2022-05-10T08:09:08-05:00 2021-06-30 990 2020-07-01 522093120 HOWARD COUNTY GENERAL HOSPITAL INC HOWA 4439975771 3910 KESWICK RD S BLDG NO 4300A BALTIMORE MD 21211 CLARO M PIO RODA VP FINANCE/CFO 4439975771 2022-05-10 CLARO PIO RODA XXX-XX-XXXX 3 AAL1 IAL1 2020 2022-09-23 18:48:47Z CLARO M PIO RODA 3910 KESWICK RD S BLDG NO 4300A BALTIMORE MD 21211 312873927 0 X WWW.HCGH.ORG X 1998 MD PROVISION OF INPATIENT AND OUTPATIENT HEALTHCARE SERVICES TO INDIVIDUALS. 22 17 2268 3 0 0 16845003 16050689 253822551 277799885 7416428 6248973 5392546 5584223 283476528 305683770 213201 1274417 0 0 127192534 129827279 0 0 0 136219993 152298360 263625728 283400056 19850800 22283714 433617899 478324508 262158104 249042893 171459795 229281615 X MISSION: HOWARD COUNTY GENERAL HOSPITAL, A MEMBER OF JOHNS HOPKINS MEDICINE, STRIVES TO PROVIDE THE HIGHEST QUALITY CARE TO IMPROVE THE HEALTH OF OUR ENTIRE COMMUNITY THROUGH INNOVATION, COLLABORATION, SERVICE EXCELLENCE, DIVERSITY AND A COMMITMENT TO PATIENT SAFETY. ITS VISION IS TO BE THE PREMIER COMMUNITY HOSPITAL IN MARYLAND. 0 0 85405253 0 104111735 DEPARTMENT OF MEDICINE AND SURGERYPURPOSE: HOWARD COUNTY GENERAL HOSPITAL OFFERS A BROAD SPECTRUM OF INPATIENT AND OUTPATIENT SURGICAL SERVICES FOR ADULT AND PEDIATRIC PATIENTS. A LIST OF SOME OF THE MORE COMMON TYPES OF SURGERY PERFORMED AT HCGH INCLUDE: COLORECTAL SURGERY, ENDOSCOPY, GENERAL SURGERY, MINIMALLY INVASIVE SURGERY, NEUROSURGERY, OPHTHALMOLOGY, ORAL SURGERY AND DENTISTRY, ORTHOPEDIC SURGERY, OTOLARYNGOLOGY, PLASTIC SURGERY, PODIATRY, UROLOGY, VASCULAR SURGERY. HOWARD COUNTY GENERAL HOSPITAL'S INTENSIVE CARE UNIT IS A HIGHLY SPECIALIZED 16-BED UNIT DEDICATED TO THE NEEDS OF ADULT PATIENTS REQUIRING INTENSIVE MONITORING AND PATIENT CARE SERVICES INVOLVING CARDIAC, MEDICAL AND SURGICAL CARE. STAFFED 24 HOURS A DAY BY HIGHLY QUALIFIED PHYSICIANS, NURSES AND TECHNICIANS, THE UNIT FEATURES STATE-OF-THE-ART MEDICAL EQUIPMENT INCLUDING A COMPUTERIZED MONITORING SYSTEM. MEDICATIONS ARE ADMINISTERED USING A COMPUTERIZED MEDICATION ADMINISTRATION RECORD WITH BARCODE SCANNING FOR PATIENT SAFETY. THE UNIT IS DESIGNED SO THAT EVERY BED IS CLEARLY VISIBLE FROM THE NURSING STATION.HOWARD COUNTY GENERAL HOSPITAL HAS A PROGRAM FOR TOTAL KNEE AND HIP REPLACEMENT PATIENTS CALLED THE JOINT ACADEMY. IT APPROACHES THE JOINT REPLACEMENT SURGICAL EXPERIENCE IN A WHOLE NEW WAY, CREATING A PARTNERSHIP AMONG THE PATIENT, DOCTOR AND HOSPITAL. BECAUSE AN INFORMED PATIENT CAN MORE FULLY PARTICIPATE IN HIS OR HER OWN CARE AND RECOVERY, WE FOCUS ON ENGAGING AND EDUCATING OUR PATIENTS THROUGHOUT THE ENTIRE PROCESS FROM ADMISSION TO POST-DISCHARGE.THE HEALTH CARE AND SURGERY CENTER (HCSC) IS LOCATED ADJACENT TO THE HOSPITAL. THE HCSC IS THE PRIMARY LOCATION FOR OUTPATIENT PROCEDURES AND ADDITIONAL OUTPATIENT SERVICES, INCLUDING MAGNETIC RESONANCE IMAGING (MRI). THE HCSC OCCUPIES THE ENTIRE LOWER LEVEL OF THE ADJACENT BUILDING AND CONSISTS OF SIX OPERATING ROOMS, ONE MINOR PROCEDURE ROOM, A UROLOGY SUITE, AND A POST-ANESTHESIA CARE UNIT. SPACE AND PROGRAMS HAVE ALSO BEEN DESIGNED TO MEET THE NEEDS OF PEDIATRIC SURGERY PATIENTS AND THEIR FAMILIES. 33340410 0 35603299 EMERGENCY DEPARTMENTPURPOSE: OUR 36-BED EMERGENCY DEPARTMENT (ED) IS STAFFED 24-HOURS A DAY, SEVEN DAYS A WEEK BY BOARD-CERTIFIED JOHNS HOPKINS EMERGENCY MEDICINE PHYSICIANS. THE 24,000 SQUARE UNIT EXPANSION PROVIDES STATE-OF-THE-ART COMPREHENSIVE, INDIVIDUALIZED EMERGENCY MEDICAL CARE AND URGENT CARE TO THE CITIZENS OF HOWARD COUNTY AND THE SURROUNDING AREA. UPON ARRIVAL AT THE EMERGENCY DEPARTMENT, A REGISTERED NURSE ASSESSES EVERY PATIENT TO DETERMINE TREATMENT PRIORITY NEEDS. DEPENDING ON THE PATIENT'S NEEDS, TREATMENT WILL BE PROVIDED IN ONE OF THE FOLLOWING UNITS: MAIN EMERGENCY ROOM, URGENT CARE, PEDIATRIC ED/CHILDREN'S CARE CENTER, CHEST PAIN/SHORT STAY UNIT, OR PSYCHIATRIC UNIT. 25594247 0 33769784 LABOR & DELIVERY/NURSERY/NICUPURPOSE: TO ACCOMMODATE THE MORE THAN 3,000 BABIES BORN IN THE HOSPITAL'S LABOR/DELIVERY/RECOVERY (LDR) UNIT EACH YEAR, HOWARD COUNTY GENERAL HOSPITAL OFFERS 12 ATTRACTIVELY DECORATED BIRTHING ROOMS. MOTHER AND BABY CAN REMAIN IN THIS PRIVATE, COMFORTABLE ROOM THROUGHOUT LABOR, DELIVERY AND RECOVERY WITH THE SECURITY OF THE HOSPITAL'S ADVANCED TECHNOLOGY. CERTAIN MEDICAL CONDITIONS MAY REQUIRE A TEMPORARY SEPARATION OF MOTHER AND BABY.WHILE THE MAJORITY OF NEWBORN INFANTS ARE BORN HEALTHY, MORE INTENSE MONITORING AND CARE ARE SOMETIMES NECESSARY. THE HOSPITAL'S 18-BED LEVEL III+ NICU FEATURES HIGHLY SOPHISTICATED EQUIPMENT SPECIALLY DESIGNED TO CARE FOR CRITICALLY-ILL NEWBORNS IN AN ENVIRONMENT THAT FOSTERS HEALTHY DEVELOPMENT. MOST IMPORTANTLY, NICU PATIENTS BENEFIT FROM THE CONTINUOUS CARE AND OBSERVATION OF JOHNS HOPKINS' NEONATOLOGISTS AND REGISTERED NURSES WHO ARE EXPERIENCED WITH THE SPECIAL NEEDS OF NEWBORN PREMATURE BABIES.THE CENTER FOR MATERNAL AND FETAL MEDICINE AT HOWARD COUNTY GENERAL HOSPITAL IS EQUIPPED TO MANAGE ANY HIGH-RISK SITUATION THAT MAY ARISE DURING YOUR PREGNANCY AND TO PROVIDE YOU WITH COMPREHENSIVE CARE. THE CENTER PROVIDES: COVERAGE BY BOARD-CERTIFIED MATERNAL FETAL SPECIALISTS CONSULTATIVE SERVICES FOR ALL MEDICAL COMPLICATIONS OF PREGNANCY CERTIFIED GENETIC COUNSELORS FIRST-TRIMESTER SCREENING TO BETTER DELINEATE THE RISKS OF DOWN SYNDROME, TRISOMY 13 AND TRISOMY 18 4D IMAGING TO STUDY YOUR BABY'S ANATOMICAL DEVELOPMENT AND FETAL GROWTH FETAL ASSESSMENT CENTER FOR ANTENATAL TESTING PROFILES TESTING FOR MATERNAL DIABETES AND HYPERTENSION FETAL ECHOCARDIOGRAM PROGRAM DIABETES IN PREGNANCY PROGRAMTHE CENTER FOR MATERNAL AND FETAL MEDICINE EMPLOYS SPECIALLY TRAINED AND CERTIFIED SONOGRAPHERS TO PERFORM ROUTINE FIRST-TRIMESTER SCREENINGS AND 20-WEEK FETAL ANATOMY SCREENINGS