2016-05-16T09:24:47-05:00 2015-06-30 205991824 SC&H TAX & ADVISORY SERVICES LLC 910 RIDGEBROOK ROAD SPARKS MD 21152 990 2014-07-01 520607913 LEVINDALE HEBREW GERIATRIC CENTER AND HOSPITAL INC LEVI 4106015653 2434 WEST BELVEDERE AVENUE BALTIMORE MD 21215 DAVID KRAJEWSKI SENIOR VP/CFO 4106015653 2016-05-12 1 LORI S BURGHAUSER P00370694 4104031500 2016-05-12 2014 2016-08-17 19:52:53Z BRIAN WHITE 2434 WEST BELVEDERE AVENUE BALTIMORE MD 21215 76018191 0 X WWW.LIFEBRIDGEHEALTH.ORG/LEVINDALE X 1892 MD LEVINDALE IS A GERIATRIC CENTER AND HOSPITAL DEDICATED TO PROVIDING SUPERIOR SERVICE IN A COST EFFECTIVE MANNER FOR THE AGED, FRAIL AND ILL IN INSTITUTIONAL, COMMUNITY AND HOME SETTINGS. 33 30 1002 70 0 0 3097801 1632211 78972540 73359644 1549049 756153 1088666 270183 84708056 76018191 0 0 0 0 46762706 47726714 33240 0 43453 30699236 24768678 77495182 72495392 7212874 3522799 104475290 104549351 26710753 27750017 77764537 76799334 X LEVINDALE IS A GERIATRIC CENTER AND HOSPITAL DEDICATED TO PROVIDING SUPERIOR SERVICE IN A COST EFFECTIVE MANNER FOR THE AGED, FRAIL AND ILL IN INSTITUTIONAL, COMMUNITY AND HOME SETTINGS. AS AN ADVOCATE FOR THE ELDERLY, LEVINDALE ACCEPTS A LEADERSHIP ROLE IN DEFINING AND DEVELOPING, IN COLLABORATION WITH OTHER AGENCIES, A COMPREHENSIVE CONTINUUM OF NURSING, MEDICAL, AND SOCIAL SERVICES WITHIN THE JEWISH COMMUNITY OF THE BALTIMORE METROPOLITAN AREA. PROGRAMS ARE OPERATED WITHIN THE VALUES INHERENT IN JUDAISM PURSUANT TO LEVINDALE'S CHARTER. 0 0 35865897 0 43789652 LEVINDALE OPERATES A 120 BED CHRONIC HOSPITAL. LEVINDALE PROVIDES SPECIALTY LONG-STAY HOSPITAL SERVICE, REHABILITATION CARE, BEHAVIORAL HEALTH CARE. LEVINDALE'S MISSION IS TO PROVIDE TO THE COMMUNITY QUALITY MEDICAL HEALTHCARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, AGE OR ABILITY TO PAY. LEVINDALE HEBREW GERIATRIC CENTER AND HOSPITAL PROVIDED 34,512 INPATIENT DAYS: 7,719 IN THE CHRONIC UNIT, 646 IN THE REHABILITATION UNIT AND 26,147 IN THE BEHAVIORAL HEALTH UNIT. 13261368 0 24709102 LEVINDALE OPERATES A 210 BED NURSING FACILITY INCLUDING A 60 BED SUB-ACUTE UNIT. LEVINDALE HEBREW GERIATRIC CENTER AND HOSPITAL'S NURSING FACILITY PROVIDED 57,838 PATIENT DAYS IN ADDITION TO 14,967 IN THE SKILLED NURSING FACILITY. 5244505 0 4866153 LEVINDALE HEBREW GERIATRIC CENTER AND HOSPITAL PROVIDES ADULT DAY CARE, PARTIAL HOSPITALIZATION, CLINIC SERVICES, AND REHABILITATION SERVICES. LEVINDALE HAS PROVIDED 18,511 DAYS IN ITS ADULT DAY CARE PROGRAM. THE PARTIAL HOSPITALIZATION PROGRAM HAD 2,829 DAYS. OTHER PROGRAM SERVICE EXPENSES INCLUDE CAFETERIA FOR RESIDENTS, VISITORS AND STAFF, AS WELL AS TRANSPORTATION FOR THE ELDERLY TO PROGRAMS RUN BY LEVINDALE. 54371770 1 1 0 1 0 0 0 0 0 1 1 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 0 0 1 77 0 1002 1 0 0 0 0 0 0 0 0 0 0 X 33 30 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 MD X NANCY KANE 4106015653 2401 WEST BELVEDERE AVENUE BALTIMORE MD 21215 DAVID UHLFELDER CPA CHAIRMAN 1.00 0.00 X X 0 0 0 ABBA DAVID POLIAKOFF ESQUIRE VICE CHAIRMAN 1.00 0.00 X X 0 0 0 ALLAN C ALPERSTEIN TREASURER 1.00 0.00 X X 0 0 0 KEITH ATTMAN SECRETARY 1.00 0.00 X X 0 0 0 MICHAEL ALBO DIRECTOR 1.00 0.00 X 0 0 0 SHARON CAPLAN DIRECTOR 1.00 0.00 X 0 828 0 MARC A COHEN DIRECTOR 1.00 0.00 X 0 0 0 ANNETTE COOPER DIRECTOR 1.00 0.00 X 0 828 0 ROBERT DAMIE DIRECTOR 1.00 0.00 X 0 0 0 GERALD B FELDMAN MD DIRECTOR 1.00 0.00 X 0 828 0 JASON A FRANK ESQUIRE DIRECTOR 1.00 0.00 X 0 0 0 BARRY GARBER DIRECTOR 1.00 0.00 X 0 0 0 GIL HORWITZ DIRECTOR 1.00 0.00 X 0 0 0 ESTHER JACOBSON DIRECTOR 1.00 0.00 X 0 0 0 ALAN KOTZ DIRECTOR 1.00 0.00 X 0 0 0 HERSCHEL LANGENTHAL DIRECTOR 1.00 0.00 X 0 0 0 SCOTT LONDON DIRECTOR 1.00 0.00 X 0 0 0 BRENDA MANDEL DIRECTOR 1.00 0.00 X 0 0 0 EDWARD MORRIS DIRECTOR 1.00 0.00 X 0 0 0 MARK NEUMANN DIRECTOR 1.00 0.00 X 0 0 0 HOWARD PERLOW DIRECTOR 1.00 0.00 X 0 0 0 MICHAEL H RENBAUM DIRECTOR 1.00 0.00 X 0 0 0 LEE ROSENBERG DIRECTOR 1.00 0.00 X 0 828 0 BERNARD RUBIN MD DIRECTOR 1.00 1.00 X 0 828 0 LOUIS E SAPPERSTEIN