2017-05-12T14:07:07-05:00 2016-06-30 990 2015-07-01 522093120 HOWARD COUNTY GENERAL HOSPITAL INC HOWA 4107407730 3910 KESWICK RD S BLDG NO 4300A BALTIMORE MD 21211 JAMES E YOUNG SENIOR VP FINANCE 4107407730 2017-05-12 2015 2021-01-29 14:40:06Z JAMES E YOUNG 3910 KESWICK RD S BLDG NO 4300A BALTIMORE MD 21211 278060420 0 X WWW.HCGH.ORG X 1998 MD PROVISION OF INPATIENT AND OUTPATIENT HEALTHCARE SERVICES TO INDIVIDUALS. 23 19 2189 350 0 0 4415327 3732233 241982259 256956718 2147666 820148 4110178 5600725 252655430 267109824 1075000 4345528 0 0 111078385 121553444 0 0 0 125727032 130326748 237880417 256225720 14775013 10884104 316675443 322937483 226657243 231002415 90018200 91935068 X MISSION: HOWARD COUNTY GENERAL HOSPITAL, A MEMBER OF JOHNS HOPKINS MEDICINE, STRIVES TO PROVIDE THE HIGHEST QUALITY CARE TO IMPROVE THE HEALTH OF OUR ENTIRE COMMUNITY THROUGH INNOVATION, COLLABORATION, SERVICE EXCELLENCE, DIVERSITY AND A COMMITMENT TO PATIENT SAFETY. ITS VISION IS TO BE THE PREMIER COMMUNITY HOSPITAL IN MARYLAND. 0 0 74940657 91121869 DEPARTMENT OF MEDICINE AND SURGERYPURPOSE: HOWARD COUNTY GENERAL HOSPITAL OFFERS A BROAD SPECTRUM OF INPATIENT AND OUTPATIENT SURGICAL SERVICES FOR ADULT AND PEDIATRIC PATIENTS. A LIST OF SOME OF THE MORE COMMON TYPES OF SURGERY PERFORMED AT HCGH INCLUDE: COLORECTAL SURGERY, ENDOSCOPY, GENERAL SURGERY, MINIMALLY INVASIVE SURGERY, NEUROSURGERY, OPHTHALMOLOGY, ORAL SURGERY AND DENTISTRY, ORTHOPEDIC SURGERY, OTOLARYNGOLOGY, PLASTIC SURGERY, PODIATRY, UROLOGY, VASCULAR SURGERY. HOWARD COUNTY GENERAL HOSPITAL'S INTENSIVE CARE UNIT IS A HIGHLY SPECIALIZED 16-BED UNIT DEDICATED TO THE NEEDS OF ADULT PATIENTS REQUIRING INTENSIVE MONITORING AND PATIENT CARE SERVICES INVOLVING CARDIAC, MEDICAL AND SURGICAL CARE. STAFFED 24 HOURS A DAY BY HIGHLY QUALIFIED PHYSICIANS, NURSES AND TECHNICIANS, THE UNIT FEATURES STATE-OF-THE-ART MEDICAL EQUIPMENT INCLUDING A COMPUTERIZED MONITORING SYSTEM. MEDICATIONS ARE ADMINISTERED USING A COMPUTERIZED MEDICATION ADMINISTRATION RECORD WITH BARCODE SCANNING FOR PATIENT SAFETY. THE UNIT IS DESIGNED SO THAT EVERY BED IS CLEARLY VISIBLE FROM THE NURSING STATION.HOWARD COUNTY GENERAL HOSPITAL HAS A PROGRAM FOR TOTAL KNEE AND HIP REPLACEMENT PATIENTS CALLED THE JOINT ACADEMY. IT APPROACHES THE JOINT REPLACEMENT SURGICAL EXPERIENCE IN A WHOLE NEW WAY, CREATING A PARTNERSHIP AMONG THE PATIENT, DOCTOR AND HOSPITAL. BECAUSE AN INFORMED PATIENT CAN MORE FULLY PARTICIPATE IN HIS OR HER OWN CARE AND RECOVERY, WE FOCUS ON ENGAGING AND EDUCATING OUR PATIENTS THROUGHOUT THE ENTIRE PROCESS FROM ADMISSION TO POST-DISCHARGE.THE HEALTH CARE AND SURGERY CENTER (HCSC) IS LOCATED ADJACENT TO THE HOSPITAL. THE HCSC IS THE PRIMARY LOCATION FOR OUTPATIENT PROCEDURES AND ADDITIONAL OUTPATIENT SERVICES, INCLUDING MAGNETIC RESONANCE IMAGING (MRI). THE HCSC OCCUPIES THE ENTIRE LOWER LEVEL OF THE ADJACENT BUILDING AND CONSISTS OF SIX OPERATING ROOMS, ONE MINOR PROCEDURE ROOM, A UROLOGY SUITE, AND A POST-ANESTHESIA CARE UNIT. SPACE AND PROGRAMS HAVE ALSO BEEN DESIGNED TO MEET THE NEEDS OF PEDIATRIC SURGERY PATIENTS AND THEIR FAMILIES. 27580011 41309198 EMERGENCY DEPARTMENTPURPOSE: OUR 36-BED EMERGENCY DEPARTMENT (ED) IS STAFFED 24-HOURS A DAY, SEVEN DAYS A WEEK BY BOARD-CERTIFIED JOHNS HOPKINS EMERGENCY MEDICINE PHYSICIANS. THE 24,000 SQUARE UNIT EXPANSION PROVIDES STATE-OF-THE-ART COMPREHENSIVE, INDIVIDUALIZED EMERGENCY MEDICAL CARE AND URGENT CARE TO THE CITIZENS OF HOWARD COUNTY AND THE SURROUNDING AREA. UPON ARRIVAL AT THE EMERGENCY DEPARTMENT, A REGISTERED NURSE ASSESSES EVERY PATIENT TO DETERMINE TREATMENT PRIORITY NEEDS. DEPENDING ON THE PATIENT'S NEEDS, TREATMENT WILL BE PROVIDED IN ONE OF THE FOLLOWING UNITS: MAIN EMERGENCY ROOM, URGENT CARE, PEDIATRIC ED/CHILDREN'S CARE CENTER, CHEST PAIN/SHORT STAY UNIT, OR PSYCHIATRIC UNIT. 28919421 34445857 LABOR & DELIVERY/NURSERY/NICUPURPOSE: TO ACCOMMODATE THE MORE THAN 3,000 BABIES BORN IN THE HOSPITAL'S LABOR/DELIVERY/RECOVERY (LDR) UNIT EACH YEAR, HOWARD COUNTY GENERAL HOSPITAL OFFERS 12 ATTRACTIVELY DECORATED BIRTHING ROOMS. MOTHER AND BABY CAN REMAIN IN THIS PRIVATE, COMFORTABLE ROOM THROUGHOUT LABOR, DELIVERY AND RECOVERY WITH THE SECURITY OF THE HOSPITAL'S ADVANCED TECHNOLOGY. CERTAIN MEDICAL CONDITIONS MAY REQUIRE A TEMPORARY SEPARATION OF MOTHER AND BABY.WHILE THE MAJORITY OF NEWBORN INFANTS ARE BORN HEALTHY, MORE INTENSE MONITORING AND CARE ARE SOMETIMES NECESSARY. THE HOSPITAL'S 18-BED LEVEL III+ NICU FEATURES HIGHLY SOPHISTICATED EQUIPMENT SPECIALLY DESIGNED TO CARE FOR CRITICALLY-ILL NEWBORNS IN AN ENVIRONMENT THAT FOSTERS HEALTHY DEVELOPMENT. MOST IMPORTANTLY, NICU PATIENTS BENEFIT FROM THE CONTINUOUS CARE AND OBSERVATION OF JOHNS HOPKINS'S NEONATOLOGISTS AND