2013-05-10T12:22:33-05:00 2012-06-30 990 2011-07-01 590683252 ALL CHILDREN'S HOSPITAL INC ATTN FINANCE DEPT 9010 ALLC 7277674401 501 SIXTH AVENUE SOUTH ST PETERSBURG FL 33701 NANCY TEMPLIN 7277674401 2013-05-07 2011 2016-02-24 21:20:13Z JONATHAN ELLEN MD 501 SIXTH AVENUE SOUTH ST PETERSBURG FL 33701 840672603 0 X WWW.ALLKIDS.ORG X 1967 FL PROVIDE LEADERSHIP IN CHILD HEALTH THROUGH TREATMENT, EDUCATION, ADVOCACY AND RESEARCH. 34 30 2889 645 0 0 4206565 5285038 264560614 382912643 13710530 2083952 1590738 2799390 284068447 393081023 0 0 0 0 125867273 177329634 0 0 0 128695050 182230316 254562323 359559950 29506124 33521073 895133716 901042112 314234588 336029784 580899128 565012328 X THIS ORGANIZATION'S MISSION IS TO PROVIDE LEADERSHIP IN CHILD HEALTH THROUGH TREATMENT, EDUCATION, ADVOCACY, AND RESEARCH. THE ORGANIZATION (1) DELIVERS QUALITY INPATIENT AND OUTPATIENT HOSPITAL AND HEALTHCARE SERVICES WITH COMPASSION AND COMMITMENT TO FAMILY-CENTERED CARE, (2) PROVIDES EDUCATIONAL PROGRAMS FOR THE ORGANIZATION'S PATIENTS, FAMILIES, EMPLOYEES, AND HEALTHCARE PROFESSIONALS, (3) PROVIDES LEADERSHIP IN PROMOTING THE WELL-BEING OF CHILDREN AND (4) DEVELOPS, SUPPORTS AND PARTICIPATES IN CLINICAL, BASIC, AND TRANSLATIONAL RESEARCH. 0 0 83025000 0 85698000 THE CRITICAL CARE PROGRAM AT THE HOSPITAL INCLUDES THE PEDIATRIC INTENSIVE CARE UNIT AND PEDIATRIC MEDICINE. THESE PROGRAMS OCCUPY 56 LICENSED BEDS AT THE HOSPITAL INCLUDING 28 INTENSIVE CARE UNIT BEDS AND 28 LOWER ACUITY MEDICAL BEDS. THIS PROGRAM EXPERIENCED 17,917 INPATIENT BEDS DAYS DURING THE PERIOD COVERED UNDER THIS RETURN. IN ADDITION, 36,524 OUTPATIENT VISITS WERE ATTRIBUTABLE TO THE CRITICAL CARE PROGRAM. THIS PROGRAM TREATS ACUTELY-ILL PATIENT'S PRESENTING WITH MEDICAL CONDITIONS OTHER THAN SURGICAL, CARDIAC AND HEMATOLOGY/ONCOLOGY. EXAMPLES INCLUDE PNEUMONIA, MENINGITIS AND OTHER INFECTIOUS DISEASES. HOSPITAL-BASED PHYSICIANS CARING FOR THESE PATIENTS INCLUDE 9 PEDIATRIC HOSPITALISTS AND 8 PEDIATRIC INTENSIVISTS. IN ADDITION, THE HOSPITAL PROVIDES EMPLOYED CHAPLAIN SERVICES, CHILD LIFE SERVICES, SOCIAL WORK SERVICES, DIETICIAN SERVICES AND REHABILITATIVE SERVICES TO THESE PATIENTS. MANY OF THESE PATIENTS ARE REFERRED TO THE HOSPITAL FROM OUTLYING COMMUNITY ACUTE-CARE HOSPITALS PRIMARILY SERVING ADULTS THAT LACK THE BREADTH AND DEPTH OF PEDIATRIC SUBSPECIALTY PROVIDERS NEEDED TO TREAT THESE MORE ACUTE PATIENTS. 59287000 0 87775000 THE NEONATOLOGY PROGRAM AT ALL CHILDREN'S HOSPITAL IS A SPECIALITY OF PEDIATRICS THAT FOCUSES ON TREATING PREMATURE INFANTS OR INFANTS WITH CRITICAL MEDICAL CONDITIONS. AN ALL CHILDREN'S AFFILIATE EMPLOYS 23 NEONATOLOGISTS THAT PROVIDE TWENTY-FOUR HOUR CARE IN THE NEONATAL INTENSIVE CARE UNIT (NICU). ALL CHILDREN'S NICU IS A LEVEL II NICU OFFERING THE HIGHEST LEVEL OF NEONATAL CARE TO THE NEWBORNS OF FLORIDA, THE SOUTHEAST US, AND MANY NEIGHBORING INTERNATIONAL LOCATIONS. THE HOSPITAL IS DESIGNATED A REGIONAL PERINATAL INTENSIVE CARE CENTER (RPICC) BY THE STATE OF FLORIDA'S CHILDREN'S MEDICAL SERVICES, PROVIDING HIGH-RISK OBSTETRICAL CARE AND NEONATAL INTENSIVE CARE TO ALL PATIENTS REGARDLESS OF FINANCIAL NEEDS. THE NICU PROVIDED 30,250 DAYS OF INPATIENT CARE DURING THE PERIOD COVERED BY THIS RETURN. THE NEONATOLOGY PROGRAM IS ALSO SUPPORTED BY AN EMPLOYED NEONATAL TRANSPORT TEAM AVAILABLE AT ANY TIME TO TRANSPORT THESE PATIENTS SAFELY AND EFFICIENTLY BY AMBULANCE OR AIR TRANSPORT FROM OUTLYING FACILITIES. 