2020-05-14T04:29:56-05:00 2019-06-30 861065772 DELOITTE TAX LLP 695 TOWN CENTER DR STE 1000 COSTA MESA CA 92626 990 2018-07-01 526049658 GREATER BALTIMORE MEDICAL CENTER INC GREA 4438492000 6701 NORTH CHARLES STREET BALTIMORE MD 21204 LAURIE BEYER EVP & CFO 4438492000 2020-05-12 1 JOHN W SADOFF JR P00540589 7144367100 173.66.2.133 2020-05-13 10:43:32 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 2A209ADF6288EF4A8C29F7770523BFC7EA556A53 2018 2020-09-23 17:36:50Z LAURIE R BEYER 6701 NORTH CHARLES STREET BALTIMORE MD 21204 562819115 0 X WWW.GBMC.ORG X 1960 MD TO PROVIDE MEDICAL CARE AND SERVICE OF THE HIGHEST QUALITY TO EACH PATIENT LEADING TO HEALTH, HEALING AND HOPE. 28 24 4449 593 -171619 -171619 10870749 10237767 485881304 508618923 17704287 17152647 1668453 2048340 516124793 538057677 90645 129991 0 0 285875352 298493614 0 0 2625331 221496931 228896259 507462928 527519864 8661865 10537813 625534771 644862624 277749785 277351570 347784986 367511054 X SEE SCHEDULE O 0 0 212075972 220076051 THE GREATER BALTIMORE MEDICAL CENTER, INC. (GBMC) IS A 268-BED MEDICAL CENTER (ACUTE AND SUB-ACUTE CARE), LOCATED ON A SUBURBAN CAMPUS, WHICH PROVIDED INPATIENT CARE AND OBSERVATION SERVICES TO 17,674 AND 3,341 PATIENTS, RESPECTIVELY. ADDITIONALLY, GBMC DELIVERED OVER 4,090 BABIES IN THE FISCAL YEAR. GBMC'S DISTINCTIVE SERVICE LINES INCLUDE WOMEN'S CANCER, SURGICAL AND MEDICAL SERVICES. GBMC IS A FULLY ACCREDITED TEACHING HOSPITAL THAT IS AFFILIATED WITH JOHN HOPKINS UNIVERSITY. 124651999 139775689 THE OPERATING ROOM PERFORMED OVER 21,892 INPATIENT AND OUTPATIENT SURGICAL PROCEDURES IN THE FISCAL YEAR. SPECIALTIES INCLUDE GBMC'S COMPREHENSIVE OBESITY MANAGEMENT PROGRAM, THE OLDEST RECOGNIZED AMERICAN SOCIETY OF METABOLIC AND BARIATRIC SURGERY (ASMBS) CENTER OF EXCELLENCE IN THE METROPOLITAN BALTIMORE AREA; JOHNS HOPKINS HEAD AND NECK SURGERY AT GBMC; MINIMALLY INVASIVE AND ENDOCRINE SURGERY; NEUROSURGERY; VASCULAR AND THORACIC SURGERY; AND UROLOGY. 18382021 31582191 THE EMERGENCY DEPARTMENT TREATED 57,731 PATIENTS IN THE FISCAL YEAR. THE EMERGENCY SERVICES DEPARTMENT HAS 3 PATIENT CARE AREAS, DESIGNED TO MINIMIZE WAIT & MAXIMIZE SERVICE FOR PATIENTS & THEIR FAMILIES. PATIENTS WITH MINOR INJURIES SUCH AS SPRAINS ARE CARED FOR IN THE URGENT CARE AREA. SEVERE PROBLEMS SUCH AS ACUTE ABDOMINAL PAIN, CHEST PAIN OR INJURIES FROM MOTOR VEHICLE ACCIDENTS ARE EVALUATED AND TREATED IN EMERGENT CARE. ADJACENT TO THE EMERGENT CARE AREA IS AN OBSERVATIONAL CARE AREA FOR ADULT PATIENTS WHO NEED TO BE MONITORED BUT NOT ADMITTED. 106041677 129991 117184992 AMBULATORY, POST ACUTE, & PRIMARY CARE SERVICES 106041677 129991 117184992 461151669 1 1 0 0 0 0 0 0 0 1 1 1 0 1 1 1 0 1 0 0 1 0 0 0 1 0 1 1 1 0 1 1 0 0 0 0 0 0 0 1 0 1 1 0 0 0 0 1 1 1 0 0 1 315 0 1 4449 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 28 24 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 1 1 MD X X LAURIE R BEYER 4438492000 6701 NORTH CHARLES STREET BALTIMORE MD 21204 MR DELBERT ADAMS DIRECTOR 1.00 2.00 X 0 0 0 MR ROBERT AUMILLER DIRECTOR (BEG 7/18) 1.00 2.00 X 0 0 0 MR HERBERT J BELGRAD DIRECTOR 1.00 1.00 X 0 0 0 MS HEIDI KENNY BERMAN DIRECTOR 1.00 2.00 X 0 0 0 MRS CHRISTINA M BERZINS DIRECTOR (BEG 7/18) 1.00 1.00 X 0 0 0 MS MONIQUE BOOKER DIRECTOR 1.00 1.00 X 0 0 0 ROBERT K BROOKLAND MD DIRECTOR 1.00 2.00 X 0 0 0 MR CHARLES C FENWICK JR DIRECTOR 1.00 2.00 X 0 0 0 MRS CHRISTINA FITTS DIRECTOR (BEG 7/18) 1.00 1.00 X 0 0 0 MR JERRY FOCAS DIRECTOR 1.00 2.00 X 0 0 0 MR MITCHELL GOETZE DIRECTOR (BEG 7/18) 1.00 2.00 X 0 0 0 MR HARRY S JOHNSON DIRECTOR 1.00 1.00 X 0 0 0 THEDA C KONTIS MD DIRECTOR 1.00 1.00 X 0 0 0 MR FRANKLIN M LEE DIRECTOR 1.00 1.00 X 0 0 0 MR THOMAS H MADDUX DIRECTOR 1.00 1.00 X 0 0 0 MR ANTHONY MILANDO DIRECTOR 1.00 1.00 X 0 0 0 MR THOMAS J O'DONNELL JR DIRECTOR 1.00 2.00 X 0 0 0 MARIA PANE MD DIR/PHYS/VICE CHIEF OF STAFF 59.00 1.00 X 337907 0 52914 JOHN R SAUNDERS MD DIRECTOR/FORMER CMO 1.00 2.00 X 30000 0 0 MELISSA SPARROW MD CHIEF OF STAFF 50.00 10.00 X 229746 0 30398 MS BONNIE R STEIN DIRECTOR 1.00 1.00 X 0 0 0 MR STEVEN A THOMAS DIRECTOR 1.00 1.00 X 0 0 0 JOHN B CHESSARE MD DIRECTOR/CEO GBMC HEALTHCARE 32.00 28.00 X X 1241026 0 39019 MR TIMOTHY L KRONGARD VICE CHAIR 1.00 1.00 X X 0 0 0 MS PATRICA J MITCHELL CHAIR 1.00 2.00 X X 0 0 0 MR STEPHEN T SCOTT TREASURER 1.00 1.00 X X 0 0 0 MS FAITH E THOMAS VICE CHAIR 1.00 2.00 X X 0 0 0 MS MARION G THOMPSON SECRETARY 1.00 1.00 X X 0 0 0 MR KEITH R POISSON EVP & COO GBMC HEALTHCARE 35.00 25.00 X 675804 0 44989 HAROLD TUCKER MD CHIEF MEDICAL OFFICER 50.00 10.00 X 594630 0 114797 MS LAURIE R BEYER EVP & CFO GBMC HEALTHCARE 40.00 20.00 X 455139 0 122512 MR BENNETT J BERES VP/COO HLTH PTNR (ENDED 11/18) 45.00 15.00 X 399405 0 21881 MS CAROLYN L CANDIELLO VP QUALITY & PT SAFETY 59.00 1.00 X 347917 0 36878 MS JENNY COLDIRON VP DEVELOPMENT GBMC HEALTHCARE 10.00 50.00 X 318180 0 53458 MS CATHERINE HAMEL VP POST ACUTE SRVS & EXEC 21.00 39.00 X 422815 0 52481 MR DAVID J HYNSON VP & CIO 45.00 15.00 X 364969 0 55937 MS JOANN IOANNOU SVP PATIENT SERVICES 45.00 15.00 X 338236 0 97177 MS SUSAN MARTIELLI VP LEGAL AFFAIRS/CHIEF COUNSEL 40.00 20.00 X 410558 0 27064 MS STACEY L MCGREEVY VP FACILITIES 50.00 10.00 X 287647 0 44873 MS ANNA-MARIA G PALMER VP HUMAN RESOURCES 40.00 20.00 X 335332 0 59381 VICTOR A KHOUZAMI MD CHAIR/PHYSICIAN 60.00 0.00 X 1360718 0 41099 BIMAL G RAMI MD MED DIRECTOR/PHYSICIAN 60.00 0.00 X 1050196 0 50912 CLAIRE M WEITZ MD PHYSICIAN 60.00 0.00 X 853820 0 39455 NIRAJ JANI MD MED DIRECTOR/PHYSICIAN 60.00 0.00 X 802956 0 46014 ELIZABETH A DOVEC MD PHYSICIAN 60.00 0.00 X 789520 0 56337 MR GEORGE E BAYLESS III FORMER CFO GBMC HEALTHCARE (END 10/17) 0.00 0.00 X 107130 0 8676 MR JOHN W ELLIS FORMER SR VP STRAT/BUS DEV (END 4/18) 0.00 0.00 X 581904 0 11369 12335555 0 1107621 382 1 1 0 JOHNS HOPKINS UNIVERSITY 125 MEDICAL ADMIN RD 720 RUTLAND BALTIMORE MD 21205 RESIDENCY PROGRAM 5273095 SODEXO USA 9801 WASHINGTON BLVD GAITHERSBURG MD 20878 MANAGEMENT - HOTEL SERVICES 4072984 ADVANCED RADIOLOGY MEDICAL IMAGING OF B 7253 AMBASSADOR ROAD BALTIMORE