THAT ARE MORE DETAILED THAN THOSE TYPICALLY OFFERED BY OB/GYN OFFICES. HOWARD COUNTY GENERAL HOSPITAL ENCOURAGES ANY PATIENT, HIGH-RISK OR OTHERWISE, WHO IS INTERESTED IN HAVING THESE STATE-OF-THE-ART TESTS TO GET A REFERRAL FROM HER DOCTOR.THE CENTER FOR MATERNAL AND FETAL MEDICINE OFFERS A MULTIDISCIPLINARY TEAM APPROACH WORKING WITH THE MOTHER'S OWN OB/GYN, PERINATOLOGIST, NEONATOLOGIST, PEDIATRIC SUBSPECIALIST, GENETIC COUNSELORS AND PATIENT EDUCATIONS THROUGHOUT THE PREGNANCY AND, IF NEEDED, DURING YOUR DELIVERY AT HOWARD COUNTY GENERAL HOSPITAL. HOWARD COUNTY GENERAL HOSPITAL'S GOAL IS TO DEVELOP A HEALTH CARE PLAN THAT ADDRESSES THE NEEDS OF THE MOTHER AND BABY. 75564889 1274417 104315067 75564889 1274417 104315067 219904799 1 1 0 1 0 0 0 0 0 0 1 1 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 199 0 1 2268 1 0 0 0 0 0 0 0 0 0 0 0 0 X 22 17 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 MD X THE CORPORATION 4439975771 3910 KESWICK RD SOUTH BLDG 4TH BALTIMORE MD 21211 KEVIN W SOWERS MSN RN FAAN CORPORATE VICE CHAIR/TRUSTEE 1.00 59.00 X X 0 1672257 221428 G DANIEL SHEALER JR TRUSTEE 1.00 59.00 X 0 1362700 135256 STEVEN C SNELGROVE PRESIDENT/TRUSTEE 59.00 1.00 X X 0 956001 173511 JEANNETTE NAZARIAN MD INTERIM VP MED AFFIARS, CMO/TRUSTEE 60.00 1.00 X X 0 486579 69270 RENEE DEMSKI TRUSTEE 1.00 59.00 X 0 357094 147014 MOHAMMED SHAFEEQ AHMED MD PRESIDENT, TRUSTEE 60.00 0.00 X X 0 460107 36304 DENNIS MILLER TRUSTEE 1.00 0.00 X 0 0 0 DAVID CONDRON TRUSTEE/TREASURER 1.00 0.00 X X 0 0 0 BILL SAWAY MD TRUSTEE 1.00 0.00 X 0 0 0 KATHLEEN MURPHY WHITE PHD TRUSTEE/VICE CHAIR 1.00 1.00 X 0 0 0 JUDY AUD TRUSTEE 1.00 0.00 X 0 0 0 DOUGLAS A BIEGEL TRUSTEE 1.00 1.00 X 0 0 0 BRIAN WALTER TRUSTEE/SECRETARY 1.00 0.00 X X 0 0 0 ROBERT HIGGINS MD TRUSTEE 1.00 0.00 X 0 0 0 SHERI LEWIS TRUSTEE 1.00 0.00 X 0 0 0 JONATHAN S FISH MD TRUSTEE 1.00 0.00 X 0 0 0 KIMBERLEE SHERBROOKE TRUSTEE 1.00 0.00 X 0 0 0 PAUL SKALNY TRUSTEE 1.00 0.00 X 0 0 0 HADLEY WESSON TRUSTEE 1.00 0.00 X 0 0 0 PAMELA K WAGONER TRUSTEE 1.00 1.00 X 0 0 0 ELIZABETH RENDON-SHERMAN TRUSTEE/CHAIRMAN 1.00 1.00 X 0 0 0 SHERMAN CANAPP TRUSTEE 1.00 0.00 X 0 0 0 CYDNI GULA TRUSTEE 1.00 0.00 X 0 0 0 CLARO PIO RODA VP FINANCE 59.00 1.00 X 0 317979 109680 JENNIFER BALDWIN VP NURSING & CNO 60.00 0.00 X 0 295319 37044 RYAN BROWN VP OF OPERATIONS 60.00 0.00 X 0 271714 40752 ELIZABETH EDSALL KROMM VP FOR POPULATION HLTH 60.00 0.00 X 0 256465 28586 DAVID NITKIN ASSISTANT SECRETARY 60.00 0.00 X 170433 0 3585 DARYN NORWOOD DIRECTOR OF PHARMACY 40.00 0.00 X 198329 0 22816 LEENA KADAMATTU JOSEPH CASE MANAGER 40.00 0.00 X 186728 0 31392 SHERYL DULSKY REGISTERED NURSE 40.00 0.00 X 192958 0 13830 ALICE KYERE REGISTERED NURSE 40.00 0.00 X 180782 0 20708 DANIELLE MCQUIGG SR. DIR MED/SURG & NURSING 40.00 0.00 X 180620 0 13094 RONALD R PETERSON FORMER CORP VICE CHAIR/TRUSTEE 1.00 59.00 X 0 1275825 0 JAMES E YOUNG FORMER OFFICER 60.00 0.00 X 0 209847 86201 JON ORAVEC FORMER VP HUMAN RESOURCES 60.00 0.00 X 0 214105 4848 1109850 8135992 1195319 192 1 1 0 DPR CONSTRUCTION 6716 ALEXANDER BELL DR STE 110 COLUMBIA MD 21046 CONSTRUCTION 2420912 BROADWAY SERVICES INC 3709 E MONUMENT ST BALTIMORE MD 21205 SECURITY, CLEANING & MNGT SERVICES 1895645 NTC MAZZUCA CONTRACTING INC TOTAL 10907 GUILFORD RD ANNAPOLIS JUNCTION MD 20701 CONTRACTING & CONSTRUCTION MGMT 1619506 FRESENIUS MEDICAL CARE TOTAL 16343 COLLECTION CENTER DR CHICAGO IL 60693 DIALYSIS SERVICES 853064 MACKENZIE CONTRACTING CO LLC 2324 W JOPPA RD STE 600 LUTHERVILLE MD 21093 CONTRACTING & CONSTRUCTION MGMT 600995 33 1494457 14556232 16050689 PATIENT SERVICE REVENU 900099 104248705 104248705 DEPARTMENT OF MEDICINE 621990 104111735 104111735 EMERGENCY DEPARTMENT 621910 35603299 35603299 LABOR & DELIVERY/NURSE 621990 33769784 33769784 COMMUNITY EDU. 900099 66362 66362 277799885 3162976 3162976 2295182 0 2295182 2295182 2295182 10184000 6972012 125991 3211988 -125991 3085997 3085997 181640 92154 89486 89486 OTHER 900099 3193517 3193517 TELE.& VENDING REV. 900099 6038 6038 3199555 305683770 277799885 0 11833196 1274417 1274417 102036132 84709273 17326859 1044108 866807 177301 16664095 13834348 2829747 10082944 8370749 1712195 224003 224003 69986 69986 197427 197427 24245665 20514937 3730728 450284 184148 266136 4200635 1848402 2352233 974184 808757 165427 1511067 1254471 256596 50338 50338 227013 188464 38549 4689362 4689362 16046125 13321316 2724809 3320366 3006397 313969 PURCHASED SERVICES 41355917 12184244 29171673 MEDICAL SUPPLIES 38837660 38837660 0 PATIENT CARE EXPENSE 12319537 12319537 0 SWAP INTEREST 1541291 0 1541291 2037500 1691510 345990 283400056 219904799 63495257 0 18537226 21448436 52792 0 27612691 28598478 4423731 4495286 3702964 3200006 334243343 172467162 169199802 161776181 176469686 225130645 33619007 33675476 433617899 478324508 32229158 33238115 417525 611941 229511421 215192837 262158104 249042893 X 161010031 221903226 10449764 7378389 171459795 229281615 433617899 478324508 X 22283714 27371830 8166276 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 69986 69986 283330072 283400058 1000000 250000 0 0 1000000 1000000 1000000 1000000 4000000 6000000 63691 70833 75898 69986 280408 250000 250000 250000 250000 1000000 1500000 FORM 990 SCH.C PART II-A LINE 1B THE HOWARD COUNTY GENERAL HOSPITAL PAID ITS PARENT CORPORATION, JOHNS HOPKINS HEALTH SYSTEM CORPORATION $69,986 DURING FISCAL YEAR ENDED JUNE 30, 2021 TO SUPPORT THEIR LOBBYING ACTIVITIES. JOHNS HOPKINS OFFICE OF GOVERNMENT AND COMMUNITY AFFAIRS (GCA) SERVES JOHNS HOPKINS UNIVERSITY AND MEDICINE, JOHNS HOPKINS HEALTH SYSTEM AND AFFILIATES. THE PRIMARY PURPOSE OF THIS DEPARTMENT IS TO MAINTAIN CONTACT WITH ELECTED AND APPOINTED STATE OFFICIALS, AND OCCASIONAL FEDERAL OFFICIALS, REGARDING ISSUES WHICH IMPACT JOHNS HOPKINS HEALTH SYSTEM AND ITS AFFILIATES AS WELL AS THE HEALTHCARE INDUSTRY IN GENERAL. 