NORTHWEST HOSPITAL CENTER INC: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- NORTHWEST HOSPITAL CENTER INC (EIN 52-1372665)
- Tax period
- 2014-07-01 to 2015-06-30
- Filed
- 2016-05-16
- IRS object ID
- 201631379349301338
- Schema version
- 2014v6.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-05-16T09:07:53-05:00 | ReturnTs |
| Tax Period End | 2015-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 205991824 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SC&H TAX & ADVISORY SERVICES LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 910 RIDGEBROOK ROAD | AddressLine1Txt |
| City | SPARKS | CityNm |
| State Abbreviation | MD | StateAbbreviationCd |
| ZIP | 21152 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2014-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 521372665 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORTHWEST HOSPITAL CENTER INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | NORT | BusinessNameControlTxt |
| Phone | 4106015653 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5401 OLD COURT ROAD | AddressLine1Txt |
| City | RANDALLSTOWN | CityNm |
| State Abbreviation | MD | StateAbbreviationCd |
| ZIP | 21133 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DAVID KRAJEWSKI | PersonNm |
| Person Title | SENIOR VP/CFO | PersonTitleTxt |
| Phone | 4106015653 | PhoneNum |
| Signature | 2016-05-12 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | LORI S BURGHAUSER | PreparerPersonNm |
| PTIN | P00370694 | PTIN |
| Phone | 4104031500 | PhoneNum |
| Preparation | 2016-05-12 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-08-17 19:52:53Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | BRIAN WHITE | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5401 OLD COURT ROAD | AddressLine1Txt |
| City | RANDALLSTOWN | CityNm |
| State Abbreviation | MD | StateAbbreviationCd |
| ZIP | 21133 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $271,717,906 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.LIFEBRIDGEHEALTH.ORG/NORTHWEST | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1984 | FormationYr |
| Legal Domicile State | MD | LegalDomicileStateCd |
| Activity Or Mission | NORTHWEST HOSPITAL EXISTS TO IMPROVE THE WELL-BEING OF THE COMMUNITY BY NURTURING RELATIONSHIPS BETWEEN THE HOSPITAL, MEDICAL STAFF AND OUR PATIENTS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 22 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 17 | VotingMembersIndependentCnt |
| Total Employee | 1982 | TotalEmployeeCnt |
| Total Volunteers | 196 | TotalVolunteersCnt |
| Total Gross UBI | $4,970 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $2,395,954 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,525,610 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $215,194,826 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $226,374,623 | CYProgramServiceRevenueAmt |
| PY Investment Income | $7,216,542 | PYInvestmentIncomeAmt |
| CY Investment Income | $8,548,213 | CYInvestmentIncomeAmt |
| PY Other Revenue | $6,858,950 | PYOtherRevenueAmt |
| CY Other Revenue | $8,399,475 | CYOtherRevenueAmt |
| PY Total Revenue | $231,666,272 | PYTotalRevenueAmt |
| CY Total Revenue | $244,847,921 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $120,283,151 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $122,468,826 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $21,158 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $28,529 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $93,175,239 | PYOtherExpensesAmt |
| CY Other Expenses | $96,492,331 | CYOtherExpensesAmt |
| PY Total Expenses | $213,479,548 | PYTotalExpensesAmt |
| CY Total Expenses | $218,961,157 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $18,186,724 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $25,886,764 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $314,176,344 | TotalAssetsBOYAmt |
| Total Assets EOY | $332,447,752 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $124,625,585 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $124,221,561 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $189,550,759 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $208,226,191 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | SEE SCHEDULE O | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $159,444,132 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $226,374,623 | RevenueAmt |
| Desc | NORTHWEST HOSPITAL CENTER, INC. IS RESPONSIBLE FOR THE MANAGEMENT AND DAY-TO-DAY OPERATIONS OF THE 245 BED ACUTE-CARE AND 39 BED SUB ACUTE-CARE UNIT. 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. TOTAL CHARITY CARE AT COST WAS $3,225,997. | Desc |
| Total Program Service Expenses | $159,444,132 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | Yes (1) | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 115 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 1982 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 22 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 17 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | MD | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | CA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NANCY KANE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 4106015653 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2401 WEST BELVEDERE ROAD | AddressLine1Txt |
| City | BALTIMORE | CityNm |
| State Abbreviation | MD | StateAbbreviationCd |
| ZIP | 21215 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (36 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| DOUGLAS LEDERMAN | ||||||||
| CHAIR | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| PAUL L SAVAL | ||||||||
| VICE CHAIR (PART YEAR) | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| THOMAS F OBRECHT | ||||||||
| VICE CHAIR (PART YEAR) | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| JOEL R WOHL | ||||||||
| TREASURER | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| DONALD KIRSON | ||||||||
| SECRETARY (PART YEAR) | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $828 | $0 | |
| IRA HIMMEL | ||||||||
| SECRETARY (PART YEAR) | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| RONALD ATTMAN | ||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $828 | $0 | ||
| RICHARD AZRAEL | ||||||||
| DIRECTOR (PART YEAR) | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| ROBERT A BAVAR | ||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| JODY BERG | ||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| DALLAS S DANCE | ||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| EUGENE FRIEDMAN | ||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| HAROLD HACKERMAN | ||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| JUAN JUANTEGUY MD | ||||||||
| DIRECTOR (PART YEAR) | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| RICHARD KEMPER | ||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| AUDREY LIFCOVICH | ||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $828 | $0 | ||
| NICK MANGIONE JR | ||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| JOSEPH MIGLIARA | ||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| BILL MILLER | ||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| RONALD SCHUSTER | ||||||||
| DIRECTOR / PHYSICIAN | 40.00 | 0.00 | Yes (X) | $7,500 | $0 | $0 | ||
| WILLIAM SMULYAN MD | ||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| BARRY S WALTERS MD | ||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| BRIAN WHITE | ||||||||
| PRESIDENT/COO/DIRECTOR | 40.00 | 0.00 | Yes (X) | Yes (X) | $0 | $739,479 | $78,417 | |
| ALAN D YARBRO | ||||||||
| DIRECTOR (PART YEAR) | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| N PAUL ZEMANKIEWICZ DO | ||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| NEIL MELTZER | ||||||||
| PRES & CEO, LIFEBRIDGE HEALTH | 1.00 | 40.00 | Yes (X) | $0 | $1,500,322 | $359,290 | ||
| DAVID KRAJEWSKI | ||||||||
| SR VP/CFO, LIFEBRIDGE HEALTH | 1.00 | 40.00 | Yes (X) | $0 | $722,617 | $92,865 | ||
| RONALD GINSBERG | ||||||||
| VP MEDICAL AFFAIRS | 40.00 | 0.00 | Yes (X) | $466,774 | $0 | $19,990 | ||