40502000 0 38018000 THE ALL CHILDREN'S CENTER FOR PEDIATRIC CANCER AND BLOOD DISORDERS ("CENTER") PROVIDES CLINICAL CARE AND RESEARCH TRIALS FOR CHILDREN, ADOLESCENTS, AND YOUNG ADULTS IN WEST AND WEST CENTRAL FLORIDA. ALL CHILDREN'S IS THE PRIMARY CANCER CENTER IN WEST FLORIDA PROVIDING MULTIDISCIPLINARY CARE FOR CHILDREN AND ADOLESCENTS. THE CENTER'S PROGRAMS INCLUDE THE ONCOLOGY PROGRAM SUPPORTED BY DIAGNOSTIC RADIOLOGISTS WITH EXPERTISE IN INTERVENTIONAL RADIOLOGY, PEDIATRIC SURGEONS, PEDIATRIC RADIATION ONCOLOGISTS, CHILD LIFE SPECIALISTS, PHYSICAL AND OCCUPATIONAL THERAPY, A CLINICAL PHARMACIST, AND SOCIAL WORKERS. OTHER PROGRAMS INCLUDE THE HEMATOLOGY PROGRAM THAT FOLLOWS APPROXIMATELY 300 PATIENTS WITH SICKLE CELL DISEASE AND OFFERS MULTIDISCIPLINARY THERAPY FOR THESE PATIENTS AND THEIR FAMILIES. OTHER PROGRAMS ALSO INCLUDE THE PEDIATRIC THROMBOSIS PROGRAM, SARCOMA PROGRAM, BLOOD AND MARROW TRANSPLANT PROGRAM, NEURO-ONCOLOGY PROGRAM, AND THE "CANSURVIVE" CLINIC THAT PROVIDES COORDINATED SURVIVORSHIP CARE TO PATIENTS. INPATIENT ACCOMMODATIONS INCLUDE A 28-BED UNIT FOR HEMATOLOGY/ONCOLOGY AND MARROW/STEM TRANSPLANT PATIENTS, A POSITIVE-PRESSURE AIRFLOW SYSTEM, UNIT-BASED ONCOLOGY SOCIAL WORKER, CASE MANAGER AND CHILD LIFE SPECIALIST, DEDICATED PLAYROOM, HOSPITAL-BASED TEACHER, IN-ROOM ACCOMMODATIONS FOR TWO PARENTS AND A DAY-INFUSION CENTER. DURING THE PERIOD COVERED BY THIS RETURN, 7,246 DAYS OF INPATIENT CARE WERE PROVIDED AND 8,728 OUTPATIENT VISIT EPISODES OF CARE WERE PROVIDED TO THESE PATIENTS. 119956839 0 171421643 119956839 171421643 302770839 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 X 305 0 1 2889 1 0 0 0 0 0 0 0 0 0 0 X 34 30 0 0 0 0 0 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X NANCY TEMPLIN 7277672582 501 SIXTH AVENUE SOUTH ST PETERSBURG FL 33701 X GARY A CARNES 1.00 X X 1756797 0 46161 ARNOLD T STENBERG JR 40.00 X X 969510 0 44751 R WILLIAM HORTON 20.00 X X 802519 0 46681 TIMOTHY BARBER 1.00 X 0 0 0 SANDRA DIAMOND 1.00 X 0 0 0 MICHAEL BARODY 1.00 X 0 0 0 HAMDEN BASKIN III 1.00 X 0 0 0 KEN COPPEDGE 3.00 X X 0 0 0 MICHAEL CANNOVA 1.00 X 0 0 0 VINCENT DOLAN 1.00 X 0 0 0 GEORGE J DOVER MD 1.00 X 0 0 0 JONATHAN ELLEN MD 3.00 X X 0 0 0 JOSEPH W FLEECE III 3.00 X X 0 0 0 DARLENE GRAYSON 1.00 X 0 0 0 GREGORY HAHN MD 3.00 X 0 0 0 NANCY HAMILTON 1.00 X 0 0 0 TROY HOLLAND 1.00 X 0 0 0 WILLIAM HORNER 3.00 X 0 0 0 JACK KIRKLAND 3.00 X X 0 0 0 ERIC KOBREN 1.00 X 0 0 0 EDWARD KUEHNLE 1.00 X 0 0 0 WILLIAM LANE JR 1.00 X 0 0 0 DARRYL LECLAIR 1.00 X 0 0 0 MARK LETTELLEIR 1.00 X 0 0 0 REGINALD LIGON DDS 1.00 X 0 0 0 MARTHA LITTLE 3.00 X 0 0 0 TOM MAHAFFEY 1.00 X 0 0 0 MILTON H MILLER JR 1.00 X 0 0 0 MARK MONDELLO 1.00 X 0 0 0 RONALD PETERSON 3.00 X X 0 1703555 1777977 PAUL RESOP 1.00 X 0 0 0 CRAIG SHER 1.00 X 0 0 0 RAYMOND SMITH 1.00 X 0 0 0 MARK STROUD 3.00 X X 0 0 0 NANCY TEMPLIN 40.00 X 382521 0 18854 MICHAEL EPSTEIN MD 34.00 X 665654 0 40751 TIMOTHY STROUSE 50.00 X 416487 0 43751 CALVIN L POPOVICH 50.00 X 384330 0 43391 JOHN HARDING III 55.00 X 304784 0 44816 JAY KUHNS 50.00 X 280950 0 46966 CYNTHIA ROSE 60.00 X 183151 0 25816 HELLA EWING 60.00 X 261676 0 17615 HELENE M MARRA 33.00 X 76138 0 15231 CAROLYN CAREY 40.00 X 227500 588000 15504 GERALD TUITE 40.00 X 235000 571176 25055 BRUCE STORRS 40.00 X 225000 574671 22038 LUIS RODRIGUEZ 40.00 X 225000 568093 29428 RICHARD HARMEL MD 40.00 X 142500 535090 48681 JERRY BARBOSA MD 1.00 X 0 35398 0 7539517 4575983 2353467 214 1 1 0 SODEXO INC & AFFILIATES PO BOX 536922 ATLANTA GA 30353 FOOD/ENVIR SVC MGMT 5748202 CERNER CORPORATION PO BOX 412702 KANSAS CITY MO 64141 SOFTWARE MAINTENANCE 4986174 BRASFIELD & GORRIE LLC 200 COLONIAL CENTER PKWY LAKEMARY FL 32746 GENERAL CONSTRUCTION 4134017 MARSH USA INC PO BOX 198587 ATLANTA GA 30384 INSURANCE BROKERAGE 2346626 HUMANA HEALTH PLAN INC PO BOX 528 CAROL STREAM IL 60132 HEALTH & DENTAL INSURANCE 2057407 52 175976 3877683 1231379 5285038 HOSPITAL INPATIENT & O 621990 207299635 207299635 MEDICARE/MEDICAID PAYM 621990 148385284 148385284 STATE OF FLORIDA SPECI 621990 5619662 5619662 RETAIL PHARMACY INCOME 621990 2977620 2977620 CHILDREN'S HOSPITAL GR 621990 2092769 2092769 16537673 16537673 382912643 4524532 4524532 2799390 0 2799390 2799390 2799390 445151000 447490012 101568 -2339012 -101568 -2440580 -2440580 393081023 382912643 0 4883342 7776378 7776378 133491686 116516094 