2016-05-11T12:00:46-05:00 2015-06-30 990 2014-07-01 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 2016-05-11 2014 2016-08-17 19:52:53Z JAMES E YOUNG 3910 KESWICK RD S BLDG NO 4300A BALTIMORE MD 21211 278974821 0 X WWW.HCGH.ORG X 1998 MD PROVISION OF INPATIENT AND OUTPATIENT HEALTHCARE SERVICES TO INDIVIDUALS. 21 17 2189 355 0 0 6025300 4415327 231644888 241982259 1465070 2147666 4276803 4110178 243412061 252655430 1000000 1075000 0 0 114261954 111078385 0 0 0 116611616 125727032 231873570 237880417 11538491 14775013 304167953 316675443 224760663 226657243 79407290 90018200 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 73795296 85861118 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. 21683021 33737509 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. 26569937 34396082 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. 75617262 1075000 87987550 75617262 1075000 87987550 197665516 1 1 0 1 0 0 0 0 0 0 1 1 0 0 1 1 1 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 1 230 0 1 2189 1 0 0 0 0 0 0 0 0 X 21 17 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/VICE 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 BRIAN A GRAGNOLATI TRUSTEE 1.00 59.00 X 0 1242705 58871 RONALD R PETERSON CORPORATE VICE CHAIR/TRUST 1.00 59.00 X X 0 2133111 481135 DAVID POWELL TRUSTEE 1.00 X 0 0 0 PETER J ROGERS JR TRUSTEE/CHAIRMAN 1.00 X X 0 0 0 ALTON J SCAVO TRUSTEE 1.00 X 0 0 0 GDANIEL SHEALER JR TRUSTEE 1.00 59.00 X 0 887946 302902 SUE SONG APRN-PMH PH D TRUSTEE 1.00 X 0 0 0 W GILL WYLIE TRUSTEE 1.00 59.00 X 0 415830 89698 KAYODE A WILLIAMS TRUSTEE 1.00 X 0 0 0 PAUL SKALNY TRUSTEE/SECRETARY 1.00 X X 0 0 0 STEVEN C SNELGROVE PRESIDENT/TRUSTEE 59.00 1.00 X X 0 476518 74429 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 1.00 X 0 0 0 CATHERINE WARD 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 M LYNNE BELL ASSISTANT SECRETARY 60.00 X 59420 0 5675 ERIC M ALDRICH MD V.P. FOR MEDICAL AFFAIRS 60.00 X 0 446689 53744 JUDY E BROWN RN MAS SR. VP, OUTCOMES MANAGEMEN 60.00 X 0 233057 57114 JAMES E YOUNG SR VP, FINANCE 60.00 X 0 312869 60660 KAREN K DAVIS RN V.P. OF NURSING & CNO 60.00 X 0 219657 48651 RYAN BROWN V.P. OPERATIONS 60.00 X 0 201353 18974 SANDRA HARRIMAN V.P. OF DEVELOPMENT 60.00 X 145307 0 12131 MASOOMEH KHAMESIAN DIRECTOR, PHARMACY 40.00 X 150961 0 24429 SHARON ROSSI SENIOR DIRECTOR OF OPERAT 40.00 X 161635 0 21012 SHERYL DULSKY REGISTERED NURSE 40.00 X 180044 0 15591 ALICE KYERE REGISTERED NURSE 40.00 X 154582 0 12230 MARY MATTHEWS NURSE 40.00 X 154396 0 21544 VICTOR A BROCCOLINO FORMER OFFICER 0.00 0.00 X 412209 0 5366 JAY H BLACKMAN FORMER OFFICER 0.00 X 0 340338 71332 DOROTHY A BRILLANTES FORMER OFFICER 0.00 X 248080 0 6111 PAUL MGLEICHAUF FORMER OFFICER 0.00 X 312634 0 22292 SHARON HADSELL FORMER OFFICER 0.00 X 395774 0 22610 2375042 6910073 1486501 104 1 1 0 AMN HEALTHCARE 72400 HIGH BLUFF DR STE 100 SAN DIEGO CA 92130 NURSING AGENCY, TECH PREMIUM FEES 1888717 HOWARD COUNTY