2018-05-14T07:56:25-05:00 2017-06-30 990 2016-07-01 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 2018-05-09 2016 2022-09-23 18:48:47Z X JONATHAN ELLEN MD 3910 KESWICK ROAD S BLDG NO 4300A BALTIMORE MD 21211 589254915 0 X WWW.HOPKINSALLCHILDRENS.ORG X 1967 FL PROVIDE LEADERSHIP IN CHILD HEALTH THROUGH TREATMENT, EDUCATION, ADVOCACY AND RESEARCH. 38 36 3028 901 0 0 12901640 14128763 430474208 435486295 -5047754 6291700 6144823 12688904 444472917 468595662 0 0 0 0 195865811 206954438 0 0 0 202609836 211279553 398475647 418233991 45997270 50361671 935193314 1037210344 330552434 376243649 604640880 660966695 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 49796997 0 82860474 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 11881941 0 26615643 EMERGENCY MEDICINEPURPOSE: 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. 11975592 0 17876673 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. 244151698 0 310963440 244151698 310963440 317806228 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 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 X 227 0 1 3028 1 0 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 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, VICE 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 GEORGE J DOVER MD TRUSTEE 1.00 0.00 X 0 0 0 JONATHAN ELLEN MD PRESIDENT/VICE DEAN/PIC/TRUSTEE 47.00 13.00 X X 876279 0 105797 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 WILLIAM LANE JR 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 PHILIP ORSINO TRUSTEE 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 2263048 502388 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 CHAIRMAN OF THE BOARD OF TRUSTEES 1.00 0.00 X 0 0 0 JOSEPH PERNO MD 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 455867 23803 JACKIE CRAIN VP & CHIEF STRATEGY OFFICER 45.00 15.00 X 0 275610 42531 ROBERTA ALESSI EXECUTIVE VP & COO 33.00 27.00 X 0 473709 98860 TAMMY REYES ASSISTANT SECRETARY 53.00 7.00 X 74389 0 21729 MARCOS DELEON VP HUMAN RESOURCES 45.00 15.00 X 0 326343 38726 BRIGITTA MUELLER MD VP MEDICAL AFFAIRS 37.00 23.00 X 0 402080 94888 VERONICA MARTIN VP & CNO 45.00 15.00 X 0 306820 34335 SYLVIA AMEEN VP MARKETING 45.00 15.00 X 0 194053 40234 KIMBERLY BERFIELD VP GOVERNMENT AFFAIRS 45.00 15.00 X 0 0 0 JOHN W MCLENDON VP & CIO 45.00 15.00 X 186141 0 17516 ANTHONY NAPOLITANO MD CO CHAIR DEPT OF PED MEDIC 50.00 10.00 X 355175 0 18161 PAUL COLOMBANI MD CHAIR OF SURGERY 29.00 31.00 X 799186 0 98105 ROBERT SOSA MD MEDICAL DIR INTERNATIONAL PRO 45.00 15.00 X 264164 225029 47511 JEFFREY JACOBS CO-DIR HEART INSTITUTE 20.00 40.00 X 0 873868 57528 GARY STAPLETON CO-DIR HEART INSTITUTE 45.00 