2019-05-13T10:15:35-05:00 2018-06-30 990 2017-07-01 590683252 JOHNS HOPKINS ALL CHILDREN'S HOSPITAL INC JOHN 4439975771 3910 KESWICK ROAD S BLDG NO 4300A BALTIMORE MD 21211 CHRISTOPHER WHITBY VP FINANCE AND CFO 4439975771 2019-05-13 128.220.159.45 2019-05-13 10:15:29 ED P C2B764D82FA023849B2FE4DA478290B2062C5C06 819AB38F4EE4C715E99C39D41F9DD1DAE66D04F4 2017 2019-02-21 02:37:17Z CHRISTOPHER WHITBY 501 6TH AVE SOUTH ST PETERSBURG FL 33701 503940046 0 X WWW.HOPKINSALLCHILDRENS.ORG X 1967 FL PROVIDE LEADERSHIP IN CHILD HEALTH THROUGH TREATMENT, EDUCATION, ADVOCACY AND RESEARCH. 38 36 3287 814 0 175178 14128763 9588458 435486295 473186649 6291700 3260840 12688904 10746612 468595662 496782559 0 67700 0 0 206954438 222326119 0 0 0 211279553 240986981 418233991 463380800 50361671 33401759 1037210344 1070501090 376243649 382293833 660966695 688207257 X MISSION: JOHNS HOPKINS ALL CHILDREN'S HOSPITAL (ALL CHILDREN'S), 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 CHILDREN'S HOSPITAL IN FLORIDA. 0 0 54421399 0 79506266 INTENSIVE CARE UNITSPURPOSE: JOHNS HOPKINS ALL CHILDREN'S HOSPITAL PEDIATRIC CRITICAL CARE SPECIALISTS TAKE CARE OF ACUTELY ILL PATIENTS IN THE TWO PEDIATRIC INTENSIVE CARE UNITS (PICU) AT ALL CHILDREN'S. THEY SERVE AS ATTENDING PHYSICIANS FOR THE PATIENTS ADMITTED TO PICU FOR MEDICAL PROBLEMS LIKE PNEUMONIA AND MENINGITIS. THEY WORK CLOSELY WITH SURGICAL SPECIALISTS IN TAKING CARE OF PATIENTS RECOVERING FROM MAJOR SURGERIES, AND ARE ACTIVELY INVOLVED IN THE CARE OF OUR CARDIOVASCULAR INTENSIVE CARE UNIT (CVICU) PATIENTS. ALL CHILDREN'S NEONATAL INTENSIVE CARE UNIT (NICU) IS A 97 BED LEVEL 3 NICU, OFFERING THE HIGHEST LEVEL OF NEONATAL CARE TO NEWBORNS. THE UNIT IS MADE UP ALMOST ENTIRELY OF PRIVATE ROOMS WITH THE MOST ADVANCED LIFE-SUPPORT AND MONITORING EQUIPMENT. ALL CHILDREN'S ALSO OFFERS SPACIOUS ROOMS AND COMFORTABLE LOUNGE CHAIRS THAT ENCOURAGE PARENTS TO SPEND AS MUCH TIME AS POSSIBLE WITH THEIR NEWBORN.ALL CHILDREN'S CRITICAL CARE UNITS INCLUDE:PEDIATRIC INTENSIVE CARE UNIT 1PEDIATRIC INTENSIVE CARE UNIT 2PEDIATRIC CARDIOVASCULAR INTENSIVE CARE UNITNEONATAL INTENSIVE CARE UNIT 13549935 0 27758943 EMERGENCY CENTERPURPOSE: CHILDREN'S HEALTH EMERGENCIES REQUIRE SPECIAL EXPERTISE AND SPECIAL TREATMENT. ALL CHILDREN'S HAS BUILT AN EMERGENCY CENTER AROUND THE SPECIFIC NEEDS OF CHILDREN IN EMERGENCY MEDICAL SITUATIONS. SOME OF THE DISTINCT ADVANTAGES OF THE ALL CHILDREN'S EMERGENCY CENTER ARE:-THE EC ATTENDING STAFF CONSISTS OF PEDIATRIC EMERGENCY MEDICINE PHYSICIANS AND GENERAL PEDIATRICIANS.-PEDIATRIC EMERGENCY MEDICINE PHYSICIANS HAVE THREE ADDITIONAL YEARS OF PEDIATRIC TRAINING BEYOND THEIR TRAINING IN EMERGENCY MEDICINE. -THERE IS AT LEAST ONE BOARD CERTIFIED PEDIATRIC EMERGENCY MEDICINE PHYSICIAN IN THE EC AT ALL TIMES, SOMETIMES AS MANY AS THREE.-IN ADDITION TO HAVING THE SKILLS TO MAKE KIDS FEELS MORE SECURE AND AT EASE IN EMERGENCY SITUATIONS, PEDIATRIC EMERGENCY PHYSICIANS' ADDITIONAL TRAINING MEANS FASTER DIAGNOSIS AND TREATMENT.-JOHNS HOPKINS ALL CHILDREN'S HOSPITAL ALSO USES ONLY PEDIATRICS RESIDENTS - DOCTORS WHO ARE TRAINING TO BE PEDIATRICIANS, RATHER THAN GENERAL PRACTICE RESIDENTS.-THE EMERGENCY CENTER NURSING STAFF IS SPECIALLY TRAINED IN PEDIATRIC EMERGENCY NURSING.-THE EMERGENCY CENTER IS DIRECTLY ADJACENT TO THE PEDIATRIC RADIOLOGY DEPARTMENT. THE RADIOLOGY DEPARTMENT IS STAFFED 24 HOURS, AND FILMS ARE READ BY PEDIATRIC RADIOLOGISTS. OUR RADIOLOGY DEPARTMENT IS PART OF THE IMAGE GENTLY CAMPAIGN; A WIDESPREAD EFFORT BY RADIOLOGISTS TO REDUCE RADIATION EXPOSURE IN CHILDREN'S IN MANY DIFFERENT WAYS.-THE EMERGENCY CENTER HAS A CHILD LIFE SPECIALIST WHO HELPS MAKE THE EMERGENCY CENTER EXPERIENCE LESS THREATENING AND STRESSFUL FOR PATIENTS AND FAMILIES. CHILD LIFE SPECIALISTS USE DISTRACTION AND PLAY TO HELP CHILDREN COPE BETTER WITH THE HOSPITAL EXPERIENCE.THE ALL CHILDREN'S EMERGENCY CENTER TREATS OVER 45,000 INFANTS, CHILDREN, AND TEENAGERS A YEAR, AND IS PART OF A JOINT TRAUMA PROGRAM WITH BAYFRONT MEDICAL CENTER. THE EMERGENCY CENTER IS ABLE TO TREAT ALL EMERGENCY CONDITIONS. 