MD 21244 RADIOLOGY SERVICES 2599918 EPIC SYSTEMS CORPORATION 1979 MILKY WAY VERONA WI 53593 SOFTWARE ENGINEERING 2396401 QUEST DIAGNOSTICS INC PO BOX 912512 PASADENA CA 911102512 LABORATORY SERVICES 1042294 135 524763 4171617 5541387 28386 10237767 PATIENT SERVICE 621110 499139832 499139832 OTHER OPERATING REV. 900099 8995424 8995424 GRANT REVENUE 541700 483667 483667 508618923 6549904 -171619 6721523 184753 0 184753 184753 184753 34922319 24319576 10602743 10602743 10602743 138595 524763 441862 -303267 -303267 PARKING REVENUE 812930 2094535 2094535 CAFETERIA INCOME 722210 72319 72319 2166854 538057677 508618923 -171619 19372606 129991 129991 12335555 12335555 244370637 222669020 20900855 800762 7969810 6155481 1768049 46280 17342645 15759259 1516967 66419 16474967 14501230 1902201 71536 1451039 1064777 386262 369549 8842 358789 1918 555209 78844 475236 1129 1014476 1014476 35899524 26668974 8823732 406818 1196575 80662 761456 354457 105845035 104531345 718634 595056 9534974 9022586 510181 2207 10087700 8677773 1409927 778875 541632 209077 28166 1024337 638503 381688 4146 6403376 5166524 1236852 36838127 30128230 6696391 13506 12406524 11195764 1210760 PURCHASED SERVICES 4454955 4093293 129068 232594 INSTITUTIONAL DUES 1035984 38939 996708 337 527519864 461151669 63742864 2625331 21218185 13492421 14663057 16089289 46644918 57515026 5023373 4520538 8579828 13343400 625809961 389209965 247697119 236599996 238872943 256355140 42835348 46946814 625534771 644862624 68730801 67176210 99681584 95216849 52710332 45633302 56627068 69325209 277749785 277351570 X 295367918 314615202 52417068 52895852 347784986 367511054 625534771 644862624 X 10537813 9373494 -185239 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 32842811 1726910 4119628 2348610 36340739 30435387 1335910 2907545 1836031 32842811 28073800 186150 3745142 1569705 30435387 28313123 1556091 -384455 1410959 28073800 20282263 1914549 7592234 1475923 28313123 0.57650 0.42350 0 1 1 15290673 15290673 361303113 215802989 145500124 9076312 3532777 5543535 113009711 91357766 21651945 127130152 78516433 48613719 236599996 9278864 C PUBLICLY TRADED INVESTMENTS 247076276 F 256355140 INTERCOMPANY RECEIVABLE 46143051 DEFERRED ASSETS 20912 DONATED TIMESHARE 44500 WORKER'S COMPENSATION REINSURANCE RECEIVABLE 738351 46946814 THIRD PARTY ADVANCES 13556408 PENSION LIABILITY 15504148 CAPITAL LEASES 27671126 INSURANCE RESERVES 4117357 A/R CREDIT BALANCES 1377377 CHARITABLE GIFT ANNUITY 602859 INTERCOMPANY PAYABLE 6288171 DEFERRED REVENUE 54137 CHARITABLE GIFT ANNUITY - S/T 103625 ASSET RETIREMENT OBLIGATIONS 50001 69325209 X PART V, LINE 4: GREATER BALTIMORE MEDICAL CENTER, INC. HOLDS AND MANAGES THE ENDOWMENT FOR THE PURPOSE OF: 1) DEPARTMENT NEEDS - ONCOLOGY, PEDIATRICS, EMERGENCY DEPARTMENT, CHAPEL, OPHTHALMOLOGY, AND SAFE (DOMESTIC VIOLENCE PROGRAM). 2) RESEARCH - SUPPORT CLINICAL RESEARCH PERFORMED AT GREATER BALTIMORE MEDICAL CENTER. 2) EDUCATION - SUPPORT EDUCATION PROGRAMS, LECTURES AND SCHOLARSHIPS, CENTER FOR NURSING EXCELLENCE. 4) GENERAL SUPPORT FOR GREATER BALTIMORE MEDICAL CENTER. 5) UNCOMPENSATED CARE. PART X, LINE 2: THE COMPANY IS A NOT-FOR-PROFIT CORPORATION EXEMPT FROM INCOME TAXES AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THE COMPANY IS SUBJECT TO INCOME TAX ON UNRELATED BUSINESS INCOME. INCOME TAXES ARE PROVIDED FOR EARNINGS (LOSS) OF THOSE SUBSIDIARIES WHICH ARE SUBJECT TO FEDERAL AND STATE INCOME TAX BASED ON AGENCY'S SHARE OF THE SUBSIDIARIES' TAXABLE INCOME, WHETHER OR NOT DISTRIBUTED. AGENCY'S SHARE OF THESE SUBSIDIARIES' NET LOSSES IS DEDUCTIBLE TO THE EXTENT OF AGENCY'S TAX BASIS IN THE SUBSIDIARIES. THE FINANCIAL ACCOUNTING STANDARDS BOARD'S (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 CONSOLIDATED FINANCIAL STATEMENTS AS "MORE LIKELY THAN NOT" THAT THE POSITION IS SUSTAINABLE, BASED ON ITS TECHNICAL MERITS. THIS STANDARD ALSO PROVIDES GUIDANCE ON THE MEASUREMENT, CLASSIFICATION AND DISCLOSURE OF TAX RETURN POSITIONS IN THE CONSOLIDATED FINANCIAL STATEMENTS. THE COMPANY HAS ADOPTED THIS GUIDANCE, AND THERE WERE NO AMOUNTS RECORDED IN THE CONSOLIDATED FINANCIAL STATEMENTS AS OF AND DURING THE YEARS ENDED JUNE 30, 2019 AND 2018 FOR UNCERTAIN TAX POSITIONS. GBMC AGENCY, INC. AND SUBSIDIARIES ARE TAXABLE ENTITIES. AN OPERATING LOSS CARRY FORWARD OF APPROXIMATELY $121,494 IS AVAILABLE TO OFFSET FUTURE TAXABLE INCOME THROUGH THE YEAR 2038. EFFECTIVE FOR TAX YEARS AFTER DECEMBER 31, 2017, THE NET OPERATING LOSS CARRY FORWARD IS INDEFINITE. AS OF JUNE 30, 2019 AND 2018, DEFERRED TAX ASSETS OF $37,725 AND $38,156, RESPECTIVELY, CONSISTING PRIMARILY OF NET OPERATING LOSS CARRY FORWARDS, WERE OFFSET BY A RELATED VALUATION ALLOWANCE. ON DECEMBER 22, 2017, THE PRESIDENT SIGNED INTO LAW H.R.1, ORIGINALLY KNOWN AS THE TAX CUTS AND JOBS ACT. THE NEW LAW INCLUDES SEVERAL PROVISIONS THAT RESULT IN SUBSTANTIAL CHANGES TO THE TAX TREATMENT OF TAX-EXEMPT ORGANIZATIONS AND THEIR DONORS. THE COMPANY HAS REVIEWED THESE PROVISIONS AND THE POTENTIAL IMPACT AND CONCLUDED THE ENACTMENT OF H.R.1 DID NOT HAVE A MATERIAL EFFECT ON THE OPERATIONS OF THE ORGANIZATION. ALL OF THE AMOUNTS REPORTED ABOVE ARE IN THOUSANDS. 