 0 0 VINCE BAGLI DIRECTOR 1.0 0 X 0 0 0 YANKY SCHORR DIRECTOR 1.0 0 X 0 0 0 BETH CASPER DIRECTOR 1.0 0 X 0 0 0 DAVID H KRAJEWSKI ASSISTANT TREASURER, EX OFFICIO 1.0 54.0 X 0 1939064 47616 JASON H WEINER SVP AND GENERAL COUNSEL, LBH 1.0 54.0 X 0 1144544 217432 EDGAR CASNER VP SUPPLY CHAIN, LBH 1.0 44.0 X 0 403862 49986 JAMES ROBERGE VP CAPITAL IMPROVEMENTS & SUPPORT SERVICES 1.0 45.0 X 0 605333 80102 LESLIE R SIMMONS FORMER INTERIM PRESIDENT & COO 1.0 50.0 X 0 1953912 125076 LOU DUNAWAY CFO SINAI VP BUDGET & CAPITAL PLANNING, LBH 1.0 0 X 413285 0 80317 NANCY KANE VP FINANCIAL REPORTING, LBH 1.0 44.0 X 0 424851 90386 CLARK JOHNSON PHYSICIAN 40.0 0 X 972822 0 24134 JAMES NACE DO PHYSICIAN 40.0 0 X 1619742 0 135703 PETER CHO MD PHYSICIAN 40.0 0 X 1224328 0 179413 RONALD DELANOIS MD PHYSICIAN 40.0 0 X 1335104 0 207012 SUNAL MAKADIA PHYSICIAN 40.0 0 X 1009986 0 13489 8577572 6471566 1350209 1037 true true false Qualivis LLC 5930 Cornerstone Court W Suite 30 San Diego CA 92121 STAFFING AGENCY 30543802 Health Carousel Travelers 3805 Edwards RD Suite 700 Cincinnati OH 45209 Agency Nursing 13442179 F&S Radiology PC 2 Woodland Drive Dallas PA 18612 HEALTHCARE SERVICES 3091923 Healthcare Workforce 655 Northwinds Parkway Alpharetta GA 30009 STAFFING AGENCY 2717749 MEP Observation Services 9901 Medical Center Dr Rockville MD 20850 HEALTHCARE SERVICES 2119328 57 0 0 0 4624344 2705277 25484346 0 32813967 NET PATIENT REVENUE 621990 967701896 967701896 0 0 OPERATING REVENUE 900099 29817551 28467668 0 1349883 LAB REVENUE 561000 80228 0 0 80228 0 0 0 0 0 0 0 0 0 0 0 0 997599675 16177114 0 0 16177114 0 0 0 0 0 0 0 0 465935 0 32442 0 433493 0 433493 0 20734 412759 147829811 8350900 141738048 3513553 6091763 4837347 10929110 0 0 10929110 0 0 0 0 0 0 0 0 0 0 0 0 797649 756266 41383 0 0 41383 CAFETERIA SALES 722210 3291601 0 0 3291601 ALL OTHER REVENUE 900099 1877524 1877524 0 0 0 0 0 0 5169125 1063163867 998047088 20734 32282078 X 0 0 0 0 0 0 0 0 1998748 1246380 752368 0 0 0 0 0 428375863 322585602 105790261 0 12116554 10227555 1888999 0 43034221 24529384 18504837 0 32593985 27512506 5081479 0 0 0 0 0 708578 61408 647170 0 0 0 0 0 140658 0 140658 0 0 0 1020267 0 1020267 0 144793145 82971535 61821610 0 294189 191068 103121 0 12920364 2704432 10215932 0 0 0 0 0 0 0 0 0 26380147 14286650 12093497 0 84037 55547 28490 0 0 0 0 0 1079102 541331 537771 0 10413960 2749299 7664661 0 0 0 0 0 47677014 34446120 13230894 0 6093143 5167177 925966 0 SUPPLIES 195080776 146485984 48594792 0 PROFESSIONAL/TECHNICAL 20215888 13669977 6545911 0 DUES & OTHER EXPENSES 1273702 573007 700695 0 0 0 0 0 986294341 690004962 296289379 0 112696 27902 60765624 64081364 6717880 13751954 153400014 145421521 0 0 0 0 7236000 7236000 25706556 24526911 6955247 7870319 889818457 558019927 270178332 331798530 20599294 62105174 89028263 89095619 0 0 0 170536620 210521576 811236526 956436870 102009430 105736828 0 0 117306541 67138431 0 0 0 0 0 0 0 0 0 0 259900971 371873874 479216942 544749133 X 274317823 347752648 57701761 63935089 0 0 0 0 0 0 332019584 411687737 811236526 956436870 X 76869526 14020986 -11222359 X X false true false true true X 28706192 21106170 23745260 18358838 32813967 124730427 0 0 28706192 21106170 23745260 18358838 32813967 124730427 0 124730427 14148938 16143665 13596485 15017276 16567663 75474027 107584 65625 78693 75635 75386 402923 2175565 2892375 3326030 4496076 5966774 18856820 219464197 4750291190 0.56834 0.59386 X Schedule A, Part II, Line 10 Other Income DESCRIPTION - CAFETERIA SALES, COLUMN A - 1695684.0, COLUMN B - 2390476.0, COLUMN C - 2792569.0, COLUMN D - 2962856.0, COLUMN E - 3291601.0, COLUMN F - 13133186.0; DESCRIPTION - OTHER REVENUE, COLUMN A - 0.0, COLUMN B - 0.0, COLUMN C - 0.0, COLUMN D - 821700.0, COLUMN E - 1877524.0, COLUMN F - 2699224.0; DESCRIPTION - GROSS SALES OF INVENTORY, COLUMN A - 479881.0, COLUMN B - 501899.0, COLUMN C - 533461.0, COLUMN D - 711520.0, COLUMN E - 797649.0, COLUMN F - 3024410.0; RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED true false false false false false true 8145 false true 132513 140658 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY LOBBYING INCLUDES A PORTION OF THE MARYLAND HOSPITAL ASSOCIATION DUES RELATED TO LOBBYING ACTIVITIES PERFORMED ON BEHALF OF THE HOSPITAL REGARDING COMMUNITY STABILIZATION AND DEVELOPMENT, HEALTH CARE MALPRACTICE, HEALTHCARE FACILITIES AND BUDGETS. 1029650 X false 16197228 1783503 -16996 8569 17955166 15167120 1020900 -3565 -12773 16197228 14725872 452477 -4352 6877 15167120 14151133 578314 1348 4923 14725872 13489368 667597 1813 7645 14151133 0.0 1.0 0.0 false true true 2652923 2652923 571736429 416803902 154932527 3446941 1808454 1638487 210595110 139407571 71187539 101387054 0 101387054 331798530 Closely-held equity interests Financial derivatives ECONOMIC INTEREST IN FOUNDATIONS 89095619 F 89095619 DUE FROM RELATED PARTIES 202244129 INVESTMENT IN COMMUNICARE 4000000 CAPITAL ACCUMULATION 2698692 RIGHT OF USE ASSETS 1578755 210521576 Federal Income Taxes DUE TO AFFILIATES BONDS 351774639 PENSION LIABILITY 12987264 PROFESSIONAL LIABILITY 3124607 DEFERRED COMPENSATION 2532287 ASSET RETIREMENT OBLIGATION 1090000 OTHER LIABILITIES-OPERATING LEASES 365077 371873874 X 0 0 0 0 0 0 0 0 0 0 0 0 Schedule D, Part III, Line 4 Collections of art - description of collections THE ORGANIZATION'S COLLECTION INCLUDES SCULPTURES, PRINTS, PAINTINGS AND TAPESTRIES. SINAI HOSPITAL OF BALTIMORE, INC. DISPLAYS THE ART COLLECTION TO BRING HAPPINESS AND JOY TO THE PATIENTS OF SINAI HOSPITAL OF BALTIMORE, INC. Schedule D, Part V, Line 4 Intended uses of endowment funds THE PERMANENTLY ENDOWED FUNDS HELD BY THE RELATED ORGANIZATIONS, THE BALTIMORE JEWISH HEALTH FOUNDATION, INC. AND CHILDREN'S HOSPITAL AT SINAI FOUNDATION INC., WERE USED TO SUPPORT THE ACTIVITIES OF SINAI HOSPITAL OF BALTIMORE, INC. Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote LIFEBRIDGE HEALTH, INC. ("LIFEBRIDGE") AND ITS NOT-FOR-PROFIT SUBSIDIARIES HAVE BEEN RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. LIFEBRIDGE'S INCORPORATED FOR-PROFIT SUBSIDIARIES ACCOUNT FOR INCOME TAXES IN ACCORDANCE WITH FASB ASC TOPIC 740, INCOME TAXES. INCOME TAXES ARE ACCOUNTED FOR UNDER THE ASSET AND LIABILITY METHOD. DEFERRED TAX ASSETS AND LIABILITIES ARE RECOGNIZED FOR THE FUTURE TAX CONSEQUENCES ATTRIBUTABLE TO DIFFERENCES BETWEEN THE FINANCIAL STATEMENT CARRYING AMOUNTS OF EXISTING ASSETS AND LIABILITIES AND THEIR RESPECTIVE TAX BASES AND OPERATING LOSS AND TAX CREDIT CARRYFORWARDS. DEFERRED TAX ASSETS AND LIABILITIES ARE MEASURED USING ENACTED TAX RATES EXPECTED TO APPLY TO TAXABLE INCOME IN THE YEARS IN WHICH THOSE TEMPORARY DIFFERENCES ARE EXPECTED TO BE RECOVERED OR SETTLED. THE EFFECT ON DEFERRED TAX ASSETS AND LIABILITIES OF A CHANGE IN TAX RATES IS RECOGNIZED IN THE PERIOD THAT INCLUDES THE ENACTMENT DATE. ANY CHANGES TO THE VALUATION ALLOWANCE ON THE DEFERRED TAX ASSET ARE REFLECTED IN THE YEAR OF THE CHANGE. THE CORPORATION ACCOUNTS FOR UNCERTAIN TAX POSITIONS IN ACCORDANCE WITH ASC TOPIC 740. true true X true X 300 true X 500 9242056 0 9242056 0.00937 1339372 0 1339372 0.00136 0 0 0 0.0 0 0 10581428 0 10581428 0.01073 24893193 9840074 15053119 0.01526 31902758 0 31902758 0.03235 82076501 29521943 52554558 0.05328 3380357 2360078 1020279 0.00103 853307 544 852763 0.00086 0 0 143106116 41722639 101383477 0.10279 0 0 153687544 41722639 111964905 0.11352 190275 68440 121835 0.00012 39200 39200 0.00004 3021308 2135506 885802 0.00090 0 0.0 0 0.0 347809 310544 37265 0.00004 0 0.0 497439 467291 30148 0.00003 0 0.0 0 0 4096031 2981781 1114250 0.00113 false 13060043 5961276 280331791 202025256 78306535 X true true 1 1 SINAI HOSPITAL OF BALTIMORE INC 2401 WEST BELVEDERE AVENUE BALTIMORE MD 21215 WWW.LIFEBRIDGEHEALTH.ORG 0012 X X X X X X SINAI HOSPITAL OF BALTIMORE INC 1 false false true X X X X X X X X X 23 true true true true X HTTPS://WWW.LIFEBRIDGEHEALTH.ORG/SITES/DEFAULT/FILES/2024-06/2024%20SINAI%20HOSPITAL_GMC%20CHNA.PDF X true 23 true WWW.LIFEBRIDGEHEALTH.ORG/COMMUNITY/COMMUNITY-HEALTH false true X 300.0 500.0 X X X X true true X X X true X WWW.LIFEBRIDGEHEALTH.ORG/SINAI/BILLINGANDFINANCIALCONSIDERATIONS.ASPX X www.lifebridgehealth.org X www.lifebridgehealth.org X X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - SINAI HOSPITAL OF BALTIMORE, INC.. SINAI USED A WORK GROUP (TEAM) TO COMPLETE THE CHNA TO ENSURE THAT THE CHNA WAS CONDUCTED IN A WAY THAT BEST IDENTIFIES THE HEALTH NEEDS OF ITS SERVICE AREA AND MEETS THE IRS CHNA REQUIREMENTS FOR NOT-FOR-PROFIT HOSPITALS. THE CHNA TEAM, WHICH HAD REPRESENTATION FROM THE LIFEBRIDGE HEALTH POPULATION HEALTH DEPARTMENT, PARTNERED WITH HEALTH SYSTEMS ACROSS BALTIMORE CITY IN DISSEMINATION OF A COMMUNITY SURVEY AND FOCUS GROUPS. AS PART OF THE CHNA METHODOLOGY THE ORGANIZATIONS COLLABORATED TO FORMULATE SURVEY QUESTIONS, COORDINATE FOCUS GROUPS, AND GATHER THE SURVEY DATA THAT ARE FURTHER ANALYZED IN THIS REPORT. IN ADDITION TO EXAMINING THE OVERALL HEALTH AND HEALTH-RELATED SOCIAL NEEDS OF BALTIMORE CITY RESIDENTS, THE CHNA PROCESS FOCUSED AND REPORTED ON RESPONSES SPECIFIC TO THE SERVICE AREAS OF SINAI AND GRACE MEDICAL CENTER ("GMC"), A SINAI AFFILIATE. THIS PROCESS ALLOWS SINAI, GMC AND THE CITY TO CONTINUOUSLY EVALUATE HOW BEST TO IMPROVE AND PROMOTE THE HEALTH OF THE COMMUNITY. THE COLLABORATIVE ENGAGED THE SERVICES OF ASCENDIENT HEALTHCARE ADVISORS TO GATHER SECONDARY DATA AND ANALYZE SURVEY AND FOCUS GROUP INPUT. Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - SINAI HOSPITAL OF BALTIMORE, INC.. SINAI HOSPITAL OF BALTIMORE, INC. AND GRACE MEDICAL CENTER (GMC) PARTICIPATED IN A COLLABORATIVE COMMUNITY HEALTH NEEDS ASSESSMENT FOR BALTIMORE CITY IN 2023-2024. REPRESENTATIVES FROM SINAI AND GMC, ASCENSION ST. AGNES HOSPITAL, BALTIMORE CITY HEALTH DEPARTMENT, JOHNS HOPKINS HEALTH SYSTEM, MEDSTAR HEALTH, MERCY MEDICAL CENTER, MT. WASHINGTON PEDIATRIC HOSPITAL AND UNIVERSITY OF MARYLAND MEDICAL CENTER WORKED TOGETHER AS THE CHNA COLLABORATIVE TO GUIDE THE DEVELOPMENT OF THE REPORT. Schedule H, Part V, Section B, Line 7 Facility , 1 Facility , 1 - SINAI HOSPITAL OF BALTIMORE, INC.. COPIES OF THE CHNA WERE DISTRIBUTED TO KEY COMMUNITY PARTNERS. Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - SINAI HOSPITAL OF BALTIMORE, INC.. THE SINAI HOSPITAL AND GRACE MEDICAL CENTER PRESIDENT AND CHNA LEADERSHIP MET WITH MEMBERS OF THE SINAI AND GMC PERFORMANCE OVERSIGHT COMMITTEE ON MARCH 27, 2024, TO REVIEW FINDINGS OF THE CHNA AND TO SEEK RECOMMENDATIONS TO PRIORITIZE THE IDENTIFIED NEEDS. FOLLOWING REVIEW OF SECONDARY AND PRIMARY (SURVEY AND FOCUS GROUP) DATA, THE PARTICIPANTS WERE ASKED TO IDENTIFY THE HIGHEST PRIORITY NEEDS BASED ON THE SIZE AND SCOPE, SEVERITY, THE ABILITY FOR THE HOSPITAL TO MAKE AN IMPACT, ASSOICATED HEALTH DISAPARITIES, AND IMPORTANCE TO THE COMMUNITY. THE FOLLOWING IDENTIFIED NEEDS WERE SELECTED AS PRIORITIES FOR SINAI AND GMC: 1. ACCESS TO CARE 2. MENTAL HEALTH 3. HEALTH DISPARITIES 4. PHYSICAL HEALTH 5. FOOD SECURITY SINAI AND GMC LEADERSHIP HAVE INCLUDED IN THE 2024-2027 IMPLEMENTATION PLAN WILL INCLUDE SEVERAL FOCUSED EFFORTS TO ADDRESS MANY OF THE IDENTIFIED NEEDS, WORKING WITH COMMUNITY PARTNERS AND ORGANIZATIONS AND LEVERAGING RELEVANT LIFEBRIDGE HEALTH RESOURCES. SINAI AND GMC ARE SUPPORTING THE WORK OF BALTIMORE CITY AGENCIES AS WELL AS THE CHNA COLLABORATIVE HEALTH SYSTEMS AND COMMUNITY ORGANIZATIONS TO ADDRESS AND ADVOCATE FOR SOLUTIONS TO ADDITIONAL IDENTIFIED NEEDS NOT PRIORITIZED IN ITS IMPLEMENTATION PLAN. THE FOLLOWING IS A SUMMARY OF THE EFFORTS THAT SINAI AND GMC HAVE UNDERTAKEN AND WILL BE UNDERTAKING TO ADDRESS THESE PRIORTY AREAS: ACCESS TO CARE - PRIORITIZED NEED: ACCESS TO CLINICAL CARE PROVIDERS, HEALTH SCREENING AND EDUCATION, AND HEALTH-SUPPORTING RESOURCES. POPULATION DEFINITION: UNDERSERVED COMMUNITIES WITHIN THE SINAI AND GMC SERVICE AREAS. MENTAL HEALTH/SUBSTANCE USE DISORDERS - PRIORITIZED NEED: IMPROVED ACCESS TO CLINICAL AND SOCIAL RESOURCES TO TREAT BEHAVIORAL HEALTH (MENTAL AND/OR SUBSTANCE USE DISORDERS) OF SINAI HOSPITAL AND GRACE MEDICAL CENTER COMMUNITY MEMBERS. POPULATION DEFINITION: SINAI HOSPITAL AND GRACE MEDICAL CENTER COMMUNITY MEMBERS WITH MENTAL HEALTH AND/OR SUBSTANCE USE DISORDERS. HEALTH DISPARITIES - PRIORITIZED NEED: SINAI HOSPITAL AND GRACE MEDICAL CENTER COMMUNITY MEMBERS FACE HEALTH DISPARITIES ASSOCIATED WITH RACE, ETHNICITY, NEIGHBORHOOD OF RESIDENCE, AND/OR OTHER