DIRECTOR 1.00 0.00 X 0 0 0 RICHARD SHATZKIN DIRECTOR 1.00 0.00 X 0 0 0 ROBERT SMELKINSON DIRECTOR 1.00 0.00 X 0 0 0 MARC TERRILL DIRECTOR 1.00 0.00 X 0 0 0 HOWARD D WEISS MD DIRECTOR 1.00 0.00 X 0 0 0 HOWARD M WEISS DIRECTOR 1.00 0.00 X 0 0 0 BRIAN WHITE PRES POST-ACUTE SERVICES/DIRECTOR 1.00 40.00 X X 0 739479 78417 CHARLES WINNER DIRECTOR 1.00 0.00 X 0 0 0 STEVEN WIONS DIRECTOR 1.00 0.00 X 0 0 0 NEIL MELTZER PRESIDENT & CEO, LIFEBRIDGE HEALTH 1.00 40.00 X 0 1500322 359290 DAVID KRAJEWSKI SR VP/CFO, LIFEBRIDGE HEALTH 1.00 40.00 X 0 722617 92865 SUSAN LEVY-STROHM VP MEDICAL AFFAIRS 40.00 1.00 X 456352 0 79353 CANDACE HAMNER VP PATIENT CARE SVCS/CNO POST-ACUTE SVCS 40.00 1.00 X 334804 0 11485 BARRY EISENBERG EXECUTIVE DIR/COO POST-ACUTE SVCS 40.00 1.00 X 239639 0 19081 JENNIFER LABUTE VP NURSING HOME OPERATIONS 40.00 1.00 X 168568 0 48021 JOHN ROBISON VP CHRONIC HOSPITAL OPERATIONS 40.00 1.00 X 149820 0 34710 SURAIYA BEGUM PHYSICIAN 40.00 0.00 X 270060 0 33090 GIZAW WOLDEHIWOT PHYSICIAN 40.00 0.00 X 264862 0 32302 JOCELYN EL-SAYED PHYSICIAN 40.00 0.00 X 224979 0 10841 ALPNA ASNANI PHYSICIAN 40.00 0.00 X 217709 0 30892 BABATUNDE AJANI PHYSICIAN 40.00 0.00 X 214877 0 10186 ARIC SPITULNIK FORMER PRESIDENT/COO/DIRECTOR 0.00 0.00 X 388947 0 12821 2930617 2966558 853354 37 1 1 0 ARAMARK HEALTHCARE 25271 NETWORK PLACE CHICAGO IL 606031252 FOOD SERVICE 807179 CROTHALL SERVICES 13028 COLLECTIONS CENTER DRIVE CHICAGO IL 60693 EVS & LAUNDRY SERVICES 339156 SODEXO INC & AFFILIATES PO BOX 536922 ATLANTA GA 30353 FOOD SERVICE 288558 TOTAL RENAL CARE PO BOX 8500 - 1607 PHILADELPHIA PA 19178 RENAL DIALYSIS 287560 ACCOUNTABLE HEALTHCARE PO BOX 732800 DALLAS TX 753732800 AGENCY NURSING 251142 8 445732 24560 1161919 1632211 MEDICARE/MEDICAID PAYMENTS 623000 64906581 64906581 PATIENT SERVICE REVENUE 623000 8453063 8453063 73359644 500846 500846 148489 0 148489 148489 148489 255307 0 255307 255307 255307 OTHER OPERATING REVENUE 900099 116431 116431 PURCHASE DISCOUNTS 900099 5263 5263 121694 76018191 73364907 0 1021073 X 1738128 1694675 43453 36890019 29684123 7205896 714927 536195 178732 5382564 3779188 1603376 3001076 2250807 750269 49815 5000 44815 123050 123050 9447 9447 7861836 5070160 2791676 37831 20155 17676 1264058 247913 1016145 1838950 1371765 467185 102990 102965 25 134596 56429 78167 528509 528509 3296423 2439353 857070 1273 1273 SUPPLIES 6786692 5943726 842966 MEDICAID TAX ASSESSMENT 1493047 1493047 PROF. & TECHNICAL EXPS. 944861 643383 301478 AGENCY NURSES 191289 191289 104011 6490 97521 72495392 54371770 18080169 43453 12196226 15385209 803881 749295 275712 540743 8986251 7618905 134749 180715 124606 365997 78938099 36608461 42628619 42329638 26579208 25387712 10258297 9701898 2487741 2289239 104475290 104549351 7326961 7360170 3373489 3604485 16010303 16785362 26710753 27750017 X 69502545 68679056 4038758 3897044 4223234 4223234 77764537 76799334 104475290 104549351 X 3522799 -1761603 -2726399 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 1 0 0 0 0 1 12936 0 1 110114 123050 0 PART II-B, LINE 1: LOBBYING INCLUDES A PORTION OF MARYLAND HOSPITAL ASSOCIATION DUES RELATED TO LOBBYING ACTIVITIES DURING THE YEAR ENDED JUNE 30, 2015 AND OTHER LOBBYING ACTVITIES PERFORMED ON BEHALF OF THE HOSPITAL REGARDING COMMUNITY STABILIZATION AND DEVELOPMENT, HEALTHCARE MALPRACTICE AND LONG TERM CARE. 4223234 4223234 4223234 4223234 4223234 4223234 4223234 4223234 4223234 4223234 0.00000 1.00000 0.00000 0 1 1 58568664 24937063 33631601 18182414 10886959 7295455 2187021 784439 1402582 42329638 ECONOMIC INTEREST IN FOUNDATION 9701898 F 9701898 PENSION LIABILITY 2354421 DEFERRED COMPENSATION 41717 CAPTIVE PROFESSIONAL LIABILITY 205911 A/P - RELATED PARTIES 3016414 OTHER LIABILITIES 1560000 A/P DUE TO AFFILIATE BONDS 9606899 16785362 PART V, LINE 4: THE PERMANENTLY ENDOWED FUNDS HELD BY THE BALTIMORE JEWISH ELDERCARE FOUNDATION, INC. ARE USED TO SUPPORT LEVINDALE HEBREW GERIATRIC CENTER AND HOSPITAL, INC. 1 1 1 X 300.000000000000 1 X 500.000000000000 1 