2026-05-13T08:00:34+00:00 2025-06-30 135381590 BDO USA 8401 GREENSBORO DR STE 800 MCLEAN VA 221023599 990 2024-07-01 520607913 LEVINDALE HEBREW GERIATRIC CENTER AND HOSPITAL INC LEVI 4106015653 2434 WEST BELVEDERE AVENUE BALTIMORE MD 21215 DAVID KRAJEWSKI EXECUTIVE VP/CFO 4106015653 2026-05-13 true TODD TERESCO P00247720 7038930600 2026-05-13 2024 2025-03-06 01:10:19Z SHARON HENDRICKS 2434 WEST BELVEDERE AVENUE BALTIMORE MD 21215 99071142 false X WWW.LIFEBRIDGEHEALTH.ORG/LEVINDALE X 1892 MD LEVINDALE IS A GERIATRIC CENTER & HOSPITAL DEDICATED TO PROVIDING SUPERIOR SERVICE IN A COST EFFECTIVE MANNER FOR THE AGED, FRAIL AND ILL IN INSTITUTIONAL, COMMUNITY AND HOME SETTINGS. 29 28 785 28 45000 5772 673557 1433128 82357193 85219020 1329769 1707191 1513945 1072606 85874464 89431945 0 0 0 0 45012544 47661421 0 0 0 31440817 35462444 76453361 83123865 9421103 6308080 82720745 81970479 22616341 21291014 60104404 60679465 LEVINDALE IS A GERIATRIC CENTER AND HOSPITAL DEDICATED TO PROVIDING 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. false false 37778771 0 52031672 LEVINDALE OPERATES A 120-BED CHRONIC HOSPITAL, WHICH PROVIDES SPECIALTY LONG STAY HOSPITAL SERVICES, REHABILITATION CARE, AND BEHAVIORAL HEALTH CARE. LEVINDALE PROVIDED 32,224 INPATIENT DAYS: 2,611 IN THE HIGH-INTENSITY CARE UNIT (HICU); 2,611 IN THE REHABILITATION UNIT; AND 22,630 IN THE BRAIN HEALTH UNIT. 22052326 0 31030268 LEVINDALE OPERATES A 210-BED NURSING FACILITY, WHICH INCLUDES A 60-BED SUBACUTE UNIT. LEVINDALE PROVIDED 19,710 PATIENT DAYS OF SUBACUTE CARE AND 50,370 DAYS OF INTERMEDIATE NURSING CARE. 1784925 0 2458329 LEVINDALE HEBREW GERIATRIC CENTER AND HOSPITAL PROVIDES PARTIAL HOSPITALIZATION, CLINIC SERVICES, AND REHABILITATION SERVICES. THE PARTIAL HOSPITALIZATION PROGRAM HAD 1,204 VISITS. OTHER PROGRAM SERVICE EXPENSES INCLUDE CAFETERIA FOR RESIDENTS, VISITORS AND STAFF, AS WELL AS TRANSPORTATION FOR THE ELDERLY TO PROGRAMS RUN BY LEVINDALE. 61616022 true true false true false false false true false true true true false false true true false true false false false false false false false false true true false false true false false false false false false false false false true false false false false false true false false false false true 40 0 true 785 true true true false false false false false false false false false false false X 29 28 false false false false true true true true true false false false true true true true true true true false false false MD X NANCY KANE 4106015653 10090 RED RUN BLVD OWINGS MILLS MD 21117 ESTHER JACOBSON ASSISTANT TREASURER 1.0 0 X X 0 0 0 JAYNE KLEIN SECRETARY 1.0 0 X X 0 0 0 KEITH ATTMAN VICE CHAIR 1.0 0 X X 0 0 0 KEVIN KEANE TREASURER 1.0 0 X X 0 0 0 MICHELE SHERMAK MD CHAIR 1.0 2.0 X X 0 0 0 ANDREW CUSHNIR DIRECTOR 1.0 3.0 X 0 0 0 BARRY J NABOZNY DIRECTOR 1.0 0 X 0 0 0 BRADLEY KURLAND DIRECTOR 1.0 0 X 0 0 0 BRUCE HOFFBERGER DIRECTOR (As of 7/1/2024) 1.0 3.0 X 0 0 0 CHEO HURLEY DIRECTOR 1.0 0 X 0 0 0 DANIEL HENSON III DIRECTOR 1.0 0 X 0 0 0 DAVID LEIPNIK DIRECTOR (AS OF 7/1/24) 1.0 0 X 0 0 0 DAVID UHLFELDER CPA DIRECTOR 1.0 0 X 0 0 0 ETHAN SEIDEL PHD DIRECTOR 1.0 0 X 0 0 0 EVE VOGELSTEIN DIRECTOR (AS OF 7/1/2024) 1.0 0 X 0 0 0 GERALD B FELDMAN MD DIRECTOR 1.0 0 X 0 0 0 GILBERT TROUT DIRECTOR 1.0 0 X 0 0 0 HOWARD PERLOW DIRECTOR 1.0 0 X 0 0 0 JAYSON WILLIAMS DIRECTOR 1.0 0 X 0 0 0 JUDI JANOSKI SHERWOOD PHD DIRECTOR 1.0 0 X 0 0 0 MICHELLE MALIS DIRECTOR (THRU 9/1/2024) 0 X 0 0 0 NANCY PRETTER DIRECTOR 1.0 0 X 0 0 0 RICHARD TOPAZ DIRECTOR (AS OF 7/1/2024) 1.0 0 X 0 0 0 SAM ROSENBLATT DIRECTOR 1.0 0 X 0 0 0 SHIMON MESSING DIRECTOR 1.0 0 X 0 0 0 STACEY GOLDENBERG DIRECTOR 1.0 0 X 0 0 0 STEVE VENICK DIRECTOR 1.0 0 X 0 0 0 TZVI HABER DIRECTOR 1.0 0 X 0 0 0 YALE HOFFBERG DIRECTOR (AS OF 7/1/2024) 1.0 0 X 0 0 0 DAVID H KRAJEWSKI LEV. ASSISTANT TREAS., LBH EVP & CFO 1.0 54.0 X 0 1939064 47616 JASON H WEINER LEV. ASSISTANT SEC., LBH SVP & GC 1.0 54.0 X 0 1144544 217432 CRIS COLEMAN VP FINANCE, CARROLL, CFO, LEVINDALE 1.0 40.0 X 0 379602 48120 DAVID MCCORMICK CHIEF FINANCIAL OFFICER - NWH, LEV 40.0 1.0 X 307542 0 45816 EDGAR CASNER LBH VP SUPPLY CHAIN 1.0 44.0 X 0 403862 49986 JAMES ROBERGE LBH VP CAPITAL IMMPROVEMENT & SUPPORT 1.0 45.0 X 0 605333 80102 LESLIE R SIMMONS LEV. PRESIDENT, LBH EVP & COO 1.0 50.0 X 0 1953912 125076 NANCY KANE LBH VP FINANCIAL REPORTING 1.0 44.0 X 0 424851 90386 ANABELLE MAQUILING CHARGE NURSE 40.0 0 X 188201 0 17469 CAROLINE NGAUJAH REGISTERED NURSE 40.0 0 X 208132 0 12102 DIANN FERGUSON REGISTERED NURSE 40.0 0 X 196852 0 7996 MAURINE GABRIELS REGISTERED NURSE 40.0 0 X 188153 0 16172 ROSS J MAULTASCH AVP OPERATIONS 40.0 0 X 224555 0 20436 1313435 6851168 778709 94 false true false QUALIVIS LLC 5930 CORNERSTONE COURT W SUITE 300 SAN DIEGO CA 92121 AGENCY NURSING 6870707 METZ CULINARY MANAGEMENT 2 WOODLAND DRIVE DALLAS PA 18612 FOOD SERVICES 3005805 HEALTHRPO HERITAGE PO BOX 69268 BALTIMORE MD 21264 PHYSICAL THERAPY 1682790 CROTHALL HEALTHCARE 1500 LIBERTY RIDGE DRIVE SUITE 210 WAYNE PA 19087 CONTRACT CLEANING 267748 DAVITA OWINGS MILLS PO BOX 403008 ATLANTA GA 30384 DIALYSIS SERVICES 237715 10 0 0 0 500265 168870 