ANESTHESIA ASSOC FKA JOHN 11085 LITTLE PATUXENT PARKWAY COLUMBIA MD 21044 PHYSICIANS SERVICES 1860000 BROADWAY SERVICES INC 3709 E MONUMENT ST BALTIMORE MD 21205 SECURITY, CLEANING & MNGT SERVICES 1646068 AMERICAN RED CROSS 4701 MOUNT HOPE DR STE C BALTIMORE MD 21215 BLOOD LAB SERVICES 1374990 SIEMENS MEDICAL SOLUTIONS USA INC 51 VALLEY STREAM PARKWAY MALVERN PA 19355 EQUIPMENT SERVICE CONTRACTS, REPAIRS 1115679 56 3933488 447006 34833 4415327 PATIENT SERVICE REVENUE 900099 87868472 87868472 DEPARTMENT OF MEDICINE AND SURGER 621990 85861118 85861118 LABOR & DELIVERY/NURSERY/NICU 621990 34396082 34396082 EMERGENCY DEPARTMENT 621910 33737509 33737509 COMMUNITY EDU. 900099 119078 119078 241982259 1779171 1779171 947455 0 947455 947455 947455 26482495 26114000 368495 368495 368495 393743 205391 188352 188352 OTHER 900099 2965715 2965715 TELE.&VENDING REV. 900099 8656 8656 2974371 252655430 241982259 0 6257844 1075000 1075000 204727 204727 88464304 85945795 2518509 3707843 3311904 395939 11669515 10372495 1297020 7031996 7023834 8162 5510 5510 26206 26206 35511 35511 40590407 38592511 1997896 1943384 1811681 131703 95736 71691 24045 92218 92218 5212370 4909434 302936 15554833 13717367 1837466 1401232 1401232 PURCHASED SERVICES 51441606 21791847 29649759 LAB SERVICES 7520375 7520375 SWAP INTEREST 1533512 1437514 95998 CONSULTING 187587 84068 103519 86545 86545 237880417 197665516 40214901 0 13282195 14017416 8478509 9621521 31005488 30111876 4650014 5076441 3294569 2877402 248579706 98790375 159884365 149789331 81406081 102909699 2166732 2271757 304167953 316675443 28304269 30197367 196456394 196459876 224760663 226657243 X 79274253 89884563 133037 133637 79407290 90018200 304167953 316675443 X 14775013 -1568176 -2595927 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 35511 35511 237844906 237880417 1000000 250000 0 0 1000000 1000000 1000000 1000000 4000000 6000000 41750 42264 35096 35511 154621 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 $35,511 DURING THE FISCAL YEAR ENDED JUNE 30, 2015 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. 248579706 98790375 149789331 149789331 U.S. T-BILLS 100385455 F INVESTMENTS CMROC, LLC 1579197 F INVESTMENTS - MOB 945047 F 102909699 DUE TO AFFILIATES 9777353 ADVANCES THIRD PARTY PAYORS 9712230 ESTIMATED MALPRACTICE COST 4686392 NOTES PAYABLE AFFILIATES 154081164 NET PENSION LIABILITY 852000 TOTAL OTHER LIABILITIES 17350737 196459876 X 249585096 0 249585096 3070334 3070334 252655430 235477296 0 235477296 2403121 2403121 237880417 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, 2015 AND 2014. PART XI, LINE 4B - OTHER ADJUSTMENTS: RECLASS OF COGS TO REVENUE -205,391. CONTRIBUTION TO AFFILIATES 2,907,230. REALIZED GAIN 368,495. PART XII, LINE 4B - OTHER ADJUSTMENTS: SWAP INTEREST 1,533,512. RECLASS OF COGS -205,391. CONTRIBUTION TO AFFILIATE 1,075,000. 