1 1 0 1 1 2238691 2238691 0.03090 14485942 14485942 0.19980 16724633 16724633 0.23070 1570188 6164 1564024 0.02160 78300 78300 0.00110 18193 18193 0.00030 1666681 6164 1660517 0.02300 18391314 6164 18385150 0.25370 85242 50744 34498 0.00050 85242 50744 34498 0.00050 1 2675080 2143593 49379469 36953255 12426214 X 1 1 1 1 LEVINDALE HEBREW GERIATRIC CENTER & HOSP 2434 WEST BELVEDERE AVENUE BALTIMORE MD 21215 HTTP://WWW.LIFEBRIDGEHEALTH.ORG/LEVIND 30088 X LEVINDALE HEBREW GERIATRIC CENTER & HOSP 1 0 0 1 X X X X X X X X X 12 1 0 0 1 X SEE PART V, SECTION C, LINE 7D X X 1 12 1 SEE PART V, SECTION C, LINE 7D 0 0 1 X 300.000000000000 500.000000000000 1 1 X X X 1 X X X 1 X 0 X X X 0 X X 0 1 LEVINDALE HEBREW GERIATRIC CENTER & HOSPITAL, 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. LEVINDALE HEBREW GERIATRIC CENTER & HOSPITAL, INC PART V, SECTION B, LINE 5: SINAI & LEVINDALELIFEBRIDGE 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). IN FALL 2011, LIFEBRIDGE HEALTH PRESIDENT, NEIL MELTZER (FORMERLY SINAI PRESIDENT), INVITED DR. OXIRIS BARBOT, BALTIMORE CITY HEALTH COMMISSIONER, TO PRESENT HEALTHY BALTIMORE 2015, THE CITY'S HEALTH POLICY AGENDA, TO THE SINAI HOSPITAL BOARD. THIS INVITATION AND DR. BARBOT'S PRESENTATION SPARKED AN EARLY PARTNERSHIP BETWEEN THE BALTIMORE CITY HEALTH DEPARTMENT (BCHD) AND LIFEBRIDGE HEALTH, LEADING TO INCREASED PRESENCE AND INVOLVEMENT OF BALTIMORE CITY PUBLIC HEALTH OFFICIALS IN THE PROCESS OF IDENTIFYING AND RESPONDING TO COMMUNITY NEEDS IN PARK HEIGHTS. CHNA STAFF SUPPORTED BCHD'S FIRST NEIGHBORHOOD COMMUNITY FORUM IN JANUARY 2012 HELD IN PARK HEIGHTS. THIS MEETING WAS THE FIRST OF MANY CITY-WIDE MEETINGS AS PART OF THE HEALTH DEPARTMENT'S NEIGHBORHOOD HEALTH INITIATIVE, AN INITIATIVE AIMED TO BEGIN A DIALOGUE WITH LOCAL COMMUNITY RESIDENTS ABOUT THEIR HEALTH CONCERNS AND CONDITIONS THAT INFLUENCE HEALTH OUTCOMES WHERE THEY LIVE, WORK, LEARN AND PLAY. A SECOND PARK HEIGHTS COMMUNITY FORUM WAS HELD IN JUNE OF 2012 IN A COMMUNITY LOCATION SELECTED TO INCREASE COMMUNITY RESIDENT PARTICIPATION. THE CHNA TEAM COLLABORATED CLOSELY WITH THE CITY AND WITH COMMUNITY RESIDENTS TO PROMOTE THE FORUM. IN FURTHER SUPPORT OF OUR PARTNERSHIP WITH THE BALTIMORE CITY HEALTH DEPARTMENT (BCHD), THE CHNA TEAM INVITED BCHD'S DIRECTOR OF POLICY AND PLANNING TO PRESENT THE CITY'S HEALTH IMPROVEMENT PLAN TO THE COMMUNITY MISSION COMMITTEE, A COMMITTEE OF THE LIFEBRIDGE HEALTH BOARD THAT GUIDES AND MONITORS COMMUNITY BENEFIT PROGRAMMING. THE CHNA TEAM AND BCHD STAFF MET REGULARLY THROUGHOUT THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS IN ORDER TO ENSURE ALIGNMENT BETWEEN THE HOSPITAL'S ASSESSMENT AND THE BCHD'S HEALTHY BALTIMORE 2015 PLAN. IN ADDITION TO CONSULTING WITH PUBLIC HEALTH PARTNERS TO BETTER UNDERSTAND COMMUNITY HEALTH NEEDS, LEVINDALE SOUGHT INFORMATION FROM KEY COMMUNITY AND HUMAN SERVICES PARTNERS IN PARK HEIGHTS. KEY PARTNERS INCLUDED THE PARK HEIGHTS COMMUNITY HEALTH ALLIANCE (PHCHA), PARK HEIGHTS RENAISSANCE (PHR), THE ZETA CENTER FOR HEALTHY AND ACTIVE AGING AND THE ZETA HEALTHY AGING PARTNERSHIP (Z-HAP). CHNA TEAM MEMBERS REGULARLY ATTENDED MEETINGS OF EACH ORGANIZATION AND SOUGHT SUPPORT FROM EACH TO FACILITATE THE CHNA PROCESS. ASSISTANCE FROM PARTNER ORGANIZATIONS 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 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 HEALTH IMPROVEMENT PROJECT AND THE ROLE THAT EACH COMMUNITY PARTNER WILL PLAY IN ITS IMPLEMENTATION. THROUGH ITS DESIGNATION AS A CONSTITUENT AGENCY OF THE ASSOCIATED: JEWISH COMMUNITY FEDERATION OF BALTIMORE, LEVINDALE ALSO GAINED VALUABLE FEEDBACK ABOUT COMMUNITY HEALTH NEEDS SPECIFICALLY RELATED TO THE COMMUNITY'S ELDERLY POPULATION. IN 2012, ASSOCIATED PARTNERS SHARED WITH LEVINDALE PRESIDENT, ARIC SPITULNIK, THE CONCERN THAT ELDER VICTIMS OF DOMESTIC VIOLENCE IN AND AROUND BALTIMORE ARE NOT ADEQUATELY SERVED BY EXISTING DOMESTIC VIOLENCE PROGRAMS AND RESOURCES. THIS LED TO THE CONVENING OF A PLANNING GROUP INCLUDING