2017-05-15T10:37:23-05:00 2016-06-30 990 2015-07-01 530196602 LUCY WEBB HAYES NATIONAL TRAINING SCHOOL FOR DEACONESSES & MISSIONARIES LUCY 2025374000 5255 LOUGHBORO RD NW WASHINGTON DC 20016 MARTIN BASSO RVP FINANCE & CFO 2025374000 2017-05-15 2015 2021-01-29 14:40:06Z SIBLEY MEMORIAL HOSPITAL RICHARD O DAVIS 5255 LOUGHBORO RD NW WASHINGTON DC 20016 315345879 0 X WWW.SIBLEY.ORG X 1891 DC THE LUCY WEBB HAYES NATIONAL TRAINING SCHOOL FOR DEACONESSES AND MISSIONARIES MISSION IS TO DELIVER EXCELENCE AND COMPASSIONATE CARE TO EVERY PERSON, EVERY TIME. SIBLEY WILL BE THE ROLE MODEL FOR INNOVATION IN HEALTH CARE AND WELLNESS FOR ALL. THEIR VALUES ARE EXCELLENCE AND DISCOVERY, DIVERSITY AND INCLUSION, LEADERSHIP AND INTEGRITY, RESPECT AND COLLEGIALITY. 26 24 2434 358 122665 -71659 0 0 280958969 292561925 22774044 10428569 8607782 10453208 312340795 313443702 13500 20500 0 0 142636184 146309798 0 0 0 149359531 152370211 292009215 298700509 20331580 14743193 947554963 933348819 349533242 326395421 598021721 606953398 X THE LUCY WEBB HAYES NATIONAL TRAINING SCHOOL FOR DEACONESSES AND MISSIONARIES CONDUCTING SIBLEY MEMORIAL HOSPITAL IS A GENERAL SHORT-TERM ACUTE CARE HOSPITAL LOCATED IN N.W. WASHINGTON,DC. THE HOSPITAL PROVIDES ALL SERVICES WITHOUT REGARD TO RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. ITS MISSION IS TO DELIVER EXCELLENCE AND COMPASSIONATE CARE TO EVERY PERSON, EVERY TIME. ITS VISION IS TO BE THE ROLE MODEL FOR INNOVATION IN HEALTH CARE AND WELLNESS FOR ALL. THE HOSPITAL VALUES EXCELLENCE AND DISCOVERY, DIVERSITY AND INCLUSION, LEADERSHIP AND INTEGRITY, RESPECT AND COLLEGIALITY. 0 0 275449293 20500 295911927 PROVIDE ACUTE CARE HEALTHCARE SERVICES TO PATIENTS IN THE NORTHWEST WASHINGTON, DC AREA. TO PROVIDE QUALITY HEALTH SERVICES AND FACILITIES TO THIS COMMUNITY, PROMOTING WELLNESS, RELIEVE SUFFERING, AND RESTORE HEALTH AS SWIFTLY, SAFELY AND HUMANELY AS IT CAN BE DONE CONSISTENT WITH THE BEST SERVICE GIVEN AT THE HIGHEST VALUE.SIBLEY HOSPITAL IS A GENERAL SHORT TERM ACUTE CARE FACILITY LOCATED IN NORTHWEST WASHINGTON, DC. THE HOSPITAL PROVIDES ALL SERVICES WITHOUT REGARD TO RACE, CREED, SEX, SEXUAL PREFERENCE, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. IN NOVEMBER, 2010, THE HOSPITAL BECAME INTEGRATED WITH THE JOHNS HOPKINS HEALTH SYSTEM (JHHS). ONE OF THE REQUIREMENTS OF THE INTEGRATION WAS TO ADOPT THE FISCAL YEAR ACCOUNTING PERIOD OF JULY 1 TO JUNE 30. CONSEQUENTLY, THIS RETURN IS FOR THE 12-MONTH ACCOUNTING PERIOD JULY 1, 2015 TO JUNE 30, 2016. INHERENT IN THE PURPOSE IS THE HOSPITALS WILLINGNESS TO PROVIDE HEALTHCARE SERVICES TO MEMBERS OF THE COMMUNITY WHO ARE NOT ABLE TO PAY FOR SERVICES. FOR FISCAL YEAR 2016, THE HOSPITAL PROVIDED CHARITY CARE TO MORE THAN 1,000 PATIENTS, INCURRING COSTS OF APPROXIMATELY $2.6 MILLION. TOTAL BENEFITS AND UNCOMPENSATED COST OF CARE PROVIDED TO THE COMMUNITY EXCEEDED $6.5 MILLION. SIBLEY PROVIDES CHARITY CARE TO THE CLIENTS OF THE CATHOLIC HEALTH CARE NETWORK, MARYS CENTER FOR MATERNAL AND CHILD HEALTH, THE COMMUNITY OF HOPE, COLUMBIA ROAD CLINIC, UNITY HEALTHCARE, AND BREAD FOR THE CITY. THE HOSPITAL ADMITTED OVER 10,400 PATIENTS IN 2016, AND PROVIDED OVER 41,500 DAYS OF INPATIENT CARE. ADDITIONALLY, 3,300 NEW BABIES WERE DELIVERED AS WELL. ON THE OUTPATIENT SIDE, OVER 36,300 PATIENTS WERE TREATED IN OUR 24/7 EMERGENCY ROOM, OVER 10,700 SURGICAL CASES WERE PERFORMED AND APPROXIMATELY 76,600 VISITS WERE MADE FOR OTHER ANCILLIARY OUTPATIENT TREATMENTS OR PROCEDURES. 