REGISTERED NURSES WHO ARE EXPERIENCED WITH THE SPECIAL NEEDS OF NEWBORN PREMATURE BABIES.THE CENTER FOR MATERNAL AND FETAL MEDICINE AT HOWARD COUNTY GENERAL HOSPITAL IS EQUIPPED TO MANAGE ANY HIGH-RISK SITUATION THAT MAY ARISE DURING YOUR PREGNANCY AND TO PROVIDE YOU WITH COMPREHENSIVE CARE. THE CENTER PROVIDES: COVERAGE BY BOARD-CERTIFIED MATERNAL FETAL SPECIALISTS CONSULTATIVE SERVICES FOR ALL MEDICAL COMPLICATIONS OF PREGNANCY CERTIFIED GENETIC COUNSELORS FIRST-TRIMESTER SCREENING TO BETTER DELINEATE THE RISKS OF DOWN SYNDROME, TRISOMY 13 AND TRISOMY 18 4D IMAGING TO STUDY YOUR BABY'S ANATOMICAL DEVELOPMENT AND FETAL GROWTH FETAL ASSESSMENT CENTER FOR ANTENATAL TESTING PROFILES TESTING FOR MATERNAL DIABETES AND HYPERTENSION FETAL ECHOCARDIOGRAM PROGRAM DIABETES IN PREGNANCY PROGRAMTHE CENTER FOR MATERNAL AND FETAL MEDICINE EMPLOYS SPECIALLY TRAINED AND CERTIFIED SONOGRAPHERS TO PERFORM ROUTINE FIRST-TRIMESTER SCREENINGS AND 20-WEEK FETAL ANATOMY SCREENINGS THAT ARE MORE DETAILED THAN THOSE TYPICALLY OFFERED BY OB/GYN OFFICES. HOWARD COUNTY GENERAL HOSPITAL ENCOURAGES ANY PATIENT, HIGH-RISK OR OTHERWISE, WHO IS INTERESTED IN HAVING THESE STATE-OF-THE-ART TESTS TO GET A REFERRAL FROM HER DOCTOR.THE CENTER FOR MATERNAL AND FETAL MEDICINE OFFERS A MULTIDISCIPLINARY TEAM APPROACH WORKING WITH THE MOTHER'S OWN OB/GYN, PERINATOLOGIST, NEONATOLOGIST, PEDIATRIC SUBSPECIALIST, GENETIC COUNSELORS AND PATIENT EDUCATIONS THROUGHOUT THE PREGNANCY AND, IF NEEDED, DURING YOUR DELIVERY AT HOWARD COUNTY GENERAL HOSPITAL. HOWARD COUNTY GENERAL HOSPITAL'S GOAL IS TO DEVELOP A HEALTH CARE PLAN THAT ADDRESSES THE NEEDS OF THE MOTHER AND BABY. 83156040 4345528 90079794 83156040 4345528 90079794 214596129 1 1 0 1 0 0 0 0 0 0 1 1 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 242 0 1 2189 1 0 0 0 0 0 0 0 0 X 23 19 0 0 0 0 0 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 MD X THE CORPORATION 4439975724 3910 KESWICK RD SOUTH BLDG 4TH BALTIMORE MD 21211 W BRIAN MCGOWAN TRUSTEE/CHAIRMAN 1.00 X X 0 0 0 NICHOLAS KOUTRELAKOS MD TRUSTEE 1.00 X 0 0 0 MARVIN P DAVIS MD TRUSTEE 1.00 X 0 0 0 RONALD R PETERSON CORPORATE VICE CHAIR/TRUST 1.00 59.00 X X 0 2184356 803737 DAVID POWELL TRUSTEE 1.00 X 0 0 0 PETER J ROGERS JR TRUSTEE 1.00 X 0 0 0 ALTON J SCAVO TRUSTEE 1.00 X 0 0 0 GDANIEL SHEALER JR TRUSTEE 1.00 59.00 X 0 936720 212110 SUE SONG APRN-PMH PH D TRUSTEE 1.00 X 0 0 0 W GILL WYLIE TRUSTEE 1.00 59.00 X 0 454767 132434 KAYODE A WILLIAMS TRUSTEE 1.00 X 0 0 0 PAUL SKALNY TRUSTEE/VICE CHAIRMAN 1.00 X X 0 0 0 STEVEN C SNELGROVE PRESIDENT/TRUSTEE 59.00 1.00 X X 0 616392 112635 DAVID CONDRON TRUSTEE, TREASURER 1.00 X X 0 0 0 DENNIS MILLER TRUSTEE 1.00 X 0 0 0 MARY A PIERPRZAK MD TRUSTEE 1.00 X 0 0 0 ELIZABETH RENDON-SHERMAN TRUSTEE, SECRETARY 1.00 X X 0 0 0 KAREN BUTLER TRUSTEE 1.00 X 0 0 0 KATHLEEN MURPHY WHITE PHD TRUSTEE 1.00 X 0 0 0 JONATHAN S FISH MD TRUSTEE 1.00 X 0 0 0 SCOTT BUTLER TRUSTEE 1.00 X 0 0 0 RENEE DEMSKI TRUSTEE 1.00 59.00 X 0 310916 118795 STEPHEN T VILLANYI MD TRUSTEE 1.00 X 0 0 0 ERIC M ALDRICH MD V.P. FOR MEDICAL AFFAIRS 60.00 X 0 423904 57969 JUDY E BROWN RN MAS SR. VP, OUTCOMES MANAGEMEN 60.00 X 0 248762 60548 JAMES E YOUNG SR VP, FINANCE 60.00 X 0 333797 75342 KAREN K DAVIS RN V.P. OF NURSING & CNO 60.00 X 0 275242 131018 RYAN BROWN V.P. OPERATIONS 60.00 X 0 238694 40730 SANDRA HARRIMAN V.P. OF DEVELOPMENT 60.00 X 152965 0 12992 JON ORAVEC V.P. OF HUMAN RESOURCES 60.00 X 0 0 0 LINDA EITEL ASSISTANT SECRETARY 40.00 X 69287 0 910 DEBRA DEMPSEY-KELLY APPEALS MANAGER 40.00 X 195050 0 19515 SHARON ROSSI SENIOR DIRECTOR OF OPERAT 40.00 X 171456 0 21919 SHERYL DULSKY REGISTERED NURSE 40.00 X 190797 0 16868 ALICE KYERE REGISTERED NURSE 40.00 X 178640 0 12751 NANCY SMITH DIRECTOR OF PATIENT CARE 40.00 X 169859 0 37114 VICTOR A BROCCOLINO FORMER OFFICER 0.00 X 237857 0 0 BRIAN A GRAGNOLATI FORMER TRUSTEE 0.00 X 0 589823 25563 JAY H BLACKMAN FORMER OFFICER 0.00 X 0 237248 78574 PAUL MGLEICHAUF FORMER OFFICER 0.00 X 129366 0 0 1495277 6850621 1971524 122 1 1 0 AMN HEALTHCARE 72400 HIGH BLUFF DR STE 100 SAN DIEGO CA 92130 NURSING AGENCY, TECH PREMIUM FEES 2464286 BROADWAY SERVICES INC 3709 E MONUMENT ST BALTIMORE MD 21205 SECURITY, CLEANING & MNGT SERVICES 1846839 SODEXHO INC PO BOX 70060 CHICAGO IL 60673 DIETARY FEES/MNGT, RENTS 1655680 AMERICAN RED CROSS 4701 MOUNT HOPE DR STE C BALTIMORE MD 21215 BLOOD LAB SERVICES 1447346 EXECUTIVE HEALTH RESOURCES INC PO BOX 822688 PHILADELPHIA PA 191822688 MNGT FEES, PHYS SERVS 1000610 5 3208814 469383 54036 3732233 DEPARTMENT OF MEDICINE AND SURGER 621990 91121869 91121869 PATIENT SERVICE REVENUE 900099 89948366 89948366 EMERGENCY DEPARTMENT 621910 41309198 41309198 LABOR & DELIVERY/NURSERY/NICU 621990 34445857 34445857 COMMUNITY EDU. 900099 131428 131428 256956718 896192 896192 887221 0 887221 887221 887221 10661100 10737144 -76044 -76044 -76044 458594 213452 245142 245142 OTHER 900099 4404366 4404366 TELE.