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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: 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: 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. 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X X X X true true X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C 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: 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 SINAI AND GMC SERVICE AREA. 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: 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 7A: HTTPS://WWW.LIFEBRIDGEHEALTH.ORG/UPLOADS/PUBLIC/MAIN/ABOUT/COMMUNITYHEALTH ANDWELLBEING/SINAICHNA.PDF SCHEDULE H, PART V, SECTION B, LINE 7D: COPIES OF THE CHNA WERE DISTRIBUTED TO KEY COMMUNITY PARTNERS. SCHEDULE H, PART V, SECTION B, LINE 10A: HTTPS://WWW.LIFEBRIDGEHEALTH.ORG/UPLOADS/PUBLIC/MAIN/ABOUT/COMMUNITYHEALTH ANDWELLBEING/SINAIIP.PDF SCHEDULE H, PART V, SECTION B, LINE 11: 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 FINDS 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 ANTICIPATES 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 WILL ALSO SUPPORT 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 LIFEBRIDGE 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 (TO BE IDENTIFIED). 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. SINAI HOSPITAL'S 2021-2024 IMPLEMENTATION PLAN ADDRESSED THE FOLLOWING PRIORITY AREAS: CHRONIC HEART DISEASE, DIABETES, MENTAL HEALTH AND SUBSTANCE USE DISORDER, COMMUNITY HEALTH AND WELLNESS EDUCATION, HOUSING, FOOD INSECURITY, COMMUNITY SAFETY, AND HEALTH DISPARITIES. TO ADDRESS THESE RESPECTIVE ISSUES, LIFEBRIDGE AND SINAI AND GMC STAFF IMPLEMENTED VIRTUAL AND IN-PERSON CHRONIC DISEASE MANAGEMENT EDUCATION CLASSES, INCREASED STAFF TO EXPAND REACH INTO SURROUNDING COMMUNITIES, OPERATED MOBILE HEALTH CLINICS IN SURROUNDING NEIGHBORHOODS, UTILIZED SINAI HOSPITAL OF BALTIMORE'S VSP FOR TRAINING AND WORKFORCE DEVELOPMENT SERVICES, AND CREATED NEW PARTNERSHIPS AND STRENGTHENED EXISTING ONES WITH COMMUNITY BASED ORGANIZATIONS-INCLUDING WITH LOCAL FAITH-BASED ORGANIZATIONS TO IMPROVE ACCESS AND TRUST FOR PATIENTS NEEDING MEDICAL AND BEHAVIORAL HEALTH SERVICES. SOME EXAMPLES OF PROGRAMS AND SERVICES IMPLEMENTED IN THE SINAI AND GMC SERVICE AREA INCLUDE: 1. DIABETES MEDICAL HOME EXTENDER PROGRAM: PROVIDES COMPREHENSIVE CARE COORDINATION FOR PATIENTS WITH CHRONICALLY UNMANAGED DIABETES AND HELP RESOLVE PSYCHOSOCIAL BARRIERS PREVENTING PATIENTS FROM UTILIZING PRIMARY CARE. ENSURE PATIENTS HAVE APPROPRIATE MEDICATIONS, TRANSPORTATION, AND HOME SUPPORT SERVICES. 2. DIABETES EDUCATION AND HEALTH FOOD SUPPORT: PROVIDED IN FIVE HIGH-PRIORITY WEST BALTIMORE ZIP CODES. FREE HOME DELIVERY OF FRUITS AND VEGETABLES FOR FOOD INSECURE PEOPLE WITH DIABETES IN WEST BALTIMORE. THIS PROGRAM HAS PROVIDED ACCESS TO HEALTHY FOOD FOR MORE THAN 360 PARTICIPANTS TO DATE. 3. SBIRT (SCREENING, BRIEF INTERVENTION, AND REFERRAL TO TREATMENT) PROGRAM: PEER RECOVERY COACHES STATIONED IN THE HOSPITALS' EMERGENCY DEPARTMENTS CONNECT SUBSTANCE USE DISORDER PATIENTS WITH TREATMENT AND COMMUNITY RESOURCES. 