1 1 X 1 X 1 X 500.000000000000 1 1 0 1 1 3647913 0 3647913 0.01530 3647913 3647913 0.01530 12598380 497271 12101109 0.05090 845843 0 845843 0.00360 754751 558057 196694 0.00080 759704 0 759704 0.00320 14958678 1055328 13903350 0.05850 18606591 1055328 17551263 0.07380 419 0 419 0.00000 0 0 366078 709 365369 0.00150 0 0 0 0 0 0 0 0 0 0 366497 709 365788 0.00150 0 8689291 0 77004797 71928354 5076443 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 12 1 0 0 1 X WWW.HOPKINSMEDICINE.ORG/HOWARD_COUNTY_GENERAL_HOSPITAL/ABOUT/GIVE_COMMUNITY X X 1 12 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/HOWARD_COUNTY_GENERAL_HOSPITAL/PATIENT_VISITOR X WWW.HOPKINSMEDICINE.ORG/HOWARD_COUNTY_GENERAL_HOSPITAL/PATIENT_VISITOR 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: TO GATHER INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY HCGH THE FOLLOWING WAS DONE:A)CREATED A COMMUNITY HEALTH NEEDS ASSESSMENT TASK FORCE, WHICH INCLUDED THOUGHT LEADERS OF LOCAL HEALTH AND HUMAN SERVICE ORGANIZATIONS, COUNTY GOVERNMENT LEADERSHIP, LOCAL BUSINESS LEADERS AND HOSPITAL TRUSTEES AND MANAGEMENT.B)A TELEPHONE SURVEY ADMINISTERED TO A DEMOGRAPHICALLY REPRESENTATIVE SAMPLE OF 2,000 HOWARD COUNTY RESIDENTS HOWARD COUNTY GENERAL HOSPITAL PART V, SECTION B, LINE 7D: THE CHNA WAS DISTRIBUTED TO THE ADVISORY GROUP, BOARD OF TRUSTEES, AND COMMUNITY REPRESENTATIVES. HOWARD COUNTY GENERAL HOSPITAL PART V, SECTION B, LINE 11: PRIORITIES THAT WERE DETERMINED TO BE BEYOND THE SCOPE OF THE HOSPITALS FOCUS DURING THE FY 2014 - 2016 IMPLEMENTATION CYCLE INCLUDED: CHRONIC DISEASE MANAGEMENT, HEALTHY LIFESTYLES, AND HEALTH EDUCATION. THE HOSPITAL DOES NOT PLAN TO EXPLICITLY ADDRESS THESE HEALTH PRIORITIES. HOWEVER, EACH OF THESE PRIORITIES WILL BE EMPLOYED IN TACTICS ADDRESSING OUR CHNA PRIORITIES. MOREOVER, HCGH RECOGNIZES THAT THERE ARE NUMEROUS ORGANIZATIONS ADDRESSING COMMUNITY HEALTH NEEDS, AND IN ORDER TO LEVERAGE RESOURCES IN A MANNER TO DRIVE MAXIMUM IMPACT HCGH WILL COLLABORATE WITH OTHER ORGANIZATIONS TO ADDRESS THESE ISSUES AND, WHERE FEASIBLE, SHARE FINANCIAL OR HUMAN RESOURCES SUPPORT TO OTHER ORGANIZATION'S EFFORTS TO ADDRESS COMMUNITY HEALTH IMPROVEMENT NEEDS CONSISTENT WITH THEIR RESPECTIVE MISSIONS. 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 V, SECTION B, LINE 16 FINANCIAL ASSISTANCE POLICY WEBSITE AVAILABILITY HOWARD COUNTY GENERAL HOSPITAL PART V, SECTION B, LINE 16B WEBSITE: WWW.HOPKINSMEDICINE.ORG/HOWARD_COUNTY_GENERAL_HOSPITAL/PATIENT_VISITOR HOWARD COUNTY GENERAL HOSPITAL PART V, SECTION B, LINE 16C WEBSITE: WWW.HOPKINSMEDICINE.ORG/HOWARD_COUNTY_GENERAL_HOSPITAL/PATIENT_VISITOR 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 PAGES 13 AND 14. 