| SUSAN JALBERT | ||||||||
| VP PATIENT CARE SERVICES | 40.00 | 0.00 | Yes (X) | $352,645 | $0 | $46,824 | ||
| CANDACE HAMNER | ||||||||
| VP CARE MANAGEMENT | 40.00 | 0.00 | Yes (X) | $0 | $334,804 | $11,485 | ||
| KELLY CORBI | ||||||||
| VP, OPERATIONS | 40.00 | 0.00 | Yes (X) | $321,747 | $0 | $52,275 | ||
| ROBERT SALTZMAN MD | ||||||||
| PHYSICIAN | 40.00 | 0.00 | $796,369 | $0 | $32,687 | Yes (X) | ||
| JAMIE BARNES DO | ||||||||
| PHYSICIAN | 40.00 | 0.00 | $486,489 | $0 | $27,254 | Yes (X) | ||
| DAWN LEONARD MD | ||||||||
| SURGEON | 40.00 | 0.00 | $406,870 | $0 | $35,408 | Yes (X) | ||
| JOGINDER MEHTA MD | ||||||||
| HOSPITALIST | 40.00 | 0.00 | $376,112 | $0 | $21,262 | Yes (X) | ||
| MAYER GORBATY MD | ||||||||
| PHYSICIAN | 40.00 | 0.00 | $323,527 | $0 | $32,056 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,538,033 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $3,299,706 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $809,813 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 137 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| CROTHALL SERVICES | |||||
| 13028 COLLECTIONS CENTER DRIVE | CHICAGO | IL | 60693 | CONTRACT CLEANING | $4,480,111 |
| ARAMARK HEALTHCARE | |||||
| 25271 NETWORK PLACE | CHICAGO | IL | 60693 | FOOD SERVICES | $767,833 |
| HEALTHCARE PERFORMANCE | |||||
| PO BOX 405652 | ATLANTA | GA | 30384 | RECRUITMENT CONSULTING | $598,043 |
| DAVITA OWINGS MILLS | |||||
| PO BOX 403008 | ATLANTA | GA | 30384 | RENAL DIALYSIS | $580,984 |
| CHESAPEAKE MEDICAL | |||||
| 2401 YORK ROAD | LUTHERVILLE | MD | 21093 | STAFFING | $482,696 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 27 | CntrctRcvdGreaterThan100KCnt |
| Federated Campaigns | $47,809 | FederatedCampaignsAmt |
| Government Grants | $787,140 | GovernmentGrantsAmt |
| All Other Contributions | $690,661 | AllOtherContributionsAmt |
| Total Contributions | $1,525,610 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PATIENT REVENUE | Desc |
| Business | 621400 | BusinessCd |
| Total Revenue Column | $226,374,623 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $226,374,623 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $226,374,623 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,239,548 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $4,970 | UnrelatedBusinessRevenueAmt |
| Exclusion | $3,234,578 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $340,611 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $340,611 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $340,611 | TotalRevenueColumnAmt |
| Exclusion | $340,611 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $32,148,075 | SecuritiesAmt |
| Other | $30,575 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $26,869,985 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $5,278,090 | SecuritiesAmt |
| Other | $30,575 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,308,665 | TotalRevenueColumnAmt |
| Exclusion | $5,308,665 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| PHARMACY SALES | 621990 | $5,061,184 | $5,061,184 |
| CAFETERIA SALES | 722210 | $1,644,575 | $1,644,575 |
| MISCELLANEOUS | 900099 | $1,353,105 | $1,353,105 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $8,058,864 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $244,847,921 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $226,374,623 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $4,970 | UnrelatedBusinessRevenueAmt |
| Exclusion | $16,942,718 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,141,165 | TotalAmt |
| Management And General | $1,112,636 | ManagementAndGeneralAmt |
| Fundraising | $28,529 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $96,424,379 | TotalAmt |
| Program Services | $75,296,017 | ProgramServicesAmt |
| Management And General | $21,128,362 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,677,638 | TotalAmt |
| Program Services | $3,125,992 | ProgramServicesAmt |
| Management And General | $551,646 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,778,643 | TotalAmt |
| Program Services | $11,069,577 | ProgramServicesAmt |
| Management And General | $3,709,066 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,447,001 | TotalAmt |
| Program Services | $5,479,951 | ProgramServicesAmt |
| Management And General | $967,050 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $151,829 | TotalAmt |
| Management And General | $151,829 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $163,915 | TotalAmt |
| Management And General | $163,915 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,983,987 | TotalAmt |
| Program Services | $17,168,917 | ProgramServicesAmt |
| Management And General | $15,815,070 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $338,161 | TotalAmt |
| Program Services | $8,005 | ProgramServicesAmt |
| Management And General | $330,156 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,164,465 | TotalAmt |
| Program Services | $1,100,544 | ProgramServicesAmt |
| Management And General | $4,063,921 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,427,597 | TotalAmt |
| Program Services | $3,451,199 | ProgramServicesAmt |
| Management And General | $976,398 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $58,873 | TotalAmt |
| Program Services | $58,873 | ProgramServicesAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $664,052 | TotalAmt |
| Program Services | $354,521 | ProgramServicesAmt |
| Management And General | $309,531 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,459,333 | TotalAmt |
| Program Services | $4,459,333 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,508,561 | TotalAmt |
| Program Services | $8,576,287 | ProgramServicesAmt |
| Management And General | $2,932,274 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $287,916 | TotalAmt |
| Program Services | $287,916 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (2 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| SUPPLIES | $36,044,654 | $28,964,261 | $7,080,393 |
| DUES AND MEMBERSHIPS | $238,988 | $42,739 | $196,249 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $218,961,157 | TotalAmt |
| Program Services | $159,444,132 | ProgramServicesAmt |
| Management And General | $59,488,496 | ManagementAndGeneralAmt |
| Fundraising | $28,529 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,425 | BOYAmt |
| EOY | $5,428 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $74,469,293 | BOYAmt |
| EOY | $90,715,564 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,228,654 | BOYAmt |
| EOY | $996,391 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,362,700 | BOYAmt |
| EOY | $25,650,345 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,211,437 | BOYAmt |
| EOY | $5,191,010 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $694,505 | BOYAmt |
| EOY | $1,548,052 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $283,487,896 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $169,447,125 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $114,814,458 | BOYAmt |
| EOY | $114,040,771 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $89,612,070 | BOYAmt |
| EOY | $90,250,261 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,777,802 | BOYAmt |
| EOY | $4,049,930 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $314,176,344 | BOYAmt |
| EOY | $332,447,752 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $34,578,016 | BOYAmt |
| EOY | $35,552,484 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $214,661 | BOYAmt |
| EOY | $278,139 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $89,832,908 | BOYAmt |
| EOY | $88,390,938 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $124,625,585 | BOYAmt |
| EOY | $124,221,561 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $182,473,296 | BOYAmt |
| EOY | $200,799,874 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,077,463 | BOYAmt |
| EOY | $7,426,317 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $189,550,759 | BOYAmt |
| EOY | $208,226,191 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $314,176,344 | BOYAmt |