12977766 12977766 200442711 98219846 102222865 1376879 780229 596650 115790196 72262874 43527322 3655791 1204213 2451578 161776181 U.S. T-BILLS 221516298 F INVESTMENTS CMROC, LLC 975672 F INV IN SUBS/JOINT VE 2638675 F 225130645 OTHER RECEIVABLES 1986384 OTHER LONG TERM ASSETS 18644049 OTHER LONG TERM ASSETS 3341527 DUE FROM AFFILIATES 3183177 DUE FROM OTHERS 427902 FINANCE LEASE RIGHT-OF-USE ASSET 5821988 OPERATING LEASE RIGHT-OF-USE ASSET 270449 33675476 DUE TO AFFILIATES 6484615 ADVANCES THIRD PARTY PAYORS 9619870 ESTIMATED MALPRACTICE COST 9313016 NOTES PAYABLE AFFILIATES 159070541 TOTAL OTHER LIABILITIES 24129090 FINANCE LEASE LIABILITIES 6275906 OPERATING LEASE LIABILITIES 299799 215192837 X 333077000 27371830 27371830 305705170 197427 -218827 -21400 305683770 280849000 0 280849000 197427 2353629 2551056 283400056 PART X, LINE 2: FASB GUIDANCE ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES CLARIFIES THE ACCOUNTING FOR UNCERTAINTY OF INCOME TAX POSITIONS. THIS GUIDANCE DEFINES THE THRESHOLD FOR RECOGNIZING TAX RETURN POSITIONS IN THE FINANCIAL STATEMENTS AS "MORE LIKELY THAN NOT" THAT THE POSITION IS SUSTAINABLE, BASED ON ITS TECHNICAL MERITS. THIS GUIDANCE ALSO PROVIDES GUIDANCE ON THE MEASUREMENT, CLASSIFICATION AND DISCLOSURE OF TAX RETURN POSITIONS IN THE FINANCIAL STATEMENTS. THERE IS NO IMPACT ON HOWARD COUNTY GENERAL HOSPITAL INC FINANCIAL STATEMENTS DURING THE YEARS ENDED JUNE 30, 2021 AND 2020. PART XI, LINE 4B - OTHER ADJUSTMENTS: RECLASS OF COGS TO REVENUE -92,154. BOOK/AUDIT ADJUSTMENT -682. RECLASS FIXED ASSET LOSS -125,991. PART XII, LINE 4B - OTHER ADJUSTMENTS: SWAP INTEREST 1,541,291. RECLASS OF COGS -92,154. BOOK/AUDIT ADJUSTMENT 252. DONOR RESTRICTED CONTRIBUITONS 1,030,231. RECLASS FIXED ASSET LOSS -125,991. 1 1 X 1 X 1 X 500.000000000000 1 1 0 1 1 5484303 0 5484303 0.01940 5484303 5484303 0.01940 22472098 766673 21705425 0.07660 1492863 0 1492863 0.00530 0 0 463055 133474 329581 0.00120 442567 0 442567 0.00160 24870583 900147 23970436 0.08470 30354886 900147 29454739 0.10410 774 0 774 0.00000 0 0 325354 168 325186 0.00110 0 0 14511 0 14511 0.00010 2091 693 1398 0.00000 11421 2436 8985 0.00000 37659 19383 18276 0.00010 0 0 391810 22680 369130 0.00130 0 9031770 0 82578290 79332907 3245383 X 1 1 1 1 HOWARD COUNTY GENERAL HOSPITAL 5755 CEDAR LANE COLUMBIA MD 21044 WWW.HOPKINSMEDICINE.ORG 13-004 X HOWARD COUNTY GENERAL HOSPITAL 1 0 0 1 X X X X X X X X X 18 1 0 0 1 X SEE SUPPLEMENTAL INFORMATION X 1 18 1 SEE SUPPLEMENTAL INFORMATION 0 1 X 200.000000000000 500.000000000000 X X X 1 1 X X X 1 X WWW.HOPKINSMEDICINE.ORG/PATIENT_CARE/BILLING-INSURANCE/ASSISTANCE-SERVICES/ X WWW.HOPKINSMEDICINE.ORG/PATIENT_CARE/BILLING-INSURANCE/ASSISTANCE-SERVICES/ X WWW.HOPKINSMEDICINE.ORG/PATIENT_CARE/BILLING-INSURANCE/ASSISTANCE-SERVICES/ X X X X X X 1 X 0 X X X X 1 X 0 0 HOWARD COUNTY GENERAL HOSPITAL PART V, SECTION B, LINE 5: - HOWARD COUNTY GENERAL HOSPITAL (HCGH) TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL THROUGH VARIOUS WAYS LISTED BELOW:A) PRIMARY DATA WAS GATHERED FROM MORE THAN 2,000 PARTICIPANTS VIA AN EXTENSIVE PHONE SURVEY IN THE BIENNIAL HOWARD COUNTY HEALTH ASSESSMENT SURVEY (HCHAS) IN SUMMER AND FALL 2018. THE SURVEY WAS JOINTLY COMMISSIONED BY THE HORIZON FOUNDATION, THE HOWARD COUNTY HEALTH DEPARTMENT, HOWARD COUNTY GENERAL HOSPITAL, AND THE COLUMBIA ASSOCIATION.B) THE DATA FROM THE 2018 HCHAS WAS PRESENTED TO THE LOCAL HEALTH IMPROVEMENT COALITION (LHIC), A PART OF THE STATE HEALTH IMPROVEMENT PLAN, IN JANUARY 2019. . THE LHIC INCLUDES LEADERS OF LOCAL HEALTH AND HUMAN SERVICE ORGANIZATIONS, COUNTY GOVERNMENT LEADERSHIP, LOCAL BUSINESS LEADERS AND HOSPITAL LEADERS WHO PROVIDED INPUT THROUGH THEIR PARTICIPATION IN THIS PROCESS. C) IN ADDITION TO THE 2018 HCHAS, HCCGH AND THE HOWARD COUNTY HEALTH DEPARTMENT CONDUCTED AN ONLINE SURVEY REQUESTING FEEDBACK ON COMMUNITY HEALTH NEEDS. HCGH AND HCHD SOLICITED FEEDBACK USING THEIR SOCIAL MEDIA PLATFORMS, AND EMAIL REQUESTS TO LHIC MEMBERS AND FAITH COMMUNITIES THROUGH THE JOURNEY TO BETTER HEALTH PROGRAM. 368 RESIDENTS COMPLETED THE SURVEY AND COMMENTED ON THEIR PERCEPTIONS OF THE GREATEST COMMUNITY HEALTH PRIORITIES, SOCIAL DETERMINANTS OF HEALTH, AND THE HOSPITAL'S PRIOR COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA).D) SECONDARY DATA FROM LOCAL, STATE AND FEDERAL SOURCES PROVIDED ESSENTIAL INFORMATION, INSIGHT AND KNOWLEDGE ON A BROAD RANGE OF HEALTH AND SOCIAL ISSUES AND A RESOURCE INVENTORY WAS COMPILED TO ASSESS THE AVAILABILITY OF SERVICES TO RESIDENTS IN HOWARD COUNTY. HOWARD COUNTY GENERAL HOSPITAL PART V, SECTION B, LINE 11: - COMMUNITY BENEFITS ACTIVITIES ARE INCLUDED EVERY YEAR IN THE JOHNS HOPKINS MEDICINE FIVE-YEAR STRATEGIC PLAN. IN FY 2020, THESE ACTIVITIES WERE INCLUDED IN THE "INTEGRATION" PILLAR OF THE JHM PLAN, WHERE HCGH SET SPECIFIC GOALS RELATED TO OUR HEALTH PRIORITIES AS IDENTIFIED IN THE CHNA. THESE HEALTH PRIORITIES ARE AS FOLLOWS: ACCESS TO AFFORDABLE CARE; BEHAVIORAL HEALTH; HEALTHY AGING; AND HEALTHY WEIGHT, EXERCISE, AND NUTRITION. THESE PRIORITIES ARE INTEGRATED INTO HCGH'S ONGOING INITIATIVES. HCGH SET THE FOLLOWING TWO STRATEGIC OBJECTIVES FOR FY 2020 TO SUPPORT THESE PRIORITIES: O STRATEGIC OBJECTIVE 1 ACCESS TO CARE: DEVELOP AND IMPLEMENT A HOME-BASED MEDICINE PROGRAM IN COLLABORATION WITH MULTIPLE ENTITIES WITHIN JOHNS HOPKINS MEDICINECOMPLETION DATE: 06/30/20FINAL STATUS: IMPLEMENTATION AND TRANSITION PLAN APPROVED BY ALL ENTITIES. HOWARD COUNTY GO-LIVE TIMELINE ESTABLISHED FOR Q1FY20 (PROVIDER IDENTIFIED AND WORKING ON ONBOARDING)O STRATEGIC OBJECTIVE 2 BEHAVIORAL HEALTH: INCREASE BEHAVIORAL HEALTH PROVIDER CAPACITY IN THE HCGH EMERGENCY DEPARTMENT BY EXPANDING THE SOCIAL WORK AND NAVIGATION SUPPORT SERVICES FOR PATIENTS AND FAMILIES/CAREGIVERS.COMPLETION DATE: 06/30/20FINAL STATUS: BEHAVIORAL HEALTH NAVIGATORS HIRED AND STARTED IN NOVEMBER 2018. PATIENT AND FAMILY EDUCATION PROGRAMS INITIATED.