2019-05-15T03:37:22-05:00 2018-06-30 861065772 DELOITTE TAX LLP 695 TOWN CENTER DR STE 1000 COSTA MESA CA 92626 990 2017-07-01 526049658 GREATER BALTIMORE MEDICAL CENTER INC GREA 4438492000 6701 NORTH CHARLES STREET BALTIMORE MD 21204 LAURIE BEYER EVP & CFO 4438492000 2019-05-14 1 JOHN W SADOFF JR P00540589 7144367100 103.76.232.165 2019-05-14 03:15:15 US P 0EB4CE1ACD44DB279B6C2D9A8476B20948576B96 0EB4CE1ACD44DB279B6C2D9A8476B20948576B96 2017 2019-02-21 02:37:17Z JOHNB CHESSARE MD 6701 NORTH CHARLES STREET BALTIMORE MD 21204 538014630 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 4336 642 0 62592 9003314 10870749 425428415 485881304 11350648 17704287 -6308753 1668453 439473624 516124793 91970 90645 0 0 225570447 285875352 0 0 2936297 196424079 221496931 422086496 507462928 17387128 8661865 614876795 625534771 283762779 277749785 331114016 347784986 X SEE SCHEDULE O 0 0 187976935 233225810 THE GREATER BALTIMORE MEDICAL CENTER, INC. (GBMC) IS A 260-BED MEDICAL CENTER (ACUTE AND SUB-ACUTE CARE), LOCATED ON A SUBURBAN CAMPUS, WHICH PROVIDED INPATIENT CARE AND OBSERVATION SERVICES TO 17,782 AND 3,252 PATIENTS, RESPECTIVELY. ADDITIONALLY, GBMC DELIVERED OVER 3,959 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. 121068774 128572613 THE OPERATING ROOM PERFORMED OVER 22,177 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. 18231567 32214284 THE EMERGENCY DEPARTMENT TREATED 54,662 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. 110149402 516009 91352588 AMBULATORY, POST ACUTE, & PRIMARY CARE SERVICES 110149402 516009 91352588 437426678 1 1 0 0 0 0 0 0 0 1 1 0 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 0 1 0 0 0 1 1 1 1 0 0 1 329 0 1 4336 1 1 1 0 0 0 0 1 1 0 0 0 0 X 28 24 1 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 3.00 X 0 0 0 MR HERBERT J BELGRAD DIRECTOR 1.00 1.00 X 0 0 0 MS HEIDI KENNY BERMAN BEG 717 DIRECTOR 1.00 3.00 X 0 0 0 MS SANDRA BERMAN DIRECTOR 1.00 2.00 X 0 0 0 MS MONIQUE BOOKER BEG 717 DIRECTOR 1.00 2.00 X 0 0 0 ROBERT K BROOKLAND MD DIRECTOR 1.00 3.00 X 0 0 0 MR CHARLES C FENWICK JR DIRECTOR 1.00 3.00 X 0 0 0 MR JERRY FOCAS DIRECTOR 1.00 3.00 X 0 0 0 MR RICHARD D HUETHER DIRECTOR 1.00 3.00 X 0 0 0 MR HARRY S JOHNSON BEG 717 DIRECTOR 1.00 2.00 X 0 0 0 THEDA C KONTIS MD DIRECTOR 1.00 2.00 X 0 0 0 MR TIMOTHY L KRONGARD DIRECTOR 1.00 2.00 X 0 0 0 MR FRANKLIN M LEE DIRECTOR 1.00 2.00 X 0 0 0 MR THOMAS H MADDUX DIRECTOR 1.00 2.00 X 0 0 0 MR ANTHONY MILANDO DIRECTOR 1.00 2.00 X 0 0 0 MARIA PANE MD BEG 717 DIRECTOR/PHYSICIAN 60.00 2.00 X 322786 0 55011 MR THOMAS J O'DONNELL JR DIRECTOR 1.00 3.00 X 0 0 0 JOHN R SAUNDERS MD DIRECTOR/FORMER CMO (BEG 7/17) 1.00 2.00 X 373985 0 45533 MELISSA SPARROW MD CHIEF OF STAFF 50.00 10.00 X 