B R AV E HEROES

2020 Annual Report & Community Benefit Summary ABOUT THE COVER

Mario Ovando Colleen Hordesky Cesar Galang Sandra Wilson Jintoorkar Phlebotomy Technician Director, Infection Control Maintenance Mechanic Visitor Relations Associate Levindale Carroll Sinai Hospital Northwest Hospital

“I talk to the while “Everything I do throughout “To CARE BRAVELY, you “When people come I’m doing my work. I my day directly and have to be confident and through the doors, I explain everything and indirectly affects the care for everyone around greet them with a smile, tell them they don’t have patients, the associates you. I’m an electrical although they can’t see to be scared. A lot of and my community.” engineer. I grew up in the it with the mask now. I times, I’ll go to the grocery Philippines and worked in answer their questions and store and someone will Saudi Arabia for 30 years. help them with anything say, ‘Mario, how are you I came to the U.S. two they need. I’ve been here at doing?’ I’ll recognize their years ago. This is my first Guest Relations for seven face, and they’ll say, ‘You time working at a hospital, years. I love my team and used to come to my room and I like it. We work as coming in here every day; every morning.’” a group, and we’re like a I love what I do. This is not family in my department.” like work for me.”

Some photos in this report were taken before COVID-19 restrictions went into effect. 2020 Annual Report & Community Benefit Summary 1

Dear Friends, with City Schools to create a Letter from This year, while in the midst of new health sciences middle school in the CEO dealing with a pandemic, we welcomed Park Heights. Even though we couldn’t three new hospital presidents to our bring our community together with leadership team. Their collective health fairs and community events, we experience in healthcare will guide provided education and connection with LifeBridge Health’s mission and vision dozens of virtual events and seminars. and continue to allow us to expand our I’m beyond proud of how LifeBridge standards of excellent care. Health has dedicated ourselves to CARE Across the system, we have BRAVELY for our people, patients and undertaken $125 million in capital communities, and I am excited to share improvement projects that will improve with you some of the incredible things our facilities and care, including we’ve achieved in the past year. the refresh, construction at Grace Medical Center and breaking ground on the Center for Hope at Sinai Hospital, to name a few. And we didn’t stop caring bravely Sincerely, for our community. Through our local hiring initiatives, we created pathways for talented local people to participate in training and career advancement opportunities. We pushed forward in our Neil M. Meltzer commitment to education by partnering President and CEO, LifeBridge Health 2020 Annual Report & Community Benefit Summary 2

Capital budget and project update

$125M LifeBridge Health has a $125 million-baseline Ending fiscal year 2020 in a global pandemic Northwest and Levindale, finalizing budget for ongoing existing projects to improve is the last thing we thought would happen construction at Grace Medical Center that facilities, the quality of clinical care we deliver and when we planned our spending last year. will make it a free-standing medical facility patient experience. However, LifeBridge Health was set up for and completing phase one of the new tower success, and we are coming through COVID- and breaking ground on the nursing home 19 with a positive outlook on our capital construction at . We will projects and spending. also be installing the “tap and go” provider “It wasn’t surprising to see how we really sign-in that Carroll already uses at Sinai stepped up and seamlessly pivoted our focus and Northwest. to COVID, but I am proud of how well we James Roberge, vice president of capital did it. The way we were able to equip our improvements and support services at facilities with PPE and resources to safely LifeBridge Health, says, “We are by no means take care of patients while reacting as fast as grinding to a halt. As an organization, we’re any other healthcare system in helping our focusing on spending the money allocated communities was extremely impressive,” says to capital projects in an efficient way that David Krajewski, executive vice president and benefits many areas of patient care. We’re chief financial officer at LifeBridge Health and also looking forward to our recovery efforts From left: James Roberge, vice president of president at LifeBridge Health Partners. and hope that we’re continuously in a capital improvements and support services, To help improve our patient experience position to put money back into our facilities.” and David Krajewski, executive vice president and facilities across the system, the capital and chief financial officer, LifeBridge Health and president, LifeBridge Health Partners, at the projects that are already underway will not Sinai Hospital construction site of the neonatal be hindered by the fiscal impact of COVID- (NICU) renovations. 19. We have a $125 million-baseline budget Once completed, the new NICU at the for those ongoing existing projects, and that Herman & Walter Samuelson Children’s Hospital budget could increase the faster we recover at Sinai will be a 12,000-square-foot state-of- from COVID-19. the-art facility with 21 beds/bassinets. Across the system, we have undertaken Designed in collaboration with the NICU projects that will improve our facilities and Parent Council, the NICU is based on a hybrid patient care, including the Emergency model, which will provide babies and families Department refresh, NICU construction, who need more stimulation with an open environment in the bays. For those who would behavioral health unit in Mt. Pleasant 2, like more privacy, there are several family rooms infrastructure upgrades and breaking ground (including a twin room) where parents can spend on the Center for Hope at Sinai Hospital, the night with their little ones. renovations of inpatient floors at Sinai and 2020 Annual Report & Community Benefit Summary 3

Renovations at Levindale

Levindale recently completed the renovation which stimulates the senses with lovely of its Hall 1 and Hall 2 dining rooms. Deborah flowers, aromatic herbs, rustling leaves and Graves, LifeBridge Health senior vice fishpond fountains. president and Levindale president, says that The garden represents Levindale’s Eden the area will be used for dining, activities and Alternative philosophy, which seeks to ensure gatherings post-COVID-19, but for now, it’s that people are free from depression, social being used as a staging area for providing isolation and anxiety. Graves says, “This is fresh, hot meals to residents and patients in why the visitor center area and garden are the Halls area of Levindale. so important to us — working to connect Additionally, Levindale’s beautiful Sensory families with loved ones while we all work to Garden Visitation Center is now complete live our best during this demanding and very and officially meets all Department limiting moment created by the pandemic. of Health guidelines. The center is located The Visitor Center carries a full schedule within the Sensory Garden, a beautiful and every week, which absolutely delights heartfelt gift from the Levindale Auxiliary, everyone here at Levindale.”

During the pandemic, we learned that we could connect, learn and thrive using Together, remote technology. Even though COVID-19 kept us physically apart, we used remote virtually technology to continue our community outreach efforts, including a community health fair and virtual 5Ks.

A participant runs in the first virtual Race for Our Kids. 2020 Annual Report & Community Benefit Summary 4

LifeBridge Health launched the Center for will oversee trauma response programming for Center for Hope, the first comprehensive violence community members from children to seniors. intervention and prevention center in the “When Baltimore Child Abuse Center joined nation that is part of a large regional health the LifeBridge Health family last year, we were Hope system. To celebrate the launch, LifeBridge more than ready to become part of a far- Health held a socially distanced ceremonial reaching, renowned health system that offers groundbreaking for the Center for Hope’s new care, compassion and support to all they treat building, the first facility to be built on Sinai throughout the community,” says Rosenberg. Hospital’s expanded campus, located next to “I am privileged to have a seasoned team the Pimlico Racecourse. of professionals who are hitting the ground The new Center for Hope will address running to turn this new concept into a reality. violence affecting people of all ages. The I am confident the Center for Hope will make a Center will merge LifeBridge Health’s strong, positive impact in the Greater Baltimore community violence programming into one area and beyond.” location. It will include: The Center for Hope will be headquartered in a brand-new innovative • Baltimore Child Abuse Center (BCAC), building on Sinai Hospital’s expanded Baltimore’s nationally accredited child campus, and it is expected to open in early advocacy center 2022. The $12 million, 32,000-square-foot • The domestic violence hospital response two-story facility will be home to trauma- program at Sinai and the DOVE program focused programs, with a team ready to at Northwest Hospital, one of the first respond to abuse 24 hours a day. The hospital-based domestic violence building will intentionally be designed to programs in Maryland welcome children, youth and adults into a • The Kujichagulia Center, which includes space that fosters hope, safety and wellness the Street Violence Intervention Program above all else. and a Working Life Skills Readiness Building highlights include private waiting program spaces for children, caregivers and survivors • A new Safe Streets site in the Belvedere/ of violence; numerous mental health suites Park Heights neighborhood where clinicians can safely meet with children • An elder justice program and families; specially designed rooms From left: Adam Rosenberg, executive director, for forensic services; dedicated space for Center for Hope; Neil Meltzer, president and CEO, LifeBridge Health has tapped Adam Baltimore Police detectives and other partners LifeBridge Health; Daniel Blum, president, Sinai Hospital, and senior vice president, LifeBridge Rosenberg, formerly the executive director who investigate these crimes; and large Health; James Roberge, vice president, capital of the Baltimore Child Abuse Center and training and collaboration spaces to enable improvements and support services, LifeBridge now LifeBridge Health’s vice president of survivors, caregivers and community members Health; and Maurice Spielman, director of design violence intervention and prevention, to lead to learn how to prevent abuse, build resilience and construction, LifeBridge Health. a dedicated team of health professionals who and protect vulnerable children and adults. 2020 Annual Report & Community Benefit Summary 5

Expanding care at Grace Medical Center

Rebecca Altman, vice president, LifeBridge Health, and chief integration officer, Grace Medical Center, tours the Grace Medical Center construction site with Neil Meltzer (far right), president and CEO, LifeBridge Health.

When we acquired Grace Medical Center The surgery suites and state-of-the-art (formerly Bon Secours Hospital), we weren’t emergency department should be complete just adding another hospital to the system. by the end of this year. In subsequent years, We were investing in the West Baltimore construction milestones include demolition community. Now, we are building on that of the existing hospital and completion of the commitment by improving Grace Medical new outpatient behavioral health facility by “Along with the renovations Center to better serve the community. June 2023.” Grace’s renovations will take place in two “Along with the renovations and and construction, we are also phases. In phase one, construction teams construction, we are also expanding service expanding service lines at are building an ultramodern emergency lines at Grace,” says Rebecca Altman, vice department with an observation unit and president, LifeBridge Health, and chief Grace. A dedicated OB/GYN primary care and specialty clinics. They are integration officer at Grace. “A dedicated OB/ physician and pediatrician also renovating and expanding the dialysis GYN physician and pediatrician are recent center and surgery suites, as well as the additions to the team. Ophthalmology and are recent additions to the vascular and mammography departments. orthopedic specialties are coming soon.” team. Ophthalmology and Phase two includes demolition of the Soon, patients in West Baltimore will have existing hospital and construction of a new access to the full scope of services offered orthopedic specialties are 20,000-square-foot outpatient behavioral by LifeBridge Health. Altman says, “We are coming soon.” health facility, along with creating green committed to expanding care and improving space for the community. health outcomes in the community.” Rebecca Altman James Roberge, vice president of capital Vice President, LifeBridge Health, and Chief improvements, LifeBridge Health, says, “We Integration Officer at Grace Medical Center are excited about each phase in this project.

To support community efforts to enhance LifeBridge Health will work in collaboration Community center in programs and services that will improve with several community groups and West Baltimore, LifeBridge Health has organizations to assess how we can best the works created the West Baltimore Renaissance serve the community. That includes supporting Foundation. We purchased a warehouse a existing programs in West Baltimore as well as few blocks from Grace Medical Center, on developing our own programs. North Calhoun Street, that will be the future Renovations at the warehouse property site of a community resource center and the are scheduled to begin this fall, with tentative foundation’s headquarters. plans for completion in the summer of 2021. Community members will have access to programs that focus on job training and placement; food insecurity; mentoring programs for elementary, middle and high school students; and population health activities. 2020 Annual Report & Community Benefit Summary 6

Middle school health sciences program begins Photo: Design Collective

The Pimlico Middle Grades Health Sciences patients based on the knowledge students Program is a new three-year program starting have accumulated thus far. in sixth grade at Pimlico Elementary/Middle Students are also creating and presenting School, administered in partnership with virtual posters to their classmates that LifeBridge Health and Sinai Hospital. The promote wellness and help increase program provides students an opportunity to knowledge of certain diseases. take advanced science classes and prepare for Later in the school year, students hope a pathway to a medical or health-related field. to participate in tours and experiential “Despite limitations due to COVID-19, we learning through field trips to Sinai Hospital are continuing to provide a virtual learning and other locations. In turn, medical and

Pimlico Elementary/Middle School’s partnership environment for the 26 students enrolled in non-medical staff from Sinai Hospital and with LifeBridge Health has added a strong medical the program,” says Nneka Barnett, principal of other partners will engage in classroom and healthcare focus for students interested in Pimlico Elementary/Middle School. Activities activities that reinforce the curriculum, such expanding their studies beyond the standard range from using evidence-based reasoning as demonstrations, lectures, labs and other science curriculum. and scientific writing skills to diagnosing mock hands-on learning opportunities.

