2015-05-15T09:16:29-05:00 2014-06-30 205991824 SC&H TAX & ADVISORY SERVICES LLC 910 RIDGEBROOK ROAD SPARKS MD 21152 990 2013-07-01 522337669 THE BALTIMORE JEWISH ELDERCARE FOUNDATION INC BALT 4106015653 2401 WEST BELVEDERE AVENUE BALTIMORE MD 21215 DAVID KRAJEWSKI CFO 4106015653 2015-05-14 1 LORI S BURGHAUSER P00370694 4104031500 2015-05-14 2013 2016-04-25 22:37:26Z DAVID KRAJEWSKI 2401 WEST BELVEDERE AVENUE BALTIMORE MD 21215 135694 0 X WWW.LIFEBRIDGEHEALTH.ORG X 2000 MD TO SUPPORT LEVINDALE HEBREW GERIATRIC CENTER AND HOSPITAL, INC. 3 3 0 0 0 0 0 81757 0 0 245319 53937 0 0 245319 135694 351160 420079 0 0 0 0 0 0 0 48395 47856 399555 467935 -154236 -332241 9400159 10430125 165655 171828 9234504 10258297 THE ORGANIZATION'S PRIMARY EXEMPT PURPOSE IS TO SUPPORT LEVINDALE HEBREW GERIATRIC CENTER AND HOSPITAL, INC., A SECTION 501 (C)(3) ENTITY. THE CORPORATION WAS ORGANIZED EXCLUSIVELY FOR CHARITABLE, EDUCATIONAL, AND SCIENTIFIC PURPOSES. 0 0 420079 420079 THE ORGANIZATION'S PRIMARY EXEMPT PURPOSE IS TO SUPPORT LEVINDALE HEBREW GERIATRIC CENTER AND HOSPITAL, INC., A SECTION 501(C)(3)ENTITY. THE CORPORATION WAS ORGANIZED EXCLUSIVELY FOR CHARITABLE, EDUCATIONAL, AND SCIENTIFIC PURPOSES. 420079 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 3 3 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 MD X NANCY KANE 4106015653 2401 WEST BELVEDERE AVENUE BALTIMORE MD 21215 X MARC TERRILL PRESIDENT 1.00 0.00 X X 0 0 0 LEE COPLAN SECRETARY/TREASURER 1.00 0.00 X X 0 1068 0 HOWARD FRIEDMAN DIRECTOR 1.00 0.00 X 0 0 0 0 1068 0 0 0 0 0 0 81757 81757 53937 53937 135694 0 0 53937 420079 420079 47856 47856 467935 420079 47856 0 9400159 10430125 9400159 10430125 165655 171828 165655 171828 X 2168698 2640854 2842572 3394209 4223234 4223234 9234504 10258297 9400159 10430125 -332241 1356034 0 X X 0 1 X 1 0 X X X 0 0 0 LEVINDALE HEBREW GERIATRIC CENTER AND HOSPITAL 520607913 3 1 420079 1 420079 4223234 4223234 4223234 4223234 4223234 4223234 4223234 4223234 4223234 4223234 1.00000 0 0 0 X PART X, LINE 2: THE ORGANIZATION IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF LIFEBRIDGE HEALTH, INC. AND SUBSIDIARIES. LIFEBRIDGE HEALTH AND ITS NOT-FOR-PROFIT SUBSIDIARIES HAVE BEEN RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE ORGANIZATION ACCOUNTS FOR UNCERTAIN TAX POSITIONS IN ACCORDANCE WITH ASC TOPIC 740. THE ORGANIZATION'S FINANCIAL STATEMENTS DO NOT INCLUDE ANY LIABILITY FOR UNCERTAIN TAX POSITIONS IN ACCORDANCE WITH ASC TOPIC 740. PART V THE PERMANENTLY ENDOWED FUNDS HELD BY THE BALTIMORE JEWISH ELDERCARE FOUNDATION, INC. ARE USED TO SUPPORT LEVINDALE HEBREW GERIATRIC CENTER AND HOSPITAL, INC. 1 LEVINDALE HEBREW GERIATRIC CENTER & HOSPITAL 2434 WEST BELVEDERE AVENUE BALTIMORE MD 21215 520607913 501 (C) (3) 420079 CHARITABLE 1 PART I, LINE 2 THE BALTIMORE JEWISH ELDERCARE FOUNDATION, INC. IS ORGANIZED AND OPERATED EXCLUSIVELY AS A SUPPORTING ORGANIZATION OF LEVINDALE HEBREW GERIATRIC CENTER AND HOSPITAL, A 501(C)(3) ENTITY. RECORDS ARE MAINTAINED TO SUBSTANTIATE THE AMOUNT OF GRANTS OR ASSISTANCE PROVIDED TO THE SUPPORTED ORGANIZATION. BJEF DOES NOT MAKE GRANTS TO ANY ORGANIZATION OTHER THAN ITS SUPPORTED ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 6 THE CORPORATION SHALL HAVE ONE MEMBER. THAT MEMBER SHALL BE THE ENTITY THAT, FROM TIME TO TIME, HAS THE ULTIMATE RIGHT TO CONTROL, DIRECTLY OR INDIRECTLY, THE ELECTION OF A MAJORITY OF THE DIRECTORS OF LEVINDALE HEBREW GERIATRIC CENTER AND HOSPITAL, INC., WHICH IS REFERRED TO HEREIN AS "LEVINDALE'S ULTIMATE PARENT." LEVINDALE'S ULTIMATE PARENT IS LIFEBRIDGE HEALTH INC., (THE "MEMBER"), A MARYLAND NONSTOCK CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A THE ORGANIZATION SHALL HAVE THREE DIRECTORS, WHO SHALL BE: (1) THE SENIOR PROFESSIONAL OFFICER OF THE ASSOCIATED, OR ITS SUCCESSOR IN INTEREST; (2) THE SENIOR LAY LEADER OF THE ASSOCIATED, OR ITS SUCCESSOR IN INTEREST; AND (3) THE CHAIR OF THE BOARD OF DIRECTIORS OF THE SOLE MEMBER OF THE ORGANIZATION. IF AT ANY TIME THERE IS A VACANCY IN ANY OF THESE POSITIONS, THE PERSON HOLDING SUCH POSITION ON AN INTERIM BASIS SHALL SERVE AS AN EX OFFICIO DIRECTOR OF THE ORGANIZATION UNTIL THE VACANCY HAS BEEN FILLED. 