275449293 1 0 0 1 0 0 0 0 1 0 1 1 0 1 1 1 0 1 0 0 0 0 0 0 1 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 279 0 1 2434 1 1 1 0 0 0 0 0 0 0 0 0 X 26 24 0 0 0 0 0 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 DC X MARTIN BASSO RVP FINANCE & CFO 3018962333 5255 LOUGHBORO RD NW WASHINGTON DC 20016 EDWARD J MILLER JR TRUSTEE/CHAIRMAN 5.00 21.00 X X 0 0 0 WILLIAM B BARTON ESQ TRUSTEE/VICE CHAIRMAN 5.00 10.00 X X 0 0 0 JOSHUA AMMERMAN MD TRUSTEE 5.00 X 0 0 0 REV DAVID A ARGO TRUSTEE 5.00 10.00 X 0 0 0 ROBERT J BRANSON TRUSTEE 5.00 1.00 X 0 0 0 GEOFFREY D BROWN TRUSTEE 5.00 1.00 X 0 0 0 J RENE CARTER TRUSTEE/SECRETARY 5.00 20.00 X X 0 0 0 JOHN J CASTELLANI TRUSTEE 5.00 X 0 0 0 CHARLES M COCHRAN JR TRUSTEE 5.00 X 0 0 0 D SCOTT COHEN MD TRUSTEE 5.00 X 0 0 0 RICHARD O DAVIS PRESIDENT/CEO/TRUSTEE 58.00 2.00 X X 0 927513 243508 PAUL R ERICKSON TRUSTEE 5.00 X 0 0 0 MICHAEL K FARR TRUSTEE 5.00 11.00 X 0 0 0 BURKE F HAYES TRUSTEE 5.00 X 0 0 0 DALE H HOSCHEIT ESQ TRUSTEE 5.00 10.00 X 0 0 0 NILOOFAR RAZI HOWE TRUSTEE 5.00 1.00 X 0 0 0 JOHN O MAY TRUSTEE 5.00 X 0 0 0 RICHARD E MORRIS TRUSTEE/TREASURER 5.00 10.00 X X 0 0 0 RAMIN OSKOUI MD TRUSTEE 5.00 1.00 X 0 0 0 PRISCILLA I PAGANO TRUSTEE 5.00 X 0 0 0 RONALD R PETERSON TRUSTEE/CORP VICE CHAIRMAN 5.00 55.00 X X 0 2184356 803737 SHARON PERCY ROCKEFELLER TRUSTEE 5.00 X 0 0 0 CHARLES H ROSS TRUSTEE 5.00 X 0 0 0 THOMAS J SCHAEFER TRUSTEE 5.00 X 0 0 0 CARL L SYLVESTER JR MD TRUSTEE 5.00 X 0 0 0 DEBORAH TRAUTMAN PHDRN TRUSTEE 5.00 X 0 0 0 MARTIN BASSO VICE PRESIDENT, CFO 60.00 X 0 593902 60977 LAWRENCE RAMMUNO VICE PRESIDENT, MEDICAL AF 60.00 X 0 461867 64155 JOANNE MILLER VICE PRESIDENT, PATIENT CA 60.00 X 0 316534 41840 JERRY L PRICE VP REAL ESTATE & CONSTRUCT 60.00 X 0 410268 61568 ALISON ARNOTT VP SUPPORT SERVICES 60.00 X 0 208924 19073 CAROLINE LEGARDE VICE PRESIDENT, PROF SERVI 60.00 X 134253 104505 17209 SANJAY SAHA CHIEF OPERATING OFFICER 60.00 X 0 293149 50283 JEFFREY L LIN PHYSICIAN DIR GYN ONCOLOGY 40.00 X 876321 0 67895 HASAN ZIA PHYSICIAN DIR INTENSIVE/AC 40.00 X 458383 0 44542 COLETTE M MAGNANT BREAST SURGEON 40.00 X 638121 0 44472 DAVID SCHLESINGER MAMMOGRAPHY PHYSICIAN 40.00 X 441037 0 35614 POUNEH RAZAVI PHYSICIAN DIR BREAST IMAGI 40.00 X 450940 0 41656 ROBERT L SLOAN FORMER PRESIDENT & CEO/TRU 0.00 10.00 X 12636 138513 0 QUEENIE PLATER FORMER VP & CHIEF HR OFFIC 30.00 30.00 X 0 382333 62433 CHRISTINE STUPPY FORMER VP BUS. DEVEL. & ST 0.00 60.00 X 0 284893 36328 3011691 6306757 1695290 232 1 1 0 TURNER CONSTRUCTION COMPANY 11413 ISAAC NEWTON SQUARE SOUTH RESTON VA 20190 CONSTRUCTION 39981485 AMN HEALTHCARE INC 12400 HIGH BLUFF DR SAN DIEGO CA 92130 STAFFING 2198036 VARCOMAC ELECTRIC CONSTRUCTION CO 9010 JUNCTION DR ANNAPOLIS JUNCTION MD 20701 ELECTRICAL CONTRACTOR 2188758 LIFE SAFETY SYSTEMS INC 7170 GARY RD MANASSAS VA 20109 CONSULT/CONSTRUCTION 2093920 WILMOT SANZ INC 18310 MONTGOMERY VILLAGE AVE STE 3 GAITHERSBURG MD 20879 ARCHITECTURE 1968402 61 PATIENT REVENUE 621990 267809531 267809531 ASSISTED LIVING 623000 18939767 18939767 PHYSICIAN BILLING 621990 5689962 5689962 LAB REVENUE 621500 122665 122665 292561925 7138549 7138549 4755410 0 1465390 4755410 -1465390 3290020 3290020 769383 263203 506180 506180 356231 173584 182647 182647 OTHER INCOME 900099 6151660 6151660 PARKING LOT 900099 1792694 1792694 CAFETERIA/VENDING 900099 1154347 1154347 665680 665680 9764381 313443702 295911927 122665 17409110 20500 20500 123093048 109552812 13540236 5695253 5410490 284763 8909277 8463813 445464 8612220 8181609 430611 45811 43521 2290 235561 223783 11778 85000 85000 1370432 1370432 25719085 24433131 1285954 898999 701219 197780 3362697 3194562 168135 1922525 