15.00 X 0 426865 51691 SUSAN BYRD SR DIR AMBULATORY SERVICES 40.00 10.00 X 187308 0 34446 DENNIS HART ADMINISTRATION REHAB SERV 40.00 10.00 X 327792 0 54708 CHERYL SAYERS O'NEIL-GARDNER RN TRANSPORT TEAM 40.00 10.00 X 196232 0 25671 LAURA HAYS HR OPERATIONS DIRECTOR 40.00 10.00 X 188178 0 34062 CHRISTINE OLANDER SR DIR REVENUE CYCLE 40.00 10.00 X 191514 0 42435 ROBERT HORTON FORMER OFFICER 0.00 0.00 X 0 213471 0 CYNTHIA ROSE FORMER OFFICER 0.00 0.00 X 0 239670 15500 3646358 6676433 1500625 164 1 1 1 CERNER CORPORATION PO BOX 959156 ST LOUIS MO 63195 IT SERVICES 5591624 ONEBLOOD INC PO BOX 628342 ORLANDO FL 32862 BLOOD DONATION SERVICES 2286538 HDR ARCHITECTURE INC PO BOX 3480 OMAHA NE 68103 ARCHITECTURE SERVICES 2004588 FTI CONSULTING PO BOX 418005 BOSTON MA 02241 CONSULTING SERVICES 1419737 BROCK COMMUNICATIONS INC 3413 W FLETCHER AVE TAMPA FL 33618 CONSULTING SERVICES 1406149 77 5434030 6976478 1718255 14128763 HOSPITAL INPT & OUTPT 621990 408355827 408355827 MEDICAID/GME 621990 11345670 11345670 RETAIL PHARMACY INCOME 621990 982234 982234 14802564 14802564 435486295 7268953 7268953 9858969 0 9858969 9858969 9858969 119682000 115982394 4676859 3699606 -4676859 -977253 -977253 CAFETERIA INCOME 900099 2829935 2829935 2829935 468595662 438316230 0 16150669 2864152 2864152 155852067 135638774 20213293 48238219 41116104 7122115 9453296 5221439 4231857 207501 11054 196447 30871 8663 22208 124740 124740 490068 121448 368620 30505550 19591041 10914509 1289267 37798 1251469 10519260 5870301 4648959 7334166 3762385 3571781 5857598 274992 5582606 1656550 1113280 543270 378715 268955 109760 4459420 3156303 1303117 26603311 19750568 6852743 8037733 6436505 1601228 MEDICAL SUPPLIES 55349087 55146880 202207 CONTR PROGRAM SUPPORT 22374494 16041733 6332761 PURCHASED SRVC- INTR CO 14854356 2045969 12808387 INDIGENT FEE ASSESSMENT 5388315 0 5388315 6365255 2192036 4173219 418233991 317806228 100427763 0 29549078 28049782 550000 300000 55734806 53520493 9424942 12326320 13916921 16271432 583311951 185577344 368825428 397734607 354048928 424656365 2098287 7058890 13837762 19615927 87207162 77676528 935193314 1037210344 54062525 57871177 95650000 93800000 180839909 224572472 330552434 376243649 X 583586531 642153144 8225481 5431204 12828868 13382347 604640880 660966695 935193314 1037210344 X 50361671 24344036 -18379892 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 124740 0 0 124740 0 SCHEDULE C, PART 11-B, LINE 1G JOHNS HOPKINS ALL CHILDRENS HOSPITAL PAID ITS PARENT CORPORATION, THE JOHNS HOPKINS HEALTH SYSTEM CORPORATION $124,740 DURING THE FISCAL YEAR ENDED JUNE 30, 2017 TO SUPPORT THEIR LOBBYING ACTIVITIES. THE JOHNS HOPKINS HEALTH SYSTEM MAINTAINS A DEPARTMENT OF GOVERNMENTAL RELATIONS. 