763993 0 1433128 MEDICARE/MEDICAID PAYMENTS 623000 69604217 69604217 0 0 PATIENT SERVICE REVENUE 623000 15614803 15614803 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 85219020 1333141 0 0 1333141 0 0 0 0 0 0 0 152988 0 0 0 152988 0 152988 0 0 152988 9983408 0 9609358 0 374050 0 374050 0 0 374050 0 0 0 0 0 0 0 0 0 0 0 0 17559 29839 -12280 -12280 0 0 UNCLAIMED PROPERTY INCOME 900099 200896 200896 0 CAFETERIA SALES 900099 112633 112633 0 0 MANAGEMENT FEE 900099 45000 0 45000 0 573369 0 0 573369 931898 89431945 85520269 45000 2433548 X 0 0 0 0 0 0 0 0 353358 257951 95407 0 0 0 0 0 38837789 29038743 9799046 0 618923 496268 122655 0 4871830 3268733 1603097 0 2979521 2389056 590465 0 0 0 0 0 89841 89841 0 0 0 0 0 0 48821 0 48821 0 0 0 66622 0 66622 0 19389247 14772828 4616419 0 22033 12595 9438 0 1166967 276466 890501 0 0 0 0 0 0 0 0 0 2451825 1516148 935677 0 0 0 0 0 0 0 0 0 11096 4692 6404 0 526596 94197 432399 0 0 0 0 0 3960549 2544917 1415632 0 0 0 0 0 SUPPLIES 5696835 4963150 733685 0 MEDICAID TAX ASSESSMENT 1885344 1885344 0 0 DUES AND MEMBERSHIPS 146668 5093 141575 0 0 0 0 0 83123865 61616022 21507843 0 16172621 14437085 274906 274906 0 0 17468699 18714428 0 0 0 0 0 0 365201 310740 72783 163305 94364744 59821279 35941858 34543465 0 587420 11506426 12524723 0 0 0 918251 414407 82720745 81970479 8528868 7263697 0 0 1954514 801407 1000 1000 0 0 0 0 0 0 0 0 12131959 13224910 22616341 21291014 X 51313809 51277727 8790595 9401738 0 0 0 0 0 0 60104404 60679465 82720745 81970479 X 6308080 1334366 -7067385 X X false true false true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED true true false false false false true 15330 false true 33491 48821 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY LOBBYING INCLUDES A PORTION OF MARYLAND HOSPITAL ASSOCIATION DUES RELATED TO LOBBYING ACTIVITIES DURING THE YEAR ENDED JUNE 30, 2025 AND OTHER LOBBYING ACTIVITIES PERFORMED ON BEHALF OF THE HOSPITAL REGARDING COMMUNITY STABILIZATION AND DEVELOPMENT, HEALTHCARE MALPRACTICE AND LONG TERM CARE. 0 6125 X false 4223234 4223234 4223234 4223234 4223234 4223234 4223234 4223234 4223234 4223234 0.0 1.0 0.0 false true true 810577 810577 64608239 39000741 25607498 0 0 0 26558544 19503438 7055106 2387384 1317100 1070284 34543465 Closely-held equity interests Financial derivatives ECONOMIC INTEREST IN FOUNDATION 12524723 F 12524723 Federal Income Taxes A/P DUE TO AFFILIATE BONDS 8717160 ASSET RETIREMENT OBLIGATION 1567239 PENSION LIABILITY 1468601 A/P - RELATED PARTIES 1265999 CAPTIVE PROFESSIONAL LIABILITY 205911 13224910 X 0 0 0 0 0 0 0 0 0 0 0 0 Schedule D, Part III, Line 4 Collections of art - description of collections LEVINDALE OWNS AND DISPLAYS VARIOUS ARTWORKS, TO BRING HAPPINESS AND JOY TO LEVINDALE'S RESIDENTS AND PATIENTS. Schedule D, Part V, Line 4 Intended uses of endowment funds THE PERMANENTLY ENDOWED FUNDS HELD BY THE BALTIMORE JEWISH ELDERCARE FOUNDATION, INC. ARE USED TO SUPPORT LEVINDALE HEBREW GERIATRIC CENTER AND HOSPITAL, INC. Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote LIFEBRIDGE HEALTH, INC. AND ITS NOT-FOR-PROFIT SUBSIDIARIES HAVE BEEN RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. LIFEBRIDGE'S INCORPORATED FOR-PROFIT SUBSIDIARIES ACCOUNT FOR INCOME TAXES IN ACCORDANCE WITH FASB ASC TOPIC 740, INCOME TAXES. INCOME TAXES ARE ACCOUNTED FOR UNDER THE ASSET AND LIABILITY METHOD. DEFERRED TAX ASSETS AND LIABILITIES ARE RECOGNIZED FOR THE FUTURE TAX CONSEQUENCES ATTRIBUTABLE TO DIFFERENCES BETWEEN THE FINANCIAL STATEMENT CARRYING AMOUNTS OF EXISTING ASSETS AND LIABILITIES AND THEIR RESPECTIVE TAX BASES AND OPERATING LOSS AND TAX CREDIT CARRYFORWARDS. DEFERRED TAX ASSETS AND LIABILITIES ARE MEASURED USING ENACTED TAX RATES EXPECTED TO APPLY TO TAXABLE INCOME IN THE YEARS IN WHICH THOSE TEMPORARY DIFFERENCES ARE EXPECTED TO BE RECOVERED OR SETTLED. THE EFFECT ON DEFERRED TAX ASSETS AND LIABILITIES OF A CHANGE IN TAX RATES IS RECOGNIZED IN THE PERIOD THAT INCLUDES THE ENACTMENT DATE. ANY CHANGES TO THE VALUATION ALLOWANCE ON THE DEFERRED TAX ASSET ARE REFLECTED IN THE YEAR OF THE CHANGE. THE CORPORATION ACCOUNTS FOR UNCERTAIN TAX POSITIONS IN ACCORDANCE WITH ASC TOPIC 740. true true X true X 3000 true X 500 5728118 5728118 0.06891 95837 95837 0.00115 0 0.0 0 0 5823955 0 5823955 0.07006 1567859 5474 1562385 0.01880 0 0.0 0 0.0 0 0.0 4118 4118 0.00005 0 0 1571977 5474 1566503 0.01885 0 0 7395932 5474 7390458 0.08891 0 0.0 0 0.0 2181309 2181309 0.02624 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 2181309 0 2181309 0.02624 false 614662 571307 45421469 34950495 10470974 X true true 1 1 LEVINDALE HEBREW GERIATRIC CNTR & HOSPITAL 2434 WEST BELVEDERE AVENUE BALTIMORE MD 21215 HTTPS://WWW.LIFEBRIDGEHEALTH.ORG/LEVINDALE 30088 X LEVINDALE HEBREW GERIATRIC CNTR & HOSPITAL 1 false false true X X X X X X X X X 23 true true true true X HTTPS://WWW.LIFEBRIDGEHEALTH.ORG/LEVINDALE X X true 23 true HTTPS: / / WWW. LIFEBRIDGEHEALTH. ORG/SITES/DEFAULT/FILES/2024-06/2024%20LEVINDALE%20HOSPITAL%20CHNA false true X 300.0 500.0 X X X X true true X X X true X HTTPS://WWW.LIFEBRIDGEHEALTH.ORG/PATIENTS/FINANCIAL-ASSISTANCE X