| EOY | $332,447,752 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $25,886,764 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$6,045,578 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$1,165,754 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | Yes (1) | VolunteersInd |
| Paid Staff Or Management | Yes (1) | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | Yes (1) | DirectContactLegislatorsInd |
| Direct Contact Legislators | $15,386 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $136,443 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $151,829 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | LOBBYING INCLUDES A PORTION OF THE MARYLAND HOSPITAL ASSOCIATION DUES RELATED TO LOBBYING ACTIVITIES DURING THE YEAR ENDED JUNE 30, 2015 AND OTHER LOBBYING ACTIVITIES PERFORMED ON BEHALF OF THE HOSPITAL REGARDING COMMUNITY STABILIZATION AND DEVELOPMENT, INTERVENTIONAL CARDIOLOGY, HEALTH CARE MALPRACTICE, AND PROGRAM FUNDING. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,894,260 | OtherCostOrOtherBasisAmt |
| Book Value | $7,894,260 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $141,130,474 | OtherCostOrOtherBasisAmt |
| Depreciation | $64,776,446 | DepreciationAmt |
| Book Value | $76,354,028 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $118,196,807 | OtherCostOrOtherBasisAmt |
| Depreciation | $104,670,679 | DepreciationAmt |
| Book Value | $13,526,128 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $16,266,355 | OtherCostOrOtherBasisAmt |
| Book Value | $16,266,355 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $114,040,771 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)
| DescDesc | AmtAmt |
|---|---|
| CAPTIVE PROFESSIONAL LIABILITY | $590,781 |
| WORKERS COMPENSATION | $641,270 |
| DEFERRED COMPENSATION | $163,035 |
| ASSET RETIREMENT OBLIGATION | $610,000 |
| DUE TO AFFILIATES BONDS | $77,142,286 |
| OTHER L/T LIABILITIES | $9,243,566 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $88,390,938 | TotalLiabilityAmt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 300.000000000000 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
Discounted Care Oth Percentage DiscountedCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Discounted Care Other | 500.000000000000 | DiscountedCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,007,919 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,007,919 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00920 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $547,817 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $547,817 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00250 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,555,736 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,555,736 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01170 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,673,569 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,673,569 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00760 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $732,793 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $732,793 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00330 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,604,761 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,604,761 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01190 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $69,748 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $69,748 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $130,746 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $130,746 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00060 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,211,617 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $5,211,617 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02370 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,767,353 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $7,767,353 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03540 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $233,411 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $233,411 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00110 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $233,411 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $233,411 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00110 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReportedInd |
| Bad Debt Expense | $15,060,371 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $9,370,948 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $102,650,436 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $81,828,645 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $20,821,791 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORTHWEST HOSPITAL CENTER INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5401 OLD COURT ROAD | AddressLine1Txt |
| City | RANDALLSTOWN | CityNm |
| State Abbreviation | MD | StateAbbreviationCd |
| ZIP | 21133 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.LIFEBRIDGEHEALTH.ORG/NORTHWEST | WebsiteAddressTxt |
| State License | 03-004 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Other | SUB-ACUTE | OtherDesc |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORTHWEST HOSPITAL CENTER INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Information Gaps | Yes (X) | InformationGapsInd |
| CHNA Conducted | 12 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | SEE PART V, SECTION C, LINE 7D | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 12 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | SEE PART V, SECTION C, LINE 7D | StrategyWebsiteURLTxt |
| Strategy Attached | 0 | StrategyAttachedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 300.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 500.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | SEE PART V | FAPAvailableOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| FAP Notice Displayed | Yes (X) | FAPNoticeDisplayedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | Yes (1) | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| NORTHWEST HOSPITAL CENTER, INC. | PART V, SECTION B, LINE 3J: THERE WERE NO INFORMATION GAPS IDENTIFIED IN THE ASSESSMENT. IN ADDITION TO THE ITEMS LISTED IN LINE 3, THE CHNA DESCRIBES THE HOSPITAL'S DEMOGRAPHICS. |
| NORTHWEST HOSPITAL CENTER, INC. | PART V, SECTION B, LINE 5: LIFEBRIDGE HEALTH, INC., A REGIONAL MARYLAND HEALTH SYSTEM WITH HOSPITALS LOCATED IN BOTH BALTIMORE CITY AND BALTIMORE COUNTY, INITIATED EARLY TALKS WITH BOTH BALTIMORE CITY AND BALTIMORE COUNTY HEALTH DEPARTMENTS AROUND LOCAL HEALTH IMPROVEMENT PLANS TO SUPPORT THE MARYLAND STATE HEALTH IMPROVEMENT PLAN (SHIP). BECAUSE NORTHWEST SERVES PATIENTS IN BALTIMORE COUNTY AS WELL AS BALTIMORE CITY, PARTNERSHIPS DEVELOPED WITH BOTH HEALTH DEPARTMENTS WERE IMPORTANT FOR ASSESSMENT COMPLETION AS WELL AS THE PLANNING AND IMPLEMENTATION OF COMMUNITY HEALTH IMPROVEMENT PROJECTS. IN SUPPORT OF NORTHWEST'S GROWING PARTNERSHIP WITH THE BALTIMORE COUNTY HEALTH DEPARTMENT AND THE BALTIMORE CITY HEALTH DEPARTMENT, REPRESENTATIVES FROM EACH WERE INVITED TO PRESENT THEIR LOCAL HEALTH IMPROVEMENT PLANS TO LIFEBRIDGE HEALTH, INC.'S COMMUNITY MISSION COMMITTEE(CMC), A LIFEBRIDGE BOARD COMMITTEE THAT GUIDES AND MONITORS COMMUNITY BENEFIT PROGRAMMING. BALTIMORE COUNTY HEALTH DEPARTMENT'S DEPUTY DIRECTOR, MS. DELLA LEISTER, PRESENTED THE BALTIMORE COUNTY HEALTH IMPROVEMENT PLAN AND MS. SARAH MORRIS-COMPTOM, DIRECTOR OF POLICY AND PLANNING, PRESENTED THE BALTIMORE CITY HEALTH DEPARTMENT'S HEALTH IMPROVEMENT INITIATIVE, HEALTHY BALTIMORE 2015. DUE TO LOCATION OF HOSPITALS, SINAI HOSPITAL REPRESENTATIVES TAKE PRIMARY RESPONSIBILITY FOR PARTNERSHIP WITH THE BALTIMORE CITY HEALTH DEPARTMENT, AND A NORTHWEST HOSPITAL REPRESENTATIVE PARTICIPATES AS A MEMBER OF THE BALTIMORE COUNTY HEALTH IMPROVEMENT COALITION. THE CHNA TEAM FURTHER STRENGTHENED NORTHWEST'S PARTNERSHIP WITH BALTIMORE COUNTY BY MEETING WITH BALTIMORE COUNTY HEALTH DEPARTMENT REPRESENTATIVES