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 OR ITS AFFILIATES AS WELL AS THE HEALTHCARE INDUSTRY IN GENERAL. 14435278 553000 14988278 15107278 -672000 14435278 15878278 -771000 15107278 14436278 1442000 15878278 13601278 835000 14436278 1.00000 0 0 22389676 22389676 249363360 62051962 187311398 540842 539746 1096 247230458 115616685 131613773 63787615 7368951 56418664 397734607 DUE FROM AFFILIATES 2345669 INTEREST IN NET ASSETS OF FOUNDATION 69618829 LIMITED USE ASSET 177253 OTHER ASSETS 5534777 77676528 PROFESSIONAL LIABILITY 27716462 INTEREST RATE SWAP AGREEMENTS 28924569 OTHER LIABILITIES 1393506 DUE TO AFFILIATES 166537935 224572472 X 491862000 24344036 2155186 26499222 465362778 3232884 3232884 468595662 418233000 -991 -991 418233991 0 418233991 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, 2017 AND 2016. PART XI, LINE 2D - OTHER ADJUSTMENTS: NET ASSETS RELEASED FROM RESTRICTION 2,155,186. PART XI, LINE 4B - OTHER ADJUSTMENTS: ROUNDING 2,100. CONTRIBUTIONS FROM AFFILIATES 3,230,784. PART XII, LINE 2D - OTHER ADJUSTMENTS: ROUNDING -991. 1 1 X 1 X 1 X 1 1 0 1 1 2050795 0 2050795 0.00490 250088307 236173023 13915284 0.03330 0 0 252139102 236173023 15966079 0.03820 4328285 2551165 1777120 0.00420 9676689 3972533 5704156 0.01360 17482291 9141550 8340741 0.01990 85836 0 85836 0.00020 578399 0 578399 0.00140 32151500 15665248 16486252 0.03930 284290602 251838271 32452331 0.07750 0 0 31111 0 31111 0.00010 0 0 0 0 0 0 0 0 0 0 101896 0 101896 0.00020 0 0 133007 133007 0.00030 0 8930651 0 625457 687149 -61692 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 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 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: ACTIONS TAKEN DURING THE 2017-2018 FISCAL YEAR WILL DETERMINE WHETHER JHACH TAKES A PRIMARY, SECONDARY OR TERTIARY ROLE IN CARRYING OUT GOALS ATTACHED TO EACH HEALTH NEED. THIS PROCESS WILL BE A SOCIAL CHANGE EFFORT THAT WILL CHANGE HEALTH BEHAVIORS AND THE ASPECTS OF CULTURE THAT CONTRIBUTE TO HEALTHY LIFESTYLES - ALL IN A WAY THAT CAN BE MEASURED AND SHARED. THE DESIRED SOCIAL CHANGE MUST ENGAGE KEY DECISION-MAKERS AT ALL LEVELS: THE SCHOOL SUPERINTENDENT AND SCHOOL BOARD, CITY GOVERNMENT LEADERS, THE LEADERSHIP OF COMMUNITY ORGANIZATIONS AND NONPROFITS, AND PARENTS, INCLUDING THOSE NOT ENGAGED IN THEIR CHILD'S EDUCATION OR HEALTH. THIS COMBINED EFFORT WILL RELY ON THE CHNA DATA AND RESEARCH TO DEVELOP SOLUTIONS FOR THE PRIORITY HEALTH ISSUES. AS PART OF THE ENGAGEMENT PROCESS, KEY ENTITIES WILL BE ENCOURAGED TO INSERT STRATEGIC SOLUTIONS RELATED TO THE CHNA AND IMPLEMENTATION STRATEGY INTO THEIR RESPECTIVE ORGANIZATIONAL STRATEGIC PLANS. 