DEMOGRPAHIC FACTORS AND SOCIAL DETERMINANTS OF HEALTH (SDOH). POPULATION DEFINITION: SINAI HOSPITAL AND GRACE MEDICAL CENTER COMMUNITY POPULATION(S) EXPERIENCING HEALTH DISPARITIES. PHYSICAL HEALTH - PRIORITIZED NEED: IMPROVED ACCESS TO CLINICAL AND SOCIAL RESOURCES TO IMPROVE HEALTH AND WELL-BEING OF SINAI HOSPITAL AND GRACE MEDICAL CENTER COMMUNITY MEMBERS. POPULATION DEFINITION: SINAI HOSPITAL AND GRACE MEDICAL CENTER COMMUNITY MEMBERS WITH DIABETES, PREDIABETES, OBESITY, AND/OR HYPERTENSION. FOOD SECURITY - PRIORITIZED NEED: IMPROVED ACCESS TO HEALTHY FOOD FOR SINAI HOSPITAL AND GRACE MEDICAL CENTER COMMUNITY MEMBERS WHO LACK IT. POPULATION DEFINITION: MAY INCLUDE INDIVIDUALS WITH DIABETES OR OBESITY LACKING ACCESS TO HEALTHY FOODS WHO ARE REFERRED TO LIFEBRIDGE'S HEALTHY FOOD ACCESS PROGRAM AND/OR LIFEBRIDGE PATIENTS WHO SELECT LACK OF ACCESS TO HEALTH FOOD AS A SOCIAL DETERMINANT OF HEALTH. ALTHOUGH IT WAS POSSIBLE TO ADDRESS MANY OF THE NEEDS IDENTIFIED IN THE MOST RECENT CHNA, THERE WERE SOME BROADER ISSUES IDENTIFIED DURING THE PROCESS IN WHICH SINAI AND GMC DO NOT HAVE CONTROL OVER AND WERE NOT ABLE TO DIRECTLY ADDRESS. SUCH CONCERNS INCLUDED HIGH COSTS OF HEALTHCARE AND FOOD, TRANSPORTATION CHALLENGES TO HIGHER PAYING JOBS, TRUST IN LOCAL LAW ENFORCEMENT AND AFFORDABLE HOUSING. 4 WILLIAM E KAHLERT REGIONAL CANCER CENTER 291 STONER AVENUE WESTMINSTER MD 21157 CANCER CENTER LIFEBRIDGE CARDIOLOGY AT QUARRY LAKELLC 2700 QUARRY LAKE DRIVE SUITE 260 BALTIMORE MD 21209 CARDIOLOGY PRACTICE GRACE MEDICAL CENTER A SINAI HOSPITAL FACILITY 2000 W BALTIMORE STREET BALTIMORE ME 21223 FREE STANDING MEDICAL FACILITY OTHER PRACTICES MULTIPLE LOCATIONS BALTIMORE MD 21215 SINAI-EMPLOYED PHYSICIANS SEE PATIENTS IN APPROX. 60 LOCATIONS BOTH ON & OFF CAMPUS Schedule H, Part V, Section B SCHEDULE H, PART V, SECTION B, LINE 22C: CHARGES FOR ALL HOSPITAL PATIENTS ARE STATE REGULATED. SERVICES ARE CHARGED TO ALL HOSPITAL PATIENTS AT THE SAME RATE. CHARGES FOR INDIVIDUALS FOUND ELIGIBLE FOR FAP BASED ON 300% OR LESS OF THE FEDERAL POVERTY LEVEL (FPL) ARE WRITTEN-OFF IN FULL TO FAP (THERE IS NO PATIENT LIABILITY). CHARGES FOR INDIVIDUALS WHOSE PRESUMPTIVE FPL SCORE IS <300 ARE WRITTEN OFF TO FAP IN FULL (THERE IS NO PATIENT LIABILITY). CHARGES FOR INDIVIDUALS FOUND ELIGIBLE FOR FAP BASED ON THE HSCRC'S FINANCIAL HARDSHIP CRITERIA OF 301%-500% OF FPL ARE CHARGED NO MORE THAN 25% OF THE ANNUAL HOUSEHOLD INCOME PER THE HSCRC'S FINANCIAL HARDSHIP CRITERIA. THE DIFFERENCE BETWEEN THE TOTAL CHARGES AND THE CALCULATED 25% OF THE ANNUAL HOUSEHOLD INCOME IS WRITTEN OFF TO FAP. Schedule H, Part I, Line 3c SINAI HOSPITAL OF BALTIMORE, INC. PROVIDES SERVICES WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES TO PATIENTS WHO MEET THE CRITERIA OF ITS CHARITY CARE POLICY. IT DOES NOT PURSUE THE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE AND THOSE AMOUNTS ARE NOT REPORTED AS REVENUE. THE CRITERIA CONSIDER GROSS INCOME AND FAMILY SIZE ACCORDING TO CURRENT FEDERAL POVERTY GUIDELINES. TO QUALIFY, THE PATIENT MUST HAVE INCOME 300% OR LESS OF THE FEDERAL POVERTY GUIDELINES. A SLIDING SCALE IS USED TO DETERMINE ELIGIBILITY FOR THOSE WHOSE INCOME EXCEEDS 300%. ELIGIBILITY IS CALCULATED BASED ON THE NUMBER OF PEOPLE LIVING IN THE HOUSEHOLD. THE PROGRAM COVERS UNINSURED, UNDER-INSURED AND PATIENT LIABILITY AFTER INSURANCE(S) PAY. APPROVALS ARE GRANTED FOR A TWELVE-MONTH PERIOD OF TIME AND PATIENTS ARE ENCOURAGED TO RE-APPLY FOR CONTINUED ELIGIBILITY. FPL SCORING IS ALSO USED TO DERTMINE PRESUMPTIVE FINANCIAL ASSISTANCE ELIGIBILITY. A SCORE OF LESS THAN 300 QUALIFIES A PATIENT FOR PRESUMPTIVE ELIGIBILITY AT 100% ADJUSTMENT OF PATIENT BALANCE. Schedule H, Part I, Line 7 SCHEDULE H, PART I, LINE 7A - I: THE FOLLOWING COSTING METHODOLOGIES WERE USED TO CALCULATE LINES 7A THROUGH 7I ON THE COMMUNITY BENEFIT REPORT. OFFSETTING REVENUE - REVENUE FROM THE ACTIVITY DURING THE YEAR THAT OFFSETS THE TOTAL COMMUNITY BENEFIT EXPENSE OF THAT ACTIVITY, IT INCLUDES ANY REVENUE GENERATED BY THE ACTIVITY OR PROGRAM, SUCH AS A PAYMENT OR REIMBURSEMENT FOR SERVICES PROVIDED TO PROGRAM PATIENTS. OFFSETTING REVENUE INCLUDES RESTRICTED GRANTS OR CONTRIBUTIONS USED TO PROVIDE A COMMUNITY BENEFIT BUT DOES NOT INCLUDE UNRESTRICTED GRANTS OR CONTRIBUTIONS THAT THE ORGANIZATION USES TO PROVIDE COMMUNITY BENEFIT. DIRECT COSTS - DIRECT COSTS INCLUDE SALARIES, EMPLOYEE BENEFITS, SUPPLIES, INTEREST ON FINANCING, TRAVEL AND OTHER COSTS THAT ARE DIRECTLY ATTRIBUTABLE TO THE SPECIFIC SERVICE AND THAT WOULD NOT EXIST IF THE SERVICE OR EFFORT DID NOT EXIST. INDIRECT COSTS - INDIRECT COSTS ARE COSTS NOT ATTRIBUTED TO PRODUCTS AND/OR SERVICES THAT ARE INCLUDED IN THE CALCULATION OF COSTS FOR COMMUNITY BENEFIT. THESE COULD INCLUDE, BUT ARE NOT LIMITED TO, SALARIES FOR HUMAN RESOURCES AND FINANCE DEPARTMENTS, INSURANCE AND OVERHEAD EXPENSES. Schedule H, Part II COMMUNITY BUILDING ACTIVITIES: AS A LARGE EMPLOYER AND PROVIDER OF HEALTH SERVICES IN THE NORTHWEST QUADRANT OF BALTIMORE CITY AND PARTS OF BALTIMORE COUNTY, SINAI HOSPITAL PROVIDES COMMUNITY BENEFITS THAT ENHANCE THE OVERALL QUALITY OF LIFE IN SURROUNDING COMMUNITIES. THIS IS ACCOMPLISHED THROUGH MULTIPLE THE COMMUNITY SERVICE CORPS, A GROUP OF EMPLOYEE VOLUNTEERS, STAFFS COMMUNITY SERVICE PROGRAMS. EXAMPLES INCLUDE: PROJECTS SUCH AS PAINTING LOCAL SCHOOLS, PARK BEAUTIFICATION, HOME IMPROVEMENT FOR SENIORS, HOLIDAY PARTIES FOR CHILDREN WHOSE MOTHERS ARE IN RESIDENTIAL SUBSTANCE ABUSE TREATMENT AT A NEARBY CHILDREN'S FACILITY, AND AN ANNUAL THANKSGIVING BASKET DISTRIBUTION TO NEEDY COMMUNITY RESIDENTS. THE PERINATAL DEPRESSION AND ANXIETY OUTREACH PROGRAM (PDOP) AIMS TO IMPROVE MATERNAL AND INFANT HEALTH OUTCOMES BY ADDRESSING PERINATAL MENTAL HEALTH THROUGH EDUCATION, ASSESSMENT, AND SUPPORT SERVICES. MATERNAL MENTAL HEALTH CONDITIONS, INCLUDING PERINATAL MOOD AND ANXIETY DISORDERS (PMAD), ARE COMMON AND IMPACTFUL, WITH UNTREATED CASES LEADING TO NEGATIVE IMPLICATIONS FOR MOTHER-INFANT BONDING AND OVERALL FAMILY WELL-BEING. ACTIVITIES AND ACCOMPLISHMENTS: PDOP OFFERS MENTAL HEALTH SCREENINGS, SUPPORT GROUPS, COMMUNITY OUTREACH, AND REFERRALS FOR MOTHERS AT RISK OF OR EXPERIENCING PERINATAL MOOD AND ANXIETY