1826398 96127 5657989 5375090 282899 541563 514485 27078 323151 306993 16158 2121372 2015303 106069 18811178 17870619 940559 5244135 5244135 DIRECT PATIENT SUPPLIES 54631239 54631239 0 PURCHASED SERVICES 22143451 18600499 3542952 OTHER SUPPLIES 7283918 6919722 364196 PROVIDER TAX 917410 917410 0 1054695 1001960 52735 298700509 275449293 23251216 0 36020320 21271760 32855882 34382228 4003076 5179140 4009186 3706222 537160000 89578281 413902136 447581719 321845864 330199353 134918499 91028397 947554963 933348819 55717344 38933583 2043870 1726618 291772028 285735220 349533242 326395421 X 594010058 603122987 2167645 1986393 1844018 1844018 598021721 606953398 947554963 933348819 X 14743193 -10596973 4785457 X 0 1 X 1 0 X 0 0 0 0 0 0 1 65000 0 1 20000 85000 0 PART II-B, LINE 1: DIRECT CONTACT: SIBLEY MEMORIAL HOSPITAL RETAINS LEGAL COUNSEL TO PERFORM LOBBYING ACTIVITIES ON ITS BEHALF. THE LOBBYING ACTIVITIES RELATE TO PRESERVING AND PROTECTING THE HOSPITAL'S INTERESTS WITH REGARDS TO MATTERS AFFECTING HEALTH CARE AND HEALTH FACILITIES. OTHER ACTIVITIES: SIBLEY MEMORIAL HOSPITAL PAID ITS PARENT CORPORATION, THE JOHNS HOPKINS HEALTH SYSTEM CORPORATION $20,000 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. 0 1 X 50505000 50505000 186746855 38268710 148478145 108713 25899 82814 96024691 51104191 44920500 203774741 179481 203595260 447581719 JOINT VENTURES 3336882 F OTHER SECURITIES 326862471 F 330199353 OTHER RECEIVABLES 3933836 INTEREST RECEIVABLE 1290747 OTHER ASSETS 9376871 DUE FROM AFFILIATES 489678 LIMITED USE ASSETS 75937265 91028397 ALLOW FOR MALPRACTICE CLAIMS 10497639 ESTIMATED THIRD PARTY SETTLE 7146676 DEFERRED PENSION OBLIGATION 1110000 MISCELLANEOUS LIABILITIES 9607441 DUE TO AFFILIATES 257373464 285735220 X PART IV, LINE 2B: THE HOSPITAL ACTS AS ADMINISTRATOR/TRUSTEE FOR A CHARITABLE GIFT ANNUITY (CGA) PROGRAM. THE ASSETS ARE CUSTODIED WITH THE FIDUCIARY TRUST COMPANY. DONORS MAKE ARRANGEMENTS WITH THE HOSPITAL AND THE CUSTODIAN TO MAKE A ONE-TIME CONTRIBUTION TO THE CGA. PERIODIC ANNUITY PAYMENTS ARE THEN MADE TO THE DONOR OVER THE LIFETIME OF THE DONOR. THE HOSPITAL INCLUDES ON ITS BALANCE SHEET THE MARKET VALUE OF THE ASSETS CONTRIBUTED BY ALL DONORS IN THE PROGRAM. THE HOSPITAL ALSO INCLUDES A LIABILITY FOR ESTIMATED PAYMENTS CALCULATED TO BE PAID TO ITS DONORS IN FUTURE YEARS. THE ASSETS ARE INVESTED IN FIXED INCOME AND EQUITY SECURITIES, MONITORED REGURARLY BY THE HOSPITAL'S INVESTMENT COMMITTEE. FOR FISCAL YEAR ENDING JUNE 30, 2016, THE MARKET VALUE OF THE ASSETS DECREASED BY $469,338. 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. THIS GUIDANCE ALSO PROVIDES GUIDANCE ON THE MEASUREMENT, CLASSIFICATION AND DISCLOSURE OF TAX RETURN POSITIONS IN THE FINANCIAL STATEMENTS. THERE WAS NO IMPACT ON THE ORGANIZATION'S FINANCIAL STATEMENTS DURING THE YEARS ENDED JUNE 30, 2016 AND 2015. RIDE TO CONQUER CANCER 769383 769383 263203 769383 769383 263203 263203 506180 1 1 X 1 X 1 X 500.000000000000 1 1 0 1 1 2754268 0 2754268 0.00920 9330828 7585092 1745736 0.00580 12085096 7585092 4500004 0.01500 1930213 0 1930213 0.00650 1729317 157987 1571330 0.00530 20544403 14668684 5875719 0.01970 857380 316646 540734 0.00180 886287 0 886287 0.00300 25947600 15143317 10804283 0.03630 38032696 22728409 15304287 0.05130 1 10544070 0 63708487 101551731 -37843244 X 1 1 1 1 SIBLEY MEMORIAL HOSPITAL 5255 LOUGHBORO RD NW WASHINGTON DC 20016 WWW.HOPKINSMEDICINE.ORG/SIBLEY-MEMORIA HFD01-0213 X X X SIBLEY MEMORIAL HOSPITAL 1 0 0 1 X X X X X X X X X 15 1 1 0 1 X WWW.HOPKINSMEDICINE.ORG/SIBLEY-MEMORIAL-HOSPITAL/COMMUNITY-HEALTH/ X 1 