2017-05-09T07:29:12-05:00 2016-06-30 990 2015-07-01 590683252 JOHNS HOPKINS ALL CHILDREN'S HOSPITAL INC ATTN FINANCE DEPT 9010 JOHN 7277674401 501 SIXTH AVENUE SOUTH ST PETERSBURG FL 33701 DOUGLAS MYERS VP FINANCE AND CFO 7277674401 2017-05-02 2015 2021-01-29 14:40:06Z JONATHAN ELLEN MD 501 SIXTH AVENUE SOUTH ST PETERSBURG FL 33701 507387716 0 X WWW.HOPKINSALLCHILDRENS.ORG X 1967 FL PROVIDE LEADERSHIP IN CHILD HEALTH THROUGH TREATMENT, EDUCATION, ADVOCACY AND RESEARCH. 32 30 3011 576 0 0 7157368 12901640 449768816 430474208 2363787 -5047754 3271567 6144823 462561538 444472917 0 0 0 0 208578950 195865811 0 0 0 210512494 202609836 419091444 398475647 43470094 45997270 960005225 935193314 328315888 330552434 631689337 604640880 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 55188475 84456289 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 13648393 27650661 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. 13192757 19503721 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. 216788132 301795247 216788132 301795247 298817757 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 365 0 1 3011 1 0 0 0 0 0 0 0 0 0 0 X 32 30 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X DOUGLAS MYERS 7277672582 501 SIXTH AVENUE SOUTH ST PETERSBURG FL 33701 KEN COPPEDGE TREASURER BOARD OF TRUSTEE 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/TR 47.00 7.00 X X 993811 0 99756 JOSEPH W FLEECE III TRUSTEE 1.00 0.00 X 0 0 0 NANCY HAMILTON TRUSTEE 1.00 0.00 X 0 0 0 TROY HOLLAND TRUSTEE 1.00 0.00 X 0 0 0 WILLIAM HORNER EX OFFICIO/TRUSTEE 3.00 0.00 X 0 0 0 JACK KIRKLAND TRUSTEE 3.00 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 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 PETERSON CORP VICE CHAIR/TRUSTEE 3.00 57.00 X X 0 2184356 803737 CRAIG SHER TRUSTEE 1.00 0.00 X 0 0 0 RAYMOND SMITH TRUSTEE 1.00 0.00 X 0 0 0 MARK STROUD CHAIRMAN OF THE BOARD OF TRUSTEES 3.00 1.00 X X 0 0 0 STEPHANIE GOFORTH TRUSTEE 3.00 0.00 X 0 0 0 STEVEN A RAYMUND TRUSTEE 1.00 0.00 X 0 0 0 MARTHA LITTLE TRUSTEE 1.00 3.00 X 0 0 0 TIMOTHY BARBER TRUSTEE 1.00 0.00 X 0 0 0 DWAYNE HAWKINS TRUSTEE 1.00 0.00 X 0 0 0 SANDRA DIAMOND TRUSTEE, VICE CHAIRMAN 1.00 0.00 X 0 0 0 JENNIFER COTTER TRUSTEE 1.00 0.00 X 0 0 0 MARK LAPRADE TRUSTEE 1.00 0.00 X 0 0 0 PHILIP ORSINO TRUSTEE 1.00 0.00 X 0 0 0 LAWRENCE REPAR TRUSTEE 1.00 0.00 X 0 0 0 JOSEPH PERNO MD TRUSTEE 1.00 0.00 X 0 0 0 NANCY STAHL VP FINANCE/CFO 41.00 19.00 X 0 317090 35915 CYNTHIA ROSE VP MARKETING & COMMUNITY R 59.00 1.00 X 0 219801 40818 BRIGITTA MUELLER MD VICE PRESIDENT MEDICAL AFF 37.00 23.00 X 0 382669 59683 ROBERTA ALESSI VP COO 33.00 27.00 X 0 458911 71393 TAMMY REYES ASSISTANT SECRETARY 53.00 7.00 X 78223 0 20145 JACKIE CRAIN VP/CHIEF STRATEGY OFFICER 45.00 15.00 X 0 264541 27342 MARCO DELEON VICE PRESIDENT, HUMAN RESOURCES 