& VENDING REV. 900099 63996 63996 4468362 267109824 256956718 0 6420873 4345528 4345528 236154 236154 96241491 93702403 2539088 4296326 3451854 844472 13099300 12011385 1087915 7680173 7580957 99216 51014 51014 1275 1275 48864 48864 42179236 38712551 3466685 995970 886636 109334 166140 123593 42547 146007 146007 5085093 4627835 457258 13415715 11215125 2200590 1439253 1439253 PURCHASED SERVICES 55006520 26543782 28462738 LAB SERVICES 9903863 9903863 SWAP INTEREST 1492167 1344741 147426 CONSULTING 321509 145715 175794 74122 161 73961 256225720 214596129 41629591 0 14017416 17207606 9621521 49206 30111876 31555328 5076441 4948212 2877402 2865597 255395670 111294512 149789331 144101158 102909699 119975721 2271757 2234655 316675443 322937483 30197367 28748800 196459876 202253615 226657243 231002415 X 89884563 91801431 133637 133637 90018200 91935068 316675443 322937483 X 10884104 -1631933 -7335303 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 48864 48864 256176856 256225720 1000000 250000 0 0 1000000 1000000 1000000 1000000 4000000 6000000 42264 35096 35511 48864 161735 250000 250000 250000 250000 1000000 1500000 FORM 990 SCH.C PART II-A LINE 1B THE HOWARD COUNTY GENERAL HOSPITAL PAID ITS PARENT CORPORATION, THE JOHNS HOPKINS HEALTH SYSTEM CORPORATION $48,864 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. 255395670 111294512 144101158 144101158 U.S. T-BILLS 116278130 F INVESTMENTS CMROC, LLC 172444 F INVESTMENTS - MOB 828602 F INV IN SUBS/JOINT VE 2696545 F 119975721 DUE TO AFFILIATES 10148481 ADVANCES THIRD PARTY PAYORS 11172601 ESTIMATED MALPRACTICE COST 5073754 NOTES PAYABLE AFFILIATES 149985883 NET PENSION LIABILITY 1584525 TOTAL OTHER LIABILITIES 24288371 202253615 X 265130973 0 265130973 1978851 1978851 267109824 250601478 0 250601478 5624242 5624242 256225720 PART X, LINE 2: FASB GUIDANCE ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES CLARIFIES THE ACCOUNTING FOR UNCERTAINTY OF INCOME TAX POSITIONS. THIS GUIDANCE DEFINES THE THRESHOLD FOR RECOGNIZING TAX RETURN POSITIONS IN THE FINANCIAL STATEMENTS AS MORE LIKELY THAN NOT THAT THE POSITION IS SUSTAINABLE, BASED ON ITS TECHNICAL MERITS. THIS GUIDANCE ALSO PROVIDES GUIDANCE ON THE MEASUREMENT, CLASSIFICATION AND DISCLOSURE OF TAX RETURN POSITIONS IN THE FINANCIAL STATEMENTS. THERE IS NO IMPACT ON HOWARD COUNTY GENERAL HOSPITAL INC FINANCIAL STATEMENTS DURING THE YEARS ENDED JUNE 30, 2016 AND 2015. PART XI, LINE 4B - OTHER ADJUSTMENTS: RECLASS OF COGS TO REVENUE -213,452. CONTRIBUTION TO AFFILIATES 2,183,977. REALIZED GAIN -76,044. OTHER INCOME 84,370. PART XII, LINE 4B - OTHER ADJUSTMENTS: SWAP INTEREST 1,492,166. RECLASS OF COGS -213,452. CONTRIBUTION TO AFFILIATE 4,345,528. 1 1 X 1 X 1 X 500.000000000000 1 1 0 1 1 4014259 0 4014259 0.01570 4014259 4014259 0.01570 12530492 133682 12396810 0.04840 1041348 0 1041348 0.00410 371476 316369 55107 0.00020 734646 0 734646 0.00290 14677962 450051 14227911 0.05560 18692221 450051 18242170 0.07130 646 0 646 0.00000 397361 0 397361 0.00160 398007 398007 0.00160 0 6249259 0 78292360 77558242 734118 X 1 1 1 1 HOWARD COUNTY GENERAL HOSPITAL 5755 CEDAR LANE COLUMBIA MD 21044 WWW.HOPKINSMEDICINE.ORG/HOWARD_COUNTY_ 13-004 X HOWARD COUNTY GENERAL HOSPITAL 1 0 0 1 X X X X X X X X X 15 1 0 0 1 X WWW.HOPKINSMEDICINE.ORG/HOWARD_COUNTY_GENERAL_HOSPITAL/ABOUT/GIVE_COMMUNITY X 1 15 1 WWW.HOPKINSMEDICINE.ORG/HOWARD_COUNTY_GENERAL_HOSPITAL/ABOUT/GIVE_COMMUNITY 0 0 1 X 200.000000000000 500.000000000000 X X X 1 1 X X X 1 X WWW.HOPKINSMEDICINE.ORG/PATIENT_CARE/PAY_BILL/ASSISTANCE_POLICIES.HTML X WWW.HOPKINSMEDICINE.ORG/PATIENT_CARE/PAY_BILL/ASSISTANCE_POLICIES.HTML X WWW.HOPKINSMEDICINE.ORG/PATIENT_CARE/PAY_BILL/PAYMENT_ASSISTANCE.HTML X X X X X 1 X 0 X X X X 1 X 0 0 HOWARD COUNTY GENERAL HOSPITAL PART V, SECTION B, LINE 5: HOWARD COUNTY GENERAL HOSPITAL (HCGH) TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL THROUGH VARIOUS WAYS LISTED BELOW:A) PRIMARY DATA WAS GATHERED FROM MORE THAN 2,000 PARTICIPANTS VIA AN EXTENSIVE PHONE SURVEY IN THE HOWARD COUNTY HEALTH ASSESSMENT SURVEY (HCHAS). THE SURVEY WAS JOINTLY COMMISSIONED BY THE HORIZON FOUNDATION, THE HOWARD COUNTY HEALTH DEPARTMENT, HOWARD COUNTY GENERAL HOSPITAL, AND THE COLUMBIA ASSOCIATION.B) THE LOCAL HEALTH IMPROVEMENT COALITION (LHIC), A PART OF THE STATE HEALTH IMPROVEMENT PLAN, SERVED AS THE TASK FORCE FOR IDENTIFYING AND PRIORITIZING THE HIGHEST NEEDS OF THE COMMUNITY IN HOWARD COUNTY. THE TASK FORCE INCLUDED LEADERS OF LOCAL HEALTH AND HUMAN SERVICE ORGANIZATIONS, COUNTY GOVERNMENT