2019-05-13T09:33:58-05:00 2018-06-30 990 2017-07-01 522093120 HOWARD COUNTY GENERAL HOSPITAL INC HOWA 4107407890 3910 KESWICK RD S BLDG NO 4300A BALTIMORE MD 21211 CLARO M PIO RODA VP FINANCE/CFO 4107407890 2019-05-13 128.220.159.45 2019-05-13 09:33:54 ED P C2B764D82FA023849B2FE4DA478290B2062C5C06 819AB38F4EE4C715E99C39D41F9DD1DAE66D04F4 2017 2019-02-21 02:37:17Z CLARO M PIO RODA 3910 KESWICK RD S BLDG NO 4300A BALTIMORE MD 21211 295080080 0 X WWW.HCGH.ORG X 1998 MD PROVISION OF INPATIENT AND OUTPATIENT HEALTHCARE SERVICES TO INDIVIDUALS. 23 17 2354 364 48424 27991 1698448 700953 259968211 268236731 3196962 3308364 3667609 4004881 268531230 276250929 0 86316 0 0 127189240 129793299 0 0 0 133196668 135356198 260385908 265235813 8145322 11015116 359101868 366846372 248587582 238885043 110514286 127961329 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 71462322 0 90569003 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. 30848733 0 46350293 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. 27455409 0 36339157 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'S 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. 65944728 86316 94978278 65944728 86316 94978278 195711192 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 1 230 0 1 2354 1 1 1 0 0 0 0 0 0 0 0 0 X 23 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 4439975724 3910 KESWICK RD SOUTH BLDG 4TH BALTIMORE MD 21211 W BRIAN MCGOWAN TRUSTEE/CHAIRMAN 1.00 X 0 0 0 DENNIS MILLER TRUSTEE 1.00 X 0 0 0 STEVEN C SNELGROVE PRESIDENT/TRUSTEE 59.00 1.00 X X 0 584102 131738 MAURA ROSSMAN MD TRUSTEE 1.00 X 0 0 0 DAVID CONDRON TRUSTEE/TREASURER 1.00 X X 0 0 0 BILL SAWAY MD TRUSTEE 1.00 X 0 0 0 KATHLEEN MURPHY WHITE PHD TRUSTEE 1.00 X 0 0 0 KAREN BUTLER TRUSTEE 1.00 X 0 0 0 RENEE DEMSKI TRUSTEE 1.00 X 0 336619 80621 BRIAN WALTER TRUSTEE/SECRETARY 1.00 X X 0 0 0 ELIZABETH RENDON-SHERMAN TRUSTEE 1.00 X 0 0 0 NICHOLAS KOUTRELAKOS MD TRUSTEE 1.00 X 0 0 0 JONATHAN S FISH MD TRUSTEE 1.00 X 0 0 0 RONALD R PETERSON TRUSTEE 1.00 59.00 X X 0 3088921 756784 KEVIN W SOWERS MSN RN FAAN CORPORATE VICE CHAIR/TRUSTEE 1.00 59.00 X X 0 367110 0 ALTON J SCAVO TRUSTEE 1.00 X 0 0 0 MARY A PIEPRZAK MD TRUSTEE 1.00 X 0 0 0 KAYODE A WILLIAMS MD TRUSTEE 1.00 X 0 0 0 G DANIEL SHEALER JR TRUSTEE 1.00 59.00 X 0 999567 350665 PAUL SKALNY TRUSTEE/VICE CHAIRMAN 1.00 X 0 0 0 W GILL WYLIE TRUSTEE 1.00 59.00 X 0 442129 85284 DAVID POWELL TRUSTEE 1.00 X 0 0 0 STEPHEN T VILANYI MD TRUSTEE 1.00 X 0 0 0 RYAN BROWN VP OF OPERATIONS 60.00 X 0 272097 42771 KAREN DAVIS VP OF NURSING & CNO 60.00 X 0 318776 93902 ELIZABETH EDSALL KROMM VP FOR POPULATION HLTH 60.00 X 0 219690 33556 MOHAMMED SHAFEEQ AHMED MD VP MEDICAL AFFAIRS & CMO 60.00 X 0 417994 37183 JUDITH MOSS ASSISTANT SECRETARY 60.00 X 53606 0 10509 JAMES E YOUNG VP FINANCE 59.00 1.00 X 0 362769 58831 CLARO