- COMMUNITY BENEFITS ACTIVITIES ARE INCLUDED EVERY YEAR IN THE JOHNS HOPKINS MEDICINE FIVE-YEAR STRATEGIC PLAN. IN FY2021, THESE ACTIVITIES WERE INCLUDED IN THE CATEGORY OF "MAKE JOHNS HOPKINS MEDICINE EASY" OF THE JHM PLAN, WHERE HCGH SET SPECIFIC GOALS RELATED TO OUR HEALTH PRIORITIES AS IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT. THESE HEALTH PRIORITIES ARE AS FOLLOWS: ACCESS TO CARE; BEHAVIORAL HEALTH; HEALTHY AGING; HEALTHY WEIGHT; AND MATERNAL/INFANT HEALTH. THESE PRIORITIES ARE INTEGRATED INTO HCGH'S ONGOING INITIATIVES. HOWARD COUNTY GENERAL HOSPITAL SET THE FOLLOWING STRATEGIC OBJECTIVES FOR FY2021 TO SUPPORT THESE PRIORITIES: ACCESS TO CARE: EXPAND TELEMEDICINE INITIATIVES AIMED AT ADDING VALUE, REDUCING DISPARITIES AND INCREASING ACCESS TO PATIENTS. COMPLETION DATE: 6/30/21. FINAL STATUS: TWO PROJECTS WERE LAUNCHED INCLUDING SNF TELEMED WITH HOSPITALISTS AND ANESTHESIA PRE-OP CLEARANCE. A THIRD PROJECT WAS STARTED FOCUSED ON PEDIATRIC PSYCH CONSULTS. PART V, SECTION B, LINE 10A HTTPS://WWW.HOPKINSMEDICINE.ORG/HOWARD_COUNTY_GENERAL_HOSPITAL/ABOUT/GIVING_BACK/CHNA.HTML PART V, SECTION B, LINE 7A HTTPS://WWW.HOPKINSMEDICINE.ORG/HOWARD_COUNTY_GENERAL_HOSPITAL/ABOUT/GIVING_BACK/CHNA.HTML PART I, LINE 3C: SEE DETAILS IN SCH H, PART V, SECTION B, LINE 13. PART I, LINE 7: - A COST-TO-CHARGE RATIO (FROM WORKSHEET 2) IS USED TO CALCULATE THE AMOUNTS ON LINE 7A 7B (CHARITY CARE AND UNREIMBURSED MEDICAID). THE AMOUNTS FOR LINES 7E-7I COME FROM OUR HSCRC COMMUNITY BENEFIT REPORT FILED WITH THE STATE OF MARYLAND AND IS NOT BASED ON A COST-TO CHARGE RATIO.- LINE 7B - MARYLAND'S REGULATORY SYSTEM CREATES A UNIQUE PROCESS FOR HOSPITAL PAYMENT THAT DIFFERS FROM THE REST OF THE NATION. THE HEALTH SERVICES COST REVIEW COMMISSION, (HSCRC) DETERMINES PAYMENT THROUGH A RATE-SETTING PROCESS AND ALL PAYORS, INCLUDING GOVERNMENTAL PAYORS, PAY THE SAME AMOUNT FOR THE SAME SERVICES DELIVERED AT THE SAME HOSPITAL. MARYLAND'S UNIQUE ALL-PAYOR SYSTEM INCLUDES A METHOD FOR REFERENCING UNCOMPENSATED CARE IN EACH PAYORS' RATES, WHICH DOES NOT ENABLE MARYLAND HOSPITALS TO BREAKOUT ANY DIRECTED OFFSETTING REVENUE RELATED TO UNCOMPENSATED CARE. COMMUNITY BENEFIT EXPENSES ARE EQUAL TO MEDICAID REVENUES IN MARYLAND, AS SUCH, THE NET EFFECT IS ZERO. THE EXCEPTION TO THIS IS THE IMPACT ON THE HOSPITAL OF ITS SHARE OF THE MEDICAID ASSESSMENT. IN RECENT YEARS, THE STATE OF MARYLAND HAS CLOSED FISCAL GAPS IN THE STATE MEDICAID BUDGET BY ASSESSING HOSPITALS THROUGH THE RATE-SETTING SYSTEM.- LINE 7F COLUMN (D) MARYLAND'S REGULATORY SYSTEM CREATES A UNIQUE PROCESS FOR HOSPITAL PAYMENT THAT DIFFERS FROM THE REST OF THE NATION. THE HEALTH SERVICES COST REVIEW COMMISSION, (HSCRC) DETERMINES PAYMENT THROUGH A RATE-SETTING PROCESS AND ALL PAYORS, INCLUDING GOVERNMENTAL PAYORS, PAY THE SAME AMOUNT FOR THE SAME SERVICES DELIVERED AT THE SAME HOSPITAL. MARYLAND'S UNIQUE ALL-PAYOR SYSTEM INCLUDES A METHOD FOR REFERENCING UNCOMPENSATED CARE IN EACH PAYORS' RATES, WHICH DOES NOT ENABLE MARYLAND HOSPITALS TO BREAKOUT ANY OFFSETTING REVENUE RELATED TO HEALTH PROFESSIONS EDUCATION. PART I, LINE 7G: HOWARD COUNTY GENERAL HOSPITAL, INC. DOES NOT HAVE ANY SUBSIDIZED HEALTH SERVICES. PART II, COMMUNITY BUILDING ACTIVITIES: HCGH'S COMMUNITY BUILDING ACTIVITIES PROMOTE THE HEALTH OF THE COMMUNITY IT SERVES THROUGH A NUMBER OF INITIATIVES THEY HAVE DEVELOPED. HCGH PROMOTES THE IMPROVEMENT OF HEALTHY LIVING THROUGH CONSTRUCTION AND IMPROVEMENT OF COMMUNITY BASED INFRASTRUCTURES. FOR EXAMPLE, HCGH CONTINUES ITS SUPPORT OF THE HEALTHY CHILDREN'S PLAY AREA IN THE COLUMBIA MALL, A CENTERPIECE OF THE HOWARD COUNTY COMMUNITY, TO PROMOTE HEALTHY HABITS IN A FUN EDUCATIONAL MANNER. IN ADDITION, HCGH HOLDS A NUMBER OF HEALTH EDUCATION AND HEALTH PROMOTION OFFERINGS FREE OF CHARGE TO ITS COMMUNITY, INCLUDING CHRONIC DISEASE SELF-MANAGEMENT COURSES. PART III, LINE 2: THE PROVISION FOR BAD DEBTS IS BASED UPON A COMBINATION OF THE PAYOR SOURCE, THE AGING OF RECEIVABLES AND MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS, TRENDS IN HEALTH INSURANCE COVERAGE, AND OTHER COLLECTION INDICATORS. PART III, LINE 3: MARYLAND HOSPITALS ARE RATE REGULATED UNDER THE HSCRC, WHICH INCLUDES BAD DEBT AS PART OF THE REIMBURSEMENT FORMULA FOR EACH HOSPITAL. DUE TO THE RATE REGULATION, HCGH CANNOT DETERMINE THE AMOUNT THAT REASONABLE COULD BE ATTRIBUTABLE TO PATIENTS WHO LIKELY WOULD QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S CHARITY CARE POLICY. PART III, LINE 4: THE JOHNS HOPKINS HEALTH SYSTEM CORPORATION AND AFFILIATES AUDITED FINANCIAL STATEMENTS PAGES 17. PART III, LINE 8: THE TRIAL BALANCE EXPENSES ARE ADJUSTED TO ALLOWABLE EXPENSE IN ACCORDANCE WITH THE MEDICARE COST REPORTING RULES AND REGULATIONS. PART III, LINE 9B: THE HOSPITAL CONFORMS TO THE PRINCIPLES AND STANDARDS OF THE MHA HOSPITAL BILLING AND DEBT COLLECTION PRACTICES PRINCIPLES AS WELL AS THE MHA MINIMUM STANDARDS FOR FINANCIAL ASSISTANCE IN MARYLAND HOSPITALS. PART VI, LINE 2: HCGH UTILIZES THE MARYLAND SHIP METRICS AS WELL AS THE AMERICAN COMMUNITY SURVEY, COUNTY HEALTH RANKINGS, AND TRUVEN/IBM MARKET EXPERT. HCGH ALSO USES THE UNITED WAY'S ALICE REPORT TO REVIEW COMMUNITY MEMBERS ABOVE THE POVERTY LINE BUT WITH FINANCIAL CHALLENGES DUE TO THE HIGH COST OF LIVING IN THE COUNTY. FINALLY, HCGH PARTNERS WITH THE HOWARD COUNTY HEALTH DEPARTMENT, THE HORIZON FOUNDATION, THE COLUMBIA ASSOCIATION, AND OPINIONWORKS TO DESIGN AND ADMINISTER THE HOWARD COUNTY HEALTH ASSESSMENT SURVEY EVERY TWO YEARS. THIS HOWARD COUNTY-SPECIFIC SURVEY ASKS RESIDENTS QUESTIONS ABOUT A VARIETY OF HEALTH-RELATED INFORMATION SUCH AS CHRONIC DISEASE, PHYSICAL ACTIVITY, NUTRITION, AND BEHAVIORAL HEALTH. FOR THE FY19 CHNA, HCGH ALSO WORKED WITH THE HOWARD COUNTY HEALTH DEPARTMENT TO PROMOTE A BRIEF SURVEY IN THE COMMUNITY, WHICH REQUESTED FEEDBACK ON THE PRIOR CHNA AND PERCEIVED HEALTH PRIORITIES IN HOWARD COUNTY.