LEADERSHIP, LOCAL BUSINESS LEADERS AND HOSPITAL LEADERS WHO PROVIDED INPUT THROUGH THEIR PARTICIPATION IN THIS PROCESS.C) HEALTH EXPERTS FOR THE AUGUST 2014 HEALTH SURVEY WERE MEMBERS OF THE HOWARD COUNTY SURVEY PLANNING COMMITTEE.D) SECONDARY DATA FROM LOCAL, STATE AND FEDERAL SOURCES PROVIDED ESSENTIAL INFORMATION, INSIGHT AND KNOWLEDGE ON A BROAD RANGE OF HEALTH AND SOCIAL ISSUES AND A RESOURCE INVENTORY WAS COMPILED TO ASSESS THE AVAILABILITY OF SERVICES TO RESIDENTS IN HOWARD COUNTY. HOWARD COUNTY GENERAL HOSPITAL PART V, SECTION B, LINE 11: HCGH'S COMMITMENT TO IMPROVING THE HEALTH OF ITS COMMUNITY WILL BE EVIDENT THROUGH DELIBERATE COLLABORATIONS TARGETING SPECIFIC SEGMENTS OF OUR COMMUNITY EXPERIENCING GAPS IN ANY OF THE FOUR PRIORITY HEALTH AREAS AND PROVIDING IN-KIND AND FINANCIAL SUPPORT TO ORGANIZATIONS AND INITIATIVES THAT SHARE OUR COMMITMENT TO ADDRESSING THESE PRIORITIES.HCGH'S BOARD OF TRUSTEES AND EXECUTIVE LEADERSHIP WILL ENSURE THE HOSPITAL'S STRATEGIC AND CLINICAL GOALS ARE ALIGNED WITH THE FOUR COMMUNITY HEALTH IMPROVEMENT INITIATIVES. THE IMPLEMENTATION PLAN FOCUSES ON CLOSE ALLIANCES WITH ORGANIZATIONS WHO HAVE COMMON GOALS AND ARE KEY STAKEHOLDERS. COLLABORATION YIELDS THE POTENTIAL FOR ENHANCED OUTCOMES AND EFFICIENCY OF RESOURCES. MOST ARE ALSO ACTIVE MEMBER OF THE LHIC AND ARE ALREADY COMMITTED TO BUILDING A HEALTHIER HOWARD COUNTY COMMUNITY. HOWARD COUNTY GENERAL HOSPITAL PART V, SECTION B, LINE 22D: MARYLAND IS THE ONLY STATE IN WHICH ALL PAYORS (GOVERNMENTALLY-INSURED, COMMERCIALLY INSURED, OR SELF-PAY) ARE CHARGED THE SAME PRICE FOR SERVICES AT ANY GIVEN HOSPITAL.UNDER THIS SYSTEM, MARYLAND HOSPITALS ARE REGULATED BY A STATE AGENCY: THE HEALTH SERVICES COST REVIEW COMMISSION (HSCRC). PART I, LINE 7: A COST-TO-CHARGE RATIO (FROM WORKSHEET 2) IS USED TO CALCULATE THE AMOUNTS ON LINE 7A AND 7B (FINANCIAL ASSISTANCE AT COST AND UNREIMBURSED MEDICAID). THE AMOUNTS FOR LINES 7E-7I COMES FROM THE HSCRC COMMUNITY BENEFIT REPORT FILED WITH THE STATE OF MARYLAND AND IS NOT BASED ON A COST-TO CHARGE RATIO. PART I, LINE 7G: HOWARD COUNTY GENERAL HOSPITAL, INC. DOES NOT HAVE ANY SUBSIDIZED HEALTH SERVICES. PART II, COMMUNITY BUILDING ACTIVITIES: HCGH'S COMMUNITY BUILDING ACTIVITIES PROMOTE THE HEALTH OF THE COMMUNITY IT SERVES THROUGH A NUMBER OF INITIATIVES THEY HAVE DEVELOPED. HCGH PROMOTES THE IMPROVEMENT OF HEALTHY LIVING THROUGH CONSTRUCTION AND IMPROVEMENT OF COMMUNITY BASED INFRASTRUCTURES. FOR EXAMPLE, HCGH CONTINUES ITS SUPPORT OF THE HEALTHY CHILDRENS PLAY AREA IN THE COLUMBIA MALL, A CENTERPIECE OF THE HOWARD COUNTY COMMUNITY, TO PROMOTE HEALTHY HABITS IN A FUN EDUCATIONAL MANNER. PART III, LINE 2: THE PROVISION FOR BAD DEBTS IS BASED UPON A COMBINATION OF THE PAYOR SOURCE, THE AGING OF RECEIVABLES AND MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS, TRENDS IN HEALTH INSURANCE COVERAGE, AND OTHER COLLECTION INDICATORS. PART III, LINE 3: MARYLAND HOSPITALS ARE RATE REGULATED UNDER THE HSCRC, WHICH INCLUDES BAD DEBT AS PART OF THE REIMBURSEMENT FORMULA FOR EACH HOSPITAL. DUE TO THE RATE REGULATION, HCGH CANNOT DETERMINE THE AMOUNT THAT REASONABLE COULD BE ATTRIBUTABLE TO PATIENTS WHO LIKELY WOULD QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S CHARITY CARE POLICY. PART III, LINE 4: THE JOHNS HOPKINS HEALTH SYSTEM CORPORATION AND AFFILIATES AUDITED FINANCIAL STATEMENTS PAGE 15. PART III, LINE 8: THE TRIAL BALANCE EXPENSES ARE ADJUSTED TO ALLOWABLE EXPENSE IN ACCORDANCE WITH THE MEDICARE COST REPORTING RULES AND REGULATIONS. PART III, LINE 9B: THE HOSPITAL CONFORMS TO THE PRINCIPLES AND STANDARDS OF THE MHA HOSPITAL BILLING AND DEBT COLLECTION PRACTICES PRINCIPLES AS WELL AS THE MHA MINIMUM STANDARDS FOR FINANCIAL ASSISTANCE IN MARYLAND HOSPITALS. PART VI, LINE 2: OVER THE YEARS, THE COUNTY HAS PRIORITIZED THE HEALTH OF ITS RESIDENTS AND INVESTED IN PROGRAMS TO IMPROVE THE HEALTH AND WELLNESS OF THOSE WHO LIVE, WORK, LEARN, PLAN AND WORSHIP THERE. PRIOR TO THE PASSAGE OF THE AFFORDABLE CARE ACT, THE COUNTY CREATED THE HEALTHY HOWARD HEALTH PLAN - A PUBLIC-PRIVATE HEALTH CARE ACCESS PLAN FOR INDIVIDUALS MAKING TOO MUCH TO QUALIFY FOR PUBLIC ASSISTANCE BUT UNABLE TO OBTAIN PRIVATE INSURANCE BECAUSE OF COST, PRE-EXISTING CONDITIONS OR A LACK OF EMPLOYER SPONSORED COVERAGE.AS PART OF COMMUNITY INTEGRATED MEDICAL HOME EFFORTS, HCGH AND HOWARD COUNTY DEPARTMENT OF HEALTH PARTNERED WITH PRIMARY CARE PHYSICIANS TO SUPPORT PRACTICE TRANSFORMATION ACTIVITIES LEADING TO IMPROVED CARE COORDINATION AND HEALTH OUTCOMES. UNDERSTANDING THE IMPORTANCE OF MENTAL/BEHAVIORAL HEALTH ISSUES, THE COUNTY HAS MADE STRATEGIC INVESTMENTS SUCH AS EMBEDDING A MENTAL HEALTH PROFESSIONAL IN THE COMMUNITY POLICING DIVISION OF THE POLICE