HTTPS://WWW.LIFEBRIDGEHEALTH.ORG/PATIENTS/FINANCIAL-ASSISTANCE X HTTPS://WWW.LIFEBRIDGEHEALTH.ORG/PATIENTS/FINANCIAL-ASSISTANCE X X X X X X true X false X X X X false X X false false Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - LEVINDALE HEBREW GERIATRIC CENTER AND HOSPITAL. LEVINDALE HEBREW GERIATRIC CENTER AND HOSPITAL (LEVINDALE) PARTICIPATED IN A COLLABORATIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) FOR BALTIMORE CITY IN 2023-2024. REPRESENTATIVES FROM LEVINDALE, ASCENSION ST. AGNES HOSPITAL, BALTIMORE CITY HEALTH DEPARTMENT, JOHNS HOPKINS HEALTH SYSTEM, MEDSTAR HEALTH, MERCY MEDICAL CENTER, MT. WASHINGTON PEDIATRIC HOSPITAL AND UNIVERSITY OF MARYLAND MEDICAL CENTER WORKED TOGETHER AS THE CHNA COLLABORATIVE TO GUIDE THE DEVELOPMENT OF THE REPORT. THESE ORGANIZATIONS COLLABORATED TO FORMULATE SURVEY QUESTIONS, COORDINATE FOCUS GROUPS, AND GATHER SURVEY DATA. IN ADDITION TO EXAMINING THE OVERALL HEALTH AND HEALTH-RELATED SOCIAL NEEDS OF BALTIMORE CITY RESIDENTS, THE CHNA PROCESS FOCUSED AND REPORTED ON RESPONSES SPECIFIC TO THE LEVINDALE SERVICE AREA. THE COLLABORATIVE ENGAGED THE SERVICES OF ASCENDIENT HEALTHCARE ADVISORS TO GATHER SECONDARY DATA AND ANALYZE SURVEY AND FOCUS GROUP INPUT. PRIMARY DATA WAS COLLECTED THROUGH COMMUNITY-BASED FOCUS GROUPS AND WEB-BASED SURVEYS FOR COMMUNITY MEMBERS AND KEY COMMUNITY LEADERS AND INCLUDED FEEDBACK FROM MORE THAN 2,600 PEOPLE WHO LIVE, WORK OR RECEIVE HEALTHCARE IN BALTIMORE CITY. KEY LEADERS MOST FREQUENTLY REPRESENTED NON-PROFIT ORGANIZATIONS, BUT PARTICIPANTS ALSO INCLUDED GOVERNMENT, HEALTH, AND FAITH LEADERS AMONG OTHERS. A TOTAL OF 33 FOCUS GROUPS WERE CONDUCTED, EITHER VIRTUALLY OR IN PERSON, WITH A VARIETY OF COMMUNITY MEMBERS FROM DIFFERENT BACKGROUNDS, AGE GROUPS AND LIFE EXPERIENCES. Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - LEVINDALE HEBREW GERIATRIC CENTER AND HOSPITAL. FOR THE 2023-2024 CHNA THE OTHER BALTIMORE AREA HOSPITALS THAT COLLABORATED WITH LEVINDALE IN GATHERING DATA FOR THE COMMUNITY NEEDS ASSESSMENT WERE ASCENSION ST. AGNES HOSPITAL, JOHNS HOPKINS HEALTH SYSTEM, MEDSTAR HEALTH, MERCY MEDICAL CENTER, MT. WASHINGTON PEDIATRIC HOSPITAL AND UNIVERSITY OF MARYLAND MEDICAL CENTER. HEALTH-RELATED SOCIAL NEEDS OF BALTIMORE CITY RESIDENTS, THE CHNA PROCESS FOCUSED AND REPORTED ON RESPONSES SPECIFIC TO THE LEVINDALE SERVICE AREA. THE COLLABORATIVE ENGAGED THE SERVICES OF ASCENDIENT HEALTHCARE ADVISORS TO GATHER SECONDARY DATA AND ANALYZE SURVEY AND FOCUS GROUP INPUT. PRIMARY DATA WAS COLLECTED THROUGH COMMUNITY-BASED FOCUS GROUPS AND WEB-BASED SURVEYS FOR COMMUNITY MEMBERS AND KEY COMMUNITY LEADERS AND INCLUDED FEEDBACK FROM MORE THAN 2,600 PEOPLE WHO LIVE, WORK OR RECEIVE HEALTHCARE IN BALTIMORE CITY. KEY LEADERS MOST FREQUENTLY REPRESENTED NON-PROFIT ORGANIZATIONS, BUT PARTICIPANTS ALSO INCLUDED GOVERNMENT, HEALTH, AND FAITH LEADERS AMONG OTHERS. A TOTAL OF 33 FOCUS GROUPS WERE CONDUCTED, EITHER VIRTUALLY OR IN PERSON, WITH A VARIETY OF COMMUNITY MEMBERS FROM DIFFERENT BACKGROUNDS, AGE GROUPS AND LIFE EXPERIENCES. Schedule H, Part V, Section B, Line 6b Facility , 1 Facility , 1 - LEVINDALE HEBREW GERIATRIC CENTER AND HOSPITAL. LEVINDALE HEBREW GERIATRIC CENTER AND HOSPITAL, INC. CONDUCTED THE 2023-2024 CHNA WITH OTHER HOSITALS AND THE CITY HEALTH DEPARTMENT. Schedule H, Part V, Section B, Line 7 Facility , 1 Facility , 1 - LEVINDALE HEBREW GERIATRIC CENTER AND HOSPITAL. COPIES OF THE CHNA WERE DISTRIBUTED TO KEY COMMUNITY PARTNERS. HTTPS://WWW.LIFEBRIDGEHEALTH.ORG/SITES/DEFAULT/FILES/2024-06/2024%20LEVINDALE%20HOSPITAL%20CHNA.PDF Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - LEVINDALE HEBREW GERIATRIC CENTER AND HOSPITAL. LEVINDALE PARTICIPATED IN A COLLABORATIVE TO CONDUCT THE CHNA. THE LEVINDALE PRESIDENT AND CHNA LEADERSHIP MET WITH MEMBERS OF THE HOSPITAL'S PERFORMANCE OVERSIGHT COMMITTEE ON MARCH 29, 2024, TO REVIEW FINDINGS OF THE CHNA AND TO SEEK RECOMMENDATIONS TO PRIORITIZE THE HIGHEST NEEDS BASED ON THE SIZE AND SCOPE, SEVERITY, THE ABILITY OF THE HOSPITAL TO MAKE AN IMPACT, ASSOCIATED HEALTH DISPARITIES, AND IMPORTANCE TO THE COMMUNITY. THE FOLLOWING NEEDS WERE SELECTED AS PRIORITIES FOR LEVINDALE: PHYSICAL HEALTH: STROKE IDENTIFICATION AND PREVENTION LEVINDALE WILL WORK ON IMPROVING CAPABILITIES AMONG LEVINDALE HOSPITAL STAFF AND COMMUNITY MEMBERS TO BE ABLE TO IDENTIFY STROKES AND HELP PREVENT OR MINIMIZE NEGATIVE OUTCOMES. SOME POTENTIAL PROGRAMS AND TOOLS FOR IMPROVEMENT INCLUDE BALTIMORE CITY'S "STROKESMART" INITIATIVE, COLLABORATION WITH LIFEBRIDGE HEALTH'S STROKE COORDINATOR, DISTRIBUTING EDUCATION AND RESOURCE MATERIALS IN THE COMMUNITY AND PROVIDING EDUCATION FOR LIFEBRIDGE HEALTH'S COMMUNITY HEALTH EDUCATORS. MENTAL HEALTH: IMPROVED ACCESS TO LEVINDALE'S OUTPATIENT SERVICES LEVINDALE WILL IMPROVE ACCESS TO CLINICAL AND SOCIAL RESOURCES TO ADDRESS MENTAL HEALTH ISSUES OF THE LEVINDALE HOSPITAL COMMUNITY MEMBERS BY EDUCATING LIFEBRIDGE PROVIDERS ABOUT THE VARIETY OF LEVINDALE'S OUTPATIENT MENTAL HEALTH SERVICES OFFERED AND HOW THEIR PATIENTS CAN TAKE ADVANTAGE OF IT, BY TRAINING LIFEBRIDGE COMMUNITY HEALTH EDUCATORS IN LEVINDALE'S OUTPATIENT MENTAL