IN EARLY 2013 TO SHARE COMMUNITY FEEDBACK AND EXPLORE OPPORTUNITIES TO PARTNER ON THE DEVELOPMENT OF A COMMUNITY HEALTH IMPROVEMENT PROJECT IN RESPONSE TO NORTHWEST'S CHNA RESULTS. ANOTHER PARTICIPANT IN NORTHWEST'S CHNA PROCESS WAS THE NORTHWEST HOSPITAL HEALTH POLICY ADVISORY BOARD (NWHPAB), A GROUP OF HOSPITAL AND COMMUNITY STAKEHOLDERS WHOSE GROUP PURPOSE IS TO ENGAGE COMMUNITY LEADERS AROUND IMPORTANT HEALTH ISSUES. THIS GROUP PROVIDED KEY GUIDANCE IN THE DEVELOPMENT OF A PROCESS FOR CONDUCTING THE CHNA. FOR EXAMPLE, THE GROUP PROVIDED AN EARLY RECOMMENDATION TO USE WRITTEN AND ELECTRONIC SURVEYS TO REACH COMMUNITY MEMBERS. TO SUPPLEMENT THE DATA RECEIVED FROM SURVEYS, THE CHNA TEAM DECIDED TO ALSO HOLD A COMMUNITY FEEDBACK SESSION AT THE RANDALLSTOWN COMMUNITY CENTER, A LOCATION RECOMMENDED BY A NWHPAB MEMBER. OVERALL, THE NWHPAB'S CONTRIBUTION TO THE ASSESSMENT PROCESS INCLUDED SPREADING THE WORD ABOUT THE ASSESSMENT THROUGH BOTH ORAL AND WRITTEN METHODS, DISTRIBUTING AND COLLECTING COMMUNITY SURVEYS WITHIN PERSONAL AND PROFESSIONAL NETWORKS, AT COMMUNITY MEETINGS AND EVENTS, OFFERING RECOMMENDATIONS FOR THE PLANNING OF COMMUNITY FORUMS, DISTRIBUTING COMMUNITY FORUM FLYERS AND ATTENDING KEY COMMUNITY EVENTS IN SUPPORT OF THE ASSESSMENT. NORTHWEST ALSO USED ITS ROUTINE PRACTICE OF COLLABORATING WITH COMMUNITY AND HUMAN SERVICE PARTNERS IN ORDER TO ENHANCE COMMUNITY INVOLVEMENT AND INPUT DURING THE CHNA PROCESS. PARTNERS WHO PROVIDED SUPPORT FOR THE CHNA INCLUDE: TONY BAYSMORE, SPECIAL ASSISTANT TO BALTIMORE COUNTY EXECUTIVE KEVIN KAMENETZ, THE RANDALLSTOWN COMMUNITY CENTER, THE LOCAL CHAPTER OF DELTA SIGMA THETA SORORITY, AS WELL AS LOCAL AREA CHURCHES, FAITH-BASED INSTITUTIONS, SCHOOLS AND RECREATION-BASED PROGRAMS. IN ADDITION, A NEW PARTNERSHIP EMERGED FOLLOWING NORTHWEST'S FIRST COMMUNITY FEEDBACK SESSION IN NOVEMBER 2012. IN ATTENDANCE WAS AN ACTIVE MEMBER OF THE LIBERTY ROAD COMMUNITY COUNCIL (LRCC) WHO INVITED MEMBERS OF THE CHNA TEAM TO ATTEND A LRCC BOARD MEETING TO PRESENT AND RECEIVE FEEDBACK ABOUT COMMUNITY HEALTH NEEDS AND STRATEGIES FOR IMPROVING COMMUNITY HEALTH. ASSISTANCE FROM PARTNERS DESCRIBED ABOVE INCLUDED SPREADING THE WORD ABOUT THE ASSESSMENT, DISTRIBUTING AND COLLECTING COMMUNITY SURVEYS, PROVIDING SPACE AND ALLOCATING MEETING TIME FOR GATHERING COMMUNITY INPUT ON HEALTH NEEDS, AND OFFERING CONSISTENT SUPPORT FOR OTHER TASKS AS NEEDED. IN ADDITION, PARTNERS CONTRIBUTED THEIR OWN FEEDBACK ABOUT COMMUNITY HEALTH NEEDS. ANOTHER KEY ROLE OF COMMUNITY PARTNERS WILL BE PARTICIPATION IN PROJECT-PLANNING AS WE DETERMINE SPECIFIC COMPONENTS OF THE COMMUNITY-WIDE COMMUNITY HEALTH IMPROVEMENT PROJECT AND THE ROLE THAT EACH COMMUNITY PARTNER WILL PLAY IN ITS IMPLEMENTATION. THE FOLLOWING COMMUNITY MEMBERS WERE CONSULTED: DELLA J. LEISTER, DEPUTY HEALTH OFFICER BALTIMORE COUNTY HEALTH DEPARTMENT; SARAH MORRIS-COMPTON, DIRECTOR OFFICE OF POLICY AND PLANNING, BALTIMORE CITY HEALTH DEPARTMENT; TONY BAYSMORE, SPECIAL ASSISTANT TO BALTIMORE COUNTY EXECUTIVE KEVIN KAMENETZ BALTIMORE COUNTY EXECUTIVE OFFICE; GLORIA MARROW, M.A. DELTA SIGMA THETA SORORITY; L'AARON JOHNSON, LIBERTY ROAD COMMUNITY COUNCIL, INC.; NORTHWEST HOSPITAL HEALTH POLICY ADVISORY BOARD AND MEMBERS OF THE COMMUNITY WHO ATTENDED NORTHWEST HOSPITAL COMMUNITY FEEDBACK SESSIONS. |
| NORTHWEST HOSPITAL CENTER, INC. | PART V, SECTION B, LINE 7D: COPIES OF THE CHNA WERE DISTRIBUTED TO KEY COMMUNITY PARTNERS.NORTHWEST HOSPITAL CENTER, INC. HTTP://WWW.LIFEBRIDGEHEALTH.ORG/UPLOADS/PUBLIC/DOCUMENTS/COMMUNITY%20HEALTH/2013/NORTHWEST.PDF |
| NORTHWEST HOSPITAL CENTER, INC. | PART V, SECTION B, LINE 11: WHEN NORTHWEST HOSPITAL AND SINAI HOSPITAL MERGED IN 1988 TO FORM THE LIFEBRIDGE HEALTH, INC. SYSTEM, EACH HOSPITAL BROUGHT ITS OWN APPROACH TO COMMUNITY BENEFIT PROGRAMMING. NORTHWEST HOSPITAL CREATED COMMUNITY HEALTH EDUCATION PROGRAMS TO HELP ITS RESIDENTS STAY HEALTHY THROUGH HEALTH PROMOTION AND PREVENTION EFFORTS WHILE SINAI HOSPITAL BUILT SERVICES TO INTERVENE WITH AND TREAT SYMPTOMS OF EXTREME POVERTY EXPERIENCED BY AREA RESIDENTS. THESE PHILOSOPHIES CONTINUE TO DRIVE COMMUNITY BENEFIT PROGRAMMING AT EACH HOSPITAL.NORTHWEST HOSPITAL RECOGNIZES THAT NOT ALL IDENTIFIED COMMUNITY NEEDS CAN BE ADDRESSED AND THAT DIFFICULT CHOICES MUST BE MADE TO PROPERLY ALLOCATE LIMITED RESOURCES TO THE AREAS OF GREATEST NEED. IF AN IDENTIFIED NEED IS OUTSIDE THE PURVIEW OF THE HOSPITAL'S KEY PURPOSE OF PROVIDING QUALITY HEALTHCARE, WE SEARCH FOR WAYS IN WHICH OUR COMMUNITY PARTNERS MAY BE ABLE TO ADDRESS OUR COMMUNITY'S NEEDS WHILE THE HOSPITAL PLAYS A MORE SECONDARY ROLE. FOR EXAMPLE, WHEN OUR PARTNER, THE BALTIMORE COUNTY DEPARTMENT OF HEALTH, IDENTIFIED INFANT MORTALITY AS A HEALTH PRIORITY FOR BALTIMORE COUNTY, NORTHWEST HOSPITAL DEFERRED TO OTHER BALTIMORE COUNTY PROVIDERS AND TO SINAI HOSPITAL, THE NEAREST BIRTHING HOSPITAL, TO ADDRESS THIS IMPORTANT NEED. THIS DECISION WAS MADE BECAUSE IT IS NOT IN NORTHWEST'S CORE MISSION TO PROVIDE MATERNITY CARE, AS THE HOSPITAL IS NOT A BIRTHING HOSPITAL. HOWEVER, IT IS IN THE BEST INTEREST OF NORTHWEST HOSPITAL TO SUPPORT INFANT MORTALITY REDUCTION EFFORTS INDIRECTLY THROUGH PARTNERSHIP BUILDING AND GENERAL HEALTH PROMOTION EFFORTS. |
| NORTHWEST HOSPITAL CENTER, INC. | PART V, SECTION B, LINE 16I: HTTP://WWW.LIFEBRIDGEHEALTH.ORG/NORTHWEST/NORTHWESTBILLINGANDFINANCIALCONSIDERATIONS.ASPX |
| NORTHWEST HOSPITAL CENTER, INC. | PART V, SECTION B, LINE 22D: CHARGES FOR ALL PATIENTS ARE STATE REGULATED. SERVICES ARE CHARGED TO ALL 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 FOUND ELIGIBLE FOR FAP BASED ON THE HSCRC'S FINANCIAL HARDSHIP CRITERIA OF 301%-500% OF FPL ARE CHARGED 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. |
| NORTHWEST HOSPITAL CENTER, INC. | PART V, SECTION B, LINE 24: ONLY THOSE PATIENTS APPROVED RETROSPECTIVELY (DETERMINED ELIGIBLE AFTER THE DATE OF SERVICE) WOULD HAVE BEEN CHARGED AT THE FULL ESTABLISHED RATES. ONCE ELIGIBILITY IS DETERMINED, CHARGES WOULD THEN BE ADJUSTED IN ACCORDANCE WITH THE CHARITY CARE POLICY AS SPECIFIED ABOVE. |
| PART V, SECTION B, LINE 16 | FINANCIAL ASSISTANCE POLICY WEBSITE AVAILABILITY |
| NORTHWEST HOSPITAL CENTER, INC. PART V, SECTION B, LINE 16A WEBSITE: | SEE PART V |
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3C: | NORTHWEST HOSPITAL CENTER, INC. PROVIDES CARE 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 FOR CHARITY CARE CONSIDER GROSS INCOME AND FAMILY SIZE ACCORDING TO CURRENT FEDERAL POVERTY GUIDELINES. PATIENTS WITH AN ANNUAL INCOME UP TO 300% OF THE FEDERAL POVERTY LEVEL MAY HAVE 100% OF THEIR HOSPITAL BILLS COVERED BY FINANCIAL ASSISTANCE. TO QUALIFY, THE PATIENT MUST SHOW PROOF OF INCOME 300% OR LESS OF THE FEDERAL POVERTY GUIDELINES. PATIENTS SLIGHTLY ABOVE 300% ANNUAL INCOME MAY HAVE A PORTION OF THEIR MEDICAL BILLS COVERED BY FINANCIAL ASSISTANCE BASED ON A SLIDING SCALE. ELIGIBILITY IS CALCULATED BASED ON THE NUMBER OF PEOPLE LIVING IN THE HOUSEHOLD. |
| 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. THE COST OF RENDERING SERVICES FOR MEDICAL ASSISTANCE PATIENTS IS EQUAL TO MEDICAID REVENUES IN MARYLAND. THUS, THE NET EFFECT IS ZERO. THE EXCEPTION TO THIS IS THE IMPACT ON THE HOSPITAL OF ITS SHARE OF THE MEDICAID ASSESSMENT. IN RECENT YEARS, THE STATE OF MARYLAND HAS CLOSED FISCAL GAPS IN THE STATE MEDICAID BUDGET BY ASSESSING HOSPITALS THROUGH THE RATE-SETTING SYSTEM. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | DECISIONS REGARDING THE SELECTION OF COMMUNITY NEEDS TO ADDRESS DEPEND ON THE HOSPITAL DEPARTMENTS INVOLVED AND THE CONSTITUENCIES THEY SERVE. DECISIONS MAY ALSO INVOLVE HOW THE COMMUNITY ASSESSMENT WAS DONE, AND FOR WHAT PURPOSE. EACH YEAR, NORTHWEST HOSPITAL CONDUCTS DISASTER DRILLS, PROVIDES DISASTER READINESS EDUCATION, AND PURCHASES SUPPLIES IN ORDER TO PREPARE AND RESPOND TO LOCAL AND STATE EMERGENCIES. THE HOSPITAL ANNUALLY REVIEWS PREPAREDNESS STRATEGIES TO ENSURE THAT THEY RESPOND TO COMMUNITY NEEDS AND ALIGN WITH DISASTER PREPAREDNESS PRIORITIES OUTLINED BY THE MARYLAND DEPARTMENT OF HEALTH AND MENTAL HYGIENE'S OFFICE OF PREPAREDNESS AND RESPONSE. DURING FY 2015, THE HOSPITAL CONDUCTED SEVERAL CODE ORANGE DRILLS TO PREPARE FOR POTENTIAL LOCAL HAZMAT SITUATIONS AND PARTICIPATED IN A NATIONAL DISASTER MEDICAL SYSTEM DRILL. DISASTER PREPAREDNESS FUNDS ALSO SUPPORTED EDUCATIONAL PROGRAMS AND SUPPLY ACQUISITION TO ENSURE THAT THE HOSPITAL IS EQUIPPED AND PREPARED TO PROVIDE IMMEDIATE QUALITY CARE TO PATIENTS AND COMMUNITY RESIDENTS IN THE FACE OF EMERGENCIES. |