1 CENTRAL AMERICA & THE CARIBBEAN 1 0 PROGRAM SERVICES INSURANCE PREMIUMS 11639006 1 0 0 0 1 0 11639006 0 11639006 1 0 1 1 0 0 PART I, LINE 2: GBMC RUXTON PROVIDES MONTHLY FINANCIAL REPORTS, WHICH ARE REVIEWED BY GBMC ACCOUNTING EMPLOYEES. STEEPLE CHASE 328524 264771 63753 120000 217650 8401 19021 14752 GOLF OUTING 163120 121118 42002 56451 151 3 171714 138874 32840 1919 2757 760 663358 524763 138595 120000 276020 11158 19781 14903 441862 -303267 1 1 X 1 X 300.000000000000 0 1 1 0 1 1 9131975 7591659 1540316 0.00290 9131975 7591659 1540316 0.00290 1470420 3145 1467275 0.00280 5990778 5990778 0.01140 112683098 71382500 41300598 0.07830 681748 681748 0.00130 81935 81935 0.00020 120907979 71385645 49522334 0.09400 130039954 78977304 51062650 0.09690 45157 45157 0.00010 45157 45157 0.00010 1 13499309 143554349 126343921 17210428 X 1 1 1 1 GREATER BALTIMORE MEDICAL CENTER 6701 NORTH CHARLES STREET BALTIMORE MD 21204 WWW.GBMC.ORG MARYLAND STATE LICENSE NUMBER: 03-015 X X X X CONTAINS LICENSED SKILLED NURSING FACILITY BEDS GREATER BALTIMORE MEDICAL CENTER 1 0 0 1 X X X X X X X X X 18 1 0 0 1 X HTTPS://WWW.GBMC.ORG/CHNA 1 18 1 HTTPS://WWW.GBMC.ORG/CHNA 0 1 X 300.000000000000 0.000000000000 X X X X X 1 1 X X X 1 X HTTPS://WWW.GBMC.ORG/FINANCIALSUPPORT X HTTPS://WWW.GBMC.ORG/FINANCIALSUPPORT X HTTPS://WWW.GBMC.ORG/FINANCIALSUPPORT X X X X X X X 1 X 0 X X X X 1 X 0 0 GREATER BALTIMORE MEDICAL CENTER PART V, SECTION B, LINE 5: AS PART OF THE COMMUNITY HEALTHCARE NEEDS ASSESSMENT (CHNA), SELECT INDIVIDUALS THROUGHOUT THE COMMUNITY REPRESENTING A VARIETY OF UNIQUE SERVICES, INCLUDING PUBLIC HEALTH, MEDICAL SERVICES, SOCIAL ORGANIZATIONS, CHILD & YOUTH SERVICES AND FAITH-BASED ORGANIZATIONS WERE CHOSEN TO PARTICIPATE IN DIRECTLY RESPONDING TO A SURVEY REGARDING WHAT EACH INDIVIDUAL BELIEVED TO BE THE MOST SIGNIFICANT SOCIAL AND HEALTHCARE ISSUES FACING THE COMMUNITY AT-LARGE. THESE SURVEY RESPONSES BECAME AN OFFICIAL COMPONENT OF THE OVERALL CHNA REPORT. ADDITIONALLY, TWO COMMUNITY STAKEHOLDER MEETINGS ARE HELD EVERY YEAR TO SOLICIT FEEDBACK ON INITIATIVES AND PROGRESS TOWARD GOALS. GREATER BALTIMORE MEDICAL CENTER PART V, SECTION B, LINE 11: GREATER BALTIMORE MEDICAL CENTER (GBMC) HAS MADE SIGNIFICANT STRIDES IN ITS IMPLEMENTATION OF PROGRAMS IN RESPONSE TO THE NEEDS IDENTIFIED IN THE CHNA. SPECIFICALLY, GBMC IS FOCUSED ON THE IDENTIFIED COMMUNITY HEALTH ISSUES IT HAS THE MOST ABILITY TO IMPACT IN A MEANINGFUL WAY, WHETHER THROUGH INTERNALLY DEVELOPED STRATEGIES AND/OR PARTNERSHIPS. GBMC HAS EXPANDED ITS COLLABORATIVE CARE MANAGEMENT AND CARE COORDINATION MODEL WITH THE ADDITION OF THREE PROGRAMS: BEHAVIORAL HEALTH EMBEDDED IN THE PATIENT CENTER MEDICAL HOME, ELDER MEDICAL CARE AT HOME AND, IN UNDERSERVED COMMUNITIES, AND EXPANDING CARE COORDINATION/CARE MANAGEMENT. THE GOAL OF PROVIDING SERVICES OUTSIDE OF THE ACUTE CARE SETTING AND WITHIN THE COMMUNITY AND PRIMARY CARE PHYSICIANS IS ONE OF PATIENT CENTRICITY. AS WITH GBMC'S OTHER SERVICES, INVESTMENT IN SENIOR LOW-INCOME HOUSING, BEHAVIORAL HEALTH IN OUR PCMH AND IMPLEMENTATION OF GBMC'S ELDER MEDICAL CARE PROGRAM HAS SIGNIFICANTLY IMPROVED SENIORS ACCESS TO CARE INCLUDING HOME-BASED SERVICES. AN INTERDISCIPLINARY TEAM PROVIDES CLINICAL INTERVENTIONS IN THE HOME SETTING, INCLUDING LAB SERVICES, BEHAVIORAL HEALTH CONSULTATIONS, COMMUNITY HEALTH COORDINATION, AND INTERVENTIONS BY PHARMACISTS. THROUGH THESE PROGRAMS, GBMC ASSISTED 1,813 LOW INCOME AND/OR HOME BOUND SENIORS. A DESIGNATED NURSE PRACTITIONER MADE 1,263 VISITS TO SENIORS THROUGHOUT THE COMMUNITY, PROVIDING VACCINATIONS AND GLUCOSE SCREENINGS.THE MARYLAND DEPARTMENT OF HEALTH AND MENTAL HYGIENE'S PRIMARY CARE NEEDS ASSESSMENT, RANKED BALTIMORE CITY LAST IN THE STATE ON INDICATORS SUCH AS PREVENTABLE HOSPITALIZATIONS, ACCESS TO CARE AND OTHER SOCIAL DETERMINANTS OF HEALTH, MAKING IT THE JURISDICTION WITH THE GREATEST NEED FOR HEALTHCARE RESOURCES. IN ADDITION, BALTIMORE CITY ALSO HAD THE HIGHEST INCIDENCE IN MARYLAND OF HIV, CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD), DIABETES WITH LONG-TERM COMPLICATIONS, AND HYPERTENSION.FILLING THIS SIGNIFICANT NEED, A RELATED ENTITY OF GBMC, GILCHRIST CENTER BALTIMORE SERVES ABOUT 200 TERMINALLY-ILL INDIVIDUALS EACH YEAR, MOST OF WHOM ARE AT-RISK AND MEDICALLY UNDERSERVED BALTIMORE CITY RESIDENTS. AS GILCHRIST CENTER BALTIMORE IS THE ONLY HOSPICE FACILITY IN BALTIMORE CITY, THE FACLITY GENERALLY HAS A WAITING LIST OF ELIGIBLE PATIENTS. MOST OF OUR PATIENTS ARE UNINSURED/UNDERINSURED, 70% OF THE CITY RESIDENTS LIVE BELOW THE CITY'S MEDIAN FAMILY INCOME. GILCHRIST PROVIDES A MUCH-NEEDED SERVICE TO THE BALTIMORE CITY POPULATION. THOSE AGED 65 AND OLDER COMPRISE APPROXIMATELY 12.1% OF THE TOTAL POPULATION, AND THE MARYLAND HEALTH CARE COMMISSION PROJECTS AN INCREASE IN CITY RESIDENTS NEEDING HOSPICE. THIS POPULATION ALSO TENDS TO BE THOSE MOST IN NEED. IN FISCAL YEAR 2019, GILCHRIST CENTER BALTIMORE HAD AN AVERAGE DAILY CENSUS OF 16.1 AND OPERATES AT AN OVER $1 MILLION ANNUAL LOSS.GBMC HAS INVESTED SIGNIFICANTLY, $34 MILLION IN FY19, IN ITS PHYSICIAN SERVICES, AND IN THE PROCESS, EARNED RECOGNITION OF THE NATIONAL COMMITTEE FOR QUALITY ASSURANCE, AS A LEVEL 3 PHYSICIAN PRACTICE CONNECTIONS-PATIENT-CENTERED MEDICAL HOME (PPC-PCMH). GBMC'S INTEGRATED, MULTI-SPECIALTY MEDICAL GROUP MANAGES PATIENT'S HEALTH ACROSS GBMC'S SYSTEM OF CARE, WITH A FOCUS ON PREVENTION & WELLNESS, EVIDENCE BASED CARE, AND ACTIVE MANAGEMENT OF CHRONIC DISEASE. CARE OUTSIDE OF THE ACUTE CARE SETTING SIGNIFICANTLY REDUCED TOTAL COST OF CARE AND ENHANCED PATIENT ACCESS OVER A TWO-YEAR PERIOD, GBMC'S COVERED LIVES INCREASED 22%.REGARDING THE EXPANSION OF CARE MANAGEMENT, GBMC'S EFFORTS ARE REFLECTED IN FY19, BY THE 275 HIGH RISK PATIENT INTERVENTIONS IN THE EMEREGENCY ROOM, WHICH REDUCED UTILIZATION AND AIDED IN THE TRANSITION TO OUTPATIENT SETTINGS.REGARDING BEHAVIORAL HEALTH, GBMC HAS PARTNERED WITH SHEPPARD PRATT TO STAFF BEHAVIOR HEALTH CONSULTANTS, A SUBSTANCE ABUSE SPECIALIST, AND A PSYCHIATRIST IN ALL GBMC'S PRIMARY CARE PRACTICES. THROUGH THIS INITIATIVE, GBMC BELIEVES THAT MANY MORE PATIENTS WILL ACCESS MENTAL HEALTH SERVICES EARLY ON, AS THE STIGMA IS REMOVED; THIS WILL LEAD TO EARLY IDENTIFICATION AND MORE EFFECTIVE MANAGEMENT OF CHRONIC MEDICAL CONDITIONS WHICH WILL REDUCE THE NEED FOR HOSPITAL SERVICES.ADDITIONAL NOTABLE PROGRAMS INCLUDE GBMC'S SAFE & DOMESTIC VIOLENCE PROGRAM STAFF, WHICH PARTNERS WITH BALTIMORE LAW ENFORCEMENT TO IMPROVE VICTIMS' SAFETY AND WELL-BEING BY PROVIDING HIGH QUALITY COMPREHENSIVE DIRECT SERVICES TO VICTIMS OF SEXUAL ASSAULT, DOMESTIC VIOLENCE, CHILD ABUSE AND HUMAN TRAFFICKING. GBMC PROVIDES 365 DAYS A YEAR COVERAGE OF A FORENSICS NURSE AND AN ADVOCATE. ONE CRITICAL COMPONENT OF THIS OBJECTIVE IS TO IMPROVE COURT OUTCOMES FOR VICTIMS. OVER 700 PATIENTS WERE SEEN IN THE SAFE PROGRAM, AND THE PROGRAM SUCCESSFULLY EXPANDED ITS SERVICE TO CARE FOR PEDIATRIC SEXUAL ABUSE VICTIMS, AN