4. COMMUNITY MOBILE HEALTH CLINIC: MOBILE HEALTH INITIATIVE REACHES TRADITIONALLY UNDERSERVED COMMUNITIES THAT FACE A VARIETY OF ACCESS AND OTHER SOCIAL BARRIERS TO ACHIEVING AND MAINTAINING GOOD HEALTH. PEOPLE SERVED ARE TYPICALLY AT HIGH RISK FOR CHRONIC DISEASE AND POTENTIALLY AVOIDABLE HOSPITAL UTILIZATION. COMMUNITY-BASED CLINICAL TOUCHES INCLUDED COVID TESTING, VACCINATIONS, CHRONIC DISEASE PREVENTION AND IDENTIFICATION, PEDIATRIC WELLNESS VISITS, AND PROVISION OF VARIOUS OTHER COMMUNITY-BASED HEALTH SUPPORTING SERVICES. 5. CARDIOVASCULAR TELEMONITORING PROGRAM: REMOTE PATIENT MONITORING PROGRAM TO IMPROVE THE QUALITY OF CARE, PATIENT OUTCOMES, AND REDUCE HOSPITAL UTILIZATION FOR PATIENTS WITH CHRONIC DISEASES BY IMPROVING PATIENT-PROVIDER COMMUNICATION, IMPROVING COORDINATION OF CARE, AND IMPROVING TIME OF FOLLOW UP WITH A PRIMARY CARE PROVIDER. 6. COMMUNITY CARE COORDINATION: CARE MANAGEMENT SERVICES PROVIDED TO HIGH-RISK COMMUNITY MEMBERS. THIS PROGRAM INCLUDES COLLABORATION WITH INTERNAL AND EXTERNAL MENTAL HEALTH PRACTICES AND REFERRALS TO COMMUNITY SUPPORT RESOURCES. THE INITIATIVE ALSO COORDINATES TRANSPORTATION TO MEDICAL APPOINTMENTS AND SOCIAL SERVICES. ALL IDENTIFIED NEEDS DURING THE MOST RECENT CHNA WERE ADDRESSED IN SOME WAY. 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. ENFORCEMENT AND AFFORDABLE HOUSING. SCHEDULE H, PART V, SECTION B, LINE 16A: WWW.LIFEBRIDGEHEALTH.ORG/SINAI/BILLINGANDFINANCIALCONSIDERATIONS.ASPX SCHEDULE H, PART V, SECTION B, LINE 16B: WWW.LIFEBRIDGEHEALTH.ORG SCHEDULE H, PART V, SECTION B, LINE 16C: WWW.LIFEBRIDGEHEALTH.ORG 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 <200 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. 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. 55 LO- CATIONS BOTH ON & OFF CAMPUS 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 200 QUALIFIES A PATIENT FOR PRESUMPTIVE ELIGIBILITY AT 100% ADJUSTMENT OF PATIENT BALANCE. SCHEDULE H, PART I, LINE 7: 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. IN RECENT YEARS, THE STATE OF MARYLAND HAS CLOSED FISCAL GAPS IN THE STATE MEDICAID BUDGET BY ASSESSING HOSPITALS THROUGH THE RATE-SETTING SYSTEM. TWELVE-MONTH PERIOD OF TIME AND PATIENTS ARE ENCOURAGED TO RE-APPLY FOR CONTINUED ELIGIBILITY. 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 I, LINE 7G: INCLUDED IN THESE EXPENSES ARE DIRECT AND INDIRECT COSTS ATTRIBUTABLE TO PHYSICIANS' CLINICS TOTALING $41,006,855. 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 PROJECTS SUCH AS PAINTING LOCAL SCHOOLS, PARK BEAUTIFICATION, HOME IMPROVEMENT FOR SENIORS, HOLIDAY PARTIES FOR 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 III, LINE 2: 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: 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 $7,034,365 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 $7,034,365 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: 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: 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: 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 VI, LINE 2: 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: 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 DEPARTMENT OF HEALTH AND MENTAL HYGIENE AND MARYLAND HOSPITAL ASSOCIATION SPONSORED CAMPAIGNS LIKE COVER THE UNINSURED WEEK. SCHEDULE H, PART VI, LINE 4: 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: 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: 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. FACULTY PHYSICIANS PROVIDE SERVICES TO PATIENTS THROUGH A FACULTY PRACTICE PLAN. WHEN