13480191 0 21344664 RESPIRATORY THERAPYPURPOSE: THE PEDIATRIC PULMONOLOGY PROGRAM AT ALL CHILDREN'S IN ST. PETERSBURG, FLORIDA, TREATS CHILDREN WITH ACUTE AND CHRONIC DISEASES OF THE RESPIRATORY SYSTEM, INCLUDING ASTHMA, CYSTIC FIBROSIS, BRONCHOPULMONARY DYSPLASIA, CENTRAL APNEA, SLEEP APNEA AND SLEEP-DISORDERED BREATHING.THE PROGRAM IS ACCREDITED BY THE CYSTIC FIBROSIS FOUNDATION AS A CYSTIC FIBROSIS CARE CENTER, SERVING AS A CENTER OF EXCELLENCE FOR CLINICAL CARE, RESEARCH, AND MULTI-DISCIPLINARY SUPPORT FOR CF PATIENTS. THE PROGRAM IS ALSO A CYSTIC FIBROSIS FOUNDATION DESIGNATED THERAPEUTIC DEVELOPMENT CENTER - ONE OF MORE THAN 80 CENTERS WORLDWIDE SPECIALIZING IN CLINICAL TRIALS TO EVALUATE THE SAFETY AND EFFICACY OF NEW THERAPIES. THE PEDIATRIC PULMONOLOGISTS ALSO LEAD A COLLABORATIVE ASTHMA PROGRAM AT ALL CHILDREN'S AIMED AT REDUCING THE RATE OF HOSPITALIZATION FOR CHILDREN WITH ASTHMA AND LINKING HOSPITAL-BASED AND COMMUNITY RESOURCES FOR FAMILIES OF ASTHMATIC CHILDREN. 266340802 67700 347984864 266340802 67700 347984864 347792327 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 0 0 0 0 0 0 0 0 1 1 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 X 304 0 1 3287 1 1 1 0 0 0 0 0 0 0 0 0 X 38 36 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 FL X THE CORPORATION 4439975771 3910 KESWICK RD S BLDG BALTIMORE MD 21211 TINA CHENG MD TRUSTEE 1.00 0.00 X 0 0 0 BRIAN ELLERSON TRUSTEE 1.00 0.00 X 0 0 0 COURT JAMES TRUSTEE 1.00 0.00 X 0 0 0 TIMOTHY BARBER TRUSTEE 1.00 0.00 X 0 0 0 SANDRA DIAMOND TRUSTEE, CHAIRMAN 3.00 0.00 X 0 0 0 DEREK HESS MD TRUSTEE 1.00 0.00 X 0 0 0 JENNIFER COTTER TRUSTEE 1.00 0.00 X 0 0 0 KEN COPPEDGE TRUSTEE/BOARD TREASURER 3.00 0.00 X X 0 0 0 MICHAEL CANNOVA TRUSTEE 1.00 0.00 X 0 0 0 VINCENT DOLAN TRUSTEE 1.00 0.00 X 0 0 0 JONATHAN ELLEN MD PRESIDENT/VICE DEAN/PIC/TRUSTEE 47.00 13.00 X X 885721 0 112379 JOSEPH FLEECE TRUSTEE 1.00 0.00 X 0 0 0 STEPHANIE GOFORTH TRUSTEE 1.00 0.00 X 0 0 0 MARK LAPRADE TRUSTEE 1.00 0.00 X 0 0 0 NANCY HAMILTON TRUSTEE 1.00 0.00 X 0 0 0 DWAYNE HAWKINS TRUSTEE 1.00 0.00 X 0 0 0 TROY HOLLAND TRUSTEE 1.00 0.00 X 0 0 0 WILLIAM H HORNER TRUSTEE 1.00 0.00 X 0 0 0 JACK W KIRKLAND JR TRUSTEE 1.00 0.00 X 0 0 0 ERIC KOBREN TRUSTEE 1.00 0.00 X 0 0 0 DARRYL LECLAIR SECRETARY OF THE BOARD 3.00 0.00 X X 0 0 0 MARK LETTELLEIR TRUSTEE 1.00 0.00 X 0 0 0 TOM MAHAFFEY TRUSTEE 1.00 0.00 X 0 0 0 WILLIAM R LANE JR TRUSTEE, VICE CHAIRMAN 1.00 0.00 X 0 0 0 MILTON H MILLER JR TRUSTEE 1.00 0.00 X 0 0 0 MARK MONDELLO TRUSTEE 1.00 0.00 X 0 0 0 RONALD R PETERSON CORP VICE CHAIR/TRUSTEE 3.00 57.00 X X 0 3088921 65956 KEVIN W SOWERS MSN RN FAA CORP VICE CHAIR/TRUSTEE 3.00 57.00 X X 0 367110 0 STEVEN A RAYMUND TRUSTEE 1.00 0.00 X 0 0 0 LAWRENCE REPAR TRUSTEE 1.00 0.00 X 0 0 0 CRAIG SHER TRUSTEE 1.00 0.00 X 0 0 0 GAYLE SIERENS-MARTIN TRUSTEE 1.00 0.00 X 0 0 0 RAYMOND SMITH TRUSTEE 1.00 0.00 X 0 0 0 NANCY SWART TRUSTEE 1.00 0.00 X 0 0 0 MARK STROUD TRUSTEE 1.00 0.00 X 0 0 0 TROY TAYLOR TRUSTEE 1.00 0.00 X 0 0 0 DOUGLAS MYERS VP, FINANCE & CFO 45.00 15.00 X 0 370758 12388 JACKIE CRAIN VP & CHIEF STRATEGY OFFICER 45.00 15.00 X 0 273820 56730 ROBERTA ALESSI EXECUTIVE VP & COO 33.00 27.00 X 0 486749 107908 TAMMY REYES ASSISTANT SECRETARY 53.00 7.00 X 81941 0 19085 MARCOS DELEON VP HUMAN RESOURCES 45.00 15.00 X 0 328860 77064 BRIGITTA MUELLER MD VP MEDICAL AFFAIRS 37.00 23.00 X 0 400728 79171 VERONICA MARTIN VP & CNO 45.00 15.00 X 0 318152 52974 SYLVIA AMEEN VP MARKETING 45.00 15.00 X 0 222466 33804 KIMBERLY BERFIELD VP GOVERNMENT AFFAIRS 45.00 15.00 X 0 149815 6662 JOHN W MCLENDON VP & CIO 45.00 15.00 X 382669 0 38132 ANTHONY NAPOLITANO MD CO CHAIR DEPT OF PED MEDIC 50.00 10.00 X 367644 0 30552 PAUL COLOMBANI MD CHAIR OF SURGERY 29.00 31.00 X 826545 0 100598 ROBERT SOSA MD MEDICAL DIR INTERNATIONAL PRO 45.00 15.00 X 415668 24192 38682 JEFFREY JACOBS CO-DIR HEART INSTITUTE 20.00 40.00 X 0 937104 49652 GARY STAPLETON CO-DIR HEART INSTITUTE 45.00 15.00 X 0 452197 44678 JOSEPH PERNO PHYSICIAN 40.00 10.00 X 427253 0 45742 DENNIS HART ADMINISTRATION REHAB SERV 40.00 10.00 X 338784 0 50151 CHERYL SAYERS O'NEIL-GARDNER RN TRANSPORT TEAM 40.00 10.00 X 236244 0 32699 DIPTI AMIN PHYSICIAN 40.00 10.00 X 284229 0 38183 CHRISTINE OLANDER SR DIR REVENUE CYCLE 40.00 10.00 X 204613 0 37306 4451311 7420872 1130496 202 0 1 0 SKANSKA USA BUILDING INC 4030 BOY SCOUT BLVD STE 200 TAMPA FL 33607 BUILDING CONTRACTOR 30215642 CERNER CORP PO BOX 959156 ST LOUIS MO 63195 IT