The team provides no-cost landscaping Cleaner, and property maintenance services to blighted properties throughout Park Heights and in select areas throughout central Maryland, greener including homes of senior citizens or LifeBridge Health patients who need assistance as well communities as several public schools in Baltimore City. The team has also transformed unused and overgrown playgrounds and ballfields into community gathering spots. In the past year, the team turned its attention to one of Baltimore City’s most vexing challenges, public dumping in alleyways The Clean & Green Team removes debris at a and greenspaces. The LifeBridge Clean & playground in Park Heights. Green Team has continually answered the The LifeBridge Health Clean & Green Team, call where needed, dispatching to areas of an ongoing community partnership with Park reported dumping, cleaning up the mess and Heights Renaissance, continues to make a properly disposing of the discarded materials. 100+ positive impact on the appearance and health Amazingly, in the past year, the team has The Clean & Green Team has removed more than of the neighborhoods surrounding LifeBridge removed more than 100 tons of trash from 100 tons of trash from Baltimore City streets. Health facilities. Baltimore City streets. 2020 Annual Report & Community Benefit Summary 7

Launched in 2019, The Next Step: The Amey Herman & Walter Samuelson Children's Taking the Cancer Survivorship Program at the Herman Hospital at Sinai, who is also the director & Walter Samuelson Children’s Hospital of this program. “This program gives us a at Sinai, made possible by Scott and dedicated place to follow the patient into next step Deborah Amey, provides groundbreaking adulthood and beyond so that we can detect treatment, education and research for and manage these issues proactively.” pediatric cancer survivors. During the COVID-19 pandemic, the At the heart of the program is a Next Step program set up new ways to multidisciplinary clinic for follow-up care. support young patients and their emotional All childhood cancer survivors qualify for well-being through online support groups a visit to the cancer survivorship program and art therapy sessions for patients and once they are two years off therapy and in their families. “The response has been remission. They are seen at least once per phenomenal,” says Dr. Shad. year and followed into adulthood. The goal One of the Next Step program’s is to monitor survivors for late effects that participants, Grace Callwood, is a busy may arise long after their cancer treatments 16-year-old survivor of Stage IV non- have ended. Additionally, the clinic helps Hodgkins lymphoma, and founder and patients navigate the emotional journey of chairwoman of the board of the nonprofit survivorship, educates patients and their organization The We Cancerve Movement, families on the importance of long-term Inc., which brings happiness to children who “We know that someone’s follow-up and living a healthy lifestyle, and is are homeless, ill or in foster care. Within looking out for us and taking participating in research focused on the late the program, she likes being able to “get effects of cancer treatment. everything from questions to checkups and care of us not just physically, “We know that when a child is treated referral appointments taken care of” by a but emotionally.” with chemotherapy, radiation, surgery, bone multidisciplinary team when she comes to the marrow transplant or some combination clinic and feels that the program is important Grace Callwood of those therapies, late effects of these for young cancer survivors. “We know that Founder and Chairwoman of the Board, therapies can surface five to 20 years someone’s looking out for us and taking care The We Cancerve Movement, Inc. later,” says Aziza Shad, M.D., the Ellen W.P. of us not just physically, but emotionally.” Patient, Herman & Walter Samuelson Children’s Wasserman Chair of and director Hospital at Sinai of Pediatric Hematology/ at the 2020 Annual Report & Community Benefit Summary 8

Creating opportunities for local candidates

Participation in Project Jumpstart led Sherman Pope to a full-time job on the LifeBridge Health carpentry team.

3LifeBridge Health makes Kabout 3,000 new hires each year across all entities.

Through community outreach, networking, Secours Community Works, N-Power, Jewish social media marketing and targeted Community Services, Caroline Center and sourcing, we develop hiring strategies Project Jumpstart. aimed not just at diversifying our workforce It was his participation in the Project but also tapping into the rich talent pool right Jumpstart pre-apprenticeship training in our backyard. program that led to Baltimore City native Our focus is to create pathways for Sherman Pope, 22, joining the LifeBridge the very communities we serve to training, Health team in August 2019. job placement and career advancement “I’ve had plenty of ups and downs in opportunities that further our CARE BRAVELY my life, but working for LifeBridge Health mission. We place local candidates in has been a great, life-changing experience,” positions across all areas, from clinical and says Pope, a construction laborer on the allied health professions to administrative LifeBridge Health carpentry team. “This has and support functions. We exceeded our 5% changed the game for me in more ways local hiring goal not just in FY ’20 (985 local than one in terms of financial stability and hires), but the last three fiscal years. being able to make moves to better myself A key reason for LifeBridge Health’s in the future.” local hiring success is our partnerships with Our Workforce Development team community-based organizations specializing also works with VSP and the Kujichagulia in training that aligns with our goals and Center to create training and internship needs. Among other local organizations, opportunities, many of which lead to jobs we have strong partnerships with Bon with LifeBridge Health. 2020 Annual Report & Community Benefit Summary 9

LifeBridge Health is proud to announce that Through the partnership, LifeBridge we have begun a long-term partnership Health will provide preseason physicals, LifeBridge with Loyola University Maryland to serve on-site sports medicine clinics, access to as the official healthcare provider for orthopedic surgeons with sports medicine Health forms the Greyhounds. Under the partnership, expertise and the services of leading LifeBridge Health will oversee care for experts in concussion management. partnership Loyola’s 18 NCAA Division I sports teams. LifeBridge Health’s network will be able “LifeBridge Health is proud to partner with to offer expanded comprehensive care with Loyola Loyola University Maryland to bring the best and personalized services based entirely healthcare to the student-athletes of such a around the needs of Loyola’s 400-plus prestigious university, where excellence in student-athletes. LifeBridge Health also University athletics and academics is held in such high offers comprehensive rehabilitation services, esteem,” says Matthew Poffenroth, M.D., including a Gait Lab at Sinai Hospital that Maryland senior vice president and chief physician uses state-of-the-art technology to analyze executive at LifeBridge Health. “Those of us skeletal alignment and muscle function, privileged enough to be in the medical field allowing for customized rehabilitation and see on a daily basis how critical the right training plans. healthcare services are to keep individuals in This partnership will advance the health peak physical and emotional condition.” of student-athletes through sports medicine, LifeBridge Health and Loyola are working primary care and physical therapy while together to address the changing needs also enabling avenues to promote nutrition, of student-athletes during the COVID- mental health and the overall well-being of 19 pandemic, including supporting the the Greyhounds. Greyhounds as Loyola student-athletes return to workouts and competition.

“Those of us privileged enough to be in the medical field see on a daily basis how critical the right healthcare services are to keep individuals in peak physical and emotional condition.”

Matthew Poffenroth, M.D. Senior Vice President and Chief Physician Executive at LifeBridge Health 2020 Annual Report & Community Benefit Summary 10

LifeBridge Health welcomed new presidents LifeBridge of Sinai, Northwest and Carroll hospitals and Health Grace Medical Center to the executive team. Daniel Blum welcomes new President, Sinai Hospital and Grace Medical Center presidents Senior Vice President, LifeBridge Health

Daniel Blum is president of both Sinai Hospital and Grace Medical Center. Dan joins us from Northwell Health’s Phelps Hospital in Sleepy Hollow, New York, where he was president and chief executive officer. He has experience in both urban and management.

Craig J. Carmichael President, Northwest Hospital Senior Vice President, LifeBridge Health

Craig Carmichael is Northwest Hospital’s “As the LifeBridge Health president. Craig was corporate vice president system continues to evolve, of operations and associate performance improvement officer at the University of we are excited about the Maryland Medical System before coming to opportunity to select Northwest. He has more than three decades of business and healthcare experience, including and welcome three new experience in hospital operations and strategic hospital presidents that planning. He also has a long history of will focus their time and community involvement in Baltimore County. talents on their respective hospitals. We look forward to their new ideas and Garrett W. Hoover insights to help us take President, Carroll Hospital Senior Vice President, LifeBridge Health all our hospitals to the next level of quality and Garrett Hoover is Carroll Hospital’s president. He arrived from Corning Hospital in Corning, innovative services.” New York, where he also served as president and chief operating officer. Garrett has more Leslie Simmons than 30 years of experience in healthcare Executive Vice President and Chief Operating and is a fellow of the American College of Officer at LifeBridge Health Healthcare Executives. 2020 Annual Report & Community Benefit Summary 11

Chief medical officers drive patient-centered care

ESTI SCHABELMAN, M.D., MBA ARSALAN SHEIKH, D.O.

SAMUEL SMITH, M.D. MARK OLSZYK, M.D.

With the appointment of two new chief Arsalan Sheikh, D.O., is CMO at Grace “With empowered physician medical officers at Sinai Hospital and Grace Medical Center. A practicing endocrinologist, leadership partnering with Medical Center, LifeBridge Health now has Dr. Sheikh has been the chair of the chief medical officers (CMOs) throughout Department of Medicine for Bon Secours hospital presidents and the system. “CMOs oversee the quality and Baltimore Health System since 2013. He executive leadership, we efficiency of care, and support providers and assisted Dr. Schabelman and LifeBridge can improve how patients medical staff,” says Matthew Poffenroth, Health Chief Integration Officer Rebecca M.D., LifeBridge Health senior vice president Altman in the integration of Bon Secours receive care and how that and chief physician executive. They work with Baltimore Hospital with LifeBridge Health. care is delivered.” operational, nursing and physician leaders to As a member of the Division of Endocrinology, drive continual improvements in the quality of Dr. Sheikh sees patients at Grace Medical patient care. Center and Northwest Hospital in addition Matthew Poffenroth, M.D. “We’re refocusing on delivering patient- to his CMO duties. Senior Vice President and Chief Physician centered care,” says Dr. Poffenroth. “With Drs. Schabelman and Sheikh join Executive at LifeBridge Health empowered physician leadership partnering CMOs Sam Smith, M.D. (Northwest with hospital presidents and executive Hospital), and Mark Olszyk, M.D. (Carroll leadership, we can improve how patients Hospital). Dr. Smith is a Harvard-trained receive care and how that care is delivered.” specialist in reproductive endocrinology Esti Schabelman, M.D., MBA, a board- and infertility. He joined LifeBridge Health in certified practicing emergency department 2017 as chief quality officer and department physician, is CMO of Sinai Hospital. Previously, chair of gynecology. Dr. Olszyk joined Dr. Schabelman was CMO for Grace Medical Carroll Hospital in 2013. He earned his Center (formerly Bon Secours Baltimore medical degree from Columbia University Hospital), where he played a key role in the College of Physicians and Surgeons and integration of Bon Secours with LifeBridge has more than 20 years of experience in Health. Prior to joining LifeBridge Health, he healthcare leadership. served as regional director of emergency medicine and assistant director of population health at the University of Maryland. 2020 Annual Report & Community Benefit Summary 12

LIFEBRIDGE HEALTH AT A GLANCE

Each year, LifeBridge Health Carroll Grace Levindale Northwest Sinai Other Total has more than 1 million patient Hospital Medical Entities1 encounters, with people who Team members 1,718 567 816 1,610 5,233 3,281 13,225 have needs ranging from primary care and prevention to complex Physicians2 400 125 228 685 1,019 251 2,708 cardiovascular procedures, Beds 161 8 330 228 453 719 1,899 delicate neurosurgery and intricate robotic surgeries. Although LifeBridge Health is a rapidly growing health system, Operating Revenue Uncompensated Care3 we are united by our CARE $ in billions $ in millions BRAVELY culture. We CARE BRAVELY for each person who comes to us for care and remain dedicated to improving the health of the individuals and communities we serve through compassionate, high-quality care and community outreach $1.80 $1.80 $1.85 $1.87 $46.2 $64.5 $66.0 $86.0 programs. FY 2017 FY 2018 FY 2019 FY 2020 FY 2017 FY 2018 FY 2019 FY 2020

