2015-05-13T09:34:53-05:00 2014-06-30 990 2013-07-01 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 2015-05-13 2013 2016-02-25 16:41:14Z SIBLEY MEMORIAL HOSPITAL RICHARD O DAVIS 5255 LOUGHBORO RD NW WASHINGTON DC 20016 777309602 0 X WWW.SIBLEY.ORG X 1891 DC THE LUCY WEBB HAYES NATIONAL TRAINING SCHOOL FOR DEACONESSES AND MISSIONARIES PROVIDES ALL SERVICES WITHOUT REGARD TO RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. 25 23 2275 339 281778 -20138 132290 965264 241627654 251029985 16516958 18342076 4897871 8633212 263174773 278970537 1277993 126500 0 0 135621710 139236439 0 0 0 113802643 129193870 250702346 268556809 12472427 10413728 996154414 1257181497 146230274 325771692 849924140 931409805 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 SVCS WITHOUT REGARD TO RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. ITS MISSION IS TO PROVIDE QUALITY HEALTH SVCS AND FACILITIES FOR THE COMMUNITY, TO PROMOTE WELLNESS, RELIEVE SUFFERING, AND RESTORE HEALTH AS SWIFTLY, SAFELY AND HUMANELY AS IT CAN BE DONE CONSISTENT WITH BEST SVC POSSIBLE AT THE HIGHEST VALUE FOR ALL CONCERNED. ITS VISION IS TO MAKE AVAILABLE SUPERIOR HEALTHCARE SVC AND VALUE, WITH THE GOAL OF IMPROVING HEALTH AND WELL-BEING OF THE COMMUNITY. THE HOSPITAL PLANS TO CONTINUE TO IMPROVE THAT SVC BY USING SCIENTIFIC METHODS, TEAMWORK, AND KNOWLEDGE OF BEST PRACTICES AND CUSTOMER EXPECTATIONS. THE HOSPITAL HAS VALUES WHICH PROVIDE GUIDELINES AND PARAMETERS FOR DECISIONS NECESSARY TO IMPROVE PROCESSES AND RESPOND TO NEEDS OF ITS PATIENTS. 0 0 248646061 126500 262688165 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, 2013 TO JUNE 30, 2014. 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 2014, THE HOSPITAL PROVIDED CHARITY CARE TO MORE THAN 1,000 PATIENTS, INCURRING COSTS OVER $3.0 MILLION. TOTAL BENEFITS AND UNCOMPENSATED COST OF CARE PROVIDED TO THE COMMUNITY EXCEEDED $6.9 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 11,000 PATIENTS IN 2014, AND PROVIDED OVER 56,000 DAYS OF INPATIENT CARE. ADDITIONALLY, 3,400 NEW BABIES WERE DELIVERED AS WELL. ON THE OUTPATIENT SIDE, OVER 29,000 PATIENTS WERE TREATED IN OUR 24/7 EMERGENCY ROOM, AND OVER 7,000 SURGICAL CASES WERE PERFORMED AND OVER 66,000 VISITS WERE MADE FOR OTHER ANCILLIARY OUTPATIENT TREATMENTS OR PROCEDURES. 248646061 1 1 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 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 150 0 1 2275 1 1 1 0 0 0 0 0 0 0 0 0 X 25 23 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 REV DAVID A ARGO TRUSTEE 5.00 10.00 X 0 0 0 WILLIAM B BARTON ESQ TRUSTEE/VICE CHAIRMAN 5.00 10.00 X X 0 0 0 GEOFFREY D BROWN TRUSTEE 5.00 1.00 X 0 0 0 J RENE CARTER TRUSTEE 5.00 10.00 X 0 0 0 CHARLES M COCHRAN JR TRUSTEE 5.00 X 0 0 0 PAUL R ERICKSON TRUSTEE 5.00 X 0 0 0 MICHAEL K FARR TRUSTEE 5.00 11.00 X 0 0 0 SAMUAL P HARRINGTON MD TRUSTEE/SECRETARY 5.00 10.00 X 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 JOHN O MAY TRUSTEE 5.00 X 0 0 0 EDWARD J