SERVICES 10203913 FTI CONSULTING INC PO BOX 418005 BOSTON MA 02241 CONSULTING SERVICES 3216550 ONEBLOOD INC PO BOX 628342 ORLANDO FL 32862 LAB SERVICES 1939014 WEHR CONSTRUCTORS INC 9423 CORPORATE LAKE DR TAMPA FL 33634 CONTRACTOR SERVICES 1819839 129 1748166 6434144 1406148 9588458 HOSPITAL INPT & OUTPT 621990 435772979 435772979 MEDICAID/GME 621990 14680407 14680407 RETAIL PHARMACY INCOME 621990 4386119 4386119 18347144 18347144 473186649 10284237 10284237 7338524 0 7338524 7338524 7338524 134090 717092 6440395 -583002 -6440395 -7023397 -7023397 CAFETERIA INCOME 900099 3408088 3408088 3408088 496782559 476594737 0 10599364 67700 67700 3323809 3323809 171236230 147062450 24173780 47766080 40350433 7415647 9658390 5745564 3912826 957215 3604 953611 40802 11935 28867 242465 242465 174519 10683 163836 33230717 21386971 11843746 1175563 29842 1145721 15855088 9737555 6117533 8637915 4358210 4279705 6764257 503159 6261098 1785226 1060017 725209 508073 303675 204398 4106984 2451609 1655375 26873683 19297300 7576383 4126708 2434221 1692487 MEDICAL SUPPLIES 57996398 57690642 305756 CONTR PROGRAM SUPPORT 41541510 30577445 10964065 PURCHASED SRVC- INTR CO 15480664 2602203 12878461 INDIGENT FEE ASSESSMENT 5619078 5619078 6211726 2107109 4104617 463380800 347792327 115588473 0 28049782 31560542 300000 100000 53520493 81735374 12326320 10597043 16271432 15504061 648616558 209533569 397734607 439082989 424656365 393192772 7058890 6255135 19615927 15801116 77676528 76672058 1037210344 1070501090 57871177 63436490 93800000 98766589 224572472 220090754 376243649 382293833 X 642153144 669536365 5431204 4836393 13382347 13834499 660966695 688207257 1037210344 1070501090 X 33401759 12488968 -18650165 X 0 1 X 1 1 1 X 0 0 0 0 0 0 1 242465 0 0 242465 0 SCHEDULE C, PART 11-B, LINE 1G JOHNS HOPKINS ALL CHILDRENS HOSPITAL PAID ITS PARENT CORPORATION, THE JOHNS HOPKINS HEALTH SYSTEM CORPORATION $242,465 DURING THE FISCAL YEAR ENDED JUNE 30, 2018 TO SUPPORT THEIR LOBBYING ACTIVITIES. JOHNS HOPKINS OFFICE OF GOVERNMENT AND COMMUNIY 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 THE JOHNS HOPKINS HEALTH SYSTEM AND ITS AFFILIATES AS WELL AS THE HEALTHCARE INDUSTRY IN GENERAL. 14988278 522000 -878000 14632278 14435278 553000 14988278 15107278 -672000 14435278 15878278 -771000 15107278 14436278 1442000 15878278 1.00000 0 0 23089125 23089125 251757869 71979603 179778266 530342 529465 877 253698595 128719732 124978863 119540627 8304769 111235858 439082989 DUE FROM AFFILIATES 1187195 INTEREST IN NET ASSETS OF FOUNDATION 70058122 LIMITED USE ASSET 204801 OTHER ASSETS 5221940 76672058 PROFESSIONAL LIABILITY 26310341 INTEREST RATE SWAP AGREEMENTS 22990300 OTHER LIABILITIES 1241675 DUE TO AFFILIATES 169548438 220090754 X 510434000 12488968 1164340 13653308 496780692 1867 1867 496782559 463379000 -1800 -1800 463380800 0 463380800 PART V, LINE 4: THE INTENDED USE FOR ALL CHILDREN'S HOSPITAL ENDOWMENT FUNDS ARE SPECIFIC TO PROGRAM NEEDS AS DESIGNATED BY THE DONORS. PART X, LINE 2: FASB'S 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. THE GUIDANCE ALSO PROVIDES GUIDANCE ON THE MEASUREMENT, CLASSIFICATION AND DISCLOSURE OF TAX RETURN POSITIONS IN THE FINANCIAL STATEMENTS. THERE WAS NO IMPACT ON THE HOSPITAL'S FINANCIAL STATEMENTS DURING THE YEARS ENDED JUNE 30, 2018 AND 2017. PART XI, LINE 2D - OTHER ADJUSTMENTS: NET ASSETS RELEASED FROM RESTRICTION 1,164,340. PART XI, LINE 4B - OTHER ADJUSTMENTS: ROUNDING 1,867. PART XII, LINE 2D - OTHER ADJUSTMENTS: ROUNDING -1,800. 1 1 X 1 X 1 X 1 1 1 0 1 1 2948186 0 2948186 0.00640 261545558 252158931 9386627 0.02030 264493744 252158931 12334813 0.02670 10172594 2255094 7917500 0.01710 17187788 4935324 12252464 0.02640 16320123 7131138 9188985 0.01980 34750 0 34750 0.00010 695628 1500 694128 0.00150 44410883 14323056 30087827 0.06490 308904627 266481987 42422640 0.09160 32272 14072 18200 0.00000 941687 0 941687 0.00200 973959 14072 959887 0.00200 0 11474258 0 552319 594376 -42057 X 1 0 1 1 JOHNS HOPKINS ALL CHILDREN'S HOSPITAL INC 501 6TH AVENUE SOUTH ST PETERSBURG FL 33701 WWW.HOPKINSALLCHILDRENS.ORG/ 4042 X X X X JOHNS HOPKINS ALL CHILDREN'S HOSPITAL I 1 0 0 1 X X X X X X X X X 15 1 0 0 1 X WWW.HOPKINSALLCHILDRENS.ORG/COMMUNITY/IN-THE-COMMUNITY/ X 1 15 1 WWW.HOPKINSALLCHILDRENS.ORG/COMMUNITY/IN-THE-COMMUNITY/ 