THE ASSOCIATED, LEVINDALE, AND TWO ADDITIONAL CONSTITUENT AGENCIES OF THE ASSOCIATED, CHANA AND JEWISH COMMUNITY SERVICES (JCS). THE SMALL GROUP MET APPROXIMATELY FIVE TIMES THROUGHOUT THE YEAR IN ORDER TO DEVELOP A MORE TAILORED INTERVENTION FOR SENIOR VICTIMS OF DOMESTIC VIOLENCE OR 'ELDER ABUSE'. ALTHOUGH LIFEBRIDGE HEALTH CURRENTLY SERVES VICTIMS OF DOMESTIC VIOLENCE THROUGH PROGRAMS AT BOTH SINAI AND NORTHWEST HOSPITALS, THE GROUP IDENTIFIED A GAP IN THE AVAILABILITY OF SERVICES EQUIPPED TO MEET THE SPECIALIZED NEEDS OF ELDERS EXPERIENCING DOMESTIC VIOLENCE. THE RESULT OF THIS COLLABORATIVE EFFORT IS THE DEVELOPMENT OF A PLAN MODELED AFTER A NEW YORK BASED ELDER ABUSE CENTER THAT OFFERS A FULL RANGE OF HEALTHCARE AND SUPPORTIVE SERVICES, INCLUDING A COORDINATED SYSTEM THAT PROVIDES SAFE AND MEDICALLY SUPPORTIVE EMERGENCY SHELTER, EMOTIONAL SUPPORT, PSYCHOLOGICAL COUNSELING, LEGAL ADVOCACY AND REPRESENTATION FOR VICTIMS OF ABUSE. THE FOLLOWING COMMUNITY MEMBERS WERE CONSULTED: BETSY D. SIMON, M.S., CHES, FOUNDER/DIRECTOR ZETA HEALTHY AGING PARTNERSHIP (Z-HAP); LESLIE YANCEY, MANAGER ZETA CENTER FOR HEALTHY AND ACTIVE AGING; JULIUS COLON, PRESIDENT AND CEO PARK HEIGHTS RENAISSANCE, INC.; DR. OXIRIS BARBOT, COMMISSIONER OF HEALTH BALTIMORE CITY HEALTH DEPARTMENT; SARAH MORRIS-COMPTON, DIRECTOR OFFICE OF POLICY AND PLANNING, BALTIMORE CITY HEALTH DEPARTMENT; WILLIE FLOWERS, EXECUTIVE DIRECTOR PARK HEIGHTS COMMUNITY HEALTH ALLIANCE; SINAI HOSPITAL COMMUNITY ADVISORY PANEL; PARK HEIGHTS SERVICE PROVIDERS' NETWORK; PARK HEIGHTS RENAISSANCE, INC. AND MEMBERS OF THE COMMUNITY WHO ATTENDED SINAI HOSPITAL COMMUNITY FEEDBACK SESSIONS. LEVINDALE HEBREW GERIATRIC CENTER & HOSPITAL, INC PART V, SECTION B, LINE 7D: COPIES OF THE CHNA WERE DISTRIBUTED TO KEY COMMUNITY PARTNERS.LEVINDALE HEBREW GERIATRIC CENTER AND HOSPITAL HTTP://WWW.LIFEBRIDGEHEALTH.ORG/UPLOADS/PUBLIC/DOCUMENTS/COMMUNITY%20HEALTH/2013/LEVINDALE.PDF LEVINDALE HEBREW GERIATRIC CENTER & HOSPITAL, INC PART V, SECTION B, LINE 11: BECAUSE LEVINDALE IS DESIGNATED AS A GERIATRIC CENTER, IT DOES NOT PROVIDE ACUTE CARE SERVICES AND SERVES A MUCH OLDER POPULATION COMPARED TO ITS SISTER HOSPITALS, SINAI AND NORTHWEST HOSPITALS, THAT PROVIDE ACUTE CARE SERVICES AND SERVE A MORE AGE-DIVERSE POPULATION, MANY RESPONSES TO COMMUNITY HEALTH NEEDS WILL BE ADDRESSED AT THE SYSTEM LEVEL, INVOLVING ALL THREE LIFEBRIDGE HEALTH HOSPITALS. THE FOLLOWING HEALTH NEEDS THAT WERE IDENTIFIED AS PRIORITIES BY THE CHNA CAN ALREADY BE ADDRESSED WITHIN THE LIFEBRIDGE HEALTH SYSTEM:-CANCER - THE ALVIN & LOIS LAPIDES CANCER INSTITUTE AT SINAI AND NORTHWEST IS A COMPREHENSIVE CANCER CENTER PROVIDING TREATMENT AND SUPPORT TO PATIENTS AND FAMILIES AS WELL AS COMMUNITY EDUCATION. THE FREEDOM TO SCREEN PROGRAM AT NORTHWEST HOSPITAL IN NEARBY BALTIMORE COUNTY PROVIDES COMMUNITY OUTREACH, BREAST CANCER EDUCATION, SCREENINGS AND EXAMS, MAMMOGRAMS, AND FOLLOW-UP DIAGNOSTIC PROCEDURES FOR LOWER INCOME, UNINSURED AND UNDER-INSURED WOMEN IN BOTH HOSPITALS' CATCHMENT AREAS (E.G. BALTIMORE COUNTY AND CITY).-DRUG & ALCOHOL ABUSE - SINAI HOSPITAL ADDICTION RECOVERY PROGRAM PROVIDES OUTPATIENT TREATMENT AND EDUCATION TO THOSE UNINSURED AND UNDER-INSURED INDIVIDUALS WITH ADDICTIONS TO DRUGS AND ALCOHOL.-HIV/AIDS - SINAI'S INFECTIOUS DISEASE AMBULATORY CENTER PROVIDES TREATMENT TO HIV+ PERSONS, INCLUDING THOSE WHO ARE UNINSURED, AND THE HIV SUPPORT SERVICES PROVIDE OUTREACH & ACCESS TO CARE, COUNSELING AND OTHER SUPPORT SERVICES TO HIV+ ADULTS, CHILDREN AND YOUTH.-MENTAL HEALTH - LEVINDALE PROVIDES OUTPATIENT BEHAVIORAL HEALTH SERVICES INCLUDING A PARTIAL HOSPITALIZATION PROGRAM (PHP) AND OUTPATIENT SERVICES (OPS) DEDICATED TO PROVIDING EFFECTIVE, OUTPATIENT GEM-PSYCHIATRIC TREATMENT TO OLDER ADULTS (USUALLY 60 OR OLDER) WHO ARE EXPERIENCING BEHAVIORAL OR EMOTIONAL DIFFICULTIES. LEVINDALE HEBREW GERIATRIC CENTER & HOSPITAL, 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. LEVINDALE HEBREW GERIATRIC CENTER & HOSPITAL, INC PART V, SECTION B, LINE 24: ONLY PATIENTS APPROVED RETROSPECTIVELY (DETERMINED ELIGIBLE AFTER THE DATE OF SERVICE) ARE CHARGED. ONCE ELIGIBILITY IS DETERMINED, CHANGES ARE ADJUSTED IN ACCORDANCE WITH POLICY. 