Grace Medical Center (formerly Bon Secours) joined LifeBridge Health on Dec. 1, 2019. 1. Includes Community Physician Enterprise and LifeBridge Health Partners 2. Total number of credentialed physicians 3. Care provided for which compensation is not received, i.e., any combination of bad debts and charity care

CONTINUUM OF CARE

Ambulatory Services Urgent Care Medical Transportation LifeBridge Health & Fitness ExpressCare Urgent Care Center Pulse Medical Transportation LBH Physical Therapy Advanced Radiology Occupational Health SurgiCenter of Baltimore Ellicott City Ambulatory Surgery Center LifeBridge Health Community Physicians Carroll County Digestive Disease Center Davita Dialysis LifeBridge Health Outpatient Pharmacy

Acute Care Post-Acute Care Independent and Assisted Living, Carroll Hospital Northwest Hospital Subacute Memory Care Grace Medical Center Levindale Hebrew Hospital Springwell Senior Living Levindale Hebrew Hospital HomeCare Maryland Avila Home Care Northwest Hospital National Respiratory Care, LLC Sinai Hospital of Baltimore FutureCare Brinton Woods Health and Rehabilitation Center Carroll Hospice Post Acute Physician Partners 2020 Annual Report & Community Benefit Summary 13

Carroll Hospital Grace Medical Center

Carroll Hospital is the heart of its tight-knit community, The newest member of the LifeBridge Health family, proudly serving the region for nearly six decades. It has Grace Medical Center (formerly Bon Secours Hospital) grown from a one-building hospital to a comprehensive was founded by the visionary Sisters of Bon Secours 100 patient-centered medical campus. The hospital offers years ago. The Sisters not only provided medical care, they nationally ranked care, the latest in medical technology and also answered community needs with such initiatives as skilled clinicians in a variety of specialties. A skilled nursing affordable housing and workforce development. LifeBridge and rehabilitation center is currently under construction Health is proud to build upon this great legacy. on campus.

A+ rating Serving Baltimore for 100 years Lown Institute Hospitals Index for its commitment to serving patients and the community

Levindale Hebrew Hospital Northwest Hospital

Levindale, founded in 1890, leads the way in complex Northwest Hospital is proud to have served the Greater medical care, including a successful pulmonary Baltimore, Carroll County and Howard County communities and ventilator weaning program. Additionally, Levindale has for more than 50 years. With private rooms and an impressive a nationally accredited rehabilitation program and an acute array of specialties, the hospital provides the highest quality neuro-cognitive unit with an outpatient program. patient-centric care, including comprehensive services and programs such as minimally invasive robotic, bariatric and orthopedic surgery.

Organization Achievement Award High Performing in Short-Term for the Partial Hospitalization Program by the Maryland Gerontological Rehabilitation Association U.S. News & World Report Best Nursing Homes

Sinai Hospital

Since 1866, Sinai Hospital of Baltimore has provided the highest quality of medical care to the people of Baltimore. Today, Sinai carries on that proud tradition while continuing to improve human health with innovative research and patient care. Sinai’s planned campus expansion will provide space for clinical services and community organizations.

2020 LGBTQ Healthcare Equity Top Performer Human Rights Commission 2020 Annual Report & Community Benefit Summary 14

IN THE NEWS

JULY 2019 NOVEMBER 2019 Springwell Senior Living Hosts Lt. Gov. Boyd Rutherford for Resident Town Hall Citybizlist lifebridgehealth.org/ssltownhall

Sinai Hospital Physician-Inventors Hunt for Medical Supplies Creates Featured on “Jeopardy!” Marketplace of Desperation lifebridgehealth.org/jeopardy U.S. News & World Report How to Protect Your Mental Health lifebridgehealth.org/supplyhunt from Social Media: Tips from an Expert DECEMBER 2019 Could Workplace Temperature The Baltimore Sun Former NICU Patients Break Ground Checks Be Part of Maryland's lifebridgehealth.org/mentalmedia on New Center Reopening? WMAR-TV WBFF-TV lifebridgehealth.org/newnicu lifebridgehealth.org/tempcheck AUGUST 2019 Baltimore County Teens Trade in Book Bags for Scrubs in Medical JANUARY 2019 MAY 2020 Training Program LifeBridge Health "Care Bravely High WMAR-TV Five" Provides Extra Incentive for lifebridgehealth.org/lbhsummer Divers WBAL-TV lifebridgehealth.org/highfive SEPTEMBER 2019 40+ Hospitals and Health Systems with Great Innovation Programs FEBRUARY 2020 Becker’s Hospital Review lifebridgehealth.org/innovationprograms This Ad Shows the Raw Emotions of Front-Line Medical Workers Adweek Magazine OCTOBER 2019 lifebridgehealth.org/rawemotion

JUNE 2020 LifeBridge Expanding Hospital How Are My Kids Still Getting Sick Incubator to House Dozens More in Lockdown? Biotech Startups The New York Times Baltimore Business Journal lifebridgehealth.org/lockdownsick lifebridgehealth.org/morestartups

Faced with a Drug Shortfall, Doctors MARCH 2020 Scramble to Treat Children with Maryland Hospitals Ramp Up Virtual Cancer Screening for Novel Coronavirus as The New York Times New Cases Reported lifebridgehealth.org/shortfall WBAL-TV Stakeholders Target Health lifebridgehealth.org/virtualtesting Disparities During Pandemic As We Age, How Safe Is Surgery? American Hospital Association Next Avenue lifebridgehealth.org/pandemicdisparities lifebridgehealth.org/safesurgery APRIL 2020 Seriously Ill Children Often Resist Hospitals Shifting to More Strategic Treatment. Can Offering Simple Uses of Technologies Rewards Change That? Healthcare IT Today PBS NewsHour lifebridgehealth.org/strategictech lifebridgehealth.org/kidsincentives 2020 Annual Report & Community Benefit Summary 15

AWARDS AND ACCOLADES

Forbes Baltimore magazine Great Place to Work

America’s Best LifeBridge Employers 15 Top Nurses Health is a By State certified Great 140+ Top Doctors Place to Work

Maryland Patient CHIME U.S. News & World Human Rights Safety Center Report Neil Campaign Meltzer Foundation

Circle of Healthcare’s Best Nursing The Baltimore Sun LGBTQ Business and Civic Honor Award Most Wired Homes Hall of Fame Healthcare for Patient LifeBridge Health Northwest Hospital William Donald Schaefer Equality Top Innovation for Short-Term Industrialist Performer Rehabilitation of the Year Award Sinai Hospital Northwest Hospital and Sinai Hospital

Maryland Patient Safety Maryland Daily Record Becker’s Hospital Review Maryland Gerontological Center Association

Carroll Hospital: Get With The Guidelines Stroke Gold Plus Quality Achievement Award Northwest Hospital: Get With LifeBridge Health named one Organization The Guidelines Stroke Gold of “40+ Hospitals and Health Achievement Award Plus Quality Achievement Systems with Great Innovation Award Sinai Hospital: Get Programs” LifeBridge Levindale's Partial With The Guidelines Stroke 6 7 Health Accountable Care Hospitalization Program Gold Plus with Target: Stroke Healthcare Reader Organization named one of Honor Roll Elite and Advanced Heroes Ranking “130 ACOs to Know” Therapy honors 2020 Annual Report & Community Benefit Summary 16

LIFEBRIDGE HEALTH PARTNERS

LifeBridge Health partners with many health “With our network of business partners, we’re services-related companies to respond to meeting consumer demand for healthcare services. expanding patient needs and rapid changes Our dynamic business strategy reflects a vision to in the healthcare industry and lead the way in offer an entire continuum of care reaching far beyond offering a full spectrum of care. hospital walls, ranging from urgent care and home care to physical therapy and ambulance transport.”

David Krajewski ADVANCED RADIOLOGY Executive Vice President and Chief Financial Officer, AVILA HOME CARE LifeBridge Health; President, LifeBridge Health Partners BRINTON WOODS AT WINFIELD CARROLL COUNTY DIGESTIVE DISEASE CENTER CARROLL HOSPICE CARROLL OCCUPATIONAL HEALTH COMMUNITY RADIOLOGY ASSOCIATES DAVITA KIDNEY CARE ELLICOTT CITY AMBULATORY SURGERY CENTER EXPRESSCARE URGENT CARE CENTERS FUTURECARE HOMECARE MARYLAND, LLC KRIEGER EYE INSTITUTE OPTICAL SHOPS LIFEBRIDGE HEALTH & FITNESS LIFEBRIDGE HEALTH REHABILITATION SERVICES LIFEBRIDGE HEALTH SLEEP CENTERS NATION’S HEALTHCARE AND HOME INFUSION, LLC NATIONAL RESPIRATORY CARE, LLC OUTPATIENT PHARMACIES AT SINAI AND NORTHWEST HOSPITALS PRACTICE DYNAMICS INC.

PULSE MEDICAL TRANSPORTATION VSP is a LifeBridge Health partner whose mission is to maximize the employability of THE SHOPS AT LIFEBRIDGE HEALTH persons with significant barriers to employment through an array of workforce development SPRINGWELL SENIOR LIVING services, while being mutually enhancing to LifeBridge Health. In existence for more SURGICENTER OF BALTIMORE than 53 years, VSP provides an array of workforce development services — assessment,

VSP training and placement — and employment opportunities to over 300 youth and adults with disabilities and/or economic need, on an annual basis. Through its vocational and business services divisions, VSP employs over 130 individuals who operate its print center and many state and federal janitorial contracts. In collaboration with LifeBridge Health departments, VSP supports trainees as they acquire essential employment and job-related skills through paid internships. The result is job-ready candidates who fill permanent LifeBridge Health vacancies — a total of 38 in fiscal year 2020 — with dozens of others placed with other local employers. In addition to serving individuals with disabilities, VSP meets the workforce development needs of an array of local communities, including Baltimore City at-risk youth, victims of domestic and other trauma, and other vulnerable and underserved populations. Despite the impact of COVID-19, VSP quickly transitioned its assessment, training and placement services to a virtual platform, engaging with participants through creative and effective means. 2020 Annual Report & Community Benefit Summary 17

COMMUNITY PARTNERS

LifeBridge Health partners with “We depend upon active collaboration with these and other organizations to increase our many other partners as we work to fulfill our promise to power to help people, families and our communities to first, provide stellar medical care, and communities thrive. second, to successfully address social factors that create challenges to sustained health improvement and wellness of Baltimore residents.”