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: HCGH CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) DURING FY 2013. IN ORDER TO ENSURE BROAD BASED INPUT OF THE COMMUNITY SERVED BY THE HOSPITAL, A CHNA TASK FORCE WAS CONVENED WHICH INCLUDED THOUGHT LEADERS OF LOCAL HEALTH AND HUMAN SERVICE ORGANIZATIONS, COUNTY GOVERNMENT LEADERSHIP, LOCAL BUSINESS LEADERS AND HOSPITAL TRUSTEES AND MANAGEMENT. DURING THE FIRST MEETING, A COMPREHENSIVE ANALYSIS OF DATA DESCRIBING THE HEALTH STATUS OF HOWARD COUNTY WAS PRESENTED BY TANVIR HUSSAIN, MD, POST-DOCTORAL FELLOW AT THE JOHNS HOPKINS UNIVERSITY BLOOMBERG SCHOOL OF PUBLIC HEALTH. DATA ANALYZED WAS COMPILED FROM A WIDE ARRAY OF SOURCES INCLUDING: 1) RESULTS FROM A COMPREHENSIVE 2012 HEALTH BEHAVIORS RESEARCH STUDY OF HOWARD COUNTY RESIDENTS UNDERWRITTEN BY HCGH, THE HOWARD COUNTY HEALTH DEPARTMENT, THE HORIZON FOUNDATION AND THE COLUMBIA ASSOCIATION,2) LOCAL HEALTH INDICATORS SUMMARIZED ON HOWARD HEALTH COUNTS,3) MARYLAND DEPARTMENT OF HEALTH AND MENTAL HYGIENE STATE HEALTH IMPROVEMENT PLAN,4) ANALYSES COMPILED BY THE HOWARD COUNTY HEALTH DEPARTMENT FOR THE 2012 LOCAL HEALTH IMPROVEMENT COALITION (LHIC) HEALTH NEEDS ASSESSMENT, AND 5) PROPRIETARY DATA ANALYSIS COMPANIES INCLUDING THE NIELSEN COMPANY AND THOMSON REUTERS.IN THE SECOND MEETING, THE TASK FORCE HAD EXTENSIVE DISCUSSIONS ABOUT THE HEALTH STATUS INFORMATION SET, AND IDENTIFIED SEVEN HIGHEST PRIORITY HEALTH IMPROVEMENT OPPORTUNITIES. UPON FURTHER DISCUSSION, THE TASK FORCE RECOMMENDED THAT HCGH FOCUS ITS RESOURCES ON THE TOP FOUR PRIORITIES.IN THE THIRD MEETING THE TASK FORCE DISCUSSED TACTICS THAT HCGH MIGHT PURSUE AND POTENTIAL PARTNERS WITH WHICH THE HOSPITAL COULD COLLABORATE TO EXECUTE UPON THE IDENTIFIED COMMUNITY HEALTH IMPROVEMENT PRIORITIES. PART VI, LINE 3: HCGH INFORMS ITS PATIENTS ABOUT THE FINANCIAL ASSISTANCE POLICY THROUGH A NUMBER OF TACTICS, INCLUDING: POSTING THE AVAILABILITY OF FINANCIAL ASSISTANCE ON A YEARLY BASIS IN THE LOCAL NEWSPAPERS, SIGNS IN ENGLISH AND SPANISH ARE POSTED IN PATIENT WAITING AND REGISTRATION AREAS THAT SUMMARIZE THE FINANCIAL ASSISTANCE POLICY, A COPY OF THE FINANCIAL ASSISTANCE POLICY OR A SUMMARY THEREOF WITH FINANCIAL ASSISTANCE CONTACT INFORMATION IS PROVIDED TO EVERY PATIENT UPON ADMISSION, A SUMMARY OF FINANCIAL ASSISTANCE POLICY WITH CONTACT INFORMATION FOR FINANCIAL COUNSELORS IS PROVIDED TO EVERY PATIENT WITHOUT INSURANCE WHO PRESENTS TO THE EMERGENCY DEPARTMENT, A NOTICE OF FINANCIAL ASSISTANCE AVAILABILITY WILL BE SENT TO PATIENTS ON PATIENT BILLS, AND ALL PATIENTS INDICATING A NEED FOR FINANCIAL ASSISTANCE 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, HCGH 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: 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 307,260 OF WHICH 49.5% WERE MALES AND 50.5% WERE FEMALES, AVERAGE HOUSEHOLD INCOME WAS $143,668, 2.62% OF RESIDENTS ARE UNINSURED, 10.6% OF RESIDENTS ARE COVERED BY MEDICAID/MEDICARE, AND 4.59% 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 ALL CHILDRENS HOSPITAL, INC (ACH), 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) 75000 GENERAL OPERATIONS 2 0 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 0 0 X X X X X X 1 1 0 0 0 0 0 1 0 BRIAN A GRAGNOLATI TRUSTEE 0 724673 0 235291 0 282741 0 30362 0 28509 0 1301576 0 0 RONALD R PETERSON