DEPARTMENT AND A BEHAVIORAL HEALTH SPECIALIST TIED TO THE GRASSROOTS CRISIS INTERVENTION CENTER TO WORK WITH INDIVIDUALS DISCHARGED FROM HCGH'S EMERGENCY DEPARTMENT, AND DELIVER MENTAL HEALTH FIRST AID TRAINING. THESE RESOURCES HELP CONNECT HIGH-RISK INDIVIDUALS TO CARE, CREATE LINKAGES TO OTHER COMMUNITY RESOURCES, AND INCREASE AWARENESS OF MENTAL ILLNESS. PART VI, LINE 3: HCGH WILL PUBLISH THE AVAILABILITY OF FINANCIAL ASSISTANCE ON A YEARLY BASIS IN THEIR LOCAL NEWSPAPERS, AND WILL POST NOTICES OF AVAILABILITY AT PATIENT REGISTRATION SITES, ADMISSIONS/BUSINESS OFFICE, THE BILLING OFFICE, AND AT THE EMERGENCY DEPARTMENT WITHIN HCGH. NOTICE OF AVAILABILITY WILL BE POSTED ON THEIR WEBSITE, WILL BE MENTIONED DURING ORAL COMMUNICATIONS, AND WILL ALSO BE SENT TO PATIENTS ON PATIENT BILLS. A PATIENT BILLING AND FINANCIAL ASSISTANCE INFORMATION SHEET WILL BE PROVIDED TO INPATIENTS BEFORE DISCHARGE AND WILL BE AVAILABLE TO ALL PATIENTS UPON REQUEST.JHH HAS STAFF AVAILABLE TO DISCUSS AND ASSIST PATIENTS AND/OR THEIR FAMILIES WITH THE AVAILABILITY OF VARIOUS GOVERNMENT BENEFITS, SUCH AS MEDICAID OR STATE PROGRAMS, AND ASSISTS PATIENTS WITH QUALIFICATION FOR SUCH PROGRAMS, WHERE APPLICABLE. PART VI, LINE 4: HCGH GEOGRAPHIC SERVICE AREA IS SUBURBAN.THE HOSPITAL CONSIDERS ITS COMMUNITY BENEFIT SERVICE AREA (CBSA) AS SPECIFIC POPULATIONS OR COMMUNITIES OF NEED TO WHICH THE HOSPITAL ALLOCATES RESOURCES THROUGH ITS COMMUNITY BENEFIT PLAN. THE HOSPITAL DEFINES ITS CBSA USING THE ZIP CODES CONTAINED WITHIN THE GEOGRAPHICAL BOUNDARIES OF THE HOWARD COUNTY JURISDICTION AS SET FORTH BY THE MARYLAND DEPARTMENT OF PLANNING AND ZONING.THE GENERAL DATA FOR THIS PRIMARY SERVICE AREA ARE AS FOLLOWS: TOTAL POPULATION WAS 418,265 OF WHICH 49.6% WERE MALES AND 50.4% WERE FEMALES, AVERAGE HOUSEHOLD INCOME WAS $137,488, 2.04% OF RESIDENTS ARE UNINSURED, 9.4% OF RESIDENTS ARE COVERED BY MEDICAID/MEDICARE, AND 5.1% OF RESIDENTS HAVE INCOME BELOW THE FEDERAL POVERTY GUIDELINES.NUMBER OF OTHER HOSPITALS SERVING THE COMMUNITY OR COMMUNITIES: 1FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREAS OR POPULATIONS ARE NOT PRESENT IN THE COMMUNITY. PART VI, LINE 5: FOR THE LAST 30 YEARS, MARYLAND HOSPITALS HAVE MET THEIR COMMUNITY BENEFIT OBLIGATIONS IN A UNIQUE MANNER THAT BUILDS THE COSTS OF UNCOMPENSATED CARE, CHARITY CARE AND PATIENT BAD DEBT AND GRADUATE MEDICAL EDUCATION INTO THE RATES THAT HOSPITALS ARE REIMBURSED BY ALL PAYORS. THE SYSTEM IS BASED IN FEDERAL AND STATE LAW AND BENEFITS ALL MARYLAND RESIDENTS, INCLUDING THOSE IN NEED OF FINANCIAL ASSISTANCE TO PAY THEIR HOSPITAL BILLS. MARYLAND IS THE ONLY STATE IN WHICH ALL PAYORS GOVERNMENTALLY-INSURED, COMMERCIALLY INSURED, OR SELF-PAY ARE CHARGED THE SAME PRICE FOR SERVICES AT ANY GIVEN HOSPITAL.UNDER THIS SYSTEM, MARYLAND HOSPITALS ARE REGULATED BY A STATE AGENCY THE HEALTH SERVICES COST REVIEW COMMISSION (HSCRC) THAT IS REQUIRED TO:PUBLICLY DISCLOSE INFORMATION ON THE COST AND FINANCIAL POSITION OF HOSPITALS;REVIEW AND APPROVE HOSPITAL RATES;COLLECT INFORMATION DETAILING TRANSACTIONS BETWEEN HOSPITALS AND FIRMS WITH WHICH THEIR TRUSTEES HAVE A FINANCIAL INTEREST; AND,MAINTAIN THE SOLVENCY OF EFFICIENT AND EFFECTIVE HOSPITALS.SINCE 2000, THE RATE SETTING COMMISSION HAS HAD ITS OWN FRAMEWORK FOR REPORTING HOSPITALS COMMUNITY BENEFITS AND ISSUING A REPORT ANNUALLY REGARDING HOSPITALS COMMUNITY BENEFIT TOTALS. THAT REPORT IS AVAILABLE ON HTTP://WWW.HSCRC.STATE.MD.US/COMMUNITY_BENEFITS/DOCUMENTS/ CBR_FY2007_FINAL_REPORT.PDF. BECAUSE OF THIS UNIQUE STRUCTURE MARYLAND HOSPITALS COMMUNITY BENEFITS NUMBERS WILL NOT COMPARE WITH THE REST OF THE NATION'S HOSPITALS. HOWEVER, MARYLAND HOSPITALS MEET OR EXCEED THE COMMUNITY BENEFIT STANDARD ESTABLISHED BY THE IRS IN 1969. ADDITIONAL DETAIL ILLUSTRATING THIS CAN BE FOUND WITHIN THIS SCHEDULE H REPORT.LINE 7B - MARYLAND'S REGULATORY SYSTEM CREATES A UNIQUE PROCESS FOR HOSPITAL PAYMENT THAT DIFFERS FROM THE REST OF THE NATION. THE HEALTH SERVICES COST REVIEW COMMISSION, (HSCRC) DETERMINES PAYMENT THROUGH A RATE-SETTING PROCESS AND ALL PAYORS, INCLUDING GOVERNMENTAL PAYORS, PAY THE SAME AMOUNT FOR THE SAME SERVICES DELIVERED AT THE SAME HOSPITAL. MARYLAND'S UNIQUE ALL-PAYOR SYSTEM INCLUDES A METHOD FOR REFERENCING UNCOMPENSATED CARE IN EACH PAYORS' RATES, WHICH DOES NOT ENABLE MARYLAND HOSPITALS TO BREAKOUT ANY DIRECTED OFFSETTING REVENUE RELATED TO UNCOMPENSATED CARE. COMMUNITY BENEFIT EXPENSES ARE EQUAL TO MEDICAID REVENUES IN MARYLAND, AS SUCH, THE NET EFFECT IS ZERO. THE EXCEPTION TO THIS IS THE IMPACT ON THE HOSPITAL OF ITS SHARE OF THE MEDICAID ASSESSMENT. IN RECENT YEARS, THE STATE OF MARYLAND HAS CLOSED FISCAL GAPS IN THE STATE MEDICAID BUDGET BY ASSESSING HOSPITALS THROUGH