Martha Nathanson Vice President, Government and Community Development, LifeBridge Health

Bon Secours Community Works CHAI Anchor Group is a group of community leaders and churches immediately around Grace CHAI (Comprehensive Housing Assistance, Medical Center that works on programs, strategies and activities to support area residents and Inc.) offers programs and services to help neighborhoods, bringing together public partners, elected officials and investors to help address seniors, homeowners and communities in community needs on a regular basis. Anchor Group’s meetings are coordinated by Bon Secours northwest Baltimore neighborhoods with a Community Works, which is dedicated to enriching West Baltimore communities with programs significant Jewish presence. and services that contribute to the long-term economic and social viability of neighborhoods. chaibaltimore.org http://bit.ly/bonsecourscw

Faith-Based Organizations Liberty Road Business Northwest Baltimore Partnership LifeBridge Health works with many faith- Association Comprising Sinai Hospital, Park Heights based organizations to offer strength to The Liberty Road Business Association Renaissance and CHAI, representatives our communities and improve the health of works to grow and sustain a diverse and from Baltimore City and Baltimore our neighbors. thriving business community to enrich the County community and government quality of life and enhance prosperity in organizations, NWBP aims to build value the Liberty Road Corridor and supporting from Park Circle to Pikesville through communities. capital improvements and community and economic development. lrba.biz/lrba/welcome.asp northwestbaltimore.org

Park Heights Renaissance The Partnership for a Healthier Southwest Partnership Park Heights Renaissance is working to Carroll County Seven neighborhoods and six institutions implement the Baltimore City Park Heights The Partnership for a Healthier Carroll compose the Southwest Partnership, Master Plan, in which land and economic and County strives to build the capacity of a collective effort to build a cohesive human development contribute to the revival individuals and organizations to improve community of choice and grow of a thriving and sustainable community. the health and quality of life in Carroll neighborhood power. County, Maryland. boldnewheights.org southwestpartnershipbaltimore.org healthycarroll.org 2020 Annual Report & Community Benefit Summary 18

SAVING AND CHANGING LIVES THROUGH Julie E. Cox, FAHP, CFRE Vice President and Chief Development PHILANTHROPY Officer, LifeBridge Health

Particularly in these unprecedented and challenging times, VISIONARY LEVEL Alex Cooper Auctioneers, Inc. Alteon Health your generous financial support is a tremendous boost to $100,000+ American Trading and Production our CARE BRAVELY mission. Thank you for trusting us with Company (ATAPCO) Anonymous (2) Stephanie and Ronald Attman your contributions as we continue to impact lives through Scott and Deborah Amey Bank of America compassionate and outstanding care, community outreach The Baltimore Sun Media Group Barnes-Bollinger Insurance and support programs and services. Sandra and Malcolm Berman Services, Inc. Biocomposites Mr. and Mrs. David Bollinger We are honored to recognize the donors of $10,000 and Capitol Office Solutions Mr. and Mrs. Mark Bollinger above who made gifts to our Founders Circle — Visionary, Carroll County Anesthesia R. Wayne and Bonnie Barnes Associates, P.A. The Thelma M. Barnes Revocable Cornerstone and Steward levels — in support of LifeBridge Andrew Green, M.D. Trust Health affiliates Sinai Hospital of Baltimore, Northwest Kiran Kuna, M.D. Berkeley Research Group, LLC Jeffrey Tabak, M.D. Alvin and Rose Berlin Foundation Hospital, Carroll Hospice, Levindale Hebrew Hospital, John Brock, M.D. Estate of Julia Berwager Grace Medical Center and Baltimore Child Abuse Center Diana Eclavea, M.D. The Blavatt Family David Kottra, D.O. Mr. and Mrs. David S. Bollinger from July 1, 2019, to June 30, 2020. Celaine So, M.D. Bounds Accounting & Tax Matthew Crutchley, M.D. Services, LLC Jessica Hobbs, M.D. Wilson R. Bounds Carroll Hospital Auxiliary Peter and Vicki Brown Cerner Corporation Kim Kelly Burden Foundation Estates of Hugo and Helen Jane W. Campbell Trust 5% SOURCES OF SUPPORT 7% Dalsheimer The Campbell Foundation ExpressCare Urgent Care Centers CareFirst BlueCross BlueShield Government Grants 43% The Beverly K. Fine and Jerome M. Civic Works, Inc. 17% Foundations Fine Foundation, Inc. The Classic Catering People 13% 43% 15% Corporations Phyllis and Louis Friedman Coca-Cola Consolidated 13% Individuals Susan Ganz Continental Realty Corporation Estate of Slova Gisner The Schapiro Family 15% 7% Community Organizations Gottschalk Foundation Mindy and J.M. Schapiro III 5% Planned Gifts/Bequests Greenebaum Enterprises, Inc. Joseph and Annette Cooper and 17% Adele and Michael Greenebaum Family The Stewart and Marlene Lee E. Coplan Greenebaum Family Foundation Crothall Healthcare, Inc. A total of $28,018,636 was received in new gifts and pledges Ralph C. Heller Foundation Michael and Ansela Dopkin and for the fiscal year ending June 30, 2020, including $1,102,995 in Hope for Henry Foundation Family cash support and $704,776 in in-kind support (personal protective Benno and Elayne Hurwitz Family DPR Construction equipment, meals and comfort items for staff) designated to the Foundation, Inc. EVAPCO, Inc. CARE BRAVELY Compassion Fund. Shown here: sources of the Kahlert Foundation The Dr. Michael Feinglass Cancer extraordinary support given to Sinai Hospital, Northwest Hospital, Greg and Roberta Kahlert Foundation Carroll Hospital, Carroll Hospice, Levindale Hebrew Hospital, Grace Zanvyl and Isabelle Krieger Fund Dr. and Mrs. Jay Feinglass Medical Center and Baltimore Child Abuse Center. Harry and Betty Lichtman Gift Fund Fletcher Funeral & Cremations LifeBridge Health Partners Services, P.A. Marilyn and Jack Pechter Thomas Dale and Teresa Fletcher NFL Players Coalition The Footlick Family Foundation Milton Roberts Trust Robert* and Ronnie Footlick Herman & Walter Samuelson Leslie and Joseph Schaller ENTITY-SPECIFIC GIFTS 5% 2% Foundation Randi and Frank Settleman 6% Sinai Mitzvah Foundation Dr. and Mrs. Thomas K. Galvin III 43% Sinai Hospital S.H. Tevis & Son, Inc. Barry Garber and Michele Lax 19% Carroll Hospital and Beth and Jack Tevis Dr. Marc and Nancy Gertner 11% Carroll Hospice Harold Glen and Audrey G. Benson Lowell and Harriet Glazer Family 43% 14% Baltimore Child Abuse Center Trumpower Foundation Philanthropic Fund United Way of Central Maryland The Family of Sol Goldstein 11% Systemwide Support 14% Ellen W.P. Wasserman Donald Goldstein 6% Grace Medical Center Whiting-Turner Contracting Company Mark Goldstein 19% 5% Northwest Hospital Robert Goldstein 2% Levindale Hebrew Hospital Vaughn Greene Funeral Services, P.A. CORNERSTONE LEVEL Bill Miller Nancy L. Hackerman $25,000–$99,999 LaVerna Hahn Charitable Trust Philanthropic support makes a tremendous difference throughout the Estate of Jean E. Harbaugh health system. Above: how donors directed their gifts during fiscal Anonymous (2) Healthcare Legal Solutions, LLC year 2020. The Abeshouse Tark Family Doctors Hicken, Cranley & Advanced Radiology Taylor, P.A. 2020 Annual Report & Community Benefit Summary 19

1. REICHMISTER ENDOWMENT The $2 million fundraising goal for the Jerome P. Reichmister, M.D., Chief of the Department of Orthopedics Endowment at Sinai Hospital was successfully achieved this past year. Initiated in 2018, the campaign went public at a surprise dinner for Dr. Reichmister, who was retiring as chief of orthopedics at Sinai. Jerry is now emeritus chief of the Rubin Institute for Advanced Orthopedics. He is pictured here with his mentee and successor, Dr. Ronald Delanois.

2. BRENDA WEIL MANDEL AND LOUIS B. FROCK Brenda Weil Mandel, currently a LifeBridge Health Board of Directors member, is a zealous advocate for our philanthropic causes. In 2007, Brenda and her husband Louis B. Frock 1 (pictured here together outside their home), along with her aunt Erna Weil Leiser (a former Levindale resident, now deceased), made a generous donation to a Samuelson Children’s Hospital expansion project (the Julius & Tony Weil Mandel Lobby). The couple has also supported the Magic of Life Gala and Sinai Hospital’s Jennifer Gandel Kachura NICU, where their twin grandchildren spent their first few weeks of life.

4 3. NEWBORN CARE CENTER In December 2019, Rocky Davis, pictured here with Dr. Thomas O’Brien, joined other former Jennifer Gandel Kachura NICU patients in knocking down a paper photo wall with foam sledgehammers to kick off construction on the new $10 million Newborn Care Center at The Herman & Walter Samuelson Children’s Hospital at Sinai. The center is set to open in January 2021. Contributors to the campaign for the center include Ellen W.P. Wasserman (after whom the Division of Neonatology is named), the Sinai Mitzvah Foundation, the Herman & Walter Samuelson Foundation, the Moser Family Foundation, the Attman family of Acme Paper & Supply Co., the Appelbaum and Cuyler families, the Blavatt family, the Benno & Elayne Hurwitz Family Foundation and the Adam 2 Michael Kodeck Fund.

4. MARILYN AND JACK PECHTER For over a half-century, Jack and Marilyn Pechter have been building a philanthropic legacy that spans the globe. LifeBridge Health is fortunate to be one of the nonprofits they champion. The Pechters have given generously to one of our biggest causes: the vulnerable, disadvantaged patients of Greenspring Pediatrics. They are the first major donors to support Greenspring Pediatrics, their generosity helping to provide a host of programs and services to families in need.

5. CARROLL GOLF CLASSIC Bob Weinreich, Carroll Hospice board member and Taste of Carroll committee member, was among the nearly 200 golfers enjoying a fun day on the course during the 29th annual Carroll Golf Classic at the Piney Branch Golf Club on Sept. 20, 2019. Nearly $175,000 was raised for programs and services at Carroll Hospital.