9 1 - ALL CHILDREN'S OUTPT CARE - BRANDON 885 SOUTH PARSONS AVE BRANDON FL 33511 PEDIATRIC OUTPATIENT CLINIC 2 - ALL CHILDREN'S OUTPT CARE - EAST LAKE 3850 TAMPA RD PALM HARBOR FL 34684 PEDIATRIC OUTPATIENT CLINIC 3 - ALL CHILDREN'S OUTPT CARE - FT MYERS 4550 COLONIAL BLVD FT MYERS FL 33966 PEDIATRIC OUTPATIENT CLINIC 4 - ALL CHILDREN'S OUTPT CARE - LAKELAND 3310 LAKELAND HILLS BLVD LAKELAND FL 33805 PEDIATRIC OUTPATIENT CLINIC 5 - ALL CHILDREN'S OUTPATIENT CARE - PASCO 4443 ROWAN RD NEW PORT RICHEY FL 34653 PEDIATRIC OUTPATIENT CLINIC 6 - ALL CHILDREN'S SERTOMA OUTPATIENT CARE 538 NORTH LECANTO HWY STE 538 LECANTO FL 34461 PEDIATRIC OUTPATIENT CLINIC 7 - ALL CHILDREN'S OUTPT CARE - SARASOTA 5881 RAND BLVD SARASOTA FL 34238 PEDIATRIC OUTPATIENT CLINIC 8 - ALL CHILDREN'S OUTPT CARE - TAMPA 12220 BRUCE B DOWNS BLVD TAMPA FL 33612 PEDIATRIC OUTPATIENT CLINIC 9 - ALL CHILDREN'S OUTPT CARE - SOUTH TAMPA 1202 SOUTH CHURCH AVE TAMPA FL 33629 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 PRIOR TWELVE MONTHS PRECEDING THE DATE OF A FINANCIAL HARDSHIP APPLICATION, (2) AN ASSET TEST SUCH THAT A LIQUID ASSETS OF THE GUARANTOR WILL NOT FALL BELOW $10,000 DUE TO MEDICAL DEBT, AND (3) FAMILY INCOME. 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: THE HOSPITAL SPONSORS AND TAKES PART IN COMMUNITY HEALTH SERVICES THAT ADDRESS CHILD SAFETY, DISEASE MANAGEMENT, AND PREVENTATIVE HEALTH WITH PROGRAMS THAT INCLUDE: ASTHMA EDUCATION; INFANT AND TODDLER HEALTH AND DEVELOPMENTAL SCREENING; PARENT SUPPORT GROUPS; AND A WEIGHT MANAGEMENT AND OBESITY PREVENTION PROGRAM. JHACH SPONSORS THE SUNCOAST SAFE KIDS COALITION AND ITS PROGRAMS ON CHILD PASSENGER SAFETY, PEDESTRIAN SAFETY, WATER SAFETY AND DROWNING PREVENTION. 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: EXISTING SOCIAL, ECONOMIC, AND HEALTH DATA WERE DRAWN FROM NATIONAL, STATE, COUNTY, AND LOCAL SOURCES, SUCH AS THE U.S. CENSUS AND FLORIDA DEPARTMENT OF HEALTH, WHICH INCLUDE SELF-REPORT, PUBLIC HEALTH SURVEILLANCE, AND VITAL STATISTICS DATA. OVER 80 INDIVIDUALS FROM MULTI-SECTOR ORGANIZATIONS, COMMUNITY STAKEHOLDERS, AND RESIDENTS WERE ENGAGED IN FOCUS GROUPS AND INTERVIEWS TO GAUGE THEIR PERCEPTIONS OF THE COMMUNITY, PRIORITY HEALTH CONCERNS, AND WHAT PROGRAMMING, SERVICES, OR INITIATIVES ARE MOST NEEDED TO ADDRESS THESE CONCERNS. FINALLY, AN ENVIRONMENTAL SCAN OF HEALTH-RELATED PROGRAMS AND SERVICES WAS CONDUCTED IN ORDER TO ASSESS THE CURRENT LANDSCAPE OF ACTIVITY RELATED TO CHILDHOOD OBESITY, ASTHMA, TOBACCO, INJURY AND VIOLENCE PREVENTION, MENTAL HEALTH, SUBSTANCE USE, AND YOUTH EMPOWERMENT.MUCH OF THE SECONDARY DATA WAS DERIVED FROM