239786 0 45758 MS BONNIE R STEIN DIRECTOR/FORMER CHAIR 1.00 2.00 X 0 0 0 MR JAMES B STRADTNER DIRECTOR 1.00 2.00 X 0 0 0 MS FAITH E THOMAS DIRECTOR 1.00 3.00 X 0 0 0 MR STEVEN A THOMAS DIRECTOR 1.00 2.00 X 0 0 0 JOHN B CHESSARE MD DIRECTOR/CEO GBMC HEALTHCARE 32.00 28.00 X X 1178633 0 41177 MR FREDERICK M HUDSON VICE CHAIR 1.00 2.00 X X 0 0 0 MS PATRICA J MITCHELL CHAIR 1.00 3.00 X X 0 0 0 MR STEPHEN T SCOTT TREASURER 1.00 2.00 X X 0 0 0 MS MARION G THOMPSON SECRETARY 1.00 2.00 X X 0 0 0 MR GEORGE E BAYLESS III CFO HEALTHCARE (ENDED 10/17) 36.00 24.00 X 273531 0 58155 MS LAURIE R BEYER EVP & CFO GBMC HEALTHCARE (BEG 10/17) 36.00 24.00 X 78189 0 4733 MR KEITH R POISSON EVP & COO GBMC HEATLHCARE 35.00 25.00 X 668049 0 46775 HAROLD TUCKER MD CHIEF MEDICAL OFFICER 50.00 10.00 X 488278 0 73473 MR BENNETT J BERES VP & COO GBMA 45.00 15.00 X 469459 0 28094 MS CAROLYN L CANDIELLO VP QUALITY & PT SAFETY 59.00 1.00 X 496603 0 40238 MS JENNY COLDIRON VP DEVELOPMENT GBMC HEALTHCA 10.00 50.00 X 292393 0 83195 MR JOHN W ELLIS SVP STRATEGY&BUS DEV (END 4/18) 45.00 15.00 X 568084 0 44606 MS CATHERINE HAMEL VP POST ACUTE SRVS & EXEC 21.00 39.00 X 376006 0 51652 MR DAVID J HYNSON VP & CIO 45.00 15.00 X 362027 0 80515 MS JOANN IOANNOU SVP PATIENT SERVICES 45.00 15.00 X 320947 0 90910 MS SUSAN MARTIELLI VP LEGAL AFFAIRS/CHIEF COUNSEL 40.00 20.00 X 363515 0 56275 MS STACEY L MCGREEVY VP FACILITIES 50.00 10.00 X 238847 0 15164 MS ANNA-MARIA G PALMER VP HUMAN RESOURCES 40.00 20.00 X 157488 0 29001 ELIZABETH A DOVEC MD PHYSICIAN 60.00 0.00 X 845034 0 60863 NIRAJ JANI MD MED DIRECTOR/PHYSICIAN 60.00 0.00 X 805106 0 48657 VICTOR A KHOUZAMI MD CHAIR/PHYSICIAN 60.00 0.00 X 1334544 0 42986 BIMAL G RAMI MD MED DIRECTOR/PHYSICIAN 60.00 0.00 X 1103942 0 52938 CLAIRE M WEITZ MD PHYSICIAN 60.00 0.00 X 818313 0 37328 MS LISA F GOODLETT FORMER EVP & CFO (ENDED 6/17) 0.00 0.00 X 197387 0 12409 MR ELLERY JOYEAU FORMER INTERIM VP HR (END 6/17) 40.00 0.00 X 164003 0 20679 12536935 0 1166125 385 1 1 0 SODEXO USA 9801 WASHINGTON BLVD GAITHERSBURG MD 20878 MANAGEMENT - HOTEL SERVICES 3909585 JOHNS HOPKINS UNIVERSITY 125 MEDICAL ADMIN RD 720 RUTLAND BALTIMORE MD 21205 RESIDENCY PROGRAM 3789432 EPIC SYSTEMS CORPORATION 1979 MILKY WAY VERONA WI 53593 SOFTWARE ENGINEERING 3645690 ADVANCED RADIOLOGY MEDICAL IMAGING OF B 7253 AMBASSADOR ROAD BALTIMORE MD 21244 RADIOLOGY SERVICES 2475011 CLEARPATH 12100 SUNSET HILLS ROAD RESTON VA 20190 SOFTWARE ENGINEERING 2196167 156 524308 2090655 8255786 10870749 PATIENT SERVICE 621110 476907229 476907229 OTHER OPERATING REV. 900099 8458066 8458066 GRANT REVENUE 541700 516009 516009 485881304 5402625 5402625 154183 0 154183 154183 154183 33865615 21563953 12301662 12301662 12301662 114735 