PIO RODA VP FINANCE 59.00 1.00 X 0 216979 74519 JON ORAVEC VP HUMAN RESOURCES 60.00 0.00 X 0 213286 36329 SHERYL DULSKY REGISTERED NURSE 40.00 X 187762 0 20234 LEENA KADAMATTU JOSEPH REGISTERED NURSE 40.00 X 166246 0 28369 NANCY SMITH SR. DIR OF PATIENT CARE 40.00 X 181593 0 33828 SALVACION REYES REGISTERED NURSE 40.00 X 163520 0 27359 SHARON ROSSI SR. DIR OF OPERATIONS 40.00 X 191617 0 23664 JAY H BLACKMAN FORMER OFFICER 0.00 60.00 X 0 240936 64552 944344 8080975 1990698 136 1 1 0 RANDSTAD PROFESSIONAL US LP 3625 CUMBERLAND BLVD SE ATLANTA GA 30339 STAFFING 2923761 AMN HEALTHCARE PO BOX 281939 ATLANTA GA 303841939 NURSING AGENCY, TECH PREMIUM FEES 2268717 BROADWAY SERVICES INC 3709 E MONUMENT ST BALTIMORE MD 21205 SECURITY, CLEANING & MNGT SERVICES 2098763 SHADE CONSTRUCTION CO INC 1730 E JOPPA RD PARKVILLE MD 21234 CONSTRUCTION 1837037 SODEXHO INC PO BOX 70060 CHICAGO IL 60673 DIETARY FEES/MNGT, RENTS 1357980 62 292268 89645 319040 700953 PATIENT SERVICE REVENU 900099 94867319 94867319 DEPARTMENT OF MEDICINE 621990 90569003 90569003 EMERGENCY DEPARTMENT 621910 46350293 46350293 LABOR & DELIVERY/NURSE 621990 36339157 36339157 COMMUNITY EDU. 900099 110959 110959 268236731 3099381 3099381 1074921 0 1074921 1074921 1074921 18810000 15100 18616117 0 193883 15100 208983 208983 418714 213034 205680 205680 OTHER 900099 2688655 48424 2640231 TELE.& VENDING REV. 900099 35625 35625 2724280 276250929 268236731 48424 7264821 86316 86316 64115 64115 102311274 98080333 4230941 4753313 3784683 968630 14651262 13262702 1388560 8013335 8013335 55075 55075 63691 63691 15324216 13872746 1451470 161272 21309 139963 36634714 35175596 1459118 1871116 1272339 598777 927845 798623 129222 205635 172911 32724 258702 258702 6028335 6028335 12711128 3629280 9081848 1846093 1846093 PURCHASED SERVICES 43411944 3199313 40212631 LAB SERVICES 9433003 9433003 0 SUPPLIES 4026255 3740514 285741 SWAP INTEREST 1169215 958756 210459 1227959 209433 1018526 265235813 195711192 69524621 0 7445178 10413645 49048 48934 30675495 30409836 4660500 5012290 2542317 2045415 285162263 136308944 144396606 148853319 136809430 144754262 32523294 25308671 359101868 366846372 26925477 24962261 401471 461178 221260634 213461604 248587582 238885043 X 110068149 127202406 446137 758923 110514286 127961329 359101868 366846372 X 11015116 2444587 3987340 X 0 1 X 1 1 1 X 63691 63691 265172122 265235813 1000000 250000 0 0 1000000 1000000 1000000 1000000 4000000 6000000 35511 48864 54352 63691 202418 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 $63,691 DURING FISCAL YEAR ENDED JUNE 30, 2018 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 180706839 78611676 102095163 757671 452180 305491 76735670 56564328 20171342 13984317 680760 13303557 148853319 U.S. T-BILLS 140966104 F INVESTMENTS CMROC, LLC 607290 F INVESTMENTS - MOB 275193 F INV IN