1 LEVINDALE HEBREW GERIATRIC CENTER & HOSP 2434 WEST BELVEDERE AVENUE BALTIMORE MD 21215 NURSING HOME PART I, LINE 3C: LEVINDALE HEBREW GERIATRIC CENTER AND HOSPITAL, 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 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.THE COSTING METHODOLOGY USED TO REPORT COMMUNITY BENEFIT EXPENSE INCLUDES THE EXPENSES DIRECTLY RELATED TO PROVIDING THE BENEFIT ALONG WITH AN ALLOCATION OF INDIRECT COSTS, NET OF ANY DIRECT REVENUE. PART II, COMMUNITY BUILDING ACTIVITIES: AS A LARGE EMPLOYER AND PROVIDER OF HEALTH SERVICES IN THE NORTHWEST QUADRANT OF BALTIMORE CITY AND PARTS OF SOUTHERN BALTIMORE COUNTY, LIFEBRIDGE HEALTH PROVIDES COMMUNITY BENEFITS THAT ENHANCE THE OVERALL QUALITY OF LIFE IN OUR SURROUNDING COMMUNITIES. THIS IS ACCOMPLISHED THROUGH COALITION BUILDING AND WORKFORCE DEVELOPMENT. THE CHANGING HEARTS/HEALTH HEARTS INITIATIVE HOLDS SCREENINGS FOR THE OUTSIDE COMMUNITY TO IDENTIFY HEART HEALTHY LIFESTYLES, TO PROVIDE EDUCATION AND TO IDENTIFY INDIVIDUALS AT RISK FOR HEART DISEASE. THE CAREER COACH WORKS WITH FRONT LINE EMPLOYEES TO PROVIDE SOCIAL, RETENTION AND CAREER DEVELOPMENT SERVICES. THIS POSITION PROMOTES THE HEALTH OF THE COMMUNITY BECAUSE MANY OF THE CLIENTS SERVED BY THE COACH LIVE IN THE SURROUNDING COMMUNITY. ONE SERVICE THAT THE COACH FOCUSES ON FOR MANY EMPLOYEES IS FINANCIAL HEALTH, PROVIDING THEM WITH RESOURCES AND TIPS TO ENSURE THEIR STABILITY. THE WORKFORCE DEVELOPMENT DEPARTMENT OFFERS EDUCATIONAL COURSES LIKE MEDICAL TERMINOLOGY THAT ARE OPEN TO THE COMMUNITY. PARTICIPATION IN THESE COURSES PROVIDES FOUNDATIONAL KNOWLEDGE NEEDED FOR MANY ENTRY LEVEL POSITIONS WITHIN OUR HEALTH SYSTEM. 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 LEVINDALE HEBREW GERIATRIC CENTER AND HOSPITAL'S GOAL OF MAXIMUM BAD DEBT RECOVERY AND STRICT ADHERENCE WITH FAIR DEBT COLLECTIONS PRACTICES ACT (FDCPA) RULES AND REGULATIONS, WHILE MAINTAINING POSITIVE PATIENT RELATIONS. SEE AUDITED FINANCIAL STATEMENTS PAGE 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: LEVINDALE HEBREW GERIATRIC CENTER AND HOSPITAL, 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 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 VI, LINE 2: COMMUNITY NEEDS ASSESSMENTS ARE DONE IN A VARIETY OF WAYS, ACCORDING TO THE HOSPITAL DEPARTMENTS INVOLVED AND THE CONSTITUENCIES THEY SERVE. THE FOLLOWING ARE USED MOST COMMONLY: A) CLINICAL DEPARTMENT NEEDS RECOGNITION BASED ON DAILY PATIENT CARE AND PROFESSIONAL EXPERIENCE, B) PARTICIPATION IN COMMUNITY COALITIONS, C) PROGRAM DEVELOPMENT BASED ON EXPRESSED CLIENT NEEDS, AND D) FORMAL NEEDS ASSESSMENT CONDUCTED BY AN EXTERNAL CONSULTANT. PART VI, LINE 3: LEVINDALE USES THE FOLLOWING MEANS 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. LEVINDALE 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. LEVINDALE'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 INCLUDE A MESSAGE REFERENCING THE AVAILABILITY OF FINANCIAL ASSISTANCE FOR THOSE WHO ARE EXPERIENCING FINANCIAL DIFFICULTY AND PROVIDES CONTACT INFORMATION TO DISCUSS LEVINDALE'S FINANCIAL ASSISTANCE PROGRAM. ALL HOSPITAL PATIENT FINANCIAL SERVICES STAFF, AND MEDICAID ELIGIBILITY VENDORS ARE TRAINED TO IDENTIFY POTENTIAL FINANCIAL ASSISTANCE ELIGIBILITY AND ASSIST PATIENTS WITH THE FINANCIAL ASSISTANCE APPLICATION PROCESS. PART VI, LINE 4: LEVINDALE HEBREW GERIATRIC CENTER AND HOSPITAL IS LOCATED IN THE NORTHWEST QUADRANT OF BALTIMORE CITY. IT DRAWS MANY PATIENTS FROM THE NEIGHBORHOODS PROXIMATE TO THE FACILITY. CONSISTENT WITH ITS MISSION TO SERVE THE JEWISH COMMUNITY, LEVINDALE ALSO SERVES PATIENTS FROM THROUGHOUT THE BALTIMORE METROPOLITAN AREA. IN ADDITION, AS ONE OF A SMALL NUMBER OF CHRONIC HOSPITALS IN THE STATE, LEVINDALE DRAWS PATIENTS FROM ACROSS CENTRAL MARYLAND. THE