45.00 15.00 X 0 178456 12761 VERONICA MARTIN VICE PRESIDENT/ CHIEF NURSING OFFICER 58.00 2.00 X 0 104872 3256 DOUGLAS MYERS CHIEF FINANCIAL OFFICER 41.00 19.00 X 0 0 0 ANTHONY NAPOLITANO MD CO-CHAIR DEPT OF PED MEDIC 50.00 10.00 X 377835 0 36407 PAUL COLOMBANI MD CHAIR OF SURGERY 29.00 31.00 X 785629 0 87853 ROBERT SOSA MD MEDICAL DIRECTOR OF INTERN 60.00 0.00 X 219735 219735 49130 JEFFREY JACOBS CO-DIRECTOR OF HEART INSTITUTE 20.00 40.00 X 0 979914 72654 GARY STAPELTON CO-DIRECTOR OF HEART INSTITUTE 45.00 15.00 X 0 445805 50405 CAROLYN CAREY MD NEUROSURGEON 10.00 40.00 X 329584 647551 54120 GERALD TUITE MD NEUROSURGEON 10.00 40.00 X 327084 640548 65630 LUIS RODRIGUEZ MD NEUROSURGEON 10.00 40.00 X 329584 641369 58231 RICHARD HARMEL MD PED SURGEON 10.00 40.00 X 120000 527598 44029 NICOLE CHANDLER PED SURGEON 10.00 40.00 X 154500 430020 49891 ARNOLD T STENBERG JR FORMER EXEC VP/CAO/TRUSTEE 0.00 0.00 X 667822 0 0 R WILLIAM HORTON FORMER SR VP-STRATEGIC PLAN/TRUST 0.00 0.00 X 446248 0 0 JENNIFER R CASATELLI MD FORMER TRUSTEE 0.00 40.00 X 0 221356 23587 PAUL DANIELSON FORMER TRUSTEE 1.00 40.00 X 142500 657937 60024 4972555 9522529 1826767 214 1 1 1 ONEBLOOD INC 10100 DR MARTIN LUTHER KING JR ST ST PETERSBURG FL 33716 BLOOD DONATION SERVICES 2677399 CHILDREN'S ORTHOPAEDIC & SCOLIOSIS SURGE 625 6TH AVE SOUTH STE 450 ST PETERSBURG FL 33701 PHYSICIANS SERVICES 1262063 MCKESSON SPECIALTY HEALTH 401 MASON RD LA VERGNE TN 37086 HEALTH CONTRACT SERVICES 677955 COMPREHENSIVE CARE SERVICESINC 31330 SCHOOLCRAFT 200 LIVONIA MI 48150 HEALTH CONTRACT SERVICES 625439 MAYO COLLABORATIVE SERVICES INC PO BOX 9146 MINNAPOLIS MN 55480 LAB SERVICES 574409 36 2484488 6457079 3960073 12901640 HOSPITAL INPT & OUTPT 621990 400726277 400726277 MEDICAID/GME 621990 11488214 11488214 RETAIL PHARMACY INCOME 621990 1062285 1062285 17197432 17197432 430474208 5668045 5668045 3213113 0 3213113 3213113 3213113 52199000 48558878 14355921 3640122 -14355921 -10715799 -10715799 CAFETERIA INCOME 900099 2931710 2931710 2931710 444472917 433405918 0 -1834641 2748523 2748523 147647215 125842789 21804426 3532709 3027655 505054 36558011 30259428 6298583 5379353 4612909 766444 10029956 4888987 5140969 425463 13207 412256 102837 13388 89449 69907 69907 498384 19328 479056 29752817 18658999 11093818 1258705 25801 1232904 13574064 6804570 6769494 8620747 4322365 4298382 5764034 236857 5527177 1228858 683320 545538 480921 391283 89638 3859677 2892058 967619 28500532 21497275 7003257 5528802 3893728 1635074 MEDICAL SUPPLIES 55142226 55037722 104504 CONTR PROGRAM SUPPORT 18028458 13070368 4958090 PURCHASED SRVC- INTR CO 10233523 1298292 8935231 INDIGENT FEE ASSESSMENT 5294007 0 5294007 4215918 1327428 2888490 398475647 298817757 99657890 0 2630016 29549078 103816157 550000 787940 55687959 55734806 8845201 9424942 