524308 325884 -211149 -211149 PARKING REVENUE 812930 1603520 1603520 CAFETERIA INCOME 722210 121899 121899 1725419 516124793 485881304 0 19372740 90645 90645 13638258 13638258 228552400 205049785 22360056 1142559 6657245 5159185 1451802 46258 21246233 19787884 1318888 139461 15781216 14240603 1467250 73363 1445689 1109838 335851 221961 55114 166847 313828 49733 264095 961517 961517 37717911 33836896 3662062 218953 1935858 244197 1421700 269961 97747341 96021292 1065823 660226 10128407 8057978 2068582 1847 10343591 9636282 707309 833030 575603 238994 18433 1153578 973747 176412 3419 6423085 5746298 676787 36134466 31729691 4391613 13162 11410978 3555437 7854991 550 PURCHASED SERVICES 3852384 1440472 2063807 348105 INSTITUTIONAL DUES 873307 65998 807309 507462928 437426678 67099953 2936297 25726289 21218185 10845887 14663057 53709678 46644918 4462125 5023373 8213145 8579828 698276575 450579456 249472309 247697119 210862087 231241228 6387612 7631715 45197663 42835348 614876795 625534771 58370951 68730801 104063994 99681584 59606495 52710332 61721339 56627068 283762779 277749785 X 284139586 295367918 31144974 34372534 15829456 18044534 331114016 347784986 614876795 625534771 X 8661865 5923734 2085371 X 0 1 X 1 0 X 30435387 1335910 2907545 1836031 32842811 28073800 186150 3745142 1569705 30435387 28313123 1556091 -384455 1410959 28073800 20282263 1914549 7592234 1475923 28313123 17358091 2274086 2154496 1504410 20282263 0.42650 0.57350 0 1 1 15290673 15290673 354302416 211088892 143213524 10005749 3506967 6498782 149015850 126393633 22622217 169661887 109589964 60071923 247697119 INTERCOMPANY 42770814 DEFERRED ASSETS 20034 DONATED TIMESHARE 44500 42835348 THIRD PARTY ADVANCES 14452832 PENSION LIABILITY 11126614 CAPITAL LEASES 25231108 INSURANCE RESERVES 3310258 OTHER LIABILITIES 1929113 CHARITABLE GIFT ANNUITY 577143 56627068 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 TAXABLE 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 UNCERTAINITY OF INCOME TAX POSITIONS. THIS GUIDANCE DEFINES THE TRESHOLD 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 30,2018 AND 2017 FOR UNCERTAIN TAX POSITIONS. GBMC AGENCY, INC. AND ITS SUBSIDIARIES ARE TAXABLE ENTITIES. AN OPERATING LOSS CARRY FORWARD OF APPROXIMATELY $125,644 IS AVAILABLE TO OFFSET FUTURE TAXABLE INCOME THROUGH THE YEAR 2038. EFFECTIVE FOR TAX YEARS AFTER DECEMBER 31,2017, THE NET OPERATING LOSS CARRYFORWARD IS INDEFINITE. AS OF JUNE 30, 2018 AND 2017, DEFERRED TAX ASSETS OF $38,156 AND $54,370, 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 WILL NOT HAVE A MATERIAL EFFECT ON THE OPERATIONS OF THE ORGANIZATION. 