0 1 X 200.000000000000 400.000000000000 X X X X X 1 1 X X X 1 X WWW.HOPKINSALLCHILDRENS.ORG/ABOUT-US/IMPORTANT-NOTICES/FINANCIAL-ASSISTANCE X WWW.HOPKINSALLCHILDRENS.ORG/PATIENTS-FAMILIES/PATIENT-FINANCIAL-INFORMATION X WWW.HOPKINSALLCHILDRENS.ORG/PATIENTS-FAMILIES/PATIENT-FINANCIAL-INFORMATION X X X X X 1 X 0 X X X 1 X 0 0 JOHNS HOPKINS ALL CHILDREN'S HOSPITAL, INC PART V, SECTION B, LINE 5: JOHNS HOPKINS ALL CHILDREN'S HOSPITAL, INC. (JHACH) TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL THROUGH A SIX-PART METHODOLOGY FOR LOCAL RESEARCH. THE RESEARCH GARNERED NEARLY 1,000 PARTICIPANTS DURING A SIX-PART METHODOLOGY INCLUDING: 1) EXPLORATORY, IN-DEPTH INTERVIEWS; 2) SURVEYS; 3) FOCUS GROUPS; 4) COMMUNITY CONVERSATIONS; 5) SECONDARY RESEARCH; AND 6) A PRIORITIZATION FILTER. THE CHNA COMMUNITY ADVISORY COUNCIL OF 18 MEMBERS FROM HEALTH ORGANIZATIONS, COMMUNITY GROUPS, FUNDERS AND ACADEMIA WAS ESTABLISHED TO PROVIDE INPUT INTO THE CHNA PROCESS, AS WELL AS FEEDBACK ON DOCUMENTS GENERATED. THE COUNCIL HELD MONTHLY MEETINGS FROM FEBRUARY TO JUNE 2016.TO INFORM SURVEY DEVELOPMENT, EXPLORATORY, IN-DEPTH INTERVIEWS WERE CONDUCTED WITH EACH OF THE ADVISORY COUNCIL MEMBERS. THE PURPOSE WAS TO IDENTIFY ISSUES AND TOPICS THAT OTHERWISE MAY NOT BE INCLUDED IN THE SURVEY QUESTIONS. THESE INTERVIEWS WERE CONDUCTED BY PHONE AND EACH WAS 30 MINUTES.TWO SURVEYS WERE CONDUCTED: ONE WITH PARENTS OF CHILDREN UNDER 18 AND LIVING AT HOME; AND THE OTHER OF HEALTH PROFESSIONALS, EDUCATORS AND COMMUNITY LEADERS. SURVEYS WERE DISTRIBUTED, COMPLETED AND COLLECTED IN MARCH AND APRIL OF 2016. THE MAJORITY OF SURVEYS WERE CONDUCTED ONLINE USING SURVEY MONKEY, WITH SOME COMPLETED VIA HARD-COPY (DISTRIBUTED, COMPLETED AND COLLECTED AT VARIOUS ORGANIZATIONS MEETINGS). A TOTAL OF 699 SURVEYS WERE COMPLETED. 356 SURVEYS WERE COMPLETED BY PARENTS, WHICH REPRESENTED A DEMOGRAPHICALLY DIVERSE REPRESENTATION SIMILAR TO THAT OF ST. PETERSBURG. SOME SURVEYS WERE CONDUCTED ONLINE USING SURVEY MONKEY, WHILE OTHERS WERE COMPLETED VIA HARD-COPY (BY THOSE WITHOUT INTERNET ACCESS). 343 SURVEYS WERE COMPLETED BY HEALTH PROFESSIONALS, EDUCATORS AND COMMUNITY LEADERS. A TOTAL OF 203 PARTICIPANTS IN 11 FOCUS GROUPS AND THREE COMMUNITY CONVERSATIONS WERE CONDUCTED IN APRIL AND MAY 2016. PARTICIPANTS INCLUDED HEALTH START STAFF, HEALTHY START COMMUNITY ACTION NETWORK, JHACH ADVOCACY COUNCIL, JHACH PEDIATRIC RESIDENTS, DIRECTORS REACHING FOR EXCELLENCE IN SOUTH ST. PETERSBURG (DRESS), SPECIAL NEEDS PARENTS, JHACH SOCIAL WORK STAFF PROFESSIONALS, JHACH CHILD LIFE STAFF PROFESSIONALS, PINELLAS COUNTY SCHOOL NURSES, JHACH PHYSICAL THERAPY/OCCUPATIONAL THERAPY REHAB STAFF, JHACH EMERGENCY CENTER NURSES, CONCERNED ORGANIZATIONS FOR THE QUALITY EDUCATION OF BLACK STUDENTS (COQUEBS) SCHOOL READINESS COMMITTEE, JUVENILE WELFARE BOARD (JWB) SOUTH COUNTY COMMUNITY COUNCIL, AND JHACH MEDICAL EXPLORERS. JOHNS HOPKINS ALL CHILDREN'S HOSPITAL, INC PART V, SECTION B, LINE 11: UNIFIED4ALLKIDS IS COLLABORATIVE EFFORT TO CREATE SOCIAL CHANGE AROUND THE TOP HEALTH ISSUES AFFECTING THE CHILDREN IN OUR COMMUNITY.THIS PROCESS BEGAN IN 2016 WHEN JOHNS HOPKINS ALL CHILDREN'S HOSPITAL, GUIDED BY A COMMUNITY ADVISORY COUNCIL, SOLICITED INPUT FROM PARENTS, EDUCATORS, NON-PROFIT PROFESSIONALS, COMMUNITY LEADERS AND HEALTH CARE PROVIDERS TO IDENTIFY THE MOST PRESSING PEDIATRIC HEALTH NEEDS IN THE COMMUNITY.THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) REVEALED THAT A FAMILY'S HOUSEHOLD INCOME LEVEL WAS A DETERMINING FACTOR IN UNDERSTANDING OUR CHILDREN'S HEALTH AND WELL-BEING AND IDENTIFIED FIVE KEY AREAS OF NEED: O ASTHMA/ALLERGIES O OBESITY/OVERWEIGHT AND CHRONIC DISEASE/PRE-DIABETES O MENTAL HEALTH AND BULLYING O BIRTH OUTCOMES/INFANT MORTALITY O SUBSTANCE AND ALCOHOL ABUSE/TOBACCO USELAUNCHED IN 2018, THE COMMUNITY BENEFIT STRATEGIC IMPLEMENTATION PLAN (CBSIP) OUTLINES OBJECTIVES, ACTIONS AND STEPS TO MAKE PROGRESS IN EACH OF THESE AREAS OF NEED AND OFFERS RECOMMENDATIONS ON EVALUATION. WE ASK OUR PARTNERS AND SUPPORTERS TO CHAMPION THE CBSIP BY INTEGRATING AND ADOPTING PARTS OF THE PLAN INTO THEIR PROTOCOLS AND TO TRACK OUR PROGRESS ON OUR ACCOUNTABILITY DASHBOARDS.