12598089 13916921 528941073 160115645 383094524 368825428 272334929 354048928 1117001 2098287 14247757 13837762 104845652 87207162 960005225 935193314 74676964 54062525 97450000 95650000 156188924 180839909 328315888 330552434 X 609041887 583586531 9189065 8225481 13458385 12828868 631689337 604640880 960005225 935193314 X 45997270 -15191551 -57854176 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 69907 0 0 69907 0 SCHEDULE C, PART 11-B, LINE 1G JOHNS HOPKINS ALL CHILDRENS HOSPITAL PAID ITS PARENT CORPORATION, THE JOHNS HOPKINS HEALTH SYSTEM CORPORATION $69,907 DURING THE FISCAL YEAR ENDED JUNE 30, 2016 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. 15107278 -672000 14435278 15878278 -771000 15107278 14436278 1442000 15878278 13601278 835000 14436278 14315278 -714000 13601278 1.00000 0 0 22389676 22389676 248648415 52571602 196076813 559195 556349 2846 241010808 100103781 140907027 16332979 6883913 9449066 368825428 DUE TO AFFILIATES 2416074 INTEREST IN NET ASSETS OF FOUNDATION 70971612 LIMITED USE ASSET 8179709 OTHER ASSETS 5639767 87207162 PROFESSIONAL LIABILITY 28393939 INTEREST RATE SWAP AGREEMENTS 40465696 OTHER LIABILITIES 1545337 DUE TO AFFILIATES 110434937 180839909 X 431148000 -15191551 1863257 -13328294 444476294 -3377 -3377 444472917 398481000 5353 5353 398475647 0 398475647 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, 2016 AND 2015. PART XI, LINE 2D - OTHER ADJUSTMENTS: NET ASSETS RELEASED FROM RESTRICTION 1,863,257. PART XI, LINE 4B - OTHER ADJUSTMENTS: ROUNDING -3,377. PART XII, LINE 2D - OTHER ADJUSTMENTS: ROUNDING 5,353. 1 1 X 1 X 1 X 1 1 0 1 1 2184370 0 2184370 0.00550 237991749 222716718 15275031 0.03830 240176119 222716718 17459401 0.04380 4488684 2438806 2049878 0.00510 9715076 2877072 6838004 0.01720 7866448 2254416 5612032 0.01410 192881 0 192881 0.00050 267619 0 267619 0.00070 22530708 7570294 14960414 0.03760 262706827 230287012 32419815 0.08140 0 0 30620 0 30620 0.00010 0 0 0 0 3160 0 3160 0.00000 0 0 0 0 99114 0 99114 0.00020 0 0 132894 132894 0.00030 0 3197726 0 865726 967492 -101766 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 12 1 WWW.ALLKIDS.ORG/COMMUNITY/IN-THE-COMMUNITY/ 0 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 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 VARIOUS WAYS LISTED BELOW:A) GATHER INPUT FROM THE COMMUNITY ADVISORY COMMITTEE (CAC). THE CAC IS COMPRISED OF 18 MEMBERS FROM HEALTH ORGANIZATIONS, COMMUNITY GROUPS, FUNDERS AND ACADEMIA.B) EXPLORATORY, IN-DEPTH INTERVIEWS WERE CONDUCTED WITH EACH OF THE ADVISORY COUNCIL MEMBERS.C) 356 SURVEYS WERE COMPLETED BY PARENTS OF CHILDREN UNDER 18 AND LIVING AT HOME, WHICH REPRESENTED A DEMOGRAPHICALLY DIVERSE REPRESENTATION SIMILAR TO THAT OF ST. PETERSBURG.D) 343 SURVEYS WERE COMPLETED BY HEALTH PROFESSIONALS, EDUCATORS AND COMMUNITY