UNDERSERVED POPULATION IN BALTIMORE COUNTY.GBMC HAS A COMPREHENSIVE OBESITY MANAGEMENT PROGRAM, RUN GBMC, WHOSE GOAL IS TO GET PATIENTS ENGAGED IN HEALTHIER LIFESTYLES, WITH THE GOAL OF COMPLETING GBMC'S ANNUAL FATHER'S DAY 5K. RUN GBMC GIVES PATIENTS THE OPPORTUNITY TO GAIN NECESSARY TOOLS AND EDUCATION ON PHYSICAL ACTIVITY ALLOWED FOR THESE PATIENTS TO START A JOURNEY TO LOSE WEIGHT AND GAIN A BETTER HEALTH STATUS IN GENERAL. IN FY19, THIS INITIATIVE REACHED 1,300 OBESE INDIVIDUALS. TOTAL WEIGHT LOSS ACHIEVED WAS 100,000 POUNDS.THIS YEAR WE IMPLEMENTED THE PRODUCE IN A SNAP MARKET TO AIDE IN OUR PREVENTION. THIS INITIATIVE IS A COLLABORATIVE EFFORT WITH UM ST. JOSEPH AND HUNGRY HARVEST. WE CONTINUE TO TREAT A HIGH VOLUME OF BARIATRIC PATIENTS THROUGH SURGICAL INTERVENTION. THE OBESITY MANAGEMENT PROGRAM HOST AN ANNUAL REVEAL PARTY FOR THOSE PATIENTS WHO HAVE SUCCESSFULLY GONE THROUGH THE PROGRAM. THIS NIGHT IS CONSIDERED A MAGICAL, EMOTIONAL, DIVERSE, COMMUNITY EVENT WHERE BARIATRIC SURGERY PATIENTS ARE CELEBRATED, AND THEIR EXPERIENCE OF CARE IS HIGHLIGHTED.THE GOALS OF TREATMENT FOR DIABETES ARE TO PREVENT OR DELAY COMPLICATIONS AND MAINTAIN QUALITY OF LIFE. IT IS IMPORTANT TO UNDERSTAND WHAT RESOURCES ARE AVAILABLE IN YOUR COMMUNITY AND WORK TO CREATE PARTNERSHIPS WITH THESE RESOURCES TO FACILITATE HAND OFFS AND TRANSITIONS OF CARE. THE PRODUCE IN A SNAP INITIATIVE HAS ADDED TO OUR PROGRAMS THAT ARE TARGETING THOSE INDIVIDUALS WHO HAVE FOOD INSECURITY, OBESITY AND DIABETES. THE PROMOTION ALONE THROUGHOUT BALTIMORE COUNTY HAS BROUGHT PATIENTS AND COMMUNITY MEMBERS FROM ALL WALKS OF LIFE TO BENEFIT FROM THIS GREAT MARKET.THE GECKLE DIABETES AND NUTRITION CENTER AT GBMC OFFERS A COMPREHENSIVE APPROACH TO DIABETES EDUCATION AND TREATMENT FOR ALL TYPES OF DIABETES. THE DIABETES EDUCATION TEAM CONSISTS OF REGISTERED DIETITIANS AND REGISTERED NURSES, AND ALL ARE CERTIFIED DIABETES EDUCATORS. THE CENTER TEACHES ABOUT DIABETES SELF-MANAGEMENT AND TOOLS AVAILABLE TO HELP MANAGE THEIR DIABETES. DIABETES NUTRITION AND MEAL PLANNING AND PHYSICAL ACTIVITY ARE KEY COMPONENTS OF THE PROGRAM. GBMC HAS STARTED TO EXTEND THIS PROGRAM TO VARIOUS GBMC PRIMARY CARE OFFICES TO BRING THE SERVICES TO THE PATIENT. WITH DIABETES SELF-MANAGEMENT SKILLS AND IMPROVED BLOOD GLUCOSE (SUGAR) LEVELS, GBMC IS HELPING TO REDUCE THE RISK OF COMPLICATIONS AND SIGNIFICANTLY IMPROVE THE QUALITY OF THE PATIENTS LIVES. IN FY19, GBMC'S DIABETES CENTER HAD 1,718 VISITS.GBMC HAS IDENTIFIED SEVERAL SERVICE BARRIERS AS THE ORGANIZATION HAS WORKED TO IMPLEMENT IT'S CHNA WORK. THESE INCLUDE: ISOLATION AND STIGMA RELATED TO MENTAL HEALTH ISSUES, SHORTAGE OF PSYCHIATRIC PHYSICIANS IN THE COMMUNITY, AND TRANSPORTATION CHALLENGES FOR PATIENTS. WHILE NOT FULLY ADDRESSED, SIGNIFICANT STRIDES HAVE BEEN MADE IN BREAKING DOWN THESE BARRIERS. GBMC HAS BEEN WORKING TO ESTABLISH A CONTRACTUAL RELATIONSHIP WITH LYFT TO SUPPORT PATIENT TRANSPORT, FOR EXAMPLE. ADDITIONALLY, THE ORGANIZATION HAS IMPLEMENTED SYSTEM-WIDE WORKFLOWS TO ASSESS AND ADDRESS SOCIAL DETERMINANTS OF HEALTH. FINALLY, IN PARTNERSHIP WITH SHEPPARD PRATT, PATIENTS CAN BE CONNECTED TO VARYING SOCIAL AND CLINICAL BEHAVIORAL AND MENTAL HEALTH SERVICES IN INDIVIDUAL AND GROUP SETTINGS TO BOTH REDUCE STIGMA AND INCREASE ACCESSIBILITY FOR PATIENTS. GREATER BALTIMORE MEDICAL CENTER PART V, SECTION B, LINE 16J: THE HOSPITAL PROVIDES A PERMISSION & ACKNOWLEDGMENTS DOCUMENT, WHICH AMONG OTHER THINGS, SUMMARIZES THEHOSPITAL'S FINANCIAL ASSISTANCE POLICY. THE DOCUMENT IS PROVIDED TOPATIENTS AT THE TIME OF ADMISSION AND INCLUDED WITHIN THE INVOICE BILLING.IN ADDITION, EACH INVOICE NOTES THE AVAILABILITY OF FINANCIAL ASSISTANCETO PATIENTS THAT BELIEVE THEY ARE UNABLE TO PAY. THE EXISTENCE OFFINANCIAL ASSISTANCE IS ALSO VISIBLY DISPLAYED WITHIN AREAS OF PATIENTFLOW, SUCH AS THE EMERGENCY DEPARTMENT, REGISTRATION KIOSKS, SURGICALSERVICE AREAS, ETC. PART I, LINE 7: COST OF CHARITY CARE WAS CALCULATED USING THE COST-TO-CHARGE RATIOPRESCRIBED IN THE INSTRUCTIONS TO WORKSHEET 2. MARYLAND'S REGULATORYSYSTEM CREATES A UNIQUE PROCESS FOR HOSPITAL PAYMENT THAT DIFFERS FROM THEREST 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 SERVICESDELIVERED AT THE SAME HOSPITAL. MARYLAND'S UNIQUE ALL PAYOR SYSTEMINCLUDES A METHOD FOR REFERENCING UNCOMPENSATED CARE IN EACH PAYORS'RATES, WHICH DOES NOT ENABLE MARYLAND HOSPITALS TO BREAKOUT ANY OFFSETTINGREVENUE RELATED TO UNCOMPENSATED CARE. PART I, LINE 7G: HOSPITAL BASED PHYSICIANS- GBMC EMPLOYS SELECT HOSPITAL BASED PHYSICIAN GROUPS (I.E. NEUROLOGY, INFECTIOUS DISEASE, GENETICS) TO BETTER SERVE THE CLINICAL NEEDS OF THE REGION THAT MAY NOT BE AVAILABLE OR AS EASILY ACCESSIBLE THROUGH COMMUNITY BASED PHYSICIANS. NON-RESIDENT HOUSE STAFF AND HOSPITALIST - GBMC EMPLOYS SELECT HOSPITALIST GROUPS (OB, NICU, MEDICINE & INTENSIVIST) TO SERVE THE INPATIENT CLINICAL NEEDS THROUGH IN-HOUSE 24/7 COVERAGE. COVERAGE OF EMERGENCY DEPARTMENT - GBMC EMPLOYS EMERGENCY MEDICINE PROVIDERS TO MEET THE EMERGENT CLINICAL NEEDS OF THE COMMUNITY THAT CANNOT BE MET BY COMMUNITY PHYSICIANS AND URGENT CARE FACILITIES BASED ON CLINICAL NEED AND/ OR HOURS OF OPERATION. PART II, COMMUNITY BUILDING ACTIVITIES: GBMC SUPPORTS COVERAGE OF SPECIALTY SERVICES (ORTHOPEDICS, ANESTHESIA,GENERAL SURGERY, ETC.) PROVIDED IN THE EMERGENCY ROOM TO MEDICAID ANDUNINSURED PATIENT POPULATIONS BY ENSURING PAYMENT OF THE PHYSICIANPROFESSIONAL FEES FOR SURGICAL RELATED CASES. GBMC ALSO EMPLOYS AFULL-TIME GERIATRIC NURSE PRACTITIONER WHOSE SOLE RESPONSIBILITY IS TO PROVIDE EDUCATION AND PRIMARY CARE SERVICES AT TOWSON AREA LOW-INCOMESENIOR LIVING FACILITIES. GBMC PARTNERS WITH CATHOLIC CHARITIES TO PROVIDEON-SITE PHYSICIAN COVERAGE AT A RESIDENTIAL MENTAL HEALTH TREATMENT FORCHILDREN (VILLA MARIA).GBMC PARTNERS WITH THE CHRISTO REY ORGANIZATION THROUGH AN ANNUALSPONSORSHIP THAT ALLOWS FOR PRACTICAL JOB SKILLS TO BE GAINED BY AT-RISKHIGH-SCHOOL STUDENTS THROUGH SPONSORSHIP OF A STUDENT IN AN ON-SITEWORK/STUDY ROLE. PART III, LINE 2: THE COMPANY ADOPTED ACCOUNTING STANDARDS