15 1 WWW.HOPKINSMEDICINE.ORG/SIBLEY-MEMORIAL-HOSPITAL/COMMUNITY-HEALTH/ 0 0 1 X 200.000000000000 500.000000000000 X X X 1 1 X 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 SIBLEY MEMORIAL HOSPITAL PART V, SECTION B, LINE 5: SIBLEY MEMORIAL HOSPITAL, INC. (SMH) TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL THROUGH VARIOUS WAYS LISTED BELOW:A) 113 ONLINE SURVEY RESPONDENTS,B) 80 COMMUNITY FORUM ATTENDEES,C) 60 COMMUNITY-BASED ORGANIZATIONS,D) 40 FOCUS GROUP PARTICIPANTS,E) 31 KEY INFORMANT INTERVIEWS,F) 15 HOSPITALS AND COMMUNITY HEALTH CENTERS,G) 11 GOVERNMENT AGENCIES, AND H) 8 ELECTED OFFICIALS, INCLUDING DC COUNCILMEMBERS AND ADVISORY NEIGHBORHOOD COMMISSIONERS SIBLEY MEMORIAL HOSPITAL PART V, SECTION B, LINE 6A: THE OTHER HOSPITAL FACILITIES WITH WHICH SMH CONDUCTED ITS CHNA ARE:A)CHILDREN'S NATIONAL HEALTH SYSTEMB)HOWARD UNIVERSITY HOSPITALC)PROVIDENCE HEALTH SYSTEMD)COMMUNITY OF HOPE, DCE)UNITY HEALTH CARE, INC.F)BREAD FOR THE CITYG)MARY'S CENTERTHE GROUP FORMED A COALITION - THE DC HEALTHY COMMUNITIES COLLABORATIVE (DCHCC). SIBLEY MEMORIAL HOSPITAL PART V, SECTION B, LINE 11: THE SMH IMPLEMENTATION STRATEGY FOR THE CHNA SPELLS OUT IN CONSIDERABLE DETAIL WAYS THAT SMH INTENDS TO ADDRESS THE MULTIPLE HEALTH NEEDS OF OUR COMMUNITY. AS THE HOSPITAL BEGINS TO USE THIS VALUABLE TOOL, THE IMPLEMENTATION STRATEGY ITSELF SHOULD BE CONSIDERED A DYNAMIC DOCUMENT AND MAY CHANGE AS SMH GAINS EXPERIENCE IN IMPLEMENTING PROGRAMS AND MEASURING OUTCOMES.THE COMMUNITY NEEDS THAT ARE NOT BEING ADDRESSED IN THE IMPLEMENTATION STRATEGY ARE CULTURAL COMPETENCE, FOOD INSECURITY, HEALTHY BEHAVIORS, AND HEALTH DATA DISSEMINATION. THE DCHCC RECOGNIZED THERE ARE OTHER ORGANIZATIONS OR LOCAL GOVERNMENT AGENCIES WITH EXISTING PROGRAMS TO ADDRESS THESE NEEDS. FOR COMMUNITY VIOLENCE, THE DCHCC LACKS THE RELATIVE EXPERTISE OR COMPETENCIES TO ADDRESS THIS NEED. SIBLEY MEMORIAL HOSPITAL PART V, SECTION B, LINE 22D: WHEN SIBLEY HOSPITAL DETERMINES A PATIENT TO BE FAP-ELIGIBLE, BASED ON AN APPLICATION FILED BY THE PATIENT AND VERIFIED BY SIBLEY HOSPITAL, THEY ARE PROVIDED FREE CARE WHEN PATIENT INCOME IS 200% OF FPL OR LOWER. SINCE AN FAP-ELIGIBLE PATIENT IS NOT CHARGED FOR THEIR CARE THERE IS NO CALCULATION MADE FOR THE MAXIMUM AMOUNT THEY CAN BE CHARGED. FOR PATIENTS WITH INCOME AT 300% TO 400% OF FPL, THE AMOUNTS GENERALLY BILLED TO INDIVIDUALS WITH INSURANCE, THE AGB WILL BE CALCULATED USING THE LOOK BACK METHOD WHICH IS DEFINED AS ALL CLAIMS FOR EMERGENCY AND OTHER MEDICALLY NECESSARY CARE THAT HAVE BEEN PAID IN FULL TO THE HOSPITAL BY MEDICARE AND ALL PRIVATE HEALTH INSURERS TOGETHER AS THE PRIMARY PAYERS OF THESE CLAIMS, IN EACH CASE TAKING INTO ACCOUNT AMOUNTS PAID TO THE HOSPITAL IN THE FORM OF COINSURANCE OR DEDUCTIBLES. 1 1 - GRAND OAKS 5901 MACARTHUR BLVD NW WASHINGTON DC 20016 ASSISTED LIVING FACILITY PART I, LINE 7: A COST-TO-CHARGE RATIO (FROM WORKSHEET 2) IS USED TO CALCULATE THE AMOUNTS ON LINE 7A-7B (FINANCIAL ASSISTANCE AND UNREIMBURSED MEDICAID). THE AMOUNTS FOR LINES 7E-7I WOULD 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: THERE ARE NO COSTS REPORTED THAT ARE ATTRIBUTABLE TO A PHYSICIANS CLINIC. PART II, COMMUNITY BUILDING ACTIVITIES: SIBLEY MEMORIAL HOSPITAL'S (SMH) COMMUNITY BUILDING ACTIVITIES PROMOTE WORKFORCE DEVELOPMENT BY OFFERING CAREER MENTORING PROGRAMS OF IT AND PROFESSIONAL SERVICES.THE HOSPITAL ALSO INCURS COST FOR BEING IN A CONSTANT STATE OF READINESS FOR ANY EMERGENCIES, SUCH AS NATURAL DISASTERS, EPIDEMICS, CHEMICAL SPILLS OR TECHNICAL DISASTERS THAT MAY ARISE. THE HOSPITAL'S DISASTER TREATMENT TEAM WORKS ROUTINELY WITH THE DISTRICT OF COLUMBIA EMERGENCY HEALTHCARE COALITION, DC HOMELAND SECURITY ORGANIZATION, DC DEPARTMENT OF HEALTH AND OTHER SIMILAR ORGANIZATIONS IN PLANNING AND TRAINING FOR TREATMENT OF PATIENTS DURING ANY POTENTIAL DISASTERS. THE HOSPITAL MAKES AVAILABLE A 24/7 EMERGENCY CARE FACILITY, PROVIDES STATE-OF-THE-ART EQUIPMENT TO TREAT PATIENTS EFFICIENTLY AND QUICKLY, AND INCURS COSTS OF EDUCATING HOSPITAL STAFF TO ADMINISTER BETTER QUALITY CARE TO THE COMMUNITY. 