NEIGHBORHOODS SURROUNDING LEVINDALE ARE IDENTIFIED BY THE BALTIMORE NEIGHBORHOOD INDICATORS ALLIANCE (BNIA) AS SOUTHERN PARK HEIGHTS (PARK HEIGHTS) AND PIMLICO/ARLINGTON/HILLTOP (PIMLICO). TOGETHER THEY CONSTITUTE AN AREA THAT IS PREDOMINANTLY AFRICAN AMERICAN WITH A BELOW AVERAGE MEDIAN FAMILY INCOME, BUT ABOVE AVERAGE RATES FOR UNEMPLOYMENT, AND OTHER SOCIAL DETERMINANTS OF POOR HEALTH. PARK HEIGHTS AND PIMLICO'S MEDIAN HOUSEHOLD INCOME WAS $27,365 AND $29,031 RESPECTIVELY. THIS IS COMPARED TO BALTIMORE CITY'S MEDIAN HOUSEHOLD INCOME OF $37,395. THE PERCENT OF FAMILIES EARNING LESS THAN THE FEDERAL SELF-SUFFICIENCY STANDARD IN PARK HEIGHTS WAS 25.9% AND PIMLICO'S INDICATORS WERE 21.3%. THE UNEMPLOYMENT RATE FOR BALTIMORE CITY WAS 10.0%. PARK HEIGHTS AND PIMLICO HAD UNEMPLOYMENT RATES OF 17.5% AND 17.0% RESPECTIVELY. THE NINE ZIP CODES THAT REPRESENT THE PRIMARY SERVICE AREA IN FISCAL YEAR 2012 WERE 21215, 21207, 21208, 21209, 21117, 21216, 21133, 21244 AND 21136. THE BALTIMORE CITY HEALTH DEPARTMENT USES COMMUNITY STATISTICAL AREAS (CSA) WHEN ANALYZING HEALTH OUTCOMES AND RISK FACTORS. THE DATA PROVIDED FOR THE PRIMARY RACIAL COMPOSITION, MEDICAN INCOME AND HOUSEHOLD BELOW POVERTY LEVEL WAS OBTAINED FROM THE US CENSUS BUREAU. THE LIFE EXPECTANCY DATA WAS OBTAINED FROM THE BALTIMORE CITY HEALTH DEPARTMENT. THE RACIAL COMPOSITION AND INCOME DISTRIBUTION OF THESE ZIP CODES REFLECT THE SEGREGATION AND INCOME DISPARITY CHARACTERISTICS OF THE BALTIMORE METROPOLITAN REGION. AS INDICATED ABOVE, THOSE ZIP CODES THAT HAVE A PREDOMINANTLY AFRICAN AMERICAN POPULATION, INCLUDING 21215, IN WHICH THE HOSPITAL IS LOCATED, REFLECT THE RACIAL SEGREGATION AND POVERTY REPRESENTATIVE OF BALTIMORE CITY. THIS IS IN CONTRAST TO THE NEIGHBORING BALTIMORE COUNTY ZIP CODES (21208 & 21209) IN WHICH THE MEDIAN HOUSEHOLD INCOME WAS MUCH HIGHER, AND IN WHICH THE POPULATION IS PREDOMINANTLY WHITE. PART VI, LINE 5: LEVINDALE HEBREW GERIATRIC CENTER AND HOSPITAL PROVIDES MEALS TO RESIDENTS WHO ARE UNABLE TO PREPARE A MEAL FOR THEMSELVES DUE TO AGE AND MEDICAL CONDITIONS. LEVINDALE PROVIDES MEALS TO ADULT DAY CARE AND ASSISTED LIVING FACILITIES IN THE NEIGHBORHOOD. PART VI, LINE 6: SINAI HOSPITAL OF BALTIMORE AND NORTHWEST HOSPITAL ARE AFFILIATES AND DISCHARGED PATIENTS REQUIRING CHRONIC HOSPITAL AND SUB-ACUTE CARE ARE OFTEN ADMITTED TO LEVINDALE FOR FURTHER CARE. PART VI, LINE 7, REPORTS FILED WITH STATES MD X 1 1 X X X X 1 1 0 0 0 0 0 0 0 BRIAN WHITE PRES POST-ACUTE SERVICES/DIRECTOR 0 523489 0 185004 0 30986 0 58290 0 20127 0 817896 0 22271 NEIL MELTZER PRESIDENT & CEO, LIFEBRIDGE HEALTH 0 790719 0 419867 0 289736 0 334475 0 24815 0 1859612 0 249253 DAVID KRAJEWSKI SR VP/CFO, LIFEBRIDGE HEALTH 0 483830 0 171876 0 66911 0 72116 0 20749 0 815482 0 35624 SUSAN LEVY-STROHM VP MEDICAL AFFAIRS 251851 0 81239 0 123262 0 63533 0 15820 0 535705 0 46908 0 CANDACE HAMNER VP PATIENT CARE SVCS/CNO POST-ACUTE 204339 0 70415 0 60050 0 3839 0 7646 0 346289 0 24788 0 BARRY EISENBERG EXECUTIVE DIR/COO POST-ACUTE SVCS 184904 0 29762 0 24973 0 0 0 19081 0 258720 0 18329 0 JENNIFER LABUTE VP NURSING HOME OPERATIONS 129583 0 37988 0 997 0 28219 0 19802 0 216589 0 0 0 JOHN ROBISON VP CHRONIC HOSPITAL OPERATIONS 133317 0 16359 0 144 0 4440 0 30270 0 184530 0 0 0 SURAIYA BEGUM PHYSICIAN 182760 0 84695 0 2605 0 11661 0 21429 0 303150 0 0 0 GIZAW WOLDEHIWOT PHYSICIAN 165537 0 80931 0 18394 0 11849 0 20453 0 297164 0 0 0 JOCELYN EL-SAYED PHYSICIAN 188059 0 36550 0 370 0 10413 0 428 0 235820 0 0 0 ALPNA ASNANI PHYSICIAN 166550 0 39250 0 11909 0 10314 0 20578 0 248601 0 0 0 BABATUNDE AJANI PHYSICIAN 189014 0 25701 0 162 0 9758 0 428 0 225063 0 0 0 ARIC SPITULNIK FORMER PRESIDENT/COO/DIRECTOR 82102 0 0 0 306845 0 6810 0 6011 0 401768 0 192985 0 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, LINES 4A-B DURING THE YEAR, THE FOLLOWING DIRECTORS AND OFFICERS RECEIVED A SEVERANCE PAYMENT: ARIC SPITULNIK $ 113,624 SUSAN LEVY-STROHM $ 48,416 DURING THE YEAR, THE FOLLOWING DIRECTORS AND OFFICERS