SUBS/JOINT VE 2905675 F 144754262 OTHER RECEIVABLES 850273 OTHER LONG TERM ASSETS 20178992 OTHER LONG TERM ASSETS 3015889 DUE FROM AFFILIATES 357708 DUE FROM OTHERS 905809 25308671 DUE TO AFFILIATES 9613607 ADVANCES THIRD PARTY PAYORS 10188588 ESTIMATED MALPRACTICE COST 5084255 NOTES PAYABLE AFFILIATES 171416402 NET PENSION LIABILITY 1901000 TOTAL OTHER LIABILITIES 15257752 213461604 X 278909000 2444587 2444587 276464413 -213484 -213484 276250929 263387000 0 263387000 1848813 1848813 265235813 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, 2018 AND 2017. PART XI, LINE 4B - OTHER ADJUSTMENTS: RECLASS OF COGS TO REVENUE -213,034. BOOK/AUDIT ADJUSTMENT -450. PART XII, LINE 4B - OTHER ADJUSTMENTS: SWAP INTEREST 1,169,214. RECLASS OF COGS -213,034. OTHER COMPONENTS OF PENSION 837,000. NON OPERATING EXPENSES 54,707. BOOK/AUDIT ADJUSTMENT 926. 1 1 X 1 X 1 X 500.000000000000 1 1 1 0 1 1 4957939 0 4957939 0.01870 4957939 4957939 0.01870 18328586 105359 18223227 0.06870 2012524 0 2012524 0.00760 0 0 337687 174059 163628 0.00060 409618 0 409618 0.00150 21088415 279418 20808997 0.07840 26046354 279418 25766936 0.09710 855 0 855 0.00000 0 0 461629 0 461629 0.00170 0 0 0 0 0 0 0 0 0 0 462484 462484 0.00170 0 6767645 0 86510802 83009829 3500973 X 1 1 1 1 HOWARD COUNTY GENERAL HOSPITAL 5755 CEDAR LANE COLUMBIA MD 21044 WWW.HOPKINSMEDICINE.ORG/HOWARD_COUNTY_ 13-004 X HOWARD COUNTY GENERAL HOSPITAL 1 0 0 1 X X X X X X X X X 15 1 0 0 1 X WWW.HOPKINSMEDICINE.ORG/HOWARD_COUNTY_GENERAL_HOSPITAL/ABOUT/GIVE_COMMUNITY X 1 15 1 WWW.HOPKINSMEDICINE.ORG/HOWARD_COUNTY_GENERAL_HOSPITAL/ABOUT/GIVE_COMMUNITY 0 1 X 200.000000000000 500.000000000000 X X X 1 1 X X X 1 X WWW.HOPKINSMEDICINE.ORG/PATIENT_CARE/PAY_BILL/ASSISTANCE_POLICIES.HTML X WWW.HOPKINSMEDICINE.ORG/HOWARD_COUNTY_GENERAL_HOSPITAL/PATIENT_VISITOR/BILL X WWW.HOPKINSMEDICINE.ORG/HOWARD_COUNTY_GENERAL_HOSPITAL/PATIENT_VISITOR/BILL 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 HOWARD COUNTY HEALTH ASSESSMENT SURVEY (HCHAS) BETWEEN JULY 8 AND AUGUST 18, 2014. THE SURVEY WAS JOINTLY COMMISSIONED BY THE HORIZON FOUNDATION, THE HOWARD COUNTY HEALTH DEPARTMENT, HOWARD COUNTY GENERAL HOSPITAL, AND THE COLUMBIA ASSOCIATION.B) THE LOCAL HEALTH IMPROVEMENT COALITION (LHIC), A PART OF THE STATE HEALTH IMPROVEMENT PLAN, SERVED AS THE TASK FORCE FOR IDENTIFYING AND PRIORITIZING THE HIGHEST NEEDS OF THE COMMUNITY IN HOWARD COUNTY IN NOVEMBER 2014. THE TASK FORCE INCLUDED 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) HEALTH EXPERTS FOR THE AUGUST 2014 HEALTH SURVEY WERE MEMBERS OF THE HOWARD COUNTY SURVEY PLANNING COMMITTEE.