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: SMH 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. SMH 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 SMH MUST ASSUME THE PATIENT DOES NOT QUALIFY. PART III, LINE 4: THE JOHNS HOPKINS HEALTH SYSTEM CORPORATION AND AFFILIATES AUDITED FINANCIAL STATEMENTS PAGE 15. PART III, LINE 8: SIBLEY MEMORIAL HOSPITAL TREATS PATIENTS WITH MANY INSURANCE CARRIERS. HOWEVER, SMH'S MEDICARE INPATIENT VOLUME IS AMONG THE HIGHEST RATIO AMONG DISTRICT OF COLUMBIA HOSPITALS. ALTHOUGH PROVIDING THE BEST POSSIBLE CARE TO OUR MEDICARE PATIENTS CREATES A FINANCIAL LOSS, WE RELIEVE THE GOVERNMENT AND SURROUNDING OTHER HOSPITALS OF THE FINANCIAL BURDEN OF TREATING THESE PATIENTS INSURED BY THE MEDICARE PROGRAM. PART OF THE MISSION OF OUR HOSPITAL IS TO SERVE ITS ELDERLY PATIENTS WITHIN THE COMMUNITY THROUGH VARIOUS PROGRAMS THAT ARE DESIGNED TO EDUCATE AND IMPROVE THEIR HEALTH STATUS. THE HOSPITAL FEELS THAT PROVIDING THESE PROGRAMS HAS CONTRIBUTED TO THE IMPROVEMENT OF HEALTH OVERALL WITHIN THE COMMUNITY. PART III, LINE 9B: WHEN A PATIENT ASKS FOR CHARITY CARE OR FINANCIAL ASSISTANCE, THE PATIENT MUST COMPLETE AN APPLICATION AND PROVIDE FINANCIAL INFORMATION THAT WOULD DEMONSTRATE FINANCIAL NEED. THE APPLICATION IS REVIEWED BY FINANCIAL COUNSELORS FOR ELIGIBILITY. PART VI, LINE 2: THE DCHCC USED A COMBINATION OF QUALITATIVE AND QUANTITATIVE DATA TO PROVIDE A BALANCED AND COMPREHENSIVE VIEW OF HEALTH AND WELL-BEING FOR DC RESIDENTS. THE QUALITATIVE DATA CONSISTED OF SEMI-STRUCTURED DIALOGUES WITH COMMUNITY STAKEHOLDERS TO OBTAIN THEIR PERSPECTIVE ON HEALTH IN DC. THE QUANTITATIVE DATA CONSISTED OF CENSUS POPULATION DATA, HEALTH STATUS AND BEHAVIOR SURVEY DATA, SURVEILLANCE REPORTS, AND HEALTH CARE PROVIDER ADMINISTRATIVE DATA. ANALYSIS OF THE QUALITATIVE AND QUANTITATIVE DATA REVEALED A LIST OF PRESSING HEALTH NEEDS. THE DCHCC USED A STRUCTURED PROCESS, A MODIFIED HANLON METHOD, TO PRIORITIZE THE NEEDS. PART VI, LINE 3: BEFORE THE BEGINNING OF ITS FISCAL YEAR, SIBLEY WILL PUBLISH A NOTICE OF AVAILABILITY OF ITS UNCOMPENSATED CARE OBLIGATION IN A NEWSPAPER OF GENERAL CIRCULATION IN THE DISTRICT OF COLUMBIA. SIBLEY WILL ALSO SUBMIT A COPY OF SUCH NOTICE TO SHPDA. A NOTICE ANNOUNCING THE AVAILABILITY OF UNCOMPENSATED CARE IS POSTED IN PLAIN VIEW IN THE PATIENT REGISTRATION SITES, ADMISSIONS DEPARTMENT, THE BUSINESS OFFICE AND THE EMERGENCY DEPARTMENT. THE NOTICE IS PUBLISHED IN ENGLISH AND SPANISH AND ANY OTHER LANGUAGE WHICH IS THE USUAL LANGUAGE OF HOUSEHOLDS OF TEN PERCENT OR MORE OF THE POPULATION OF THE DISTRICT OF COLUMBIA. SIBLEY WILL COMMUNICATE THE CONTENTS OF THE POSTED NOTICE TO ANY PERSON WHO SIBLEY HAS REASON TO BELIEVE CANNOT READ THE NOTICE. NOTICE OF AVAILABILITY IS ALSO POSTED ON THE HOSPITALS WEBSITE. PART VI, LINE 4: SMH GEOGRAPHIC SERVICE AREA IS URBAN.