2022-07-14T12:15:02-05:00 2021-08-31 BDO USA LLP 8401 GREENSBORO DRIVE 800 MCLEAN VA 22102 990 2020-09-01 520591555 GRACE MEDICAL CENTER INC % NANCY KANE GRAC 4106016161 2000 W BALTIMORE STREET BALTIMORE MD 21223 DAVID KRAJEWSKI EXECUTIVE VP/CFO 4106016161 2022-07-14 true DAVID KRAJEWSKI 999009999 Marc Berger P01871563 7038930600 3 2020 2022-09-23 18:48:47Z DANIEL BLUM 2000 W BALTIMORE STREET BALTIMORE MD 21223 38153428 false X WWW.LIFEBRIDGEHEALTH.ORG/GRACE/GRACE.ASPX X 1920 MD TO PROVIDE COMPASSIONATE HEALTHCARE SERVICES FOR ALL, REGARDLESS OF PATIENTS' ABILITY TO PAY. 9 5 694 5 0 0 6606783 7372082 58024648 30060071 88398 -3228000 712981 673012 65432810 34877165 0 0 0 0 44249465 33309634 0 0 0 38010098 29840636 82259563 63150270 -16826753 -28273105 98374187 110112234 83274038 99061699 15100149 11050535 X THE MISSION IS TO PROVIDE COMPASSIONATE HEALTHCARE SERVICES FOR ALL, REGARDLESS OF PATIENTS' SOCIO-ECONOMIC STATUS AND ABILITY TO PAY. false true 44273429 0 34457396 SEE SCHEDULE O. 44273429 true true false false false false false false true false true false false true true false true true false false false false false false false false true true false false true false false false false false false false false false false false false false true false false false true 70 0 694 false false false false false false false false false false false false X 9 5 false false false false true true true true true false false true true true true true true false false false MD X NANCY KANE 4106015653 10090 RED RUN BLVD OWINGS MILLS MD 21117 X NEIL M MELTZER PRESIDENT/CEO LBH 1.0 40.0 X X 0 3250231 742174 DANIEL BLUM President & COO Sinai & Grace 1.0 40.0 X X 0 830406 72847 MATTHEW POFFENROTH VICE PRESIDENT 1.0 40.0 X 0 709106 99337 REBECCA ALTMAN VICE PRESIDENT 1.0 40.0 X 0 402505 76187 Arsalan Sheikh MD VP - Chief Medical Officer 40.0 0.0 X 315421 0 33336 THEODORA BALIS MD PRIMARY CARE PHYSICIAN 40.0 0.0 X 293161 0 29739 EMMANUEL ONI MD PHYSICIAN 40.0 0.0 X 302776 0 616 IBRAHIM HANNA MD CHAIR OF SURGERY 40.0 0.0 X 288205 0 14898 SHANTA POWELL MD PHYSICIAN 40.0 0.0 X 259951 0 29899 DAVID HAUSER MD PSYCHIATRIST 40.0 0.0 X 262107 0 13561 Mohamed Dauda MD President Medical Staff 40.0 0.0 X 240560 0 32376 DENNIS H WEINMAN Secretary and Treasurer 1.0 0.0 X X 0 0 0 Jonathan Davidov CHAIR 1.0 0.0 X X 0 0 0 Michael Gaines Director 1.0 0.0 X 0 0 0 Venroy July DIRECTOR 1.0 0.0 X 0 0 0 Brian Moffet DIRECTOR 1.0 0.0 X 0 0 0 1962181 5192248 1144970 56 false true false UNIV OF MD EMERGENCY MEDICINE ASSOC 110 SOUTH PACA STREET BALTIMORE MD 21201 ED PHYSICIAN SERVICE 2343897 UNIVERSAL PROTECTION SERVICES LP 36 S CHARLES STREET 2204 BALTIMORE MD 21201 SECURITY SERVICES 2067953 JACKSON COKER 3650 MANSELL ROAD SUITE 310 ALPHARETTA GA 30022 STAFFING SERVICES 1899843 CROTHALL HEALTHCARE 1500 LIBERTY RIDGE DRIVE SUITE 210 WAYNE PA 19087 ENVIRONMENTAL SRVCS 1689862 JOHNSON CONTROLS INC 5757 N GREEN BAY AVENUE MILWAUKEE WI 53201 EQUIP. MAINTENANCE 1435273 29 21784 6571075 779223 7372082 PATIENT SERVICE REVENUE 621110 30060071 30060071 30060071 0 0 0 181950 48263 133687 0 133687 133687 3228000 -3228000 -3228000 -3228000 0 0 0 0 0 0 0 0 0 340B PHARMACY 446110 389470 389470 MISCELLANEOUS REVENUE 900099 149855 149855 539325 34877165 30599396 -3094313 0 0 0 0 0 0 0 0 0 26701958 21206007 5495951 305855 242902 62953 4253981 3378402 875579 2047840 1626342 421498 0 0 63000 63000 0 0 0 15639788 8576578 7063210 0 156426 4483 151943 953722 165673 788049 0 0 1679171 1301692 377479 5725 