HEALTHY TAMPA BAY, AN INITIATIVE OF ONE BAY: HEALTHY COMMUNITIES. PART VI, LINE 3: JHACH WILL POST NOTICES OF AVAILABILITY AT PATIENT REGISTRATION SITES, ADMISSIONS, THE BUSINESS OFFICE, AT THE EMERGENCY DEPARTMENT AND ON THE HOSPITAL'S WEBSITE. NOTICE OF AVAILABILITY WILL ALSO BE SENT TO PATIENTS OR WITH PATIENTS' BILL. A SUMMARY OF THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY WILL BE PROVIDED TO INPATIENTS BEFORE DISCHARGE AND WILL BE AVAILABLE TO ALL PATIENT UPON REQUEST.ALL PATIENTS INDICATING A NEED FOR CHARITY CARE ARE REFERRED TO A FINANCIAL COUNSELOR WHO REVIEWS WITH THEM THE AVAILABILITY OF VARIOUS GOVERNMENT BENEFIT AND PROGRAMS, AND ASSISTS THEM WITH APPLICATION TO SUCH PROGRAMS. IF THE PATIENT DOES NOT HAVE INSURANCE, JHACH FINANCIAL COUNSELORS WILL SCHEDULE AN INTERVIEW WITH THE PATIENT TO DETERMINE PAYMENT ARRANGEMENTS AND/OR ASSIST THE PATIENT IN COMPLETING A MEDICAL ASSISTANCE APPLICATION. PART VI, LINE 4: FOR THE PURPOSE OF DEFINING A COMMUNITY BENEFIT SERVICE AREA (CBSA), JOHNS HOPKINS ALL CHILDREN'S HOSPITAL FOCUSED ON PINELLAS COUNTY. THE POPULATION OF PINELLAS COUNTY IS A PREDOMINANTLY WHITE 69%), AGING POPULATION, WITH WIDE VARIATIONS IN SOCIOECONOMIC LEVEL AND EDUCATIONAL ATTAINMENT, AND HIGH NUMBERS OF FEMALE-HEADED HOUSEHOLDS. 23.8% OF THE CBSA IDENTIFIES AS BLACK OR AFRICAN-AMERICAN, WHILE 7.1% IDENTIFIES AS HISPANIC OR LATINO. DESPITE PERCEIVED COMMUNITY RESOURCES, ECONOMIC CHALLENGES AND INCOME INEQUALITY WERE FREQUENTLY CITED BY COMMUNITY HEALTH NEEDS ASSESSMENT PARTICIPANTS, AND WERE DESCRIBED AS A ROOT CAUSE OF HEALTH ISSUES IN THE COUNTY. THE MEDIAN HOUSEHOLD INCOME IN PINELLAS COUNTY ($48,858) IS SLIGHTLY HIGHER THAN THAT OF FLORIDA ($47,507) AND ACUTELY LOWER THAN THE U.S. ($53,889). 28% OF PINELLAS COUNTY CHILDREN LIVE IN POVERTY WHILE 33.8% LIVE IN A HOUSEHOLD ON SOME TYPE OF PUBLIC ASSISTANCE. THOUGH AFRICAN AMERICANS ARE ONLY 23.8% OF PINELLAS COUNTY TOTAL POPULATION, AND 43% OF THE 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, FIVE OF THE STATE'S LOWEST-RANKED ELEMENTARY SCHOOLS CAN BE FOUND IN THE CITY OF ST. PETERSBURG, HOME OF JHACH'S MAIN CAMPUS, WHICH IS LOCATED IN THE SOUTHERNMOST PART OF PINELLAS COUNTY. THE ON-TIME HIGH SCHOOL GRADUATION RATE IN PINELLAS COUNTY IS ONLY 65%. FURTHERMORE, MORE THAN 40% OF THE CBSA'S ADULT POPULATION HAD AN ASSOCIATE'S DEGREE OR HIGHER, 49% HAD A HIGH SCHOOL DIPLOMA OR SOME COLLEGE, AND 10.5% HAD LESS THAN A HIGH SCHOOL DIPLOMA. (2015 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: 49FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREAS OR POPULATIONS ARE PRESENT IN THE COMMUNITY . PART VI, LINE 5: JOHNS HOPKINS ALL