HEALTH SERVICES OFFERINGS AND HOW TO REFER COMMUNITY MEMBERS TO IT AND BY BEING ACTIVELY INVOLVED IN THE CENTRAL MARYLAND REGIONAL CRISIS SYSTEM (FORMERLY THE GBRICS PARTNERSHIP). HEALTH DISPARITIES AND QUALITY OF CARE LIFEBRIDGE COMMUNITY MEMBERS EXPERIENCE HEALTH DISPARITIES ASSOCIATED WITH RACE, ETHNICITY, NEIGHBORHOOD OF RESIDENCE, AND/OR OTHER DEMOGRAPHIC FACTORS AND SOCIAL DETERMINANTS OF HEALTH (SDOH). LEVINDALE WILL EXAMINE DISPARITIES IN HOSPITAL QUALITY INDICATORS, INCLUDING READMISSIONS AND POTENTIALLY AVOIDABLE UTILIZATION RATES, BY EXPANDING THE USE OF SDOH ASSESSMENT TO IDENTIFY AND INTERVENE ON LEVINDALE PATIENTS EXPERIENCING SOCIAL CHALLENGES THAT MAY AFFECT THEIR HEALTH, BY DEVELOPING FOCUS ACTION PLANS AROUND KEY AREAS OF DISPARITY AND BY PROVIDING TRAINING ON RECOGNIZING AND CORRECTING IMPLICIT BIAS TO HEALTH CARE PROVIDERS AND STAFF. NEEDS NOT ADDRESSED WITHIN IMPLEMENTATION STRATEGY THE NEEDS LISTED WERE IDENTIFIED AS PRIORITIES DURING THE ASSESSMENT PROCESS, AND ALL IDENTIFIED NEEDS ARE ADDRESSED IN SOME WAY. THAT SAID, THERE WERE A COUPLE OF BROADER ISSUES IDENTIFIED DURING OUR CHNA PROCESS THAT LBH DOES NOT HAVE CONTROL OVER THAT WE ARE NOT DIRECTLY ADDRESSING. SPECIFICALLY, SOME OF OUR FOCUS GROUP MEMBERS NOTED THE FOLLOWING CHALLENGES WITH LOCAL INFRASTRUCTURE: *TRANSPORTATION CHALLENGES IMPACT COMMUNITY MEMBERS ABILITY TO FIND HIGH-PAYING JOBS. *MANY PARTICIPANTS EXPRESSED LITTLE FAITH IN THE ABILITY OF LOCAL POLICE TO ADDRESS SAFETY CONCERNS. *THE OVERALL HIGH COST OF HEALTHCARE, ESPECIALLY HEALTH INSURANCE AND PRESCRIPTIONS. *THE COST OF FOOD AS A CHALLENGE TO MAINTAINING A HEALTHY LIFESTYLE. *THE AFFORDABILITY OF HOUSING WAS A PRIMARY CONCERN THAT FORCES PEOPLE TO DEPRIORITIZE THEIR HEALTH. 1 LEVINDALE HEBREW GERIATRIC CENTER & HOSPITAL 2434 WEST BELVEDERE AVENUE BALTIMORE MD 21215 NURSING HOME Schedule H, Part I, Line 3c LEVINDALE HEBREW GERIATRIC CENTER AND HOSPITAL, INC. PROVIDES SERVICES WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES, TO PATIENTS WHO MEET THE CRITERIA OF ITS CHARITY CARE POLICY. IT DOES NOT PURSUE THE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE AND THOSE AMOUNTS ARE NOT REPORTED AS REVENUE. THE CRITERIA CONSIDERS GROSS INCOME AND FAMILY SIZE ACCORDING TO CURRENT FEDERAL POVERTY GUIDELINES. TO QUALIFY, THE PATIENT MUST HAVE INCOME 300% OR LESS OF THE FEDERAL POVERTY GUIDELINES. A SLIDING SCALE IS USED TO DETERMINE ELIGIBILITY FOR THOSE WHOSE INCOME EXCEEDS 300%. ELIGIBILITY IS CALCULATED BASED ON THE NUMBER OF PEOPLE LIVING IN THE HOUSEHOLD. THE PROGRAM COVERS UNINSURED, UNDER-INSURED AND PATIENT LIABILITY AFTER INSURANCE(S) PAY. APPROVALS ARE GRANTED FOR A TWELVE-MONTH PERIOD OF TIME AND PATIENTS ARE ENCOURAGED TO RE-APPLY FOR CONTINUED ELIGIBILITY. FEDERAL POVERTY LEVEL IS ALSO USED TO DETERMINE PRESUMPTIVE FINANCIAL ASSISTANCE ELIGIBILITY. A SCORE OF < 300 QUALIFIES A PATIENT FOR PRESUMPTIVE ELIGIBILITY AT 100% ADJUSTMENT OF PATIENT BALANCE. Schedule H, Part V, Section B, Line 22 C CHARGES FOR ALL HOSPITAL PATIENTS ARE STATE REGULATED. SERVICES ARE CHARGED TO ALL HOSPITAL PATIENTS AT THE SAME RATE. CHARGES FOR INDIVIDUALS FOUND ELIGIBLE FOR FAP BASED ON 300% OR LESS OF THE FEDERAL POVERTY LEVEL (FPL) ARE WRITTEN-OFF IN FULL TO FAP (THERE IS NO PATIENT LIABILITY). CHARGES FOR INDIVIDUALS FOUND ELIGIBLE FOR FAP BASED ON THE HSCRC'S FINANCIAL HARDSHIP CRITERIA OF 301%-500% OF FPL ARE CHARGED NO MORE THAN 25% OF THE ANNUAL HOUSEHOLD INCOME PER THE HSCRC'S FINANCIAL HARDSHIP CRITERIA. THE DIFFERENCE BETWEEN THE TOTAL CHARGES AND THE CALCULATED 25% OF THE ANNUAL HOUSEHOLD INCOME IS WRITTEN OFF TO FAP. Schedule H, Part I, Line 7g Subsidized Health Services THE FOLLOWING COSTING METHODOLOGIES WERE USED TO CALCULATE LINES 7A THROUGH 7I ON THE COMMUNITY BENEFIT REPORT. OFFSETTING REVENUE - REVENUE FROM THE ACTIVITY DURING THE YEAR THAT OFFSETS THE TOTAL COMMUNITY BENEFIT EXPENSE OF THAT ACTIVITY. IT INCLUDES ANY REVENUE GENERATED BY THE ACTIVITY OR PROGRAM, SUCH AS A PAYMENT OR REIMBURSEMENT FOR SERVICES PROVIDED TO PROGRAM PATIENTS. OFFSETTING REVENUE INCLUDES RESTRICTED GRANTS OR CONTRIBUTIONS USED TO PROVIDE A COMMUNITY BENEFIT BUT DOES NOT INCLUDE UNRESTRICTED GRANTS OR CONTRIBUTIONS THAT THE ORGANIZATION USES TO PROVIDE COMMUNITY BENEFIT. DIRECT COSTS - DIRECT COSTS INCLUDE SALARIES, EMPLOYEE BENEFITS, SUPPLIES, INTEREST ON FINANCING, TRAVEL AND OTHER COSTS THAT ARE DIRECTLY ATTRIBUTABLE TO THE SPECIFIC SERVICE AND THAT WOULD NOT EXIST IF THE SERVICE OR EFFORT DID NOT EXIST. INDIRECT COSTS - INDIRECT COSTS ARE COSTS NOT ATTRIBUTED TO PRODUCTS AND/OR SERVICES THAT ARE INCLUDED IN THE CALCULATION OF COSTS FOR COMMUNITY BENEFIT. THESE COULD INCLUDE, BUT ARE NOT LIMITED TO, SALARIES FOR HUMAN RESOURCES AND FINANCE DEPARTMENTS, INSURANCE AND OVERHEAD EXPENSE Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance 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 APPROXIMATELY THE SAME AMOUNT FOR THE SAME SERVICES DELIVERED AT THE SAME HOSPITAL. MARYLAND'S UNIQUE ALL-PAYOR SYSTEM INCLUDES A METHOD FOR REIMBURSING UNCOMPENSATED CARE IN EACH PAYOR'S RATES, WHICH DOES NOT ENABLE MARYLAND