LEADERS.E) ELEVEN FOCUS GROUPS AND THREE COMMUNITY CONVERSATIONS WITH COMMUNITY STAKEHOLDER WERE CONDUCTED. THERE WERE 203 PARTICIPANTS. JOHNS HOPKINS ALL CHILDREN'S HOSPITAL, INC PART V, SECTION B, LINE 11: FOCUSING THE ALL CHILDREN'S HOSPITAL CHNA AND THE SUBSEQUENT STRATEGIC COMMUNITY BENEFIT PLAN ON PINELLAS COUNTY, FLA., FACILITATES THE ALIGNMENT OF THE HOSPITAL'S EFFORTS WITH COMMUNITY AND GOVERNMENT PARTNERS, SPECIFICALLY, THE HEALTH DEPARTMENT, SCHOOLS AND MULTIPLE COMMUNITY-BASED ORGANIZATIONS. TARGET POPULATIONS FOR ALL CHILDREN'S HOSPITAL COMMUNITY BENEFIT INITIATIVES WERE IDENTIFIED THROUGH A COMMUNITY INPUT AND PLANNING PROCESS, COLLABORATIVE EFFORTS, AND THE CHNA. WITHIN THE HOSPITAL'S COMMUNITY BENEFIT SERVICE AREA (CBSA), ALL CHILDREN'S 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. THROUGH THE CHNA PROCESS CONDUCTED IN SPRING 2013, 15 POTENTIAL HEALTH PRIORITIES WERE DISCOVERED. WHILE ALL OF THE AREAS WERE IMPORTANT, THREE AREAS WERE PRIORITIZED BASED ON A CLEAR SET OF CRITERIA TO FACILITATE A TARGETED FOCUS THAT WILL LEAD TO GREATER COMMUNITY IMPACT. THE MOST PRESSING NEEDS IDENTIFIED WERE BIRTH OUTCOMES, CHRONIC DISEASE WITH A FOCUS ON CHILDHOOD OBESITY, AND MENTAL HEALTH AND SUBSTANCE ABUSE.PART OF THE CHNA PROCESS INCLUDED THE CREATION OF AN ADVISORY COMMITTEE, WHICH WAS COMPRISED OF LEADERSHIP FROM LOCAL NONPROFIT AND GOVERNMENTAL ORGANIZATIONS, AND KEY PERSONNEL FROM THE ALL CHILDREN'S HOSPITAL TEAM. THE ADVISORY COMMITTEE PROVIDED OVERSIGHT FOR THE CHNA, IDENTIFIED HEALTH PRIORITIES, AND DEVELOPED THE STRATEGIC COMMUNITY BENEFIT PLAN. THE PLAN WAS ENACTED VIA THE CREATION AND IMPLEMENTATION OF THE UNITE4KIDS HEALTH COALITION, WHICH TOOK A STRUCTURAL CHANGE APPROACH TO IMPACT LAWS, POLICIES AND PRACTICES TO IMPROVE IDENTIFIED COMMUNITY HEALTH NEEDS. CHILDHOOD OBESITY WAS SELECTED AS THE FIRST HEALTH NEED TO BE ADDRESSED BY THE COALITION. 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 PAGES 11-12. 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 (83%), AGING POPULATION, WITH WIDE VARIATIONS IN SOCIOECONOMIC LEVEL AND EDUCATIONAL ATTAINMENT, AND HIGH NUMBERS OF FEMALE-HEADED HOUSEHOLDS. 10.9% OF THE CBSA IDENTIFIES AS BLACK OR AFRICAN-AMERICAN, WHILE 8.8% 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 ($45,535) IS LOWER THAN THAT OF FLORIDA ($46,956) AND THE U.S. ($53,046). 21.4% OF PINELLAS COUNTY CHILDREN LIVE IN POVERTY. ADDITIONALLY, 40.7% OF CHILDREN IN THE CBSA LIVE IN HOUSEHOLDS HEADED BY A SINGLE PARENT. FEMALE-HEADED HOUSEHOLDS ARE DISPROPORTIONATELY AFFECTED BY POVERTY IN PINELLAS COUNTY, WITH MORE THAN ONE QUARTER LIVING IN POVERTY. (HHS COMMUNITY HEALTH STATUS INDICATORS, U.S. CENSUS BUREAU). THE PROPORTION OF BLACK CHILDREN LIVING BELOW POVERTY (38.8%) IN PINELLAS COUNTY WAS MORE THAN THREE TIMES THAT OF THEIR WHITE COUNTERPARTS (10.5%) (U.S. CENSUS BUREAU; CENSUS 2010).