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 2018, THESE ACTIVITIES WERE INCLUDED IN BOTH THE "INTEGRATION AND "EDUCATION" PILLARS 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 THREE STRATEGIC OBJECTIVES FOR FY 2018 TO SUPPORT THESE PRIORITIES: - STRATEGIC OBJECTIVE 1 ACCESS TO CARE: STAND UP A TELEMEDICINE PROGRAM FOR OPHTHALMOLOGY, WITH CART OPERATIONALIZED, AND ED-TO-ED TRANSFERS REDUCED. PROCESS/OUTCOME METRIC: TELEMEDICINE CARD DEPLOYED AND IN USE IN THE HCGH ED. COMPLETION DATE: 06/30/18FINAL STATUS: CART DEPLOYED AND IN USE; ED USES REGULARLY AND AVERTS TRANSFERS FOR 1-2 PATIENTS PER MONTH.- STRATEGIC OBJECTIVE 2 BEHAVIORAL HEALTH: ESTABLISH OUTPATIENT BEHAVIORAL HEALTH/PSYCHIATRY SERVICES IN CONJUNCTION WITH THE SOM DEPARTMENT OF PSYCHIATRY. PROCESS/OUTCOME METRIC: PRACTICE OPERATIONAL; DEVELOP AT LEAST 1 GROUP THERAPY OPTION TO FURTHER EXPAND TREATMENT OPPORTUNITIES WITHIN THE COMMUNITY.COMPLETION DATE: 06/30/18FINAL STATUS: OUTPATIENT PSYCHIATRIC SERVICES OPENED IN OCTOBER 2017; GERIATRIC GROUP THERAPY BEGAN IN JUNE 2018.- STRATEGIC OBJECTIVE 3 BEHAVIORAL HEALTH: PARTNER WITH HOWARD COUNTY HEALTH DEPARTMENT TO OFFER OPIOID OVERDOSE RESPONSE TRAINING PROGRAMS ON HCGH CAMPUS.PROCESS/OUTCOME METRIC: NUMBER OF TRAINING PROGRAMS HELD.COMPLETION DATE: 06/30/18FINAL STATUS: PROGRAMS HELD AT LEAST ONCE MONTHLY, EXCEPT FOR DECEMBER (11 TRAINING PROGRAMS HELD TOTAL IN FY18); ENTIRE HCGH POPULATION HEALTH AND ADVANCEMENT STAFF COMPLETED TRAINING. 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 CHILDRENS PLAY AREA IN THE COLUMBIA MALL, A CENTERPIECE OF THE HOWARD COUNTY COMMUNITY, TO PROMOTE HEALTHY HABITS IN A FUN EDUCATIONAL MANNER. 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 PAGE 15. 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. 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.JHH 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 426,705 OF WHICH 49.5% WERE MALES AND 50.5% WERE FEMALES, AVERAGE HOUSEHOLD INCOME WAS $147,338, 2.5% OF RESIDENTS ARE UNINSURED, 19.4% OF RESIDENTS ARE COVERED BY MEDICAID/MEDICARE, AND 3.8% 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: - HCGH IS 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 245 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, HCGH JOINED JOHNS HOPKINS MEDICINE. HCGH 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 $265 MILLION PER YEAR, MUCH OF WHICH IS SPENT LOCALLY FOR SUPPLIES AND SERVICES. MORE THAN 330 VOLUNTEERS CONTRIBUTED OVER 24,000 HOURS OF SERVICE IN FY2018, WORKING IN ALL AREAS OF THE HOSPITAL AND THE COMMUNITY TO SUPPORT THE HOSPITAL AND ITS SERVICES. IN FY 2018, HCGH PROVIDED SERVICES TO NEARLY 200,000 PEOPLE, INCLUDING EVALUATION AND TREATMENT OF OVER 78,000 PATIENTS IN THE EMERGENCY DEPARTMENT. THERE WERE OVER 21,000 PATIENTS ADMITTED TO OR OBSERVED IN THE HOSPITAL, OVER 10,500 SURGERIES PERFORMED, AND NEARLY 3,400 BABIES DELIVERED. IN ADDITION TO THE MANY HOSPITAL-BASED SERVICES, HCGH ALSO PROVIDED OUTPATIENT SERVICES TO OVER 52,000 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. SOME