CODIFICATION (ASC) 606, REVENUE RECOGNITION, EFFECTIVE JULY 1, 2018 USING THE MODIFIED RETROSPECTIVE TRANSITION METHOD. ASC 606 PROVIDES A PRINCIPLES-BASED FRAMEWORK FOR RECOGNIZING REVENUE TO DEPICT THE TRANSFER OF PROMISED GOODS OR SERVICES TO CUSTOMERS IN AN AMOUNT THAT REFLECTS THE CONSIDERATION TO WHICH THE ENTITY EXPECTS TO BE ENTITLED IN EXCHANGE FOR THOSE GOODS OR SERVICES. UPON ADOPTION, THE MAJORITY OF WHAT WAS PREVIOUSLY CLASSIFIED AS PROVISION FOR UNCOLLECTIBLE ACCOUNTS AND PRESENTED AS A REDUCTION TO NET PATIENT SERVICE REVENUE IN THE CONSOLIDATED STATEMENTS OF OPERATIONS IS TREATED AS A PRICE CONCESSION THAT REDUCES THE TRANSACTION PRICE, WHICH IS REPORTED AS A REDUCTION TO NET PATIENT SERVICE REVENUE. AS SUCH, $13.5 MILLION FOR PROVISION FOR UNCOLLECTIBLE ACCOUNTS WAS RECORDED AS AN IMPLICIT PRICE CONCESSION REDUCING PATIENT SERVICES REVENUE. PART III, LINE 3: AS PART OF THE COMPANY'S MISSION, IT PROVIDES MEDICAL CARE WITHOUT DISCRIMINATION, INCLUDING THE ABILITY OF A PATIENT TO PAY FOR SERVICES. UNDER THE COMPANYS FINANCIAL ASSISTANCE POLICY, PATIENTS WHO MEET CERTAIN FINANCIAL BASED CRITERIA CAN QUALIFY FOR FREE CARE ON ALL OR A PORTION OF THE TOTAL PATIENT BILL. THE COMPANY RECORDED $1,173,000 AND $1,643,000 OF FINANCIAL ASSISTANCE DURING THE YEARS ENDED JUNE 30, 2019 AND 2018, RESPECTIVELY. THE TOTAL DIRECT AND INDIRECT COST OF PROVIDING FINANCIAL ASSISTANCE WAS APPROXIMATELY $873,000 AND $1,222,000 DURING THE FISCAL YEARS ENDED JUNE 30, 2019 AND 2018, RESPECTIVELY. IN ADDITION TO ITS FINANCIAL ASSISTANCE POLICY, THE COMPANY HAS A LONG STANDING COMMITMENT OF SUPPORTING THE COMMUNITY THROUGH THE PROVISION OF OUTREACH SERVICES DESIGNED TO ADDRESS IDENTIFIED HEALTH AND SOCIAL ISSUES. SPECIFICALLY, THE COMPANY PROVIDES A VARIETY OF SCREENING AND EARLY DETECTION TESTS, WELLNESS ACTIVITIES, SOCIAL SUPPORT SERVICES AND EDUCATIONAL SEMINARS. A MAJORITY OF THESE SERVICES ARE PROVIDED AT EITHER NOMINAL OR NO COST TO COMMUNITY MEMBERS. PART III, LINE 4: NET PATIENT SERVICE REVENUE IS RECOGNIZED, OVER TIME, AS PERFORMANCE OBLIGATIONS ARE SATISFIED. PERFORMANCE OBLIGATIONS ARE DETERMINED BASED ON THE NATURE OF THE SERVICES PROVIDED. REVENUE FOR PERFORMANCE OBLIGATIONS SATISFIED OVER TIME IS RECOGNIZED AT THE ESTIMATED NET REALIZABLE AMOUNTS FROM PATIENTS AND THIRD-PARTY PAYORS FOR SERVICES RENDERED. THE COMPANY GENERATES REVENUES, PRIMARILY BY PROVIDING HEALTHCARE SERVICES TO ITS CUSTOMERS. REVENUES ARE RECOGNIZED WHEN CONTROL OF THE PROMISED GOOD OR SERVICE IS TRANSFERRED TO OUR CUSTOMERS, IN AN AMOUNT THAT REFLECTS THE CONSIDERATION TO WHICH THE COMPANY EXPECTS TO BE ENTITLED FROM PATIENTS, THIRD-PARTY PAYORS (INCLUDING GOVERNMENT PROGRAMS AND INSURERS) AND OTHERS, IN EXCHANGE FOR THOSE GOODS AND SERVICES. PERFORMANCE OBLIGATIONS ARE DETERMINED BASED ON THE NATURE OF THE SERVICES PROVIDED. THE MAJORITY OF THE COMPANY'S HEALTHCARE SERVICES REPRESENT A BUNDLE OF SERVICES THAT ARE NOT CAPABLE OF BEING DISTINCT AND AS SUCH, ARE TREATED AS A SINGLE PERFORMANCE OBLIGATION SATISFIED OVER TIME AS SERVICES ARE RENDERED. THE COMPANY ALSO PROVIDES CERTAIN ANCILLARY SERVICES WHICH ARE NOT INCLUDED IN THE BUNDLE OF SERVICES, AND AS SUCH, ARE TREATED AS SEPARATE PERFORMANCE OBLIGATIONS SATISFIED AT A POINT IN TIME, IF AND WHEN THOSE SERVICES ARE RENDERED. THE COMPANY'S ESTIMATE OF THE TRANSACTION PRICE INCLUDES ESTIMATES OF PRICE CONCESSIONS FOR SUCH ITEMS AS CONTRACTUAL ALLOWANCES, CHARITY CARE, POTENTIAL ADJUSTMENTS THAT MAY ARISE FROM PAYMENT AND OTHER REVIEWS, AND UNCOLLECTIBLE AMOUNTS, WHICH ARE DETERMINED USING A PORTFOLIO APPROACH AS A PRACTICAL EXPEDIENT TO ACCOUNT FOR PATIENT CONTRACTS AS COLLECTIVE GROUPS RATHER THAN INDIVIDUALLY. ESTIMATES FOR UNCOLLECTIBLE AMOUNTS ARE BASED ON THE AGING OF THE ACCOUNTS RECEIVABLE, HISTORICAL COLLECTION EXPERIENCE FOR SIMILAR PAYORS AND PATIENTS, CURRENT MARKET CONDITIONS, AND OTHER RELEVANT FACTORS. SUBSEQUENT CHANGES TO THE ESTIMATE OF THE TRANSACTION PRICE ARE GENERALLY RECORDED AS ADJUSTMENTS TO NET PATIENT SERVICE REVENUE IN THE PERIOD OF THE CHANGE. SUBSEQUENT CHANGES THAT ARE DETERMINED TO BE THE RESULT OF AN ADVERSE CHANGE IN THE PAYOR'S OR PATIENT'S ABILITY TO PAY ARE RECORDED AS BAD DEBT EXPENSE. BAD DEBT EXPENSE FOR THE YEARS ENDED JUNE 30, 2019 AND 2018 WAS NOT SIGNIFICANT TO THE CONSOLIDATED FINANCIAL STATEMENTS. PART III, LINE 8: N/A; MARYLAND HAS A MEDICARE WAIVER. PART III, LINE 9B: PATIENTS WHO HAVE BEEN PREVIOUSLY SCREENED FOR CHARITY CARE, ARE NOT MEDICAL ASSISTANCE ELIGIBLE AND HAVE NO INSURANCE DO NOT RECEIVE INVOICES. THEY ARE AUTOMATICALLY REFERRED TO GBMC'S ASSUMPTIVE FINANCIAL ASSISTANCE PROGRAM. THE PROGRAM IS RUN IN PARTNERSHIP WITH TRANSUNION CREDIT REPORTING AGENCY. ALL SELF PAY ACCOUNTS AND THOSE PREVIOUSLY IDENTIFIED AS CHARITY CARE ARE REFERRED TO TRANSUNION, WHO UTILIZES A PROPRIETARY CREDIT SCORING SYSTEM TO DETERMINE LIKELIHOOD OF ABILITY TO PAY BASED ON ESTIMATED INCOME AND FAMILY SIZE. THE RESULTS FROM THE TRANSUNION CREDIT SCORING ARE COMPARED TO GBMC'S FINANCIAL ASSISTANCE ELIGIBILITY CRITERIA AND A DECISION IS MADE TO WRITE OFF OR TO PURSUE COLLECTION. PART VI, LINE 2: GREATER BALTIMORE MEDICAL CENTER (GBMC) COMPLETES A COMMUNITY HEALTH NEEDSASSESSMENT DESIGNED TO EVALUATE AND UNDERSTAND THE UNMET HEALTHCARE NEEDSOF THE GBMC COMMUNITY, AND HOW GBMC, GIVEN ITS SERVICE ORIENTATION, MIGHTBE BEST SERVED TO ASSIST IN MEETING THE IDENTIFIED UNMET NEEDS. GBMC USESSTATISTICAL AND MEDICAL INCIDENCE DATA FROM LOCAL COUNTY HEALTHDEPARTMENTS THAT COLLECT SUCH DATA, AS WELL AS OTHER VARIOUS NATIONALDATA. PART VI, LINE 3: GBMC EDUCATES PATIENTS ABOUT THEIR ELIGIBILITY FOR GOVERNMENTAL ASSISTANCEAND ORGANIZATION CHARITY CARE ASSISTANCE IN MANY WAYS, STARTING WITH THEINTAKE PROCESS. A SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS POSTED,ALONG WITH CONTACT INFORMATION AT ALL REGISTRATION AREAS, THE EMERGENCYROOM, AND THE BILLING OFFICE. WHEN PATIENTS ARE REGISTERED, THEY AREPROVIDED WITH A FINANCIAL ASSISTANCE BROCHURE AND ARE HANDED A"PERMISSIONS/ACKNOWLEDGMENT" (SIGNED BY THE