- HCGH UTILIZES THE MARYLAND STATE HEALTH IMPROVEMENT PROGRAM METRICS AS WELL AS THE US CENSUS BUREAU, AMERICAN COMMUNITY SURVEY, AND COUNTY HEALTH RANKINGS. HCGH ALSO USES THE UNITED WAY'S ALICE REPORT TO REVIEW COMMUNITY MEMBERS ABOVE THE POVERTY LINE BUT WITH FINANCIAL CHALLENGES DUE TO THE HIGH COST OF LIVING IN THE COUNTY. FINALLY, HCGH PARTNERS WITH THE HOWARD COUNTY HEALTH DEPARTMENT, THE HORIZON FOUNDATION, THE COLUMBIA ASSOCIATION, AND OPINIONWORKS TO DESIGN AND ADMINISTER THE HOWARD COUNTY HEALTH ASSESSMENT SURVEY EVERY TWO YEARS. THIS HOWARD COUNTY-SPECIFIC SURVEY ASKS RESIDENTS QUESTIONS ABOUT A VARIETY OF HEALTH-RELATED INFORMATION SUCH AS CHRONIC DISEASE, PHYSICAL ACTIVITY, NUTRITION, AND BEHAVIORAL HEALTH. HCGH ALSO WORKED WITH THE HOWARD COUNTY HEALTH DEPARTMENT TO PROMOTE A BRIEF SURVEY IN THE COMMUNITY, WHICH REQUESTED FEEDBACK ON THE PRIOR CHNA AND PERCEIVED HEALTH PRIORITIES IN HOWARD COUNTY. PART VI, LINE 3: HCGH WILL PUBLISH THE AVAILABILITY OF FINANCIAL ASSISTANCE ON A YEARLY BASIS IN THEIR LOCAL NEWSPAPERS, AND WILL POST NOTICES OF AVAILABILITY AT PATIENT REGISTRATION SITES, ADMISSIONS/BUSINESS OFFICE, THE BILLING OFFICE, AND AT THE EMERGENCY DEPARTMENT WITHIN HCGH. NOTICE OF AVAILABILITY WILL BE POSTED ON THEIR WEBSITE, WILL BE MENTIONED DURING ORAL COMMUNICATIONS, AND WILL ALSO BE SENT TO PATIENTS ON PATIENT BILLS. A PATIENT BILLING AND FINANCIAL ASSISTANCE INFORMATION SHEET WILL BE PROVIDED TO INPATIENTS BEFORE DISCHARGE AND WILL BE AVAILABLE TO ALL PATIENTS UPON REQUEST.HCGH HAS STAFF AVAILABLE TO DISCUSS AND ASSIST PATIENTS AND/OR THEIR FAMILIES WITH THE AVAILABILITY OF VARIOUS GOVERNMENT BENEFITS, SUCH AS MEDICAID OR STATE PROGRAMS, AND ASSISTS PATIENTS WITH QUALIFICATION FOR SUCH PROGRAMS, WHERE APPLICABLE. PART VI, LINE 4: - HCGH GEOGRAPHIC SERVICE AREA IS SUBURBAN.- THE HOSPITAL CONSIDERS ITS COMMUNITY BENEFIT SERVICE AREA (CBSA) AS SPECIFIC POPULATIONS OR COMMUNITIES OF NEED TO WHICH THE HOSPITAL ALLOCATES RESOURCES THROUGH ITS COMMUNITY BENEFIT PLAN. THE HOSPITAL DEFINES ITS CBSA USING THE ZIP CODES CONTAINED WITHIN THE GEOGRAPHICAL BOUNDARIES OF THE HOWARD COUNTY JURISDICTION AS SET FORTH BY THE MARYLAND DEPARTMENT OF PLANNING AND ZONING.- THE GENERAL DATA FOR THIS PRIMARY SERVICE AREA ARE AS FOLLOWS: TOTAL POPULATION WAS 332,317 OF WHICH 49% WERE MALES AND 51% WERE FEMALES, AVERAGE HOUSEHOLD INCOME WAS $124,042, 4.5% OF RESIDENTS ARE UNINSURED, 19.8% OF RESIDENTS ARE COVERED BY MEDICAID/MEDICARE, AND 5.5% OF RESIDENTS HAVE INCOME BELOW THE FEDERAL POVERTY GUIDELINES.- NUMBER OF OTHER HOSPITALS SERVING THE COMMUNITY OR COMMUNITIES: 2- FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREAS OR POPULATIONS ARE NOT PRESENT IN THE COMMUNITY. PART VI, LINE 5: -PLEASE SEE FORM 990, SCHEDULE O FOR A DESCRIPTION OF SIGNIFICANT COVID-19 RESPONSE ACTIVITIES.- HOWARD COUNTY GENERAL HOSPITAL: A MEMBER OF JOHNS HOPKINS MEDICINE IS A PRIVATE, NOT-FOR-PROFIT, COMMUNITY HEALTH CARE PROVIDER, GOVERNED BY A COMMUNITY-BASED BOARD OF TRUSTEES. OPENED IN 1973, THE ORIGINAL 59-BED, SHORT-STAY HOSPITAL HAS GROWN INTO A COMPREHENSIVE ACUTE CARE MEDICAL CENTER WITH 225 LICENSED BEDS, SPECIALIZING IN WOMEN'S AND CHILDREN'S SERVICES, SURGERY, CARDIOLOGY, ONCOLOGY, ORTHOPEDICS, GERONTOLOGY, PSYCHIATRY, EMERGENCY SERVICES AND COMMUNITY HEALTH EDUCATION. IN JUNE 1998, HOWARD COUNTY GENERAL HOSPITAL JOINED JOHNS HOPKINS MEDICINE. HOWARD COUNTY GENERAL HOSPITAL CARES FOR ITS COMMUNITY THROUGH THE COLLABORATIVE EFFORTS OF A WIDE RANGE OF PEOPLE. HCGH STAFF INCLUDES MORE THAN 1,800 EMPLOYEES. IT IS THE SECOND LARGEST PRIVATE EMPLOYER IN HOWARD COUNTY AND EMPLOYS NEARLY 1,000 HOWARD COUNTY RESIDENTS. A DIVERSE WORKFORCE, 51 PERCENT OF HOSPITAL STAFF ARE MINORITIES. THE HOSPITAL'S PROFESSIONAL STAFF IS COMPRISED OF MORE THAN 1,000 PHYSICIANS AND ALLIED HEALTH PROFESSIONALS, REPRESENTING NEARLY 100 SPECIALTIES AND SUBSPECIALTIES. NINETY-FIVE PERCENT OF THE PHYSICIANS ARE BOARD-CERTIFIED IN THEIR SPECIALTY. HOSPITAL EXPENDITURES TOTAL APPROXIMATELY $267 MILLION PER YEAR, MUCH OF WHICH IS SPENT LOCALLY FOR SUPPLIES AND SERVICES. THIS FIGURE INCLUDES SALARIES AND BENEFITS OF APPROXIMATELY $128 MILLION. MORE THAN 370 VOLUNTEERS CONTRIBUTED OVER 26,800 HOURS OF SERVICE WORKING IN ALL AREAS OF THE HOSPITAL AND THE COMMUNITY TO SUPPORT THE HOSPITAL AND ITS SERVICES. HCGH PROVIDED SERVICES TO NEARLY 200,000 PEOPLE, INCLUDING EVALUATION AND TREATMENT OF OVER 78,000 PATIENTS IN THE EMERGENCY DEPARTMENT. THERE WERE OVER 22,000 PATIENTS ADMITTED TO OR OBSERVED IN THE HOSPITAL, NEARLY 10,000 SURGERIES PERFORMED, AND OVER 3,000 BABIES DELIVERED. IN ADDITION TO THE MANY HOSPITAL-BASED SERVICES, HCGH ALSO PROVIDED OUTPATIENT SERVICES TO OVER 45,000 PATIENTS, AND REACHED OVER 30,000 PEOPLE IN THE COMMUNITY THROUGH OUTREACH, HEALTH PROMOTION, AND WELLNESS PROGRAMS. IN OUR COMMITMENT TO BE HOWARD COUNTY'S TRUSTED SOURCE OF HEALTH AND WELLNESS, HCGH IS BUILDING PROGRAMS AND WORKING WITH COMMUNITY PARTNERS TO MEET THE HEALTH NEEDS OF OUR COMMUNITY. THESE PARTNERSHIPS ALLOW HCGH AND ITS PARTNERS TO REACH OUT TO HOWARD COUNTY'S MOST VULNERABLE, CHRONICALLY ILL, AND/OR HIGH-UTILIZING COMMUNITY MEMBERS AND PROVIDE CONNECTIONS TO RESOURCES, HOME-BASED CARE, AND COMMUNITY SUPPORT.