THE RATE-SETTING SYSTEM.LINE 7F COLUMN (D) MARYLAND'S REGULATORY SYSTEM CREATES A UNIQUE PROCESS FOR HOSPITAL PAYMENT THAT DIFFERS FROM THE REST OF THE NATION. THE HEALTH SERVICES COST REVIEW COMMISSION, (HSCRC) DETERMINES PAYMENT THROUGH A RATE-SETTING PROCESS AND ALL PAYORS, INCLUDING GOVERNMENTAL PAYORS, PAY THE SAME AMOUNT FOR THE SAME SERVICES DELIVERED AT THE SAME HOSPITAL. MARYLAND'S UNIQUE ALL-PAYOR SYSTEM INCLUDES A METHOD FOR REFERENCING UNCOMPENSATED CARE IN EACH PAYORS' RATES, WHICH DOES NOT ENABLE MARYLAND HOSPITALS TO BREAKOUT ANY OFFSETTING REVENUE RELATED TO HEALTH PROFESSIONS EDUCATION. PART VI, LINE 6: JOHNS HOPKINS HEALTH SYSTEM CORPORATION (JHHS) IS INCORPORATED IN THE STATE OF MARYLAND TO, AMONG OTHER THINGS, FORMULATE POLICY AMONG AND PROVIDE CENTRALIZED MANAGEMENT FOR JHHS AND AFFILIATES. JHHS IS ORGANIZED AND OPERATED FOR THE PURPOSE OF PROMOTING HEALTH BY FUNCTIONING AS A PARENT HOLDING COMPANY OF AFFILIATES WHOSE COMBINED MISSION IS TO PROVIDE PATIENT CARE IN THE TREATMENT AND PREVENTION OF HUMAN ILLNESS WHICH COMPARES FAVORABLY WITH THAT RENDERED BY ANY OTHER INSTITUTION IN THIS COUNTRY OR ABROAD.JHHSC IS THE SOLE MEMBER OF THE JOHNS HOPKINS HOSPITAL (JHH), AN ACADEMIC MEDICAL CENTER, JOHNS HOPKINS BAYVIEW MEDICAL CENTER, INC. (JHBMC), A COMMUNITY BASED TEACHING HOSPITAL AND LONG-TERM CARE FACILITY, HOWARD COUNTY GENERAL HOSPITAL, INC. (HCGH), A COMMUNITY BASED HOSPITAL, SUBURBAN HOSPITAL, INC. (SHI), A COMMUNITY BASED HOSPITAL, SIBLEY MEMORIAL HOSPITAL (SMH), A D.C. COMMUNITY BASED HOSPITAL, AND JOHNS HOPKINS ALL CHILDRENS HOSPITAL, INC (JHACH), A FL ACADEMIC CHILDRENS HOSPITAL. PART VI, LINE 7, REPORTS FILED WITH STATES MD 1 HOWARD HOSPITAL FOUNDATION 3910 KESWICK RD STE 4300A BALTIMORE MD 21211 521072778 501(C)(3) 1000000 GENERAL OPERATIONS JOHNS HOPKINS HEALTH SYSTEM CORP 3910 KESWICK RD STE 4300A BALTIMORE MD 21211 521465301 501(C)(3) 3345528 GENERAL OPERATIONS 2 PART I, LINE 2: THE BOARD OF TRUSTEES HAS DELEGATED THE FACILITATION AND ACCOUNTING FOR ALL GRANT PROGRAMS ADMINISTERED BY HOWARD COUNTY GENERAL HOSPITAL, INC. TO THE OFFICERS, DIRECTORS, AND KEY EMPLOYEES OF THE ORGANIZATION. X X X X X X 1 1 0 0 0 0 0 1 0 RONALD R PETERSON CORPORATE VICE CHAIR/TRUST 0 1424788 0 612155 0 147413 0 778546 0 25191 0 2988093 0 0 GDANIEL SHEALER JR TRUSTEE 0 515391 0 132364 0 288965 0 198014 0 14096 0 1148830 0 243226 W GILL WYLIE TRUSTEE 0 303427 0 78845 0 72495 0 107047 0 25387 0 587201 0 0 STEVEN C SNELGROVE PRESIDENT/TRUSTEE 0 424448 0 135672 0 56272 0 88785 0 23850 0 729027 0 0 RENEE DEMSKI TRUSTEE 0 235147 0 71548 0 4221 0 93907 0 24888 0 429711 0 0 ERIC M ALDRICH MD V.P. FOR MEDICAL AFFAIRS 0 300472 0 53959 0 69473 0 30770 0 27199 0 481873 0 0 JUDY E BROWN RN MAS SR. VP, OUTCOMES MANAGEMEN 0 186007 0 41795 0 20960 0 39788 0 20760 0 309310 0 0 JAMES E YOUNG SR VP, FINANCE 0 255686 0 55649 0 22462 0 50394 0 24948 0 409139 0 0 KAREN K DAVIS RN V.P. OF NURSING & CNO 0 205159 0 32769 0 37314 0 113964 0 17054 0 406260 0 0 RYAN BROWN V.P. OPERATIONS 0 203860 0 33957 0 877 0 32092 0 8638 0 279424 0 0 SANDRA HARRIMAN V.P. OF DEVELOPMENT 152182 0 0 0 783 0 5586 0 7406 0 165957 0 0 0 DEBRA DEMPSEY-KELLY APPEALS MANAGER 92569 0 8111 0 94370 0 4625 0 14890 0 214565 0 0 0 SHARON ROSSI SENIOR DIRECTOR OF OPERAT 158959 0 0 0 12497 0 6147 0 15772 0 193375 0 0 0 SHERYL DULSKY REGISTERED NURSE 188765 0 0 0 2032 0 9230 0 7638 0 207665 0 0 0 ALICE KYERE REGISTERED NURSE 177177 0 0 0 1463 0 12519 0 232 0 191391 0 0 0 NANCY SMITH DIRECTOR OF PATIENT CARE 150372 0 0 0 19487 0 16514 0 20600 0 206973 0 0 0 VICTOR A BROCCOLINO FORMER OFFICER 0 0 0 0 237857 0 0 0 0 0 237857 0 0 0 BRIAN A GRAGNOLATI FORMER TRUSTEE 0 285341 0 191936 0 112546 0 15010 0 10553 0 615386 0 0 JAY H BLACKMAN FORMER OFFICER 0 207025 0 28799 0 1424 0 57032 0 21542 0 315822 0 0 PAUL MGLEICHAUF FORMER OFFICER 0 0 0 0 129366 0 0 0 0 0 129366 0 9653 0 PART I, LINES 4A-B THE FOLLOWING INDIVIDUALS LISTED ON THE 990 RECEIVED SEVERANCE FROM HOWARD COUNTY GENERAL HOSPITAL: PAUL GLEICHAUF $112,452.43 MAKE WHOLE PLAN & SERP I PLAN: THE MAKE WHOLE AND SERP I PLANS ARE FROZEN, NON-TAX QUALIFIED DEFINED BENEFIT PLANS. PARTICIPATION IN THE PLANS IS LIMITED TO THE EXISTING PLAN PARTICIPANTS. THE BENEFITS UNDER THE PLANS ARE BASED UPON THE PARTICIPANT'S LENGTH OF SERVICE AND COMPENSATION. THE MAKE WHOLE PLAN WAS DESIGNED TO REPLACE THE BENEFITS THE PARTICIPANTS LOST DUE TO THE COMPENSATION LIMITS IMPOSED BY LAW UPON OUR QUALIFIED DEFINED BENEFIT PLAN. IN THE MANNER REQUIRED BY APPLICABLE IRS RULES, THE DESIGN OF EACH OF THESE ARRANGEMENTS WAS APPROVED AS REASONABLE, IN ADVANCE, BY AN INDEPENDENT COMPENSATION COMMITTEE, WHICH BASED ITS DECISION ON DATA PROVIDED BY AN INDEPENDENT COMPENSATION