PATIENT). THIS FORM EXPLAINSTHE HOSPITAL'S FINANCIAL ASSISTANCE POLICY AND PROVIDES GBMC PHONE NUMBERSAND A WEBSITE. ALSO STATED ON THE FORM IS INFORMATION FOR HOW GBMC REPRESENTATIVES CAN ASSIST WITH APPLYING FOR MARYLAND MEDICAL ASSISTANCE.GBMC ALSO CONTRACTS WITH OUTSIDE AGENCIES TO HELP WITH THE MEDICALASSISTANCE ELIGIBILITY PROCESS. LASTLY, A STATEMENT ABOUT FINANCIALASSISTANCE AND A COPY OF GBMC'S POLICY ACCOMPANIES ALL BILLS TO PATIENTS. PART VI, LINE 4: GREATER BALTIMORE MEDICAL CENTER, INC. ("GBMC") IS A PRIVATE,NOT-FOR-PROFIT, 268 BED, REGIONAL MEDICAL CENTER. IT IS LOCATED IN TOWSON,MARYLAND, A SUBURBAN BALTIMORE COUNTY COMMUNITY TWO MILES NORTH OFBALTIMORE CITY. GBMC'S PRIMARY SERVICE AREA INCLUDES ALL OF BALTIMORECOUNTY, THE NORTHERN PORTION OF BALTIMORE CITY, AND PORTIONS OF CARROLLAND HARFORD COUNTIES. THE POPULATION IN GBMC'S SERVICE AREA HASTRADITIONALLY BEEN AFFLUENT WHEN COMPARED TO THAT OF BALTIMORE COUNTY ANDTHE NATION. THE 2016 MEDIAN FAMILY INCOME FOR GBMC'S IMMEDIATE SERVICEAREA WAS $82,768, COMPARED TO $89,416 AND $65,443 FOR MARYLAND AND THENATION RESPECTIVELY. HOWEVER, GBMC'S PERCENTAGE OF UNINSURED IS 8.7% FORITS IMMEDIATE SERVICE AREA, COMPARED TO 9.9% FOR BALTIMORE COUNTY AND ANATIONAL AVERAGE OF 14.2%. GBMC'S IMMEDIATE SERVICE AREA HAS A MEDICAIDPOPULATION OF 5.26%, COMPARED TO MEDICAID AVERAGES OF 13% AND 15% FORBALTIMORE COUNTY AND THE STATE OF MARYLAND RESPECTIVELY. PART VI, LINE 5: A MAJORITY OF GBMC'S GOVERNING BODY IS COMPRISED OF PERSONS WHO RESIDE INTHE ORGANIZATION'S PRIMARY SERVICE AREA. GBMC EXTENDS MEDICAL STAFFPRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY. GBMC REINVESTSITS OPERATING MARGIN INTO IMPROVEMENTS IN PATIENT CARE AND RESEARCH. GBMCPROVIDES TEACHING THROUGH ACCREDITED INTERN AND RESIDENT EDUCATIONPROGRAMS IN INTERNAL, GYNECOLOGY, OPHTHALMOLOGY, OTOLARYNGOLOGY, AND COLO-RECTAL SURGERY. MOST RECENTLY, GBMC HAS INVESTED IN A GERIATRIC NURSEPRACTITIONER PROGRAM WHOSE SOLE RESPONSIBILITY IS TO PROVIDE EDUCATION ANDPRIMARY CARE SERVICES TO LOW-INCOME SENIOR LIVING FACILITIES IN THE LOCALSERVICE AREA. THE ORGANIZATION HAS PROVIDED A PEDIATRICIAN TO CATHOLICCHARITIES SERVING AT RISK ADOLESCENTS TO PERFORM PRIMARY CAREASSESSMENTS AND TREATMENTS AS WELL AS HELPING TO COORDINATE FURTHERSPECIALIZED CARE. GBMC DONATES A PORTION OF ITS SPACE TO COMMUNITYPARTNERS TO HOST CLASSES TO HELP STROKE VICTIMS REGAIN FULL MOBILITY ANDFUNCTIONALITY. GBMC CONTINUES TO FUND ANESTHESIA, OBSTETRICAL, ANDORTHOPEDIC SERVICES TO MEDICAID AND UNINSURED PATIENT POPULATIONS. GBMCHAS GENERALLY COVERED THIS BY AGREEING TO PROVIDE PHYSICIAN PAYMENT FORSURGICAL CASES COMING THROUGH THE EMERGENCY DEPARTMENT WHERE THE PATIENTIS CONSIDERED TO BE INDIGENT. PART VI, LINE 7, REPORTS FILED WITH STATES MD 1 CRISTO REY INTERNSHIP PROGRAM INC 420 SOUTH CHESTER STREET BALTIMORE MD 21231 364067306 501(C)(3) 37500 TO MAKE A PRIVATE, COLLEGE-PREPARATORY EDUCATION AFFORDABLE TO URBAN YOUNG PEOPLE FROM BALTIMORE SHEPPARD & ENOCH PRATT FOUNDATION 6501 N CHARLES STREET TOWNSON MD 21204 521357109 501(C)(3) 10000 MENTAL HEALTH CARE OTHER INSTRUCTION & TRAINING MHA ASSISTANCE IN PARTNERSHIP WITH OTHER ORGANIZATIONS THROUGHOUT THE STATE TO END MARYLAND'S CHRONIC NURSING SHORTAGES. GBMC HEALTHCARE 6545 N CHARLES STREET TOWNSON MD 21204 521484872 501(C)(3) 50000 GENERAL SUPPORT FOR HEALTHCARE. AMERICAN HEART ASSOCIATION 415 NORTH CHARLES BALTIMORE MD 21201 135613797 501(C)(3) 7500 GENERAL SUPPORT ALZHEIMER'S ASSOCIATION 1850 YORK ROAD LUTHERVILLE MD 21093 133039601 501(C)(3) 10000 GENERAL SUPPORT FOR HEALTHCARE. ULMAN CANCER FUND 1215 E FORT AVENUE 104 BALTIMORE MD 21230 522057636 501(C)(3) 6000 SUPPORTING YOUNG ADULTS IMPACTED BY CANCER 6 0 PART I, LINE 2: THE ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS IN THE U.S. ARE EVALUATED AND SELECTED THROUGH A FORMAL COMMUNITY NEEDS ADVISORY COMMITTEE AND ARE BASED ON UNIQUE AND IDENTIFIED NEEDS. PERIODIC REPORTS (SOME QUARTERLY AND OTHERS ANNUALLY) ARE REQUIRED BY GRANTORS. ADDITIONALLY, FIELD VISITS ARE CONDUCTED. X X X X X 1 1 0 0 0 0 0 0 0 MARIA PANE MD DIR/PHYS/VICE CHIEF OF STAFF 337350 0 50 0 507 0 12500 0 40414 0 390821 0 0 0 MELISSA SPARROW MD CHIEF OF STAFF 229159 0 170 0 417 0 5500 0 24898 0 260144 0 0 0 JOHN B CHESSARE MD DIRECTOR/CEO GBMC HEALTHCARE 821206 0 180588 0 239232 0 12000 0 27019 0 1280045 0 0 0 MR KEITH R POISSON EVP & COO GBMC HEALTHCARE 461004 0 93057 0 121743 0 14750 0 30239 0 720793 0 0 0 HAROLD TUCKER MD CHIEF MEDICAL OFFICER 490814 0 101307 0 2509 0 86250 0 28547 0 709427 0 0 0 MS LAURIE R BEYER EVP & CFO GBMC HEALTHCARE 394760 0 52728 0 7651 0 82000 0 40512 0 577651 0 0 0 MR BENNETT J BERES VP/COO HLTH PTNR (ENDED 11/18) 304999 0 52036 0 42370 0 9250 0 12631 0 421286 0 0 0 MS CAROLYN L CANDIELLO VP QUALITY & PT SAFETY 263090 0 51502 0 33325 0 10502 0 26376 0 384795 0 0 0 MS JENNY COLDIRON VP DEVELOPMENT GBMC HEALTHCARE 216852 0 95827 0 5501 0 11887 0 41571 0 371638 0 32752 0 MS CATHERINE HAMEL VP POST ACUTE SRVS & EXEC 315370 0 68354 0 39091 0 13063 0 39418 0 475296 0 0 0 MR DAVID J HYNSON VP & CIO 257028 0 100574 0 7367 0 14750 0 41187 0 420906 0 42407 0 MS JOANN IOANNOU SVP PATIENT SERVICES 265740 0 69046 0 3450 0 54615 0 42562 0 435413 0 11431 0 MS SUSAN MARTIELLI VP LEGAL AFFAIRS/CHIEF COUNSEL 333524 0 70624 0 6410 0 14166 0 12898 0 437622 0 12901 0 MS STACEY L MCGREEVY VP FACILITIES 243034 0 43573 0 1040 0 43365 0 1508 0 332520 0 0 0 MS ANNA-MARIA G PALMER VP HUMAN RESOURCES 279484 0 48944 0 6904 0 39568 0 19813 0 394713 0 0 0 VICTOR A KHOUZAMI MD CHAIR/PHYSICIAN 1210955 0 148625 0 1138 0 14750 0 26349 0 1401817 0 0 0 BIMAL G RAMI MD MED DIRECTOR/PHYSICIAN 874413 0 175603 0 180 0 12975 0 37937 0 1101108 0 0 0 CLAIRE M WEITZ MD PHYSICIAN 756295 0 96125 0 1400 0 14750 0 24705 0 893275 0 0 0 NIRAJ JANI MD MED DIRECTOR/PHYSICIAN 655206 0 147630 0 120 0 11005 0 35009 0 848970 0 0 0 ELIZABETH A DOVEC MD PHYSICIAN 668747 0 120665 0 108 0 12000 0 44337 0 845857 0 0 0 MR GEORGE E BAYLESS III FORMER CFO GBMC HEALTHCARE (END 10/1 55886 0 50000 0 1244 0 2661 0 6015 0 115806 0 0 0 