MILLER JR TRUSTEE/CHAIRMAN 5.00 21.00 X X 0 0 0 RICHARD E MORRIS TRUSTEE/TREASURER 5.00 10.00 X X 0 0 0 PRISCILLA I PAGANO 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 RONALD R PETERSON TRUSTEE/CORP VICE CHAIRMAN 5.00 55.00 X X 0 1980826 1418697 THOMAS H SULLIVAN TRUSTEE 5.00 X 0 0 0 CARL L SYLVESTER JR MD TRUSTEE 5.00 X 0 0 0 KIMBERLY H WALTON ESQ TRUSTEE 5.00 X 0 0 0 NILOOFAR RAZI HOWE TRUSTEE 5.00 1.00 X 0 0 0 SHARON PERCY ROCKEFELLER TRUSTEE 5.00 X 0 0 0 RICHARD O DAVIS PRESIDENT/CEO/TRUSTEE 58.00 2.00 X X 0 913092 256158 JOSHUA AMMERMAN MD TRUSTEE 5.00 X 0 0 0 RAMIN OSKOUI MD TRUSTEE 5.00 X 0 0 0 STEPHEN C MCDONNELL SR VP & CFO 60.00 X 842585 0 39055 JOAN VINCENT SR VP, PT. CARE SVCS & CNO 60.00 X 339550 0 50125 ALISON ARNOTT VP SUPPORT SERVICES 60.00 X 187142 0 18753 QUEENIE PLATER VP & CHIEF HR OFFICER 60.00 X 486092 0 33512 PETER PETRUCCI MD VP PT SAFETY, QUALITY & ME 60.00 X 0 0 0 CHRISTINE STUPPY VP BUS. DEVEL. & STRAT. PL 60.00 X 224216 0 17554 JERRY L PRICE VP REAL ESTATE & CONSTRUCT 60.00 X 421268 0 47563 CAROLINE LEGARDE VICE PRESIDENT, PROF SERVICES 60.00 X 109241 0 5569 JEFFREY L LIN PHYSICIAN DIR GYN ONCOLOGY 40.00 X 771518 0 36167 REBECCA ZUURBIER PHYSICIAN DIR. BREAST IMAG 40.00 X 525027 0 26285 HASAN ZIA PHYSICIAN DIR INTENSIVE/AC 40.00 X 527931 0 29953 COLETTE M MAGNANT BREAST SURGEON 40.00 X 682874 0 24485 THOMAS FLEURY CHIEF LAB SERVICES 40.00 X 444395 0 21267 ROBERT L SLOAN FORMER PRESIDENT & CEO/TRU 0.00 10.00 X 12636 107625 0 KENDA TAVAKOLI FORMER VP, INFO RESOURCES & CIO 60.00 X 219637 0 15111 5794112 3001543 2040254 195 1 1 0 SURGICAL ANESTHESIA ASSOCIATES 7833 WALKER DRIVE STE 520 GREENBELT MD 20770 ANESTHESIA 295379 LANGEVIN LARSEN HAMM & COHEN 5530 WISCONSIN AVE 930 CHEVY CHASE MD 20815 HEALTH CARE 289288 CRICK LLC 32750 E 140TH WAY BRIGHTON CO 80603 CONSTRUCTION 207619 WASHINGTON NEUROSURGICAL 5215 LOUGHBORO RD NW STE 510 WASHINGTON DC 20016 NEUROSURGERY 182851 WADDI M ATTIA MD 504 GRAND CYPRESS CT SILVER SPRING MD 20905 PSYCHOLOGIST 152993 10 545264 420000 965264 PATIENT REVENUE 621990 222705639 222705639 ASSISTED LIVING 623000 19278544 19278544 PHYSICIAN BILLING 621990 6222376 6222376 MEDICAL OFFICE 621990 2541648 2541648 LAB REVENUE 621500 281778 281778 251029985 6537996 6537996 509907378 497932788 170510 11974590 -170510 11804080 11804080 0 545264 0 0 371645 235767 135878 135878 OTHER INCOME 900099 4538659 4538659 PARKING LOT 900099 1872702 1872702 CAFETERIA/VENDING 900099 1176165 1176165 909808 909808 8497334 278970537 262688165 281778 15035330 X 126500 126500 115548979 103393396 12155583 5731872 5422351 309521 9929358 9393172 536186 8026230 7592814 433416 43182 40850 2332 901105 847200 53905 21000 21000 144812 144812 1364316 1364316 28259014 27085532 1173482 1136210 881467 254743 1117398 1057058 60340 2653776 2510472 143304 5214730 4933134 281596 173951 164558 9393 491341 464809 26532 3411688 3201052 210636 20141707 19033686 1108021 6133333 6133333 DIRECT PATIENT SUPPLIES 37643436 37643436 