16975592 8053658 6971768 1081890 17897976 15723520 2174456 10109936 8892913 1217023 1041653 357057 684596 482402 1244 481158 93594 93594 195042 195042 664816 664816 10981123 10820993 160130 78393798 70476127 7917671 5107825 2478151 2629674 10283388 7032291 3251097 1427138 487129 940009 193079 141757 51322 5933105 5933105 38730176 31262998 7467178 7202871 6398196 804675 BAD DEBT 8926269 8926269 0 INDIGENT FEE ASSESSMENT 4710054 4710054 0 OTHER SERVICES 4647647 4647277 370 COLLECTION SERVICES 1451584 0 1451584 1764752 993896 770856 359559950 302770839 56789111 0 675123 86139 53271214 87697220 990958 626007 31609028 29674102 7085535 7428230 7651453 7049170 490388231 48187216 461588341 442201015 218280219 222571987 1144191 1030297 26256806 11767522 86580848 90910423 895133716 901042112 52303167 55267102 223745934 219286493 38185487 61476189 314234588 336029784 X 554569669 539325212 13149590 13233967 13179869 12453149 580899128 565012328 895133716 901042112 X 33521073 -49407873 X 0 1 1 X 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 195042 0 0 195042 0 PART IV, SUPPLEMENTAL INFORMATION: SCHEDULE C, PART 11-B, LINE 1G THE REPORTING ORGANIZATION IS AN ADVOCATE FOR CHILD HEALTHCARE ISSUES DIRECTLY TO STATE AND FEDERAL LEGISLATORS AND THROUGH OTHER CHILD HEALTH ADVOCACY GROUPS AS A MEMEBER. THE REPORTING ORGANIZATION ADVOCATES FOR CHILDREN WHO ARE GENERALLY UNABLE TO DO SO FOR THEMSELVES. EFFORTS INCLUDE COVERAGE AND REIMBURSEMENT ISSUES FOR CHILDREN OF INDIGENT FAMILIES, MEDICAL TRAINING ISSUES OF PEDIATRIC MEDICAL STUDENTS, AND OTHER ISSUES SPECEFIC TO SAFETY NET HOSPITALS. DURING THE REPORTING PERIOD $195,042 WAS SPENT ON THESE EFFORTS. 14315278 -714000 13601278 12995278 26000 1294000 14315278 11144938 1850340 12995278 11993129 -820272 27919 11144938 1.00000 0 0 17331342 17331342 291634884 14478157 277156727 858985 200193 658792 174795128 32957571 141837557 5767892 551295 5216597 442201015 DUE TO AFFILIATES 6988767 INTEREST IN NET ASSETS OF FOUNDATION 68400977 TRADE NAME 11670000 DEBT ISSUANCE COSTS 238679 OTHER ASSETS 3612000 90910423 PROFESSIONAL LIABILITY 24605373 INTEREST RATE SWAP AGREEMENTS 34274388 OBLIGATION UNDER CAPITAL LEASES 1297492 OTHER LIABILITIES 1298936 61476189 393081023 359559950 33521073 -6690025 -42717848 -49407873 -15886800 386657000 -6690025 266002 -6424023 393081023 0 393081023 359560000 50 50 359559950 0 359559950 DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: THE INTENDED USE FOR ALL CHILDREN'S HOSPITAL ENDOWMENT FUNDS ARE SPECIFIC TO PROGRAM NEEDS AS DESIGNATED BY THE DONORS. DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: THE HOSPITAL RECOGNIZES UNCERTAIN INCOME TAX POSITIONS WHEN IT IS MORE LIKELY THAN NOT TO BE REALIZED (I.E., GREATER THAN 50% LIKELIHOOD OF RECEIVING BENEFIT) AND RECORDS THESE BENEFITS AT THE AMOUNT MOST LIKELY TO BE REALIZED ASSUMING A REVIEW BY TAX AUTHORITIES HAVING ALL RELEVANT INFORMATION AND APPLYING CURRENT CONVENTIONS. THE HOSPITAL HAS NO UNCERTAIN TAX POSITIONS AS OF JUNE 30, 2012. PART XI, LINE 8 - OTHER ADJUSTMENTS: CHANGE INTEREST IN NET ASSETS OF THE FOUNDATION 605,949. INTEREST EXPENSE ON SWAP AGREEMENT -3,328,122. NON-OPERATING SERVICES -6,000,000. CHANGE IN MARKET VALUE OF INTEREST RATE SWAPS -18,082,283. TRANSFER BETWEEN AFFILIATES -15,913,000. ROUNDING -392. TOTAL TO SCHEDULE D, PART XI, LINE 8: -42,717,848. PART XII, LINE 2D - OTHER ADJUSTMENTS: NET ASSETS RELEASED FROM RESTRICTION 267,000. ROUNDING -998. PART XIII, LINE 2D - OTHER ADJUSTMENTS: ROUNDING 50. 1 1 X 1 X 0 1 1 1 0 1 1 3797110 0 3797110 0.01080 210964136 196703150 14260986 0.04070 214761246 196703150 18058096 0.05150 1842415 306733 1535682 0.00440 6517884 2092769 4425115 0.01260 3919030 0 3919030 0.01120 12279329 2399502 9879827 0.02820 227040575 199102652 27937923 0.07970 788235 0 788235 0.00220 788235 788235 0.00220 0 8926269 0 340113 735069 -394956 X 1 0 1 1 ALL CHILDREN'S HOSPITAL INC