MR JOHN W ELLIS FORMER SR VP STRAT/BUS DEV (END 4/18 157565 0 38823 0 385516 0 3200 0 8169 0 593273 0 0 0 PART I, LINE 4A JOHN W. ELLIS, FORMER SR. VP STRATEGY/BUS DEVELOPMENT, RECEIVED A SEVERANCE PAYMENT OF $274,730 IN 2018. PART I, LINE 4B: GREATER BALTIMORE MEDICAL CENTER, INC. HAS A NON-QUALIFIED SUPPLEMENTAL RETIREMENT PLAN. THIS PLAN WAS APPROVED BY THE COMPENSATION COMMITTEE OF THE GBMC HEALTHCARE BOARD OF DIRECTORS TO SUPPLEMENT THE EXECUTIVE'S RETIREMENT INCOME. THE SUPPLEMENTAL RETIREMENT PLAN WAS DEVELOPED BASED ON INDEPENDENT CONSULTANT REPORT ON MARKET-BASED PRACTICES FOR SUPPLEMENTAL RETIREMENT PLANS. THE PERCENTAGE OF FINAL AVERAGE PAY, THE REQUIREMENTS FOR VESTING, PARTICIPANTS, AND PAY-OUT PROVISIONS WERE ESTABLISHED, REVIEWED, AND APPROVED BY THE COMPENSATION COMMITTEE. THE CONTRIBUTIONS TO THE SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN ARE INCLUDED IN SCHEDULE J, PART II, COLUMN C OR IN SCHEDULE J, PART II, COLUMN B(III) AS PART OF DEFERRED COMPENSATION. MR. JOHN B. CHESSARE, MD, MS. LAURIE R. BEYER, MR. KEITH R. POISSON, MS. JENNY COLDIRON, MR. GEORGE E. BAYLESS, III, MS. CAROLYN L. CANDIELLO, MS. CATHERINE HAMEL, MR. DAVID J. HYNSON, MS. JOANN Z. IOANNOU, MS. SUSAN MARTIELLI, MS. ANNA-MARIA PALMER, MR. HAROLD TUCKER, MS. STACEY MCGREEVY, MR. BENNETT J. BERES, AND MR. JOHN ELLIS PARTICIPATED IN THIS SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN. THE AMOUNTS PAID OUT OF THIS PLAN IN 2018 WERE AS FOLLOWS: MR. JOHN B. CHESSARE, MD - $219,069 MR. KEITH R. POISSON - $98,871 MS. CAROLYN L. CANDIELLO - $26,713 MS. CATHERINE HAMEL - $31,415 MR. JOHN W. ELLIS - $103,585 MR. BENNETT J. BERES - $32,361 PART II: GEORGE E. BAYLESS, III WAS THE CFO OF GBMC HEALTHCARE, INC. UNTIL OCTOBER, 2017, AT WHICH POINT HIS TERM AS AN OFFICER ENDED. MR. BAYLESS WAS EMPLOYED BY GBMC HEALTHCARE, INC. UNTIL MARCH 2018. THE COMPENSATION REPORTED ON FORM 990 IS FOR COMPENSATION PAID IN CALENDAR YEAR 2018, WHILE MR. BAYLESS WAS STILL AN EMPLOYEE OF GBMC HEALTHCARE, INC. A MD HEALTH & HIGHER ED FAC AUTH 520936091 574218BX0 2011-04-20 67785219 SEE PART VI 1 0 0 B MD HEALTH & HIGHER ED FAC AUTH 520936091 574218EY5 2012-04-11 36317095 REFUND BONDS ISSUED 12/6/01 1 0 0 C MD HEALTH & HIGHER ED FAC AUTH 520936091 000000000 2017-03-08 73720000 TO REFUND BONDS ISSUED 4/20/11 AND 4/11/12 0 0 0 A 19385000 32480000 67785379 723328 4999718 62062333 2011 1 0 1 1 B 32205000 36317095 36317095 1 0 1 1 C 1525000 73720000 69987913 22274 6401675 0 1 1 1 A 0 1 1 1 0 0.00500 0.00500 0 0 1 B 0 1 1 1 0 0.00500 0.00500 0 0 1 C 0 1 1 1 0 0.01000 0.01000 0 0 1 A 0 0 1 0 0 0 0 0 1 B 0 0 1 0 0 0 0 0 1 C 0 1 0 0 1 0 0 0 1 A 1 B 1 C 1 PART I, COLUMN (F), LINE A DESCRIPTION OF PURPOSE: BUILDING RENOVATIONS AND TO REFUND BONDS ISSUED 8/10/1993, 12/6/2001, 3/17/2009, AND 4/1/2009 PART II, LINE 3, COLUMN A DIFFERENCES BETWEEN THE ISSUE PRICE (PART I) AND TOTAL PROCEEDS (PART II, LINE 3) ARE DUE TO INVESTMENT EARNINGS. PART IV, LINE 6, COLUMN C THIS QUESTION IS BEING ANSWERED WITHOUT REGARD TO A YIELD-RESTRICTED ADVANCE REFUNDING ESCROW FINANCED WITH PROCEEDS OF THE BONDS. SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 5450542 MANAGEMENT - HOTEL SERVICES 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 4685534 SOFTWARE ENGINEERING 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 2837996 RADIOLOGY SERVICES 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 2378644 SOFTWARE ENGINEERING 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 1304322 BEHAVIORAL HEALTH SERVICES 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 777451 FIRE SAFETY SERVICES 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 770288 BROKER SERVICES 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 690013 ARCHITECTURAL SERVICES 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 554171 AUDIT/CONSULTING SERVICES 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 508530 AMBULANCE SERVICES 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 436078 GENERAL CONTRACTOR SERVICES 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 425520 PRINTING SERVICES 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 346341 WASTE MANAGEMENT SERVICES 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 178361 ACTUARIAL SERVICES 0 X 8 28386 COST OR SELLING PRICE 0 0 0 PART I, COLUMN (B): SECURITIES - PUBLICLY TRADED - NO. OF CONTRIBUTIONS FORM 990 PART III, LINE 1 GREATER BALTIMORE MEDICAL CENTER'S PRIMARY EXEMPT PURPOSE IS AS FOLLOWS: (1) TO ORGANIZE, BUILD, ERECT, EQUIP, MANAGE AND OPERATE EXCLUSIVELY FOR CHARITABLE PURPOSES, A NON-PROFIT GENERAL HOSPITAL AND MEDICAL CENTER FOR THE CARE OF THE SICK, AND TO FURNISH MEDICAL AND SURGICAL ATTENDANCE THEREIN IN ANY FORM IN THE CARE OF SICK, AFFLICTED INFIRM OR INJURED PERSONS; PROVIDED, HOWEVER, THE OPERATIONS ARE NOT TO BE EXCLUSIVELY FOR THOSE WHO ARE ABLE AND EXPECTED TO PAY BUT TO THE EXTENT OF FINANCIAL ABILITY ARE TO BE FOR THOSE NOT ABLE TO PAY FOR THE SERVICES RENDERED AND THE FACILITIES ARE NOT TO BE RESTRICTED TO A PARTICULAR GROUP OF PHYSICIANS AND SURGEONS EXCEPT TO THE EXTENT THAT DISCRETIONARY AUTHORITY IN THE MANAGEMENT MAY IMPOSE LIMITATIONS BASED UPON THE QUALIFICATIONS OF THOSE APPLYING OR UPON THE SIZE AND NATURE OF THE FACILITIES, AND NO PART OF ITS NET EARNINGS ARE TO INURE DIRECTLY OR INDIRECTLY TO THE BENEFIT OF ANY PRIVATE SHAREHOLDER OR INDIVIDUAL. (2) TO ORGANIZE, BUILD, ERECT, EQUIP, MANAGE AND OPERATE A SCHOOL OR SCHOOLS FOR TRAINING PHYSICIANS, SURGEONS, NURSES AND OTHERS, AND TO EDUCATE AND TRAIN ANY SUCH PERSONS IN THE CARE OF SICK, AFFLICTED, INFIRM, OR INJURED PERSONS BY TEACHING MEDICINE, HYGIENE, SURGERY AND EVERYTHING HAVING TO DO WITH THE PHYSICAL WELL-BEING OF INDIVIDUALS. (3) TO ENGAGE IN ANY ACTIVITY AND TO DO ANYTHING AND EVERYTHING THAT MAY BE NECESSARY, EXPEDIENT OR INCIDENTAL TO THE PURPOSES STATED IN PARAGRAPHS (1) AND (2). (4) TO HAVE AND TO EXERCISE TO THE EXTENT NECESSARY OR DESIRABLE FOR THE ACCOMPLISHMENT OF ANY OF THE AFORESAID PURPOSES, AND TO THE EXTENT THAT THEY ARE NOT INCONSISTENT WITH