DISORDERS (PMAD). THE MIDDLE SCHOOL HEALTH SCIENCES AND ACADEMY OF HEALTH PROFESSIONALS PROGRAMS EXPOSE YOUTH TO LIFEBRIDGE HEALTH CAREERS THROUGH VOLUNTEER EFFORTS OF CLINICAL AND NON CLINCAL STAFF. STUDENTS ARE EXPOSED TO THE "CARE BRAVELY" EXPERIENCE FOCUSED ON ENHANCING CLINICAL JUDGMENT, SKILL DEVELOPMENT, AND FOSTERING PROFESSIONAL BEHAVIOR THAT REFLECTS EVIDENCE-BASED PRACTICE WHILE PROVIDING A SEAMLESS PATHWAY FOR EDUCATION AND CAREER MOBILITY. STAFF SERVE AS ROLE MODELS AND LIFE COACHES FOR STUDENTS IN SELECTED COMMUNITY SCHOOLS. THE MENTORS AND MENTEES MEET REGULARLY TO EXPLORE HEALTHCARE CAREERS AND FOCUS ON THE SKILLS AND ABILITIES FOR SUCCESS AT SCHOOL AND IN THE COMMUNITY. SINAI HOSPITAL PARTNERS WITH COMPREHENSIVE HOUSING ASSISTANCE INC (CHAI), AN ORGANIZATION THAT SUPPORTS OLDER ADULTS TO REMAIN SAFE, INDEPENDENT AND ENGAGED THROUGH A NUMBER OF PROGRAMS THAT HELP THEM AGE IN THEIR HOMES, THROUGH THE HUBS PROGRAM. THE HUBS PROGRAM PROVIDES ASSISTANCE FOR HOME IMPROVEMENTS, HELPS DETERMINE HOME IMPROVEMENTS THAT MAKE HOMES SAFER AND HEALTHIER, OFFERS HOME REPAIRS AND MODIFICATIONS, AND PROVIDES WRAPAROUND SERVICES. SINAI HOSPITAL'S VOCATIONAL SERVICES PROGRAM (VSP) OFFERS VOCATIONAL TRAINING SERVICES TO INCREASE EMPLOYMENT OPPORTUNITIES IN HEALTH CARE FIELDS FOR COMMUNITY RESIDENTS, ESPECIALLY IDLE YOUTH. FOR EXAMPLE, THE HEALTHCARE CAREERS ALLIANCE PROVIDES JOB READINESS TRAINING FOR OUT-OF-SCHOOL YOUTH BETWEEN THE AGES OF 18-21 TO PREPARE THEM FOR HEALTHCARE-RELATED CAREERS. Schedule H, Part I, Line 6a Community benefit report prepared by related organization SINAI HOSPITAL OF BALTIMORE Schedule H, Part I, Line 7g Subsidized Health Services INCLUDED IN THESE EXPENSES ARE DIRECT AND INDIRECT COSTS ATTRIBUTABLE TO PHYSICIANS' CLINICS TOTALING $25,114,103. Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance 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 APPROXIMATELY 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. IN RECENT YEARS, THE STATE OF MARYLAND HAS CLOSED FISCAL GAPS IN THE STATE MEDICAID BUDGET BY ASSESSING HOSPITALS THROUGH THE RATE-SETTING SYSTEM. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount BAD DEBT EXPENSE IS ESTIMATED BY USING HISTORICAL RATES FOR EACH PAYOR AND THE LENGTH OF TIME THE RECEIVABLE HAS BEEN OUTSTANDING. THESE RATES ARE REVISITED FROM TIME TO TIME AND ADJUSTED WHEN DEEMED APPROPRIATE. ANY ADDITIONAL RESERVES ARE DETERMINED BY THE HOSPITAL'S EXECUTIVES. Schedule H, Part III, Line 3 Bad Debt Expense Methodology SINAI HOSPITAL OF BALTIMORE, INC. DETERMINES ELIGIBILITY FOR FINANCIAL ASSISTANCE THROUGH OTHER VARIOUS MEANS SUCH AS ELIGIBLE FOR NON-REIMBURSABLE MEDICAID PROGRAMS, ENROLLED IN MEANS TESTED SOCIAL PROGRAMS, ENROLLED IN STATE OF MARYLAND GRANT FUNDED PROGRAMS WHERE REIMBURSEMENT IS LESS THAN THE CHARGE, ELIGIBLE UNDER THE JEWISH FAMILY AND CHILDREN'S SERVICES, OUT OF STATE MEDICAID PROGRAMS, MARYLAND MEDICAID ELIGIBLE AFTER ADMISSION, MARYLAND MEDICAID 216 AND IF THE PATIENT WAS DENIED MEDICAID FOR NOT MEETING DISABILITY REQUIREMENTS. OF THE REMAINING BAD DEBT EXPENSE, IT IS ESTIMATED THAT $5,961,276 IN COST MAY BE ATTRIBUTABLE TO PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE/CHARITY CARE. AS DESCRIBED ELSEWHERE, THE HOSPITAL ENGAGES IN MULTIPLE EFFORTS TO INFORM PATIENTS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE AND CHARITY CARE. THIS $5,961,276 WAS BILLED TO PATIENTS ONLY BECAUSE THEY, DESPITE THE HOSPITAL'S EFFORTS, DID NOT REQUEST, OR DID NOT COOPERATE WITH THE HOSPITAL'S EFFORTS TO PROVIDE THEM WITH, THE AVAILABLE FINANCIAL ASSISTANCE. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote ALL PATIENT ACCOUNTS ARE HANDLED CONSISTENTLY AND APPROPRIATELY TO MAXIMIZE CASH FLOW AND TO IDENTIFY BAD DEBT ACCOUNTS TIMELY. ACTIVE ACCOUNTS ARE CONSIDERED BAD DEBT ACCOUNTS WHEN THEY MEET SPECIFIC COLLECTION ACTIVITY GUIDELINES AND/OR ARE REVIEWED BY THE APPROPRIATE MANAGEMENT AND DEEMED TO BE UNCOLLECTIBLE. EVERY EFFORT IS MADE TO IDENTIFY AND PURSUE ALL ACCOUNT BALANCE LIQUIDATION OPTIONS INCLUDING, BUT NOT LIMITED TO THIRD PARTY PAYOR REIMBURSEMENT, PATIENT PAYMENT ARRANGEMENTS, MEDICAID ELIGIBILITY AND FINANCIAL ASSISTANCE. THIRD PARTY RECEIVABLE MANAGEMENT AGENCIES PROVIDE EXTENDED BUSINESS OFFICE SERVICES AND INSURANCE OUTSOURCE SERVICES TO ENSURE MAXIMUM EFFORT IS TAKEN TO RECOVER INSURANCE AND SELF-PAY DOLLARS BEFORE TRANSFER TO BAD DEBT. CONTRACTUAL ARRANGEMENTS WITH THIRD PARTY COLLECTION AGENCIES ARE USED TO ASSIST IN THE RECOVERY OF BAD DEBT DOLLARS AFTER ALL INTERNAL COLLECTION EFFORTS HAVE BEEN EXHAUSTED. IN SO DOING, THE COLLECTION AGENCIES MUST OPERATE CONSISTENTLY WITH SINAI HOSPITAL'S GOAL OF MAXIMUM BAD DEBT RECOVERY AND STRICT ADHERENCE WITH FAIR DEBT COLLECTIONS PRACTICES ACT (FDCPA) RULES AND REGULATIONS, WHILE MAINTAINING POSITIVE PATIENT RELATIONS. SEE AUDITED FINANCIAL STATEMENTS PAGE 17. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs COSTING METHODOLOGY/MEDICARE ALLOWABLE COSTS. TOTAL REVENUE RECEIVED FROM MEDICARE (DSH & IME) AND MEDICARE ALLOWABLE COSTS ARE DERIVED FROM THE ANNUAL MEDICARE COST REPORT. THE INPATIENT ROUTINE COSTS ARE DERIVED FROM THE STEP-DOWN METHODOLOGY BASED ON ACCEPTED STATISTICAL ALLOCATION WITH A UNIFORM PER DIEM COST FOR EACH PAYOR TYPE. THE ANCILLARY MEDICARE ALLOWABLE COSTS ARE INITIALLY DERIVED FROM THE STEP-DOWN METHODOLOGY BUT ARE ALLOCATED TO THE PAYOR TYPES BASED ON THE RATIO OF COST TO CHARGE FOR EACH PAYOR. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance PATIENTS CAN BE DETERMINED ELIGIBLE FOR FINANCIAL ASSISTANCE (F.A.) PROSPECTIVELY OR RETROSPECTIVELY. THE F.A. ELIGIBILITY PERIOD EXPIRES ONE YEAR FROM THE MONTH ELIGIBILITY IS APPROVED FOR MEDICALLY NECESSARY SERVICES. THE PATIENT IS ASKED TO PROVIDE THE F.A. APPROVAL LETTER FOR SERVICES PROVIDED WITHIN THE ELIGIBILITY PERIOD. THE HOSPITAL WILL MAKE EVERY EFFORT TO IDENTIFY PATIENTS ELIGIBLE FOR F.A. BY UPDATING A USER-DEFINED FIELD IN CERNER TO IDENTIFY PATIENTS RETURNING FOR SERVICE WHO ARE ALREADY QUALIFIED FOR FINANCIAL ASSISTANCE. BALANCES APPROVED FOR FINANCIAL ASSISTANCE ARE WRITTEN-OFF TO A ZERO BALANCE AND THEREFORE NOT PURSUED BY INTERNAL COLLECTION PROCESSES OR THIRD-PARTY AGENCIES. BALANCES ALREADY PLACED WITH THIRD PARTY AGENCIES ARE WRITTEN-OFF TO A ZERO BALANCE AND THE ACCOUNTS ARE CLOSED AND RETURNED BY THE THIRD-PARTY AGENCY. Schedule H, Part V, Section B, Line 16a FAP website - SINAI HOSPITAL OF BALTIMORE, INC.: Line 16a URL: WWW.LIFEBRIDGEHEALTH.ORG/SINAI/BILLINGANDFINANCIALCONSIDERATIONS.ASPX; Schedule H, Part V, Section B, Line 16b FAP Application website - SINAI HOSPITAL OF BALTIMORE, INC.: Line 16b URL: www.lifebridgehealth.org; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - SINAI HOSPITAL OF BALTIMORE, INC.: Line 16c URL: www.lifebridgehealth.org; Schedule H, Part VI, Line 2 Needs assessment SINAI HOSPITAL OF BALTIMORE, INC. IS INVOLVED WITH THE BALTIMORE CITY HEALTH DEPARTMENT'S ACCOUNTABLE HEALTH COMMUNITIES PROJECT, IDENTIFYING AREAS OF SIGNIFICANT SOCIAL NEED AND TARGETING EFFORTS AROUND THESE AREAS. SINAI ALSO WORKS REGULARLY WITH A GROUP OF BALTIMORE CITY HOSPITALS LOOKING CONTINUALLY AT NEEDS OF OUR SURROUNDING COMMUNITIES AND ADDRESSING THOSE NEEDS. THROUGH OUR CARE COORDINATION PROGRAMS, SINAI USES ASSESSMENTS AND DATA ANALYTICS TO IDENTIFY NEEDS AND DEVELOP TARGETED POPULATION HEALTH PROGRAMS AS WELL AS INDIVIDUAL CARE GOALS. SINAI'S M. PETER MOSER COMMUNITY INITIATIVES DEPARTMENT PROVIDES SERVICES THAT RESPOND TO MORE THAN THE SPECIFIC MEDICAL CONDITION, TAKING INTO ACCOUNT THE SOCIAL DETERMINANTS OF HEALTH THAT MAY CONTRIBUTE TO AN INDIVIDUAL'S OR A COMMUNITY'S POOR HEALTH STATUS. SUCH SERVICES ARE BASED ON AN UNDERSTANDING THAT PERSONS WHO EXPERIENCE AN ACUTE MEDICAL CONDITION MAY WELL HAVE MUCH GREATER OBSTACLES TO POSITIVE HEALTH OUTCOMES THAN THE SPECIFIC DIAGNOSIS, AND THAT THE MEDICAL PRESENTATION MAY HAVE BEEN CAUSED OR AT LEAST EXACERBATED BY THE PERSON'S PSYCHOSOCIAL SITUATION THAT RESULTS FROM POVERTY AND INEQUALITIES THAT EXIST IN THE STRUCTURE OF OUR SOCIETY. THESE PROGRAMS INVOLVE A MEDICAL ASSESSMENT BY THE CLINICAL TEAM COORDINATOR NURSE AND AN ENROLLMENT ASSESSMENT. BOTH ASSESSMENTS ARE ESSENTIAL TO THE ENROLLMENT PROCESS; THE MEDICAL ASSESSMENT DETERMINES MEDICAL RISK AND ELIGIBILITY ACCORDING TO MEDICAL CRITERIA, AND THE COMMUNITY HEALTH WORKER DETERMINES READINESS AND POTENTIAL FOR BEHAVIOR CHANGE RELATED TO HEALTH BEHAVIORS AND SELF HELP. SINAI OFTEN USES INFORMATION GATHERED DURING OUR EDUCATIONAL PROGRAM EVALUATIONS (DONE BY SURVEY AND INFORMAL CONVERSATION) WHICH ASK IF THERE ARE (1) ANY CHANGES SUGGESTED TO THE PROGRAM; AND (2) ANY TOPICS PEOPLE WOULD LIKE TO SEE COVERED THAT WERE NOT COVERED IN THE PROGRAM. SINAI ALSO WORKS IN CLOSE COLLABORATION WITH THE LOCAL HEALTH DEPARTMENTS (BALTIMORE CITY AND COUNTY) WITH REGARD TO THEIR HEALTH INITIATIVES AND STATISTICS, AND ALSO DIRECTLY WITH ORGANIZATIONS TO MEET THEIR REQUESTS FOR SUBJECT MATTER. SINAI ALSO WORKS WITH INTERNAL SPECIALTIES WITHIN LIFEBRIDGE HEALTH, INC. TO AID IN TARGETED HEALTH EDUCATION AS NEEDED. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance THE FOLLOWING DESCRIBES MEANS USED AT SINAI HOSPITAL TO INFORM AND ASSIST PATIENTS REGARDING ELIGIBLITY FOR FINANCIAL ASSISTANCE UNDER GOVERNMENTAL PROGRAMS AND THE HOSPITAL'S CHARITY CARE PROGRAM. FINANCIAL ASSISTANCE NOTICES, INCLUDING CONTACT INFORMATION, ARE POSTED IN THE BUSINESS OFFICE AND ADMITTING, AS WELL AS POINTS OF ENTRY AND REGISTRATION THROUGHOUT THE HOSPITAL. PATIENT FINANCIAL SERVICES BROCHURE 'FREEDOM TO CARE' IS AVAILABLE TO ALL INPATIENTS. BROCHURES ARE ALSO AVAILABLE IN ALL OUTPATIENT REGISTRATION AND SERVICE AREAS. SINAI HOSPITAL EMPLOYS A FINANICAL ASSISTANCE LIAISON WHO IS AVAILABLE TO ANSWER QUESTIONS AND TO ASSIST PATIENTS AND FAMILY MEMBERS WITH THE PROCESS OF APPLYING FOR FINANCIAL ASSISTANCE. A PATIENT INFORMATION SHEET IS MADE AVAILABLE TO ALL INPATIENTS PRIOR TO DISCHARGE. SINAI HOSPITAL'S UNINSURED (SELF-PAY) AND UNDER-INSURED (MEDICARE BENEFICIARY WITH NO SECONDARY) MEDICAL ASSISTANCE ELIGIBILITY PROGRAM SCREENS, ASSISTS WITH THE APPLICATION PROCESS AND ULTIMATELY CONVERTS PATIENTS TO VARIOUS MEDICAL ASSISTANCE COVERAGE AND INCLUDES ELIGIBILITY SCREENING AND ASSISTANCE WITH COMPLETING THE FINANCIAL ASSISTANCE APPLICATION AS PART OF THAT PROCESS. SINAI HOSPITAL PARTICIPATES WITH LOCAL ASSOCIATED JEWISH CHARITIES TO PROVIDE FINANCIAL ASSISTANCE ELIGIBLITY FOR QUALIFYING PATIENTS. ALL HOSPITAL STATEMENTS AND ACTIVE ACCOUNTS RECEIVABLE OUTSOURCE VENDORS INCLUDE A MESSAGE REFERENCING THE AVAILABILITY OF FINANCIAL ASSISTANCE FOR THOSE WHO ARE EXPERIENCING FINANCIAL DIFFICULTY AND PROVIDES CONTACT INFORMATION TO DISCUSS SINAI'S FINANCIAL ASSISTANCE PROGRAM. COLLECTION AGENCIES' INITIAL STATEMENT REFERENCES THE AVAILABILITY OF FINANCIAL ASSISTANCE FOR THOSE WHO ARE EXPERIENCING FINANCIAL DIFFICULTY AND PROVIDES CONTACT INFORMATION TO DISCUSS SINAI'S FINANCIAL ASSISTANCE PROGRAM. ALL HOSPITAL PATIENT FINANCIAL SERVICES STAFF, ACTIVE ACCOUNTS RECEIVABLE OUTSOURCE VENDORS, COLLECTION AGENCIES AND MEDICAID ELIGIBILITY VENDORS ARE TRAINED TO IDENTIFY POTENTIAL FINANCIAL ASSISTANCE ELIGIBILITY AND ASSIST PATIENTS WITH THE FINANCIAL ASSISTANCE APPLICATION PROCESS. FINANCIAL ASSISTANCE APPLICATION AND INSTRUCTIONS COVER SHEET IS AVAILABLE IN RUSSIAN AND SPANISH. SINAI HOSPITAL HOSTS AND PARTICIPATES IN VARIOUS MARYLAND DEPARTMENT OF HEALTH AND MENTAL HYGIENE AND MARYLAND HOSPITAL ASSOCIATION SPONSORED CAMPAIGNS LIKE COVER THE UNINSURED WEEK. Schedule H, Part VI, Line 4 Community information SINAI HOSPITAL OF BALTIMORE IS LOCATED IN THE NORTHWEST QUADRANT OF BALTIMORE CITY, SERVING BOTH ITS IMMEDIATE NEIGHBORS AND OTHERS FROM THROUGHOUT THE BALTIMORE CITY AND COUNTY REGION. THE NEIGHBORHOODS SURROUNDING SINAI ARE IDENTIFIED BY THE BALTIMORE NEIGHBORHOOD INDICATORS ALLIANCE (BNIA) AS SOUTHERN PARK HEIGHTS (SPH) AND PIMLICO/ARLINGTON/HILLTOP (PAH). TOGETHER THEY CONSTITUTE AN AREA THAT IS PREDOMINANTLY AFRICAN AMERICAN WITH A BELOW AVERAGE MEDIAN FAMILY INCOME, BUT ABOVE AVERAGE RATES FOR UNEMPLOYMENT AND OTHER SOCIAL DETERMINANTS OF POOR HEALTH. SPH AND PAH'S MEDIAN HOUSEHOLD INCOME WAS $26,015 AND $32,410 RESPECTIVELY. THIS IS COMPARED TO BALTIMORE CITY'S MEDIAN HOUSEHOLD INCOME OF $41,819. THE PERCENTAGE OF FAMILIES EARNING LESS THAN THE FEDERAL SELF-SUFFICIENCY STANDARD IN SPH WAS 46.4% AND