| 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. |
| PART III, LINE 3: | TO CALCULATE THE AMOUNT OF THE ORGANIZATIONS BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE FINANCIAL ASSISTANCE POLICY THE TOTAL BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS WAS USED. THIS TOTAL AMOUNT WAS THEN MULTIPLIED BY THE CALCULATION OF RATIO OF PATIENT CARE COSTS TO CHARGES. THE RATIO OF PATIENT CARE COSTS TO CHARGES WAS DETERMINED BY TAKING PATIENT CARE COSTS AND DIVIDING THIS BY THE GROSS PATIENT CHARGES. PATIENT CARE COSTS WERE CALCULATED BY TAKING TOTAL OPERATING EXPENSES OF THE ENTITY AND REMOVING ALL NONPATIENT CARE ACTIVITIES AND COMMUNITY BENEFIT AND BUILDING EXPENSES. |
| PART III, LINE 4: | THE PREPARATION OF CONSOLIDATED FINANCIAL STATEMENTS, IN CONFORMITY WITH U.S. GENERALLY ACCEPTED ACCOUNTING PRINCIPLES, REQUIRES MANAGEMENT TO MAKE ESTIMATES AND ASSUMPTIONS. ALL PATIENT ACCOUNTS ARE HANDLED CONSISTENTLY AND APPROPRIATELY TO MAXIMIZE CASH FLOW AND TO IDENTIFY BAD DEBT ACCOUNTS TIMELY. ACTIVE ACCOUNTS ARE CONSIDERED BAD DEBT ACCOUNTS WHEN THEY MEET SPECIFIC COLLECTION ACTIVITY GUIDELINES AND/OR ARE REVIEWED BY THE APPROPRIATE MANAGEMENT AND DEEMED TO BE UNCOLLECTIBLE. EVERY EFFORT IS MADE TO IDENTIFY AND PURSUE ALL ACCOUNT BALANCE LIQUIDATION OPTIONS INCLUDING, BUT NOT LIMITED TO THIRD PARTY PAYOR REIMBURSEMENT, PATIENT PAYMENT ARRANGEMENTS, MEDICAID ELIGIBILITY AND FINANCIAL ASSISTANCE. THIRD PARTY RECEIVABLE MANAGEMENT AGENCIES PROVIDE EXTENDED BUSINESS OFFICE SERVICES AND INSURANCE OUTSOURCE SERVICES TO ENSURE MAXIMUM EFFORT IS TAKEN TO RECOVER INSURANCE AND SELF-PAY DOLLARS BEFORE TRANSFER TO BAD DEBT. CONTRACTUAL ARRANGEMENTS WITH THIRD PARTY COLLECTION AGENCIES ARE USED TO ASSIST IN THE RECOVERY OF BAD DEBT DOLLARS AFTER ALL INTERNAL COLLECTION EFFORTS HAVE BEEN EXHAUSTED. IN SO DOING, THE COLLECTION AGENCIES MUST OPERATE CONSISTENTLY WITH NORTHWEST HOSPITAL CENTER'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 15. |
| PART III, LINE 8: | 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. |
| 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. |
| PART VI, LINE 2: | NORTHWEST HOSPITAL ("NORTHWEST") CONDUCTED ITS FIRST FEDERALLY REQUIRED COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN FISCAL YEAR 2013 (JULY 1, 2012 - JUNE 30, 2013). INVOLVEMENT OF RESIDENTS, STAKEHOLDERS AND COMMUNITY PARTNERS WAS AN ESSENTIAL COMPONENT OF THE CHNA PROCESS. NORTHWEST'S CHNA COMPLIES WITH THE NEW INTERNAL REVENUE SERVICE (IRS) MANDATE REQUIRING ALL NOT-FOR-PROFIT 501(C)(3) HOSPITALS TO CONDUCT A CHNA AND IMPLEMENT A COMMUNITY HEALTH IMPROVEMENT PROJECT ONCE EVERY THREE YEARS. THE PROCESS USED TO IDENTIFY HEALTH NEEDS OF NORTHWEST'S COMMUNITY INCLUDED ANALYZING PRIMARY AND SECONDARY HEALTH DATA AT BOTH THE HOSPITAL AND COMMUNITY LEVEL, AND INVOLVING PUBLIC HEALTH EXPERTS, COMMUNITY MEMBERS AND KEY COMMUNITY GROUPS IN FURTHER IDENTIFICATION OF PRIORITY CONCERNS AND NEEDS. THE CHNA TEAM COLLECTED AND ANALYZED 339 SURVEYS FROM INDIVIDUALS LIVING IN NORTHWEST'S PRIMARY SERVICE AREA ZIP CODES AND HELD A COMMUNITY FEEDBACK SESSION ATTENDED BY COMMUNITY RESIDENTS AND STAKEHOLDERS. THE CHNA TEAM EVALUATED RESULTS FROM SURVEYS, ONE COMMUNITY FEEDBACK SESSION AND PUBLIC HEALTH EXPERTS' RECOMMENDATIONS TO PRIORITIZE NORTHWEST'S TOP COMMUNITY HEALTH NEEDS. AN ASSESSMENT OF HOSPITAL RESOURCES, EXPERTISE AND CAPACITY LED TO A DECISION TO FOCUS THE RESULTING COMMUNITY HEALTH IMPROVEMENT PROJECT ON THE "HEART DISEASE CLUSTER" (INCLUDING HEART DISEASE, DIABETES AND STROKE). THROUGHOUT THE ASSESSMENT PROCESS, THE HOSPITAL WORKED TO ALIGN ITS PRIORIES WITH LOCAL, STATE AND NATIONAL HEALTH IMPROVEMENT INITIATIVES INCLUDING THE BALTIMORE COUNTY HEALTH IMPROVEMENT PLAN, MARYLAND STATE HEALTH IMPROVEMENT PLAN (SHIP), AND HEALTH PEOPLE 2020. |
| PART VI, LINE 3: | THE FOLLOWING DESCRIBES MEANS USED AT NORTHWEST HOSPITAL TO INFORM AND ASSIST PATIENTS REGARDING ELIGIBILITY 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. NORTHWEST HOSPITAL EMPLOYS A FINANCIAL 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 GIVEN TO ALL INPATIENTS PRIOR TO DISCHARGE AND MAILED TO ALL INPATIENTS WITH THE MARYLAND SUMMARY SHEET. NORTHWEST 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. 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 NORTHWEST HOSPITAL'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 NORTHWEST HOSPITAL'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. NORTHWEST HOSPITAL HOSTS AND PARTICIPATES IN VARIOUS DEPARTMENT OF HEALTH AND MENTAL HYGIENE AND MARYLAND HOSPITAL ASSOCIATION SPONSORED CAMPAIGNS LIKE 'COVER THE UNINSURED WEEK'. |
| PART VI, LINE 4: | NORTHWEST HOSPITAL IS LOCATED IN THE RANDALLSTOWN 21133 COMMUNITY OF BALTIMORE COUNTY, SERVING BOTH ITS IMMEDIATE NEIGHBORS AND OTHERS FROM THROUGHOUT THE BALTIMORE COUNTY REGION. THE COMMUNITY SERVED BY NORTHWEST HOSPITAL CAN BE DEFINED AS FOLLOWS:(A) THE PRIMARY SERVICE AREA (PSA) IS COMPRISED OF ZIP CODES FROM WHICH THE TOP 60% OF PATIENT DISCHARGES ORIGINATE. (B) THE COMMUNITY BENEFIT SERVICE AREA (CBSA) IS COMPRISED OF ZIP CODES OR GEOGRAPHIC AREAS, TARGETED FOR COMMUNITY BENEFIT PROGRAMMING DUE TO THE AREA'S DEMONSTRATION OF NEED. ZIP CODES 21133, 21244 AND THE COUNTY PORTION OF 21207 MAKE UP THE HOSPITAL'S COMMUNITY BENEFIT SERVICE AREA. AS A WHOLE, THE NORTHWEST HOSPITAL COMMUNITY BENEFIT SERVICE AREA IS HOME TO OVER 111,000 RESIDENTS WITH AN AVERAGE HOUSEHOLD INCOME OF $66,486 COMPARED TO THE MARYLAND STATE AVERAGE OF $73,538. |
| PART VI, LINE 5: | NORTHWEST HOSPITAL'S COMMUNITY BENEFIT SERVICES ARE OPEN TO THE BROAD PUBLIC; HOWEVER, DUE TO THE HOSPITAL'S LOCATION WITHIN ZIP CODE 21133 (RANDALLSTOWN), THE MAJORITY OF COMMUNITY BENEFIT ACTIVITIES REACH COMMUNITY MEMBERS RESIDING IN 21133. AS NOTED, 10.6% OF MEDICAID-RECEIVING INPATIENTS LIVE IN BALTIMORE COUNTY WHICH SHOW THAT A PORTION OF PEOPLE LIVING IN THE HOSPITAL'S DIRECT SERVICE AREA WOULD BENEFIT FROM COMMUNITY BENEFIT ACTIVITIES. SOME OF NORTHWEST ACTIVITIES CENTER ON COMMUNITY EDUCATION AND THEREFORE REACH BEYOND RANDALLSTOWN AND INTO MORE DISTANT LOCATIONS WITHIN OUR PRIMARY SERVICE AREA INCLUDING GWYNN OAK (21207) AND WINDSOR MILL (21244). IN FY15, PRIMARY SERVICE AREA ZIP CODES FOR NORTHWEST HOSPITAL (21133, 21208, 21207, 21244, 21136, 21282, AND 21117) ACCOUNTED FOR 40.78% OF TOTAL INPATIENT ADMISSIONS. MEDICAID PATIENTS (INCLUDING MEDICAID AND MEDICAID HMO PAYORS) ACCOUNTED FOR 24.5% OF PRIMARY SERVICE AREA ADMISSIONS IN FY 2015. SELF-PAY, OFTEN CONSIDERED "UNINSURED" PATIENTS ACCOUNTED FOR 1.6% OF ALL PATIENTS LIVING IN THE PRIMARY SERVICE AREA. |
| PART VI, LINE 6: | NORTHWEST HOSPITAL IS A COMMUNITY HOSPITAL WITH AN ATTENDING STAFF OF APPROXIMATELY 700 PHYSICIANS, INCLUDING SEVERAL SPECIALTIES. THOSE SPECIALTIES INCLUDE, BUT ARE NOT LIMITED TO CARDIOLOGY, PULMONARY, GENERAL SURGERY, ORTHOPEDICS, VASCULAR AND INFECTIOUS DISEASE. WHILE WE HAVE NARROWED THE GAPS IN GYNECOLOGY, OPHTHALMOLOGY, NEUROLOGY, NEUROSURGERY, VASCULAR AND COLORECTAL SURGERY, THERE ARE STILL GAPS IN DERMATOLOGY, RHEUMATOLOGY, INFECTIOUS DISEASES, PSYCHIATRY AND ORTHOPEDIC SPECIALTIES IN HAND AND SPINE. |
| PART VI, LINE 7: | THE COMMUNITY BENEFIT REPORT IS FILED IN THE STATE OF MARYLAND. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | Yes (X) | ClubDuesOrFeesInd |
| Written Policy Ref T And E Expnss | Yes (1) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BRIAN WHITE | ||||||||||||||
| PRESIDENT/COO/DIRECTOR | $0 | $523,489 | $0 | $185,004 | $0 | $30,986 | $0 | $58,290 | $0 | $20,127 | $0 | $817,896 | $0 | $22,271 |
| NEIL MELTZER | ||||||||||||||
| PRES & CEO, LIFEBRIDGE HEALTH | $0 | $790,719 | $0 | $419,867 | $0 | $289,736 | $0 | $334,475 | $0 | $24,815 | $0 | $1,859,612 | $0 | $249,253 |