3 5 2020 Annual Report & Community Benefit Summary 20

Hill Development Group, LLC Tipco Technologies Ellicott City Ambulatory Surgery MEDNAX Services, Inc. Martin K.P. Hill Ms. Terri Lyons Center Ellen & Neil Meltzer Family Fund Martin P. and Michelle Hill Mr. Rob Lyons EMJAY Engineering and Construction Leroy M. Merritt Charitable Trust Jeffrey C. and Jennifer H. Bubczyk Robert W. Tracey Co., Inc. Elizabeth and Joseph Migliara Stuart and Daphne Himelfarb Tracy’s Kids Art Therapy Program Mr. and Mrs. R. Clayton Emory Miles & Stockbridge, P.C. Gina and Daniel Hirschhorn Transamerica Retirement Solutions Envision Physician Services Milestone Group HomeCare Maryland United Westlabs, Inc. Exelon Corporation Sandra and Brian Moffet Hord Coplan Macht, Inc. US Acute Care Solutions R. Wayne Feezer Memorial Mary M. Moores Doris J. Hull Weil-Mandel Charitable Foundation Foundation, Inc. Networking Concepts, Inc. Israelson Family Foundation Erna Weil Leiser,* Brenda Weil Jack Finkelstein and Frances Kessler Nicholl Family Foundation, Inc. Joseph* and Shirley Kaufman Mandel and Louis B. Frock First Financial Federal Credit Union Northwest Hospital Medical Staff The Philip and Harriet Klein Willis Towers Watson Floors, Etc. Number Ten Foundation Foundation, Inc. Saul Zaentz Foundation Jill Fox Memorial Fund Obrecht Properties, LLC Mr. and Mrs. Daniel Klein Ellis and Gertrude Frank Fund Carol and Thomas Obrecht Mr.* and Mrs. Michael F. Klein Edward J. Friedman Foundation, Inc. OrthoMaryland Maryland Affiliate of Susan G. Komen STEWARD LEVEL Frontline Foods Baltimore Gianluca Parascandolo Breast Cancer Foundation Fund for Change The Richard Laurence Parish KPMG LLP $10,000–24,999 FutureCare Health & Management Foundation Alvin and Lois Lapidus Corp. Passen Enterprises, LLC. K. Wayne and Bonnie M. Lockard Anonymous: (5) Georgia-Pacific Professional Amy and Martin Passen, M.D. London Eligibility, Inc. Dr. Sondra G. Abrams GetWellNetwork Selvin Passen, M.D. Fred S. London and Scott S. ACME Paper & Supply Co., Inc. Lyn Stacie Getz Foundation, Inc. Terry and Ann Patterson London Mildred and Edward Attman* Brian and Martha Gibbons Deborah and Todd Pattison Terri Lyons and King Ronald and Stephanie Attman GMMB Inc. Pitts Family Foundation M&T Bank David Attman Gobel Group Mr. and Mrs. James F. Pitts Estate of Claire Manne Patricia and Gary Attman William O. Goldstein Fund Pivot Physical Therapy Mattie Miracle Cancer Foundation Steven and Lisa Attman Goodell, DeVries, Leech & Dann, LLP Point Breeze Credit Union Metz Culinary Management Alex. Brown, a division of Raymond Louise K. Goodman and Abba Poliakoff, Esq. Middendorf Foundation James & Associates, Inc. Goodman-Gable-Gould/Adjusters Post Acute Physician Partners MileOne Allegis Global Solutions International Mark and Bonnie Powers Rheda Fader American Office Gordon Feinblatt, LLC T. Rowe Price Foundation, Inc. Judi and Steve Fader Lisa and David Kuntz The Samuel G. & Margaret A. Gorn Marcus Lee and Louna S. Primm Moser Family Fund Debbie and Michael Kuntz Foundation, Inc. Pritts Funeral Home & Chapel, P.A. NAPA Anchor Pharmacy/Carroll Care Greenberg Gibbons Commercial RCM&D, Inc. Northwest Hospital Auxiliary Pharmacies Harbor Freight Tools Store 166 Eric Reitberger Owens & Minor, Inc. Drs. James and Jeanie Miller Parkville, Maryland RIAO – Center for Joint Preservation Anne Louise and Howard Perlow Archdiocese of Baltimore Harbor Freight Tools Store 880 and Reconstruction PNC Bank The Phyllis L. and Leonard J. Attman Catonsville, Maryland RIAO – International Center for Limb T. Rowe Price Foundation, Inc. Moses S. & Blanche H. Hecht Lengthening Priority 1 Automotive Group Baltimore Orioles Charitable Foundation The Rite Aid Foundation Deborah and Louis Cohen Foundation Mandee and Steven Heinl Elizabeth Ritter and Larry Koppelman Jamie and Marc Cohen The Kenneth S. Battye Charitable Phebe Hess Trust Rosenthal-Statter Foundation, Inc. Alison Cohen Trust Eileen and Donald Himelfarb Rotary Club of Westminster Pulse Medical Transportation Baudino Law Group, PLC Abigail and Robert A. Hoffman, Esq. Saul Ewing, LLP Dr. Jerome P. and Susan B. Laura Black and Charles Klein Hospital Support Services Schafer Cullen Capital Management, Reichmister Mark and Tracie Blacksten Leah and Morton Kemper Family Inc. Tsipi and Michael Renbaum Leonor and Marc Blum Foundation Drs. Schuster & Schreiber, Plastic Residential Title & Escrow Company Bridge-Gate Richard and Louise Kemper Surgery and Skin Care Commercial Settlement Services, Joyce Lea Brown David and Lizanne Kile Shade Construction Company, Inc. LLC Brown Capital Management Emily and Neil Kishter Kathy and Sanford Shapiro Respira Medical Katherine and Robert Burdon Adam Michael Kodeck Fund Greg and Leslie Simmons The Nora Roberts Foundation Bunting Family Foundation Noah Kodeck and James Gordon Jackie and Bob Smelkinson Sharri and Greg Rochlin Carolyn and Martin Burns Kollman & Saucier, P.A. James M. Smith and Family Rolyn Companies, Inc. Susan S. Case Koons Toyota of Westminster Mark S. and Teresa D. Snyder Samuel Bergman Chason, Rosner, Leary & Marshall, LLC LabCorp Springwell Senior Living Bruce L. Rosenberg Chesapeake Contracting Group Leach Wallace Associates, Inc. Stevenson University Ben and Esther Rosenbloom Children’s Cancer Foundation, Inc. Legg Mason & Co. Leonard and Helen R. Stulman Foundation Cintas Corporation Stacey and Barry Levin, Esq. Charitable Foundation, Inc. Irene and Robert Russel ClaimAssist, a division of the CCS Audrey P. Levine Daniel J. Till Charitable Foundation Estate of William F. Salisbury Companies Julie and Andrew Levine Towne Pride Interiors SC&H Group, LLC Community Foundation of Carroll Beverly and Leon Levinson Mr. and Mrs. Kenneth B. Wright Ronald Causey County, Inc. Sol Levinson & Bros., Inc. Truist Financial Lorraine and J. Mark Schapiro Connection Enterprise LifePoint Church Venable, LLP Margaret D. and Benjamin S. Cove Electric The Herman and Seena Lubcher The Washington Times Schapiro The Charles Crane Family Charitable Foundation Weinman Company The Medical Staff of Sinai Hospital Foundation, Inc. The Mackenzie Companies Mandy and Dennis Weinman Stanley Black & Decker The Exeter Wealth Management The Louise D. & Morton J. Macks Theophilus & Marie Cover White Len Stoler Automotive Group at Morgan Stanley Family Foundation, Inc. Fund Lisa and Barry Stoler Robin and Jonathan Davidov Louise D. and Morton J.* Macks Wilmot Sanz, Inc. Roslyn and Leonard Stoler Richard & Rosalee C. Davison Martha Macks-Kahn and Peter WJZ-TV (CBS) Aaron and Lillie Straus Foundation Foundation, Inc. Kahn, M.D. Dr. and Mrs. Edward J. Wolf Sturgill & Associates LLP DECO, LLC Genine M. and Josh E. Fidler Woodholme Gastroenterology Tevis Propane, LLC Destiny Church Ellen A. and Lawrence Macks Associates, P.A. Dawn F. Thomas, in memory of W. Devaney & Associates, Inc. Marshfield & Associates Mr. Carroll L. and Mrs. Sue M. Dennis Thomas Diane Devaney and David Dekowski MaxSent Yingling Dr. George* and Mrs. Betty Thomas Estate of Judith L. Dewrell Karen and Millard Mazer York Capital Management Harry F. Duncan Foundation, Inc. Morris A. Mechanic Foundation, Inc. *DECEASED 2020 Annual Report & Community Benefit Summary 21

O U R LEADERSHIP

NEIL MELTZER DAVID KRAJEWSKI LESLIE SIMMONS, President and Executive Vice President R N, FAC H E Chief Executive Officer and Chief Financial Officer Executive Vice President President, LifeBridge Health and Chief Operating Officer Partners

DANIEL BLUM CRAIG CARMICHAEL, DEBORAH GRAVES GARRETT HOOVER, M.A., REBECCA ALTMAN President, Sinai Hospital MBA, CPA, CISA President, Levindale MHA, FACHE Vice President and Chief and Grace Medical Center President, Northwest Hospital Hebrew Hospital President, Carroll Hospital Integration Officer Senior Vice President, Senior Vice President, Senior Vice President, Senior Vice President, LifeBridge Health LifeBridge Health LifeBridge Health LifeBridge Health

JONATHAN BINDER LAURA CALLAHAN TERRENCE CARNEY JULIE E. COX, FAHP, CFRE BRIAN DEFFAA Chief Operating Officer, Vice President and Vice President, Vice President and Chief Marketing Officer, LifeBridge Health Partners Chief Compliance Officer Supply Chain Management Chief Development Officer Strategic Marketing and Communications

LOUIS DUNAWAY DANIEL DURAND, M.D. ROSE JOSE NANCY KANE JOSEPH KOONS Vice President, Vice President and Chief Operating Officer, Vice President, Senior Vice President and Budget and Capital Planning Chief Innovation Officer Outpatient Pharmacy and Financial Reporting Chief Revenue Officer Specialty Pharmacy Services

SUSAN MANI, M.D. MICHAEL MYERS MARTHA NATHANSON MATTHEW POFFENROTH, M.D. JAMES ROBERGE Vice President, Vice President, Vice President, Chief Clinical Officer, Vice President, Clinical Transformation and Regulatory Reporting and Government and Community Physician Enterprise Capital Improvements and Ambulatory Quality Reimbursement Development Support Services

TRESSA SPRINGMANN JASON WEINER LISA WHALEY DARLEEN WON Senior Vice President and Senior Vice President and Senior Vice President and Vice President, Chief Information Officer, General Counsel Chief Human Resources Strategic Planning and Enterprise IT and Process Officer Analytics Improvement 2020 Annual Report & Community Benefit Summary 22

BOARD OF LIFEBRIDGE HEALTH DIRECTORS

BRIAN L. MOFFET, ESQ. LEE COPLAN Chairman Vice Chairman Attorney Chief Executive Officer Miles & Stockbridge, P.C. Hord Coplan Macht

Christopher D. Holt CARROLL HOSPITAL BOARD As we continue to press forward with our CARE BRAVELY Garrett W. Hoover OF DIRECTORS mission while navigating an uncertain pandemic, we do so Kiran Kuna, M.D. David S. Bollinger under the impartial stewardship of our LifeBridge Health Terri Lyons Mark Debinski board leaders, whose commitment to providing first-rate Neil M. Meltzer Mark Goldstein, M.D. healthcare to all is unwavering. Brian L. Moffet, Esq. Todd Herring Alex Myers Martin K.P. Hill Particularly in these challenging times, their guidance Ellen Finnerty Myers Garrett W. Hoover helps shape our efforts to safely deliver care and bring vital Michael Myers Kiran Kuna, M.D. services to our communities while adapting to the latest Mark Powers Neil M. Meltzer trends and developments in our industry. Guy Sheetz Brian L. Moffet, Esq. Terry Smack Marcus L. Primm Kevin Walsh, PAC Deborah Seidel Alec M. Yeo Stanley H. “Jack” Tevis III Thomas D. Welliver Drewry White, M.D. LIFEBRIDGE HEALTH BOARD Brian L. Moffet, Esq. CARROLL HOSPICE BOARD Jeffrey A. Wothers, Esq. OF DIRECTORS Howard L. Perlow OF TRUSTEES Alec M. Yeo Lynn E. Abeshouse Mike Posko Jason A. Blavatt, Esq. Thomas J. Zirpoli, Ph.D. Laura Black Michael Renbaum Regina S. Bodnar Jason A. Blavatt, Esq. Ethan A. Seidel, Ph.D. Ann M. Bollinger Joseph A. Cooper Thomas D. Welliver Jennifer Hill Bubczyk GRACE MEDICAL CENTER Lee Coplan Jeffrey A. Wothers, Esq. Carolyn Burns BOARD OF DIRECTORS Jonathan N. Davidov Alec M. Yeo James Covey Daniel Blum Charles O. Fisher, Jr., Esq. Thomas J. Zirpoli, Ph.D. Shirlyn Evans-Ford Reginald Brown, M.D. Nupur P. Flynn Laura Gillen Jonathan N. Davidov Ronnie Footlick Barbara Harden Michael Gaines Louis F. Friedman, Esq. CARROLL HOSPITAL Todd Herring Venroy July Brian J. Gibbons, Esq. FOUNDATION BOARD OF Christina K. Kanther Neil M. Meltzer Martin K.P. Hill TRUSTEES C. David Kile Brian L. Moffet, Esq. Harry W. Kaplan, M.D. Mark E. Blacksten John W. Middleton, M.D. Dennis H. Weinman Richard F. Kemper Ann M. Bollinger James A. Miller, P.D. Donald Kirson Martin Burns Todd Mitchell Barry F. Levin, Esq. Timothy W. Chase Ellen Finnerty Myers Andrew S. Levine Joan D. Coley, Ph.D. Ann Patterson Brenda W. Mandel Mark Debinski Louna Primm Neil M. Meltzer Karen Durilla Robert Weinreich Joseph Migliara Dona Hobart, M.D. 2020 Annual Report & Community Benefit Summary 23

CARROLL HOSPITAL LEVINDALE HEBREW HOSPITAL NORTHWEST HOSPITAL SINAI HOSPITAL GRACE MEDICAL CENTER

ALEC M. YEO HOWARD L. PERLOW RICHARD F. KEMPER JONATHAN N. DAVIDOV Chairman Chairman Chairman Chairman Owner Executive Vice President Retired Senior Vice President The Goddard School Residential Title & Escrow Company Exeter Wealth Management Group at Morgan Stanley