CORPORATE VICE CHAIR/TRUST 0 1309445 0 566178 0 257488 0 456542 0 24593 0 2614246 0 0 GDANIEL SHEALER JR TRUSTEE 0 476389 0 149946 0 261611 0 289970 0 12932 0 1190848 0 239066 W GILL WYLIE TRUSTEE 0 259324 0 69554 0 86952 0 64204 0 25494 0 505528 0 0 STEVEN C SNELGROVE PRESIDENT/TRUSTEE 0 364007 0 56080 0 56431 0 51523 0 22906 0 550947 0 0 ERIC M ALDRICH MD V.P. FOR MEDICAL AFFAIRS 0 276522 0 52184 0 117983 0 25431 0 28313 0 500433 0 65116 JUDY E BROWN RN MAS SR. VP, OUTCOMES MANAGEMEN 0 181133 0 33716 0 18208 0 36910 0 20204 0 290171 0 0 JAMES E YOUNG SR VP, FINANCE 0 237519 0 46923 0 28427 0 30979 0 29681 0 373529 0 15400 KAREN K DAVIS RN V.P. OF NURSING & CNO 0 166881 0 21033 0 31743 0 31020 0 17631 0 268308 0 0 RYAN BROWN V.P. OPERATIONS 0 166141 0 23906 0 11306 0 10563 0 8411 0 220327 0 0 SANDRA HARRIMAN V.P. OF DEVELOPMENT 143558 0 0 0 1749 0 5558 0 6573 0 157438 0 0 0 MASOOMEH KHAMESIAN DIRECTOR, PHARMACY 145288 0 0 0 5673 0 10102 0 14327 0 175390 0 0 0 SHARON ROSSI SENIOR DIRECTOR OF OPERAT 161319 0 0 0 316 0 6082 0 14930 0 182647 0 0 0 SHERYL DULSKY REGISTERED NURSE 178067 0 0 0 1977 0 9001 0 6590 0 195635 0 0 0 ALICE KYERE REGISTERED NURSE 153178 0 0 0 1404 0 11172 0 1058 0 166812 0 0 0 MARY MATTHEWS NURSE 147560 0 0 0 6836 0 4367 0 17177 0 175940 0 0 0 VICTOR A BROCCOLINO FORMER OFFICER 127531 0 89835 0 194843 0 0 0 5366 0 417575 0 0 0 JAY H BLACKMAN FORMER OFFICER 0 256851 0 47108 0 36379 0 49594 0 21738 0 411670 0 20864 DOROTHY A BRILLANTES FORMER OFFICER 58860 0 26929 0 162291 0 0 0 6111 0 254191 0 18089 0 PAUL MGLEICHAUF FORMER OFFICER 108339 0 29818 0 174477 0 8423 0 13869 0 334926 0 8934 0 SHARON HADSELL FORMER OFFICER 111351 0 30426 0 253997 0 11745 0 10865 0 418384 0 0 0 PART I, LINE 1A ORGANIZATION PROVIDED BENEFITS FORM 990, SCHEDULE J, PART 1, QUESTION 1A BONUSES WERE GROSSED UP FOR CERTAIN EXECUTIVES. PART I, LINES 4A-B THE FOLLOWING INDIVIDUALS LISTED ON THE 990 RECEIVED SEVERANCE FROM HOWARD COUNTY GENERAL HOSPITAL: DOROTHY BRILLANTES $125,145.83 PAUL GLEICHAUF $94,906.66 SHARON HADSELL $146,483.38 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 $450,612; G. DANIEL SHEALER $243,226.35; AND STEVE SNELGROVE $24,000.00. 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: JAY BLACKMAN $20,864.00; DOROTHY BRILLANTES $18,088.84; PAUL M. GLEICHAUF $8,933.63; W. GILL WYLIE $31,736.00; G. DANIEL SHEALER, JR $239,066.30; JAMES E. YOUNG $15,400.00; ERIC ALDRICH $65,116.00; SHARON HADSELL $59,235.21; VICTOR BROCCOLINO $171,420.43; RYAN BROWN $10,500.00 AND BRIAN GRAGNOLATI $255,378.61. 