5725 0 28116 23543 4573 877468 877468 0 4248118 1793258 2454860 0 SUPPLIES 6148826 5929061 219765 0 DUES/MEMBERSHIP 40276 19763 20513 0 63150270 44273429 18876841 0 1955438 4937438 0 0 0 0 6339689 5617153 0 0 0 0 2784000 750 1230712 883667 291250 166744 115153618 61989199 34921586 53164419 0 0 0 0 0 0 0 0 50851512 45342063 98374187 110112234 12855236 14407101 0 0 17908802 11331431 0 0 0 0 0 0 49810000 42717576 0 0 2700000 30605591 83274038 99061699 X 15061971 10897684 38178 152851 15100149 11050535 98374187 110112234 X -28273105 43747 24179744 X X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true X 1369700 1369700 58779247 21682918 37096329 52458421 40306281 12152140 2546250 2546250 53164419 ASSETS LIM TO USE - CONSTRUCT 42858093 RIGHT OF USE ASSET - OPERATING 1250970 OTHER ASSET 1233000 45342063 0 INTERCOMPANY PAYABLES 28153536 LEASE LIABILITIES 1252055 OTHER MISC LIABILITIES 1200000 30605591 X 38197175 43747 43747 38153428 -3276263 -3276263 34877165 66426533 3276263 3276263 63150270 63150270 SCHEDULE D, PART IV, LINE 2B: GRACE MEDICAL CENTER HELD, SAFEGUARDED, MANAGED AND ACCOUNTED FOR THE SOCIAL SECURITY FUNDS OF CERTAIN PATIENTS. THESE FUNDS WERE HELD IN AN FDIC INSURED BANKING INSTITUTION. WITH THE ASSISTANCE OF HOSPITAL PERSONNEL, FUNDS WERE GENERALLY ACCESSED BY THE PATIENT THROUGH THE USE OF ATM CARDS OR VISA GIFT CARDS WHICH WAS PURCHASED ON THEIR BEHALF. SCHEDULE D, PART X, LINE 2: The Corporation has been recognized by the Internal Revenue Service as tax-exempt pursuant to Section 501(c)(3) of the Internal Revenue Code. The Corporation accounts for uncertain tax positions in accordance with Financial Accounting Standards Board (FASB) Accounting Standards Codification (ASC) Topic 740, Income Taxes. SCHEDULE D, PART XI, LINE 4B: LOSS ON FIXED ASSETS $-3,228,000 RENTAL EXPENSES $-48,263 SCHEDULE D, PART XII, LINE 2D: LOSS ON FIXED ASSETS $3,228,000 RENTAL EXPENSES $48,263 true true true X 300. true X 500. true true false true true 538732 538732 0.00810 538732 538732 0.00810 559945 114211 445734 0.00670 142035 142035 0.00210 11245499 6439640 4805859 0.07230 60145 60145 0.00090 12007624 6553851 5453773 0.08200 12546356 6553851 5992505 0.09010 true 2125390 2099367 12720265 12738459 -18194 X true true 1 1 GRACE MEDICAL CENTER INC 2000 W BALTIMORE STREET BALTIMORE MD 21215 https://www.lifebridgehealth.org/Grace/G 30-007 X X X X GRACE MEDICAL CENTER INC 1 false false true X X X X X X X X X 20 true false false true X SEE SCHEDULE H, PART V, SECTION C X X true 20 true SEE SCHEDULE H, PART V, SECTION C false true X 300. 500. X X true true X X X true X SEE SCHEDULE H, PART V, SECTION C X SEE SCHEDULE H, PART V, SECTION C X SEE SCH H, PART V, SEC C X X X X X X true X false X X X X true X false false PART V, SECTION B, LINE 5: THE CHNA TEAM USED A MULTI-PRONGED APPROACH TO SOLICIT INPUT FROM THE WEST BALTIMORE COMMUNITY REGARDING THEIR HEALTH NEEDS. DATA COLLECTION METHODOLOGIES INCLUDED SURVEYS, STAKEHOLDER INTERVIEWS, AND FOCUS GROUPS. THE TEAM ENGAGED WITH REPRESENTATIVES OF THE COMMUNITY (E.G., MARYLAND DEPARTMENT OF HEALTH AND MENTAL HYGIENE AND THE BALTIMORE CITY HEALTH DEPARTMENT) WHO HAD KNOWLEDGE OF PUBLIC HEALTH ISSUES AND INSIGHT INTO THE BROAD INTERESTS OF THE COMMUNITIES SERVED BY THE ORGANIZATION AS WELL AS THE SPECIFIC NEEDS OF THE MEDICALLY UNDERSERVED, LOW-INCOME AND VULNERABLE POPULATIONS, AND PEOPLE WITH CHRONIC DISEASES. THE CHNA WORK GROUP MET WITH SENIORS, RE-ENTRY RESIDENTS, FAITH-BASED STAKEHOLDERS, COMMUNITY