THE CHARITABLE PURPOSES OF THE CORPORATION, AND THE LIMITATIONS IMPOSED BY SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, ANY AND ALL POWERS CONFERRED UPON CORPORATIONS BY THE MARYLAND GENERAL CORPORATION LAW. FORM 990, PART VI, SECTION A, LINE 6 THE BOARD OF DIRECTORS OF GBMC HEALTHCARE, INC. IS THE GOVERNING BODY FOR THE ORGANIZATION. GBMC HEALTHCARE, INC. IS THE PARENT CORPORATION AND SOLE STOCKHOLDER OF THE ORGANIZATION. THE BUSINESS AND AFFAIRS OF THE ORGANIZATION ARE MANAGED UNDER THE DIRECTION OF ITS BOARD OF DIRECTORS EXCEPT AS RESERVED TO THE STOCKHOLDER, GBMC HEALTHCARE, INC. IN ACCORDANCE WITH THE BYLAWS SUCH AS: A) TO CHANGE THE MISSION, PURPOSE, PHILOSOPHY OR OBJECTIVES OF THE ORGANIZATION B) TO AMEND THE BYLAWS OF THE ORGANIZATION C) TO DISSOLVE, TO CONSOLIDATE OR TO MERGE THE ORGANIZATION D) TO RATIFY THE ELECTION OF THE PRESIDENT OR OTHER OFFICERS OF THE ORGANIZATION E) TO REMOVE THE PRESIDENT OR OTHER OFFICERS OF THE ORGANIZATION F) TO ELECT MEMBERS OF THE BOARD OF DIRECTORS OF THE ORGANIZATION G) TO REMOVE MEMBERS OF THE BOARD OF DIRECTORS OF THE ORGANIZATION H) TO PURCHASE, SELL OR ENCUMBER WITH DEBT I) TO SELL ALL OR SUBSTANTIALLY ALL OF THE ORGANIZATION'S ASSETS, OR TO UNDERTAKE MAJOR EXPANSION PROJECTS J) TO APPROVE THE ANNUAL OPERATING AND CAPITAL BUDGETS OF THE ORGANIZATION K) TO APPOINT GENERAL COUNSEL TO AND THE FISCAL AUDITOR OF THE ORGANIZATION L) TO SET THE FISCAL YEAR OF THE ORGANIZATION M) TO ISSUE ADDITIONAL STOCK, FOLLOWING THE INITIAL ISSUANCE OF STOCK FORM 990, PART VI, SECTION A, LINE 7A SEE FORM 990, PART VI, SECTION A, LINE 6 DESCRIPTION FORM 990, PART VI, SECTION A, LINE 7B SEE FORM 990, PART VI, SECTION A, LINE 6 DESCRIPTION FORM 990, PART VI, SECTION B, LINE 11B THE AUDIT COMMITTEE OF GREATER BALTIMORE MEDICAL CENTER, INC.'S SUPPORTING PARENT ORGANIZATION, GBMC HEALTHCARE, INC., REVIEWS THIS FORM 990. A COPY OF THE FORM 990 IS PROVIDED TO THE FULL BOARD OF DIRECTORS OF THE HOSPITAL AND GBMC HEALTHCARE PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C GREATER BALTIMORE MEDICAL CENTER, INC IS GOVERNED BY THE POLICIES OF ITS PARENT ORGANIZATION, GBMC HEALTHCARE, INC. THESE POLICIES INCLUDE A WRITTEN CONFLICT OF INTEREST POLICY ATTESTED TO ANNUALLY, A WRITTEN WHISTLEBLOWER POLICY, AND A WRITTEN DOCUMENT RETENTION AND DESTRUCTION POLICY. ANNUALLY, EVERY BOARD MEMBER, EMPLOYED AND CONTRACTED PHYSICIAN, ADVANCED PRACTITIONER, AND MANAGER (WHICH INCLUDES KEY EMPLOYEES) MUST COMPLETE A COMPREHENSIVE QUESTIONNAIRE THAT PROVIDES FOR THE DISCLOSURE OF POTENTIAL CONFLICTS. ALL DISCLOSURES ARE REVIEWED BY THE COMPLIANCE OFFICER. THOSE DISCLOSURES THAT ARE QUESTIONABLE OR MAY RISE TO THE LEVEL OF A CONFLICT ARE DISCUSSED WITH THE GENERAL IN-HOUSE COUNSEL AND APPROPRIATE ACTION IS TAKEN, IF NECESSARY. A SUMMARY OF POTENTIAL CONFLICTS AND PROPOSED ACTIONS IS PROVIDED TO THE PRESIDENT (FOR MANAGEMENT) AND TO THE GOVERNANCE AND BOARD DEVELOPMENT COMMITTEE (FOR BOARD MEMBERS) ANNUALLY. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION COMMITTEE ("COMMITTEE") OF THE BOARD OF DIRECTORS OF GBMC HEALTHCARE, INC., WHICH IS COMPRISED OF DIRECTORS THAT ARE "DISINTERESTED" AS DEFINED BY IRS REGULATIONS, IS AUTHORIZED TO OVERSEE THE ORGANIZATION'S EXECUTIVE COMPENSATION PROGRAM. THE COMMITTEE REVIEWS AND APPROVES THE COMPENSATION PROVIDED TO THE ORGANIZATION'S PRESIDENT AND CHIEF EXECUTIVE OFFICER AND EACH OFFICER, KEY EMPLOYEE AND SENIOR LEADER, WHETHER OR NOT THESE INDIVIDUALS WOULD BE CONSIDERED "DISQUALIFIED PERSONS" UNDER THE INTERMEDIATE SANCTIONS REGULATIONS OF FEDERAL INCOME TAX LAW. THE COMMITTEE HAS ADOPTED A WRITTEN PHILOSOPHY SETTING FORTH THE GUIDING PRINCIPLES GOVERNING THE COMPENSATION PROVIDED TO THE ORGANIZATION'S EXECUTIVES. THE COMMITTEE'S REVIEW AND APPROVAL PROCESS WAS ESTABLISHED AND IS CONDUCTED IN A MANNER SO AS TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE INTERMEDIATE SANCTIONS REGULATIONS OF FEDERAL INCOME TAX LAW. ALL FORMS OF COMPENSATION AND BENEFITS PROVIDED TO MEMBERS OF THE SENIOR LEADERSHIP TEAM ARE REVIEWED, WHICH INCLUDES CURRENT AND DEFERRED COMPENSATION AND ALL EMPLOYEE BENEFITS, BOTH QUALIFIED AND NON-QUALIFIED TO ENSURE THAT THE "TOTAL COMPENSATION" IS REASONABLE. THE COMMITTEE ENGAGED AN INDEPENDENT EXECUTIVE COMPENSATION CONSULTANT THAT SPECIALIZES IN THE REVIEW OF HOSPITAL AND HEALTH SYSTEM EXECUTIVE COMPENSATION AND BENEFITS TO COMPILE MARKET COMPENSATION DATA OF SIMILARLY SIZED HEALTH CARE ORGANIZATIONS THROUGHOUT THE COUNTRY AS WELL AS THE SAME GEOGRAPHIC REGION. NO DATA FROM ANY FOR-PROFIT ENTITIES WERE USED. THE DATA WERE CATEGORIZED BY EXECUTIVE POSITION, AND A SALARY RANGE WAS DEVELOPED WITH THE ASSISTANCE OF THE INDEPENDENT COMPENSATION CONSULTANT. THE COMMITTEE RELIED UPON THIS DATA, RELEVANT BUSINESS JUDGMENT FACTORS (E.G., EXPERIENCE, PERFORMANCE, RECRUITMENT AND RETENTION FACTORS AND THE UNIQUE DEMANDS OF THE POSITION), THE GUIDANCE PROVIDED BY THE STATED COMPENSATION PHILOSOPHY AND THE WRITTEN OPINION OF THE INDEPENDENT EXECUTIVE COMPENSATION CONSULTANT AS TO THE REASONABLENESS OF THE COMPENSATION IN RELATION TO MARKET DATA IN MAKING ITS EXECUTIVE COMPENSATION DECISIONS. THE COMMITTEE ALSO CONSIDERS ITS BUSINESS JUDGMENT. THE COMMITTEE DOCUMENTS THE BASIS FOR ITS DECISIONS THROUGH THE TIMELY PREPARATION OF WRITTEN MINUTES OF THE COMPENSATION COMMITTEE MEETINGS DURING WHICH SUCH DECISIONS ARE DELIBERATED AND DETERMINED. THE COMMITTEE'S DECISIONS ARE SUBJECT TO THE FINAL APPROVAL OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS ARE LOCATED ON THE STATE OF MARYLAND DEPARTMENT OF TAXATION'S WEBSITE. FINANCIAL STATEMENTS ARE MADE PUBLIC THROUGH THE STATE OF MARYLAND CHARITABLE REGISTRATION. FINANCIAL STATEMENTS FOR GBMC HEALTHCARE, INC. ARE ALSO AVAILABLE THROUGH THE ELECTRONIC MUNICIPAL MARKET ACCESS (EMMA) WEBSITE VIA THE CONTINUING DISCLOSURE DOCUMENT. THE CONFLICT OF INTEREST POLICY IS NOT AVAILABLE TO THE PUBLIC. FORM 990, PART XI, LINE 9: PENSION EXPENSE -289,144. TRANSFER TO AFFILIATES 103,905. 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