PARTICIPATED IN A LIFEBRIDGE HEALTH SPONSORED SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: SUSAN LEVY-STROHM $ 40,921 NEIL MELTZER $ 305,095 BRIAN WHITE $ 56,001 DAVID KRAJEWSKI $ 66,916 JENNIFER LABUTE $ 15,120 DURING THE YEAR, THE FOLLOWING DIRECTORS AND OFFICERS RECEIVED PAYMENTS AS PART OF THEIR PARTICIPATION IN A LIFEBRIDGE HEALTH SPONSORED SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: ARIC SPITULNIK $ 192,985 SUSAN LEVY-STROHM $ 46,908 CANDACE HAMNER $ 24,788 NEIL MELTZER $ 249,253 BRIAN WHITE $ 22,271 BARRY EISENBERG $ 18,329 DAVID KRAJEWSKI $ 35,624 COMPENSATION PROVIDED BY RELATED ORGANIZATIONS: MR. BRIAN WHITE RECEIVED COMPENSATION AS THE PRESIDENT OF POST-ACUTE SERVICES FOR LIFEBRIDGE HEALTH, NOT AS A DIRECTOR. ACME PAPER & SUPPLY CO INDIRECT BUSINESS 1946027 LEVINDALE HEBREW GERIATRIC CENTER, INC. AND OTHER LIFEBRIDGE HEALTH SUBSIDIARIES PURCHASED APPROXIMATELY $1,946,027 IN PAPER SUPPLIES FROM ACME PAPER AND SUPPLY, CO. ONE OF THE DIRECTORS OF LEVINDALE, MR. KEITH ATTMAN, IS THE DIRECTOR OF PURCHASING FOR ACME PAPER AND SUPPLY, CO. MR. ATTMAN'S FAMILY ALSO OWNS ACME PAPER AND SUPPLY, CO. ALL TRANSACTIONS WERE AT FAIR MARKET VALUE AND NEGOTIATED AT ARM'S LENGTH. 0 THE LAW OFFICE OF FRED S LONDON PC INDIRECT BUSINESS 1072310 LIFEBRIDGE HEALTH SUBSIDIARIES PAID APPROXIMATELY $1,072,310 FOR COLLECTION SERVICES FROM THE LAW OFFICE OF FRED S. LONDON PC. ONE OF THE DIRECTORS OF LEVINDALE, SCOTT LONDON, IS AN ATTORNEY FOR THE FIRM. ALL TRANSACTIONS WERE AT FAIR MARKET VALUE AND WERE NEGOTIATED AT ARM'S LENGTH. 0 FORM 990, PART VI, SECTION A, LINE 6 THE CORPORATION SHALL HAVE ONE MEMBER: LIFEBRIDGE HEALTH INC., (THE "MEMBER") A MARYLAND NONSTOCK CORPORATION. MEMBERSHIP IN THE CORPORATION SHALL NOT BE TRANSFERABLE. FORM 990, PART VI, SECTION A, LINE 7A THE MEMBER SHALL HAVE THE EXCLUSIVE POWER AND AUTHORITY TO TAKE THE FOLLOWING ACTIONS: (1) EXCEPT FOR EX OFFICIO DIRECTORS AS PROVIDED FOR IN THE BYLAWS, TO NOMINATE, ELECT, AND REMOVE, WITH OR WITHOUT CAUSE, THE DIRECTORS OF THE CORPORATION; (2) TO APPOINT THE PRESIDENT OF THE CORPORATION WITH THE ADVICE AND CONSENT OF THE BOARD OF DIRECTORS; TO NOMINATE AND ELECT THE CORPORATION'S CHAIR, VICE CHAIR, SECRETARY, AND TREASURER; AND TO REMOVE EACH OF THE ABOVE-NAMED OFFICERS (WITH OR WITHOUT CAUSE), PROVIDED THAT THE BOARD OF DIRECTORS OF THE CORPORATION SHALL ALSO HAVE THE POWER TO REMOVE ANY OFFICER OF THE CORPORATION. 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. 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 DELIBERATIONS AND DECISIONS 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 FOOD SERVICE CONTRACT: PROGRAM SERVICE EXPENSES 3,457,949. MANAGEMENT AND GENERAL EXPENSES 2,999. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,460,948. CAFETERIA SALES RECOVERIES: PROGRAM SERVICE EXPENSES -146,726. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES -146,726. PUR SVC RCVRY-ARAMARK REV OFFSET: PROGRAM SERVICE EXPENSES -283,719. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES -283,719. PURCHASED TEMP HELP: PROGRAM SERVICE EXPENSES 193,782. MANAGEMENT AND GENERAL EXPENSES 180,713. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 374,495. CONTRACT CLEANING: PROGRAM SERVICE EXPENSES 36,642. MANAGEMENT AND GENERAL EXPENSES 311,692. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 348,334. LABORATORY SERVICE: PROGRAM SERVICE EXPENSES 244,845. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 244,845. BUNDLE BILLING SERVICE FEES: PROGRAM SERVICE EXPENSES 184,195. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 184,195. COLLECTION SERVICE FEES: PROGRAM SERVICE EXPENSES 121,070. MANAGEMENT AND GENERAL EXPENSES 83,597. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 204,667. MISC. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 122,816. MANAGEMENT AND GENERAL EXPENSES 101,633. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 224,449. SPECIAL PATIENT TRANSPORTATION: PROGRAM SERVICE EXPENSES 142,411. MANAGEMENT AND GENERAL EXPENSES 23. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 142,434. OTHER EXPENSES: PROGRAM SERVICE EXPENSES 656,370. MANAGEMENT AND GENERAL EXPENSES 1,963,203. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,619,573. OTHER SUBSIDY: PROGRAM SERVICE EXPENSES 83,333. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 83,333. LAUNDRY SERVICE: PROGRAM SERVICE EXPENSES 73,444. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 73,444. PATIENT ENTERTAINMENT: PROGRAM SERVICE EXPENSES 97,897. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 97,897. PURCHASED PAYROLL SERVICES: PROGRAM SERVICE EXPENSES 85,851. MANAGEMENT AND GENERAL EXPENSES 147,816. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 233,667. FORM 990, PART XI, LINE 9: ADJUSTMENT TO PENSION BENEFIT OBLIGATION -2,170,000. CHANGE IN THE NET ASSETS OF BALTIMORE JEWISH ELDERCARE FOUNDATION -556,399. FORM 990, PART XII, LINE 2C THE ORGANIZATION HAS NOT CHANGED ITS OVERSIGHT PROCESS OR SELECTION PROCESS DURING THE TAX 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 LEVINDALE'S PORTION IS $27,730, 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, THE TOTAL AMOUNT OUTSTANDING WAS $268,652,386 (DUE TO LIFEBRIDGE HEALTH,) OF WHICH LEVINDALE'S PORTION IS $2,272,215. 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 LEVINDALE'S PORTION IS $8,474, 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 LEVINDALE'S PORTION IS $7,335,104, 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. 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 LIFEBRIDGE HEALTH INC 0 COURTLAND GARDENS NURSING AND REHABILITATION CENTER 2434 WEST BELVEDERE AVENUE BALTIMORE MD 21215 520607907 SKILLED NURSING CARE FOR THE ELDERLY AND DISABLED MD 501(C)(3) 3 LEVINDALE 1 NORTHWEST HOSPITAL CENTER INC 5401 OLD COURT ROAD RANDALLSTOWN MD 21133 521372665 A HOSPITAL ASPIRING TO IMPROVE THE WELLBEING OF THE COMMUNITY IT SERVES MD 501(C)(3) 3 LIFEBRIDGE HEALTH INC 0 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 LIFEBRIDGE HEALTH INC 0 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 LIFEBRIDGE HEALTH INC 0 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 LIFEBRIDGE HEALTH INC 0 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 LIFEBRIDGE HEALTH INC 0 CARROLL COUNTY HEALTH SERVICES CORPORATION 200 MEMORIAL AVENUE WESTMINSTER MD 21157 520691413 CHARITY SUPPORT FOR CARROLL HOSPITAL CENTER, INC. MD 501(C)(3) 11C LIFEBRIDGE HEALTH INC 0 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 CARROLL COUNTY HEALTH SERVICES CORPORATION 0 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 CARROLL HOSPITAL CENTER INC 0 CARROLL HOSPICE INC 292 STONER AVENUE WESTMINSTER MD 21157 521565870 HOSPICE MD 501(C)(3) 7 CARROLL HOSPITAL CENTER INC 0 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 CARROLL COUNTY GENERAL HOSPITAL SOUTH CARROLL MEDICAL CENTER CONDOMINIUM 200 MEMORIAL AVENUE WESTMINSTER MD 21157 REAL ESTATE 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 CEN-MAR ASSURANCE COMPANY PO BOX 1085 GRAND CAYMAN CJ 986011607 INSURANCE CJ N/A C 0 HEALTHSTAR MEDICAL SERVICES INC 2401 WEST BELVEDERE AVENUE BALTIMORE MD 21215 521829098 HEALTHCARE MD N/A C 0 LIFEBRIDGE COMMUNITY PHYSICIANS INC 2401 WEST BELVEDERE AVENUE BALTIMORE MD 21215 800719005 HEALTHCARE MD N/A C 0 LIFEBRIDGE INSURANCE COMPANY LTD PO BOX 1109 KY1-1102 GRAND CAYMAN CJ 980415396 INSURANCE CJ N/A C 0 LIFEBRIDGE INVESTMENTS INC 2401 WEST BELVEDERE AVENUE BALTIMORE MD 21215 521483166 INVESTMENT MD N/A C 0 MED-SERVICES HOLDINGS INC 200 MEMORIAL AVENUE WESTMINSTER MD 21157 MEDICAL SERVICES 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 CARROLL BILLING SERVICES INC 200 MEMORIAL AVENUE WESTMINSTER MD 21157 300026598 BILLING SERVICES MD N/A C 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 BALTIMORE JEWISH ELDERCARE FOUNDATION C 445732 FMV PRACTICE DYNAMICS INC P 121070 FMV COURTLAND GARDENS NURSING & REHABILITATION CENTER INC O 134021 FMV LIFEBRIDGE HEALTH INC P 5654494 FMV