HOSPITALS TO BREAK-OUT ANY OFFSETTING REVENUE RELATED TO UNCOMPENSATED CARE. IN RECENT YEARS, THE STATE OF MARYLAND HAS CLOSED FISCAL GAPS IN THE STATE MEDICAID BUDGET BY ASSESSING HOSPITALS THROUGH THE RATE-SETTING SYSTEM. Schedule H, Part II Community Building Activities AS A LARGE EMPLOYER AND PROVIDER OF HEALTH SERVICES IN THE NORTHWEST QUADRANT OF BALTIMORE CITY AND PARTS OF BALTIMORE COUNTY, LEVINDALE PROVIDES COMMUNITY BENEFITS THAT ENHANCE THE OVERALL QUALITY OF LIFE IN OUR SURROUNDING COMMUNITIES. THIS IS ACCOMPLISHED THROUGH COALITION BUILDING AND WORKFORCE DEVELOPMENT. TO LIST A FEW EXAMPLES: Levindale patients and family members had access to virtual and in-person chronic disease management education classes, the hospital's service area benefited from implementation of Mobile Health Clinics in surrounding neighborhoods, had access to Sinai Hospital of Baltimore's vocational services and workforce readiness program (VSP) for training and workforce development services, and created new partnerships and strengthened existing ones with community based organizations to improve access and trust for patients needing medical and behavioral health services. Some examples of programs and services implemented by Levindale Hospital include: * Provided Adult Housing for displaced adults: Levindale Hospital housed adults from Sinai and other hospitals who no longer require an acute hospital stay but have nowhere else to be discharged to. * Dedicated Social Work Support: Provided dedicated social work support to assist housed community patients with placement. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount BAD DEBT EXPENSE IS ESTIMATED BY USING HISTORICAL RATES FOR EACH PAYOR AND THE LENGTH OF TIME THE RECEIVABLE HAS BEEN OUTSTANDING. THESE RATES ARE REVISITED FROM TIME TO TIME AND ADJUSTED WHEN DEEMED APPROPRIATE. ANY ADDITIONAL RESERVES ARE DETERMINED BY THE HOSPITAL'S EXECUTIVES. Schedule H, Part III, Line 3 Bad Debt Expense Methodology LEVINDALE HEBREW GERIATRIC CENTER & HOSPITAL, INC. DETERMINES ELIGIBILITY FOR FINANCIAL ASSISTANCE THROUGH VARIOUS OTHER MEANS SUCH AS ELIGIBLE FOR MEDICAID PROGRAMS, OUT-OF STATE MEDICAID PROGRAMS, MARYLAND MEDICAID ELIGIBLE AFTER ADMISSION, APPROVED FINANCIAL ASSISTANCE UNDER PRESUMPTIVE ELIGIBILITY RULE AND IF THE PATIENT WAS DENIED MEDICAID FOR NOT MEETING DISABILITY REQUIREMENTS. OF THE REMAINING BAD DEBT EXPENSE, IT IS ESTIMATED THAT $571,307 IN COST MAY BE ATTRIBUTABLE TO PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE/ CHARITY CARE. AS DESCRIBED ELSEWHERE, THE HOSPITAL ENGAGES IN MULTIPLE EFFORTS TO INFORM PATIENTS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE AND CHARITY CARE. THIS $571,307 WAS BILLED TO PATIENTS ONLY BECAUSE THEY, DESPITE THE HOSPITAL'S EFFORTS, DID NOT REQUEST, OR DID NOT COOPERATE WITH THE HOSPITAL'S EFFORTS TO PROVIDE THEM WITH, THE AVAILABLE FINANCIAL ASSISTANCE. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote 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 DOING SO, 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 17. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs TOTAL REVENUE RECEIVED FROM MEDICARE (DSH & IME) AND MEDICARE ALLOWABLE COSTS ARE DERIVED FROM THE ANNUAL MEDICARE COST REPORT. THE INPATIENT ROUTINE COSTS ARE DERIVED FROM THE STEP-DOWN METHODOLOGY BASED ON ACCEPTED STATISTICAL ALLOCATION WITH A UNIFORM PER DIEM COST FOR EACH PAYOR TYPE. THE ANCILLARY MEDICARE ALLOWABLE COSTS ARE INITIALLY DERIVED FROM THE STEP-DOWN METHODOLOGY BUT ARE ALLOCATED TO THE PAYOR TYPES BASED ON THE RATIO OF COST TO CHARGE FOR EACH PAYOR. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance 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 WITH THE ELIGIBILITY PERIOD. THE HOSPITAL WILL MAKE EVERY EFFORT TO IDENTIFY PATIENTS ELIGIBLE FOR F.A. BY UPDATING A USER-DEFINED FIELD IN CERNER TO IDENTIFY PATIENTS RETURNING FOR SERVICE WHO ARE ALREADY QUALIFIED FOR FINANCIAL ASSISTANCE. BALANCES APPROVED FOR FINANCIAL ASSISTANCE ARE WRITTEN-OFF TO A ZERO BALANCE AND THEREFORE NOT PURSUED BY INTERNAL COLLECTION PROCESSES OR THIRD-PARTY AGENCIES. BALANCES ALREADY PLACED WITH THIRD PARTY AGENCIES ARE WRITTEN-OFF TO A ZERO BALANCE AND THE ACCOUNTS ARE CLOSED AND RETURNED BY THE THIRD-PARTY AGENCY. Schedule H, Part V, Section B, Line 16a FAP website - LEVINDALE HEBREW GERIATRIC CNTR & HOSPITAL: Line 16a URL: HTTPS://WWW.LIFEBRIDGEHEALTH.ORG/PATIENTS/FINANCIAL-ASSISTANCE; Schedule H, Part V, Section B, Line 16b FAP Application website - LEVINDALE HEBREW GERIATRIC CNTR & HOSPITAL: Line 16b URL: HTTPS://WWW.LIFEBRIDGEHEALTH.ORG/PATIENTS/FINANCIAL-ASSISTANCE; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - LEVINDALE HEBREW GERIATRIC CNTR & HOSPITAL: Line 16c URL: HTTPS://WWW.LIFEBRIDGEHEALTH.ORG/PATIENTS/FINANCIAL-ASSISTANCE; Schedule H, Part VI, Line 2 Needs assessment THE ORGANIZATION ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES BY: A) ANALYZING PRIMARY AND SECONDARY HEALTH DATA AT THE HOSPITAL AND COMMUNITY LEVEL AND B) INVOLVING PUBLIC HEALTH EXPERTS, COMMUNITY MEMBERS AND KEY COMMUNITY GROUPS IN FURTHER IDENTIFYING PRIORITY CONCERNS