*WWW.HOPKINSALLCHILDRENS.ORG/COMMUNITY/IN-THE-COMMUNITY 10 1 - JH ALL CHILDREN'S OUTPT CARE - BRANDON 885 SOUTH PARSONS AVE BRANDON FL 33511 PEDIATRIC OUTPATIENT CLINIC 2 - JH ALL CHILDREN'S OUTPT CARE - EAST LAKE 3850 TAMPA RD PALM HARBOR FL 34684 PEDIATRIC OUTPATIENT CLINIC 3 - JH ALL CHILDREN'S OUTPT CARE - FT MYERS 4550 COLONIAL BLVD FT MYERS FL 33966 PEDIATRIC OUTPATIENT CLINIC 4 - JH ALL CHILDREN'S OUTPT CARE - LAKELAND 3310 LAKELAND HILLS BLVD LAKELAND FL 33805 PEDIATRIC OUTPATIENT CLINIC 5 - JH ALL CHILDREN'S OUTPT CARE - PASCO 4443 ROWAN RD NEW PORT RICHEY FL 34653 PEDIATRIC OUTPATIENT CLINIC 7 - JH ALL CHILDREN'S OUTPT CARE - SARASOTA 5881 RAND BLVD SARASOTA FL 34238 PEDIATRIC OUTPATIENT CLINIC 8 - JH ALL CHILDREN'S OUTPT CARE - TAMPA 12220 BRUCE B DOWNS BLVD TAMPA FL 33612 PEDIATRIC OUTPATIENT CLINIC 9 - JH ALL CHILDREN'S OUTPT CARE - S TAMPA 1202 SOUTH CHURCH AVE TAMPA FL 33629 PEDIATRIC OUTPATIENT CLINIC 10 - JH ALL CHILDREN'S SPORTS THERAPY TAMPA 3440 WEST MLK JR BLVD STE 208 TAMPA FL 33607 SPORTS THERAPY 11 - JH ALL CHILDREN'S OUTPT CARE-NORTH PORT 2345 BOBCAT VILLAGE CENTER RD NORTH PORT FL 34288 PEDIATRIC OUTPATIENT CLINIC PART I, LINE 3C: IN ADDITION TO FPG, THE HOSPITAL ALSO PROVIDES FINANCIAL ASSISTANCE DISCOUNTS BASED ON MEDICAL FINANCIAL HARDSHIP CAUSED BY SIGNIFICANT MEDICAL DEBT. FACTORS THE HOSPITAL CONSIDERS WHEN EVALUATING MEDICAL DEBT LEVELS FOR FINANCIAL ASSISTANCE INCLUDE (1) MEDICAL DEBT INCURRED OVER THE TWELVE MONTHS PRECEDING THE DATE OF THE FINANCIAL HARDSHIP ASSISTANCE APPLICATION, (2) LIQUID ASSETS (LEAVING A RESIDUAL OF $10,000), AND (3) FAMILY INCOME FOR THE TWELVE CALENDAR MONTHS PRECEDING THE DATE OF THE FINANCIAL HARDSHIP ASSISTANCE APPLICATION. PART I, LINE 7: A COST-TO-CHARGE RATIO (FROM WORKSHEET 2) IS USED TO CALCULATE THE AMOUNTS ON LINE 7A&7B (FINANCIAL ASSISTANCE AT COST AND UNREIMBURSED MEDICAID). THE AMOUNTS FOR LINES 7E-7I COME FROM THE BOOKS AND RECORDS OF SPECIFIC SEGMENTS OF THE ORGANIZATION AND WOULD NOT BE BASED ON A COST-TO CHARGE RATIO. PART I, LINE 7G: SUBSIDIZED HEALTH SERVICES DO NOT INCLUDE ANY COSTS ATTRIBUTABLE TO A PHYSICIAN CLINIC. PART II, COMMUNITY BUILDING ACTIVITIES: JHACH HAS INCREASED THEIR LOCAL COMMUNITY BOARD REPRESENTATION AND SUPPORT (EXAMPLES: CLEARWATER REGIONAL CHAMBER OF COMMERCE, GREATER TAMPA CHAMBER OF COMMERCE) AND INCREASED THEIR SUPPORT FOR THE ECONOMIC DEVELOPMENT OF THEIR COMMUNITY BENEFIT SERVICE AREA (EXAMPLE: ST. PETERSBURG DOWNTOWN PARTNERSHIP, GREATER ST. PETERSBURG AREA ECONOMIC DEVELOPMENT CORPORATION, ST PETE INNOVATION DISTRICT, ETC.). 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: JOHNS HOPKINS ALL CHILDREN'S HOSPITAL (JHACH) DOES NOT REPORT AN ESTIMATE FOR THE PORTION OF BAD DEBT EXPENSE THAT MAY BE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. JHACH TAKES THE POSITION THAT AMPLE OPPORTUNITY AND ASSISTANCE IS PROVIDED TO THE PATIENT TO QUALIFY UNDER THE FINANCIAL ASSISTANCE POLICY. IF SUFFICIENT INFORMATION IS NOT PROVIDED, THEN JHACH MUST ASSUME THE PATIENT DOES NOT QUALIFY. PART III, LINE 4: JHACH AUDITED FINANCIAL STATEMENTS PAGE 12. PART III, LINE 8: PART III, LINE 7 - THE SHORTFALL IN MEDICARE ALLOWABLE COSTS IS NOT TREATED AS A COMMUNITY BENEFIT.PART III, LINES 5 AND 6 METHODOLOGY: A STEP-DOWN PROCESS IS USED TO ALLOCATE ADMINISTRATIVE AND GENERAL COSTS TO PATIENT CARE DEPARTMENTS, AS WELL AS DEPARTMENTS THAT ARE NON-ALLOWABLE FOR MEDICARE. UPON ALLOCATION, A DAILY COST RATE IS COMPUTED FOR ROOM AND BOARD SERVICES. THE RESULTING DAILY COSTS ARE APPLIED TO THE NUMBER OF MEDICARE DAYS TO DETERMINE ALLOWABLE ROOM AND BOARD COSTS. FOR ANCILLARY SERVICES, A RATIO OF COST TO CHARGES (RCC) IS COMPUTED USING TOTAL ANCILLARY CHARGES. THE RCC IS THEN APPLIED TO CHARGES INCURRED BY MEDICARE PATIENTS TO DETERMINE ALLOWABLE MEDICARE COSTS. WITH THE EXCEPTION OF PASS-THROUGH COSTS (CAPITAL-RELATED, NON-PHYSICIAN ANESTHETIST, AND MEDICAL EDUCATION COSTS), ALLOWABLE MEDICARE COSTS ARE SUBJECT TO A TEFRA TARGET AMOUNT, WHICH IS COMPUTED ON A DISCHARGE BASIS. IF ALLOWABLE COSTS EXCEED THE TEFRA TARGET AMOUNT, THE FACILITY IS REIMBURSED IN THE AMOUNT OF THE TARGET LIMIT PLUS A RELIEF PAYMENT. IF ALLOWABLE COSTS ARE UNDER THE TARGET AMOUNT, THE FACILITY IS REIMBURSED BY THE AMOUNT OF THE TARGET LIMIT PLUS A BONUS PAYMENT. PART VI, LINE 2: JHACH 2012-2018 