OF THESE COMMUNITY-BASED SERVICES AND PARTNERSHIPS INCLUDE: SCHOOL-BASED TELEMEDICINE (ON-DEMAND TELEMEDICINE APPOINTMENTS FOR ELEMENTARY STUDENTS IN PARTNERSHIP WITH THE SCHOOL SYSTEM AND COUNTY HEALTH DEPARTMENT), RAPID ACCESS PROGRAM (COORDINATED ACCESS TO OUTPATIENT STABILIZATION FOR URGENT BEHAVIORAL HEALTH ISSUES AND TRANSITION SUPPORT FOR CONTINUED TREATMENT), JOURNEY TO BETTER HEALTH (FAITH-BASED INITIATIVE TO EMPOWER PEOPLE TO MANAGE THEIR HEALTH AND A NETWORK OF TRAINED VOLUNTEERS TO PROVIDE SUPPORT WHEN DEALING WITH A HEALTH ISSUE), COMMUNITY CARE TEAM (WORKS WITH PATIENTS AND FAMILIES TO ENSURE A SMOOTH HOSPITAL-TO-HOME TRANSITION, COORDINATES CLINICAL CARE AND ENSURES COMMUNITY-BASED SUPPORTS ARE IN PLACE TO HELP PATIENTS IMPROVE THEIR HEALTH AND REDUCE THE LIKELIHOOD OF PREVENTABLE HOSPITAL READMISSION), AND HEALTH PROMOTION AND EDUCATION (PROGRAMS TO HELP RESIDENTS TAKE CHARGE OF THEIR OWN HEALTH AND HELP OTHERS, INCLUDING MANAGING CHRONIC DISEASE, MOTHER/BABY EDUCATION, ASSISTING WITH A MENTAL HEALTH CRISIS AND MORE).- 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 AMERICAN HEART ASSOCIATION PO BOX 50045 PRESCOTT AZ 86304 135613797 501(C)(3) 10000 TO SUPPORT HEALTH CARE PUBLIC CHARITY THE COMMUNITY FOUNDATION OF HOWARD COUNTY 10630 LITTLE PATUXENT PKWY ST COLUMBIA MD 21044 520937644 501(C)(3) 5000 TO SUPPORT HEALTH CARE PUBLIC CHARITY GILCHRIST HOSPICE CARE 6545 N CHARLES ST STE 201 BALTIMORE MD 21204 521851251 501(C)(3) 5000 TO SUPPORT HEALTH CARE PUBLIC CHARITY GIRLS ON THE RUN OF CENTRAL MARYLAND 9150 RUMSEY RD STE A7 COLUMBIA MD 21045 271151791 501(C)(3) 5000 TO SUPPORT HEALTH CARE PUBLIC CHARITY HOWARD COUNTY ARTS COUNCIL 8510 HIGH RIDGE RD ELLICOTT CITY MD 21043 521219079 501(C)(3) 5000 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 THE ARC OF HOWARD COUNTY 9220 RUMSEY RD STE 105 COLUMBIA MD 21045 520884366 501(C)(3) 5000 TO SUPPORT HEALTH CARE PUBLIC CHARITY COLUMBIA 50TH BIRTHDAY CELEBRATION 6310 HILLSIDE CT COLUMBIA MD 21046 462464596 501(C)(3) 10000 TO SUPPORT HEALTH CARE PUBLIC CHARITY UNITED WAY OF CENTRAL MARYLAND INC 1800 WASHINGTON BLVD STE 340 BALTIMORE MD 21230 520591543 501(C)(3) 31316 TO SUPPORT HEALTH CARE PUBLIC CHARITY 9 PART I, LINE 2: THE BOARD OF TRUSTEES HAS DELEGATED THE FACILITATION AND ACCOUNTING FOR ALL GRANT PROGRAMS ADMINISTERED BY HOWARD COUNTY GENERAL HOSPITAL, INC. TO THE OFFICERS, DIRECTORS, AND KEY EMPLOYEES OF THE ORGANIZATION. X X X X X X 0 1 0 0 0 0 0 1 0 STEVEN C SNELGROVE PRESIDENT/TRUSTEE 0 419789 0 134937 0 29376 0 109547 0 22191 0 715840 0 0 RENEE DEMSKI TRUSTEE 0 244725 0 70619 0 21275 0 57828 0 22793 0 417240 0 9216 RONALD R PETERSON TRUSTEE 0 1454645 0 806842 0 827434 0 733738 0 23046 0 3845705 0 34000 KEVIN W SOWERS MSN RN FAAN CORPORATE VICE CHAIR/TRUSTEE 0 0 0 250000 0 117110 0 0 0 0 0 367110 