AND NEEDS. LEVINDALE HEBREW GERIATRIC CENTER AND HOSPITAL, INC. IS INVOLVED WITH THE BALTIMORE CITY HEALTH DEPARTMENT'S ACCOUNTABLE HEALTH COMMUNITIES PROJECT, IDENTIFYING AREAS OF SIGNIFICANT SOCIAL NEED AND TARGETING EFFORTS AROUND THESE AREAS. WE ALSO WORK REGULARLY WITH A GROUP OF BALTIMORE CITY HOSPITALS LOOKING CONTINUALLY AT NEEDS OF OUR SURROUNDING COMMUNITIES AND ADDRESSING THOSE NEEDS. THROUGH OUR CARE COORDINATION PROGRAMS, WE USE ASSESSMENTS AND DATA ANALYTICS TO IDENTIFY NEEDS AND DEVELOP TARGETED POPULATION HEALTH PROGRAMS AS WELL AS INDIVIDUAL CARE GOALS. WE OFTEN USE INFORMATION GATHERED DURING OUR EDUCATIONAL PROGRAM EVALUATIONS (DONE BY SURVEY AND INFORMAL CONVERSATION) WHICH ASK IF THERE ARE (1) ANY CHANGES SUGGESTED TO THE PROGRAM AND (2) ANY TOPICS PEOPLE WOULD LIKE TO SEE COVERED THAT WERE NOT COVERED IN THE PROGRAM. WE ALSO WORK IN CLOSE COLLABORATION WITH THE LOCAL HEALTH DEPARTMENTS (BALTIMORE CITY AND COUNTY) WITH REGARD TO THEIR HEALTH INITIATIVES AND STATISTICS, AND ALSO DIRECTLY WITH ORGANIZATIONS TO MEET THEIR REQUESTS FOR SUBJECT MATTER. WE ALSO WORK WITH INTERNAL SPECIALTIES WITHIN LIFEBRIDGE HEALTH TO AID IN TARGETED HEALTH EDUCATION AS NEEDED. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance 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. FINANCIAL ASSISTANCE APPLICATION AND INSTRUCTIONS COVER SHEET ARE AVAILABLE IN RUSSIAN AND SPANISH. Schedule H, Part VI, Line 4 Community information 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 (SPH) AND PIMLICO/ARLINGTON/HILLTOP (PAH). TOGETHER THEY CONSTITUTE AN AREA THAT IS PREDOMINANTLY AFRICAN AMERICAN WITH A BELOW AVERAGE MEDIAN FAMILY INCOME, BUT ABOVE AVERAGE RATES FOR UNEMPLOYMENT AND OTHER SOCIAL DETERMINANTS OF POOR HEALTH. SPH AND PAH'S MEDIAN HOUSEHOLD INCOME WAS $26,015 AND $32,410 RESPECTIVELY. THIS IS COMPARED TO BALTIMORE CITY'S MEDIAN HOUSEHOLD INCOME OF $41,819. THE PERCENTAGE OF FAMILIES WITH INCOMES BELOW THE FEDERAL POVERTY GUIDELINES IN SPH WAS 46.4% AND IN PAH, 28.4%. THE UNEMPLOYMENT RATE FOR BALTIMORE CITY WAS 13.1%. SPH AND PAH HAD UNEMPLOYMENT RATES OF 23.6% AND 17.1% RESPECTIVELY. THE NINE ZIP CODES THAT REPRESENT THE PRIMARY SERVICE AREA IN FISCAL YEAR 2024 WERE 21215, 21207, 21208, 21209, 21117, 21216, 21133, 21234 AND 21228. 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, MEDIAN INCOME AND HOUSEHOLD BELOW POVERTY LEVEL WAS OBTAINED FROM THE BALTIMORE CITY HEALTH DEPARTMENT'S 2024 NEIGHBORHOOD HEALTH PROFILES. 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. Schedule H, Part VI, Line 5 Promotion of community health LEVINDALE HEBREW GERIATRIC CENTER AND HOSPITAL PROVIDES MEALS TO PEOPLE WHO ARE LIVING IN THEIR OWN HOMES BUT ARE UNABLE TO PREPARE A MEAL FOR THEMSELVES DUE TO AGE AND MEDICAL CONDITIONS. Schedule H, Part VI, Line 6 Affiliated health care system LEVINDALE HEBREW GERIATRIC CENTER & HOSPITAL IS A COMPONENT OF LIFEBRIDGE HEALTH, A NONPROFIT HEALTH SYSTEM THAT PROVIDES A WIDE VARIETY OF HEALTH CARE AND RELATED SERVICES TO THE RESIDENTS OF CENTRAL MARYLAND. THE COMPONENTS OF THE LIFEBRIDGE SYSTEM WORK TOGETHER CLOSELY TO ENSURE THAT AS MANY AS POSSIBLE OF THE COMMUNITY'S NEEDS ARE MET IN AN INTEGRATED, NONDUPLICATIVE MANNER. 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. Schedule H, Part VI, Line 7 State filing of community benefit report MD false true false false false false false false false DAVID H KRAJEWSKI LEV. ASSISTANT TREAS., LBH EVP & CFO 0 879781 0 680890 0 378393 0 38834 0 8782 0 1986680 0 324014 JASON H WEINER LEV. ASSISTANT SEC., LBH SVP & GC 0 536994 0 423128 0 184422 0 207070 0 10362 0 1361976 0 144066 EDGAR CASNER LBH VP SUPPLY CHAIN 0 312385 0 87214 0 4263 0 40191 0 9795 0 453848 0 0 CRIS COLEMAN VP FINANCE, CARROLL, CFO, LEVINDALE 0 269016 0 74243 0 36343 0 42610 0 5510 0 427722 0 0 NANCY KANE LBH VP FINANCIAL REPORTING 0 290498 0 80804 0 53549 0 75486 0 14900 0 515237 0 42066 DAVID MCCORMICK CHIEF FINANCIAL OFFICER - NWH, LEV 239208 0 66186 0 2148 0 34274 0 11542 0 353358 0 0 0 JAMES ROBERGE LBH VP CAPITAL IMMPROVEMENT & SUPPORT 0 387766 0 135375 0 82192 0 71314 0 8788 0 685435 0 49242 LESLIE R SIMMONS LEV. PRESIDENT, LBH EVP & COO 0 792427 0 616503 0 544982 0 113580 0 11496 0 2078988 0 286794 DIANN FERGUSON REGISTERED NURSE 191073 0 5450 0 329 0 3960 0 4036 0 204848 0 0 0 MAURINE GABRIELS REGISTERED NURSE 186686 0 1285 0 182 0 3423 0 12749 0 204325 0 0 0 ANABELLE MAQUILING CHARGE NURSE 187325 0 620 0 256 0 3984 0 13485 0 205670 0 0 0 ROSS J MAULTASCH AVP OPERATIONS 191321 0 33054 0 180 0 4126 0 16310 0 244991 0 0 0 CAROLINE NGAUJAH REGISTERED NURSE 206895 0 600 0 637 0 1300 0 10802 0 220234 0 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation THE COMPENSATION OF LEVINDALE HEBREW GERIATRIC CENTER AND HOSPITAL, INC.'S PRESIDENT IS DETERMINED AT THE PARENT LEVEL BY LIFEBRIDGE HEALTH, INC. THE METHODS USED AT LIFEBRIDGE HEALTH, INC. INCLUDE COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEY OR STUDY AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan THE FOLLOWING DIRECTORS AND OFFICERS PARTICIPATED IN A LIFEBRIDGE HEALTH SPONSORED SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN DURING THE YEAR. THE AMOUNTS REPORTED BELOW REPRESENT EMPLOYER CONTRIBUTIONS TO THE SECTION 457(F) PLAN MADE DURING THE YEAR: LESLIE R. SIMMONS $ 76,027 JASON H. WEINER $ 176,284 JAMES ROBERGE $ 55,800 NANCY KANE $ 38,152 EDGAR CASNER $35,415 CRIS COLEMAN $ 30,285 DAVID MCCORMICK $27,592 DURING THE YEAR, THE FOLLOWING DIRECTORS AND OFFICERS RECEIVED PAYMENTS AS PART OF THEIR PARTICIPATION IN A LIFEBRIDGE HEALTH SPONSORED SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: LESLIE R. SIMMONS $ 515,756 DAVID H. KRAJEWSKI $ 330,949 JASON H. WEINER $ 147,040 JAMES ROBERGE $ 49,130 NANCY KANE $ 41,945 CRIS COLEMAN $ 29,568 MS. SIMMONS RECEIVED COMPENSATION AS LEVINDALE PRESIDENT AND EVP AND COO OF LIFEBRIDGE HEALTH, NOT AS AN OFFICER OR DIRECTOR OF LEVINDALE HEBREW GERIATRIC CENTER AND HOSPITAL. MR. KRAJEWSKI RECEIVED COMPENSATION AS EXECUTIVE VICE PRESIDENT AND CFO OF LIFEBRIDGE HEALTH AND PRESIDENT OF LIFEBRIDGE HEALTH PARTNERS, AND NOT AS AN OFFICER OF LEVINDALE HEBREW GERIATRIC CENTER AND HOSPITAL. MR. WEINER RECEIVED COMPENSATION AS SENIOR VICE PRESIDENT AND GENERAL COUNSEL OF LIFEBRIDGE HEALTH, NOT AS AN OFFICER OF LEVINDALE HEBREW GERIATRIC CENTER AND HOSPITAL. ACME PAPER & SUPPLY COMPANY INC INDIRECT BUSINESS 158689 SEE PART V false Schedule L, Part IV, Column (d) LEVINDALE HEBREW GERIATRIC CENTER, INC. AND OTHER LIFEBRIDGE SUBSIDIARIES PURCHASED APPROXIMATELY $1,997,811 IN PAPER SUPPLIES CLEANING AND FOOD SERVICE DISPOSABLE PRODUCTS FROM ACME PAPER & SUPPLY CO. ONE OF THE DIRECTORS OF LEVINDALE, MR. KEITH ATTMAN, IS THE DIRECTOR OF PURCHASING FOR ACME PAPER & SUPPLY CO. MR. ATTMAN'S FAMILY ALSO OWNS ACME PAPER & SUPPLY CO. ALL TRANSACTIONS WERE AT FAIR MARKET VALUE AND NEGOTIATED AT ARM'S LENGTH. Form 990, Part VI, Line 6 Classes of members or stockholders 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, Line 7a Members or stockholders electing members of governing body 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, Line 7b Decisions requiring approval by members or stockholders THE MEMBER HAS POWER TO APPOINT AND/OR REMOVE MEMBERS OF THE GOVERNING BODY. Form 990, Part VI, Line 11b Review of form 990 by governing body THE LIFEBRIDGE EXEMPT ENTITIES 990'S ARE INITIALLY REVIEWED BY THE ASSISTANT VICE PRESIDENT OF FINANCIAL REPORTING. IN ADDITION, AN INDEPENDENT ACCOUNTING FIRM ALSO REVIEWS ALL THE 990 RETURNS. A FORMAL MEETING IS THEN SCHEDULED WITH THE CHIEF FINANCIAL OFFICER, VICE PRESIDENT OF FINANCIAL REPORTING, GENERAL COUNSEL, AND THE ASSISTANT VICE PRESIDENT OF FINANCIAL REPORTING TO REVIEW IN THEIR ENTIRETY ALL THE LIFEBRIDGE EXEMPT ENTITIES 990'S. MANAGEMENT THEN PROVIDES A COPY OF THE 990'S TO EACH INDIVIDUAL BOARD DIRECTOR PRIOR TO THE FILING DATE FOR REVIEW. Form 990, Part VI, Line 12c Conflict of interest policy ALL DIRECTORS, OFFICERS, EMPLOYEES, MEDICAL STAFF MEMBERS, AND VOLUNTEERS ARE EXPECTED TO RECOGNIZE AND DISCLOSE AT THE EARLIEST POSSIBLE TIME ACTUAL AND POTENTIAL CONFLICTS OF INTEREST. AN INDIVIDUAL IS CONSIDERED TO HAVE A CONFLICT OF INTEREST WITH REGARD TO A MATTER OR TRANSACTION IF THE INDIVIDUAL OR A FAMILY MEMBER OF THE INDIVIDUAL HAS A PERSONAL OR FINANCIAL INTEREST THAT HAS THE POTENTIAL TO INFLUENCE THE ACTION TAKEN BY THE INDIVIDUAL ON BEHALF OF LIFEBRIDGE HEALTH. ADDITIONAL INFORMATION REGARDING WHAT CONSTITUTES A CONFLICT OF INTEREST AND HOW TO DISCLOSE A CONFLICT IS OUTLINED BELOW. LIFEBRIDGE AND ALL OF ITS SUBSIDIARIES SHALL REQUIRE ALL EMPLOYEES, MEDICAL STAFF, AND MEMBERS OF THE BOARD TO DISCLOSE ANY ACTIVITIES THAT COULD RESULT IN A POSSIBLE CONFLICT OF INTEREST. IF A CONFLICT IS IDENTIFIED, THE PERSON INVOLVED WOULD RECUSE HIM/HERSELF FROM DELIBERATIONS REGARDING THE TRANSACTIONS. AN INDIVIDUAL IS CONSIDERED TO HAVE A CONFLICT OF INTEREST WITH REGARD TO A MATTER OR TRANSACTION IF THE INDIVIDUAL HAS A PERSONAL OR FINANCIAL INTEREST THAT HAS THE POTENTIAL TO INFLUENCE THE ACTION TAKEN BY THE INDIVIDUAL ON BEHALF OF LIFEBRIDGE OR ANY OF ITS SUBSIDIARIES. AN INDIVIDUAL IS CONSIDERED TO HAVE A "PERSONAL INTEREST" IN A MATTER IF IT IS LIKELY TO HAVE A DIRECT AND MATERIAL IMPACT ON THE INDIVIDUAL'S RELATIONSHIP WITH LIFEBRIDGE OR ANY OF ITS SUBSIDIARIES (E.G., THE INDIVIDUAL'S CONTINUED MEMBERSHIP ON A SUBSIDIARY HOSPITAL'S MEDICAL STAFF), OR ON THE INDIVIDUAL'S OWN HEALTH CARE, OR THE INDIVIDUAL IS PERSONALLY INVOLVED IN A SUBSTANTIAL WAY (E.G., SERVES AS AN OFFICER, DIRECTOR, TRUSTEE, OR KEY EMPLOYEE) WITH ANOTHER ORGANIZATION THAT HAS A SIGNIFICANT INTEREST IN THE MATTER. AN INDIVIDUAL IS CONSIDERED TO HAVE A "FINANCIAL INTEREST" IN A TRANSACTION IF THE INDIVIDUAL, OR THEIR FAMILY MEMBER, (I) IS A PARTY TO THE TRANSACTION, (II) WILL BENEFIT PERSONALLY FROM THE TRANSACTION, OR (III) HAS, DIRECTLY OR INDIRECTLY, A CURRENT OR ANTICIPATED OWNERSHIP OR INVESTMENT IN, OR COMPENSATION ARRANGEMENT WITH, A PARTY TO THE TRANSACTION. AN OWNERSHIP INTEREST OF LESS THAN 5% IN AN ENTITY WILL NOT, IN AND OF ITSELF, GENERALLY BE CONSIDERED A FINANCIAL INTEREST; HOWEVER, TO THE EXTENT THE INDIVIDUAL'S COMPENSATION FROM THE ENTITY IS DIRECTLY LINKED TO THE ENTITY'S BUSINESS WITH LIFEBRIDGE