- HOWARD COUNTY GENERAL HOSPITAL: A MEMBER OF JOHNS HOPKINS MEDICINE IS A PRIVATE, NOT-FOR-PROFIT, COMMUNITY HEALTH CARE PROVIDER, GOVERNED BY A COMMUNITY-BASED BOARD OF TRUSTEES. OPENED IN 1973, THE ORIGINAL 59-BED, SHORT-STAY HOSPITAL HAS GROWN INTO A COMPREHENSIVE ACUTE CARE MEDICAL CENTER WITH 225 LICENSED BEDS, SPECIALIZING IN WOMEN'S AND CHILDREN'S SERVICES, SURGERY, CARDIOLOGY, ONCOLOGY, ORTHOPEDICS, GERONTOLOGY, PSYCHIATRY, EMERGENCY SERVICES AND COMMUNITY HEALTH EDUCATION. IN JUNE 1998, HOWARD COUNTY GENERAL HOSPITAL JOINED JOHNS HOPKINS MEDICINE. HOWARD COUNTY GENERAL HOSPITAL CARES FOR ITS COMMUNITY THROUGH THE COLLABORATIVE EFFORTS OF A WIDE RANGE OF PEOPLE. HCGH STAFF INCLUDES MORE THAN 1,800 EMPLOYEES. IT IS THE SECOND LARGEST PRIVATE EMPLOYER IN HOWARD COUNTY AND EMPLOYS OVER 940 HOWARD COUNTY RESIDENTS. A DIVERSE WORKFORCE, 54 PERCENT OF HOSPITAL STAFF ARE MINORITIES. THE HOSPITAL'S PROFESSIONAL STAFF IS COMPRISED OF MORE THAN 1,000 PHYSICIANS AND ALLIED HEALTH PROFESSIONALS, REPRESENTING NEARLY 118 SPECIALTIES AND SUBSPECIALTIES. NINETY-THREE PERCENT OF THE PHYSICIANS ARE BOARD-CERTIFIED IN THEIR SPECIALTY. IN FY 2021, HCGH PROVIDED SERVICES TO NEARLY 158,000 PEOPLE, INCLUDING EVALUATION AND TREATMENT OF 56,300 PATIENTS IN THE EMERGENCY DEPARTMENT. THERE WERE 19,200 PATIENTS ADMITTED TO OR OBSERVED IN THE HOSPITAL, 9,200 SURGERIES PERFORMED, AND 2,640 BABIES DELIVERED. IN ADDITION TO THE MANY HOSPITAL-BASED SERVICES, HCGH ALSO PROVIDED OUTPATIENT SERVICES TO 72,500 PATIENTS, AND REACHED OVER 14,000 PEOPLE IN THE COMMUNITY THROUGH OUTREACH, HEALTH PROMOTION, AND WELLNESS PROGRAMS. IN OUR COMMITMENT TO BE HOWARD COUNTY'S TRUSTED SOURCE OF HEALTH AND WELLNESS, HCGH IS BUILDING PROGRAMS AND WORKING WITH COMMUNITY PARTNERS TO MEET THE HEALTH NEEDS OF OUR COMMUNITY. THESE PARTNERSHIPS ALLOW HCGH AND ITS PARTNERS TO REACH OUT TO HOWARD COUNTY'S MOST VULNERABLE, CHRONICALLY ILL, AND/OR HIGH UTILIZING COMMUNITY MEMBERS AND PROVIDE CONNECTIONS TO RESOURCES, HOME-BASED CARE, AND COMMUNITY SUPPORT.IN SUPPORT OF THE COVID-19 PANDEMIC, HCGH CARED FOR OVER 1,800 PATIENTS WITH COVID-19 IN FY21. ADDITIONALLY, HCGH OPENED A UNIT FOR ASYMPTOMATIC PSYCHIATRIC PATIENTS WITH COVID-19 THE ONLY UNIT OF ITS KIND. HCGH PERFORMED ALMOST 48,000 COVID-19 TESTS AT THE DRIVE-THROUGH TESTING TENT, HELD 22 COMMUNITY EVENTS WHERE OVER 5,00 PEOPLE WERE TESTED, AND VACCINATED OVER 450 PEOPLE AT 6 CLINICS.- FOR THE LAST 30 YEARS, MARYLAND HOSPITALS HAVE MET THEIR COMMUNITY BENEFIT OBLIGATIONS IN A UNIQUE MANNER THAT BUILDS THE COSTS OF UNCOMPENSATED CARECHARITY CARE AND PATIENT BAD DEBTAND GRADUATE MEDICAL EDUCATION INTO THE RATES THAT HOSPITALS ARE REIMBURSED BY ALL PAYORS. THE SYSTEM IS BASED IN FEDERAL AND STATE LAW AND BENEFITS ALL MARYLAND RESIDENTS, INCLUDING THOSE IN NEED OF FINANCIAL ASSISTANCE TO PAY THEIR HOSPITAL BILLS. MARYLAND IS THE ONLY STATE IN WHICH ALL PAYORSGOVERNMENTALLY-INSURED, COMMERCIALLYINSURED, OR SELF-PAYARE CHARGED THE SAME PRICE FOR SERVICES AT ANY GIVEN HOSPITAL.UNDER THIS SYSTEM, MARYLAND HOSPITALS ARE REGULATED BY A STATE AGENCYTHE HEALTH SERVICES COST REVIEW COMMISSION (HSCRC)THAT IS REQUIRED TO: PUBLICLY DISCLOSE INFORMATION ON THE COST AND FINANCIAL POSITION OF HOSPITALS; REVIEW AND APPROVE HOSPITAL RATES; COLLECT INFORMATION DETAILING TRANSACTIONS BETWEEN HOSPITALS AND FIRMS WITH WHICH THEIR TRUSTEES HAVE A FINANCIAL INTEREST; AND, MAINTAIN THE SOLVENCY OF EFFICIENT AND EFFECTIVE HOSPITALS.SINCE 2000, THE RATE SETTING COMMISSION HAS HAD ITS OWN FRAMEWORK FOR REPORTING HOSPITALS' COMMUNITY BENEFITS AND ISSUING A REPORT ANNUALLY REGARDING HOSPITALS' COMMUNITY BENEFIT TOTALS. THAT REPORT IS AVAILABLE ON HTTPS://HSCRC.STATE.MD.US/PAGES/INIT_CB.ASPXBECAUSE OF THIS UNIQUE STRUCTURE MARYLAND HOSPITALS' COMMUNITY BENEFITS NUMBERS WILL NOT COMPARE WITH THE REST OF THE NATION'S HOSPITALS. HOWEVER, MARYLAND HOSPITALS MEET OR EXCEED THE COMMUNITY BENEFIT STANDARD ESTABLISHED BY THE IRS IN 1969. ADDITIONAL DETAIL ILLUSTRATING THIS CAN BE FOUND WITHIN THIS SCHEDULE H REPORT. PART VI, LINE 6: JOHNS HOPKINS HEALTH SYSTEM CORPORATION (JHHS) IS INCORPORATED IN THE STATE OF MARYLAND TO, AMONG OTHER THINGS, FORMULATE POLICY AMONG AND PROVIDE CENTRALIZED MANAGEMENT FOR JHHS AND AFFILIATES. JHHS IS ORGANIZED AND OPERATED FOR THE PURPOSE OF PROMOTING HEALTH BY FUNCTIONING AS A PARENT HOLDING COMPANY OF AFFILIATES WHOSE COMBINED MISSION IS TO PROVIDE PATIENT CARE IN THE TREATMENT AND PREVENTION OF HUMAN ILLNESS WHICH COMPARES FAVORABLY WITH THAT RENDERED BY ANY OTHER INSTITUTION IN THIS COUNTRY OR ABROAD.JHHSC IS THE SOLE MEMBER OF THE JOHNS HOPKINS HOSPITAL (JHH), AN ACADEMIC MEDICAL CENTER, JOHNS HOPKINS BAYVIEW MEDICAL CENTER, INC. (JHBMC), A COMMUNITY BASED TEACHING HOSPITAL AND LONG-TERM CARE FACILITY, HOWARD COUNTY GENERAL HOSPITAL, INC. (HCGH), A COMMUNITY BASED HOSPITAL, SUBURBAN HOSPITAL, INC. (SHI), A COMMUNITY BASED HOSPITAL, SIBLEY MEMORIAL HOSPITAL (SMH), A D.C. COMMUNITY BASED HOSPITAL, AND JOHNS HOPKINS ALL CHILDRENS HOSPITAL, INC (JHACH), A FL ACADEMIC CHILDRENS HOSPITAL. PART VI, LINE 7, REPORTS FILED WITH STATES MD 1 AFRICAN AMERICAN COMMUNITY ROUNDTABLE 2725 MILLERS WAY DRIVE ELLICOTT CITY MD 21042 813337230 501(C)(3) 15000 TO SUPPORT HEALTH CARE PUBLIC CHARITY LEADERSHIP HOWARD COUNTY 6760 ALEXANDER BELL DR STE 260 COLUMBIA MD 21046 521530676 501(C)(3) 10000 TO SUPPORT HEALTH CARE PUBLIC CHARITY ASSOCIATION OF COMMUNITY SERVICES OF HOWARD COUNTY 9770 PATUXENT WOODS DR STE 301 COLUMBIA MD 21046 521320048 501(C)(3) 5000 TO SUPPORT HEALTH CARE PUBLIC CHARITY COMMUNITY FOUNDATION OF HOWARD 10440 LITTLE PATUXENT PKWY STE 230 COLUMBIA MD 21044 520937644 501(C)(3) 33000 TO SUPPORT HEALTH CARE PUBLIC CHARITY EQUITY4HC 5237 W RUNNING BROOK RD APT 102 COLUMBIA