1 CENTRAL AMERICA & THE CARIBBEAN 1 PROGRAM SERVICES INSURANCE PREMIUMS 11233676 1 0 0 0 1 0 11233676 0 11233676 1 0 1 0 0 0 PART I, LINE 2: GBMC RUXTON PROVIDES MONTHLY FINANCIAL REPORTS, WHICH ARE REVIEWED BY GBMC ACCOUNTING EMPLOYEES. STEEPLE CHASE 355794 299743 56051 0 0 226838 30088 6602 23816 GOLF OUTING 140172 104999 35173 3000 1766 0 1086 2 143077 119566 23511 4250 5656 760 22022 639043 524308 114735 234088 37510 7362 46924 325884 -211149 1 1 X 1 X 300.000000000000 0 1 1 0 1 1 10065332 8507192 1558140 0.00310 10065332 8507192 1558140 0.00310 1001441 720 1000721 0.00200 6230063 6230063 0.01230 101622945 70209708 31413237 0.06190 520841 520841 0.00100 144184 144184 0.00030 109519474 70210428 39309046 0.07750 119584806 78717620 40867186 0.08060 41763 41763 0.00010 41763 41763 0.00010 1 12043405 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 16 1 0 0 1 X HTTPS://WWW.GBMC.ORG/CHNA 1 16 1 SEE PART V, SECTION C 0 1 X 300.000000000000 X X X X X 1 1 X 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 0 X X X 1 X 0 0 GREATER BALTIMORE MEDICAL CENTER PART V, SECTION B, LINE 5: AS PART OF THE COMMUNITY HEALTHCARE NEEDSASSESSMENT (CHNA), SELECT INDIVIDUALS THROUGHOUT THE COMMUNITYREPRESENTING A VARIETY OF UNIQUE SERVICES, INCLUDING PUBLIC HEALTH,MEDICAL SERVICES, SOCIAL ORGANIZATIONS, CHILD & YOUTH SERVICES ANDFAITH-BASED ORGANIZATIONS WERE CHOSEN TO PARTICIPATE IN DIRECTLYRESPONDING TO A SURVEY REGARDING WHAT EACH INDIVIDUAL BELIEVED TO BE THEMOST SIGNIFICANT SOCIAL AND HEALTHCARE ISSUES FACING THE COMMUNITYAT-LARGE. THESE SURVEY RESPONSES BECAME AN OFFICIAL COMPONENT OF THEOVERALL CHNA REPORT.NAME AGENCYGREGORY BRANCH BALTIMORE COUNTY HEALTH DEPARTMENTSHINO BROWN LIFEBRIDGE HEALTHCAMILLE BURKE BALTIMORE CITY HEALTH DEPARTMENTJACQUELYN CORNISH BALTMORE COUNTY DEPARTMENT OF PLANNINGDONNA COX, PHD TOWSON UNIVERSITYSHONDA DESHILEDS BALTIMORE CITY HEALTH DEPARTMENTKRISTINE DUNKERTON COMMUNITY LAW CENTERCYRUS ENGINEER TOWSON UNIVERSITYEMILIE GILDE BALTIMORE CITY HEALTH DEPARTMENTSTACY HEINZE VETERANS AFFAIRS (BALTIMORE)ROBIN JACOBS COMMUNITY LAW CENTERJULIE LYNN BYKOTA SENIOR CENTERMARY MCSWEENEY-FIELD TOWSON UNIVERSITYCOLLEEN MERCIER HOLLY HILL NURSING AND REHABILITATIONBARRY PAGE BEHAVIORAL HEALTH ADMINISTRATION - CLINICAL SERVICESMICHELLE PROSER BALTIMORE COUNTY SCHOOL SYSTEMKATHLEEN WESTCOAT BEHAVIORAL HEALTH SYSTEM BALTIMOREJOANNE WILLIAMS BALTIMORE COUNTY DEPARTMENT OF AGINGUNIDENTIFIED RESPONDENT BALTIMORE COUNTY HEALTH DEPARTMENT - HEALTH AND HUMAN SERVICES GREATER BALTIMORE MEDICAL CENTER PART V, SECTION B, LINE 11: GREATER BALTIMORE MEDICAL CENTER (GBMC) HAS MADE SIGNIFICANT STRIDES IN ITS IMPLEMTATION 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 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. THESE PROGRAMS DESCRIBED MORE FULLY BELOW, HAVE CONTRIBUTED TO GBMC ACHIEVING A 9.46% READMISSION RATE, THE LOWEST IN THE STATE. 