LEADERS, HEALTH CARE PROVIDERS, NEIGHBORHOOD ASSOCIATIONS, REPRESENTATIVES FROM COMMUNITY-BASED ORGANIZATIONS AND OTHER KEY COMMUNITY STAKEHOLDERS WITH AN INTIMATE KNOWLEDGE OF THE WEST BALTIMORE COMMUNITY AND ITS HEALTH NEEDS. TWO HUNDRED SEVENTY-THREE (273) SURVEYS WERE COLLECTED WITHIN THE DEFINED SERVICE AREA. ELEVEN (11) STAKEHOLDER INTERVIEWS AND THREE (3) FOCUS GROUPS WERE CONDUCTED BETWEEN JANUARY AND MARCH 2020. ALL METHODS FOCUSED ON COMMUNITY HEALTH NEEDS, COMMUNITY ASSETS AND RESOURCES AVAILABLE TO RESPOND TO THE COMMUNITY HEALTH NEEDS, BARRIERS AND CHALLENGES TO ACCESSING THE COMMUNITY ASSETS AND RESOURCES, AND WAYS IN WHICH GRACE MEDICAL CENTER COULD HELP ADDRESS THE HEALTH NEEDS. PART V, SECTION B, LINE 7A: HTTPS://WWW.LIFEBRIDGEHEALTH.ORG/UPLOADS/PUBLIC/DOCUMENTS/POPULATION%20HEA LTH/GRACE%20MEDICAL%20CENTER_CHNA_FINAL.PDF PART V, SECTION B, LINE 7D: COPIES OF THE CHNA WERE DISTRIBUTED TO KEY COMMUNITY PARTNERS. PART V, SECTION B, LINE 10A: https://www.lifebridgehealth.org/Uploads/Public/Documents/Grace%20Medical% 20Center/Grace-Medical-Center-Implementation-Plan.pdf PART V, SECTION B, LINE 11: GRACE MEDICAL CENTER CHNA IMPLEMENTATION PLAN IN THE WINTER AND SPRING OF 2019 BON SECOURS HOSPITAL IN SOUTHWEST BALTIMORE CONDUCTED ITS TRI-ANNUAL COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA"). THE CHNA INCLUDED COMMUNITY MEETINGS, SURVEYS AND INTERVIEWS WITH THOSE WHO HAVE A KNOWLEDGE OF PUBLIC HEALTH, THE BROAD INTERESTS OF THE COMMUNITY SERVED, AS WELL AS SPECIAL KNOWLEDGE OF THE MEDICALLY UNDERSERVED, LOW-INCOME AND VULNERABLE POPULATIONS AND PEOPLE WITH CHRONIC CONDITIONS. THE CHNA WAS COMPLETED AND APPROVED BY THE HOSPITAL BOARD OF DIRECTORS IN JULY 2020. THE FOLLOWING HEALTH AND SOCIAL CONDITIONS WERE IDENTIFIED AS SIGNIFICANT NEEDS OF THE COMMUNITY BEING SERVED: - BEHAVIORAL HEALTH/SUBSTANCE ABUSE/OPIOIDS - CRIME AND RELATED TRAUMA - CHRONIC CONDITIONS - HOUSING AND HOMELESSNESS - ACCESS TO PRIMARY PHYSICIANS - COMMUNITY ENGAGEMENT - CHILDREN'S HEALTH - EMPLOYMENT & WORKFORCE DEVELOPMENT - HEALTH EDUCATION WITHIN THE PUBLIC EDUCATION SYSTEM - TRANSPORTATION - ACCESS TO HEALTHY FOODS - SUPPORT FOR SENIOR SERVICES - YOUTH SERVICES (AGES 5-18) - FINANCIAL COUNSELING AND LITERACY - COORDINATION OF SERVICES ACROSS COMMUNITY PRIOR TO DEVELOPMENT OF AN ASSOCIATED CHNA IMPLEMENTATION PLAN, BON SECOURS HOSPITAL WAS SOLD TO LIFEBRIDGE HEALTH, A MULTI-HOSPITAL AND HEALTH SYSTEM WITHIN MARYLAND. BON SECOURS HOSPITAL WAS RENAMED GRACE MEDICAL CENTER. IN THE SPRING OF 2021, THE LEADERSHIP OF GRACE MEDICAL CENTER REVIEWED THE COMPLETED CHNA AND PRIORITIZED THE FOLLOWING IDENTIFIED NEEDS FOR DEVELOPMENT OF A CHNA IMPLEMENTATION PLAN FOR APPROVAL AND ADOPTION BY ITS BOARD: - BEHAVIORAL HEALTH/SUBSTANCE ABUSE/OPIOIDS - ACCESS TO PRIMARY AND SPECIALTY CARE PROVIDERS - CHRONIC CONDITIONS - CRIME AND TRAUMA - COMMUNITY ENGAGEMENT & DEVELOPMENT - TRANSPORTATION FOR ITS HOSPITALS' 2018 CHNA IMPLEMENTATION PLANS LIFEBRIDGE HEALTH ORGANIZED ITS PRIORITIZED NEEDS INTO THREE MAJOR CATEGORIES: HEALTH, SOCIAL AND ENVIRONMENTAL, AND ACCESS AND DEVELOPED SPECIFIC GOALS AND ACTIONS. SIMILARLY, GRACE MEDICAL CENTER HAS DEVELOPED A SIMILAR IMPLEMENTATION PLAN FOR THE PRIORITIZED NEEDS ABOVE CONSISTENT WITH THE LIFEBRIDGE HEALTH MODEL. HEALTH -BEHAVIORAL HEALTH/SUBSTANCE ABUSE/OPIOIDS: SUBSTANCE ABUSE TREATMENT PROGRAMMING TO PREVENT OVERDOSE FATALITIES AMONG ENROLLEES IN OTP PROGRAMS AS WELL AS THE SOUTHWEST BALTIMORE COMMUNITY IN GENERAL. IMPROVE