501 6TH AVENUE SOUTH ST PETERSBURG FL 33701

X X X X ALL CHILDREN'S HOSPITAL INC 1 0 1 1 200.000000000000 0 0 1 0 1 0 1 X 0 1 11 ALL CHILDREN'S THERAPY CTR OF EAST LAKE

3850 TAMPA RD STE 200 PALM HARBOR FL 346843670

THERAPY CENTER ALL CHILDREN'S SERTOMA THERAPY CTR OF CI

538 N LECANTO HWY STE 538 LECANTO FL 344618457

THERAPY CENTER ALL CHILDREN'S SPECIATLY CARE - TAMPA

12220 BRUCE B DOWNS BLVD TAMPA FL 336129201

PEDIATRIC CLINIC ALL CHILDREN'S SPECIATLY CARE - SARASOTA

5881 RAND BLVD SARASOTA FL 342385115

PEDIATRIC CLINIC ALL CHILDREN'S SPECIATLY CARE - FT MYERS

4550 COLONIAL BLVD FORT MYERS FL 339661017

PEDIATRIC CLINIC ALL CHILDREN'S SPECIATLY CARE - LAKELAND

3310 LAKELAND HILLS BLVD LAKELAND FL 338051974

PEDIATRIC CLINIC ALL CHILDREN'S SPECIATLY CARE - BRANDON

885 S PARSONS AVE BRANDON FL 335116068

PEDIATRIC CLINIC ALL CHILDREN'S SPECIATLY CARE - CARILLON

900 CARILLON PKWY STE 407 ST PETERSBURG FL 337161121

PEDIATRIC CLINIC ALL CHILDREN'S SPECIATLY CARE - PASCO

4443 ROWAN RD NEW PORT RICHEY FL 346536198

PEDIATRIC CLINIC ALL CHILDREN'S SPECIATLY CARE - MANATEE

8340 LAKEWOOD RANCH BLVD STE 160 LAKEWOOD RANCH FL 342025184

PEDIATRIC CLINIC ALL CHILDREN'S THERAPY CTR S TAMPA

4518 SOUTH MANHATTAN AVE TAMPA FL 33611

THERAPY CENTER PART I, LINE 3C: DISCOUNTS ARE PROVIDED TO PATIENTS WHO PAY AT TIME OF SERVICE. AFTER DATE OF SERVICE, DISCOUNTS OF UP TO 20% MAY BE OFFERED BASED ON PATIENT FINANCIAL CIRCUMSTANCES. PART I, LINE 7: A COST-TO-CHARGE RATIO (FROM WORKSHEET 2) IS USED TO CALCULATE THE AMOUNTS ON LINE 7A&7B (CHARITY CARE 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: SUBSIDIZED HEALTH SERVICES DO NOT INCLUDE ANY COSTS ATTRIBUTABLE TO A PHYSICIAN CLINIC. PART I, L7 COL(F): THE AMOUNT OF BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $8,926,269. PART II: THE HOSPITAL SPONSORS AND TAKES PART IN COMMUNITY HEALTH SERVICES THAT ADDRESS CHILD SAFETY, DISEASE MANAGEMENT, AND PREVENTATIVE HEALTH WITH PROGRAMS THAT INCLUDE: ASTHMA EDUCATION; INFANT AND TODDLER HEALTH AND DEVELOPMENTAL SCREENING; PARENT SUPPORT GROUPS; AND A WEIGHT MANAGEMENT AND OBESITY PREVENTION PROGRAM. ALL CHILDRENS SPONSORS THE SUNCOAST SAFE KIDS COALITION AND ITS PROGRAMS ON CHILD PASSENGER SAFETY, PEDESTRIAN SAFETY, WATER SAFETY AND DROWNING PREVENTION. PART III, LINE 4: BAD DEBT EXPENSE ENTERED COMES FROM THE HOSPITALS BOOKS AND RECORDS.THE ORGANIZATION DOES NOT USE DISCOUNTS IN DETERMINING BAD DEBT EXPENSE. IF PAYMENTS ARE RECEIVED ON AN ACCOUNT THAT HAD BEEN DETERMINED TO BE A BAD DEBT, IT IS CONSIDERED A BAD DEBT RECOVERY, AND USED TO REDUCE TOTAL BAD DEBTS REPORTED, AS WELL AS, THE GUARANTORS ACCOUNT.THE STATEMENT FROM THE ORGANIZATIONS FINANCIAL STATEMENTS READS: PATIENT ACCOUNTS RECEIVABLE ARE REPORTED NET OF ESTIMATED ALLOWANCES FOR UNCOLLECTIBLE ACCOUNTS AND CONTRACTUAL ADJUSTMENTS IN THE ACCOMPANYING FINANCIAL STATEMENTS. 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, TREND IN HEALTH INSURANCE COVERAGE, AND OTHER COLLECTION INDICATORS. MANAGEMENT CONTINUOUSLY ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE AND PAYMENT TRENDS BY PAYOR CLASSIFICATION. PART III, LINE 8: PART III, LINE 7 - THE SHORTFALL IN MEDICARE ALLOWABLE COSTS IS NOT TREATED AS A COMMUNITY BENEFIT.PART III, LINES 5 AND 6 METHODOLOGY: A STEP-DOWN PROCESS IS USED TO ALLOCATE ADMINISTRATIVE AND GENERAL COSTS TO PATIENT CARE DEPARTMENTS, AS WELL AS DEPARTMENTS THAT ARE NON-ALLOWABLE FOR MEDICARE. UPON ALLOCATION, A DAILY COST RATE IS COMPUTED FOR ROOM AND BOARD SERVICES. THE RESULTING DAILY COSTS ARE APPLIED TO THE NUMBER OF MEDICARE DAYS TO DETERMINE ALLOWABLE ROOM AND BOARD COSTS. FOR ANCILLARY SERVICES, A RATIO OF COST TO CHARGES (RCC) IS COMPUTED USING TOTAL ANCILLARY CHARGES. THE RCC IS THEN APPLIED TO CHARGES INCURRED BY MEDICARE PATIENTS TO DETERMINE ALLOWABLE MEDICARE COSTS. WITH THE EXCEPTION OF PASS-THROUGH COSTS (CAPITAL-RELATED, NON-PHYSICIAN ANESTHETIST, AND MEDICAL EDUCATION COSTS), ALLOWABLE MEDICARE COSTS ARE SUBJECT TO A TEFRA TARGET AMOUNT, WHICH IS COMPUTED ON A DISCHARGE BASIS. IF ALLOWABLE COSTS EXCEED THE TEFRA TARGET AMOUNT, THE FACILITY IS REIMBURSED IN THE AMOUNT OF THE TARGET LIMIT PLUS A RELIEF PAYMENT. IF ALLOWABLE COSTS ARE UNDER THE TARGET AMOUNT, THE FACILITY IS REIMBURSED BY THE