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 SENIOR'S 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 1,444 LOW INCOME AND/OR HOME BOUND SENIORS. A DESIGNATED NURSE PRACTITIONER MADE 836 VISITS TO SENIORS THROUGHOUT THE COMMUNITY, PROVIDING VACCINATIONS AND GLUCOSE SCREENINGS. GBMC HAS INVESTED SIGNIFICANTLY, $33 MILLION IN FY18, 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 17%. ADDITIONAL INVESTMENT IN GBMC PHYSICIAN SERVICES, INCLUDESD $6.2 MILLION FOR FY18 IN HEALTH PROFESSIONAL EDUCATION.REGARDING THE EXPANSION OF CARE MANAGEMENT, GBMC'S EFFORTS ARE REFLECTEDIN FY18, BY THE 217 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 NOTEABLE 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. ONE CRITICAL COMPONENT OF THIS OBJECTIVE IS TO IMPROVE COURT OUTCOMES FOR VICTIMS. OVER 200 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. ADDITIONALLY, MORE THAN 300 VICTIMS OF ABUSE BENEFITED FROM ADVOCACY AND SAFETY PLANNING.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 FY18, THIS INITIATIVE REACHED 100 OBESE INDIVIDUALS.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 FY18, GBMC'S DIABETES CENTER HAD 1,801 VISITS, WHICH IS 11% HIGHER THAN THE PRIOR YEAR. 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 V, SECTION B, LINE 10 THE HOSPITAL'S MOST RECENTLY ADOPTED IMPLEMENTATION STRATEGY IS POSTED ON THE FOLLOWING WEBSITE:HTTPS://WWW.GBMC.ORG/CHNA PART V, SECTION B, LINE 3C THE KEY INFORMANT REPORT, A COMPONENT OF THE COMMUNITY NEEDS ASSESSMENT REPORT, DESCRIBES THE RESOURCES AVAILABLE THAT ADDRESS THE KEY "AREA OF NEEDS". 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 I, LN 7 COL(F): GBMC ADOPTED THE GUIDANCE OF ASU 2011-7, WHICH REQUIRED THE RECLASSIFICATION OF THE PROVISION FOR BAD DEBTS ASSOCIATED WITH PATIENT SERVICE REVENUE FROM AN OPERATING EXPENSE TO A DEDUCTION FROM PATIENT SERVICE REVENUE. AS SUCH $14.6 MILLION FOR PROVISION OF BAD DEBT WAS RECORDED AS A REDUCTION OF PATIENT SERVICE REVENUE.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 ANNUAL SPONSORSHIP THAT ALLOWS FOR PRACTICAL JOB SKILLS TO BE GAINED BY AT-RISK HIGH-SCHOOL STUDENTS THROUGH SPONSORSHIP OF A STUDENT IN AN ON-SITE WORK/STUDY ROLE. 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: GBMC ADOPTED THE GUIDANCE OF ASU 2011-7, WHICH REQUIRED THE RECLASSIFICATION OF THE PROVISION FOR BAD DEBTS ASSOCIATED WITH PATIENT SERVICE REVENUE FROM AN OPERATING EXPENSE TO A DEDUCTION FROM PATIENT SERVICE REVENUE. AS SUCH $12.0 MILLION FOR PROVISION OF BAD DEBT WAS RECORDED AS A REDUCTION OF PATIENT SERVICE 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 COMPANY'S 