HEALTH, SUCH COMPENSATION WILL CONSTITUTE A FINANCIAL INTEREST. FOR THE PURPOSES OF THIS POLICY, A "FAMILY MEMBER" INCLUDES SPOUSE OR DOMESTIC PARTNER, PARENTS, BROTHERS AND SISTERS, CHILDREN (WHETHER NATURAL OR ADOPTED), GRANDPARENTS, GRANDCHILDREN, GREAT-GRANDCHILDREN, AND IN-LAWS, SPOUSES OF BROTHERS, SISTERS, CHILDREN, GRANDCHILDREN, AND GREAT GRANDCHILDREN, AND ANY OTHER MEMBER OF A HOUSEHOLD OF THE INDIVIDUAL. CONFLICTS OF INTEREST ARE TO BE REPORTED BY EMPLOYEES TO THEIR SUPERVISOR, WHO WILL BE RESPONSIBLE FOR DETERMINING WHETHER FURTHER DISSEMINATION IS NECESSARY. MEMBERS OF THE MEDICAL STAFF SHOULD REPORT CONFLICTS TO THE CHIEF OF THEIR DEPARTMENT, AND MEMBERS OF THE BOARD SHOULD REPORT THEM TO THE CHIEF COMPLIANCE OFFICER. QUESTIONNAIRES ARE SENT OUT TO MEMBERS OF THE BOARD ON AN ANNUAL BASIS. IF QUESTIONS ARISE OR FURTHER GUIDANCE IS SOUGHT, INDIVIDUALS CAN CONTACT THE CHIEF COMPLIANCE OFFICER OR CONFIDENTIAL COMPLIANCE HOTLINE. NOTHING IN THIS DEFINITION IS INTENDED TO RELIEVE ANY PERSON OF ANY ADDITIONAL OBLIGATIONS THAT MAY BE IMPOSED BY STATE OR FEDERAL LAW. Form 990, Part VI, Line 15a Process to establish compensation of top management official THE COMPENSATION OF LEVINDALE HEBREW GERIATRIC CENTER AND HOSPITAL, INC.'S PRESIDENT IS DETERMINED AT THE PARENT LEVEL BY LIFEBRIDGE HEALTH, INC. THE METHODS USED AT LIFEBRIDGE HEALTH, INC. INCLUDE A COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEY OR STUDY AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. Form 990, Part VI, Line 19 Required documents available to the public 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 VIII, Line 11d Other Miscellaneous Revenue OTHER REVENUE - Total Revenue: 573369, Related or Exempt Function Revenue: 0, Unrelated Business Revenue: 0, Revenue Excluded from Tax Under Sections 512, 513, or 514: 573369; Form 990, Part IX, Line 11g Other Fees AGENCY NURSES - Total Expense: 6101274, Program Service Expense: 5963505, Management and General Expenses: 137769, Fundraising Expenses: 0; FOOD SERVICE CONTRACT - Total Expense: 5129308, Program Service Expense: 4062615, Management and General Expenses: 1066693, Fundraising Expenses: 0; CORPORATE ALLOCATION - Total Expense: 3418124, Program Service Expense: 907887, Management and General Expenses: 2510237, Fundraising Expenses: 0; CONTRACT THERAPY SERVICES - Total Expense: 1760274, Program Service Expense: 1760274, Management and General Expenses: 0, Fundraising Expenses: 0; OTHER EXPENSES - Total Expense: 1378835, Program Service Expense: 1079728, Management and General Expenses: 299107, Fundraising Expenses: 0; CONTRACT RENAL DIALYSIS - Total Expense: 378550, Program Service Expense: 378550, Management and General Expenses: 0, Fundraising Expenses: 0; CROTHALL EVS - Total Expense: 313777, Program Service Expense: 56907, Management and General Expenses: 256870, Fundraising Expenses: 0; LAUNDRY SERVICE - Total Expense: 256961, Program Service Expense: 256961, Management and General Expenses: 0, Fundraising Expenses: 0; SPECIAL PATIENT TRANSPORT - Total Expense: 143367, Program Service Expense: 143367, Management and General Expenses: 0, Fundraising Expenses: 0; PATIENT ENTERTAINMENT - Total Expense: 136737, Program Service Expense: 136737, Management and General Expenses: 0, Fundraising Expenses: 0; CREDIT CARD PROCESSING FEES - Total Expense: 87313, Program Service Expense: 2817, Management and General Expenses: 84496, Fundraising Expenses: 0; CONTRACT SNOW REMOVAL - Total Expense: 86620, Program Service Expense: 0, Management and General Expenses: 86620, Fundraising Expenses: 0; COLLECTION SERVICE FEES - Total Expense: 65397, Program Service Expense: 0, Management and General Expenses: 65397, Fundraising Expenses: 0; OTHER SUBSIDY - Total Expense: 37409, Program Service Expense: 1409, Management and General Expenses: 36000, Fundraising Expenses: 0; CONTRACTED SERVICES - Total Expense: 36139, Program Service Expense: 0, Management and General Expenses: 36139, Fundraising Expenses: 0; PEST CONTROL - Total Expense: 29345, Program Service Expense: 0, Management and General Expenses: 29345, Fundraising Expenses: 0; AMBULANCE SERVICE - Total Expense: 22071, Program Service Expense: 22071, Management and General Expenses: 0, Fundraising Expenses: 0; ARMORED CAR - Total Expense: 7746, Program Service Expense: 0, Management and General Expenses: 7746, Fundraising Expenses: 0; Form 990, Part XI, Line 9 Other changes in net assets or fund balances CHANGE IN THE NET ASSETS OF BALTIMORE JEWISH ELDERCARE FOUNDATION - 1018297; ADJUSTMENT TO PENSION BENEFIT - 27180; OTHER CHANGES IN NET ASSETS - -406480; NON-UNION PENSION NON-SERVICE COST - -520419; TRANSFER TO AFFILIATES - -7185963; Total - -7067385; Form 990, Part XII, Line 2c Change of oversight process or selection process THE ORGANIZATION DOES NOT HAVE A COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT, REVIEW OR COMPILATION OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THE ORGANIZATION RELIES ON THE OVERSIGHT OF THE AUDIT COMMITTEE HELD AT THE RELATED ORGANIZATION, LIFEBRIDGE HEALTH, INC. 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