PATIENTS REQUEST APPOINTMENTS IN THE FACULTY PRACTICE OFFICES, THEY ARE NOT SCREENED ON 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. PART VI, LINE 7, LIST OF STATES RECEIVING COMMUNITY BENEFIT REPORT: MD true true false false false false false false false LESLIE SIMMONS INTRM PRESI. & COO (THRU 7/23) 0 747036 0 518820 0 481623 0 108622 0 12465 0 1868566 0 227561 DAVID KRAJEWSKI ASSISTANT TREASURER,EX OFFICIO 0 827278 0 573231 0 329572 0 37295 0 9005 0 1776381 0 279355 RONALD DELANOIS MD PHYSICIAN 955325 0 465625 0 165582 0 135493 0 19073 0 1741098 0 136535 0 JAMES NACE DO PHYSICIAN 1016503 0 452014 0 115079 0 136420 0 2202 0 1722218 0 97772 0 OMAR ZALATIMO MD DIR, MED STFF PRES(THRU 12/23) 983915 0 365187 0 180 0 106388 0 14571 0 1470241 0 0 0 PETER CHO MD PHYSICIAN 1033621 0 0 0 135365 0 151848 0 22766 0 1343600 0 116258 0 JASON WEINER SVP AND GENERAL COUNSEL, LBH 0 499556 0 352829 0 150063 0 194443 0 11085 0 1207976 0 105764 FOUAD ABBAS MD PHYSICIAN 736642 0 6590 0 161075 0 165748 0 14954 0 1085009 0 104797 0 MARK KATLIC MD CHIEF, DEPARTMENT OF SURGERY 869338 0 84384 0 144073 0 21594 0 11920 0 1131309 0 0 0 JAMES ROBERGE VP CAP. IMP.& SUPPORT SVC, LBH 0 358581 0 100003 0 77334 0 65659 0 11381 0 612958 0 40501 NANCY KANE VP FINANCIAL REPORTING, LBH 0 280975 0 69630 0 47792 0 75179 0 14291 0 487867 0 35641 LOU DUNAWAY SINAI CFO VP BUDGET & CAP. PLANNING, LBH 0 284047 0 72642 0 36445 0 68262 0 9234 0 470630 0 29001 DEBRA MORTON SINAI CNO (THRU 8/23) 225230 0 88226 0 127773 0 38302 0 2070 0 481601 0 0 0 TERRENCE CARNEY VP SUPPLY CHAIN, LBH 0 251073 0 77967 0 46070 0 26093 0 1176 0 402379 0 0 ASHA THOMAS MD DIR, PHYSICIAN (THRU 1/24) 273930 0 13254 0 24196 0 16480 0 13882 0 341742 0 10125 0 EDGAR CASNER VP SUPP CHAIN, LBH(AS OF 4/23) 0 205850 0 10000 0 50544 0 26026 0 5937 0 298357 0 0 DANIEL BLUM PRES,COO SINAI&GMC (THRU 2/23) 0 198307 0 0 0 566 0 0 0 1642 0 200515 0 0 AMY SHLOSSMAN SINAI PRESIDENT (AS OF 7/23) 320015 0 142250 0 27090 0 32603 0 1941 0 523899 0 0 0 ADRIAN GOLDSZMIDT SINAI MED PRESI (AS OF 12/23) 459690 0 68682 0 106705 0 71705 0 7673 0 714455 0 0 0 ELIZABETH ZADIELSKI SINAI MED CHAIR (AS OF 1/24) 379196 0 25734 0 66429 0 3770 0 11019 0 486148 0 0 0 SCHEDULE J, PART I, LINE 3: 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: 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: JASON WEINER $164,990 FOUAD ABBAS, MD $129,160 PETER CHO, MD $122,757 JAMES NACE, DO $114,826 RONALD DELANOIS, MD $106,402 LESLIE SIMMONS $ 72,406 JAMES ROBERGE $ 50,640 NANCY KANE $ 39,340 LOU DUNAWAY $ 38,274 DEBRA MORTON $ 36,208 EDGAR CASNER $ 23,147 ASHA THOMAS, MD $ 9,675 DURING THE YEAR, THE FOLLOWING INDIVIDUALS RECEIVED PAYMENTS AS PART OF THEIR PARTICIPATION IN A LIFEBRIDGE HEALTH SPONSORED SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: LESLIE SIMMONS $454,465 DAVID KRAJEWSKI $289,395 RONALD DELANOIS, MD $133,020 FOUAD ABBAS, MD $131,319 MARK KATLIC, MD $121,573 PETER CHO, MD $121,077 JASON WEINER $116,437 JAMES NACE, DO $ 92,397 JAMES ROBERGE $ 45,139 NANCY KANE $ 40,508 LOU DUNAWAY $ 32,575 TERRENCE CARNEY $ 24,946 ASHA THOMAS, MD $ 9,675 COMPENSATION PROVIDED BY ORGANIZATION: MR. BLUM 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. 