IN PAH 28.4%. THE UNEMPLOYMENT RATE FOR BALTIMORE CITY WAS 13.1%. SPH AND PAH HAD UNEMPLOYMENT RATES OF 23.6% AND 17.1%, RESPECTIVELY. THE SEVEN ZIP CODES THAT REPRESENT THE PRIMARY SERVICE AREA IN FISCAL YEAR 2024 WERE 21201, 21202, 21215, 21217, 21207, 21208, 21209, 21216, 21223, 21229, 21230, 21117, AND 21071. THE BALTIMORE CITY HEALTH DEPARTMENT USES COMMUNITY STATISTICAL AREAS (CSAS) WHEN ANALYZING HEALTH OUTCOMES AND RISK FACTORS. THE CSAS REPRESENT CLUSTERS OF NEIGHBORHOODS BASED ON CENSUS TRACT DATA RATHER THAN ZIP CODE AND WERE DEVELOPED BY THE CITY'S PLANNING DEPARTMENT BASED ON RECOGNIZABLE CITY NEIGHBORHOOD PERIMETERS. WE IDENTIFIED CSAS CONTAINED WITHIN THE ZIP CODES OF THE PRIMARY SERVICE AREAS THAT BEST REPRESENT THE COMMUNITIES SERVED BY THE COMMUNITY BENEFIT ACTIVITIES AT SINAI HOSPITAL. ONE ZIP CODE (21207) SPANS CITY/COUNTY LINES. BALTIMORE COUNTY DOES NOT PROVIDE CSAS. THE RACIAL COMPOSITION AND INCOME DISTRIBUTION OF THE ABOVE-INDICATED ZIP CODES REFLECT THE RACIAL SEGREGATION AND INCOME DISPARITY CHARACTERISTIC OF THE BALTIMORE METROPOLITAN REGION. FOR EXAMPLE, PAH AND SPH HAVE A PREDOMINANTLY AFRICAN AMERICAN POPULATION AT 94.5% AND 96.3% RESPECTIVELY. THIS IS IN CONTRAST TO THE NEIGHBORING MOUNT WASHINGTON/COLDSPRING COMMUNITY IN WHICH THE MEDIAN HOUSEHOLD INCOME IS $76,263 AND THE UNEMPLOYMENT RATE WAS 4.5%. THE RACIAL/ETHNIC COMPOSITION OF THE MW/C COMMUNITY IS MUCH MORE COMPLEX, BUT THE POPULATION IS PREDOMINANTLY (65.8%) WHITE. Schedule H, Part VI, Line 5 Promotion of community health SINAI HOSPITAL COMMUNITY HEALTH PROGRAMS PROVIDES SERVICES THAT SEEK TO IMPROVE THE HEALTH AND WELL-BEING OF PERSONS AND FAMILIES WHOSE HEALTH IS NEGATIVELY IMPACTED BY THE SOCIAL DETERMINANTS OF HEALTH. FOCUS IS ON INDIVIDUALS AND FAMILIES WHO COME TO THE HOSPITAL SEEKING SERVICES FOR SPECIFIC CONDITIONS SUCH AS HIGH-RISK PREGNANCY, HIV INFECTION, PERINATAL MOOD DISORDERS OR ADDICTION, INTIMATE PARTNER VIOLENCE, ETC. BUT WHOSE SOCIAL CONDITIONS MAY FURTHER IMPAIR HEALTH BEYOND THE ACUTE MEDICAL EPISODE. PSYCHOSOCIAL INTERVENTIONS ARE PROVIDED BY LICENSED SOCIAL WORKERS AND PARA-PROFESSIONAL OUTREACH WORKERS IN HOMES AND COMMUNITY LOCATIONS. SERVICES INCLUDE OUTREACH, HOME VISITING, HEALTH, LIFE-SKILLS AND SAFETY EDUCATION, COUNSELING, INFORMATION AND REFERRALS, SERVICES COORDINATION, AND MENTORING OF YOUTH IN COMMUNITY SCHOOLS. SINAI'S DEPARTMENT OF PSYCHIATRY, IN RECOGNITION OF POOR NUTRITION AND ACCESSIBILITY TO CARE FOR MENTALLY ILL PATIENTS LIVING IN POVERTY, PROVIDES FREE HOT LUNCHES AND TRANSPORTATION TO PATIENTS ENROLLED IN THE INTENSIVE OUTPATIENT/PARTIAL HOSPITALIZATION PROGRAM. IN ADDITION, THE SINAI HOSPITAL ADDICTIONS RECOVERY PROGRAM (SHARP), AN ADULT OUTPATIENT SUBSTANCE ABUSE PROGRAM, PROVIDES INDIVIDUAL, GROUP, AND FAMILY COUNSELING TO OPIATE-ADDICTED PATIENTS. SHARP ALSO OFFERS PRIMARY CARE SERVICES AS WELL AS INTEGRATED PSYCHIATRIC CARE FOR THOSE PATIENTS WITH A CO-EXISTING DISORDER. SINAI PROVIDES A VARIETY OF SUPPORT GROUPS THAT OFFER SOCIAL AND EMOTIONAL SUPPORT TO THOSE WHO SHARE A COMMON EXPERIENCE OR MEDICAL CONCERN. COMMUNITY HEALTH WORKERS PROVIDE A WIDE RANGE OF SERVICES INCLUDING CHRONIC DISEASE SELF-MANAGEMENT AND COORDINATE FREE OR LOW-COST HEALTH SCREENINGS FOR THE COMMUNITY. Schedule H, Part VI, Line 6 Affiliated health care system AS A TEACHING HOSPITAL WITH ITS OWN ACCREDITED RESIDENCY TRAINING PROGRAMS, SINAI HOSPITAL EMPLOYS A FACULTY OF APPROXIMATELY 160 PHYSICIANS IN NUMEROUS SPECIALTIES INCLUDING THE PRIMARY CARE FIELDS OF INTERNAL MEDICINE, OBSTETRICS AND GYNECOLOGY, AND PEDIATRICS. WHEN PATIENTS REQUEST APPOINTMENTS IN THE FACULTY PRACTICE OFFICES, THEY ARE NOT SCREENED ON THE ABILITY TO PAY FOR SERVICES. PHYSICIAN FEES FOR UNINSURED PATIENTS ARE DETERMINED ON A SLIDING SCALE BASED ON INCOME. FEES MAY BE WAIVED IF A PATIENT HAS NO FINANCIAL RESOURCES. ADDITIONALLY, IN MANY SPECIALTIES IN WHICH THE HOSPITAL DOES NOT HAVE A FACULTY, SUCH AS DENTISTRY, OTOLARYNGOLOGY, AND VASCULAR SURGERY, WE CONTRACT WITH SPECIALISTS IN ORDER TO PROVIDE CONTINUOUS CARE FOR PATIENTS ADMITTED TO THE HOSPITAL THROUGH THE EMERGENCY DEPARTMENT. IN THESE CASES, THE HOSPITAL COVERS THESE SPECIALISTS' CONSULTATION FEES AND FEES FOR PROCEDURES FOR INDIGENT PATIENTS. BECAUSE OF THESE TWO ARRANGEMENTS FOR PROVIDING SPECIALTY CARE FOR UNINSURED PATIENTS, WE ARE NOT ABLE TO DOCUMENT GAPS IN SPECIALIST CARE FOR UNINSURED PATIENTS. SINAI HOSPITAL IS A COMPONENT OF LIFEBRIDGE HEALTH, A NONPROFIT HEALTH SYSTEM THAT PROVIDES A WIDE VARIETY OF HEALTH CARE AND RELATED SERVICES TO THE RESIDENTS OF CENTRAL MARYLAND. THE COMPONENTS OF THE LIFEBRIDGE SYSTEM WORK TOGETHER CLOSELY TO ENSURE THAT AS MANY AS POSSIBLE OF THE COMMUNITY'S NEEDS ARE MET IN AN INTEGRATED NONDUPLICATIVE MANNER. Schedule H, Part VI, Line 7 State filing of community benefit report MD false true false false false false false false false AMY SHLOSSMAN PRESIDENT SINAI 629774 0 216778 0 33140 0 5530 0 4149 0 889371 0 0 0 ELIZABETH ZADZIELSKI SINAI MEDICAL EDUCATION CHAIR 397749 0 12533 0 64865 0 3232 0 11429 0 489808 0 0 0 ADRIAN GOLDSZMIDT THRU 1224 DIRECTOR, MEDICIAL STAFF PRESIDENT 460441 0 76354 0 110671 0 69142 0 6061 0 722669 0 0 0 DAVID H KRAJEWSKI ASSISTANT TREASURER, EX OFFICIO 0 879781 0 680890 0 378393 0 38834 0 8782 0 1986680 0 324014 JASON H WEINER SVP AND GENERAL COUNSEL, LBH 0 536994 0 423128 0 184422 0 207070 0 10362 0 1361976 0 144066 EDGAR CASNER VP SUPPLY CHAIN, LBH 0 312385 0 87214 0 4263 0 40191 0 9795 0 453848 0 0 LOU DUNAWAY CFO SINAI VP BUDGET & CAPITAL PLANNING, LBH 295027 0 78979 0 39279 0 71984 0 8333 0 493602 0 35951 0 NANCY KANE VP FINANCIAL REPORTING, LBH 0 290498 0 80804 0 53549 0 75486 0 14900 0 515237 0 42066 JAMES ROBERGE VP CAPITAL IMPROVEMENTS & SUPPORT SERVICES 0 387766 0 135375 0 82192 0 71314 0 8788 0 685435 0 49242 LESLIE R SIMMONS FORMER INTERIM PRESIDENT & COO 0 792427 0 616503 0 544982 0 113580 0 11496 0 2078988 0 286794 PETER CHO MD PHYSICIAN 1001707 0 100000 0 122621 0 157430 0 21983 0 1403741 0 103425 0 RONALD DELANOIS MD PHYSICIAN 1102348 0 61249 0 171507 0 188444 0 18568 0 1542116 0 138574 0 CLARK JOHNSON PHYSICIAN 772928 0 176714 0 23180 0 5175 0 18959 0 996956 0 0 0 SUNAL