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 -2,175,527. CHANGE IN FUNDED STATUS OF DEFINED BENEFIT PLANS -421,000. OTHER 600. HCGH DIAGNOSTIC HEALTH SERVICE 5755 CEDAR LANE COLUMBIA MD 21044 522326835 HEALTHCARE SERVICES MD 0 0 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 JOHNS HOPKINS MEDICAL SERVICES CORPORATION 3910 KESWICK RD S BLDG STE 4300A BALTIMORE MD 21218 521232569 HEALTHCARE SERVICES MD 501(C)(3) 3 JOHNS HOPKINS HEALTH SYSTEM CORPORATION 0 THE JOHNS HOPKINS HOSPITAL 3910 KESWICK RD S BLDG STE 4300A BALTIMORE MD 21218 520591656 HOSPITAL MD 501(C)(3) 3 JOHNS HOPKINS HEALTH SYSTEM CORPORATION 0 JOHNS HOPKINS HOSPITAL ENDOWMENT FUND INC 3910 KESWICK RD S BLDG STE 4300A BALTIMORE MD 21218 237252596 SUPPORTING ORGANIZATION MD 501(C)(3) 11, III FI JOHNS HOPKINS HOSPITAL ENDOWMENT FUND INC 0 SUBURBAN HOSPITAL HEALTHCARE SYSTEM INC 8600 OLD GEORGETOWN ROAD BETHESDA MD 20814 522052354 HEALTHCARE SERVICES MD 501(C)(3) 11, III FI JOHNS HOPKINS HEALTH SYSTEM CORPORATION 0 HOWARD COUNTY LIQUIDATION CORPORATION 5755 CEDAR LANE COLUMBIA MD 21044 520892284 INACTIVE TAX-EXEMPT ORGANIZATION MD 501(C)(3) 3 JOHNS HOPKINS HEALTH SYSTEM CORPORATION 0 SUBURBAN HOSPITAL INC 8600 OLD GEORGETOWN ROAD BETHESDA MD 20814 520610545 HOSPITAL MD 501(C)(3) 3 JOHNS HOPKINS HEALTH SYSTEM CORPORATION 0 LUCY WEBB HAYES NATIONAL TRAINING SCHOOL FOR DEACONESSES 5255 LOUGHBORO RD NW WASHINGTON DC 20016 530196602 HEALTHCARE SERVICES DC 501(C)(3) 3 JOHNS HOPKINS HEALTH SYSTEM CORPORATION 0 POTOMAC HOME SUPPORT INC 6001 MONTROSE RD NO 1020 ROCKVILLE MD 20852 521750383 HOME HEALTH CARE MD 501(C)(3) 9 N/A 0 SIBLEY SUBURBAN HOME HEALTH AGENCY 6001 MONTROSE RD NO 1020 ROCKVILLE MD 20852 521450142 HOME HEALTH CARE MD 501(C)(3) 9 N/A 0 PEDIATRIC PHYSICIAN SERVICES INC 501 SIXTH AVENUE SOUTH ST PETERSBURG MD 33701 593425191 PEDIATRIC MEDICAL SERVICES MD 501(C)(3) 9 ALL CHILDREN'S HEALTH SYSTEM INC 0 ALL CHILDREN'S HOSPITAL FOUNDATION INC 501 SIXTH AVENUE SOUTH ST PETERSBURG FL 33701 592481738 FOUNDATION FL 501(C)(3) 7 ALL CHILDREN'S HEALTH SYSTEM INC 0 ALL CHILDREN'S HOSPITAL INC 501 SIXTH AVENUE SOUTH ST PETERSBURG FL 33701 590683252 HOSPITAL FL 501(C)(3) 3 JOHNS HOPKINS HEALTH SYSTEM CORPORATION 0 ALL CHILDREN'S RESEARCH INSTITUTE INC 501 SIXTH AVENUE SOUTH ST PETERSBURG FL 33701 592481742 RESEARCH FL 501(C)(3) 4 ALL CHILDREN'S HEALTH SYSTEM INC 0 SURGIKID OF FLORIDA INC 501 SIXTH AVENUE SOUTH ST PETERSBURG FL 33701 593441883 MEDICAL SERVICES FL 501(C)(3) 9 ALL CHILDREN'S HEALTH SYSTEM INC 0 KIDS HOME CARE INC 501 SIXTH AVENUE SOUTH ST PETERSBURG FL 33701 593476049 HOME HEALTH CARE FL 501(C)(3) 9 ALL CHILDREN'S HEALTH SYSTEM INC 0 WEST COAST NEONATOLOGY INC 501 SIXTH AVENUE SOUTH ST PETERSBURG FL 33701 593398308 NEONATAL CARE FL 501(C)(3) 9 ALL CHILDREN'S HEALTH SYSTEM INC 0 ALL CHILDREN'S HEALTH SYSTEM INC 501 SIXTH AVENUE SOUTH ST PETERSBURG FL 33701 592481740 MANAGEMENT SERVICES FL 501(C)(3) 11C JOHNS HOPKINS HEALTH SYSTEM CORPORATION 0 OPHTHALMOLOGY ASSOCIATES LLC 3910 KESWICK RD S BLDG STE 4300A BALTIMORE MD 21211 521890957 OPHTHALMOLOGY SERVICES MD N/A SUBURBAN WELLNESS CENTER LLC 20500 GOLDENROD LANE GERMANTOWN MD 20874 562296930 REAL ESTATE MD N/A GCM SUBURBAN IMAGING LLC 1201 SEVEN LOCKS ROAD STE 200 ROCKVILLE MD 20854 522326237 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 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