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, ONE QUARTER OF THE COUNTY'S ADULT POPULATION HAD A BACHELOR'S DEGREE OR HIGHER, 61% HAD A HIGH SCHOOL DIPLOMA OR SOME COLLEGE, AND 11.9% HAD LESS THAN A HIGH SCHOOL DIPLOMA. (U.S. CENSUS BUREAU; AMERICAN COMMUNITY SURVEY, 2006-2010 AMERICAN COMMUNITY SURVEY 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: 48FEDERALLY-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 25 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/TR 610383 0 211171 0 172257 0 75012 0 24744 0 1093567 0 166875 0 RONALD PETERSON CORP VICE CHAIR/TRUSTEE 0 1424788 0 612155 0 147413 0 778546 0 25191 0 2988093 0 0 NANCY STAHL VP FINANCE/CFO 0 243330 0 65521 0 8239 0 33106 0 2809 0 353005 0 0 CYNTHIA ROSE VP MARKETING & COMMUNITY R 0 185936 0 31428 0 2437 0 37223 0 3595 0 260619 0 0 BRIGITTA MUELLER MD VICE PRESIDENT MEDICAL AFF 0 309349 0 65207 0 8113 0 54150 0 5533 0 442352 0 0 ROBERTA ALESSI VP COO 0 342547 0 94608 0 21756 0 67948 0 3445 0 530304 0 0 JACKIE CRAIN VP/CHIEF STRATEGY OFFICER 0 222096 0 41720 0 725 0 22155 0 5187 0 291883 0 0 MARCO DELEON VICE PRESIDENT, HUMAN RESOURCES 0 134400 0 27000 0 17056 0 10648 0 2113 0 191217 0 0 ANTHONY NAPOLITANO MD CO-CHAIR DEPT OF PED MEDIC 325309 0 52526 0 0 0 26419 0 9988 0 414242 0 0 0 PAUL COLOMBANI MD CHAIR OF SURGERY 604022 0 181607 0 0 0 73153 0 14700 0 873482 0 0 0 ROBERT SOSA MD MEDICAL DIRECTOR OF INTERN 168235 168235 51500 51500 0 0 12589 12589 11976 11976 244300 244300 0 0 JEFFREY JACOBS CO-DIRECTOR OF HEART INSTITUTE 0 721477 0 258437 0 0 0 47961 0 24693 0 1052568 0 0 GARY STAPELTON CO-DIRECTOR OF HEART INSTITUTE 0 393062 0 52743 0 0 0 28980 0 21425 0 496210 0 0 CAROLYN CAREY MD NEUROSURGEON 329584 458179 0 189372 0 0 0 37613 0 16507 329584 701671 0 0 GERALD TUITE MD NEUROSURGEON 327084 451176 0 189372 0 0 0 41589 0 24041 327084 706178 0 0 LUIS RODRIGUEZ MD NEUROSURGEON 329584 451997 0 189372 0 0 0 41589 0 16642 329584 699600 0 0 RICHARD HARMEL MD PED SURGEON 120000 439264 0 88334 0 0 0 30222 0 13807 120000 571627 0 0 NICOLE CHANDLER PED SURGEON 154500 382096 0 47924 0 0 0 28360 0 21531 154500 479911 0 0 ARNOLD T STENBERG JR FORMER EXEC VP/CAO/TRUSTEE 0 0 0 0 667822 0 0 0 0 0 667822 0 0 0 R WILLIAM HORTON FORMER SR VP-STRATEGIC PLAN/TRUST 0 0 0 0 446248 0 0 0 0 0 446248 0 0 0 JENNIFER R CASATELLI MD FORMER TRUSTEE 0 176003 0 45353 0 0 0 15168 0 8419 0 244943 0 0 PAUL DANIELSON FORMER TRUSTEE 142500 567504 0 90433 0 0 0 39366 0 20658 142500 717961 0 0 PART I, LINE 1A ORGANIZATION PROVIDED BENEFITS FORM 990, SCHEDULE J, PART 1, QUESTION 1A THE NON-SUBSTANTIATED PORTION OF MONTHLY AUTOMOBILE ALLOWANCES ARE GROSSED UP FOR FICA TAXES ONLY. HOUSING ALLOWANCES ARE PROVIDED ONLY IN LIMITED CIRCUMSTANCES AND FOR FINITE