| DAVID KRAJEWSKI | ||||||||||||||
| SR VP/CFO, LIFEBRIDGE HEALTH | $0 | $483,830 | $0 | $171,876 | $0 | $66,911 | $0 | $72,116 | $0 | $20,749 | $0 | $815,482 | $0 | $35,624 |
| RONALD GINSBERG | ||||||||||||||
| VP MEDICAL AFFAIRS | $301,966 | $0 | $85,382 | $0 | $79,426 | $0 | $3,802 | $0 | $16,188 | $0 | $486,764 | $0 | $39,580 | $0 |
| SUSAN JALBERT | ||||||||||||||
| VP PATIENT CARE SERVICES | $249,582 | $0 | $73,437 | $0 | $29,626 | $0 | $30,107 | $0 | $16,717 | $0 | $399,469 | $0 | $23,410 | $0 |
| CANDACE HAMNER | ||||||||||||||
| VP CARE MANAGEMENT | $0 | $204,339 | $0 | $70,415 | $0 | $60,050 | $0 | $3,839 | $0 | $7,646 | $0 | $346,289 | $0 | $24,788 |
| KELLY CORBI | ||||||||||||||
| VP, OPERATIONS | $231,640 | $0 | $72,900 | $0 | $17,207 | $0 | $31,749 | $0 | $20,526 | $0 | $374,022 | $0 | $0 | $0 |
| ROBERT SALTZMAN MD | ||||||||||||||
| PHYSICIAN | $621,870 | $0 | $156,999 | $0 | $17,500 | $0 | $11,245 | $0 | $21,442 | $0 | $829,056 | $0 | $0 | $0 |
| JAMIE BARNES DO | ||||||||||||||
| PHYSICIAN | $412,475 | $0 | $73,325 | $0 | $689 | $0 | $5,200 | $0 | $22,054 | $0 | $513,743 | $0 | $0 | $0 |
| DAWN LEONARD MD | ||||||||||||||
| SURGEON | $392,633 | $0 | $14,237 | $0 | $0 | $0 | $13,260 | $0 | $22,148 | $0 | $442,278 | $0 | $0 | $0 |
| JOGINDER MEHTA MD | ||||||||||||||
| HOSPITALIST | $301,169 | $0 | $65,808 | $0 | $9,135 | $0 | $0 | $0 | $21,262 | $0 | $397,374 | $0 | $0 | $0 |
| MAYER GORBATY MD | ||||||||||||||
| PHYSICIAN | $323,527 | $0 | $0 | $0 | $0 | $0 | $11,106 | $0 | $20,950 | $0 | $355,583 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 1A | ALL BOARD MEMBERS ARE ELIGIBLE FOR COMPLIMENTARY HEALTH CLUB MEMBERSHIPS. THE BOARD MEMBERS RECEIVE A 1099 IF THEY SIGN UP AND RECEIVE THE COMPLIMENTARY MEMBERSHIP. |
| PART I, LINE 4B | DURING THE YEAR, THE FOLLOWING DIRECTORS AND OFFICERS PARTICIPATED IN A LIFEBRIDGE HEALTH SPONSORED SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: NEIL MELTZER: $305,095 SUSAN JALBERT: $ 26,265 KELLY CORBI: $ 26,880 DAVID KRAJEWSKI: $ 66,916 BRIAN WHITE: $ 56,001 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 MELTZER: $249,253 SUSAN JALBERT: $ 23,410 DAVID KRAJEWSKI: $ 35,624 BRIAN WHITE: $ 22,271 RONALD GINSBERG: $ 39,580 CANDACE HAMNER: $ 24,788 |
| COMPENSATION PROVIDED BY RELATED ORGANIZATIONS: | MR. WHITE RECEIVED COMPENSATION AS PRESIDENT OF NORTHWEST HOSPITAL AND POST-ACUTE SERVICES FOR LIFEBRIDGE HEALTH, INC., NOT AS A DIRECTOR. |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| ACME PAPER & SUPPLY CO | |||
| INDIRECT BUSINESS | $1,946,027 | NORTHWEST HOSPITAL CENTER, INC. AND THE LIFEBRIDGE SUBSIDIARIES PURCHASED APPROXIMATELY $1,946,027 IN PAPER SUPPLIES FROM ACME PAPER AND SUPPLY, CO. ONE OF THE DIRECTORS OF NORTHWEST HOSPITAL, MR. RONALD ATTMAN, IS AN OWNER OF THE COMPANY. ALL TRANSACTIONS WERE AT FAIR MARKET VALUE AND NEGOTIATED AT ARM'S LENGTH. | 0 |
| OBRECHT REALTY SERVICES AND CARLSON LANE LLC | |||
| INDIRECT BUSINESS | $103,701 | NORTHWEST HOSPITAL CENTER, INC. AND THE LIFEBRIDGE SUBSIDIARIES PAID APPROXIMATELY $103,701 FOR CONSTRUCTION SERVICES TO OBRECHT REALTY SERVICES AND CARLSON LANE LLC. ONE OF THE DIRECTORS OF NORTHWEST HOSPITAL CENTER, MR. THOMAS OBRECHT, IS AN OWNER OF THESE COMPANIES. ALL TRANSACTIONS WERE AT FMV AND NEGOTIATED AT ARM'S LENGTH. | 0 |
| BAVAR PROPERTIES GROUP LLC | |||
| INDIRECT BUSINESS | $500,000 | NORTHWEST HOSPITAL CENTER, INC. AND THE LIFEBRIDGE SUBSIDIARIES PAID APPROXIMATELY $500,000 FOR RENT OF OFFICE SPACE FROM BAVAR PROPERTIES GROUP, LLC. ONE OF THE DIRECTORS OF NORTHWEST HOSPITAL, MR. ROBERT BAVAR, IS AN OWNER OF THE COMPANY. ALL TRANSACTIONS WERE AT FMV AND NEGOTIATED AT ARM'S LENGTH. | 0 |
| MEDIA WORKS | |||
| INDIRECT BUSINESS | $220,006 | NORTHWEST HOSPITAL CENTER, INC. AND THE LIFEBRIDGE SUBSIDIARIES PURCHASED APPROXIMATELY $220,006 OF SERVICES FROM MEDIA WORKS. ONE OF THE DIRECTORS OF NORTHWEST HOSPITAL CENTER, MS. JODY BERG, IS THE CHIEF EXECUTIVE OFFICER OF THE FIRM. ALL TRANSACATIONS WERE AT FMV AND NEGOTIATED AT ARM'S LENGTH | 0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART III, LINE 1: | NORTHWEST HOSPITAL EXISTS TO IMPROVE THE WELL-BEING OF THE COMMUNITY BY NURTURING RELATIONSHIPS BETWEEN THE HOSPITAL, MEDICAL STAFF AND OUR PATIENTS. NORTHWEST HOSPITAL CENTER HAS ALWAYS HAD A VISION OF BEING A RECOGNIZED LEADER IN CLINICAL QUALITY AND CUSTOMER CARE - A VISION THAT HAS NOT LOST FOCUS IN THE FIFTY-TWO YEARS SINCE THIS RANDALLSTOWN, MARYLAND HOSPITAL OPENED ITS DOORS. NORTHWEST HOSPITAL HAS KEPT PACE WITH THE GROWTH OF THE COMMUNITY AND TODAY SERVES MORE THAN 250,000 HOUSEHOLDS IN NORTHWEST BALTIMORE CITY AND PORTIONS OF BALTIMORE, CARROLL AND HOWARD COUNTIES. IN 2015, THE HOSPITAL ADMITTED 11,235 PATIENTS, MOST OF WHOM ACCESSED HOSPITAL SERVICES THROUGH THE EMERGENCY DEPARTMENT. IN KEEPING WITH THE HOSPITAL'S MISSION TO IMPROVE THE WELLBEING OF THE COMMUNITY, NORTHWEST HOSPITAL ADHERES TO ITS LONGSTANDING POLICY OF PROVIDING CARE FOR ANY AND ALL WHO SEEK MEDICAL TREATMENT REGARDLESS OF RACE, RELIGION OR ABILITY TO PAY. THE HOSPITAL'S CHARITY CARE POLICY IS WELL POSTED AND OFFERS A REASONABLE AMOUNT OF CARE AT NO CHARGE OR AT REDUCED RATES TO ELIGIBLE PERSONS WHO DO NOT HAVE INSURANCE, MEDICARE OR MEDICAL ASSISTANCE. ELIGIBILITY FOR FREE CARE, REDUCED RATES AND EXTENDED PAYMENT PLANS IS DETERMINED ON A CASE BY CASE BASIS. A HALLMARK OF NORTHWEST HOSPITAL'S COMMITMENT TO THE COMMUNITY IS ITS ONGOING EFFORTS TO PROVIDE FREE HEALTH SCREENINGS AND USEFUL HEALTH EDUCATION THROUGH ITS COMMUNITY HEALTH EDUCATION PROGRAMS. COUNTLESS HEALTH FAIRS, BLOOD PRESSURE SCREENINGS, HEART HEALTH RISK ASSESSMENTS, DIABETES SUPPORT GROUP MEETINGS, FOOD AND NUTRITION COUNSELING AND SMOKING CESSATION CLASSES ARE OFFERED IN SENIOR CENTERS, CHURCH BASEMENTS, COMMUNITY CENTERS AND AREA SCHOOLS THROUGHOUT THE YEAR. NORTHWEST HOSPITAL HAS DEDICATED FULL-TIME STAFF, INCLUDING NURSE EDUCATORS, WHO DEVELOP PROGRAMS TO SHARE VALUABLE HEALTH-RELATED INFORMATION WITH MEMBERS OF THE COMMUNITY. ONE SUCH PROGRAM, THE NORTHWEST CHANGING HEARTS PROGRAM IS DESIGNED TO IMPROVE THE CARDIOVASCULAR HEALTH OF INDIVIDUALS IN THE SURROUNDING COMMUNITY. THE PROGRAM IS DESIGNED TO: 1- HELP INDIVIDUALS UNDERSTAND THEIR IDENTIFIED RISK(S); 2-DEMONSTRATE HOW TO MINIMIZE/MODIFY THOSE RISK FACTORS AND 3- PROVIDE EDUCATION ON HOW TO MAINTAIN A HEALTHY LIFESTYLE TO PREVENT HEART DISEASE. DURING FY15 THERE WERE 889 TOTAL ENCOUNTERS, 23 ACTIVE PROGRAM PARTICIPANTS, 73 HOME VISITS AND 29 WORKSHOP PARTICIPANTS. 75% OF THE PARTICIPANTS DEMONSTRATED A DECREASE IN OVERALL BMI AND 75% OF THE PARTICIPANTS DEMONSTRATED AT LEAST A 10 PT DROP IN SYSTOLIC AND AT LEAST A 5 PT DROP IN DIASTOLIC READINGS. |
| 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 11 | THE LIFEBRIDGE EXEMPT ENTITIES 990'S ARE INITIALLY REVIEWED BY THE CORPORATE DIRECTOR OF FINANCE. IN ADDITION, AN INDEPENDENT ACCOUNTING FIRM ALSO REVIEWS ALL THE 990 RETURNS. A FORMAL MEETING IS THEN SCHEDULED WITH THE CHIEF FINANCIAL OFFICER, VICE PRESIDENT OF FINANCE, GENERAL COUNSEL AND THE CORPORATE DIRECTOR OF FINANCE TO REVIEW IN THEIR ENTIRETY ALL THE LIFEBRIDGE EXEMPT ENTITIES 990'S. MANAGEMENT THEN PROVIDES A COPY OF THE 990'S TO 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 | LIFEBRIDGE AND ALL OF ITS SUBSIDIARIES REQUIRE ALL EMPLOYEES, MEDICAL STAFF, MEMBERS OF THE BOARD, AND THE EXECUTIVE STAFF TO DISCLOSE ANY ACTIVITIES THAT COULD RESULT IN A POSSIBLE CONFLICT OF INTEREST. IF A CONFLICT IS IDENTIFIED, THE PERSON INVOLVED WOULD RECUSE HIM/HERSELF FROM DELIBERATIONS REGARDING THE TRANSACTIONS. AN INDIVIDUAL IS CONSIDERED TO HAVE A CONFLICT OF INTEREST WITH REGARD TO A MATTER OR TRANSACTION IF THE INDIVIDUAL HAS A PERSONAL OR FINANCIAL INTEREST THAT HAS THE POTENTIAL TO INFLUENCE THE ACTION TAKEN BY THE INDIVIDUAL ON BEHALF OF LIFEBRIDGE OR ANY OF ITS SUBSIDIARIES. AN INDIVIDUAL IS CONSIDERED TO HAVE A "PERSONAL INTEREST" IN A MATTER IF IT IS LIKELY TO HAVE A DIRECT AND MATERIAL IMPACT ON THE INDIVIDUAL'S RELATIONSHIP WITH LIFEBRIDGE OR ANY OF ITS SUBSIDIARIES (E.G., THE INDIVIDUAL'S CONTINUED MEMBERSHIP ON A SUBSIDIARY HOSPITAL'S MEDICAL