0 0 G DANIEL SHEALER JR TRUSTEE 0 619348 0 170353 0 209866 0 337429 0 13236 0 1350232 0 140205 W GILL WYLIE TRUSTEE 0 286788 0 80391 0 74950 0 60658 0 24626 0 527413 0 0 RYAN BROWN VP OF OPERATIONS 0 211333 0 45118 0 15646 0 33538 0 9233 0 314868 0 8000 KAREN DAVIS VP OF NURSING & CNO 0 203786 0 39701 0 75289 0 77555 0 16347 0 412678 0 20173 ELIZABETH EDSALL KROMM VP FOR POPULATION HLTH 0 176614 0 42029 0 1047 0 13729 0 19827 0 253246 0 0 MOHAMMED SHAFEEQ AHMED MD VP MEDICAL AFFAIRS & CMO 0 309297 0 72389 0 36308 0 17129 0 20054 0 455177 0 0 JAMES E YOUNG VP FINANCE 0 251992 0 55222 0 55555 0 36959 0 21872 0 421600 0 0 CLARO PIO RODA VP FINANCE 0 187058 0 28788 0 1133 0 49470 0 25049 0 291498 0 0 JON ORAVEC VP HUMAN RESOURCES 0 175167 0 36252 0 1867 0 17493 0 18836 0 249615 0 0 SHERYL DULSKY REGISTERED NURSE 187421 0 0 0 341 0 11571 0 8663 0 207996 0 0 0 LEENA KADAMATTU JOSEPH REGISTERED NURSE 165908 0 0 0 338 0 7244 0 21125 0 194615 0 0 0 NANCY SMITH SR. DIR OF PATIENT CARE 168239 0 12436 0 918 0 16756 0 17072 0 215421 0 0 0 SALVACION REYES REGISTERED NURSE 163438 0 0 0 82 0 3687 0 23672 0 190879 0 0 0 SHARON ROSSI SR. DIR OF OPERATIONS 153386 0 15901 0 22330 0 6637 0 17027 0 215281 0 0 0 JAY H BLACKMAN FORMER OFFICER 0 209556 0 29549 0 1831 0 45073 0 19479 0 305488 0 0 PART I, LINE 4B MAKE WHOLE PLAN & SERP I PLAN: THE MAKE WHOLE AND SERP I PLANS ARE FROZEN, NON-TAX QUALIFIED DEFINED BENEFIT PLANS. PARTICIPATION IN THE PLANS IS LIMITED TO THE EXISTING PLAN PARTICIPANTS. THE BENEFITS UNDER THE PLANS ARE BASED UPON THE PARTICIPANT'S LENGTH OF SERVICE AND COMPENSATION. THE MAKE WHOLE PLAN WAS DESIGNED TO REPLACE THE BENEFITS THE PARTICIPANTS LOST DUE TO THE COMPENSATION LIMITS IMPOSED BY LAW UPON OUR QUALIFIED DEFINED BENEFIT PLAN. IN THE MANNER REQUIRED BY APPLICABLE IRS RULES, THE DESIGN OF EACH OF THESE ARRANGEMENTS WAS APPROVED AS REASONABLE, 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. FURTHERMORE, IF A PARTICIPANT VOLUNTARILY TERMINATES EMPLOYMENT OR IS TERMINATED BY THE EMPLOYER FOR CAUSE PRIOR TO THE APPLICABLE VESTING DATE UNDER THE MAKE WHOLE PLAN, THE PARTICIPANT'S ENTIRE MAKE WHOLE PLAN BENEFIT IS FORFEITED. IF A PARTICIPANT TERMINATES EMPLOYMENT FOR ANY REASON PRIOR TO THE APPLICABLE VESTING DATE UNDER THE SERP I, THE PARTICIPANT'S ENTIRE SERP I BENEFIT IS FORFEITED. IN ADDITION, UNDER CURRENT LAW, INTERESTS UNDER THESE ARRANGEMENTS ARE REPORTABLE AS TAXABLE COMPENSATION WHEN THEY BECOME VESTED, EVEN IF THOSE AMOUNTS ARE NOT YET PAYABLE TO THE PARTICIPANT (AND EVEN IF THOSE AMOUNTS ARE NEVER PAID TO THE PARTICIPANT). NO ROLLOVER OR OTHER TAX-DEFERRAL OPTIONS ARE AVAILABLE TO PARTICIPANTS. NOTE THAT ANY MAKE WHOLE PLAN OR SERP I VESTED AMOUNT OR PAYMENT BEING REPORTED AS COMPENSATION MAY ALSO HAVE BEEN REPORTED IN PREVIOUS YEAR(S) WHEN THAT INTEREST ACCRUED UNDER THE