0 OTHER SUPPLIES 10069323 9682058 387265 PURCHASED SERVICES 7448873 6253120 1195753 PROVIDER TAX 2310546 2310546 0 514129 475517 38612 268556809 248646061 19910748 0 24861438 38338997 29926083 32305260 3531896 3512482 7143048 6260669 383428569 61890753 278608625 321537816 153847810 171088185 498235514 684138088 996154414 1257181497 28387984 27645816 70549654 69031564 365945 357474 46926691 228736838 146230274 325771692 X 810539856 887998398 24430638 28457761 14953646 14953646 849924140 931409805 996154414 1257181497 X 10413728 31860572 39211365 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 90000 0 1 54812 144812 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 $28,490 DURING THE FISCAL YEAR ENDED JUNE 30, 2014 TO THE DISTRICT OF COLUMBIA HOSPITAL ASSOCIATION FOR LOBBYING PURPOSES AS PART OF THE ANNUAL DUES. SIBLEY MEMORIAL HOSPITAL PAID ITS PARENT CORPORATION, THE JOHNS HOPKINS HEALTH SYSTEM CORPORATION $26,322 DURING THE FISCAL YEAR ENDED JUNE 30, 2014 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 50500000 50500000 206326102 29175492 177150610 349044 14832 334212 64913622 32600681 32312941 61339801 99748 61240053 321537816 JOINT VENTURES 3135533 F OTHER SECURITIES 167952652 F 171088185 OTHER RECEIVABLES 6548023 INTEREST RECEIVABLE 897578 OTHER ASSETS 8508017 BENEFICIAL INTEREST IN SIBLEY MEMORIAL HOSPITAL FDN 346040227 DUE FROM AFFILIATES 4630192 LIMITED USE ASSETS 317514051 684138088 ALLOW FOR MALPRACTICE CLAIMS 10324852 ESTIMATED THIRD PARTY SETTLE 6663896 DEFERRED PENSION OBLIGATION 6103000 MISCELLANEOUS LIABILITIES 15484999 INTEREST PAYABLE 972640 DEFERRED COMPENSATION 770470 DUE TO AFFILIATES 188416981 228736838 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, 2014, THE MARKET VALUE OF THE ASSETS INCREASED BY $267,206. 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, 2014 AND 2013. RIDE TO CONQUER CANCER 545264 545264 545264 545264 1 1 X 1 X 1 X 1 1 1 0 1 1 3019687 0 3019687 0.01120 5949145 3076964 2872181 0.01070 8968832 3076964 5891868 0.02190 791034 40593 750441 0.00280 1469365 250735 1218630 0.00450 4880306 0 4880306 0.01820 1365735 199475 1166260 0.00430 431177 0 431177 0.00160 8937617 490803 8446814 0.03140 17906449 3567767 14338682 0.05330 0 0 0 0 187762 0 187762 0.00070 0 0 157497 0 157497 0.00060 0 0 0 0 0 0 0 0 345259 345259 0.00130 1 8743655 0 53144015 57566678 -4422663 X 1 1 1 1 SIBLEY MEMORIAL HOSPITAL 5255 LOUGHBORO RD NW WASHINGTON DC 20016 WWW.SIBLEY.ORG HFD01-0213 X X X SIBLEY MEMORIAL HOSPITAL 1 1 X X X X X X X X X 12 1 1 1 X HTTP://WWW.SIBLEY.ORG/COMMUNITY/ X X X X X X X X X 1 0 1 1 200.000000000000 1 400.000000000000 1 X X X X X X 1 1 X X X X X X 1 0 X X X X 1 X 0 0 SIBLEY MEMORIAL HOSPITAL PART V, SECTION B, LINE 3: TO GATHER INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY SMH THE FOLLOWING WAS DONE:A)FOUR FOCUS GROUPS WITH A TOTAL OF 30 PARTICIPANTS. PARTICIPANTS INCLUDED LEADERS FROM COMMUNITY-BASED ORGANIZATIONS, HEALTH AND SOCIAL SERVICE AGENCIES, AND FAITH-BASED