AMOUNT OF THE TARGET LIMIT PLUS A BONUS PAYMENT. ALL CHILDREN'S HOSPITAL, INC PART V, SECTION B, LINE 10: DISCOUNTS ARE PROVIDED TO PATIENTS WHO PAY AT TIME OF SERVICE. AFTER DATE OF SERVICE, DISCOUNTS OF UP TO 20% MAY BE OFFERED BASED ON PATIENT FINANCIAL CIRCUMSTANCES. ALL CHILDREN'S HOSPITAL, INC PART V, SECTION B, LINE 19D: ALL CHILDRENS HOSPITAL IS CURRENTLY UPDATING ITS WRITTEN POLICIES TO COMPLY WITH ALL OF THE REQUIREMENTS OF IRC 501(R). ALL CHILDREN'S HOSPITAL, INC PART V, SECTION B, LINE 21: THE HOSPITAL CONTINUES TO IMPLEMENT RECENT GUIDANCE RELATED TO ITS FAP-ELIGIBLE PATIENTS. THE IMPLEMENTATION WAS NOT COMPLETE DURING THE PERIOD COVERED BY THIS RETURN. PART VI, LINE 2: ALL CHILDRENS HOSPITAL IS CURRENTLY UNDERTAKING A COMMUNITY HEALTH NEEDS ASSESSMENT. MANAGEMENT HAS CONVENED STRATEGIC COMMUNITY LEADERS TO WORK TOGETHER COLLABORATIVELY TO BETTER UNDERSTAND, MEASURE AND IMPACT CHILDRENS HEALTH IN OUR COMMUNITY. IN OCTOBER 2012 THE HOSPITAL STARTED TO GATHER INFORMATION AND OPINIONS FROM PERSONS WHO REPRESENT CHILDRENS INTERESTS IN THE COMMUNITY SERVED BY THE HOSPITAL.TARGETED INTERVIEWS ARE BEING USED TO GATHER INFORMATION AND OPINIONS FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL. FOR THE INTERVIEW, COMMUNITY STAKEHOLDERS, IDENTIFIED BY THE COMMUNITY ADVISORY GROUP, HAVE BEEN CONTACTED AND ASKED TO PARTICIPATE IN THE NEEDS ASSESSMENT.IN ADDITION, FIVE FOCUS GROUPS WERE HELD IN AT-RISK NEIGHBORHOODS IN PINELLAS COUNTY INVOLVING MORE THAN 80 INDIVIDUALS.SECONDARY DATA HAVE BEEN 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. ANALYSES ARE BEING CONDUCTED AT THE LOCAL LEVEL FOR THE HOSPITALS PRIMARY AND COMMUNITY BENEFITS SERVICE AREA, GIVEN THE AVAILABILITY OF THE DATA. PART VI, LINE 3: ACH INFORMS ITS PATIENTS ABOUT THE CHARITY CARE POLICY THROUGH A NUMBER OF MEANS, INCLUDING: SIGNS IN ENGLISH AND SPANISH POSTED IN PATIENT WAITING AND REGISTRATION AREAS STATING THAT ESTIMATES OF CARE CAN BE PROVIDED, UPON REQUEST.ALL PATIENTS INDICATING A NEED FOR CHARITY CARE ARE REFERRED TO A FINANCIAL COUNSELOR WHO REVIEWS WITH THEM THE AVAILABILITY OF VARIOUS GOVERNMENT BENEFIT AND PROGRAMS, AND ASSISTS THEM WITH APPLICATION TO SUCH PROGRAMS. IF THE PATIENT DOES NOT HAVE INSURANCE, ACH 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: 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 AS PINELLAS COUNTY. THE GENERAL DATA FOR THIS COMMUNITY BENEFIT SERVICE AREA ARE AS FOLLOWS: TOTAL POPULATION WAS 913,500 OF WHICH 48% WERE MALES AND 52% WERE FEMALES, AVERAGE HOUSEHOLD INCOME WAS $43,957, 18% OF RESIDENTS ARE UNINSURED, 10% OF RESIDENTS ARE COVERED BY MEDICAID/MEDICARE, 12% OF PEOPLE HAD INCOME BELOW THE FEDERAL POVERTY GUIDELINES.NUMBER OF OTHER HOSPITALS SERVING THE COMMUNITY OR COMMUNITIES: 47 PART VI, LINE 5: ALL CHILDRENS IS DEDICATED TO ONE OF THE MOST EFFECTIVE TOOLS IN PROMOTING GOOD HEALTH - EDUCATION THROUGH COMMUNITY OUTREACH TO CHILDREN AND FAMILIES. SOME OF THE PROGRAMS ARE MENTIONED ABOVE. OTHERS INCLUDE PARTICIPATION AT SEVERAL LOCAL CHILDRENS MUSEUMS WITH INTERACTIVE DISPLAYS ON NUTRITION, SAFETY AND SPORTS. ALL CHILDRENS SUPPORTS AN IN-CLASSROOM PROGRAM, MORE HEALTH, IN THE PINELLAS COUNTY SCHOOLS REACHING MORE THAN 70,000 STUDENTS ANNUALLY. IN ADDITION, THE HOSPITAL PROMOTES BIKE, PEDESTRIAN AND SPORTS SAFETY PROGRAMS IN THE SCHOOLS. THE HOSPITAL CONDUCTS MULTIPLE SCHOOL NURSE PROGRAMS IN ORDER TO ENHANCE THE KNOWLEDGE OF SCHOOL NURSES IN OUR CATCHMENT AREA. WE HOST SUPPORT GROUPS AND COMMUNITY ORGANIZATIONS AT OUR FACILITIES AND PROVIDE SPEAKERS TO NUMEROUS COMMUNITY ORGANIZATIONS THROUGH THE YEAR. ALL CHILDRENS HOSPITAL BOARD OF TRUSTEES, IS COMPRISED OF 32 MEMBERS, OF WHICH 8 SERVE ON THE BOARD BY VIRTUE OF THEIR POSITION AS MEMBERS OF AFFILIATE BOARDS, MEDICAL STAFF, VOLUNTEER AND ACADEMIC OFFICERS, ETC. THE REMAINING 24 BOARD MEMBERS ARE ELECTED FROM THE COMMUNITY AT LARGE FOR MAXIMUM TERMS OF 9 YEARS PER INDIVIDUAL. ALL CHILDRENS HOSPITAL MAINTAINS AN OPEN MEDICAL STAFF FOR CERTAIN PHYSICIAN SPECIALTIES. 