MAKADIA PHYSICIAN 502530 0 507294 0 162 0 5175 0 8314 0 1023475 0 0 0 JAMES NACE DO PHYSICIAN 1490105 0 0 0 129637 0 134054 0 1649 0 1755445 0 101967 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation THE COMPENSATION OF SINAI HOSPITAL OF BALTIMORE, INC.'S PRESIDENT IS DETERMINED AT THE PARENT LEVEL BY LIFEBRIDGE HEALTH, INC. THE METHODS USED AT LIFEBRIDGE HEALTH, INC. INCLUDE A COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEY OR STUDY AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan THE FOLLOWING INDIVIDUALS PARTICIPATED IN A LIFEBRIDGE HEALTH SPONSORED SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN DURING THE YEAR. THE AMOUNTS REPORTED BELOW REPRESENT EMPLOYER CONTRIBUTIONS TO THE SECTION 457(F) PLAN MADE DURING THE YEAR: LESLIE R. SIMMONS $76,027 JAMES NACE, DO $103,691 RONALD DELANOIS, MD $150,260 PETER CHO, MD $119,246 JASON H. WEINER $176,284 ADRIAN GOLDSZMIDT $62,242 JAMES ROBERGE $55,800 NANCY KANE $38,152 LOU DUNAWAY $ 37,450 EDGAR CASNER $ 35,415 DURING THE YEAR, THE FOLLOWING INDIVIDUALS RECEIVED PAYMENTS AS PART OF THEIR PARTICIPATION IN A LIFEBRIDGE HEALTH SPONSORED SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: LESLIE R. SIMMONS $515,756 DAVID H. KRAJEWSKI $330,949 JAMES NACE, DO $ 105,015 RONALD DELANOIS, MD $138,445 PETER CHO, MD $108,334 JASON H. WEINER $147,040 JAMES ROBERGE $ 49,130 NANCY KANE $ 41,945 LOU DUNAWAY $ 35,263 COMPENSATION PROVIDED BY ORGANIZATION: MS. SIMMONS RECEIVED COMPENSATION AS AN EXECUTIVE VP, COO LBH OF LIFEBRIDGE HEALTH, INC., NOT AS INTERIM PRESIDENT & COO OF THIS ORGANIZATION. MR. KRAJEWSKI RECEIVED COMPENSATION AS A SENIOR EXECUTIVE VICE PRESIDENT AND CFO OF LIFEBRIDGE HEALTH, INC., NOT AS ASSISTANT TREASURER. MR. WEINER RECEIVED COMPENSATION AS A SENIOR VICE PRESIDENT AND GENERAL COUNSEL OF LIFEBRIDGE HEALTH, INC., NOT AS ASSISTANT SECRETARY. MS. SHLOSSMAN RECEIVED COMPENSATION AS A SENIOR VICE PRESIDENT OF LIFEBRIDGE HEALTH, INC./PRESIDENT OF SINAI HOSPITAL OF BALTIMORE, INC. & GRACE MEDICAL CENTER, NOT AS A DIRECTOR. DR. GOLDSZMIDT RECEIVED COMPENSATION AS AN EMPLOYED PHYSICIAN, NOT AS A DIRECTOR. DR. ZADZIELSKI RECEIVED COMPENSATION AS AN EMPLOYED PHYSICIAN, NOT AS A DIRECTOR. KELSEY KRAJEWSKI FAMILY MEMBER OF DAVID KRAJEWSKI, EXECUTIVE VICE PRESIDENT/CFO 52610 SINAI HOSPITAL OF BALTIMORE, INC. AND LIFEBRIDGE HEALTH, INC. PAID APPROXIMATELY $52,610 TO KELSEY KRAJEWSKI. KELSEY KRAJEWSKI WORKS FOR SINAI HOSPITAL AS A VOCATIONAL SPECIALIST. HER FATHER, DAVID KRAJEWSKI, IS THE EXECUTIVE VICE PRESIDENT/CFO OF LIFEBRIDGE HEALTH. false Form 990, Part III, Line 1 SINAI HOSPITAL OF BALTIMORE HAS A LONGSTANDING MISSION TO PROVIDE QUALITY PATIENT CARE, EDUCATE MEDICAL STUDENTS AND RESIDENTS WHO WILL BECOME PHYSICIANS IN OUR COMMUNITY AND BEYOND, AND ENGAGE IN MEDICAL RESEARCH TO IMPROVE THE LIVES OF OUR PATIENTS AND OUR COMMUNITY. WE HAVE FOCUSED OUR ATTENTION ON QUALITY PATIENT CARE FOR MORE THAN 150 YEARS. THOUGH A JEWISH-SPONSORED HEALTH CARE ORGANIZATION, SINAI HOSPITAL'S DOORS HAVE BEEN OPEN TO CARE FOR THE SICK AND NEEDY REGARDLESS OF RACE, RELIGION OR ABILITY TO PAY. LOCATED IN NORTHWEST BALTIMORE CITY, SINAI HOSPITAL MEETS THE HEALTH CARE NEEDS OF AN EVER EXPANDING AND CULTURALLY DIVERSE POPULATION, MANY OF WHOM DO NOT HAVE ACCESS TO PRIMARY HEALTH CARE. SIGNIFICANT PORTIONS OF OUR SURROUNDING COMMUNITY FREQUENT SINAI'S ER-7, USING THIS EMERGENCY ROOM AS A DOCTOR'S OFFICE. LACK OF ACCESS TO HEALTH CARE IS A GROWING PROBLEM FOR MANY AMERICANS, AND SINAI HOSPITAL'S DOCTORS, NURSES AND ALLIED HEALTH CARE PROFESSIONALS UNDERSTAND THAT THE HOSPITAL'S MISSION ENDORSES OPEN ACCESS TO ALL. SINAI HOSPITAL HAS AN ESTABLISHED AND WELL POSTED CHARITY CARE POLICY THAT OFFERS A REASONABLE AMOUNT OF CARE AT NO CHARGE OR AT REDUCED RATES TO ELIGIBLE PERSONS WHO DO NOT HAVE INSURANCE. ELIGIBILITY FOR FREE CARE, REDUCED RATES AND EXTENDED PAYMENT PLANS IS DETERMINED ON A CASE BY CASE BASIS TO THOSE WHO CANNOT AFFORD TO PAY FOR CARE. SINAI'S COMMITMENT TO EDUCATION IS VISIBLE IN ITS MEDICAL RESIDENCY PROGRAMS IN INTERNAL MEDICINE; PHYSICAL MEDICINE AND REHABILITATION; OBSTETRICS AND GYNECOLOGY; PEDIATRICS; GENERAL SURGERY; NEUROLOGIC PHYSICAL THERAPY; ORTHOPEDICS; AND OPHTHALMOLOGY. MANY OF THESE DOCTORS-IN-TRAINING CHOOSE SINAI FOR THEIR MEDICAL TRAINING BECAUSE OF ITS COMMUNITY SETTING AND STRONG ACADEMIC BACKGROUND. SINAI OPERATES A COMMUNITY HEALTH CLINIC, STAFFED BY SINAI RESIDENTS AND FACULTY, ON SINAI'S CAMPUS. THIS CLINIC OFFERS PRIMARY MEDICAL, DENTAL AND PHARMACY SERVICES TO THE COMMUNITY SURROUNDING SINAI HOSPITAL. OUR YOUNG DOCTORS EMPLOY THE ART AND SCIENCE OF MEDICINE TO HELP A POPULATION WHOSE MEDICAL NEEDS ARE COMPLEX BECAUSE THEY OFTEN DON'T SEEK MEDICAL TREATMENT UNTIL THEY ARE IN CRISIS. SINAI'S COMMITMENT TO EDUCATION EXTENDS BEYOND TRAINING DOCTORS, NURSES AND OTHER HEALTH CARE PROFESSIONALS. SINAI HOSPITAL IS ALSO DETERMINED TO SHARE KNOWLEDGE AND INFORMATION WITH THE MANY PEOPLE WHO TURN TO US FOR HELP. THE COMMUNITY MISSION COMMITTEE OF LIFEBRIDGE HEALTH EVALUATES THE HEALTH CARE NEEDS OF THE COMMUNITY, REVIEWS EXISTING PROGRAMS AND DEVELOPS NEW SERVICES TO MEET THE NEEDS OF THE COMMUNITY. ONE OF THOSE SERVICES IS SINAI'S NEW BRIDGES TO IMPROVED CHILD HEALTH PROGRAM. THE MISSION OF NEW BRIDGES IS TO ASSIST YOUNG FAMILIES LIVING IN POVERTY TO EFFECTIVELY USE HEALTH AND SOCIAL SERVICES TO MAINTAIN AND ENHANCE THE HEALTH OF THEIR CHILDREN. PROGRAM SERVICES INCLUDE CASE MANAGEMENT, HEALTH EDUCATION, OUTREACH, AND ADVOCACY SERVICES TO FAMILIES WITH CHILDREN FROM BIRTH TO SIX YEARS OF AGE. THE PROGRAM ALSO ADDRESSES THE NEEDS OF FATHERS THROUGH THE SERVICES DESCRIBED ABOVE. SERVICES ARE FREE TO ELIGIBLE FAMILIES. SINAI STAFF MEMBERS OFFER HOME VISITS, HEALTH SERVICES, EDUCATION, CRISIS INTERVENTION AND OUTREACH SERVICES. IN 2023, THE GEORGE WASHINGTON (GW) SCHOOL OF MEDICINE AND HEALTH SCIENCES (SMHS) COLLABORATED WITH LIFEBRIDGE HEALTH TO ESTABLISH A REGIONAL MEDICAL CAMPUS (RMC) AT SINAI HOSPITAL. THROUGH THIS RMC, SINAI HOSPITAL HOSTS COHORTS OF THIRD- AND FOURTH-YEAR MEDICAL STUDENTS FOR THEIR CLINICAL YEARS, PROVIDING BRIGHT AND AMBITIOUS FUTURE CLINICIANS THE OPPORTUNITY TO PRACTICE IN A COMMUNITY-FOCUSED HOSPITAL WITH A STRONG EMPHASIS ON PRIMARY AND CONTINUITY CARE IN A POPULATION HEALTH ENVIRONMENT. Form 990, Part VI, Line 6 Classes of members or stockholders THE CORPORATION SHALL HAVE ONE MEMBER: LIFEBRIDGE HEALTH, INC. (THE "MEMBER") A MARYLAND NONSTOCK CORPORATION. MEMBERSHIP IN THE CORPORATION SHALL NOT BE TRANSFERABLE. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body 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; (3) TO NOMINATE AND ELECT THE CORPORATION'S CHAIR, VICE CHAIR, SECRETARY, AND TREASURER; AND (4) 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. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders THE MEMBER HAS POWER TO APPOINT AND/OR REMOVE MEMBERS OF THE GOVERNING BODY. Form 990, Part VI, Line 11b Review of form 990 by governing body THE LIFEBRIDGE EXEMPT ENTITIES 990'S ARE INITIALLY REVIEWED BY THE ASSISTANT VICE PRESIDENT OF FINANCIAL REPORTING. IN ADDITION, AN INDEPENDENT ACCOUNTING FIRM ALSO REVIEWS ALL THE 990 RETURNS. A FORMAL MEETING IS THEN SCHEDULED WITH THE CHIEF FINANCIAL OFFICER, VICE PRESIDENT OF FINANCIAL REPORTING, GENERAL COUNSEL, AND THE ASSISTANT VICE PRESIDENT OF FINANCIAL REPORTING TO REVIEW IN THEIR ENTIRETY ALL THE LIFEBRIDGE EXEMPT ENTITIES 990'S. MANAGEMENT THEN UPLOADS A COPY OF THE 990'S TO THE DIRECTOR'S DESK PORTAL FOR INDIVIDUAL BOARD MEMBERS TO REVIEW PRIOR TO THE FILING DATE. Form 990, Part VI, Line 12c Conflict of interest policy ALL DIRECTORS, OFFICERS, EMPLOYEES, MEDICAL STAFF MEMBERS, AND VOLUNTEERS ARE EXPECTED TO RECOGNIZE AND DISCLOSE AT THE EARLIEST POSSIBLE TIME ACTUAL AND POTENTIAL CONFLICTS OF INTEREST. AN INDIVIDUAL IS CONSIDERED TO HAVE A CONFLICT OF INTEREST WITH REGARD TO A MATTER OR TRANSACTION IF THE INDIVIDUAL OR A FAMILY MEMBER OF THE INDIVIDUAL HAS A PERSONAL OR FINANCIAL INTEREST THAT HAS THE POTENTIAL TO INFLUENCE THE ACTION TAKEN BY THE INDIVIDUAL ON BEHALF OF LIFEBRIDGE HEALTH. ADDITIONAL INFORMATION REGARDING WHAT CONSTITUTES A CONFLICT OF INTEREST AND HOW TO DISCLOSE A CONFLICT IS OUTLINED BELOW. LIFEBRIDGE AND ALL OF ITS SUBSIDIARIES SHALL REQUIRE ALL EMPLOYEES, MEDICAL STAFF, AND MEMBERS OF THE BOARD TO DISCLOSE ANY ACTIVITIES THAT COULD RESULT IN A POSSIBLE CONFLICT OF INTEREST. 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, DIRECTOR, TRUSTEE, OR KEY EMPLOYEE) 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, OR THEIR FAMILY MEMBER, (I) IS A PARTY TO THE TRANSACTION, (II) WILL BENEFIT PERSONALLY FROM THE TRANSACTION, OR (III) HAS, DIRECTLY OR INDIRECTLY, A CURRENT OR ANTICIPATED OWNERSHIP OR INVESTMENT IN, OR COMPENSATION ARRANGEMENT WITH, A PARTY TO THE TRANSACTION. AN OWNERSHIP INTEREST OF LESS THAN 5% IN AN ENTITY WILL NOT, IN AND OF ITSELF, GENERALLY BE CONSIDERED A FINANCIAL INTEREST; HOWEVER, TO THE EXTENT THE INDIVIDUAL'S COMPENSATION FROM THE ENTITY IS DIRECTLY LINKED TO THE ENTITY'S BUSINESS WITH LIFEBRIDGE HEALTH, SUCH COMPENSATION WILL CONSTITUTE A FINANCIAL INTEREST. FOR THE PURPOSES OF THIS POLICY, A "FAMILY MEMBER" INCLUDES SPOUSE OR DOMESTIC PARTNER, PARENTS, BROTHERS AND SISTERS, CHILDREN (WHETHER NATURAL OR ADOPTED), GRANDPARENTS, GRANDCHILDREN, GREAT-GRANDCHILDREN, AND IN-LAWS, SPOUSES OF BROTHERS, SISTERS, CHILDREN, GRANDCHILDREN, AND GREAT-GRANDCHILDREN, AND ANY OTHER MEMBER OF A HOUSEHOLD OF THE INDIVIDUAL. 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 THE CHIEF COMPLIANCE OFFICER. QUESTIONNAIRES ARE SENT OUT TO MEMBERS OF THE BOARD ON AN ANNUAL BASIS. IF QUESTIONS ARISE OR FURTHER GUIDANCE IS SOUGHT, INDIVIDUALS CAN CONTACT THE CHIEF COMPLIANCE OFFICER OR CONFIDENTIAL COMPLIANCE HOTLINE. NOTHING IN THIS DEFINITION IS INTENDED TO RELIEVE ANY PERSON OF ANY ADDITIONAL OBLIGATIONS THAT MAY BE IMPOSED BY STATE OR FEDERAL LAW. Form 990, Part VI, Line 15a Process to establish compensation of top management official THE COMPENSATION OF SINAI HOSPITAL OF BALTIMORE, INC.'S PRESIDENT IS DETERMINED AT THE PARENT LEVEL BY LIFEBRIDGE HEALTH, INC. THE METHODS USED AT LIFEBRIDGE HEALTH, INC. INCLUDE A COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEY OR STUDY AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. Form 990, Part VI, Line 19 Required documents available to the public IT IS THE POLICY OF LIFEBRIDGE HEALTH INC. AND ITS SUBSIDIARIES TO MAKE AVAILABLE UPON REQUEST THE AUDITED FINANCIAL STATEMENTS TO THE GENERAL PUBLIC. THE LIFEBRIDGE HEALTH INC. AND SUBSIDIARY GOVERNING DOCUMENTS ARE NOT MADE AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST OR VIA A WEBSITE. THE CONFLICT OF INTEREST POLICY IS INCLUDED ON SCHEDULE O. Form 990, Part IX, Line 11g Other Fees OPERATING CORP ALLOCATION - Total Expense: 57558857, Program Service Expense: 15624455, Management and General Expenses: 41934402, Fundraising Expenses: 0; AGENCY NURSES - Total Expense: 29780031, Program Service Expense: 28819732, Management and General Expenses: 960299, Fundraising Expenses: 0; OTHER PURCHASED SERVICES - Total Expense: 53628907, Program Service Expense: 36258578, Management and General Expenses: 17370329, Fundraising Expenses: 0; PURCHASED TEMP HELP - Total Expense: 2808329, Program Service Expense: 1466083, Management and General Expenses: 1342246, Fundraising Expenses: 0; CONTRACT SERVICES - Total Expense: 1017021, Program Service Expense: 802687, Management and General Expenses: 214334, Fundraising Expenses: 0; Form 990, Part XI, Line 9 Other changes in net assets or fund balances CHANGE IN MINIMUM PENSION LIABILITY - -3490434; CHANGE IN NET ASSETS OF SUBSIDIARIES - 67356; PENSION NON SERVICE COSTS - 2522623; GRANT CAPITAL EXPENDITURES - 104579; PLEDGE RECEIVABLE - -3514390; UBIT NETTED WITH CORPORATE ALLOCATION - -269207; OTHER CHANGES IN NET ASSETS - -39007; TRANSFER TO AFFILIATES - -7904656; BANK FEES - -746106; BOND UNREALIZED INCOME - 2046883; Total - -11222359; Form 990, Part XII, Line 2c Change of oversight process or selection process THE ORGANIZATION DOES NOT HAVE A COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT, REVIEW OR COMPILATION OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THE ORGANIZATION RELIES ON THE OVERSIGHT OF THE AUDIT COMMITTEE HELD AT THE RELATED ORGANIZATION, LIFEBRIDGE HEALTH, INC. 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