CONSULTANT. PARTICIPANTS' INTERESTS UNDER THESE ARRANGEMENTS ARE NOT GUARANTEED OR SECURED AT ANY WAY AND AT ALL TIMES ARE SUBJECT TO CLAIMS OF EMPLOYER'S BANKRUPTCY/INSOLVENCY CREDITORS. FURTHERMORE, IF A PARTICIPANT VOLUNTARILY TERMINATES EMPLOYMENT OR IS TERMINATED BY THE EMPLOYER FOR CAUSE PRIOR TO THE APPLICABLE VESTING DATE UNDER THE MAKE WHOLE PLAN, THE PARTICIPANT'S ENTIRE MAKE WHOLE PLAN BENEFIT IS FORFEITED. IF A PARTICIPANT TERMINATES EMPLOYMENT FOR ANY REASON PRIOR TO THE APPLICABLE VESTING DATE UNDER THE SERP I, THE PARTICIPANT'S ENTIRE SERP I BENEFIT IS FORFEITED. IN ADDITION, UNDER CURRENT LAW, INTERESTS UNDER THESE ARRANGEMENTS ARE REPORTABLE AS TAXABLE COMPENSATION WHEN THEY BECOME VESTED, EVEN IF THOSE AMOUNTS ARE NOT YET PAYABLE TO THE PARTICIPANT (AND EVEN IF THOSE AMOUNTS ARE NEVER PAID TO THE PARTICIPANT). NO ROLLOVER OR OTHER TAX-DEFERRAL OPTIONS ARE AVAILABLE TO PARTICIPANTS. NOTE THAT ANY MAKE WHOLE PLAN OR SERP I VESTED AMOUNT OR PAYMENT BEING REPORTED AS COMPENSATION WAS ALSO REPORTED IN PREVIOUS YEAR(S) WHEN THAT INTEREST ACCRUED UNDER THE PLAN. SERP II PLAN & SRP PLAN: THE SERP II AND SRP PLANS ARE ACTIVE; NON-TAX QUALIFIED DEFINED CONTRIBUTION TARGET BENEFIT PLANS. THE PLANS ARE DESIGNED TO ACHIEVE A REASONABLE TARGETED RETIREMENT BENEFIT LEVEL FOR EACH PARTICIPANT (IN COMBINATION WITH THE OTHER RETIREMENT PROGRAMS OF THE EMPLOYER) BASED UPON CERTAIN CRITERIA, SUCH AS EACH PARTICIPANT'S LENGTH OF SERVICE AND COMPENSATION. IN THE MANNER REQUIRED BY APPLICABLE IRS RULES, THE DESIGN OF EACH OF THESE ARRANGEMENTS WAS APPROVED AS REASONABLE, IN ADVANCE, BY AN INDEPENDENT COMPENSATION COMMITTEE, WHICH BASED ITS DECISION ON DATA PROVIDED BY AN INDEPENDENT COMPENSATION CONSULTANT. PARTICIPANTS' INTERESTS UNDER THESE ARRANGEMENTS ARE NOT GUARANTEED OR SECURED AT ANY WAY AND AT ALL TIMES ARE SUBJECT TO CLAIMS OF EMPLOYER'S BANKRUPTCY/INSOLVENCY CREDITORS. IF A PARTICIPANT VOLUNTARILY TERMINATES EMPLOYMENT OR IS TERMINATED BY THE EMPLOYER FOR CAUSE PRIOR TO THE APPLICABLE VESTING DATE UNDER EACH ARRANGEMENT, THE PARTICIPANT'S ACCOUNT IS FORFEITED. IN ADDITION, UNDER CURRENT LAW, INTERESTS UNDER THESE ARRANGEMENTS ARE REPORTABLE AS TAXABLE COMPENSATION WHEN THEY BECOME VESTED, EVEN IF THOSE AMOUNTS ARE NOT YET PAYABLE TO THE PARTICIPANT (AND EVEN IF THOSE AMOUNTS ARE NEVER PAID TO THE PARTICIPANT). NO ROLLOVER OR OTHER TAX-DEFERRAL OPTIONS ARE AVAILABLE TO PARTICIPANTS. NOTE THAT ANY SERP II OR SRP PLAN VESTED AMOUNT OR PAYMENT BEING REPORTED AS COMPENSATION WAS ALSO REPORTED IN PREVIOUS YEAR(S) WHEN THAT INTEREST ACCRUED UNDER THE PLAN. THE FOLLOWING INDIVIDUALS LISTED ON FORM 990, PART VII, SECTION A, LINE 1A PARTICIPATED IN A NONQUALIFIED RETIREMENT PLAN AND RECEIVED ACCRUED DEFERRED COMPENSATION THAT IS REPORTED ON SCHEDULE J, PART II, COLUMN (C): RONALD R. PETERSON $686,643.00; G. DANIEL SHEALER $113,292.00; RYAN BROWN $3,920; KAREN DAVIS $8,334.00 AND STEVE SNELGROVE $53,373.00. THE FOLLOWING INDIVIDUALS LISTED ON FORM 990, PART VII, SECTION A, LINE 1A PARTICIPATED IN A NON QUALIFIED RETIREMENT PLAN AND RECEIVED PAYMENT FROM THE PLAN, IT IS REPORTED ON SCHEDULE J, PART II, COLUMN (B)(III) AS WELL AS SCHEDULE J, PART II, COLUMN (F) IF THEY WERE REQUIRED TO BE DISCLOSED ON PRIOR YEARS FORMS 990: PAUL M. GLEICHAUF $9,653.12; W. GILL WYLIE $49,160.00; G. DANIEL SHEALER, JR $265,838.35; ERIC ALDRICH $19,044.00; VICTOR BROCCOLINO $237,857.08; BRIAN GRAGNOLATI $47,678.00. PART I, LINE 7 THE BONUSES ARE ON A WEIGHTED FORMULA BASED ON THE ATTAINMENT OF QUANTIFIABLE ORGANIZATION OBJECTIVES SET BY THE TRUSTEE COMPENSATION COMMITTEE EACH YEAR. THEY ARE REVIEWED BY MANAGEMENT THAT USES DISCRETION TO DETERMINE PAYMENT. THE DEPENDENT TUITION REIMBURSEMENT PROGRAM REIMBURSE EMPLOYEES FOR THE MAXIMUM ANNUAL BENEFIT OF 50% OF $20,000 OR $10,000 FOR EACH ELIGIBLE DEPENDENT WITH A MAXIMUM OF TWO DEPENDENT CHILDREN PER EMPLOYEE AT ANY ONE TIME. THE BENEFIT IS LIMITED TO FOUR YEARS OF FULL-TIME UNDERGRADUATE STUDY. TUITION REIMBURSEMENT IS AVAILABLE TO ELIGIBLE EMPLOYEES THAT HAVE COMPLETED SIX MONTHS OF SERVICE AT A MINIMUM OF 40 SCHEDULED HOURS PER PAY. TO RECEIVE REIMBURSEMENT EMPLOYEES MUST ATTEND ACCREDITED COLLEGES AND UNIVERSITIES FOR CAREER-RELATED COURSES. THE REIMBURSEMENT IS AS FOLLOWS: IF YOU ARE SCHEDULED BETWEEN 60-80 HOURS PER PAY PERIOD YOU MAY RECEIVE UP TO $3,000 PER FISCAL YEAR FOR UNDERGRADUATE COURSES OR $5,000 PER FISCAL YEAR FOR GRADUATE COURSES. IF YOU ARE SCHEDULED BETWEEN 40-59 HOURS PER PAY PERIOD YOU MAY RECEIVE UP TO $1,500 PER FISCAL YEAR FOR UNDERGRADUATE COURSES OR $2,000 PER FISCAL YEAR FOR GRADUATE COURSES. SCHEDULE J, PART II THE CURRENT OFFICERS OF HOWARD COUNTY GENERAL HOSPITAL WERE TRANSFERRED TO