STAFF), OR ON THE INDIVIDUAL'S OWN HEALTH CARE, OR THE INDIVIDUAL IS PERSONALLY INVOLVED IN A SUBSTANTIAL WAY (E.G., SERVES AS AN OFFICER OR DIRECTOR) WITH ANOTHER ORGANIZATION THAT HAS A SIGNIFICANT INTEREST IN THE MATTER. AN INDIVIDUAL IS CONSIDERED TO HAVE A "FINANCIAL INTEREST" IN A TRANSACTION IF THE INDIVIDUAL IS A PARTY TO THE TRANSACTION, OR IF THE INDIVIDUAL HAS, DIRECTLY OR INDIRECTLY A CURRENT OR POTENTIAL OWNERSHIP OR INVESTMENT INTEREST IN A PARTY TO THE TRANSACTION OR A CURRENT OR POTENTIAL COMPENSATION ARRANGEMENT WITH A PARTY TO THE TRANSACTION. A "COMPENSATION ARRANGEMENT" INCLUDES DIRECT AND INDIRECT REMUNERATION AS WELL AS GIFTS OR FAVORS OF A SUBSTANTIAL NATURE. AN INDIVIDUAL WILL BE CONSIDERED TO HAVE A CONFLICT OF INTEREST WITH RESPECT TO A MATTER OR TRANSACTION IF A MEMBER OF THE INDIVIDUAL'S IMMEDIATE FAMILY HAS SUCH A CONFLICT. FOR THESE PURPOSES, A "MEMBER" OF AN INDIVIDUAL'S "IMMEDIATE FAMILY" MEANS AN INDIVIDUAL'S SPOUSE, MOTHER, FATHER, MOTHER-IN-LAW, FATHER-IN-LAW, GRANDFATHER, GRANDMOTHER, BROTHER, SISTER, BROTHER-IN-LAW, SISTER-IN-LAW, SON, DAUGHTER, SON-IN-LAW, OR DAUGHTER-IN-LAW. "STEP" RELATIONSHIPS (E.G., STEPCHILDREN AND STEPPARENTS) WILL BE TREATED THE SAME AS BLOOD RELATIONSHIPS, EXCEPT AS DETERMINED OTHERWISE IN A SPECIFIC CIRCUMSTANCE BY THE LIFEBRIDGE CEO OR THE PRESIDENT OR DESIGNEE OF THE APPROPRIATE LIFEBRIDGE SUBSIDIARY. ORDINARILY, OWNERSHIP OF LESS THAN 5% OF AN ENTITY DOES NOT CONSTITUTE AN OWNERSHIP INTEREST FOR WHICH DISCLOSURE IS NEEDED. CONFLICTS OF INTEREST ARE TO BE REPORTED BY EMPLOYEES TO THEIR SUPERVISOR, WHO WILL BE RESPONSIBLE FOR DETERMINING WHETHER FURTHER DISSEMINATION IS NECESSARY. MEMBERS OF THE MEDICAL STAFF SHOULD REPORT CONFLICTS TO THE CHIEF OF THEIR DEPARTMENT, AND MEMBERS OF THE BOARD SHOULD REPORT THEM TO EITHER THE CHAIRMAN OF THE BOARD OR THE OFFICE OF GENERAL COUNSEL. ONE OR MORE QUESTIONNAIRES ARE SENT OUT TO MEMBERS OF THE BOARD ON AN ANNUAL BASIS. IF QUESTIONS ARISE OR FURTHER GUIDANCE IS SOUGHT, CONFLICTS SHOULD ALSO BE REPORTED TO THE INTEGRITY HOTLINE OR OFFICE OF GENERAL COUNSEL. NOTHING IN THIS DEFINITION IS INTENDED TO RELIEVE ANY PERSON OF ANY ADDITIONAL OBLIGATIONS THAT MAY BE IMPOSED BY STATE OR FEDERAL LAW. |
| FORM 990, PART VI, SECTION B, LINE 15 | EXECUTIVE COMPENSATION AT LIFEBRIDGE HEALTH IS OVERSEEN BY THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS. COMMITTEE MEMBERS MAY NOT HAVE ANY FINANCIAL TIES TO THE ORGANIZATION AND MUST BE BOARD MEMBERS OF LIFEBRIDGE HEALTH OR A LIFEBRIDGE HOSPITAL. THE CHAIR OF THE LIFEBRIDGE HEALTH BOARD OF DIRECTORS SERVES AS COMMITTEE CHAIR. THE COMMITTEE PROVIDES A REPORT OF ITS ACTIVITIES TO THE FULL BOARD OF DIRECTORS AT LEAST ANNUALLY. COMPENSATION PACKAGES HAVE BEEN DESIGNED TO ATTRACT AND RETAIN SKILLED AND EXPERIENCED EXECUTIVES AND TO INCENTIVIZE THEM TO WORK TOWARD KEY STRATEGIC OBJECTIVES. THE COMMITTEE EMPLOYS INDEPENDENT CONSULTANTS TO ENSURE THAT COMPENSATION LEVELS ARE CONSISTENT WITH MARKET NORMS. GREATEST EMPHASIS IS PLACED UPON DATA FROM HEALTHCARE ORGANIZATIONS OF COMPARABLE SIZE AND ORGANIZATIONAL COMPLEXITY IN THE MID-ATLANTIC REGION. ALL EXECUTIVE INCENTIVE AND BENEFIT PROGRAMS ARE ESTABLISHED BY THE COMPENSATION COMMITTEE, AS IS THE BASE SALARY OF THE CHIEF EXECUTIVE OFFICER AND ALL EXECUTIVE AND SENIOR VICE PRESIDENTS. BASE SALARIES OF OTHER EXECUTIVES ARE SET BY THEIR RESPECTIVE SUPERVISORS, IN ACCORDANCE WITH GUIDELINES ESTABLISHED BY THE COMMITTEE AND SUBJECT TO THE COMMITTEE'S OVERSIGHT. A SUBSTANTIAL PORTION OF ALL EXECUTIVES' TOTAL COMPENSATION IS CONTINGENT UPON THE ACHIEVEMENT OF BOTH SYSTEM-WIDE AND INDIVIDUAL OBJECTIVES. EACH YEAR'S SYSTEM-WIDE OBJECTIVES ARE APPROVED BY THE COMPENSATION COMMITTEE AND TYPICALLY INCLUDE BOTH FINANCIAL AND NONFINANCIAL GOALS. AN EXECUTIVE WHO FAILS TO ACHIEVE THE OBJECTIVES ESTABLISHED FOR THE INCENTIVE PROGRAMS WILL EARN BELOW MARKET LEVELS; CONVERSELY, THE ATTAINMENT OF EXTRAORDINARY RESULTS WILL BE REWARDED BY ABOVE-AVERAGE COMPENSATION. THERE IS CONTEMPORANEOUS DOCUMENTATION AND RECORDKEEPING FOR DELIVERATIONS AND DECISION REGARDING THE COMPENSATION ARRANGEMENTS. |
| 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 IX, LINE 11G | PROFESSIONAL AND TECHNICAL: PROGRAM SERVICE EXPENSES 7,223,115. MANAGEMENT AND GENERAL EXPENSES 1,904,574. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,127,689. AGENCY NURSES: PROGRAM SERVICE EXPENSES 1,770,846. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,770,846. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 4,386,902. MANAGEMENT AND GENERAL EXPENSES 2,196,893. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,583,795. CORPORATE ALLOCATION: PROGRAM SERVICE EXPENSES 3,528,814. MANAGEMENT AND GENERAL EXPENSES 8,922,263. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 12,451,077. CONTRACT CLEANING: PROGRAM SERVICE EXPENSES 16,751. MANAGEMENT AND GENERAL EXPENSES 2,729,993. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,746,744. PURCHASED TEMPORARY HELP: PROGRAM SERVICE EXPENSES 242,489. MANAGEMENT AND GENERAL EXPENSES 61,347. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 303,836. |
| FORM 990, PART XI, LINE 9: | TRANSFER TO AFFILIATE -1,165,754. |
| FORM 990, PART XII, LINE 2C: | THIS PROCESS HAS NOT CHANGED FROM PRIOR YEAR. |
| DUE TO AFFILIATES - BONDS | ON JANUARY 8, 2008, LIFEBRIDGE HEALTH, INC., TOGETHER WITH ITS AFFILIATES SINAI HOSPITAL OF BALTIMORE, NORTHWEST HOSPITAL CENTER, LEVINDALE HEBREW AND GERIATRIC CENTER, CHILDREN'S HOSPITAL AT SINAI FOUNDATION, AND THE BALTIMORE JEWISH HEALTH FOUNDATION (COLLECTIVELY, THE OBLIGATED GROUP) BORROWED $285,815,000 FROM THE MARYLAND HEALTH AND HIGHER EDUCATIONAL FACILITIES AUTHORITY (THE AUTHORITY) TO FINANCE THE ADVANCE REFUNDING OF THE 2004 SERIES A AND 2004 SERIES B BONDS AND TO FINANCE VARIOUS CONSTRUCTION AND RENOVATION PROJECTS. THE AUTHORITY OBTAINED THE FUNDS FOR THIS FINANCING THROUGH THE ISSUANCE OF BONDS UNDER THE MARYLAND HEALTH AND HIGHER EDUCATIONAL FACILITIES AUTHORITY (MHHEFA) REVENUE BONDS, LIFEBRIDGE HEALTH ISSUE, SERIES 2008, COLLATERALIZED BY ALL RECEIPTS OF THE OBLIGATED GROUP. THE BONDS WERE ISSUED AT A PREMIUM OF $3,278,562, OF WHICH NORTHWEST'S PORTION IS $834,106, WHICH IS BEING AMORTIZED OVER THE LIFE OF THE BOND ISSUE. THE MEMBERS OF THE OBLIGATED GROUP ARE JOINTLY AND SEVERALLY LIABLE FOR REPAYMENT OF THE PRINCIPAL AND LOAN AND INTEREST THEREON. AS OF JUNE 30, 2015, $268,652,386 OF THE TOTAL AMOUNT BORROWED APPEARS AS DUE TO LIFEBRIDGE HEALTH, OF WHICH NORTHWEST'S PORTION IS $68,348,406. ALL THE BONDS WERE ISSUED IN THE NAME OF LIFEBRIDGE AND ARE REPORTED ON SCHEDULE K OF ITS FORM 990. ON MARCH 30, 2011, LIFEBRIDGE HEALTH, INC., TOGETHER WITH ITS AFFILIATES SINAI HOSPITAL OF BALTIMORE, NORTHWEST HOSPITAL CENTER, LEVINDALE HEBREW AND GERIATRIC CENTER, CHILDREN'S HOSPITAL AT SINAI FOUNDATION, AND THE BALTIMORE JEWISH HEALTH FOUNDATION (COLLECTIVELY, THE OBLIGATED GROUP) BORROWED $50,695,000 FROM THE MARYLAND HEALTH AND HIGHER EDUCATIONAL FACILITIES AUTHORITY (THE AUTHORITY) TO FINANCE A CONSTRUCTION AND EXPANSION PROJECT OF LEVINDALE HEBREW GERIATRIC CENTER & HOSPITAL AND TO FINANCE VARIOUS CONSTRUCTION AND RENOVATION PROJECTS AT SINAI HOSPITAL OF BALTIMORE AND NORTHWEST HOSPITAL CENTER. THE AUTHORITY OBTAINED THE FUNDS FOR THIS FINANCING THROUGH THE ISSUANCE OF BONDS UNDER THE MARYLAND HEALTH AND HIGHER EDUCATIONAL FACILITIES AUTHORITY (MHHEFA) REVENUE BONDS, LIFEBRIDGE HEALTH ISSUE, SERIES 2011, COLLATERALIZED BY ALL RECEIPTS OF THE OBLIGATED GROUP. THE BONDS WERE ISSUED AT A DISCOUNT OF $55,766, OF WHICH, NORTHWEST'S PORTION IS $10,199, WHICH IS BEING AMORTIZED OVER THE LIFE OF THE BOND ISSUE. THE MEMBERS OF THE OBLIGATED GROUP ARE JOINTLY AND SEVERALLY LIABLE FOR REPAYMENT OF THE PRINCIPAL AND LOAN AND INTEREST THEREON. AS OF JUNE 30, 2015, $48,270,642 OF THE TOTAL AMOUNT BORROWED, OF WHICH NORTHWEST'S PORTION IS $8,827,816, APPEARS AS DUE TO LIFEBRIDGE HEALTH. ALL THE BONDS WERE ISSUED IN THE NAME OF LIFEBRIDGE AND ARE REPORTED ON SCHEDULE K OF ITS FORM 990. ON MAY 1, 2015, A SINGLE OBLIGATED GROUP (THE OBLIGATED GROUP) WAS FORMED, CONSISTING OF LIFEBRIDGE HEALTH INC, SINAI HOSPITAL OF BALTIMORE INC, NORTHWEST HOSPITAL CENTER INC, LEVINDALE HEBREW GERIATRIC CENTER & HOSPITAL INC, THE BALTIMORE JEWISH HEALTH FOUNDATION INC, CHILDREN'S HOSPITAL AT SINAI FOUNDATION INC, CARROLL COUNTY HEALTH SERVICES CORPORATION, CARROLL HOSPITAL CENTER INC, CARROLL COUNTY MED SERVICES INC, CARROLL HEALTH GROUP LLC, CARROLL HOSPICE INC, AND CARROLL REGIONAL CANCER CENTER PHYSICIANS LLC. MEMBERS OF THE OBLIGATED GROUP ARE JOINTLY AND SEVERALLY LIABLE FOR ALL OF THE OUTSTANDING BONDS. THE BONDS INCLUDE THE ONES DETAILED ABOVE AS WELL AS THE BONDS ORIGINALLY OBTAINED BY CARROLL COUNTY HEALTH SERVICES INC AND ITS RELATED SUBSIDIARIES. THESE BONDS ISSUED BY THE AUTHORITY ON BEHALF OF LIFEBRIDGE HEALTH INC AND CARROLL COUNTY HEALTH SERVICES INC AND THEIR RESPECTIVE AFFILIATES, TOGETHER WITH THE OTHER OBLIGATIONS ON PARITY WITH SUCH BONDS. ALL THE BONDS ARE REPORTED ON SCHEDULE K OF THE LIFEBRIDGE HEALTH INC FORM 990. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (12 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| LIFEBRIDGE HEALTH INC | |||||||||||