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 CBSA IS DEFINED BY THE GEOGRAPHIC AREA CONTAINED WITHIN THE FOLLOWING ZIP CODES: 20016, 20815, 20015, 20008, 20007, 20816, 20009, 20817, 20854, 20011, 20814, 20010, 20850, 20906, 20902, 20874, 20782, 20886, 20783, 20877, AND 20903. THE GENERAL DATA FOR THIS COMMUNITY BENEFIT SERVICE AREA ARE AS FOLLOWS: TOTAL POPULATION WAS 672,228 OF WHICH 47.4% WERE MALES AND 52.6% WERE FEMALES, AVERAGE HOUSEHOLD INCOME WAS $69,235, 4.2% OF RESIDENTS ARE UNINSURED, 38% OF RESIDENTS ARE COVERED BY MEDICAID/MEDICARE, 17.3% OF HOUSEHOLDS WITH INCOMES BELOW THE FEDERAL POVERTY GUIDELINES.NUMBER OF OTHER HOSPITALS SERVING THE COMMUNITY OR COMMUNITIES: 8FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREAS OR POPULATIONS ARE PRESENT IN THE COMMUNITY . PART VI, LINE 5: SIBLEY HOSPITAL ENSURES THAT ITS BOARD MEMBERS ARE LEADERS WITHIN THE LOCAL BUSINESS COMMUNITY AND HAVE EXPERTISE IN MANY DIFFERENT AREAS. THE SKILLS, DEDICATION AND LEADERSHIP OF THE BOARD OF TRUSTEES FORM THE FOUNDATION OF THE HOSPITALS ABILITY TO PROVIDE NEEDED SERVICES TO THE COMMUNITY. BEFORE BEING APPOINTED TO THE BOARD, POTENTIAL MEMBERS EXPERIENCE A RIGOROUS SCREENING PROCESS, ENSURING THAT THEY ARE NEITHER FAMILY MEMBERS OF CURRENT BOARD MEMBERS NOR CONTRACTORS OF SIBLEY. TO FURTHER BENEFIT THE COMMUNITY, THE HOSPITAL PROVIDES, THROUGH ITS EXCESS FUNDS, MANY PROGRAMS FOR THE CITIZENS OF THE COMMUNITY THAT ARE OF LITTLE OR NO COST TO ATTENDEES. THESE PROGRAMS ARE DESIGNED TO EDUCATE, COMFORT, IMPROVE HEALTH AND PROVIDE SUPPORT TO THOSE WHO ATTEND. A NUMBER OF FREE HEALTH AND WELLNESS SEMINARS ARE PROVIDED REGULARLY TO MEMBERS OF THE COMMUNITY, SUCH AS DIABETES EDUCATION, HEART HEALTHY EATING AND ARTHRITIS. PHYSICIANS AND STAFF DONATE THEIR TIME TO EDUCATE ATTENDEES ON WAYS TO MAINTAIN OR IMPROVE INDIVIDUAL HEALTH. THERE ARE SEVERAL ONGOING SUPPORT GROUPS THAT MEET REGULARLY. EXISTING AND NEW MEMBERS ARE STRONGLY ENCOURAGED TO ATTEND. SUPPORT GROUPS FOR BOTH THE PERSON WITH THE ILLNESS AND THE CARE PARTNER ARE PROVIDED FOR PARKINSONS, OSTOMY, CARDIAC IMPLANT, AND STROKE. SUPPORT GROUPS FOR THE PERSON FACING A CHRONIC DISEASE ARE PROVIDED FOR ARTHRITIS, CARDIAC IMPLANT, LYME DISEASE, MACULAR DEGENERATION, AND MYOTONIC DYSTROPHY. THE SUPPORT GROUP, CLUB MEMORY PROVIDES SUPPORT GROUPS AND SOCIAL ENGAGEMENT FOR PERSONS WITH MEMORY IMPAIRING ILLNESSES AND THEIR CARE PARTNER, WHICH SERVES PERSONS BOTH IN AND OUTSIDE SIBLEYS PRIMARY SERVICE AREA. IN ADDITION TO HAVING A NATIONALLY-KNOWN BREAST CANCER TREATMENT CENTER, AT LEAST FIVE CANCER SUPPORT GROUPS MEET ON A REGULAR BASIS. MEMBERS OF THE HOSPITAL STAFF AND PHYSICIANS ALSO TRAVEL OFF CAMPUS TO CONDUCT OR BE PART OF COMMUNITY HEALTH EVENTS HELD AT LOCAL CHURCHES OR COMMUNITY SOCIAL GATHERINGS. FINALLY, THE HOSPITAL PROVIDES ADDITIONAL FREE BENEFITS TO MEMBERS OF ITS SIBLEY SENIOR ASSOCIATION, CURRENTLY HAVING MORE THAN 7,000 ACTIVE MEMBERS. BENEFITS INCLUDE FREE HEALTH SCREENING, EDUCATIONAL PROGRAMS, A WIDOWED PERSONS SERVICE, AND SEMINARS ON HEALTH RELATED SUBJECTS. 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. PART VI, LINE 7, REPORTS FILED WITH STATES DC 1 HEROES INC 1200 29TH ST NW WASHINGTON DC 20007 526057916 501(C)(3) 5000 GENERAL SUPPORT DISTRICT OF COLUMBIA HOSPITAL ASSOCIATION 1152 15TH ST NW STE 900 WASHINGTON DC 20005 521135713 501(C)(6) 15000 GENERAL SUPPORT 1 1 PART I, LINE 2: THE PROCEDURES IN PLACE TO MONITOR THE USE OF GRANT FUNDS GIVEN TO THE ORGANIZATIONS LISTED CONSIST OF ANNUAL STATUS REPORTS. THESE REPORTS WILL CONTAIN A) PROGRESS ON THE RESEARCH CONDUCTED, B) FULL ACCOUNTING OF FUNDS SPENT, C) ACHIEVEMENT OF MEASURABLE OUTCOMES AND ANY CHANGES FROM THE ORIGINAL PROPOSAL, D) DATA GATHERING AND THE METHODS OR STRATEGIES USED, AND E) FINDINGS AND