THE HEALTH STATUS OF RESIDENTS OF SOUTHWEST BALTIMORE BY INCREASING THE NUMBER OF SBIRT INTERVENTIONS AND OVERDOSE SURVIVOR'S OUTREACH PROGRAM (OSOP) REFERRALS. GRACE MEDICAL'S SCREENING BRIEF INTERVENTION REFERRAL TO TREATMENT ("SBIRT") IS DESIGNED SO THAT ALL PATIENTS THAT ENTER THE HOSPITAL THROUGH THE EMERGENCY DEPARTMENT OR THROUGH A DIRECT ADMISSION ARE SCREENED BY HOSPITAL NURSING STAFF AS PART OF THE NURSING ASSESSMENT. NURSES AND OTHER MEMBERS OF THE HEALTH CARE TEAM REFER PATIENTS AT HIGH RISK TO PEER RECOVERY COACHES (PRCO) TO PROVIDE BRIEF INTERVENTIONS AND REFERRALS TO TREATMENT. -AMBULATORY CLINICS (PRIMARY CARE, MULTI-SPECIALTY, AND PEDIATRIC): IMPROVE AND EXPAND ACCESS TO PRIMARY CARE, PREVENTIVE SERVICES, AND SPECIALTY CARE. IMPROVE THE HEALTH OF THE COMMUNITY BY INCREASING THE NUMBER OF PEOPLE CONNECTED TO A PRIMARY CARE MEDICAL HOME AND INCREASING ANNUAL PRIMARY CARE VISITS -CARE TRANSITIONS, CASE MANAGEMENT, AND COMMUNITY PROGRAMS: IMPROVE THE HEALTH STATUS OF SOUTHWEST BALTIMORE RESIDENTS BY ENGAGING THE COMMUNITY IN SCREENINGS AND EDUCATIONAL EVENTS THAT PROMOTE HEALTHIER LIFESTYLES AND BETTER SELF-MANAGEMENT OF HEALTH AND CHRONIC CONDITIONS. IMPROVE MANAGEMENT OF CHRONIC CONDITIONS BY EARLY IDENTIFICATION OF PATIENTS AT RISK, PROVISION OF CARE, MANAGEMENT OF THOSE WITH CHRONIC CONDITIONS, AND ENROLLMENT INTO CARE MANAGEMENT AND/OR CARE TRANSITIONS PROGRAMS SOCIAL AND ENVIRONMENTAL -CRIME AND TRAUMA: 1. PROVIDE VIOLENCE INTERVENTION & PREVENTION AWARENESS TRAINING FOR ALL GMC STAFF ON ALL FORMS OF VIOLENCE & ABUSE 2. ASSESS NEED FOR ONSITE VIOLENCE RESPONDERS & COMMUNITY VIOLENCE INTERRUPTERS (I.E. ESTABLISH A SAFE STREETS SITE) TO ENSURE THAT PATIENTS WHO HAVE BEEN VICTIMS OF GUN VIOLENCE, STABBINGS, DOMESTIC VIOLENCE, ELDER ABUSE, AND OTHER FORMS OF VIOLENCE HAVE THE SUPPORT NEEDED WHILE AT GRACE MEDICAL AND WITHIN THE COMMUNITY 3. PROVIDE CASE MANAGEMENT, INCLUDING INDIVIDUALIZED NEEDS ASSESSMENTS, TAILORED CASE PLANNING, AND COMMUNITY-BASED CLIENT ADVOCACY, FOR SURVIVORS OF VIOLENCE RELATED TRAUMA 4. PROVIDE TRAUMA RESPONSIVE MENTAL HEALTH SERVICES FOR SURVIVORS OF VIOLENCE RELATED TRAUMA 5. PROVIDE SCHOOL-BASED VIOLENCE PREVENTION SERVICES, INCLUDING ACADEMIC ENRICHMENT OPPORTUNITIES, LIFE SKILLS TRAINING, AND STUDENT SUPPORT GROUPS THROUGH AN EVIDENCE-BASED VIOLENCE PREVENTION CURRICULUM -COMMUNITY ENGAGEMENT AND DEVELOPMENT: MULTIPLE COMMUNITY-BASED INITIATIVES TO ADDRESS KEY HEALTH AND SOCIO-ECONOMIC CHALLENGES IN WEST BALTIMORE. PROMOTE QUALITY, HEALTHY FOOD ACCESS IN WEST BALTIMORE THROUGH AN INITIATIVE, E.G. FOOD EDUCATION, FOOD MARKET OR ORGANIZATIONAL PARTNERSHIP. EXPAND LIFEBRIDGE HEALTH LIVE NEAR YOUR WORK PROGRAM IN THE WEST BALTIMORE SERVICE AREA. IN PARTNERSHIP WITH POPULATION HEALTH AND BALTIMORE CHILD ABUSE CENTER (BCAC), OFFER TWO HEALTH EDUCATION-BASED WORKSHOPS AND/OR EVENTS EACH YEAR TO THE WEST BALTIMORE COMMUNITY. BUILD PARTNERSHIPS WITH TWO WORKFORCE DEVELOPMENT ORGANIZATIONS AND CONDUCT TWO OUTREACH EVENTS PER YEAR TO CONNECT AREA RESIDENTS TO EMPLOYMENT OPPORTUNITIES. ACCESS -TRANSPORTATION: PROVIDE TRANSPORTATION TO COMMUNITY RESIDENTS FOR CLINIC APPOINTMENTS AND DIALYSIS TREATMENTS THE FOLLOWING NEEDS WERE NOT SPECIFICALLY INCLUDED IN THE IMPLEMENTATION PLAN AS THE NEEDS ARE BEING ADDRESSED IN CONJUNCTION WITH OTHER PARTNERING ORGANIZATIONS THAT HAVE NUMEROUS PROGRAMS AND SERVICES AVAILABLE TO ADDRESS MANY OF THE IDENTIFIED COMMUNITY HEALTH NEEDS. - HOUSING AND HOMELESSNESS - COMMUNITY ENGAGEMENT- EMPLOYMENT & WORKFORCE DEVELOPMENT - HEALTH EDUCATION WITHIN THE PUBLIC EDUCATION SYSTEM - ACCESS TO HEALTHY FOODS - SUPPORT FOR SENIOR SERVICES - YOUTH SERVICES (AGES 5-18) - FINANCIAL COUNSELING AND LITERACY - COORDINATION OF SERVICES ACROSS COMMUNITY PART V, SECTION B, LINE 16A: https://www.lifebridgehealth.org/Main/LifeBridgeHealthFinancialAssistance. aspx PART V, SECTION B, LINE 16B: https://www.lifebridgehealth.org/Main/LifeBridgeHealthFinancialAssistance. aspx PART V, SECTION B, LINE 16C: https://www.lifebridgehealth.org/Main/LifeBridgeHealthFinancialAssistance. aspx 4 GRACE MEDICAL NEW HOPE 2401 West Baltimore Street Baltimore MD 21223 BEHAVIORAL HEALTH SERVICES GRACE MEDICAL CIBSSCMPACTNEW PHASES 6000 METRO DRIVE SUITE 110 BALTIMORE MD 21215 BEHAVIORAL HEALTH SERVICES FAMILY HEALTH AND WELLNESS 2000 WEST BALTIMORE STREET SUITE 3 BALTIMORE MD 21223 COMMUNITY MEDICAL CENTER GRACE MEDICAL CIBSADAPT 2401 WEST BALTIMORE STREET BALTIMORE MD 21223 BEHAVIORAL HEALTH SERVICES SCHEDULE H, PART I, LINE 3C: GRACE MEDICAL CENTER, INC. PROVIDES SERVICES WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES TO PATIENTS WHO MEET THE CRITERIA OF ITS CHARITY CARE POLICY. IT DOES NOT PURSUE THE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE AND THOSE AMOUNTS ARE NOT REPORTED AS REVENUE. THE CRITERIA CONSIDER GROSS INCOME AND FAMILY SIZE ACCORDING TO CURRENT FEDERAL POVERTY GUIDELINES. TO QUALIFY, THE PATIENT MUST SHOW PROOF OF INCOME 300% OR LESS OF THE FEDERAL POVERTY GUIDELINES. A SLIDING SCALE IS USED TO DETERMINE ELIGIBILITY FOR THOSE WHOSE INCOME EXCEEDS 300%. ELIGIBILITY IS CALCULATED BASED ON THE NUMBER OF PEOPLE LIVING IN THE HOUSEHOLD. THE PROGRAM COVERS UNINSURED, UNDER-INSURED AND PATIENT LIABILITY AFTER INSURANCE(S) PAY. APPROVALS ARE GRANTED FOR A TWELVE MONTH PERIOD OF TIME AND PATIENTS ARE ENCOURAGED TO RE-APPLY FOR CONTINUED ELIGIBILITY. 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 PAYOR'S RATES, WHICH DOES NOT ENABLE MARYLAND HOSPITALS TO BREAK-OUT ANY OFFSETTING REVENUE RELATED TO UNCOMPENSATED CARE. THE COST OF RENDERING SERVICES FOR MEDICAL ASSISTANCE PATIENTS IS APPROXIMATELY EQUAL TO MEDICAID REVENUES IN MARYLAND. THUS, THE NET EFFECT IS APPROXIMATELY ZERO. THE EXCEPTION TO THIS IS THE IMPACT ON THE HOSPITAL OF ITS SHARE OF THE MEDICAID ASSESSMENT. IN RECENT YEARS, THE STATE OF MARYLAND HAS CLOSED FISCAL GAPS IN THE STATE MEDICAID BUDGET BY ASSESSING HOSPITALS THROUGH THE RATE-SETTING SYSTEM. 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: PART II, COMMUNITY BUILDING ACTIVITIES: GRACE MEDICAL CENTER, INC. ADDRESSES VARIOUS COMMUNITY CONCERNS INCLUDING HEALTH IMPROVEMENT, POVERTY, WORKFORCE DEVELOPMENT, AND ACCESS TO HEALTH CARE. GRACE MEDICAL CENTER, INC. CONDUCTS COMMUNITY HEALTH EDUCATION AND SUPPORT GROUPS, HEALTH FAIRS AND SCREENINGS FOR THE COMMUNITIES SERVED. GRACE MEDICAL CENTER, INC. WORKS WITH STATE AND LOCAL LEADERSHIP TO ADDRESS COMMUNITY NEEDS AND PROVIDE HEALTHCARE SERVICES TO THE POOR AND UNDERSERVED. 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: GRACE MEDICAL CENTER, 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, OUT-OF-STATE MEDICAID PROGRAMS, MARYLAND MEDICAID ELIGIBLE AFTER ADMISSION, MARYLAND MEDICAID AND IF THE PATIENT WAS DENIED MEDICAID FOR NOT MEETING DISABILITY REQUIREMENTS. 