MD 21044 832225495 501(C)(3) 15000 TO SUPPORT HEALTH CARE PUBLIC CHARITY GILCHRIST HOSPICE CARE 11311 MCCORMICK RD STE 350 HUNT VALLEY MD 21031 521851251 501(C)(3) 5000 TO SUPPORT HEALTH CARE PUBLIC CHARITY HOWARD COUNTY DEPARTMENT OF FINANCE PO BOX 2748 ELLICOTT CITY MD 21041 526000769 501(C)(3) 12000 TO SUPPORT HOWARD COUNTY BIKESHARE PROGRAM BEHAVIORAL HEALTH SYSTEM BALTIMORE 100 SOUTH CHALRES STREET TOWER II 8TH FL BALTIMORE MD 21201 521519025 501(C)(3) 21165 TO SUPPORT HEALTH CARE PUBLIC CHARITY HOWARD HOSPITAL FOUNDATION 5755 CEDAR LANE COLUMBIA MD 21044 521072778 501(C)(3) 1030231 TO SUPPORT HEALTH CARE PUBLIC CHARITY 9 0 PART I, LINE 2: AS PART OF THE COMMUNITY BENEFIT REVIEW PROCESS, HOWARD COUNTY GENERAL HOSPITAL, INC. MONITORS AND REVIEWS SELECTED GRANTS MADE BY THE ORGANIZATION. THIS MONITORING INCLUDES VERIFICATION OF THE NATURE OF THE AWARD AND THE BENEFITING ORGANIZATION. FURTHER, AS A PRECONDITION FOR MAKING ANY DONATIONS, HOWARD COUNTY GENERAL HOSPITAL REQUIRES THE USE OF FUNDS FOR EACH AWARD TO BE USED ONLY FOR THEIR INTENDED CHARITABLE RECIPIENT. X X X X X 1 1 0 0 0 0 0 1 0 KEVIN W SOWERS MSN RN FAAN CORPORATE VICE CHAIR/TRUSTEE 0 1159544 0 501563 0 11150 0 208657 0 12771 0 1893685 0 0 G DANIEL SHEALER JR TRUSTEE 0 688090 0 156508 0 518102 0 121263 0 13993 0 1497956 0 0 RONALD R PETERSON FORMER CORP VICE CHAIR/TRUSTEE 0 0 0 0 0 1275825 0 0 0 0 0 1275825 0 0 STEVEN C SNELGROVE PRESIDENT/TRUSTEE 0 450725 0 99223 0 406053 0 145633 0 27878 0 1129512 0 354997 JEANNETTE NAZARIAN MD INTERIM VP MED AFFIARS, CMO/TRUSTEE 0 461098 0 0 0 25481 0 44929 0 24341 0 555849 0 0 RENEE DEMSKI TRUSTEE 0 294388 0 53705 0 9001 0 124603 0 22411 0 504108 0 0 MOHAMMED SHAFEEQ AHMED MD PRESIDENT, TRUSTEE 0 391842 0 64475 0 3790 0 9287 0 27017 0 496411 0 0 CLARO PIO RODA VP FINANCE 0 269342 0 44173 0 4464 0 105911 0 3769 0 427659 0 0 JENNIFER BALDWIN VP NURSING & CNO 0 248589 0 39950 0 6780 0 9134 0 27910 0 332363 0 0 RYAN BROWN VP OF OPERATIONS 0 232278 0 36357 0 3079 0 28637 0 12115 0 312466 0 0 JAMES E YOUNG FORMER OFFICER 0 185010 0 11917 0 12920 0 58109 0 28092 0 296048 0 0 ELIZABETH EDSALL KROMM VP FOR POPULATION HLTH 0 217920 0 36083 0 2462 0 25005 0 3581 0 285051 0 0 DARYN NORWOOD DIRECTOR OF PHARMACY 186600 0 11571 0 158 0 0 0 22816 0 221145 0 0 0 JON ORAVEC FORMER VP HUMAN RESOURCES 0 36161 0 17575 0 160369 0 0 0 4848 0 218953 0 0 LEENA KADAMATTU JOSEPH CASE MANAGER 181564 0 2376 0 2788 0 8903 0 22489 0 218120 0 0 0 SHERYL DULSKY REGISTERED NURSE 188925 0 0 0 4033 0 3290 0 10540 0 206788 0 0 0 ALICE KYERE REGISTERED NURSE 175508 0 0 0 5274 0 17185 0 3523 0 201490 0 0 0 DANIELLE MCQUIGG SR. DIR MED/SURG & NURSING 157948 0 6747 0 15925 0 3747 0 9347 0 193714 0 0 0 DAVID NITKIN ASSISTANT SECRETARY 150512 0 8659 0 11262 0 3264 0 321 0 174018 0 0 0 PART I, LINES 4A-B SEVERANCE WAS PROVIDED TO THE FORMER VP HUMAN RESOURCES, JON ORAVEC $159,304.40 A SELECT GROUP OF SENIOR LEADERS OF THE JOHNS HOPKINS HEALTH SYSTEM CORPORATION (JHHSC) PARTICIPATE IN SUPPLEMENTAL RETIREMENT/DEFERRED COMPENSATION PROGRAMS, INCLUDING SOME LEGACY ARRANGEMENTS THAT ARE NO LONGER AVAILABLE TO NEW HIRES. PRE-2011 PARTICIPANTS RECEIVE CASH PAYMENTS EACH YEAR DETERMINED WITH REFERENCE TO THEIR SERVICE WITH JHHSC AND THEIR FINAL AVERAGE COMPENSATION. AS OF JANUARY 2019, FUTURE CASH PAYMENTS ARE MADE ACCORDING TO A FIXED SCHEDULE FOR THESE PARTICIPANTS. POST-2011 PARTICIPANTS ACCRUE BENEFITS UNDER A DEFINED CONTRIBUTION FORMULA WHERE CONTRIBUTIONS ARE TIERED BY POSITION LEVEL. CONTRIBUTIONS MADE IN 2018 AND PRIOR YEARS GENERALLY VEST AFTER THE LATER OF FIVE YEARS OF SERVICE WITH JHHSC OR THREE YEARS OF PLAN PARTICIPATION; CONTRIBUTIONS MADE IN 2019 AND FUTURE YEARS VEST THREE YEARS AFTER EACH CONTRIBUTION IS MADE, WITH FULL VESTING ON THE LATER OF AGE 65 OR THREE YEARS OF PLAN PARTICIPATION. ALL CONTRIBUTIONS VEST ON DEATH, DISABILITY OR INVOLUNTARY TERMINATION WITHOUT CAUSE. IF A PARTICIPANT VOLUNTARILY TERMINATES EMPLOYMENT OR IS TERMINATED BY THE EMPLOYER FOR CAUSE PRIOR TO THE APPLICABLE VESTING DATE, THE PARTICIPANT'S ENTIRE NON-VESTED BENEFIT IS FORFEITED ALL OF THESE ARRANGEMENTS WERE APPROVED, IN ADVANCE, BY AN INDEPENDENT COMPENSATION COMMITTEE, WHICH BASED ITS DECISION ON DATA PROVIDED BY AN INDEPENDENT COMPENSATION CONSULTANT. PARTICIPANTS' INTERESTS UNDER THESE ARRANGEMENTS ARE NOT GUARANTEED OR SECURED AT ANY WAY AND AT ALL TIMES ARE SUBJECT TO CLAIMS OF EMPLOYER'S BANKRUPTCY/INSOLVENCY CREDITORS. THE FOLLOWING INDIVIDUALS LISTED ON FORM 990, PART VII, SECTION A, LINE 1A RECEIVED PAYMENT FROM ONE OR MORE SUPPLEMENTAL RETIREMENT/DEFERRED COMPENSATION PROGRAMS, WITH PAYMENTS REPORTED IN SCHEDULE J, PART II, COLUMN (B)(III); THE TOTAL OF AMOUNTS PAYABLE DURING 2020 BUT REPORTED AS DEFERRED COMPENSATION IN COLUMN (C) IN PREVIOUS YEARS IS REPORTED IN SCHEDULE J, PART II, COLUMN (F). THE AMOUNTS BELOW MAY REFLECT ANNUAL CASH PAYMENTS OR MULTIPLE YEARS OF ACCRUALS THAT VESTED IN 2020. G. DANIEL SHEALER $498,492 AND STEVEN SNELGROVE $391,872.25 IN ADDITION TO THOSE LISTED ABOVE, RONALD PETERSON RECEIVED PAYMENT FROM A SUPPLEMENTAL RETIREMENT PROGRAM THAT WAS IN PLACE PRIOR TO 1986 AND SUBJECT TO DIFFERENT TAX RULES. MR. PETERSON ACCRUED BENEFITS OVER A 40+ YEAR CAREER AT JOHNS HOPKINS HEALTH SYSTEM AND THE BENEFIT HAS BEEN REPORTED ON THE FORM 990 TWICE ALREADY: ONCE WHEN ACCRUED AND AGAIN WHEN INCLUDED AS TAXABLE INCOME FOR MEDICARE TAX PURPOSES. BENEFITS ARE PAID AS AN ANNUITY TO MR. PETERSON OVER HIS REMAINING LIFETIME AND TAXED FOR INCOME TAX PURPOSES AS PAID. UNDER FORM 990 REPORTING REQUIREMENTS, MR. PETERSON'S BENEFIT IS REQUIRED TO BE REPORTED A THIRD TIME WHEN PAID. DURING 2020, MR. PETERSON RECEIVED A PAYMENT OF $1,275,825; THIS AMOUNT IS REPORTED IN SCHEDULE