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 $1,643,000 AND $1,684,000 OF FINANCIAL ASSISTANCE DURING THE YEARS ENDED JUNE 30, 2018 AND 2017, RESPECTIVELY. THE TOTAL DIRECT AND INDIRECT COST OF PROVIDING FINANCIAL ASSISTANCE WAS APPROXIMATELY $1,222,000 AND $1,253,000 DURING THE FISCAL YEARS ENDED JUNE 30, 2018 AND 2017, 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: PATIENT ACCOUNTS RECEIVABLE ARE REDUCED BY ALLOWANCES FOR BAD DEBTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE COMPANY ANALYZES HISTORICAL COLLECTIONS AND WRITE OFFS AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR BAD DEBTS AND PROVISION FOR UNCOLLECTIBLE ACCOUNTS. MANAGEMENT REGULARLY REVIEWS ITS ESTIMATE AND EVALUATES THE SUFFICIENCY OF THE ALLOWANCE FOR BAD DEBTS. THE COMPANY ANALYZES CONTRACTUAL AMOUNTS DUE FROM PATIENTS WHO HAVE THIRD PARTY COVERAGE AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS. FOR PATIENT ACCOUNTS RECEIVABLE ASSOCIATED WITH SELF PAY PATIENTS, WHICH INCLUDES THOSE PATIENTS WITHOUT EXISTING INSURANCE COVERAGE FOR A PORTION OF THE BILL, THE COMPANY RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS FOR PATIENTS THAT ARE UNABLE OR UNWILLING TO PAY FOR THE PORTION OF THE BILL REPRESENTING THEIR FINANCIAL RESPONSIBILITY. ACCOUNT BALANCES ARE CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS AFTER ALL MEANS OF COLLECTION HAVE BEEN EXHAUSTED.THE COMPANY'S ALLOWANCE FOR DOUBTFUL ACCOUNTS SLIGHTLY DECLINED FROM 19% OF GROSS ACCOUNTS RECEIVABLE AT JUNE 30, 2017 TO 18% AT JUNE 30, 2018. 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 NEEDS ASSESSMENT DESIGNED TO EVALUATE AND UNDERSTAND THE UNMET HEALTHCARE NEEDS OF THE GBMC COMMUNITY, AND HOW GBMC, GIVEN ITS SERVICE ORIENTATION, MIGHT BE BEST SERVED TO ASSIST IN MEETING THE IDENTIFIED UNMET NEEDS. GBMC USES STATISTICAL AND MEDICAL INCIDENCE DATA FROM LOCAL COUNTY HEALTH DEPARTMENTS THAT COLLECT SUCH DATA, AS WELL AS OTHER VARIOUS NATIONAL DATA. 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, 260 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 2010 MEDIAN FAMILY INCOME FOR GBMC'S IMMEDIATE SERVICEAREA WAS $78,627, COMPARED TO $85,098 AND $62,982 FOR MARYLAND AND THENATION RESPECTIVELY. HOWEVER, GBMC'S PERCENTAGE OF UNINSURED IS 1.47% FORITS IMMEDIATE SERVICE AREA, COMPARED TO 12.0% FOR BALTIMORE COUNTY AND ANATIONAL AVERAGE OF 13.2%. 