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 MET 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 WERE USED TO ASSIST IN THE RECOVERY OF BAD DEBT AFTER ALL INTERNAL COLLECTION EFFORTS HAVE BEEN EXHAUSTED. IN SO DOING, THE COLLECTION AGENCIES MUST OPERATE CONSISTENTLY WITH THE GOAL OF MAXIMUM BAD DEBT RECOVERY AND STRICT ADHERENCE WITH FAIR DEBT COLLECTIONS PRACTICES ACT (FDCPA) RULES AND REGULATIONS, WHILE MAINTAINING POSITIVE PATIENT RELATIONS. 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., ALTHOUGH HOSPITAL SYSTEMS DO NOT ALLOW FOR THIS TO BE AUTOMATED. 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: GRACE MEDICAL CENTER ASSESSES AND CONTINUALLY RESPONDS TO CHANGING COMMUNITY NEEDS THROUGH THE SERVICES OFFERED. GRACE MEDICAL CENTER JOINS AN EXISTING COMMUNITY-BASED NEEDS ASSESSMENT EVERY THREE YEARS AND UPDATES ARE PROVIDED BETWEEN ASSESSMENTS. GRACE MEDICAL CENTER INCORPORATES PLANNING FOR COMMUNITY BENEFITS AS PART OF ITS ANNUAL BUSINESS AND STRATEGIC PLANNING PROCESSES. GRACE MEDICAL CENTER RECOGNIZES THE HEALTH OF THE COMMUNITY IS INFLUENCED BY SOCIAL, ECONOMIC, AND ENVIRONMENTAL FACTORS, NOT JUST BY DISEASE AND ILLNESS. OUR COMMUNITY BENEFIT ANALYSIS INCLUDES BOTH QUALITATIVE AND QUANTITATIVE DATA; DEMOGRAPHICS INCLUDING RACE, AGE, AND ETHNICITY; SOCIOECONOMIC DATA INCLUDING INCOME, EDUCATION, AND HEALTH INSURANCE RATES; PRIMARY CARE AND CHRONIC DISEASE NEEDS OF UNINSURED PERSONS; AND DATA ON HEALTH DISPARITIES IN HEALTH OUTCOMES AMONG MINORITY GROUPS. GRACE MEDICAL CENTER COMMUNITY BENEFITS COMMITTEES MEET TO PROVIDE OVERSIGHT TO THE ORGANIZATION'S COMMUNITY BENEFITS PROGRAM. GRACE MEDICAL CENTER WORKS CLOSELY WITH HEALTH AND HUMAN SERVICE ORGANIZATIONS IN THE AREA, PARTNERING WITH SOME TO PROVIDE SERVICES TO AVOID DUPLICATION. SCHEDULE H, PART VI, LINE 3: THE FOLLOWING DESCRIBES MEANS USED AT GRACE MEDICAL CENTER 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. GRACE MEDICAL 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 PATIENTS PRIOR TO DISCHARGE. GRACE MEDICAL'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. 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 GRACE'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 GRACE'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, SPANISH AND FRENCH. GRACE MEDICAL 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: GRACE MEDICAL'S SERVICE AREA INCLUDES 40.5% OF BALTIMORE CITY'S POPULATION. GRACE MEDICAL'S SERVICE AREA IS SIMILAR TO BALTIMORE CITY AND MARYLAND IN REGARD TO AGE AND GENDER, BUT IS DIFFERENT IN TERMS OF RACE/ETHNICITY AND INCOME. THE AREA HAS A LOWER HOUSEHOLD INCOME AND A LARGER PROPORTION OF AFRICAN AMERICANS THAN BALTIMORE CITY AND MARYLAND. THE AREA ALSO EXPERIENCES A HIGHER RATE OF PUBLIC INSURANCE THAN MARYLAND. WITHIN GRACE MEDICAL'S SERVICE AREA'S SEVEN ZIP CODES THERE IS WIDE VARIATION. ZIP CODES 21217 AND 21223 HAVE A POPULATION THAT IS YOUNGER THAN THE OTHER ZIP CODES, WHILE 21215 AND 21216 HAVE A POPULATION THAT IS OLDER THAN THE OTHER ZIP CODES. THERE IS ALSO WIDE VARIATION IN RACE/ETHNICITY AND INSURANCE COVERAGE WITHIN THE AREA. OVERALL, THE AREA IS A MAJORITY AFRICAN AMERICAN, LOW INCOME, AND IN MOST ZIP CODES PUBLICLY INSURED. 40.5% OF BALTIMORE CITY'S RESIDENTS ARE WITHIN GRACE MEDICAL'S SERVICE AREA. ZIP CODES 21215, 21229, AND 21217 COMPRISE THE LARGEST SEGMENTS OF THE AREA, AND REPRESENT 59.6% OF THE TOTAL RESIDENTS IN THE AREA. HOUSEHOLD INCOMES ARE MUCH LOWER IN THE AREA ON AVERAGE THAN THE STATE OF MARYLAND AND BALTIMORE CITY. 29.9% HAVE AN INCOME UNDER $25,000. 55.1% OF HOUSEHOLD INCOMES ARE BELOW $50,000, WHEREAS 50.3% OF BALTIMORE CITY AND 26.3% OF MARYLAND HOUSEHOLD INCOMES ARE BELOW $50,000. 