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. SIMMONS RECEIVED COMPENSATION AS AN EXECUTIVE VP, COO LBH OF LIFEBRIDGE HEALTH, INC., NOT AS INTERIM PRESIDENT & COO. DR. THOMAS RECEIVED COMPENSATION AS AN EMPLOYED PHYSICIAN, NOT AS A DIRECTOR. DR. ZALATIMO RECEIVED COMPENSATION AS AN EMPLOYED PHYSICIAN, NOT AS A DIRECTOR. KELSEY KRAJEWSKI SEE PART V 47802 SEE PART V false SCH L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: (A) NAME OF PERSON: KELSEY KRAJEWSKI (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER OF DAVID KRAJEWSKI, EXECUTIVE VICE PRESIDENT/CFO (D) DESCRIPTION OF TRANSACTION: SINAI HOSPITAL OF BALTIMORE, INC. AND LIFEBRIDGE HEALTH, INC. PAID APPROXIMATELY $47,802 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. 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 RESIDENTS STAFF A FREE TO LOW COST COMMUNITY HEALTH CENTER LOCATED 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 III - PROGRAM SERVICE, LINE 4A: 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 17,300 INPATIENT ADMISSIONS AND MORE THAN 61,800 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. FORM 990, PART VI, SECTION A, LINE 6: 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, SECTION A, LINE 7A: 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, SECTION A, LINE 7B: THE MEMBER HAS POWER TO APPOINT AND/OR REMOVE MEMBERS OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B: 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, SECTION B, LINE 12C: 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, SECTION B, LINE 15A: 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, SECTION C, LINE 19: IT IS THE POLICY OF LIFEBRIDGE HEALTH INC. AND ITS SUBSIDIARIES TO MAKE AVAILABLE UPON REQUEST THE AUDITED FINANCIAL STATEMENTS TO THE GENERAL PUBLIC. THE LIFEBRIDGE HEALTH INC. AND SUBSIDIARY GOVERNING DOCUMENTS ARE NOT MADE AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST OR VIA A WEBSITE. THE CONFLICT OF INTEREST POLICY IS INCLUDED ON SCHEDULE O. FORM 990, PART XI, LINE 9, CHANGES IN NET ASSETS: CHANGE IN MINIMUM PENSION LIABILITY $ 3,254,759 CHANGE IN NET ASSETS OF SUBSIDIARIES $ 2,997,598 PENSION NON SERVICE COSTS $ 2,836,464 GRANT CAPITAL EXPENDITURES -$ 48,254 PLEDGE RECEIVABLE -$ 56,439 UBIT NETTED WITH CORPORATE ALLOCATION -$ 146,243 OTHER CHANGES IN NET ASSETS -$ 370,564 TRANSFER TO AFFILIATES -$ 50,265,088 TOTAL -$ 41,797,767 FORM 990, PART XII, LINE 2C: 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. FORM 990 PART IX LINE 11G DESCRIPTION:OPERATING CORP ALLOCATION TOTAL FEES:57996553 FORM 990 PART IX LINE 11G DESCRIPTION:AGENCY NURSES TOTAL FEES:42770162 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER PURCHASED SERVICES TOTAL FEES:40529085 FORM 990 PART IX LINE 11G DESCRIPTION:PURCHASED TEMP HELP TOTAL FEES:3549616 FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACT SERVICES TOTAL FEES:538074 SINAI CLINICAL PROFESSIONALS LLC 515 FAIRMONT AVENUE TOWSON MD 21286 270192555 INACTIVE MD 0 0 SHB INC LIFEBRIDGE CARDIOLOGY AT QUARRY LAKE 2401 WEST BELVEDERE AVENUE BALTIMORE MD 21215 274404331 HEALTHCARE MD 1643048 545340 SHB INC SINAI PARKING FACILITY LLC 2401 WEST BELVEDERE AVENUE BALTIMORE MD 21215 REAL ESTATE MD 0 10486311 SHB INC Carroll Hospital Center Inc 200 Memorial Avenue Westminster MD 21157 521452024 Hospital MD 501(C)(3) 3 CCHS false Bridginglife Inc 292 Stoner Avenue Westminster MD 21157 521565870 Hospice MD 501(C)(3) 7 CHC false Carroll Hospital Center Foundation Inc 200 Memorial 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