STRATEGIC PLAN IS CENTERED AROUND NINE STRATEGIC GOALS. COMMUNITY BENEFIT EFFORTS ARE INCLUDED AS PART OF GOAL #2: STAKEHOLDER ENGAGEMENT (INCREASE AND STRENGTHEN RELATIONSHIPS WITH INTERNAL AND EXTERNAL STAKEHOLDERS TO BROADEN THEIR LEVELS OF ADVOCACY, DONATING, VOLUNTEERING OR REFERRING) AND GOAL #7: POPULATION HEALTH (CREATE THE CAPABILITIES NECESSARY TO MANAGE THE CARE OF CHRONIC PATIENT POPULATIONS AND TO THRIVE IN A REIMBURSEMENT ENVIRONMENT WHICH EMPHASIZES VALUE OVER VOLUME). USING THE HOSPITAL'S STRATEGIC PLAN AS ITS GUIDE, SENIOR LEADERSHIP ENSURES THAT COMMUNITY BENEFIT STRATEGIES AND UPDATES ARE DISCUSSED AT THE BOARD LEVEL AND THE EXECUTIVE CABINET LEVEL. SENIOR LEADERSHIP HAS ESTABLISHED A COUNCIL STRUCTURE WHEREBY COMMUNITY BENEFIT ACTIVITIES AND STRATEGIES ARE ADDRESSED BY THE HOSPITAL'S ADVOCACY COUNCIL. PART VI, LINE 3: NOTIFICATION ABOUT CHARITY AVAILABLE FROM JHACH, WHICH INCLUDES A CONTACT NUMBER, IS DISTRIBUTED BY JHACH BY VARIOUS MEANS, WHICH INCLUDES, BUT IS NOT LIMITED TO, THE PUBLICATION OF NOTICES IN PATIENT BILLS AND POSTING NOTICES IN EMERGENCY ROOMS, IN THE CONDITIONS OF ADMISSION FORM, AT CARE CENTERS, ADMITTING AND REGISTRATION DEPARTMENTS, HOSPITAL BUSINESS OFFICES, AND PATIENT FINANCIAL SERVICES OFFICES THAT ARE LOCATED ON FACILITY CAMPUSES, AND AT OTHER PUBLIC PLACES AS JHACH ELECTS. A SUMMARY OF JHACH'S FINANCIAL ASSISTANCE POLICY IS PROVIDED TO INPATIENTS BEFORE DISCHARGE AND IS AVAILABLE TO ALL PATIENTS UPON REQUEST. JHACH PUBLISHES AND WIDELY PUBLICIZES A SUMMARY OF THE FINANCIAL ASSISTANCE POLICY ON THEIR WEBSITE, IN BROCHURES AVAILABLE IN PATIENT ACCESS SITES AND AT OTHER PLACES WITHIN THE COMMUNITY SERVED BY JHACH. SUCH NOTICES AND SUMMARY INFORMATION IS PROVIDED IN THE PRIMARY LANGUAGES SPOKEN BY THE POPULATION SERVICED BY JHACH. PART VI, LINE 4: THE CITY OF ST. PETERSBURG (POPULATION, 259,906) WAS IDENTIFIED AS THE COMMUNITY BENEFIT SERVICE AREA (CBSA). THE CBSA COVERS APPROXIMATELY 137 SQUARE MILES AND IS LOCATED IN SOUTHERN PINELLAS COUNTY. THE POPULATION OF ST. PETERSBURG IS PREDOMINANTLY WHITE (69%), 23.5% IDENTIFIES AS BLACK OR AFRICAN AMERICAN, AND 7.1% IDENTIFIES AS HISPANIC OR LATINOTHE MEDIAN HOUSEHOLD INCOME IN ST. PETERSBURG ($51,474) IS SLIGHTLY HIGHER THAN THAT OF FLORIDA ($50,860) AND ACUTELY LOWER THAN THE U.S. ($57,617). NEARLY 19% OF CHILDREN IN ST. PETERSBURG LIVE IN POVERTY WHILE 33.8% LIVE IN A HOUSEHOLD ON SOME TYPE OF PUBLIC ASSISTANCE. THOUGH AFRICAN AMERICANS ARE ONLY 24% OF ST. PETERSBURG'S TOTAL POPULATION, AND 43% OF THE CITY'S POVERTY POPULATION: 75% OF ALL CHILDREN LIVE WITH SINGLE MOMS; 77% OF POOR PEOPLE LIVE IN SINGLE HEADED HOUSEHOLDS; AND 58% OF SINGLE MOTHERS LIVE IN POVERTY (2020 PLAN TASKFORCE).NOTABLY, EIGHT OF THE PINELLAS COUNTY SCHOOL DISTRICT'S TRANSFORMATION ZONE ELEMENTARY AND MIDDLE SCHOOLS CAN BE FOUND IN ST. PETERSBURG, HOME OF JHACH'S MAIN CAMPUS. THE ON-TIME HIGH SCHOOL GRADUATION RATE FOR THE ENTIRE DISTRICT IS 80.1%, SLIGHTLY LOWER THAN THE STATE AVERAGE (82%). FURTHERMORE, MORE THAN 42% OF THE CBSA'S ADULT POPULATION HAD AN ASSOCIATE'S DEGREE OR HIGHER, 47.8% HAD A HIGH SCHOOL DIPLOMA OR SOME COLLEGE, AND 10% HAD LESS THAN A HIGH SCHOOL DIPLOMA. (2016 ACS 5-YEAR ESTIMATES). WITHIN THIS CBSA, JHACH IS FOCUSED ON CERTAIN TARGET POPULATIONS, SUCH AS AT-RISK CHILDREN AND ADOLESCENTS, UNINSURED FAMILIES, WOMEN OF CHILDBEARING AGE, AND UNDERINSURED AND LOW-INCOME FAMILIES AND HOUSEHOLDS.NUMBER OF OTHER HOSPITALS SERVING THE COMMUNITY OR COMMUNITIES: 51 FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREAS OR POPULATIONS ARE PRESENT IN THE COMMUNITY . PART VI, LINE 5: AS ONE OF THREE STATUTORILY DEFINED, FREESTANDING PEDIATRIC HOSPITALS IN THE STATE OF FLORIDA, JHACH PROVIDES HIGH-QUALITY PEDIATRIC CARE TO ALL CHILDREN REGARDLESS OF THEIR ABILITY TO PAY. APPROXIMATELY 70% OF THE HOSPITALS PATIENTS ARE COVERED BY MEDICAID, WHICH MAKES JHACH THE HIGHEST PROVIDER OF MEDICAID SERVICES FOR CHILDREN IN THE STATE OF FLORIDA.ALTHOUGH JHACH PROVIDES PROGRAMS AND SERVICES TO A 17-COUNTY SERVICE AREA, THE IMPLEMENTATION STRATEGY ADDRESSES THE CITY OF ST. PETERSBURG, ONE OF PINELLAS COUNTY'S 24 MUNICIPALITIES. TWELVE OF THE TOP 15 ZIP CODES IN ST. PETERSBURG REPRESENTS THE LARGEST USAGE OF THE HOSPITAL'S EMERGENCY CENTER. ST. PETERSBURG ALSO RECEIVES THE MAJORITY OF COMMUNITY BENEFIT PROGRAMS AND SERVICES. PART VI, LINE 6: THE JOHNS HOPKINS HEALTH SYSTEM CORPORATION (JHHSC) IS INCORPORATED IN THE STATE OF MARYLAND TO, AMONG OTHER THINGS, FORMULATE POLICY AMONG AND PROVIDE CENTRALIZED MANAGEMENT FOR JHHSC AND AFFILIATES (JHHS). 