LEVINDALE HEBREW NORTHWEST HOSPITAL SINAI HOSPITAL BOARD OF Gregory J. Rochlin HOSPITAL BOARD OF BOARD OF DIRECTORS DIRECTORS Leslie F. Schaller DIRECTORS Ronald Attman Donald Abrams, M.D. Torrey Smith Allan C. Alperstein, CPA Jason A. Blavatt, Esq. Alissa Abramson-Densky Jay Steinmetz Keith Attman Craig Carmichael Richard M. Alter Hillel Tendler Marc A. Cohen Charles O. Fisher, Jr., Esq. Leonard Attman Marc B. Terrill Robert Damie, CPA Reuven Goodman Richard Berman Maxwell Thanhouser Marlene W. Daniel, Ph.D. Harold I. Hackerman Daniel Blum Harel Turkel Gerald B. Feldman, M.D. Pat Isaac Beth Casper Michael Uhlfelder Jason A. Frank, Esq. Richard F. Kemper Jeff Cherry Ellen Wasserman* Stacey R. Goldenberg Donald Kirson Joseph A. Cooper* Christopher Wasson Beth H. Goldsmith Audrey Lifcovich Eric Cowan Robin Weiman Deborah Graves Neil M. Meltzer Jonathan N. Davidov Dennis H. Weinman Esther Jacobson Bradley J. Mendelson Ronnie Footlick* Weinstein Kevin M. Keane Joseph Migliara Louis F. Friedman, Esq. Jayne Z. Klein Bill Miller Michael Gaines *INDICATES EMERITUS MEMBER(S) Scott S. London, Esq. Brian L. Moffet, Esq. Lowell Glazer* Neil M. Meltzer Hayden C. Moore David Goldner Iris Miller Michael O’Halloran Beth Goldsmith Raymond Miller, M.D. Louis E. Sapperstein Nancy Hackerman* Brian L. Moffet, Esq. Paul L. Saval, Esq. Jonathan Havens Barry J. Nabozny Mark Simanowith Donald Himelfarb Howard L. Perlow Jonathan Thierman, M.D. Daniel Hirschhorn Abba David Poliakoff, Esq. Barry S. Walters, M.D. Venroy July Nancy Pretter Howard M. Weiss Jessica Kahn Ethan A. Seidel, Ph.D. Dawn Kirstaetter Richard Shatzkin Noah Kodeck Michele A. Shermak, M.D. Jill Kolodner Judy Sherwood Janoski, Ph.D. Marcy Kolodny Rabbi Shmuel Silber David Kuntz Leslie R. Simmons Alvin Lapidus* Robert Smelkinson Andrew S. Levine Marc B. Terrill Jon H. Levinson David Uhlfelder, CPA Jeanette Linder, M.D. Steven Venick Aileen Mash Neil M. Meltzer Brian L. Moffet, Esq. Jerome Reichmister, M.D.* 2020 Annual Report & Community Benefit Summary 24

OUR STRATEGIC “Any intelligent fool can make things bigger and more DIRECTION complex. It takes a touch of genius — and a lot of courage—to move in the opposite direction.”

E. F. Schumacher

The foundations of strong and enduring structures, whether Our team Our stability physical or organizational, are built For LifeBridge Health, strong workforce In a global budget environment, operational development is fundamental to a service- excellence and value management are upon the decisions and actions of based, high-skill and -touch environment key to a healthy organization. Minimizing a talented team guided by a sound, like healthcare — and our mission to CARE administrative expenditures while ambitious and adaptable strategy. BRAVELY. To continually build and support strengthening our network integrity, patient Throughout the last year, LifeBridge our care teams, our strategy focuses on flow and making prudent investments in Health leadership has continually two main groups: team members and support of cost containment and revenue physician staff. This focus provides the generation will continue to be critical areas faced new challenges bought on attention and distinct tools and resources of strategic focus. By strategically shaping by the COVID-19 pandemic. Yet each needs to be engaged while increasing our clinically integrated network and reducing through this opaqueness, leadership diversity and inclusivity in the workforce. denials, we continue to manage the total cost has identified new opportunities Throughout 2020, this strategy has led to of care. To improve our value, we must focus FLIP OVER TO READ STORIES OF to strengthen, hasten or pivot significant adjustments in tangible benefits on effectiveness and efficiencies through from prior decisions and adapt the and compensation while also serving to drive automation, which will lead to greater insight, renewed investment in our CARE BRAVELY better decisions and financial benefit. organization to better meet these culture and supporting “Spirit Values.” In emerging market conditions. While light of the COVID-19 pandemic, we have heroic bravery our commitment to previously stated continued to update our engagement and Our clinical quality multiyear objectives continues, how support efforts. From revised staffing ratios Quality continues to be a key area of focus. we choose to pursue these tactically to better meet volume targets for patient To create systemic and long-standing strides interactions to other efforts including in clinical quality, we have identified and continues to evolve. emergency loans, redeploying furloughed emphasized metrics across the organization workers and connecting employees with that matter to develop, monitor and report childcare options, we continue to innovate out on a patient harm index. In conjunction in support of our teams. with the LBH Zero Harm Program, this will be used to further enhance our LifeBridge Health care delivery model: the right care at Our patient experience the right time in the right location. To enhance A customer-centered and friction-free our clinical services and future capabilities, experience is the price of entry for any we look to new, multiyear strategic plans and consumer-facing organization in 2020. investments in oncology, the Cardiovascular It’s particularly important in healthcare, Institute and orthopedics, as well as the as the segment lags the robust digital/ acquisition of key clinicians with well-known mobile engagement most consumers expertise and recognition in their fields. have come to expect in other parts of their commercial lives. Efforts to support our customer experience strategy include As we continue to grow, it is important developing and implementing a new set of that LifeBridge Health actively seeks to digital engagement tactics (underpinned by build and then leverage our strategic scale, sophisticated apps and CRM software) in looking outside the walls of our hospitals. partnership with thoughtful and quality-based Projects that provide comprehensive medical patient experience reviews and investments. and social services in our communities, While COVID-19 has prompted us to pause further develop our intelligence of the some efforts, cancel visits and reduce visiting provider network and evolve an enterprise- hours, others have emerged, including a wide hospice and palliative care solution meteoric rise in the volume of virtual care all help us broaden our offerings along the visits and our own adaptability to staff to continuum of care. Each effort, proactive and meet this demand. thoughtful, is representative of what it means to CARE BRAVELY. HEROIC B R AV E RY

2020 COVID-19 Update ABOUT THE COVER

Mario Ovando Colleen Hordesky Cesar Galang Sandra Wilson Jintoorkar Phlebotomy Technician Director, Infection Control Maintenance Mechanic Visitor Relations Associate Levindale Carroll Hospital Sinai Hospital Northwest Hospital

“We always make sure “As an infection “We help each other and “Caring bravely means our patients are safe by preventionist, the global encourage our coworkers stepping in and offering following the rules and pandemic and COVID-19 and our patients to help regardless of what’s regulations: washing has impacted my work be strong too. A lot of happening around you. hands, wearing masks immensely in every people are dying. I met a I had a woman who was and face shields. With way imaginable. Caring desperate patient during very upset and stressed COVID, we had to take bravely means taking the pandemic, and I said, because she just realized extra precautions for each day during COVID- ‘What we’re going to do her loved one was on a each patient and be 19 and being agile and right now is pray that COVID unit and there extra careful, but I am adaptable to meet the very things will go right.’” was no access. She was always careful. How we high demands of an ever- distraught, and I walked behave has an impact changing environment as over and offered to get on our patients’ health we learn more and more her something from the and stopping the spread about the virus and its cafeteria. I brought her of illness.” impact on human beings.” a cup of coffee, and she was able to relax for a few minutes.”

Some photos in this report were taken before COVID-19 restrictions went into effect. 2020 Annual Report & Community Benefit Summary 1

Dear Friends, protective equipment when there was Letter from While no one could have known what none to be purchased. the CEO 2020 would bring, LifeBridge Health And our communities selflessly was already uniquely positioned and surrounded us to CARE BRAVELY for prepared, because we CARE BRAVELY our team members. Donations of cash, every day. This prepared us to quickly food, PPE and so much more flooded act and operationalize for all possibilities LifeBridge Health. While we put our while many things changed drastically. patients first, they made it known how We swiftly evaluated our supplies greatly they appreciated our heroic and processes, and our environmental bravery. The pandemic truly showed services and supply chain teams how caring for our communities together immediately stepped up to the lifts us all up. challenge. We dedicated teams We CARE BRAVELY in the face to expand telehealth options and of anything, and I am proud to be a drive patients to use our Virtual member of this LifeBridge Health family. Hospital resources instead of coming in physically to our locations. We took care to those who needed it by Sincerely, participating in a state strike force to bring testing and treatment to Maryland nursing homes overwhelmingly impacted by the pandemic. And we tapped into the power of innovation and Neil M. Meltzer partnership to produce personal President and CEO, LifeBridge Health 2020 Annual Report & Community Benefit Summary 2

Coronavirus antibody testing provides information for research

Coronavirus testing shows if a person has the By early summer, nearly 4,000 team virus (or doesn’t) at the time of testing. The members had been tested, and almost all who coronavirus antibody test reveals exposure to were known to have COVID-19 tested positive the coronavirus one to three weeks and up to for the antibody. In addition, about 2-3% of two months previously. those tested who had no known history of “It’s a look backward in time,” says Diana having the virus were also positive, indicating Molavi, M.D., Ph.D., Sinai Hospital’s chief of that there were quite a few asymptomatic pathology and medical laboratory director. cases at LifeBridge Health hospitals. “While it is a reliable indicator of past infection, it has no role in diagnosing current infection.” The data gathered from antibody tests currently being conducted at LifeBridge Health will help with research on immunity and reinfection. “Everyone hopes that the presence of the antibody means that you are immune to the coronavirus, but no one really knows,” says Dr. Molavi. “That’s what we want to find out.” “There’s been a lot of interest,” says Donna Marquess, assistant vice president of laboratory services at LifeBridge Health. “People want to know if they have been exposed, or maybe they had symptoms of COVID-19 early on but didn’t take the swab test and are curious — so we decided to provide this test to everyone who wants it.” K Sinai Hospital was the first in the area to offer 4Nearly 4,000 team members had been tested by antibody testing to employees. early summer. 2020 Annual Report & Community Benefit Summary 3

Multitasking and adapting on the fly come says he drew on his background in the Many hats, naturally to Hizbawi Kiros. His propensity for “high-pressure, highly dynamic” information wearing many hats has been invaluable on technology industry to console and direct the front lines of COVID-19. patients and help maintain an one purpose Kiros, 42, had been a valet, shuttle driver testing process. and cashier at Sinai Hospital of Baltimore for Now, Kiros is overseeing the assembly just over two years when the pandemic hit. of supplies such as gowns and medical When Sinai set up a drive-thru COVID-19 wipes at VSP for distribution to LifeBridge testing center, he voluntarily stepped into Health facilities. “While I’m grateful to be a new role as traffic director for patients employed during this pandemic,” he says, entering the site. “being a part of an impact-making team is Kiros loves helping and interacting with a greater reward.” people. Guiding patients grappling with a range of emotions presented a unique challenge, but he gladly embraced it. He 2020 Annual Report & Community Benefit Summary 4

Leading in Baltimore, reaching the world

Center for Hope (formerly Baltimore Child The outreach team trained more than Abuse Center)’s Adam Rosenberg, executive 3,000 people around the world in topics such director, and Crimson Barocca, forensic as elder abuse and trauma-informed care. interview program supervisor, spent Additionally, the team provided online one weekend in March at the center’s programs such as training for parents and headquarters drilling holes, installing ethernet caregivers of youth who have experienced cables and “duct-taping stuff together,” trauma, support groups for young people, says Barocca. “We had to act fast.” craft projects on social media and a During the COVID-19 pandemic, the virtual resource fair, continuing to engage, K Center for Hope team led the way for child educate and provide a sense of normalcy 1The Center for Hope team trained more+ than 1,000 forensic interviewers in tele-forensic advocacy centers across the country by to professionals, families and community interview protocols. creating a secure way to conduct forensic members during an unprecedented time. interviews with children remotely by creating D’Alessandro says that it was hectic tele-forensic interview (TSI) protocols. They at the beginning, but the leadership trained more than 1,000 forensic interviewers team encouraged creativity. As a result, in TSI and were listed as a training resource engagement levels have been high by the National Children’s Alliance. throughout the pandemic, and the team tried Center for Hope’s reach expanded as a new things that have been successful. result. “With virtual training, we were able “There’s a real kindness to it all,” says to grow and meet the international need for D’Alessandro. “When people want to serve people who need training, and before we only the community, they will figure out a way to did it in Maryland,” says Barocca. get it done.” The center’s outreach team moved its training and communication work online as well. “We found creative and meaningful ways to serve the community,” says Alison D’Alessandro, community outreach and education manager, Center for Hope. 2020 Annual Report & Community Benefit Summary 5

Carroll Hospital was the first hospital in systems departments, who all worked the state to set up a drive-thru COVID-19 together creatively to make sure supplies Carroll specimen collection tent, which served as were uninterrupted and that everything a model for testing sites at other LifeBridge ran efficiently. Hospital drive- Health facilities. In the four months the tent was In March 2020, Leslie Simmons, executive operational, more than 3,100 people thru testing vice president and chief operating officer at were tested for COVID-19. The collected LifeBridge Health, and Mark Olszyk, M.D., specimens were sent to LabCorp for analysis, tent first in vice president of medical affairs and chief with results returned in three to four days. medical officer at Carroll Hospital, both “Some patients were extremely grateful had the idea of creating a testing center as and appreciative, sharing tears and prayers Maryland quickly as possible to help slow the spread for the caregivers. Some were just plain of COVID-19. scared — both of the test and the disease. “[We] had a vison to be the first testing Our caregivers and receptionists were center open in Maryland. I pulled together a outstanding at soothing and caring for multidisciplinary team, and we challenged them all,” says Ron McDade, director of ourselves to make it happen,” says Simmons. healthcare redesign. Within a week, the drive-up specimen collection tent was created, with assistance from the hospital’s lab, security, supply chain, facilities, registration and information

“[We] had a vison to be the first testing center open in Maryland. I pulled together a multidisciplinary team, and we challenged ourselves to make it happen.”