J, PART II, COLUMN (B)(III). PART I, LINE 7 ANNUAL INCENTIVE PLAN: EXECUTIVES PARTICIPATE IN AN ANNUAL INCENTIVE PLAN THAT REWARDS PARTICIPANTS FOR THE ACHIEVEMENT OF ORGANIZATION OBJECTIVES APPROVED BY THE JOHNS HOPKINS MEDICINE COMPENSATION COMMITTEE EACH YEAR, INCLUDING FINANCIAL AND NON-FINANCIAL MEASURES. A PORTION OF THE OVERALL AWARD IS DETERMINED BASED ON INDIVIDUAL PERFORMANCE. DEPENDENT TUITION REIMBURSEMENT: DUE TO THEIR CLOSE COLLABORATION WITH THE JOHNS HOPKINS UNIVERSITY (JHU), JHHSC PROVIDES LEADERS WITH DEPENDENT TUITION REIMBURSEMENT ON A SIMILAR BASIS AS THEIR JHU COUNTERPARTS. DEPENDENT TUITION REIMBURSEMENT IS TAXABLE FOR JHHSC EMPLOYEES. THE DEPENDENT MUST BE ENROLLED FULL TIME AT AN APPROVED, ACCREDITED COLLEGE OR UNIVERSITY AND IN GOOD ACADEMIC STANDING. PAYMENT IS LIMITED TO FOUR YEARS OF FULL TIME, UNDERGRADUATE STUDY PER DEPENDENT CHILD. TUITION REIMBURSEMENT: TUITION REIMBURSEMENT IS AVAILABLE TO EMPLOYEES THAT WORK 20 HOURS OR MORE A WEEK FOR UP TO A MAXIMUM BENEFIT OF $10,000 PER ACADEMIC YEAR. TO RECEIVE REIMBURSEMENT, ELIGIBLE EMPLOYEES MUST PURSUE A COURSE OF STUDY AT AN ACCREDITED UNIVERSITY OR COLLEGE THAT LEADS TO A LICENSURE, DEGREE, OR MEETS THE NECESSITY RELATED TO CURRENT POSITION OR ANOTHER POSITION WITHIN THE ORGANIZATION. FORM 990, PART I, LINE 8 PURSUANT TO THE CORONAVIRUS AID, RELIEF, AND ECONOMIC SECURITY (CARES) ACT, HOWARD COUNTY GENERAL HOSPITAL, INC. RECOGNIZED $13,252,422 OF FUNDING FROM THE PROVIDER RELIEF FUND ADMINISTERED BY THE HEALTH RESOURCES AND SERVICES ADMINISTRATION, AN AGENCY OF THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES DURING FY21. THIS AMOUNT HAS BEEN RECOGNIZED AS GRANT REVENUE ON PART I, LINE 8 OF THE ORGANIZATION'S FORM 990. FORM 990, PART VI, SECTION A, LINE 6 JOHNS HOPKINS HEALTH SYSTEM CORPORATION, A IRC 501(C)(3) TAX EXEMPT ORGANIZATION, IS THE SOLE CORPORATE MEMBER OF HOWARD COUNTY GENERAL HOSPITAL, INC. FORM 990, PART VI, SECTION A, LINE 7A JOHNS HOPKINS HEALTH SYSTEM CORPORATION, A IRC 501(C)(3) TAX EXEMPT PARENT ORGANIZATION OF HOWARD COUNTY GENERAL HOSPITAL, INC. ELECTS THE MAJORITY OF THE BOARD OF TRUSTEES. FORM 990, PART VI, SECTION A, LINE 7B THE GOVERNING BODY OF HOWARD COUNTY GENERAL HOSPITAL, INC. IS EMPOWERED BY ITS BY-LAWS TO MAKE CERTAIN DECISIONS; ALL OTHER DECISIONS ARE SUBJECT TO APPROVAL OF THE PARENT ORGANIZATION JOHNS HOPKINS HEALTH SYSTEM CORPORATION. FORM 990, PART VI, SECTION B, LINE 11B A COPY OF THE FORM 990 IS PROVIDED ELECTRONICALLY TO THE ORGANIZATION'S GOVERNING BODY BEFORE IT IS FILED. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY IS A PART OF THE ANNUAL DISCLOSURE STATEMENT PROCESS. ALL OFFICERS, DIRECTORS, TRUSTEES, AND KEY EMPLOYEES ARE REQUIRED TO REPORT ANY CONFLICTS OF INTEREST AND TO COMPLY WITH THE CONFLICT OF INTEREST POLICY ON AN ANNUAL BASIS. FORM 990, PART VI, SECTION B, LINE 15 EVERY THREE YEARS AN INDEPENDENT STUDY IS CONDUCTED GATHERING INDUSTRY COMPENSATION AVERAGES FROM SELECT PEER INSTITUTIONS. EVERY YEAR THE JOHNS HOPKINS BOARD OF TRUSTEES COMPENSATION COMMITTEE REVIEWS COMPENSATION AMOUNTS FOR OFFICERS AND ALL EMPLOYEES AT THE DIRECTOR AND HIGHER LEVELS. FORM 990, PART VI, SECTION C, LINE 19 INTERNAL POLICIES, INCLUDING CONFLICT OF INTERST POLICY, ARE PROVIDED TO THE PUBLIC ON THE ORGANIZATION'S WEBSITE. FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST, THE GOVERNING DOCUMENTS HAVE BEEN MADE AVAILABLE IN OUR PUBLIC FILING WITH THE STATE OF MARYLAND AND THE INTERNAL REVENUE SERVICE. FORM 990, PART XI, LINE 9: CHANGE IN MARKET VALUE OF SWAP AGREEMENT 6,182,774. CHANGE IN FUNDED STATUS OF DEFINED BENEFIT PLANS 3,064,372. OTHER COMPONENTS OF NET PERIODIC PENSION COST -1,961,000. OTHER NON-OPERATING LOSS 880,130. CENTRAL MARYLAND MANAGEMENT SERVICES LLC 10211 WINCOPIN CIRCLE SUITE 600 COLUMBIA MD 21044 812768743 MANAGEMENT SERVICES MD 0 0 HOWARD COUNTY GENERAL HOSPITAL INC JOHNS HOPKINS HEALTH SYSTEM CORPORATION 3910 KESWICK RD S BLDG STE 4300A BALTIMORE MD 21211 521465301 SUPPORTING ORGANIZATION MD 501(C)(3) LINE 12C, III-FI JOHNS HOPKINS HEALTH SYSTEM CORPORATION 0 HOWARD HOSPITAL FOUNDATION INC 3910 KESWICK RD S BLDG STE 4300A BALTIMORE MD 21211 521072778 FUNDRAISING/SUPPORTING ORGANIZATION MD 501(C)(3) LINE 12C, III-FI N/A 0 JOHNS HOPKINS BAYVIEW MEDICAL CENTER INC 3910 KESWICK RD S BLDG STE 4300A BALTIMORE MD 21211 521341890 HOSPITAL MD 501(C)(3) LINE 3 JOHNS HOPKINS HEALTH SYSTEM CORPORATION 0 JOHNS HOPKINS COMMUNITY PHYSICIANS INC 3910 KESWICK RD S BLDG STE 4300A BALTIMORE MD 21211 521467441 HEALTHCARE SERVICES MD 501(C)(3) LINE 12C, III-FI JOHNS HOPKINS HEALTH SYSTEM CORPORATION 0 JOHNS HOPKINS MEDICAL SERVICES CORPORATION 3910 KESWICK RD S BLDG STE 4300A BALTIMORE MD 21218 521232569 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BALTIMORE MD 21211 821388814 LEASING REAL PROPERTY MD N/A 0 0 MARYLAND HEALTH ADVANTAGE LLC 3910 KESWICK RD SOUTH BLDG 4TH FL S BALTIMORE MD 21211 813898700 HOLDING COMPANY DE N/A 0 0 HOWARD COUNTY HEALTH SERVICES INC 3910 KESWICK RD S BLDG STE 4300A BALTIMORE MD 21211 521434783 HEALTHCARE MANAGEMENT MD N/A C 0 HSI MEDICAL SERVICES CORPORATION 3910 KESWICK RD S BLDG STE 4300A BALTIMORE MD 21211 521847705 HEALTHCARE-SLEEP DIAGNOSTICS MD N/A C 0 JOHNS HOPKINS EMPLOYER HEALTH PROGRAMS INC 3910 KESWICK RD S BLDG STE 4300A BALTIMORE MD 21211 521947678 BENEFIT PLANS MD N/A C 0 JOHNS HOPKINS MEDICAL MANAGEMENT CORPORATION 3910 KESWICK RD S BLDG STE 4300A BALTIMORE MD 21211 521250028 NURSING SERVICES MD N/A C 0 SUBURBAN HEALTH ENTERPRISES INC 8600 OLD GEORGETOWN ROAD BETHESDA MD 20814 522052352 MEDICAL OFFICE LEASING AND RELEASING MD N/A C 0 TCAS INC 5759 CEDAR LANE COLUMBIA MD 21044 521979344 NURSING SERVICES MD N/A C 0 0 1 1 0 0 0 0 0 0 0 0 0 1 1 0 1 0 0 0