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) 30250 TO MAKE A PRIVATE, COLLEGE-PREPARATORY EDUCATION AFFORDABLE TO URBAN YOUNG PEOPLE FROM BALTIMORE SHEPPARD & ENOCH PRATT FOUNDATION 6501 N CHARLES STREET TOWSON MD 21204 521357109 501(C)(3) 5000 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 TOWSON MD 21204 521484872 501(C)(3) 50000 GENERAL SUPPORT FOR HEALTHCARE. GREATER BALTIMORE MEDICAL CENTER INC 6701 NORTH CHARLES STREET BALTIMORE MD 21204 526049658 501(C)(3) 5395 GENERAL ASSISTANCE 3 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 BEG 717 DIRECTOR/PHYSICIAN 322509 0 0 0 277 0 14937 0 40074 0 377797 0 0 0 JOHN R SAUNDERS MD DIRECTOR/FORMER CMO (BEG 7/17) 280876 0 80898 0 12211 0 14897 0 30636 0 419518 0 0 0 MELISSA SPARROW MD CHIEF OF STAFF 239369 0 0 0 417 0 7619 0 38139 0 285544 0 0 0 JOHN B CHESSARE MD DIRECTOR/CEO GBMC HEALTHCARE 771731 0 388727 0 18175 0 14300 0 26877 0 1219810 0 0 0 MR GEORGE E BAYLESS III CFO HEALTHCARE (ENDED 10/17) 183926 0 84214 0 5391 0 14468 0 43687 0 331686 0 0 0 MR KEITH R POISSON EVP & COO GBMC HEATLHCARE 446330 0 198065 0 23654 0 14300 0 32475 0 714824 0 0 0 HAROLD TUCKER MD CHIEF MEDICAL OFFICER 487546 0 0 0 732 0 49669 0 23804 0 561751 0 0 0 MR BENNETT J BERES VP & COO GBMA 308719 0 150367 0 10373 0 14300 0 13794 0 497553 0 111783 0 MS CAROLYN L CANDIELLO VP QUALITY & PT SAFETY 251386 0 235375 0 9842 0 13675 0 26563 0 536841 0 196577 0 MS JENNY COLDIRON VP DEVELOPMENT GBMC HEALTHCA 238416 0 48476 0 5501 0 42148 0 41047 0 375588 0 0 0 MR JOHN W ELLIS SVP STRATEGY&BUS DEV (END 4/18) 383918 0 161736 0 22430 0 16950 0 27656 0 612690 0 0 0 MS CATHERINE HAMEL VP POST ACUTE SRVS & EXEC 296594 0 72460 0 6952 0 12758 0 38894 0 427658 0 0 0 MR DAVID J HYNSON VP & CIO 282754 0 71906 0 7367 0 43002 0 37513 0 442542 0 0 0 MS JOANN IOANNOU SVP PATIENT SERVICES 269243 0 48269 0 3435 0 50373 0 40537 0 411857 0 0 0 MS SUSAN MARTIELLI VP LEGAL AFFAIRS/CHIEF COUNSEL 315013 0 42103 0 6399 0 44212 0 12063 0 419790 0 0 0 MS STACEY L MCGREEVY VP FACILITIES 223139 0 15339 0 369 0 13674 0 1490 0 254011 0 0 0 MS ANNA-MARIA G PALMER VP HUMAN RESOURCES 157248 0 0 0 240 0 22937 0 6064 0 186489 0 0 0 ELIZABETH A DOVEC MD PHYSICIAN 707309 0 137617 0 108 0 14300 0 46563 0 905897 0 0 0 NIRAJ JANI MD MED DIRECTOR/PHYSICIAN 653289 0 151697 0 120 0 14062 0 34595 0 853763 0 0 0 VICTOR A KHOUZAMI MD CHAIR/PHYSICIAN 1272562 0 61250 0 732 0 16950 0 26036 0 1377530 0 0 0 BIMAL G RAMI MD MED DIRECTOR/PHYSICIAN 821728 0 282036 0 178 0 15425 0 37513 0 1156880 0 0 0 CLAIRE M WEITZ MD PHYSICIAN 817521 0 0 0 792 0 11039 0 26289 0 855641 0 0 0 MS LISA F GOODLETT FORMER EVP & CFO (ENDED 6/17) 196327 0 0 0 1060 0 2777 0 9632 0 209796 0 0 0 MR ELLERY JOYEAU FORMER INTERIM VP HR (END 6/17) 149384 0 13669 0 950 0 7811 0 12868 0 184682 0 0 0 PART I, LINES 4A-B GREATER BALTIMORE MEDICAL CENTER, INC. 