GROUPS.B)SURVEYS TO RESIDENTSC)MACHELLE YINGLING FROM D.C. HOSPITAL ASSOCIATION PROVIDED CRITICAL HOSPITAL DATA. SIBLEY MEMORIAL HOSPITAL PART V, SECTION B, LINE 4: THE OTHER HOSPITAL FACILITIES WITH WHICH SMH CONDUCTED ITS CHNA ARE:A)CHILDREN'S NATIONAL MEDICAL CENTERB)HOWARD UNIVERSITY HOSPITALC)PROVIDENCE HOSPITALD)COMMUNITY OF HOPE, DCE)UNITY HEALTH CARE, INC.F)BREAD FOR THE CITY SIBLEY MEMORIAL HOSPITAL PART V, SECTION B, LINE 20D: 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 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 MANAGEMENTS 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: SMH AUDITED FINANCIAL STATEMENTS PAGES 13. 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: IN ORDER TO MAXIMIZE THE EFFECTIVENESS OF COMMUNITY WORK, SMH ELECTED TO COLLABORATE WITH FOUR OTHER DISTRICT OF COLUMBIA HOSPITALS AND TWO FEDERAL QUALIFIED HEALTH CLINICS. THE COLLABORATIVE, NAMED THE D.C. HEALTHY COMMUNITIES COLLABORATIVE (DHCC) CONTRACTED WITH RAND HEALTH TO PERFORM THE COMMUNITY HEALTH NEEDS ASSESSMENT.SECONDARY DATA WAS COLLECTED FROM A VARIETY OF LOCAL, COUNTY, AND STATE SOURCES TO PRESENT A COMMUNITY PROFILE, ACCESS TO HEALTH CARE, CHRONIC DISEASES, SOCIAL ISSUES, AND OTHER HEALTH INDICATORS. PART VI, LINE 3: WHEN A PATIENT IS FIRST REGISTERED, HE/SHE MUST READ THE POSTED NOTICE ABOUT COMMUNITY/FINANCIAL ASSISTANCE. THE NOTICE IS POSTED NOTICEABLY IN THE ADMISSIONS DEPARTMENT, THE BUSINESS OFFICE, AND THE EMERGENCY DEPARTMENT. WHEN A PATIENT INQUIRES ABOUT COMMUNITY/FINANCIAL ASSISTANCE, HE/SHE IS GIVEN AN APPLICATION TO DETERMINE IF, IN FACT, HE/SHE IS ELIGIBLE FOR SUCH ASSISTANCE UNDER THE GUIDELINES ESTABLISHED BY THE DC MUNICIPAL REGULATION TITLE 22. PATIENT FINANCIAL COUNSELORS ARE ON STAFF TO ASSIST THE PATIENT WITH ANY QUESTIONS AND ULTIMATELY RECEIVE THE COMPLETED APPLICATION FOR FURTHER REVIEW. 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. 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. 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, 20008, 20015, 20816, 20007, 20009, 20817, 20002, 20854, 20011, 20814, 20003, 20852, 20001, 20010, 20910, 22101, 22207, AND 20895. THE GENERAL DATA FOR THIS COMMUNITY BENEFIT SERVICE AREA ARE AS FOLLOWS: TOTAL POPULATION WAS 646,449 OF WHICH 52.63% WERE MALES AND 47.37% WERE FEMALES, AVERAGE HOUSEHOLD INCOME WAS $67,750, 8.7% OF RESIDENTS ARE UNINSURED, 35.0% OF RESIDENTS ARE COVERED BY MEDICAID/MEDICARE, 15.11% OF HOUSEHOLDS WITH INCOMES BELOW THE FEDERAL POVERTY GUIDELINES.NUMBER OF OTHER HOSPITALS SERVING THE COMMUNITY OR COMMUNITIES: 4FEDERALLY-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 ALL CHILDRENS HOSPITAL, INC (ACH), A FL ACADEMIC CHILDRENS HOSPITAL. PART VI, LINE 7, REPORTS FILED WITH STATES DC 1 THE WISTAR INSTITUTE OF ANATOMY AND BIOLOGY 3601 SPRUCE STREET PHILADELPHIA PA 19104 236434390 501(C)(3) 100000 RESEARCH JOHNS HOPKINS UNIVERSITY 3910 KESWICK ROAD N-4327B BALTIMORE MD 21211 520595110 501(C)(3) 5000 GENERAL SUPPORT IONA