57.3% OF MARYLAND HOUSEHOLD INCOMES ARE $75,000 OR OVER, WHILE 27.6% OF GRACE MEDICAL'S SERVICE AREA HOUSEHOLDS HAVE AN INCOME OF $75,000 OR OVER. THE AREA HAS A HIGHER PERCENT OF INDIVIDUALS THAT HAVE PUBLIC INSURANCE COMPARED TO MARYLAND. MORE THAN 30% OF THEIR POPULATION IS ENROLLED IN PUBLIC INSURANCE. THERE IS ALSO A HIGHER PROPORTION OF UNINSURED PERSONS COMPARED TO BALTIMORE AND MARYLAND. FOUR OF 7 ZIP CODES WITHIN THE GRACE MEDICAL SERVICE AREA HAVE 50% OR MORE OF THEIR POPULATION ENROLLED IN PUBLIC INSURANCE. THE GRACE MEDICAL SERVICE AREA ALSO HAS ONE OF THE HIGHEST DISEASE BURDEN AND SOME OF THE WORST INDICATORS OF SOCIAL DETERMINANTS OF HEALTH OF ANY COMMUNITY IN MARYLAND. THESE NEIGHBORHOODS ESTABLISH THE LOWER EXTREMES FOR HEALTH DISPARITIES IN THE CITY AND THE STATE ACROSS ALL MAJOR CHRONIC ILLNESSES. FAMILIES IN THE ZONE EXPERIENCE POVERTY (20%) AT HIGHER RATES THAN THOSE IN MARYLAND (6%) AND IN BALTIMORE CITY (17%). LIFE EXPECTANCY CAN BE UP TO 12 YEARS SHORTER IN THESE ZIP CODES THAN IN OTHER PARTS OF MARYLAND. SCHEDULE H, PART VI, LINE 5: GRACE MEDICAL OPERATES AN EMERGENCY ROOM OPEN TO ALL PERSONS REGARDLESS OF ABILITY TO PAY. IN ADDITION TO PROVIDING EMERGENCY SERVICES, GRACE MEDICAL ALSO PROVIDES MINOR EMERGENCY AND URGENT CARE SERVICES TO ALL REGARDLESS OF ABILITY TO PAY. GRACE MEDICAL PARTICIPATES IN MEDICAID, MEDICARE, CHAMPUS, AND OTHER GOVERNMENT-SPONSORED HEALTH CARE PROGRAMS. GRACE MEDICAL'S EMERGENCY DEPARTMENT TREATS A LARGE NUMBER OF PATIENTS WHO USE THE FACILITY FOR PRIMARY CARE NEEDS. PATIENT DEMOGRAPHICS REFLECT THE CHANGING COMMUNITY. AS IN OTHER COMMUNITIES, SOME AREA PHYSICIANS PLACE LIMITS ON THEIR ACCEPTANCE OF MEDICAID PATIENTS. IN ADDITION, SOME PRIMARY CARE PHYSICIANS REFER PATIENTS WITH AFTERHOURS NEEDS DIRECTLY TO AREA EMERGENCY ROOMS. COMMUNITY GROUPS AND INDIVIDUALS ARE VERY SUPPORTIVE OF GRACE MEDICAL CENTER. SCHEDULE H, PART VI, LINE 6: SINCE NOVEMBER 1, 2019, GRACE MEDICAL HAS BEEN 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: THE COMMUNITY BENEFIT REPORT IS FILED IN THE STATE OF MARYLAND. false true false false false false false false false REBECCA ALTMAN VICE PRESIDENT 0 335239 0 67266 0 0 0 47500 0 28687 0 478692 0 0 MATTHEW POFFENROTH VICE PRESIDENT 0 537950 0 149891 0 21265 0 69858 0 29479 0 808443 0 0 DANIEL BLUM President & COO Sinai & Grace 0 478292 0 295000 0 57114 0 54600 0 18247 0 903253 0 0 NEIL M MELTZER PRESIDENT/CEO LBH 0 1250601 0 1531535 0 468095 0 717490 0 24684 0 3992405 0 0 IBRAHIM HANNA MD CHAIR OF SURGERY 288205 0 0 0 0 0 4624 0 10274 0 303103 0 0 0 THEODORA BALIS MD PRIMARY CARE PHYSICIAN 284621 0 8540 0 0 0 0 0 29739 0 322900 0 0 0 DAVID HAUSER MD PSYCHIATRIST 237107 0 25000 0 0 0 2830 0 10731 0 275668 0 0 0 SHANTA POWELL MD PHYSICIAN 259951 0 0 0 0 0 0 0 29899 0 289850 0 0 0 EMMANUEL ONI MD PHYSICIAN 302776 0 0 0 0 0 0 0 616 0 303392 0 0 0 Mohamed Dauda MD President Medical Staff 231560 0 9000 0 0 0 0 0 32376 0 272936 0 0 0 Arsalan Sheikh MD VP - Chief Medical Officer 304302 0 11119 0 0 0 4919 0 28417 0 348757 0 0 0 SCHEDULE J, PART I, LINE 3: SINCE NOVEMBER 1, 2020, THE ORGANIZATION HAS BEEN PART OF LIFEBRIDGE HEALTH ("LBH"). THE COMPENSATION OF THE ORGANIZATION'S PRESIDENT IS ESTABLISHED BY LBH AS PART OF ITS PROCESS FOR SETTING EXECUTIVE COMPENSATION ACROSS THE HEALTH SYSTEM. METHODS USED BY LBH INCLUDE A COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. SCHEDULE J, PART I, LINES 4B: DURING THE YEAR, THE