Leslie Simmons, RN, FACHE Executive Vice President and Chief Operating Officer, LifeBridge Health

From left: Larry Noblett, laboratory manager; Christina Redmond, manager of phlebotomy and laboratory information systems; and Emma Eyler, laboratory supervisor. 2020 Annual Report & Community Benefit Summary 6

Because many COVID-19 patients required back-to-back intubations. John Brock, M.D., intubation, a uniquely safe approach to an anesthesiologist and Carroll Hospital Code Calling Code C: emergency care for COVID-19 patients C team member, recalls one night his team was needed, as the virus could be highly had to do eight intubations. “You would finish Protecting each contagious during the intubation process. one intubation, clean up and twenty minutes In response, Sinai, Northwest and Carroll later another call,” Brock says. other on the hospitals and Grace Medical Center formed The Code C teams were vital not only special Code C intubation teams to mitigate in treating COVID-19 patients, but also in front lines exposure to the virus. protecting their fellow frontline team members The teams consisted of anesthesiologists, in the ER and ICU while also helping to certified registered nurse anesthetists and preserve PPE stock. other staff specially equipped and trained to “Our patients were treated quickly and use the safest precautions during intubation, the risk for staff exposure to COVID-19 was which involves inserting a tube through the significantly reduced. Without healthy staff, patient’s mouth and into the airway so the we wouldn't have been able to respond patient can be placed on a ventilator for as well to the emergency," says Esti assistance with breathing during anesthesia, Schabelman, M.D., MBA, vice president and sedation or a severe illness (like COVID-19). chief medical officer at Sinai Hospital. The Code C teams had unique challenges, including the frequent processing of new information and 2020 Annual Report & Community Benefit Summary 7

Strike teams help with COVID-19 crises

26Treatment sites 6Patients tested and treatedK $2,000,000 Funds awarded for support

In April, in response to coronavirus outbreaks could continually talk to us afterwards, and in Maryland nursing homes, Gov. Larry Hogan that made all the difference. I think the strike implemented post-acute strike teams to teams ultimately saved lives.” provide immediate help with assessment and Simultaneously, LifeBridge Health formed care. Maryland was the first state in the U.S. its own population health intervention to create and dispatch these teams. teams (Read more about the community Working with the National Guard, the U.S. mobile health clinics on Page 14). To date, Department of Health and Human Services, the LifeBridge Health intervention teams have Maryland Department of Health and Maryland tested and treated more than 6,000 patients Institute for Emergency Medical Services and continue to deploy when needed. The Systems, LifeBridge Health formed the lead Health Services Cost Review Commission hospital-based team statewide, deployed to 26 has awarded $2 million to fund the continuing sites. The team included nurses, doctors and work of the intervention teams, which aim to advanced practice providers. continue mitigating the spread of COVID-19 James Gannon, who, in addition to his and to develop dedicated embedded clinical duties as the trauma program manager at support personnel for infection control. Sinai Hospital, serves as a member of the Disaster Management Assistance Team (DMAT), part of the National Disaster Medical System within the U.S. Department of Health and Human Services, was deployed to several acute care facilities a week during the height of the pandemic. “I was humbled to work with the staff who are there day to day and to give them a sense of hope,” he says. “They were alone before we came and they 2020 Annual Report & Community Benefit Summary 8

Early in the COVID-19 pandemic, many says Jenna Brager, Ph.D., RN, director of people had the same idea. “It’s an idea that’s clinical research and scientific grants at Another tool in been around forever,” says Jennifer Berkeley, LifeBridge Health. “We proactively called M.D., Ph.D., director of neurocritical care and people who tested positive for coronavirus the toolbox chair of the LifeBridge Health institutional or indicated via our online webform that they review board. “When someone gets infected tested positive for antibodies, screened them with a virus, they produce antibodies. The and then referred them to blood banks if they idea is to treat people who are acutely ill were interested in donating,” says Dr. Brager. with antibodies derived from the blood of “So we created a constant supply, and that people who have recovered. It’s been tried for plasma could be used by everyone.” diseases like SARS (severe acute respiratory Because of Food and Drug Administration syndrome), MERS (Middle East respiratory regulations, initially, each patient who syndrome) and Ebola, with mixed results.” received the plasma had to be individually To get convalescent plasma from approved, a complicated and slow process. recovered COVID-19 patients or people who The Mayo Clinic started an expanded access tested positive for the antibodies, LifeBridge program, which took care of the approval Health formed a partnership with Delmarva process to make access to plasma easier. To Blood Bank and collaborated with the date, the program has facilitated transfusions American Red Cross. When patients need for 70,000 patients, including 210 COVID-19 plasma, the LifeBridge Health blood bank patients at LifeBridge Health. obtains it from our partners and provides units “People want to know if the plasma to patients in 36 hours or fewer. “We have is a cure,” says Dr. Berkeley. “It’s a tool in even begun stocking the plasma in-house the toolbox that we use to treat COVID. for faster distribution to our patients,” says When people are really sick, we want to do Mary Moorhouse, manager of the LifeBridge everything we can to help them, and this is a Health Blood Bank and the LifeBridge Health part of that.” Tissue Bank. LifeBridge Health did something unique to increase plasma supplies. “We took advantage of our COVID testing program,”

“We proactively called people who tested positive for coronavirus or indicated via our online webform that they tested positive for antibodies, screened them and then referred them to blood banks if they were interested in donating.”

Jenna Brager, Ph.D., RN Director of Clinical Research and Scientific Grants, LifeBridge Health 2020 Annual Report & Community Benefit Summary 9

Inspiration, innovation and collaboration

When the United States was hit with an assembly. The company had been wanting outbreak of a novel coronavirus, personal to help other health systems with masks, but protective equipment was scarce. As part those systems didn’t want to assemble them. of a systemwide, interdepartmental effort to “That was no problem for us,” says Dr. secure PPE, LifeBridge Health decided to Durand. “We already had a factory space, at make its own. 5400 Old Court, and furloughed employees Daniel Durand, M.D., chief innovation we could mobilize.” Production ramped up officer, vice president of research and chair quickly; soon, the factory was producing of radiology, LifeBridge Health, recalls how 10,000 masks a day. After two months, LifeBridge Health’s surgical mask production production moved to VSP, which was also began. “We wanted to make our own surgical 3-D printing face shields. masks made with material we could get on In all, 260,000 masks, 33,000 gowns and the open market — but we didn’t know where 15,000 face shields were made. Additionally, to source the fabric, or how we could judge in coordination with the Strategic Sourcing the quality, issues around cutting the fabric Department, 1,296 32-ounce bottles of hand and getting sewing machines — this isn’t what sanitizer, 6,370 tubs of hydrogen peroxide we do for a living,” he says. wipes for clinical use and 40,800 repackaged His team worked with Jeanette Linder, isolation gowns were produced at the factory. M.D., who, in addition to being the medical Raw materials are in reserve to manufacture director and chief of radiation oncology at face masks, shields and gowns if there is the Alvin & Lois Lapidus Cancer Institute, another PPE shortage. Victor Filatov, a factory volunteer, thought he could is an excellent sewer, to design a mask. Dr. help make the mask-making process easier and Durand also consulted with Neil Meltzer, faster. “I told the doctors I had a better way to do it CEO and president of LifeBridge Health, and they gave me the green light,” he says. Tapping who connected him with the global head of into his expertise as an engineer and manager of innovation at Under Armour, Randall Harward. production at a manufacturer of shoes for people with diabetes, Filatov built a wooden handloom And thus, a partnership was born. (which came to be called the “Victorizer”) that Under Armour was able to source massive reduced the time required to make a mask from amounts of material and cut it into a template around two minutes to 20 seconds. using a single piece of fabric and deliver it for 2020 Annual Report & Community Benefit Summary 10

Heroes are everywhere you look at LifeBridge and Northwest Hospital with disposable Health, but there are some you might not see gowns while building a strong inventory for Unsung heroes at first glance. Meet some of the behind-the- another wave. scenes heroes who stepped up to the plate EVS also plays a significant role in patient of COVID-19 during COVID-19 and showed us what it care. Irene Pate, an environmental aide at means to CARE BRAVELY. Sinai Hospital, connected with COVID-19 patients despite being clad in PPE. She says that while she cleaned their rooms, “I tried to Environmental Services have a normal conversation with them to take The LifeBridge Health Environmental their mind off their sickness — I even sang to Services (EVS) Department, in partnership them” (“Unforgettable” by Natalie Cole being with Crothall Healthcare, is busy, to say a favorite). Pate adds, “I didn’t mind going into the least. EVS’s 350 team members clean COVID rooms as long as I had my proper gear 3.5 million square feet at LifeBridge Health on, because I was taking care of people.” facilities every day, 365 days a year, while What’s next? “We’re ready for a second playing important roles in infection prevention wave of COVID-19,” says James Chambers, and patient care. assistant vice president of environmental But EVS does more. During the COVID-19 and nutritional services at LifeBridge Health. pandemic, disposable gowns were in short “During the first wave, we had more than supply. “We got a call that said, ‘If we don’t enough supplies — in fact, some departments start reprocessing these gowns, we’re that had problems getting cleaning products going to be in trouble.’ So we did it,” says drew from our stockpile. The team has James Chambers, assistant vice president done an outstanding job maintaining critical of environmental and nutritional services at supplies and will continue to do so.” LifeBridge Health. EVS team members began picking up, laundering and dropping off about 7,500 Supply Chain Management gowns at Carroll and Sinai hospitals and If COVID-19 is a war, PPE—which includes Levindale every day. Because of this, the face masks, isolation gowns and eye Supply Chain Management Division can protection—is the armor that keeps providers focus on stocking Grace Medical Center and patients safe.

EVS team member Irene Pate cares bravely for her patients with diligence and warmth. 2020 Annual Report & Community Benefit Summary 11

Nakia Omotosho, perioperative materials specialist, and Terrence Carney, vice president of supply Medical technologists Destiny Robinson and Mattie Milchling chain management at LifeBridge Health, on the loading dock at Sinai Hospital. prepare COVID-19 kits for the specimen collection tent.