CHILDREN'S IS DEDICATED TO ONE OF THE MOST EFFECTIVE TOOLS IN PROMOTING GOOD HEALTH - EDUCATION THROUGH COMMUNITY OUTREACH TO CHILDREN AND FAMILIES. JHACH SPONSORS MORE HEALTH, A NONPROFIT THAT PROVIDES HIGH-ENERGY, INTERACTIVE HEALTH AND SAFETY EDUCATION LESSONS EACH YEAR TO NEARLY 60,000 K-12 STUDENTS IN PINELLAS COUNTY, THE SEVENTH LARGEST SCHOOL DISTRICT IN FLORIDA. MORE HEALTH LESSONS HIGHLIGHT BONE HEALTH, DENTAL HEALTH, NUTRITION AND FITNESS, SKIN CANCER PREVENTION, FIREARM SAFETY, HEART HEALTH, PEDESTRIAN AND BICYCLE SAFETY, AND HEAD TRAUMA. JHACH INSTRUCTORS REACH AN ADDITIONAL 6,500 PRE-K AND KINDERGARTEN STUDENTS WITH BASIC HEALTH AND SAFETY MESSAGES, WHILE HUNDREDS OF PRE-TEENS AND TEENS LEARN ABOUT THE DANGERS OF TOBACCO PRODUCTS AND E-CIGARETTES. JHACH STAFF MEMBERS SHARE THEIR EXPERTISE WITH HUNDREDS OF TEACHERS, SCHOOL NURSES, AND SUPPORT SERVICES STAFF AT DISTRICTWIDE TRAININGS, AND WITH THOUSANDS OF STUDENTS DURING THE ANNUAL GREAT AMERICAN TEACH-IN.THE JOHNS HOPKINS ALL CHILDREN'S HOSPITAL-LED FLORIDA SUNCOAST SAFE KIDS COALITION SERVES FIVE COUNTIES AND IS AN AFFILIATE OF SAFE KIDS WORLDWIDE, A GLOBAL ORGANIZATION DEDICATED TO PREVENTING INJURIES IN CHILDREN, THE NO. 1 KILLER OF CHILDREN IN THE U.S. FOR 27 YEARS, SUNCOAST SAFE KIDS HAS UNITED HEALTH AND SAFETY EXPERTS, FIRST RESPONDERS, EDUCATORS, LOCAL AGENCIES, CIVIC GROUPS, BUSINESSES, AND VOLUNTEERS TO RAISE AWARENESS OF CHILD PASSENGER SAFETY, WATER SAFETY, MEDICATION SAFETY, SAFE DRIVING AND SAFETY BELT USAGE FOR TEENS, AND HOME SAFETY. A COMPLEMENTARY PROGRAM TO SAFE KIDS IS SAFE ROUTES TO SCHOOL, A FEDERALLY-FUNDED PROGRAM DESIGNED TO EDUCATE CHILDREN, PARENTS, STUDENTS AND THE COMMUNITY ABOUT BICYCLE AND PEDESTRIAN SAFETY. THROUGH PARTNERSHIPS WITH LOCAL LAW ENFORCEMENT, FIRE DEPARTMENTS, SCHOOL DISTRICTS, AND CITY OFFICIALS, SAFE ROUTES EDUCATORS TEACH CURRICULUM AND CONDUCT BIKE AND PEDESTRIAN PROGRAMMING FOR MORE THAN 82,500 INDIVIDUALS AT 200 SCHOOLS ACROSS EIGHT COUNTIES. 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. X 0 0 X X X X X 1 1 0 0 0 0 0 0 0 JONATHAN ELLEN MD PRESIDENT/VICE DEAN/PIC/TRUSTEE 638418 0 227799 0 10062 0 78558 0 27239 0 982076 0 0 0 RONALD R PETERSON CORP VICE CHAIR/TRUSTEE 0 1409062 0 705810 0 148176 0 477286 0 25102 0 2765436 0 0 DOUGLAS MYERS VP, FINANCE & CFO 0 336393 0 85371 0 34103 0 20000 0 3803 0 479670 0 0 JACKIE CRAIN VP & CHIEF STRATEGY OFFICER 0 217834 0 57027 0 749 0 19009 0 23522 0 318141 0 0 ROBERTA ALESSI EXECUTIVE VP & COO 0 349870 0 101615 0 22224 0 88958 0 9902 0 572569 0 0 MARCOS DELEON VP HUMAN RESOURCES 0 257684 0 59292 0 9367 0 35584 0 3142 0 365069 0 0 BRIGITTA MUELLER MD VP MEDICAL AFFAIRS 0 306783 