FOLLOWING DIRECTORS AND OFFICERS PARTICIPATED IN A LIFEBRIDGE HEALTH SPONSORED SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: NEIL M. MELTZER $685,526 MATTHEW POFFENROTH $ 54,782 DURING THE YEAR, THE FOLLOWING DIRECTORS AND OFFICERS RECEIVED PAYMENTS AS PART OF THEIR PARTICIPATION IN A LIFEBRIDGE HEALTH SPONSORED SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: NEIL M. MELTZER $425,633 COMPENSATION PROVIDED BY RELATED ORGANIZATIONS: MR. MELTZER RECEIVED COMPENSATION AS PRESIDENT AND CHIEF EXECUTIVE OFFICER OF LIFEBRIDGE HEALTH, INC., NOT AS A DIRECTOR. 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. FORM 990, PART III, LINE 3, CEASED SIGNIFICANT PROGRAM SERVICES: In January of 2021, Grace Medical Center, Inc ceased inpatient services. Those services are now provided at sister hospital: Sinai Hospital of Baltimore, Inc and Northwest Hospital Center, Inc. FORM 990, PART III, LINE 4A, PROGRAM SERVICE ACCOMPLISHMENTS: PRIOR TO JANUARY 21ST, 2021, GRACE MEDICAL CENTER INC PROVIDED BOTH INPATIENT AND OUTPATIENT SERVICES. FOLLOWING JANUARY 21ST, 2021, GRACE MEDICAL CENTER INC PROVIDES ONLY OUTPATIENT SERVICES. INPATIENT SERVICES: Until January 2021, the Hospital provided inpatient services across a range of medical and surgical specialties. OUTPATIENT SERVICES: RENAL DIALYSIS, HIV/AIDS SERVICES, MENTAL HEALTH, SUBSTANCE ABUSE TREATMENT, HEALTH EDUCATION, PEDIATRICS, OBGYN SERVICES, CARDIAC REHABILITATION AND WELLNESS PROGRAMS AND TELE-HEALTH PROGRAM FOR PATIENTS WITH CONGESTIVE HEART DISEASE. THE HOSPITAL OPERATES AN EMERGENCY ROOM THAT IS OPEN 24 HOURS PER DAY, SEVEN DAYS PER WEEK, SERVING PERSONS REGARDLESS OF THEIR ABILITY TO PAY. SEE SCH H FOR ADDITIONAL INFORMATION. FORM 990, PART VI, SECTION A, LINE 6: THE CORPORATION SHALL HAVE ONE MEMBER, LIFEBRIDGE HEALTH, INC. (THE "MEMBER"), A MARYLAND NON-STOCK 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 PROVIDES A COPY OF THE 990'S TO THE AUDIT AND COMPLIANCE COMMITTEE OF THE LIFEBRIDGE HEALTH BOARD AND TO EACH INDIVIDUAL BOARD DIRECTOR PRIOR TO THE FILING DATE FOR REVIEW. 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 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: TRANSFERS TO AFFILIATES $20,285,000 BANK FEES $77,940 OTHER ADJUSTMENT $3,816,804 FORM 990, PART XII, LINE 2C: THE AUDIT COMMITTEE REVIEW PROCESS FOR GRACE MEDICAL CENTER, INC. FOLLOWS LIFEBRIDGE HEALTH, INC.'S AUDIT COMMITTEE REVIEW PROCESS. FORM 990 PART IX LINE 11G DESCRIPTION:PROFESSIONAL AND TECHNICAL TOTAL FEES:4040714 FORM 990 PART IX LINE 11G DESCRIPTION:AGENCY NURSING TOTAL FEES:3364921 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER PURCHASED SERVICES TOTAL FEES:3355501 FORM 990 PART IX LINE 11G DESCRIPTION:LAUNDRY AND EVS TOTAL FEES:1845803 FORM 990 PART IX LINE 11G DESCRIPTION:SECURITY TOTAL FEES:1294523 FORM 990 PART IX LINE 11G DESCRIPTION:CAFETERIA SERVICES TOTAL FEES:1139123 FORM 990 PART IX LINE 11G DESCRIPTION:AMBULANCE SERVICE TOTAL FEES:599203 LEVINDALE HEBREW GERIATRIC CENTER HOSP 2434 WEST BELVEDERE AVENUE BALTIMORE MD 21215 520607913 HOSPITAL MD 501(C)(3) 3 LBH false SINAI HOSPITAL OF BALTIMORE INC 2401 WEST BELVEDERE AVENUE BALTIMORE MD 21215 520486540 HOSPITAL MD 501(C)(3) 3 LBH false COURTLAND GARDENS NURSING AND REHAB CTR 2434 WEST BELVEDERE AVENUE BALTIMORE MD 21215 520607907 NURSING MD 501(C)(3) 10 LBH false NORTHWEST HOSPITAL CENTER INC 5401 OLD COURT ROAD RANDALLSTOWN MD 21133 521372665 HOSPITAL 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