CONCLUSIONS. IN ADDITION, THE GRANTEES ARE REQUIRED TO MAINTAIN ACCOUNTING RECORDS WITH PRUDENT RECORD-KEEPING PROCEDURES AS REQUIRED BY ANY APPLICABLE FEDERAL, STATE, OR LOCAL LAWS, RULES OR REGULATIONS. THE GRANTOR (SIBLEY HOSPITAL) RESERVES THE RIGHT TO HAVE ACCESS TO AND EXAMINE ALL BOOKS AND RECORDS TO ASCERTAIN IF GRANT FUNDS ARE BEING DISBURSED PURSUANT TO THE TERMS OF THE AGREEMENTS. X 1 1 X X X X X X 0 1 0 0 0 0 0 0 0 RICHARD O DAVIS PRESIDENT/CEO/TRUSTEE 0 484439 0 147362 0 295712 0 215892 0 27616 0 1171021 0 227653 RONALD R PETERSON TRUSTEE/CORP VICE CHAIRMAN 0 1424788 0 612155 0 147413 0 778546 0 25191 0 2988093 0 0 MARTIN BASSO VICE PRESIDENT, CFO 0 384973 0 85605 0 123324 0 38880 0 22097 0 654879 0 0 LAWRENCE RAMMUNO VICE PRESIDENT, MEDICAL AF 0 363587 0 70210 0 28070 0 43854 0 20301 0 526022 0 0 JOANNE MILLER VICE PRESIDENT, PATIENT CA 0 260038 0 45421 0 11075 0 34384 0 7456 0 358374 0 0 JERRY L PRICE VP REAL ESTATE & CONSTRUCT 0 331230 0 72159 0 6879 0 52238 0 9330 0 471836 0 0 ALISON ARNOTT VP SUPPORT SERVICES 0 173823 0 34567 0 534 0 13366 0 5707 0 227997 0 0 CAROLINE LEGARDE VICE PRESIDENT, PROF SERVI 120726 68642 13443 35564 84 299 4298 1386 8725 2800 147276 108691 0 0 SANJAY SAHA CHIEF OPERATING OFFICER 0 202154 0 59946 0 31049 0 34332 0 15951 0 343432 0 0 JEFFREY L LIN PHYSICIAN DIR GYN ONCOLOGY 690788 0 182496 0 3037 0 53142 0 14753 0 944216 0 0 0 HASAN ZIA PHYSICIAN DIR INTENSIVE/AC 457905 0 0 0 478 0 18418 0 26124 0 502925 0 0 0 COLETTE M MAGNANT BREAST SURGEON 633912 0 0 0 4209 0 37677 0 6795 0 682593 0 0 0 DAVID SCHLESINGER MAMMOGRAPHY PHYSICIAN 354417 0 67482 0 19138 0 11713 0 23901 0 476651 0 0 0 POUNEH RAZAVI PHYSICIAN DIR BREAST IMAGI 363425 0 87154 0 361 0 12312 0 29344 0 492596 0 0 0 ROBERT L SLOAN FORMER PRESIDENT & CEO/TRU 0 138513 0 0 12636 0 0 0 0 0 12636 138513 0 0 QUEENIE PLATER FORMER VP & CHIEF HR OFFIC 0 301299 0 70731 0 10303 0 52866 0 9567 0 444766 0 0 CHRISTINE STUPPY FORMER VP BUS. DEVEL. & ST 0 237285 0 45920 0 1688 0 26051 0 10277 0 321221 0 0 PART I, LINE 1A BONUSES WERE GROSSED UP FOR CERTAIN EXECUTIVES. PART I, LINE 4B THE FOLLOWING INDIVIDUALS LISTED ON FORM 990, PART VII, SECTION A, LINE 1A PARTICIPATED IN A NONQUALIFIED RETIREMENT PLAN WITH THE RELATED ORGANIZATION JOHNS HOPKINS HEALTH SYSTEM CORPORATION AND RECEIVED ACCRUED DEFERRED COMPENSATION THAT IS REPORTED ON SCHEDULE J, PART II, COLUMN (C): RONALD PETERSON $686,643.00; RICHARD DAVIS $139,039.00; QUEENIE PLATER $36,388.00; CHRISTINE STUPPY $3,847.00; ALISON ARNOTT $2,867.00; SANJAY SAHA $22,386.00; CAROLINE LEGARDE $325.00; LAWRENCE RAMUNNO $17,500.00; JOANNE MILLER $12,500.00; AND JERRY PRICE $5,344.00. THE FOLLOWING INDIVIDUAL LISTED ON FORM 990, PART VII, SECTION A, LINE 1A PARTICIPATED IN A NON QUALIFIED RETIREMENT PLAN WITH THE RELATED ORGANIZATION JOHNS HOPKINS HEALTH SYSTEM CORPORATION AND RECEIVED PAYMENT, 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 YEAR'S FORMS 990: RICHARD DAVIS $227,652.97 AND MARTIN BASSO $93,696.00. THE FOLLOWING INDIVIDUAL LISTED ON FORM 990, PART VII, SECTION A, LINE 1A PARTICIPATED IN A NON QUALIFIED RETIREMENT PLAN WITH SIBLEY MEMORIAL HOSPITAL AND RECEIVED PAYMENT, 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 YEAR'S FORMS 990: ROBERT SLOAN $12,636.00. SCHEDULE J, PART II, OFFICERS SOME OF THE CURRENT OFFICERS OF SIBLEY MEMORIAL HOSPITAL, INC. WERE TRANSFERRED TO THE PAYROLL OF THE RELATED ORGANIZATION JOHNS HOPKINS HEALTH SYSTEM CORPORATION. JOHNS HOPKINS HEALTH SYSTEM CORPORATION IS THE PARENT ORGANIZATION OF SIBLEY MEMORIAL HOSPITAL. THE SALARY AND BENEFIT EXPENSE