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. 0 NURSING S CHOLARSHIPS 148 67700 X 1 0 X X X X X X 0 1 0 0 0 0 0 0 0 JONATHAN ELLEN MD PRESIDENT/VICE DEAN/PIC/TRUSTEE 664230 0 211429 0 10062 0 81976 0 30403 0 998100 0 0 0 RONALD R PETERSON CORP VICE CHAIR/TRUSTEE 0 1454645 0 806842 0 827434 0 42910 0 23046 0 3154877 0 34000 KEVIN W SOWERS MSN RN FAA CORP VICE CHAIR/TRUSTEE 0 0 0 250000 0 117110 0 0 0 0 0 367110 0 0 DOUGLAS MYERS VP, FINANCE & CFO 0 252964 0 90502 0 27292 0 0 0 12388 0 383146 0 0 JACKIE CRAIN VP & CHIEF STRATEGY OFFICER 0 224016 0 48520 0 1284 0 29555 0 27175 0 330550 0 0 ROBERTA ALESSI EXECUTIVE VP & COO 0 366595 0 96560 0 23594 0 98082 0 9826 0 594657 0 0 MARCOS DELEON VP HUMAN RESOURCES 0 259097 0 54997 0 14766 0 45669 0 31395 0 405924 0 0 BRIGITTA MUELLER MD VP MEDICAL AFFAIRS 0 321723 0 61990 0 17015 0 66373 0 12798 0 479899 0 0 VERONICA MARTIN VP & CNO 0 260211 0 50308 0 7633 0 34273 0 18701 0 371126 0 0 SYLVIA AMEEN VP MARKETING 0 183453 0 37574 0 1439 0 19717 0 14087 0 256270 0 0 KIMBERLY BERFIELD VP GOVERNMENT AFFAIRS 0 138299 0 10434 0 1082 0 0 0 6662 0 156477 0 0 JOHN W MCLENDON VP & CIO 316847 0 61917 0 3905 0 7330 0 30802 0 420801 0 0 0 ANTHONY NAPOLITANO MD CO CHAIR DEPT OF PED MEDIC 292609 0 70326 0 4709 0 18370 0 12182 0 398196 0 0 0 PAUL COLOMBANI MD CHAIR OF SURGERY 690905 0 135640 0 0 0 83684 0 16914 0 927143 0 0 0 ROBERT SOSA MD MEDICAL DIR INTERNATIONAL PRO 328100 19096 78593 4574 8975 522 17360 1010 19195 1117 452223 26319 0 0 JEFFREY JACOBS CO-DIR HEART INSTITUTE 0 690468 0 236350 0 10286 0 18370 0 31282 0 986756 0 0 GARY STAPLETON CO-DIR HEART INSTITUTE 0 348820 0 101849 0 1528 0 18370 0 26308 0 496875 0 0 JOSEPH PERNO PHYSICIAN 311232 0 114103 0 1918 0 18370 0 27372 0 472995 0 0 0 DENNIS HART ADMINISTRATION REHAB SERV 308822 0 20220 0 9742 0 16387 0 33764 0 388935 0 0 0 CHERYL SAYERS O'NEIL-GARDNER RN TRANSPORT TEAM 233483 0 2123 0 638 0 13532 0 19167 0 268943 0 0 0 DIPTI AMIN PHYSICIAN 282950 0 0 0 1279 0 13760 0 24423 0 322412 0 0 0 CHRISTINE OLANDER SR DIR REVENUE CYCLE 195943 0 0 0 8670 0 11725 0 25581 0 241919 0 0 0 PART I, LINE 1A ORGANIZATION PROVIDED BENEFITS FORM 990, SCHEDULE J, PART 1, QUESTION 1A BONUSES WERE GROSSED UP FOR CERTAIN EMPLOYEES. PART I, LINE 4B THE MAKE WHOLE AND SERP I PLANS ARE FROZEN DEFINED BENEFIT PLANS PROVIDED BY THE RELATED ORGANIZATION JOHNS HOPKINS HEALTH SYSTEM CORPORATION. THE PLANS ARE LIMITED TO THE EXISTING PLAN PARTICIPANTS. THE PLANS ARE SUBJECT TO CLAIMS OF EMPLOYER'S BANKRUPTCY/INSOLVENCY CREDITORS. THE MAKE WHOLE PLAN WAS DESIGNED TO REPLACE THE BENEFITS THE PARTICIPANTS LOST AS A RESULT OF THE COMPENSATION LIMITS THAT WERE IMPOSED UPON OUR QUALIFIED DEFINED BENEFIT PLAN. FURTHERMORE, IF A PARTICIPANT TERMINATES EMPLOYMENT PRIOR TO COMPLETING THE SERVICE REQUIREMENTS, THE PARTICIPANT'S BENEFIT IS FORFEITED. NOTE THAT ANY ITEM BEING REPORTED AS COMPENSATION WAS ALSO REPORTED IN PREVIOUS YEARS FORMS 990 AS REQUIRED, WHEN AMOUNTS ACCRUED UNDER THE PLAN. THE FOLLOWING INDIVIDUAL 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): ROBERTA ALESSI $52,272; BRIGITTA MUELLER, M.D. $25,102; JACKIE CRAIN $4,595; MARCO DELEON $19,884; AND VERONICA MARTIN $17,435. 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: RONALD PETERSON $34,000 FORM 990, SCHEDULE J, PART 1, QUESTION 3 SEE SCHEDULE O DISCLOSURE FOR FORM 990, PART VI, LINES 15(A) & (B) REGARDING THE PROCESS USED BY ALL CHILDREN'S HEALTH SYSTEM, INC. TO DETERMINE EXECUTIVE COMPENSATION WHICH IS RELIED UPON BY ALL CHILDREN'S HOSPITAL. FORM 990, PART VII, SECTION A, QUESTION 5 THE FOLLOWING OFFICER OF JOHNS HOPKINS ALL CHILDREN'S HOSPITAL RECEIVED COMPENSATION FROM AN UNRELATED ORGANIZATION FOR SERVICES RENDERED TO THE FILING ORGANIZATION. ALL CHILDREN'S HOSPITAL REIMBURSED THE JOHNS HOPKINS UNIVERSITY FOR SERVICES ASSOCIATED WITH THE OFFICER AND HIS ROLE AT THE HOSPITAL. JONATHAN ELLEN, M.D. BASE COMPENSATION $664,230.00, BONUS & INCENTIVE COMPENSATION $211,429.00, OTHER REPORTABLE COMPENSATION $10,062.00, DEFERRED COMPENSATION $81,976.00 AND NON-TAXABLE BENEFITS $30,403.00. A CITY OF ST PETERSBURG HFA -2012 ACH 596000424 793309JM8 2012-06-28 102400000 REFUND PRIOR ISSUE (04/20/05 A&B) 0 0 0 A 10500000 102400000 102400000 2007 1 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 1 0 1 1 CITIBANK & RBC 22.300000000000 0 0 0 0 1 A 1 SCHEDULE K, PART II, LINE 11 THE OTHER SPENT PROCEEDS ARE THE REFUNDING PROCEEDS THAT ARE NO LONGER IN ESCROW FORM 990, PART V, QUESTION 2A ALL COMPENSATION OF JOHNS HOPKINS ALL CHILDREN'S HOSPITAL EMPLOYEES IS PAID THROUGH ALL CHILDREN'S HEALTH SYSTEM, INC. USING ITS FEDERAL TAX ID NUMBER. THIS IS KNOWN AS A COMMON PAYMASTER AGREEMENT. EMPLOYEES OF ALL CHILDREN'S HEALTH SYSTEM AND ITS OTHER SUBSIDIARIES ARE ALSO PAID THROUGH THE SAME AGREEMENT. FORM 990, PART VI, SECTION A, LINE 6 THE JOHNS HOPKINS HEALTH SYSTEM CORPORATION IS THE SOLE CORPORATE MEMBER OF JOHNS HOPKINS ALL CHILDREN'S HOSPITAL, INC. FORM 990, PART VI, SECTION A, LINE 7A THE JOHNS HOPKINS HEALTH SYSTEM CORPORATION, A IRC 501(C)(3) TAX EXEMPT SOLE MEMBER OF JOHNS HOPKINS ALL CHILDREN'S HOSPITAL, INC. ELECTS THE BOARD OF TRUSTEES. FORM 990, PART VI, SECTION A, LINE 7B THE GOVERNING BODY OF JOHNS HOPKINS ALL CHILDREN'S HOSPITAL, INC. IS EMPOWERED BY ITS BYLAWS TO MAKE CERTAIN DECISIONS; ALL OTHER DECISIONS ARE SUBJECT TO APPROVAL OF THE SOLE MEMBER, THE JOHNS HOPKINS HEALTH SYSTEM CORPORATION. FORM 990, PART VI, SECTION B, LINE 11B A COPY OF THE FORM 990 WAS PROVIDED TO THE ORGANIZATION'S GOVERNING BODY BEFORE IT WAS FILED. FORM 990, PART VI, SECTION B, LINE 12C JOHNS HOPKINS ALL CHILDREN'S HOSPITAL, INC HAS AN ANNUAL CONFLICT OF INTEREST DISCLOSURE PROCESS THAT HAS BEEN FORMALLY DOCUMENTED IN POLICY. THE PROCESS IS FACILITATED BY THE COMPLIANCE OFFICER WITH OVERSIGHT FROM THE ALL CHILDREN'S HEALTH SYSTEM (FORMER PARENT AND CURRENT AFFILIATE) BOARD'S COMPLIANCE COMMITTEE. DISCLOSURES ARE REQUESTED FROM KEY EMPLOYEES, KEY CONTRACTORS, BOARD MEMBERS AND OFFICERS, AND DESIGNATED MEDICAL STAFF. ALL DISCLOSURES ARE REVIEWED BY THE COMPLIANCE OFFICER. SELECTED DISCLOSURES ARE REVIEWED BY THE PRESIDENT/CHIEF EXECUTIVE OFFICER. A FORMAL REPORT IS MADE ANNUALLY TO THE COMPLIANCE COMMITTEE WHERE CONFLICT MANAGEMENT IS ADDRESSED FOR EMPLOYEES, CONTRACTORS, AND PHYSICIANS. BOARD MEMBER DISCLOSURES ARE REVIEWED BY THE RESPECTIVE BOARD PRESIDENTS FOR CONFLICT MANAGEMENT. BOARD MEMBERS ARE REQUIRED TO DECLARE ANY POTENTIAL CONFLICTS PRIOR TO CONDUCTING BUSINESS AT EACH MEETING. IF A CONFLICT IS FOUND TO EXIST BY A BOARD MEMBER, THAT BOARD MEMBER IS PROHIBITED FROM VOTING. 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 JOHNS HOPKINS ALL CHILDREN'S HOSPITAL, INC. DOES NOT MAKE ITS GOVERNING DOCUMENTS OR CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC. FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC THROUGH WWW.DACBOND.COM FORM 990, PART XI, LINE 9: CHANGE INTEREST IN NET ASSETS OF THE FOUNDATION 439,293. INTEREST EXPENSE ON SWAP AGREEMENT -2,499,217. NON-OPERATING SERVICES -6,000,848. CHANGE IN MARKET VALUE OF INTEREST RATE SWAPS 5,934,269. TRANSFER BETWEEN AFFILIATES -16,523,657. ROUNDING -5. FORALLKIDS LLC 3910 KESWICK RD BALTIMORE MD 21211 825243802 FL 0 JOHNS HOPKINS HEALTH SYSTEM CORPORATION 3910 KESWICK RD SOUTH BLDG 4TH FL S BALTIMORE MD 21211 521465301 SUPPORTING ORGANIZATION MD 501(C)(3) LINE 12C, III-FI JOHNS HOPKINS HEALTH SYSTEM CORP 0 THE JOHNS HOPKINS HOSPITAL 3910 KESWICK RD SOUTH BLDG 4TH FL S BALTIMORE MD 21211 520591656 HOSPITAL MD 501(C)(3) LINE 3 JOHNS HOPKINS HEALTH SYSTEM CORP 0 LUCY WEBB HAYES NATIONAL TRAINING SCHOOL FOR DEACONESSES 5255 LOUGHBORO RD NW WASHINGTON DC 20016 530196602 HOSPITAL DC 501(C)(3) LINE 3 JOHNS HOPKINS HEALTH SYSTEM CORP 0 JOHNS HOPKINS COMMUNITY PHYSICIANS INC 3910 KESWICK RD SOUTH BLDG 4TH FL S BALTIMORE MD 21211 521467441 HEALTHCARE SERVICES MD 501(C)(3) LINE 12C, III-FI JOHNS HOPKINS HEALTH SYSTEM CORP 0 JOHNS HOPKINS MEDICAL SERVICES CORPORATION 3910 KESWICK RD SOUTH BLDG 4TH FL S BALTIMORE MD 21211 521232569 HEALTHCARE SERVICES MD 501(C)(3) LINE 12B, II JOHNS HOPKINS HEALTH SYSTEM CORP 0 JOHNS HOPKINS BAYVIEW MEDICAL 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