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 ALL CHILDRENS HOSPITAL, INC. IS NOT REQUIRED TO FILE A COMMUNITY BENEFIT REPORT TO THE STATE OF FLORIDA OR ANY OTHER STATE. X X 0 0 X X X X X 0 1 0 0 0 0 0 1 0 GARY A CARNES 852705 0 0 0 904092 0 27603 0 18558 0 1802958 0 0 0 ARNOLD T STENBERG JR 582566 0 0 0 386944 0 27603 0 17148 0 1014261 0 0 0 R WILLIAM HORTON 326177 0 0 0 476342 0 27603 0 19078 0 849200 0 0 0 RONALD PETERSON 0 1101197 0 451124 0 151234 0 1754885 0 23092 0 3481532 0 0 NANCY TEMPLIN 307139 0 0 0 75382 0 7350 0 11504 0 401375 0 0 0 MICHAEL EPSTEIN MD 495952 0 0 0 169702 0 27603 0 13148 0 706405 0 0 0 TIMOTHY STROUSE 261937 0 0 0 154550 0 27603 0 16148 0 460238 0 0 0 CALVIN L POPOVICH 285659 0 0 0 98671 0 27603 0 15788 0 427721 0 0 0 JOHN HARDING III 232448 0 15000 0 57336 0 22738 0 22078 0 349600 0 0 0 JAY KUHNS 229969 0 0 0 50981 0 27388 0 19578 0 327916 0 0 0 CYNTHIA ROSE 151301 0 0 0 31850 0 17523 0 8293 0 208967 0 0 0 HELLA EWING 218502 0 0 0 43174 0 4467 0 13148 0 279291 0 0 0 CAROLYN CAREY 227500 457803 0 74768 0 55429 0 0 0 15504 227500 603504 0 0 GERALD TUITE 235000 450067 0 59741 0 61368 0 5993 0 19062 235000 596231 0 0 BRUCE STORRS 225000 453553 0 59750 0 61368 0 0 0 22038 225000 596709 0 0 LUIS RODRIGUEZ 225000 452924 0 59741 0 55428 0 7350 0 22078 225000 597521 0 0 RICHARD HARMEL MD 142500 467701 0 26135 0 41254 0 27603 0 21078 142500 583771 0 0 JERRY BARBOSA MD 0 35398 0 0 0 0 0 0 0 0 0 35398 0 0 PART I, LINE 1A ORGANIZATION PROVIDED BENEFITS FORM 990, SCHEDULE J, PART 1, QUESTION 1A THE REPORTING ORGANIZATION'S TRAVEL AND BUSINESS EXPENSE REIMBURSEMENT POLICY DOES NOT ALLOW FOR FIRST CLASS, CHARTER TRAVEL OR TRAVEL FOR COMPANIONS. ADDITIONALLY, THERE ARE NO DISCRETIONARY SPENDING ACCOUNTS OR PAYMENTS FOR BUSINESS USAGE OF A PERSONAL RESIDENCE. GARY A. CARNES AND ARNOLD T. STENBERG, JR. RECEIVED REIMBURSEMENT FOR SOCIAL CLUB DUES WHICH WERE INCLUDED FULLY IN THEIR W-2 TAXABLE COMPENSATION. THE NON-SUBSTANTIATED PORTION OF MONTHLY AUTOMOBILE ALLOWANCES ARE GROSSED UP FOR FICA TAXES ONLY. HOUSING ALLOWANCES ARE PROVIDED ONLY IN LIMITED CIRCUMSTANCES AND FOR FINITE PERIODS OF TIME AS PART OF SOME EMPLOYEE RELOCATION AGREEMENTS. PART I, LINE 4B THE SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (THE PLAN) OF ALL CHILDREN'S HEALTH SYSTEM, INC. (THE COMPANY) IS A NONQUALIFIED DEFERRED COMPENSATION PLAN INTENDED TO BE GOVERNED BY SECTION 457(F) OF THE INTERNAL REVENUE CODE. THE BOARD OF DIRECTORS OF THE COMPANY DETERMINES ELIGIBILITY FOR THE PLAN FROM AMONG A SELECT GROUP OF KEY EMPLOYEES AND MANAGEMENT. THE PLAN PROVIDES FOR A SUPPLEMENTAL RETIREMENT BENEFIT BEGINNING AT RETIREMENT OR UPON SEPARATION FROM THE COMPANY. DURING THE TIME PERIOD COVERED BY THE RETURN, THE FOLLOWING INDIVIDUALS PARTICIPATED IN THE PLAN AND WERE AWARDED AMOUNTS AS FOLLOWS WHICH ARE INCLUDED ON SCHEDULE J, COLUMN B(III): GARY A. CARNES $558,503; ARNOLD T. STENBERG, JR. $237,646; R. WILLIAM HORTON $302,363; TIMOTHY STROUSE $7,114; JOHN HARDING, III $52,193; MICHAEL EPSTEIN, M.D. $101,251; JAY KUHNS $48,802; HELLA EWING $41,224 AND NANCY TEMPLIN $72,665. THE MAKE WHOLE AND SERP I PLANS ARE FROZEN DEFINED BENEFIT PLANS PROVIDED BY THE RELATED ORGANIZATION JOHNS HOPKINS HEALTH SYSTEM CORPORATION. THE PLANS ARE LIMITED TO THE EXISTING PLAN PARTICIPANTS. THE PLANS ARE SUBJECT TO CLAIMS OF EMPLOYER'S BANKRUPTCY/INSOLVENCY CREDITORS. THE MAKE WHOLE PLAN WAS DESIGNED TO REPLACE THE BENEFITS THE PARTICIPANTS LOST AS DO THE COMPENSATION LIMITS THAT WERE IMPOSED UPON OUR QUALIFIED DEFINED BENEFIT PLAN. FURTHERMORE, IF A PARTICIPANT TERMINATES EMPLOYMENT PRIOR TO COMPLETING THE SERVICE REQUIREMENTS, THE PARTICIPANT'S BENEFIT IS FORFEITED. NOTE THAT ANY ITEM BEING REPORTED AS COMPENSATION WAS ALSO REPORTED IN PREVIOUS YEARS FORMS 990 AS REQUIRED, WHEN AMOUNTS ACCRUED UNDER THE PLAN. THE FOLLOWING INDIVIDUAL LISTED ON FORM 990, PART VII, SECTION A, LINE 1A PARTICIPATED IN A NONQUALIFIED RETIREMENT PLAN AND RECEIVED ACCRUED DEFERRED COMPENSATION THAT IS REPORTED ON SCHEDULE J, PART II, COLUMN (C): RONALD R. PETERSON $1,626,957 PART I, LINE 7 ALL CHILDREN'S HOSPITAL DOES NOT HAVE AN INCENTIVE COMPENSATION PROGRAM. AT TIMES, SPECIAL "BONUSES" MAY BE AWARDED BY THE BOARD TO CLINICIANS AND OTHERS WHO PROVIDE EXCELLENT SERVICES, ASSUME ADIDTIONAL RESPONSIBILITIES FOR AN EXTENDED PERIOD OF TIME, OR PRODUCE POSITIVE MEASURABLE OUTCOMES AGAINST PREDETERMINED PERFORMANCE BENCHMARKS FOR SPECIFIC PROJECTS. SUPPLEMENTAL INFORMATION PART III SUPPLEMENTAL COMPENSATION