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, ASSISTANT 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 EACH INDIVIDUAL BOARD DIRECTOR PRIOR TO THE FILING DATE FOR REVIEW. FORM 990, PART VI, SECTION B, LINE 12C ALL DIRECTORS, OFFICERS, EMPLOYEES, MEDICAL STAFF MEMBERS, AND VOLUNTEERS ARE EXPECTED TO RECOGNIZE AND DISCLOSE AT THE EARLIEST POSSIBLE TIME ACTUAL AND POTENTIAL CONFLICTS OF INTEREST. AN INDIVIDUAL IS CONSIDERED TO HAVE A CONFLICT OF INTEREST WITH REGARD TO A MATTER OR TRANSACTION IF THE INDIVIDUAL OR A FAMILY MEMBER OF THE INDIVIDUAL HAS A PERSONAL OR FINANCIAL INTEREST THAT HAS THE POTENTIAL TO INFLUENCE THE ACTION TAKEN BY THE INDIVIDUAL ON BEHALF OF LIFEBRIDGE HEALTH. ADDITIONAL INFORMATION REGARDING WHAT CONSTITUTES A CONFLICT OF INTEREST AND HOW TO DISCLOSE A CONFLICT IS CONTAINED IN THE INSTITUTIONAL CONFLICT OF INTEREST POLICIES OUTLINED BELOW. LIFEBRIDGE AND ALL OF ITS SUBSIDIARIES SHALL 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 (410-601-9700) OR OFFICE OF GENERAL COUNSEL (410-601-5129). 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 NEITHER THE ORGANIZATION NOR ANY RELATED ORGANIZATION COMPENSATED AN OFFICER OR DIRECTOR OF THE ORGANIZATION. 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 XII, LINE 2C THE ORGANIZATION HAS NOT CHANGED ITS OVERSIGHT PROCESS OR SELECTION PROCESS DURING THE TAX YEAR. LIFEBRIDGE HEALTH INC 2401 WEST BELVEDERE AVENUE BALTIMORE MD 21215 521402373 TO SUPPORT THE CHARITABLE MISSIONS OF ITS SUBSIDIARIES. MD 501 (C)(3) 11B, II N/A 0 SINAI HOSPITAL OF BALTIMORE INC 2401 WEST BELVEDERE AVENUE BALTIMORE MD 21215 520486540 PROVIDE QUALITY MEDICAL CARE, EDUCATE STUDENTS, AND PERFORM MEDICAL RESEACH MD 501 (C)(3) 3 LIFEBRIDGE HEALTH INC 0 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 LEVINDALE HEBREW GERIATRIC CTR HOSPITAL 2434 WEST BELVEDERE AVENUE BALTIMORE MD 21215 520607913 GERIATRIC HOSPITAL DEDICATED TO PROVIDING SERVICE TO THE AGED MD 501 (C)(3) 3 LIFEBRIDGE HEALTH INC 0 COURTLAND GARDENS NURSING AND REHAB CTR 2434 WEST BELVEDERE AVENUE BALTIMORE MD 21215 520607907 SKILLED NURSING CARE FOR THE ELDERLY AND DISABLED MD 501 (C)(3) 9 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, II 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, II LIFEBRIDGE HEALTH INC 0 CHILDREN'S HOSPITAL AT SINAI FOUNDATION 2401 WEST BELVEDERE AVENUE BALTIMORE MD 21215 522167587 CHARITY SUPPORT FOR LEVINDALE HEBREW GERIATRIC CENTER HOSPITAL MD 501 (C)(3) 11B, II LIFEBRIDGE HEALTH INC 0 LIFEBRIDGE INVESTMENTS INC 2401 WEST BELVEDERE AVENUE BALTIMORE MD 21215 521483166 INVESTMENTS MD LIFEBRIDGE HEALTH INC C 0 HEALTHSTAR MEDICAL SERVICES INC 2401 WEST BELVEDERE AVENUE BALTIMORE MD 21215 521829098 HEALTHCARE MD LIFEBRIDGE INVESTMENTS C 0 PRACTICE DYNAMICS INC 124 BUSINESS CENTER DRIVE REISTERSTOWN MD 21136 521960319 MANAGEMENT SERVICES MD LIFEBRIDGE INVESTMENTS C 0 SURGICAL ONCOLOGY ASSOCIATES INC 2401 WEST BELVEDERE AVENUE BALTIMORE MD 21215 521804659 HEALTHCARE MD LIFEBRIDGE INVESTMENTS C 0 LIFEBRIDGE INSURANCE COMPANY LTD PO BOX 1109 KY1-1102 GRAND CAYMAN CJ 980415396 INSURANCE CJ LIFEBRIDGE HEALTH INC C 0 LIFEBRIDGE COMMUNITY PHYSICIANS INC 2401 WEST BELVEDERE AVENUE BALTIMORE MD 21215 800719005 HEALTHCARE MD LIFEBRIDGE INVESTMENTS INC C 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 LEVINDALE HEBREW GERIATRIC CENTER & HOSPITAL B 420079 CASH