PERIODS OF TIME AS PART OF SOME EMPLOYEE RELOCATION AGREEMENTS. PART I, LINES 4A-B THE FOLLOWING INDIVIDUAL LISTED ON THE 990 RECEIVED SEVERANCE FROM ALL CHILDREN'S HOSPITAL: ARNOLD T. STENBERG, JR. $667,822.33 R. WILLIAM HORTON $446,247.98 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 DO 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 $686,642; ROBERTA ALESSI $26,867; BRIGITTA MUELLER, M.D. $20,934; JACKIE CRAIN $4,320; MARCO DELEON $3,375; AND CYNTHIA ROSE $9,947. 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 $610,383.00, BONUS & INCENTIVE COMPENSATION $211,171.00, OTHER REPORTABLE COMPENSATION $172,257.00, DEFERRED COMPENSATION $75,012.00 AND NON-TAXABLE BENEFITS $24,744.00. A CITY OF ST PETERSBURG HEALTH FACILITIES AUTHORITY 596000424 793309JM8 2012-06-28 102400000 REFUND PRIOR ISSUE (04/20/05 A&B) 0 0 0 A 6750000 102400000 2007 1 0 1 1 A 0 0 0 0 0.00010 0.00010 0 0 0 A 0 0 1 0 1 1 SEE SCHEDULE O 22.300000000000 0 0 0 0 0 A 1 SCHEDULE K - TAX-EXEMPT BOND ISSUES CUSIP NUMBERS OF BONDS ISSUED ON 04/20/2005 ARE 793309HM0, 793309HN8 AND 793309HP3. HEDGES WERE PROVIDED WITH RESPECT TO THE BOND ISSUE BY CITIBANK AND ROYAL BANK OF CANADA. 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 11 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 -2,755,900. INTEREST EXPENSE ON SWAP AGREEMENT -3,257,685. NON-OPERATING SERVICES -6,000,000. CHANGE IN MARKET VALUE OF INTEREST RATE SWAPS -12,966,831. TRANSFER BETWEEN AFFILIATES -32,873,757. ROUNDING -3. JOHNS HOPKINS HEALTH SYSTEM CORPORATION 3910 KESWICK RD SOUTH BLDG 4TH FL S BALTIMORE MD 21211 521465301 SUPPORTING ORGANIZATION MD 501(C)(3) LINE 11C, 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 11C, 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 HOSPITAL MD 501(C)(3) LINE 3 JOHNS HOPKINS HEALTH SYSTEM CORP 0 SUBURBAN HOSPITAL INC 8600 OLD GEORGETOWN ROAD BETHESDA MD 20814 520610545 HOSPITAL MD 501(C)(3) LINE 3 JOHNS HOPKINS HEALTH SYSTEM CORP 0 HOWARD COUNTY LIQUIDATION CORPORATION 3910 KESWICK RD SOUTH BLDG 4TH FL S BALTIMORE MD 21211 520892284 INACTIVE TAX-EXEMPT ORGANIZATION MD 501(C)(3) LINE 3 JOHNS HOPKINS HEALTH SYSTEM CORP 0 HOWARD COUNTY GENERAL HOSPITAL INC 3910 KESWICK RD SOUTH BLDG 4TH FL S BALTIMORE MD 21211 522093120 HOSPITAL MD 501(C)(3) LINE 3 JOHNS HOPKINS HEALTH SYSTEM CORP 0 POTOMAC HOME SUPPORT INC 6001 MONTROSE ROAD NO 1020 ROCKVILLE MD 20852 521750383 HOME HEALTH CARE MD 501(C)(3) LINE 9 N/A 0 SIBLEY SUBURBAN HOME HEALTH AGENCY 6001 MONTROSE ROAD NO 307 ROCKVILLE MD 20852 521450142 HOME HEALTH CARE MD 501(C)(3) LINE 9 N/A 0 PEDIATRIC PHYSICIAN SERVICES INC 501 SIXTH AVENUE SOUTH ST PETERSBURG FL 33701 593425191 PEDIATRIC MEDICAL SERVICES FL 501(C)(3) LINE 9 ALL CHILDREN'S HEALTH SYSTEM INC 0 ALL CHILDREN'S 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