INFORMATION FORM 990, SCHEDULE J, PART 1, QUESTION 3 SEE SCHEDULE O DISCLOSURE FOR FORM 990, PART VI, LINES 15(A) & (B) REGARDING THE PROCESS USED BY ALL CHILDREN'S HEALTH SYSTEM, INC. TO DETERMINE EXECUTIVE COMPENSATION WHICH IS RELIED UPON BY ALL CHILDREN'S HOSPITAL. CITY OF ST PETERSBURG HEALTH FACILITIES AUTHORITY 596000424 793309HR9 2007-10-01 92200000 REFUND PRIOR ISSUE (4/20/05) CONSTRUCTION OF NEW BUILDING 0 0 0 CITY OF ST PETERSBURG HEALTH FACILITIES AUTHORITY 596000424 793309JK2 2009-04-23 62609540 REFUND PRIOR ISSUES (10/01/07) 0 0 0 CITY OF ST PETERSBURG HEALTH FACILITIES AUTHORITY 596000424 793309JM8 2012-06-28 102400000 REFUND PRIOR ISSUE (04/20/05 A&B) 0 0 0 64800000 92200000 793939 1406061 60000000 2009 1 0 1 1 62609540 1030540 2009 1 0 1 1 102400000 2007 1 0 1 1 0 0 0 0 0.00870 0.00870 1 0 0 0 0 0.01650 0.01650 1 0 0 0 0 0.00010 0.00010 1 0 1 0 0 0 1 0 0 0 0 0 1 0 1 1 SEE SCHEDULE O 22.300000000000 0 0 0 0 1 X SCHEDULE K TAX-EXEMPT BOND ISSUES CUSIP NUMBERS OF BONDS ISSUED ON 04/20/2005 ARE 793309HM0, 793309HN8 AND 793309HP3. HEDGES WERE PROVIDED WITH RESPECT TO THE BOND ISSUE BY CITIBAND AND ROYAL BANK OF CANADA. SCHEDULE K, PART II, LINE 13 YEAR OF SUBSTANTIAL COMPLETION DUE TO REFUNDING, YEAR OF SUBSTANTIAL COMPLETION IS NOT APPLICABLE SCHEDULE K, PART III, LINE 4 PRIVATE BUSINESS USE PERCENTAGE ON THE ADVICE OF BOND COUNSEL ALL CHILDRENS HOSPITAL, INC. HAS ADDED COST OF ISSUANCE REPORTED IN PART II TO THE PRIVATE BUSINESS USE PERCENTAGE. COMMON PAYMASTER FORM 990, PART V, QUESTION 2A ALL COMPENSATION OF ALL CHILDREN'S HOSPITAL EMPLOYEES IS PAID THROUGH ALL CHILDREN'S HEALTH SYSTEM, INC. USING ITS FEDERAL TAX ID NUMBER. THIS IS KNOWN AS A COMMON PAYMASTER AGREEMENT. EMPLOYEES OF ALL CHILDREN'S HEALTH SYSTEM AND ITS OTHER SUBSIDIARIES ARE ALSO PAID THROUGH THE SAME AGREEMENT. FORM 990, PART VI, SECTION A, LINE 7A JOHNS HOPKINS HEALTH SYSTEM CORPORATION, AN IRC 501C (3) TAX EXEMPT PARENT ORGANIZATION OF ALL CHILDREN'S HOSPITAL, INC. ELECTS THE BOARD OF TRUSTEES. FORM 990, PART VI, SECTION A, LINE 7B THE GOVERNING BODY OF ALL CHILDREN'S HOSPITAL, INC. IS EMPOWERED BY ITS BY-LAWS TO MAKE CERTAIN DECISIONS; ALL OTHER DECISIONS ARE SUBJECT TO APPROVAL OF THE SOLE MEMBER JOHNS HOPKINS HEALTH SYSTEM CORPORATION. FORM 990, PART VI, SECTION B, LINE 11 A COPY OF THE FORM 990 WAS PROVIDED TO THE ORGANIZATION'S GOVERNING BODY BEFORE IT WAS FILED. FORM 990, PART VI, SECTION B, LINE 12C ALL CHILDREN'S HOSPITAL, INC HAS AN ANNUAL CONFLICT OF INTEREST DISCLOSURE PROCESS THAT HAS BEEN FORMALLY DOCUMENTED IN POLICY. THE PROCESS IS FACILITATED BY THE COMPLIANCE OFFICER WITH OVERSIGHT FROM THE ALL CHILDREN'S HEALTH SYSTEM (FORMER PARENT AND CURRENT AFFILIATE) BOARD'S COMPLIANCE COMMITTEE. DISCLOSURES ARE REQUESTED FROM KEY EMPLOYEES, KEY CONTRACTORS, BOARD MEMBERS AND OFFICERS, AND DESIGNATED MEDICAL STAFF. ALL DISCLOSURES ARE REVIEWED BY THE COMPLIANCE OFFICER. SELECTED DISCLOSURES ARE REVIEWED BY THE PRESIDENT/CHIEF EXECUTIVE OFFICER. A FORMAL REPORT IS MADE ANNUALLY TO THE COMPLIANCE COMMITTEE WHERE CONFLICT MANAGEMENT IS ADDRESSED FOR EMPLOYEES, CONTRACTORS, AND PHYSICIANS. BOARD MEMBER DISCLOSURES ARE REVIEWED BY THE RESPECTIVE BOARD PRESIDENTS FOR CONFLICT MANAGEMENT. BOARD MEMBERS ARE REQUIRED TO DECLARE ANY POTENTIAL CONFLICTS PRIOR TO CONDUCTING BUSINESS AT EACH MEETING. IF A CONFLICT IS FOUND TO EXIST BY A BOARD MEMBER, THAT BOARD MEMBER IS PROHIBITED FROM VOTING. FORM 990, PART VI, SECTION B, LINE 15 EVERY THREE YEARS AN INDEPENDENT STUDY IS CONDUCTED GATHERING INDUSTRY COMPENSATION AVERAGES FROM SELECT PEER INSTITUTIONS. EVERY YEAR THE JOHNS HOPKINS BOARD OF TRUSTEES COMPENSATION COMMITTEE REVIEWS COMPENSATION AMOUNTS FOR OFFICERS AND ALL EMPLOYEES AT THE DIRECTOR AND HIGHER LEVELS. FORM 990, PART VI, SECTION C, LINE 19 ALL CHILDREN'S HOSPITAL, INC. DOES NOT MAKE ITS GOVERNING DOCUMENTS OR CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC. FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC THROUGH WWW.DACBOND.COM ALLOCATION OF BOARD & EMPLOYEE HOURS AMONG SYSTEM MEMBERS FORM 990, PART VII, COLUMN (A) THE OFFICERS LISTED IN PART VII WORK AN AVERAGE OF 50 HOURS PER WEEK FOR THE REPORTING ORGANIZATION AND OTHER RELATED ORGANIZATIONS LISTED IN SCHEDULE R. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED LOSSES ON INVESTMENTS: -6,690,025. CHANGE INTEREST IN NET ASSETS OF THE FOUNDATION 605,949. INTEREST EXPENSE ON SWAP AGREEMENT -3,328,122. NON-OPERATING SERVICES -6,000,000. CHANGE IN MARKET VALUE OF INTEREST RATE SWAPS -18,082,283. TRANSFER BETWEEN AFFILIATES -15,913,000. ROUNDING -392. TOTAL TO FORM 990, PART XI, LINE 5: -49,407,873. JOHNS HOPKINS HEALTH SYSTEM CORPORATION 3910 KESWICK RD SOUTH BLDG 4TH FL S BALTIMORE MD 21211 521465301 SUPPORTING ORGANIZATION MD 501(C)(3) LINE 11C, III-FI JOHNS HOPKINS HEALTH SYSTEM CORP 0 THE JOHNS HOPKINS HOSPITAL 3910 KESWICK RD SOUTH BLDG 4TH FL S BALTIMORE MD 21211 520591656 HOSPITAL MD 501(C)(3) LINE 3 JOHNS HOPKINS HEALTH SYSTEM CORP 0 LUCY WEBB HAYES NATIONAL TRAINING SCHOOL FOR DEACONESSES 5255 LOUGHBORO RD NW WASHINGTON DC 20016 530196602 HOSPITAL DC 501(C)(3) LINE 3 JOHNS HOPKINS HEALTH SYSTEM CORP 0 JOHNS HOPKINS COMMUNITY PHYSICIANS INC 3910 KESWICK RD SOUTH BLDG 4TH FL S BALTIMORE MD 21211 521467441 HEALTHCARE SERVICES MD 501(C)(3) LINE 11C, III-FI JOHNS HOPKINS HEALTH SYSTEM CORP 0 JOHNS HOPKINS MEDICAL SERVICES CORPORATION 3910 KESWICK RD SOUTH BLDG 4TH FL S BALTIMORE MD 21211 521232569 HEALTHCARE SERVICES MD 501(C)(3) LINE 3 JOHNS HOPKINS HEALTH SYSTEM CORP 0 JOHNS HOPKINS BAYVIEW MEDICAL CENTER INC 3910 KESWICK RD SOUTH BLDG 4TH FL S BALTIMORE MD 21211 521341890 HOSPITAL MD 501(C)(3) LINE 3 JOHNS HOPKINS HEALTH SYSTEM CORP 0 SUBURBAN HOSPITAL INC 8600 OLD GEORGETOWN ROAD BETHESDA MD 20814 520610545 HOSPITAL MD 501(C)(3) LINE 3 JOHNS HOPKINS HEALTH SYSTEM CORP 0 HOWARD COUNTY LIQUIDATION CORPORATION 3910 KESWICK RD SOUTH BLDG 4TH FL S BALTIMORE MD 21211 520892284 INACTIVE TAX-EXEMPT ORGANIZATION MD 501(C)(3) LINE 3 JOHNS HOPKINS HEALTH SYSTEM CORP 0 HOWARD COUNTY GENERAL HOSPITAL INC 3910 KESWICK RD SOUTH BLDG 4TH FL S BALTIMORE MD 21211 522093120 HOSPITAL MD 501(C)(3) LINE 3 JOHNS HOPKINS HEALTH SYSTEM CORP 0 POTOMAC HOME SUPPORT INC 6001 MONTROSE ROAD NO 1020 ROCKVILLE MD 20852 521750383 HOME HEALTH CARE MD 501(C)(3) LINE 9 N/A 0 SIBLEY SUBURBAN HOME HEALTH AGENCY 6001 MONTROSE ROAD NO 307 ROCKVILLE MD 20852 521450142 HOME HEALTH CARE MD 501(C)(3) LINE 9 N/A 0 PEDIATRIC PHYSICIAN SERVICES INC 501 SIXTH AVENUE SOUTH ST PETERSBURG FL 33701 593425191 PEDIATRIC MEDICAL SERVICES FL 501(C)(3) LINE 9 ALL CHILDREN'S HEALTH SYSTEM INC 0 ALL CHILDREN'S HEALTH SYSTEM INC 501 SIXTH AVENUE SOUTH ST PETERSBURG FL 33701 592481740 MANAGEMENT SERVICES FL 501(C)(3) LINE 11C, III-FI JOHNS HOPKINS HEALTH SYSTEM CORP 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 RESEARCH INSTITUTE INC 501 SIXTH AVENUE SOUTH ST PETERSBURG FL 33701 592481742 RESEARCH FL 501(C)(3) LINE 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) LINE 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) LINE 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) LINE 9 ALL CHILDREN'S HEALTH SYSTEM INC 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 CORP 0 OPHTHALMOLOGY ASSOCIATES LLC 3910 KESWICK RD SOUTH BLDG 4TH FL S 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 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 HSI MEDICAL SERVICES CORPORATION 3910 KESWICK RD SOUTH BLDG 4TH FL S BALTIMORE MD 21211 521847705 HEALTHCARE-SLEEP DIAGNOSTICS MD N/A C HOWARD COUNTY HEALTH SERVICES INC 3910 KESWICK RD SOUTH BLDG 4TH FL S BALTIMORE MD 21211 521434783 HEALTHCARE MANAGEMENT MD N/A C JOHNS HOPKINS MEDICAL MANAGEMENT CORPORATION 3910 KESWICK RD SOUTH BLDG 4TH FL S BALTIMORE MD 21211 521250028 NURSING SERVICES MD N/A C JOHNS HOPKINS EMPLOYER HEALTH PROGRAMS INC 3910 KESWICK RD SOUTH BLDG 4TH FL S BALTIMORE MD 21211 521947678 BENEFIT PLANS MD N/A C TCAS INC 3910 KESWICK RD SOUTH BLDG 4TH FL S BALTIMORE MD 21211 521979344 NURSING SERVICES MD N/A C SUBURBAN CONTRACTING CORP INC 8600 OLD GEORGETOWN ROAD BETHESDA MD 20814 522188022 MEDICARE CONTRACTING MD N/A C SUBURBAN HEALTH ENTERPRISES INC 8600 OLD GEORGETOWN ROAD BETHESDA MD 20814 522052352 MEDICAL OFFICE LEASING AND RELEASING MD N/A C SUBURBAN SPECIALTY CARE PHYSICIANS PC 8600 OLD GEORGETOWN ROAD BETHESDA MD 20814 522116011 MULTI SPECIALTY MEDICAL PRACTICE MD N/A C ACHPOB INC 501 SIXTH AVENUE SOUTH ST PETERSBURG FL 33701 592427749 MEDICAL OFFICE BUILDING MANAGEMENT FL N/A C 0 0 1 0 0 0 0 0 1 1 1 1 0 0 0 0 0 0