0 66477 0 28820 0 82266 0 12622 0 496968 0 0 VERONICA MARTIN VP & CNO 0 255852 0 43992 0 6976 0 25822 0 8513 0 341155 0 0 SYLVIA AMEEN VP MARKETING 0 160919 0 30087 0 3047 0 22540 0 17694 0 234287 0 0 JOHN W MCLENDON VP & CIO 144122 0 36420 0 5599 0 5671 0 11845 0 203657 0 0 0 ANTHONY NAPOLITANO MD CO CHAIR DEPT OF PED MEDIC 290604 0 0 0 64571 0 12000 0 6161 0 373336 0 0 0 PAUL COLOMBANI MD CHAIR OF SURGERY 677616 0 121570 0 0 0 82043 0 16062 0 897291 0 0 0 ROBERT SOSA MD MEDICAL DIR INTERNATIONAL PRO 192343 163848 68310 58190 3511 2991 14525 12373 11131 9482 289820 246884 0 0 JEFFREY JACOBS CO-DIR HEART INSTITUTE 0 692365 0 180261 0 1242 0 26898 0 30630 0 931396 0 0 GARY STAPLETON CO-DIR HEART INSTITUTE 0 348253 0 78065 0 547 0 23898 0 27793 0 478556 0 0 SUSAN BYRD SR DIR AMBULATORY SERVICES 186270 0 0 0 1038 0 5726 0 28720 0 221754 0 0 0 DENNIS HART ADMINISTRATION REHAB SERV 307118 0 19200 0 1474 0 20730 0 33978 0 382500 0 0 0 CHERYL SAYERS O'NEIL-GARDNER RN TRANSPORT TEAM 196116 0 0 0 116 0 5063 0 20608 0 221903 0 0 0 LAURA HAYS HR OPERATIONS DIRECTOR 159366 0 0 0 28812 0 15081 0 18981 0 222240 0 0 0 CHRISTINE OLANDER SR DIR REVENUE CYCLE 191250 0 0 0 264 0 14476 0 27959 0 233949 0 0 0 ROBERT HORTON FORMER OFFICER 0 0 0 0 0 213471 0 0 0 0 0 213471 0 0 CYNTHIA ROSE FORMER OFFICER 0 62772 0 1259 0 175639 0 14971 0 529 0 255170 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, LINES 4A-B THE FOLLOWING INDIVIDUAL LISTED ON THE 990 RECEIVED SEVERANCE FROM ALL CHILDREN'S HOSPITAL: CYNTHIA ROSE $118,869.27 R. WILLIAM HORTON $213,470.82 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): RONALD R. PETERSON $473,624; ROBERTA ALESSI $48,538; BRIGITTA MUELLER, M.D. $23,945; JACKIE CRAIN $4,496; MARCO DELEON $13,500; DOUG MYERS $20,000; VERONICA MARTIN $13,000; SYLVIA AMEEN $7,059; AND CYNTHIA ROSE $5,927. 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 $638,418.00, BONUS & INCENTIVE COMPENSATION $227,799.00, OTHER REPORTABLE COMPENSATION $10,062.00, DEFERRED COMPENSATION $78,558.00 AND NON-TAXABLE BENEFITS $27,239.00. 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 8600000 102400000 102400000 2007 1 0 1 1 A 0 0 0 0 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 -1,352,784. INTEREST EXPENSE ON SWAP AGREEMENT -3,003,149. NON-OPERATING SERVICES -6,000,227. CHANGE IN MARKET VALUE OF INTEREST RATE SWAPS 11,541,127. TRANSFER BETWEEN AFFILIATES -19,565,273. ROUNDING 414. 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 3 JOHNS HOPKINS HEALTH SYSTEM CORP 0 JOHNS HOPKINS BAYVIEW MEDICAL CENTER INC 3910 KESWICK RD SOUTH BLDG 4TH FL S BALTIMORE MD 21211 521341890 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