PLAN. SERP II PLAN & SRP PLAN: THE SERP II AND SRP PLANS ARE ACTIVE; NON-TAX QUALIFIED DEFINED CONTRIBUTION TARGET BENEFIT PLANS. THE PLANS ARE DESIGNED TO ACHIEVE A REASONABLE TARGETED RETIREMENT BENEFIT LEVEL FOR EACH PARTICIPANT (IN COMBINATION WITH THE OTHER RETIREMENT PROGRAMS OF THE EMPLOYER) BASED UPON CERTAIN CRITERIA, SUCH AS EACH PARTICIPANT'S LENGTH OF SERVICE AND COMPENSATION. IN THE MANNER REQUIRED BY APPLICABLE IRS RULES, THE DESIGN OF EACH OF THESE ARRANGEMENTS WAS APPROVED AS REASONABLE, 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. IF A PARTICIPANT VOLUNTARILY TERMINATES EMPLOYMENT OR IS TERMINATED BY THE EMPLOYER FOR CAUSE PRIOR TO THE APPLICABLE VESTING DATE UNDER EACH ARRANGEMENT, THE PARTICIPANT'S ACCOUNT IS FORFEITED. IN ADDITION, UNDER CURRENT LAW, INTERESTS UNDER THESE ARRANGEMENTS ARE REPORTABLE AS TAXABLE COMPENSATION WHEN THEY BECOME VESTED, EVEN IF THOSE AMOUNTS ARE NOT YET PAYABLE TO THE PARTICIPANT (AND EVEN IF THOSE AMOUNTS ARE NEVER PAID TO THE PARTICIPANT). NO ROLLOVER OR OTHER TAX-DEFERRAL OPTIONS ARE AVAILABLE TO PARTICIPANTS. NOTE THAT ANY SERP II OR SRP PLAN VESTED AMOUNT OR PAYMENT BEING REPORTED AS COMPENSATION MAY ALSO HAVE BEEN REPORTED IN PREVIOUS YEAR(S) WHEN THAT INTEREST ACCRUED UNDER THE PLAN. THE FOLLOWING INDIVIDUALS LISTED ON FORM 990, PART VII, SECTION A, LINE 1A PARTICIPATED IN A NONQUALIFIED RETIREMENT PLAN AND RECEIVED ACCRUED DEFERRED COMPENSATION THAT IS REPORTED ON SCHEDULE J, PART II, COLUMN (C): STEVE SNELGROVE $70,473.00; ELIZABETH KROMM $3,635.00; JOHN ORAVEC $3,594.00; MOHAMMED AHMED $17,129.00; AND CLARO PIO RODA $3,851.00. THE FOLLOWING INDIVIDUALS LISTED ON FORM 990, PART VII, SECTION A, LINE 1A PARTICIPATED IN A NON QUALIFIED RETIREMENT PLAN AND RECEIVED PAYMENT FROM THE PLAN, IT IS REPORTED ON SCHEDULE J, PART II, COLUMN (B)(III) AS WELL AS SCHEDULE J, PART II, COLUMN (F) IF THEY WERE REQUIRED TO BE DISCLOSED ON PRIOR YEARS FORMS 990: W. GILL WYLIE $51,568.00; G. DANIEL SHEALER, JR $186,505.00; RYAN BROWN $14,375.00; KAREN DAVIS $38,246.79; RON PETERSON $34,000.00; RENEE DEMSKI $16,543.26. PART I, LINE 7 THE BONUSES ARE ON A WEIGHTED FORMULA BASED ON THE ATTAINMENT OF QUANTIFIABLE ORGANIZATION OBJECTIVES SET BY THE TRUSTEE COMPENSATION COMMITTEE EACH YEAR. THEY ARE REVIEWED BY MANAGEMENT THAT USES DISCRETION TO DETERMINE PAYMENT. THE DEPENDENT TUITION REIMBURSEMENT PROGRAM REIMBURSE EMPLOYEES FOR THE MAXIMUM ANNUAL BENEFIT OF 50% OF $20,000 OR $10,000 FOR EACH ELIGIBLE DEPENDENT WITH A MAXIMUM OF TWO DEPENDENT CHILDREN PER EMPLOYEE AT ANY ONE TIME. THE BENEFIT IS LIMITED TO FOUR YEARS OF FULL-TIME UNDERGRADUATE STUDY. TUITION REIMBURSEMENT IS AVAILABLE TO ELIGIBLE EMPLOYEES THAT HAVE COMPLETED SIX MONTHS OF SERVICE AT A MINIMUM OF 40 SCHEDULED HOURS PER PAY. TO RECEIVE REIMBURSEMENT EMPLOYEES MUST ATTEND ACCREDITED