When it was first reported that people and we always make it happen.” Teamwork request and worked all holiday weekend to in the United States had tested positive is key to the department’s success, she process COVID-19 testing for 200 residents for the coronavirus, says Terrence Carney, adds. “I wouldn't have been able to do my at a nursing home, putting together supply vice president of supply chain management job without my coworkers and an incredible kits and coordinating with registration, the at LifeBridge Health, the Supply Chain leadership team.” Virtual Hospital and the lab, delivering the Management Division immediately results that Monday. implemented its emergency response plan “The lab is nimble,” adds Diana Molavi, and began sourcing PPE, working 12-18 LifeBridge Health Laboratory M.D., Ph.D., Sinai’s chief of pathology and hours seven days a week for several months What has conducted more than 13,000 medical laboratory director. “We’re all used to meet the system’s needs. coronavirus tests, stretches across the to working closely together in an inventive “Neil (Meltzer, LifeBridge Health LifeBridge Health system and has team way, so we hit the ground running.” president and CEO) and Dave (Krajewski, members from departments including lab LifeBridge Health executive vice president information systems, phlebotomy, blood and chief financial officer) authorized me bank, microbiology and serology? The to get whatever we needed to keep our LifeBridge Health Laboratory team, which people safe — cost was no obstacle,” says has been seemingly everywhere during the Carney. By leveraging a variety of sources COVID-19 crisis. worldwide, as well as manufacturing our own “They have tirelessly accepted any PPE, LifeBridge Health ensured that all team duty,” says Donna Marquess, assistant vice members always had the necessary supplies. president of laboratory services at LifeBridge Nakia Omotosho, a perioperative Health. “Our team members have done materials specialist, worked around the clock anything and everything that has needed to during March and April. She says it was be done, including roles that are not part of stressful, but she remained calm. Beyond the their daily job duties.” dazzling logistics of supply chain, she says, For example, lab team members at “Our main job is to serve the patients, and Carroll designed the supplies and equipment we always worry that everyone — doctors lists for the first specimen collection tent and nurses, environmental services and in Maryland, which was then duplicated transporters — has everything they need, at Sinai. The team also handled an urgent 2020 Annual Report & Community Benefit Summary 12

Caring bravely starts early Doroshow came to Sinai early in her Seven-year-old first-grader Norah Sacrenty career after her husband, the late Louis Caring bravely was remote-schooling at home during the W. Doroshow, M.D., graduated from Sinai COVID-19 pandemic when her teacher Hospital’s Residency Program. “We have shows up in assigned a fun project: setting up an obstacle been through a lot over the years,” she course for the family. Norah chalked an recalls, “including moving with Sinai Hospital surprising ways elaborate course on the street in front of the from Monument Street to the current location. Sacrentys’ house. But nothing feels like what we are dealing Then she had an idea: What about with now.” charging people $1 to do the course as a fundraiser? “She wanted to donate the money to a hospital to help doctors and Giving back in gratitude nurses, and make sure they have what they Ann Dobry, CPC, CMC, a medical record need during COVID-19,” says Norah’s coder at Levindale, wanted to do something mother, Jessica. to help people during the pandemic, but In total, Norah raised more than $300 didn’t have time to volunteer. Being financially for the CARE BRAVELY Compassion Fund, comfortable (“not wealthy, or I would retire, which provides PPE and other necessities to and not poor, or else I would penny pinch”), LifeBridge Health providers. her decision was easy. “I decided to sign over Jaime Barnes, D.O., chair of the my stimulus check for a worthy cause — PPE Department of Medicine for Northwest and supplies.” Sinai hospitals and the inpatient COVID-19 Dobry is grateful to be a LifeBridge Health task force for LifeBridge Health and family team member. “I am so fortunate to be a friend of the Sacrentys, says, “Even beyond LifeBridge Health employee and that they its monetary value, Norah’s gift shows how value me as much as I value them.” one person — even a first-grader — can bring She wants to challenge other team a community together and have a direct members to give to LifeBridge Health. “If impact on those in need.” you’re not donating monetarily, give in some other way,” she says. “Read a book to an elderly patient on your own time, make phone “Even beyond its monetary A calling that does not go away calls to family members, run errands for busy Margery Doroshow, RN, recognizes that she physicians — you get the point!” value, Norah’s gift shows can no longer be at the bedside caring for Times may be tough, but we can always how one person — even a patients during the coronavirus pandemic. make things better by doing good for others. At 82 years old, the retired Sinai nurse and Dobry is a shining example of what it means first-grader — can bring a former clinical manager of ambulatory surgery to CARE BRAVELY. She says, “Give of community together and says, “Sinai will always be my hospital. Those yourself and be kind to one another.” of us who have been through the trenches in have a direct impact on healthcare are deeply concerned about our those in need.” fellow caregivers who continue to deal with COVID-19.” Jaime Barnes, D.O. This spring, Doroshow, who admits Chair of the Department of Medicine, “nursing is a calling that does not go away,” Northwest and Sinai hospitals turned her heart to helping with another Chair of the inpatient COVID-19 skillset — sewing masks to help reduce the task force, LifeBridge Health spread of the virus. “Just knowing that I am doing something to help in a small way is encouraging. Protecting my fellow nurses, as well as the techs, aides, physicians and others seemed like the right way to respond.” 2020 Annual Report & Community Benefit Summary 13

Norah Sacrenty’s fundraiser request Margery Doroshow, RN Ann Dobry, CPC, CMC

The CARE B R AV E LY Compassion $1.1M $700K Fund Cash support In-kind support

LifeBridge Health team members worked From masks and gloves to keep our around the clock during the COVID-19 providers and patients safe to psychosocial pandemic, doing whatever was necessary support, these gifts have touched the hearts to provide help and healing to our patients, and souls of our LifeBridge Health heroes. As even in the most stressful and dangerous of of June 30, 2020, the end of the fiscal year, times. Ignoring their exhaustion, hunger and the CARE BRAVELY Compassion Fund has discomfort, our team members rushed into received $1,102,995 in cash support and the unknown — because people needed $704,776 in in-kind support. We couldn’t be their care. more grateful to our wonderful donors! Because there was an outpouring of Thank you to all the individuals, support from our community members asking companies and organizations who help us to what they could do to help LifeBridge Health CARE BRAVELY no matter the circumstances. team members, we established the CARE It is because of each one of you that BRAVELY Compassion Fund to give back to LifeBridge Health remains strong and ready our caregivers. to provide the lifesaving care necessary for The Fund has provided critical PPE, care whatever lies ahead. and comfort items, and over 14,000 meals to We continue to need cash gifts and nurses, physicians and other essential staff in-kind support, as the COVID-19 pandemic cleaning, cooking and securing our testing has not gone away. To donate to the sites, partners and five hospitals. CARE BRAVELY Compassion Fund, visit lifebridgehealth.org/donate. 2020 Annual Report & Community Benefit Summary 14

Community mobile clinics offer access to care

LifeBridge Health launched two new record data and connect the patient with a community mobile health clinics to bring provider in LifeBridge Health’s Virtual Hospital COVID-19 testing and healthcare services for a telemedicine consultation as needed. to neighborhoods at higher risk for severe The communities the mobile clinics served complications from COVID-19. The mobile often face multiple barriers to both effective clinics offered a targeted “on the ground” testing and care, including transportation, approach to provide testing as well as referral access to telemedicine resources, inability to 315 for both medical and social services for people afford care or prescriptions and housing and who may face multiple barriers to care. food insecurity. patient visits were made during the six-week Recognizing that some patients may “Providing care is much more personal pilot program in early summer. have trouble accessing COVID-19 testing when you go into people’s homes,” says options, including drive-up testing, LifeBridge Jennifer Spence, BSN, RN, community Health leaders understood that many disease management nurse for Grace vulnerable residents are also concerned Medical Center. “With the pandemic, so many about seeking care in person at a hospital or people had been isolated; they were thrilled doctor’s office. The mobile clinics helped to to have interaction and human connection. prevent individuals who have COVID-19 from While the work we did had many positive developing more serious complications, and healthcare benefits, the impact we had on the also help to connect individuals who tested community went beyond medical needs.” negative but had other unmet health needs, LifeBridge Health Community Mobile including cardiac conditions and diabetes, Clinics made over 315 patient visits with services to address these needs. during the six-week pilot program in early LifeBridge Health repurposed two of their summer. The visits were targeted using a patient shuttle vans into mobile clinics to data-driven approach to get resources to deliver services. The clinics were staffed by those individuals at greatest risk based on a nurse and a community health worker who numerous factors, including age, chronic both wore full PPE when entering a patient’s diseases, population density and social home. In addition to medical equipment, each determinants of health. team carried an iPad that allowed them to 2020 Annual Report & Community Benefit Summary 15

Established in early 2019, LifeBridge Health’s medical director of the Virtual Hospital. “Our Virtual Hospital combines the use of a clinical team felt they were making a difference and Virtual command center, telemedicine services were energized by the fact that a majority of and international clinical call centers to positive COVID tests in our health system are Hospital’s provide patients with coordinated care in a being identified through this telemedicine and timely manner. drive-thru testing process.” state-of-the- The Virtual Hospital’s unique setup During the early stages of the COVID- relies on an innovative software system that 19 pandemic, the Virtual Hospital added art pandemic tracks bed status at all hospitals, cutting- a customized tele-triage system to handle edge EMR (electronic medical records) and an overflow of concerned patients in video systems customized for telehealth and the system’s emergency departments response an advanced CRM (customer relationship and provider offices. The system utilizes management) program. continually updated clinical algorithms, put The ultimate goal of LifeBridge Health’s together by the LifeBridge Health medical virtual facility is to make it easier for patients teams in coordination with the latest federal to receive quality care, which allows and state guidelines for COVID-19, to decide healthcare experts to see more people which patients should be tested. in less time and thereby care for more As word of the tele-triage system spread, individuals overall. These technologically LifeBridge Health added other physician driven advances bring down costs due to the practices and referrals from community increased efficiency, and also enhance patient organizations. The tele-triage team also access and convenience. took on screening for LifeBridge Health “The COVID-19 pandemic highlighted employees. As of August 2020, more than some of the major advantages of telemedicine 25,000 patients had been screened via the and tele-triage, in that it allows us to screen tele-triage process, making a real difference individuals quickly and limit possible exposure in protecting patients and staff on the front to healthcare workers and other patients,” lines from exposure to the virus. In addition, says Jonathan Thierman, M.D., chief medical LifeBridge Health conducted more than information officer for LifeBridge Health and 100,000 telemedicine visits during that time. K 1Telemedicine 00visits as of August 2020. +

Sometimes adaptation is forced by necessity. Telemedicine is widely used for more than Telemedicine In the early days of the COVID-19 pandemic, physician visits. It is used between facilities; when many people didn’t feel safe going for example, Levindale patients benefit expansion continues to the hospital or doctor’s office, the use of from seeing behavioral health specialists at telemedicine — video visits via smartphone, other hospitals without having to travel. The computer or tablet — increased and shows community mobile health clinic uses virtual no signs of letting up. Now that patients have visits to reach patients who face obstacles gotten familiar with the technology, many are to care, and telemedicine helps COVID-19 continuing to use telemedicine for a variety of patients in quarantine, who can conduct reasons, including post-operative follow-up follow-up visits remotely. and well-child visits. 2020 Annual Report & Community Benefit Summary 16

Healthy Bites with Bridgette participant Healthy Fern Schmidt. cooking at home of the Tevis Center for Wellness. “People are really happy having the option, and those who participated in support groups were happy to be able to continue meeting, particularly when things were more shut down.” Fern Schmidt, of Taneytown, signed up to take the center’s Healthy Bites with Bridgette and said having the virtual option was a great idea. “I liked it online because I didn’t have to pack up and drive 30 minutes to get to the To meet the community’s needs while social hospital and then 30 minutes home,” she said. distancing during the COVID-19 pandemic, Schmidt, who loves to cook, said the online the Tevis Center for Wellness at Carroll class taught her new things and gave her Hospital quickly transitioned from in-person something to do at home during the pandemic. to virtual health and wellness programs. “Ninety percent of the time, I picked up a FLIP OVER TO READ STORIES OF Some were virtual versions of the new technique or something that I wouldn’t programs that used to take place in person have tried,” she said. on the hospital campus — such as prepared Due to the success of the online health childbirth classes, support groups and yoga and wellness programs, Murdock said the brave heroes sessions — while others, such as the weekly center may continue offering in-person and cooking class Healthy Bites with Bridgette, virtual options in the future. were new since the start of the pandemic. “When we first began, we had a good response, and it varied depending on the program,” said Melissa Murdock, coordinator

Local artist Michael Kirby was commissioned to create a painting depicting the healthcare Artwork heroes of LifeBridge Health hard at work during the pandemic. Kirby, director of an honors annual art festival in Baltimore’s Little Italy, created the piece to illustrate physicians, caregivers nurses, paramedics and other workers with patients through the care process, from arrival at the hospital to during treatment and at discharge. “It shows a light at the end of the tunnel,” Kirby says. “Patients come in, get treated and get relief.” Titled “Process,” the painting was donated by the LifeBridge Health community through the CARE BRAVELY Compassion Fund. Initially hung at Sinai Hospital, the painting will travel to each LifeBridge Health center for all employees to have a chance to view the colorful artwork. lifebridgehealth.org