FOR THOSE EXECUTIVES IS PAID FROM SIBLEY MEMORIAL 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 DURING THE TRANSITION PERIOD JOHNS HOPKINS HEALTH SYSTEM CORPORTION, AN IRC 501C(3) TAX EXEMPT PARENT ORGANIZATION OF SIBLEY MEMORIAL HOSPITAL MAY ELECT ONE TRUSTEE. AFTER THE STATED TRANSITION PERIOD, JOHNS HOPKINS HEALTH SYSTEM CORPORATION ELECTS THE BOARD OF TRUSTEES. FORM 990, PART VI, SECTION A, LINE 7B THE GOVERNING BODY OF SIBLEY MEMORIAL HOSPITAL 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 WAS PROVIDED TO THE FINANCE COMMITTEE BEFORE IT WAS FILED. FORM 990, PART VI, SECTION B, LINE 12C THE HOSPITAL HAS AN EXISTING POLICY (#02-25-09) WHICH SPECIFICALLY ADDRESSES POTENTIAL CONFLICT(S) OF INTEREST FOR DECISION MAKERS AT ALL LEVELS WITHIN ITS BORDERS. THIS COVERAGE INCLUDES MEMBERS OF THE GOVERNING BOARD, ADMINISTRATION, MEDICAL STAFF, AND ALL OTHER EMPLOYEES. DISCLOSURE FORMS ASKING FOR POTENTIAL CONFLICTS OF INTEREST ARE DISTRIBUTED AT LEAST ANNUALLY SO THAT APPROPRIATE ACTION MAY BE TAKEN TO ENSURE THAT SUCH POTENTIAL CONFLICTS DO NOT INFLUENCE IMPORTANT DECISIONS. THE HOSPITAL'S BOARD MEMBERS ARE ASKED TO SUBMIT DISCLOSURE FORMS SEMI-ANNUALLY AND ON A CASE-BY-CASE BASIS. THE GOVERNING BOARD, SENIOR MANAGEMENT, AND THE EXECUTIVE COMMITTEE OF THE MEDCAL STAFF (AS APPROPRATE) BEAR RESPONSIBILITY FOR ADDRESSING AND REVIEWING ALL POTENTIAL CONFLICTS AND TAKING APPROPRIATE ACTION. WHEN CONFLICTS DO ARISE, THE MATTER IS BROUGHT BEFORE THE APPROPRIATE GOVERNING BODY AND DISCUSSED, AND THE CONFLICT IS ELIMINATED. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION USES AN INDEPENDENT COMPENSATION COMMITTEE, AN INDEPENDENT COMPENSATION CONSULTANT, A WRITTEN EMPLOYMENT CONTRACT, A COMPENSATION SURVEY OR STUDY, APPROVAL BY THE BOARD AND CONTEMPORANEOUS WRITTEN SUBSTANTIATION OF THE DECISION-MAKING PROCESS WHEN DETERMINING COMPENSATION FOR THE CEO AND OTHER OFFICERS OF THE ORGANIZATION. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: CHANGE IN BENEFICIAL INTEREST IN FOUNDATION ROCKVILLE IMAGING K-1 57,693. CHEVY CHASE IMAGING K-1 179,178. CHANGE IN MINIMUM PENSION LIABILITY -4,500,000. NET ASSETS RELEASED 2,034,284. INTERCOMPANY TRANSFERS 6,898,023. NON-OPERATING SERVICES 116,279. 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 CORPORATION 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 CORPORATION 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 CORPORATION 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 CORPORATION 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 CORPORATION 0 SUBURBAN HOSPITAL HEALTHCARE SYSTEM INC 8600 OLD GEORGETOWN ROAD BETHESDA 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0 JOHNS HOPKINS MEDICAL MANAGEMENT CORPORATION 3910 KESWICK RD SOUTH BLDG 4TH FL S BALTIMORE MD 21211 521250028 NURSING SERVICES MD N/A C 0 JOHNS HOPKINS EMPLOYER HEALTH PROGRAM 3910 KESWICK RD SOUTH BLDG 4TH FL S BALTIMORE MD 21211 521947678 BENEFIT PLANS MD N/A C 0 TCAS INC 3910 KESWICK RD SOUTH BLDG 4TH FL S BALTIMORE MD 21211 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 SLEEP SERVICES OF AMERICA INC 3910 KESWICK RD SOUTH BLDG 4TH FL S BALTIMORE MD 21211 232833187 SLEEP SERVICES PA N/A C 0 0 1 1 0 1 0 0 0 0 1 0 1 0 1 1 0 0 1 1 THE JANE BANCROFT ROBINSON FOUNDATION B 1863692 FMV THE JANE BANCROFT ROBINSON FOUNDATION C 50000 FMV THE JANE BANCROFT ROBINSON FOUNDATION O 39871 FMV THE STACY MARK REED FOUNDATION C 8000000 FMV SIBLEY MEMORIAL HOSPITAL FOUNDATION L 4692037 FMV SIBLEY MEMORIAL HOSPITAL FOUNDATION R 12478 FMV SIBLEY MEMORIAL HOSPITAL FOUNDATION S 1137651 FMV