COLLEGES AND UNIVERSITIES FOR CAREER-RELATED COURSES. THE REIMBURSEMENT IS AS FOLLOWS: IF YOU ARE SCHEDULED BETWEEN 60-80 HOURS PER PAY PERIOD YOU MAY RECEIVE UP TO $3,000 PER FISCAL YEAR FOR UNDERGRADUATE COURSES OR $5,000 PER FISCAL YEAR FOR GRADUATE COURSES. IF YOU ARE SCHEDULED BETWEEN 40-59 HOURS PER PAY PERIOD YOU MAY RECEIVE UP TO $1,500 PER FISCAL YEAR FOR UNDERGRADUATE COURSES OR $2,000 PER FISCAL YEAR FOR GRADUATE COURSES. FORM 990, PART VI, SECTION A, LINE 6 JOHNS HOPKINS HEALTH SYSTEM, INC., 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 SENT BY EMAIL 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 3,138,571. CHANGE IN FUNDED STATUS OF DEFINED BENEFIT PLANS 244,000. NET ASSETS RELEASED FROM RESTRICTION 604,769. HCGH DIAGNOSTIC HEALTH SERVICE 5755 CEDAR LANE COLUMBIA MD 21044 522326835 HEALTHCARE SERVICES MD 0 0 HOWARD COUNTY GENERAL HOSPITAL INC 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 HEALTHCARE SERVICES MD 501(C)(3) LINE 3 JOHNS HOPKINS HEALTH SYSTEM CORPORATION 0 THE JOHNS HOPKINS HOSPITAL 3910 KESWICK RD S BLDG STE 4300A BALTIMORE MD 21218 520591656 HOSPITAL MD 501(C)(3) LINE 3 JOHNS HOPKINS HEALTH SYSTEM CORPORATION 0 JOHNS HOPKINS HOSPITAL ENDOWMENT FUND INC 3910 KESWICK RD S BLDG STE 4300A BALTIMORE MD 21218 237252596 SUPPORTING ORGANIZATION MD 501(C)(3) LINE 12C, III-FI JOHNS HOPKINS HOSPITAL ENDOWMENT FUND INC 0 SUBURBAN HOSPITAL HEALTHCARE SYSTEM INC 8600 OLD GEORGETOWN ROAD BETHESDA MD 20814 522052354 HEALTHCARE SERVICES MD 501(C)(3) LINE 12C, III-FI JOHNS HOPKINS HEALTH SYSTEM CORPORATION 0 HOWARD COUNTY LIQUIDATION CORPORATION 5755 CEDAR LANE COLUMBIA MD 21044 520892284 INACTIVE TAX-EXEMPT ORGANIZATION MD 501(C)(3) LINE 3 JOHNS HOPKINS HEALTH SYSTEM CORPORATION 0 SUBURBAN HOSPITAL INC 8600 OLD GEORGETOWN ROAD BETHESDA MD 20814 520610545 HOSPITAL MD 501(C)(3) LINE 3 JOHNS HOPKINS HEALTH SYSTEM CORPORATION 0 LUCY WEBB HAYES NATIONAL TRAINING SCHOOL FOR DEACONESSES 5255 LOUGHBORO RD NW WASHINGTON DC 20016 530196602 HEALTHCARE SERVICES DC 501(C)(3) LINE 3 JOHNS HOPKINS HEALTH SYSTEM CORPORATION 0 POTOMAC HOME SUPPORT INC 6001 MONTROSE RD NO 1020 ROCKVILLE MD 20852 521750383 HOME HEALTH CARE MD 501(C)(3) LINE 12B, II N/A 0 SIBLEY SUBURBAN HOME HEALTH AGENCY 6001 MONTROSE RD NO 1020 ROCKVILLE MD 20852 521450142 HOME HEALTH CARE MD 501(C)(3) LINE 10 N/A 0 PEDIATRIC PHYSICIAN SERVICES INC 3910 KESWICK RD S BLDG STE 4300A BALTIMORE MD 21211 593425191 PEDIATRIC MEDICAL SERVICES MD 501(C)(3) LINE 10 ALL CHILDREN'S HEALTH SYSTEM INC 0 JOHNS HOPKINS ALL CHILDREN'S FOUNDATION INC 3910 KESWICK RD S BLDG STE 4300A BALTIMORE MD 21211 592481738 FOUNDATION FL 501(C)(3) LINE 7 ALL CHILDREN'S HEALTH SYSTEM INC 0 JOHNS HOPKINS ALL CHILDREN'S HOSPITAL INC 3910 KESWICK RD S BLDG STE 4300A BALTIMORE MD 21211 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