| 2401 WEST BELVEDERE AVE | BALTIMORE | MD | 21215 | 521402373 | TO SUPPORT THE CHARITABLE MISSIONS OF ITS SUBSIDIARIES. | MD | 501(C)(3) | 11A | N/A | 0 | |
| SINAI HOSPITAL OF BALTIMORE INC | |||||||||||
| 2401 WEST BELVEDERE AVENUE | BALTIMORE | MD | 21215 | 520486540 | PROVIDE MEDICAL CARE, EDUCATE STUDENTS, PERFORM MEDICAL RESEARCH | MD | 501(C)(3) | 3 | 0 | LIFEBRIDGE HEALTH INC | |
| LEVINDALE HEBREW GERIATRIC CENTER AND HOSPITAL INC | |||||||||||
| 2434 WEST BELVEDERE AVE | BALTIMORE | MD | 21215 | 520607913 | GERIATRIC HOSPITAL DEDICATED TO PROVIDING SERVICE TO THE AGED | MD | 501(C)(3) | 3 | 0 | LIFEBRIDGE HEALTH INC | |
| COURTLAND GARDENS NURSING AND REHABILITATION CENTER | |||||||||||
| 2434 WEST BELVEDERE AVE | BALTIMORE | MD | 21215 | 520607907 | SKILLED NURSING CARE FOR THE ELDERLY AND DISABLED | MD | 501(C)(3) | 9 | 0 | LEVINDALE | |
| CHILDREN'S HOSPITAL OF BALTIMORE CITY | |||||||||||
| 2401 WEST BELVEDERE AVENUE | BALTIMORE | MD | 21215 | 520591592 | CHARITY SUPPORT FOR SINAI HOSPITAL OF BALTIMORE INC | MD | 501(C)(3) | 11B | 0 | LIFEBRIDGE HEALTH INC | |
| THE BALTIMORE JEWISH HEALTH FOUNDATION INC | |||||||||||
| 2401 WEST BELVEDERE AVENUE | BALTIMORE | MD | 21215 | 522111541 | CHARITY SUPPORT FOR SINAI HOSPITAL OF BALTIMORE INC | MD | 501(C)(3) | 11B | 0 | LIFEBRIDGE HEALTH INC | |
| CHILDREN'S HOSPITAL AT SINAI FOUNDATION | |||||||||||
| 2401 WEST BELVEDERE AVENUE | BALTIMORE | MD | 21215 | 522167587 | CHARITY SUPPORT FOR SINAI HOSPITAL OF BALTIMORE INC | MD | 501(C)(3) | 11B | 0 | LIFEBRIDGE HEALTH INC | |
| THE BALTIMORE JEWISH ELDERCARE FOUNDATION | |||||||||||
| 2401 WEST BELVEDERE AVENUE | BALTIMORE | MD | 21215 | 522337669 | CHARITY SUPPORT FOR LEVINDALE HEBREW GERIATRIC CENTER HOSPITAL | MD | 501(C)(3) | 11B | 0 | LIFEBRIDGE HEALTH INC | |
| CARROLL COUNTY HEALTH SERVICES CORPORATION | |||||||||||
| 200 MEMORIAL AVENUE | WESTMINSTER | MD | 21157 | 520691413 | CHARITY SUPPORT FOR CARROLL HOSPITAL CENTER, INC. | MD | 501(C)(3) | 11C | 0 | LIFEBRIDGE HEALTH INC | |
| CARROLL HOSPITAL CENTER INC | |||||||||||
| 200 MEMORIAL AVENUE | WESTMINSTER | MD | 21157 | 521452024 | A HOSPITAL COMMITTED TO THE HIGHEST QUALITY HEALTH CARE | MD | 501(C)(3) | 3 | 0 | CARROLL COUNTY HEALTH SERVICES CORPORATION | |
| CARROLL HOSPITAL CENTER FOUNDATION INC | |||||||||||
| 200 MEMORIAL AVENUE | WESTMINSTER | MD | 21157 | 521115038 | CHARITY SUPPORT FOR CARROLL HOSPITAL CENTER, INC. & CARROLL HOSPICE | MD | 501(C)(3) | 11A | 0 | CARROLL HOSPITAL CENTER INC | |
| CARROLL HOSPICE INC | |||||||||||
| 292 STONER AVENUE | WESTMINSTER | MD | 21157 | 521565870 | HOSPICE | MD | 501(C)(3) | 7 | 0 | CARROLL HOSPITAL CENTER INC | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (13 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|
| CARROLL OCCUPATIONAL HEALTH LLC | |||||||
| 7001 CORPORATE CENTER COURT | WESTMINSTER | MD | 21157 | 202769332 | MEDICAL SERVICES | MD | N/A |
| CARROLL COUNTY RADIOLOGY LLC | |||||||
| 7253 AMBASSADOR ROAD | BALTIMORE | MD | 21244 | 522190849 | RADIOLOGY | MD | N/A |
| CARDIOVASCULAR ASSOCIATES OF MARYLAND LLC | |||||||
| 2401 WEST BELVEDERE AVENUE | BALTIMORE | MD | 21215 | 462935110 | MEDICAL SERVICES | MD | N/A |
| LIFEBRIDGE CARDIOLOGY OF PARKVILLE LLC | |||||||
| 2401 WEST BELVEDERE AVENUE | BALTIMORE | MD | 21215 | 463742313 | MEDICAL SERVICES | MD | N/A |
| LIFEBRIDGE COMMUNITY GASTROENTEROLOGY LLC | |||||||
| 2401 WEST BELVEDERE AVENUE | BALTIMORE | MD | 21215 | 462863298 | MEDICAL SERVICES | MD | N/A |
| LIFEBRIDGE COMMUNITY PEDIATRICS LLC | |||||||
| 2401 WEST BELVEDERE AVENUE | BALTIMORE | MD | 21215 | 462842468 | MEDICAL SERVICES | MD | N/A |
| LIFEBRIDGE COMMUNITY PULMONOLOGY LLC | |||||||
| 2401 WEST BELVEDERE AVENUE | BALTIMORE | MD | 21215 | 461401312 | MEDICAL SERVICES | MD | N/A |
| LIFEBRIDGE GYNECOLOGY OF PIKESVILLE LLC | |||||||
| 2401 WEST BELVEDERE AVENUE | BALTIMORE | MD | 21215 | 462949092 | MEDICAL SERVICES | MD | N/A |
| LIFEBRIDGE MEDICAL ASSOCIATES LLC | |||||||
| 2401 WEST BELVEDERE AVENUE | BALTIMORE | MD | 21215 | 462941505 | MEDICAL SERVICES | MD | N/A |
| LIFEBRIDGE ORTHOPEDIC SPECIALISTS LLC | |||||||
| 2401 WEST BELVEDERE AVENUE | BALTIMORE | MD | 21215 | 450719598 | MEDICAL SERVICES | MD | N/A |
| LIFEBRIDGE PRIMARY CARE OF ELDERSBURG LLC | |||||||
| 2401 WEST BELVEDERE AVENUE | BALTIMORE | MD | 21215 | 383897702 | MEDICAL SERVICES | MD | N/A |
| LIFEBRIDGE PRIMARY CARE OF NORTH CARROLL LLC | |||||||
| 2401 WEST BELVEDERE AVENUE | BALTIMORE | MD | 21215 | 800883321 | MEDICAL SERVICES | MD | N/A |
| HOMECARE MARYLAND LLC | |||||||
| 8028 RITCHIE HIGHWAY SUITE 210B | PASADENA | MD | 21122 | 261378175 | HOME HEALTH SERVICES | MD | N/A |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (13 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| LIFEBRIDGE INVESTMENTS INC | |||||||||||||
| 2401 WEST BELVEDERE AVENUE | BALTIMORE | MD | 21215 | 521483166 | INVESTMENT | MD | N/A | C | 0 | ||||
| HEALTHSTAR MEDICAL SERVICES INC | |||||||||||||
| 2401 WEST BELVEDERE AVENUE | BALTIMORE | MD | 21215 | 521829098 | HEALTHCARE | MD | N/A | C | 0 | ||||
| PRACTICE DYNAMICS INC | |||||||||||||
| 124 BUSINESS CENTER DRIVE | REISTERSTOWN | MD | 21136 | 521960319 | MANAGEMENT | MD | N/A | C | 0 | ||||
| SURGICAL ONCOLOGY ASSOCIATES INC | |||||||||||||
| 2401 WEST BELVEDERE AVENUE | BALTIMORE | MD | 21215 | 521804659 | HEALTHCARE | MD | N/A | C | 0 | ||||
| LIFEBRIDGE INSURANCE COMPANY LTD | |||||||||||||
| 980415396 | INSURANCE | N/A | C | 0 | PO BOX 1109 KY1-1102 | GRAND CAYMAN | CJ | CJ | |||||
| LIFEBRIDGE COMMUNITY PHYSICIANS INC | |||||||||||||
| 2401 WEST BELVEDERE AVENUE | BALTIMORE | MD | 21215 | 800719005 | HEALTHCARE | MD | N/A | C | 0 | ||||
| CEN-MAR ASSURANCE COMPANY | |||||||||||||
| 986011607 | INSURANCE | N/A | C | 0 | PO BOX 1085 | GRAND CAYMAN | CJ | CJ | |||||
| CARROLL COUNTY GENERAL HOSPITAL SOUTH CARROLL MEDICAL CENTER CONDOMINIUM | |||||||||||||
| 200 MEMORIAL AVENUE | WESTMINSTER | MD | 21157 | REAL ESTATE | MD | N/A | C | 0 | |||||
| MED-SERVICES HOLDINGS INC | |||||||||||||
| 200 MEMORIAL AVENUE | WESTMINSTER | MD | 21157 | MEDICAL SERVICES | MD | N/A | C | 0 | |||||
| CARROLL COUNTY MED-SERVICES INC | |||||||||||||
| 200 MEMORIAL AVENUE | WESTMINSTER | MD | 21157 | 521891102 | MEDICAL SERVICES | MD | N/A | C | 0 | ||||
| CARROLL HEALTH GROUP LLC | |||||||||||||
| 200 MEMORIAL AVENUE | WESTMINSTER | MD | 21157 | 271956453 | HEALTHCARE | MD | N/A | C | 0 | ||||
| CARROLL URGENT CARE LLC | |||||||||||||
| 200 MEMORIAL AVENUE | WESTMINSTER | MD | 21157 | 465739154 | HEALTHCARE | MD | N/A | C | 0 | ||||
| CARROLL BILLING SERVICES INC | |||||||||||||
| 200 MEMORIAL AVENUE | WESTMINSTER | MD | 21157 | 300026598 | BILLING SERVICES | MD | N/A | C | 0 | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (4 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| PRACTICE DYNAMICS INC | ||
| P | $867,254 | FMV |
| PRACTICE DYNAMICS INC | ||
| O | $200,632 | FMV |
| LIFEBRIDGE HEALTH INC | ||
| C | $1,165,757 | FMV |
| LIFEBRIDGE HEALTH INC | ||
| P | $29,730,414 | FMV |