SENIOR SERVICES 4125 ALBERMARLE STREET NW WASHINGTON DC 20016 521039553 501(C)(3) 5000 GENERAL SUPPORT DC CHAMBER OF COMMERCE 506 9TH STREET NW WASHINGTON DC 20004 237158230 501(C)(6) 15000 GENERAL SUPPORT 3 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 RONALD R PETERSON TRUSTEE/CORP VICE CHAIRMAN 0 1296286 0 504543 0 179997 0 1394743 0 23954 0 3399523 0 0 RICHARD O DAVIS PRESIDENT/CEO/TRUSTEE 0 452662 0 189169 0 271261 0 235648 0 20510 0 1169250 0 0 STEPHEN C MCDONNELL SR VP & CFO 441936 0 399959 0 690 0 21597 0 17458 0 881640 0 0 0 JOAN VINCENT SR VP, PT. CARE SVCS & CNO 278757 0 48423 0 12370 0 33500 0 16625 0 389675 0 0 0 ALISON ARNOTT VP SUPPORT SERVICES 157017 0 30000 0 125 0 12971 0 5782 0 205895 0 0 0 QUEENIE PLATER VP & CHIEF HR OFFICER 250064 0 42559 0 193469 0 24940 0 8572 0 519604 0 0 0 CHRISTINE STUPPY VP BUS. DEVEL. & STRAT. PL 188234 0 35721 0 261 0 8383 0 9171 0 241770 0 0 0 JERRY L PRICE VP REAL ESTATE & CONSTRUCT 349179 0 70109 0 1980 0 39142 0 8421 0 468831 0 0 0 JEFFREY L LIN PHYSICIAN DIR GYN ONCOLOGY 631873 0 137557 0 2088 0 25993 0 10174 0 807685 0 0 0 REBECCA ZUURBIER PHYSICIAN DIR. BREAST IMAG 451298 0 69193 0 4536 0 13735 0 12550 0 551312 0 0 0 HASAN ZIA PHYSICIAN DIR INTENSIVE/AC 485872 0 40899 0 1160 0 13311 0 16642 0 557884 0 0 0 COLETTE M MAGNANT BREAST SURGEON 561864 0 119720 0 1290 0 22883 0 1602 0 707359 0 0 0 THOMAS FLEURY CHIEF LAB SERVICES 442415 0 0 0 1980 0 19998 0 1269 0 465662 0 0 0 ROBERT L SLOAN FORMER PRESIDENT & CEO/TRU 12636 107625 0 0 0 0 0 0 0 0 12636 107625 0 0 KENDA TAVAKOLI FORMER VP, INFO RESOURCES & CIO 200613 0 15000 0 4024 0 5800 0 9311 0 234748 0 0 0 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 $1,349,219.00 AND RICHARD DAVIS $175,764.08 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 $177,680.58 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: STEPHEN MCDONNELL $298,727.40 AND QUEENIE PLATER $192,958.23 A DISTRICT OF COLUMBIA 536001131 254764HX4 2009-07-15 62798209 CONSTRUCTION OF MEDICAL BLDG FOR OUTPATIENT SVCS AND OFFICES 0 0 0 A 1010000 62798209 4955495 315000 57542090 2011 0 0 0 1 A 0 1 1 1 0 0.00310 0.00310 0 0 0 A 0 0 0 0 0 0 0 0 0 A 1 SCHEDULE K, PART III LINES 7-9 THE ORGANIZATION ANSWERED 'NO' BECAUSE IT HAS NO NONQUALIFIED BONDS. 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 IX, LINE 11G OTHER FEES FOR SERVICE: PROGRAM SERVICE EXPENSES 27,085,532. MANAGEMENT AND GENERAL EXPENSES 1,173,482. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 28,259,014. FORM 990, PART XI, LINE 9: CHANGE IN BENEFICIAL INTEREST IN FOUNDATION 49,568,127. COLONIAL REGIONAL ALLIANCE K-1 -16,293. ROCKVILLE IMAGING K-1 31,170. CHEVY CHASE IMAGING K-1 118,675. CHANGE IN MINIMUM PENSION LIABILITY -3,278,137. NET ASSETS RELEASED 829,821. INTERCOMPANY TRANSFERS -8,041,998. 