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 I,COLUMN B(III) AS PART OF DEFERRED COMPENSATION. THE FOLLOWING INDIVIDUALS PARTICIPATED IN THIS SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN: MR. JOHN B. CHESSARE M.D. $204,274 EARNED, $204,274 PAID MR. BENNETT BERES $0 EARNED, $0 PAID MS. CAROLYN L. CANDIELLO $0 EARNED, $0 PAID MS. JENNY COLDIRON $27,948 EARNED, $0 PAID MS. CATHERINE HAMEL $25,856 EARNED, $25,856 PAID MR. DAVID J. HYNSON $28,760 EARNED, $0 PAID MS. JOANN Z. IOANNOU $41,373 EARNED, $0 PAID MS. LISA F. GOODLETT $0 EARNED, $0 PAID MS. SUSAN MARTIELLI $31,514 EARNED, $0 PAID MS. ANNA-MARIA PALMER $25,000 EARNED, $0 PAID MS. LAURIE R. BEYER $0 EARNED, $0 PAID MR. GEORGE E.S. BAYLESS $19,206 EARNED, $19,206 PAID MR. KEITH POISSON $95,829 EARNED, $95,829 PAID MR. JOHN W. ELLIS $96,795 EARNED, $96,795 PAID MR. BENNETT J. BERES $31,116 EARNED, $0 PAID. MS. CAROLYN L. CANDIELLO $25,925 EARNED, $0 PAID. A MD HEALTH & HIGHER ED FAC AUTH 520936091 574218BX0 2011-04-20 67785219 SEE PART VI 0 0 0 B MD HEALTH & HIGHER ED FAC AUTH 520936091 574218EY5 2012-04-11 36317095 REFUND BONDS ISSUED 12/6/2001 0 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 16040000 32480000 67785379 723328 4999718 62062333 2011 1 0 1 1 B 32205000 36317095 36317095 1 0 1 1 C 810000 73720000 72040853 22274 3200838 0 1 1 1 A 0 1 1 1 0 0.00450 0.00450 0 0 1 B 0 1 1 1 0 0.00450 0.00450 0 0 1 C 0 1 1 1 0 0.00970 0.00970 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 3909585 MANAGEMENT - HOTEL SERVICES 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 3645690 SOFTWARE ENGINEERING 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 2475011 RADIOLOGY SERVICES 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 2196167 SOFTWARE ENGINEERING 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 1108232 BROKER SERVICES 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 643631 BEHAVIORAL HEALTH SERVICES 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 565653 CONSULTING 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 496716 AMBULANCE/PATIENT TRANSPORTATION 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 483148 AUDIT SERVICES 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 325072 WASTE MANAGEMENT 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 264155 PRINTING SERVICES 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 246588 SOFTWARE HOSTING 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 193692 ACTUARIAL/INVESTMENT CONSULTING 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 120324 BANKING FEES 0 X 3 20074 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 2 MS. HEIDI KENNY BERMAN AND MS. SANDRA BERMAN HAVE A FAMILY RELATIONSHIP. 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 SUPPORTED 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 1,117,887. TRANSFER TO AFFILIATES 967,484. 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