THE PAYROLL OF THE RELATED ORGANIZATION JOHNS HOPKINS HEALTH SYSTEM CORPORATION. JOHNS HOPKINS HEALTH SYSTEM CORPORATION IS THE PARENT ORGANIZATION OF HOWARD COUNTY GENERAL HOSPITAL. THE SALARY AND BENEFIT EXPENSE FOR THOSE EXECUTIVES IS PAID FROM HOWARD COUNTY GENERAL HOSPITAL TO JOHNS HOPKINS HEALTH SYSTEM THROUGH A MONTHLY CHARGEBACK. THE EXPENSE IS INCLUDED ON THIS RETURN IN PURCHASED SERVICES. FORM 990, PART VI, SECTION A, LINE 7A JOHNS HOPKINS HEALTH SYSTEM CORPORATION, A IRC 501(C)(3) TAX EXEMPT PARENT ORGANIZATION OF HOWARD COUNTY GENERAL HOSPITAL, INC. ELECTS THE MAJORITY OF THE BOARD OF TRUSTEES. FORM 990, PART VI, SECTION A, LINE 7B THE GOVERNING BODY OF HOWARD COUNTY GENERAL HOSPITAL, INC. IS EMPOWERED BY ITS BY-LAWS TO MAKE CERTAIN DECISIONS; ALL OTHER DECISIONS ARE SUBJECT TO APPROVAL OF THE PARENT ORGANIZATION JOHNS HOPKINS HEALTH SYSTEM CORPORATION. FORM 990, PART VI, SECTION B, LINE 11 A COPY OF THE FORM 990 IS SENT BY EMAIL TO THE ORGANIZATION'S GOVERNING BODY BEFORE IT IS FILED. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY IS A PART OF THE ANNUAL FINANCIAL AUDIT CONFIRMATION PROCESS PROVIDED ONLINE. ALL OFFICERS, DIRECTORS, TRUSTEES AND KEY EMPLOYEES ARE REQUIRED TO COMPLY ON AN ANNUAL BASIS. FORM 990, PART VI, SECTION B, LINE 15 EVERY THREE YEARS AN INDEPENDENT STUDY IS CONDUCTED GATHERING INDUSTRY COMPENSATION AVERAGES FROM SELECT PEER INSTITUTIONS. EVERY YEAR THE JOHNS HOPKINS BOARD OF TRUSTEES COMPENSATION COMMITTEE REVIEWS COMPENSATION AMOUNTS FOR OFFICERS AND ALL EMPLOYEES AT THE DIRECTOR AND HIGHER LEVELS. FORM 990, PART VI, SECTION C, LINE 19 INTERNAL POLICIES, INCLUDING CONFLICT OF INTERST POLICY, ARE PROVIDED TO THE PUBLIC ON THE ORGANIZATION'S WEBSITE. FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST, THE GOVERNING DOCUMENTS HAVE BEEN MADE AVAILABLE IN OUR PUBLIC FILING WITH THE STATE OF MARYLAND AND THE INTERNAL REVENUE SERVICE. FORM 990, PART XI, LINE 9: CHANGE IN MARKET VALUE OF SWAP AGREEMENT -6,803,303. CHANGE IN FUNDED STATUS OF DEFINED BENEFIT PLANS -532,000. HCGH DIAGNOSTIC HEALTH SERVICE 5755 CEDAR LANE COLUMBIA MD 21044 522326835 HEALTHCARE SERVICES MD HOWARD COUNTY GENERAL HOSPITAL INC CENTRAL MARYLAND MANAGEMENT SERVICES LLC 10211 WINCOPIN CIRCLE SUITE 600 COLUMBIA MD 21044 812768743 MANAGEMENT SERVICES MD HOWARD COUNTY GENERAL HOSPITAL INC JOHNS HOPKINS HEALTH SYSTEM CORPORATION 3910 KESWICK RD S BLDG STE 4300A BALTIMORE MD 21211 521465301 SUPPORTING ORGANIZATION MD 501(C)(3) 11, III FI JOHNS HOPKINS HEALTH SYSTEM CORPORATION 0 HOWARD HOSPITAL FOUNDATION INC 3910 KESWICK RD S BLDG STE 4300A BALTIMORE MD 21211 521072778 FUNDRAISING/SUPPORTING ORGANIZATION MD 501(C)(3) 11, III FI N/A 0 JOHNS HOPKINS BAYVIEW MEDICAL CENTER INC 3910 KESWICK RD S BLDG STE 4300A BALTIMORE MD 21211 521341890 HOSPITAL MD 501(C)(3) 3 JOHNS HOPKINS HEALTH SYSTEM CORPORATION 0 JOHNS HOPKINS COMMUNITY PHYSICIANS INC 3910 KESWICK RD S BLDG STE 4300A BALTIMORE MD 21211 521467441 HEALTHCARE SERVICES MD 501(C)(3) 11, III FI JOHNS HOPKINS HEALTH SYSTEM CORPORATION 0 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OUTPATIENT RADIOLOGY MD N/A CHEVY CHASE IMAGING LLC 1201 SEVEN LOCKS ROAD STE 200 ROCKVILLE MD 20854 141944126 RADIOLOGY SERVICES MD N/A ROCKVILLE IMAGING 1201 SEVEN LOCKS ROAD STE 200 ROCKVILLE MD 20854 141944128 OUTPATIENT RADIOLOGY MD N/A HEALTHCARE SUPPLY CHAIN INNOVATIONS LLC 3910 KESWICK RD S BLDG 4TH FL STE 4 BALTIMORE MD 21211 472509307 GROUP PURCHASING MD N/A JOHNS HOPKINS REGIONAL SUPPLY CHAIN NETWORK LLC 3910 KESWICK RD S BLDG 4TH FL STE 4 BALTIMORE MD 21211 472912848 GROUP PURCHASING MD N/A COLUMBIA INVESTMENT HOLDINGS LLC 10211 WINCOPIN CIRCLE SUITE 600 COLUMBIA MD 21044 812791588 HOLDING COMPANY MD HOWARD COUNTY GENERAL HOSPITAL INC INVESTMENT 27014 2757810 0 1 1.00000 HCP VENTURE ONE CORPORATION 3910 KESWICK RD S BLDG STE 4300A BALTIMORE MD 21211 521558858 MEDICAL SERVICES MD HOWARD COUNTY GENERAL HOSPITAL INC C 1.00000 0 HSI MEDICAL SERVICES CORPORATION 3910 KESWICK RD S BLDG STE 4300A BALTIMORE MD 21211 521847705 HEALTHCARE-SLEEP DIAGNOSTICS MD N/A C 0 HOWARD COUNTY HEALTH SERVICES INC 3910 KESWICK RD S BLDG STE 4300A BALTIMORE MD 21211 521434783 HEALTHCARE MANAGEMENT MD N/A C 0 JOHNS HOPKINS MEDICAL MANAGEMENT CORPORATION 3910 KESWICK RD S BLDG STE 4300A BALTIMORE MD 21211 521250028 NURSING SERVICES MD N/A C 0 JOHNS HOPKINS EMPLOYER HEALTH PROGRAMS INC 3910 KESWICK RD S BLDG STE 4300A BALTIMORE MD 21211 521947678 BENEFIT PLANS MD N/A C 0 TCAS INC 5759 CEDAR LANE COLUMBIA MD 21044 521979344 NURSING SERVICES MD N/A C 0 SUBURBAN HEALTH ENTERPRISES INC 8600 OLD GEORGETOWN ROAD BETHESDA MD 20814 522052352 MEDICAL OFFICE LEASING AND RELEASING MD N/A C 0 0 1 1 0 0 0 0 0 0 0 0 0 1 1 0 1 0 0 0