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 MD 20814 522052354 HEALTHCARE SERVICES MD 501(C)(3) LINE 11C, III-FI JOHNS HOPKINS HEALTH SYSTEM CORPORATION 0 HOWARD COUNTY LIQUIDATION CORPORATION 3910 KESWICK RD SOUTH BLDG 4TH FL S BALTIMORE MD 21211 520892284 INACTIVE TAX-EXEMPT ORGANIZATION MD 501(C)(3) LINE 3 JOHNS HOPKINS HEALTH SYSTEM CORPORATION 0 SUBURBAN HOSPITAL INC 8600 OLD GEORGETOWN ROAD BETHESDA MD 20814 520610545 HOSPITAL MD 501(C)(3) LINE 3 JOHNS HOPKINS HEALTH SYSTEM CORPORATION 0 HOWARD COUNTY GENERAL HOSPITAL INC 3910 KESWICK RD SOUTH BLDG 4TH FL S BALTIMORE MD 21211 522093120 HOSPITAL MD 501(C)(3) LINE 3 JOHNS HOPKINS HEALTH SYSTEM CORPORATION 0 THE STACY MARK REED FOUNDATION 5255 LOUGHBORO ROAD NW WASHINGTON DC 20016 273818765 FINANCIAL SUPPORT DC 501(C)(3) LINE 11A, I LUCY WEBB HAYES NATIONAL TRAINING SCHOOL FOR DEACONESSES & MISSIONARIES 1 SIBLEY MEMORIAL HOSPITAL FOUNDATION 5255 LOUGHBORO ROAD NW WASHINGTON DC 20016 450562642 FINANCIAL SUPPORT DC 501(C)(3) LINE 7 LUCY WEBB HAYES NATIONAL TRAINING SCHOOL FOR DEACONESSES & MISSIONARIES 1 THE JANE BANCROFT ROBINSON FOUNDATION 5255 LOUGHBORO ROAD NW WASHINGTON DC 20016 273818431 FINANCIAL SUPPORT DC 501(C)(3) LINE 11C, III-FI LUCY WEBB HAYES NATIONAL TRAINING SCHOOL FOR DEACONESSES & MISSIONARIES 1 POTOMAC HOME SUPPORT INC 6001 MONTROSE ROAD NO 1020 ROCKVILLE MD 20852 521750383 HOME HEALTH CARE MD 501(C)(3) LINE 9 N/A 0 SIBLEY SUBURBAN HOME HEALTH AGENCY 6001 MONTROSE ROAD NO 307 ROCKVILLE MD 20852 521450142 HOME HEALTH CARE MD 501(C)(3) LINE 9 N/A 0 PEDIATRIC PHYSICIAN SERVICES INC 501 SIXTH AVENUE SOUTH ST PETERSBURG FL 33701 593425191 PEDIATRIC MEDICAL SERVICES FL 501(C)(3) LINE 9 ALL CHILDREN'S HEALTH SYSTEM INC 0 ALL CHILDREN'S HOSPITAL FOUNDATION INC 501 SIXTH AVENUE SOUTH ST PETERSBURG FL 33701 592481738 FOUNDATION FL 501(C)(3) LINE 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) LINE 3 JOHNS HOPKINS HEALTH SYSTEM CORPORATION 0 ALL CHILDREN'S 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ESTATE MD N/A GCM SURBURBAN IMAGING LLC 1201 SEVEN LOCKS ROAD STE 200 ROCKVILLE MD 20854 522326237 OUTPATIENT RADIOLOGY MD N/A ROCKVILLE IMAGING LLC 1201 SEVEN LOCKS ROAD STE 200 ROCKVILLE MD 20854 141944128 OUTPATIENT RADIOLOGY MD N/A CHEVY CHASE IMAGING LLC 1201 SEVEN LOCKS ROAD STE 200 ROCKVILLE MD 20854 141944126 RADIOLOGY SERVICES MD N/A HCP VENTURE ONE CORPORATION 3910 KESWICK RD SOUTH BLDG 4TH FL S BALTIMORE MD 21211 521558858 MEDICAL SERVICES MD N/A C 0 HSI MEDICAL SERVICES CORPORATION 3910 KESWICK RD SOUTH BLDG 4TH FL S BALTIMORE MD 21211 521847705 HEALTHCARE-SLEEP DIAGNOSTICS MD N/A C 0 HOWARD COUNTY HEALTH SERVICES INC 3910 KESWICK RD SOUTH BLDG 4TH FL S BALTIMORE MD 21211 521434783 HEALTHCARE MANAGEMENT MD N/A C 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 0 0 0 0 0 1 0 0 1 1 1 0 0 1 1 THE JANE BANCROFT ROBINSON FOUNDATION B 8581163 FMV THE JANE BANCROFT ROBINSON FOUNDATION C 100000 FMV THE JANE BANCROFT ROBINSON FOUNDATION O 32541 FMV THE STACY MARK REED FOUNDATION C 17605755 FMV SIBLEY MEMORIAL HOSPITAL FOUNDATION M 4865389 FMV SIBLEY MEMORIAL HOSPITAL FOUNDATION R 25469 FMV SIBLEY MEMORIAL HOSPITAL FOUNDATION S 1667297 FMV