2011-05-16T10:38:27-05:00 2010-06-30 DELOITTE TAX LLP 1750 TYSONS BLVD MCLEAN VA 221024219 990 2009-07-01 526049658 Greater Baltimore Medical Center Inc GREA 4438492000 6701 North Charles Street Baltimore MD 21204 John B Chessare MD 4438492000 2011-05-14 1 7032511000 2009 2016-02-24 21:20:13Z Eric Melchior 6701 North Charles Street Baltimore MD 21204 410160725 0 X www.gbmc.org X 1960 MD To organize, build, erect, equip, manage, & operate exclusively for the charitable purposes imposed by section 501(c)(3) of the Internal Revenue Code, a non-profit hospital and medical center for the sick. 25 16 4044 797 34883 2442 4981681 9557490 380915631 389965425 -1641602 -134107 4641682 3672291 388897392 403061099 214776 189104 0 193752391 203765711 0 0 176407381 178671973 370374548 382626788 18522844 20434311 379536020 398271235 221170593 229440046 158365427 168831189 See Schedule O 0 0 144552251 128129424 Greater Baltimore Medical Center, Inc. (GBMC) is a 300-bed medical center (acute & sub-acute care) located on a suburban campus that provided inpatient care to 20,660 patients & delivered over 4,500 babies in the fiscal year. GBMC's accomplishments have validated the vision of its founders to combine the best of community & university-level medicine. GBMC's service lines include women's cancer, surgical & medical services. GBMC is a fully accredited teaching hospital that is affiliated with John Hopkins University. 84033880 98599000 The operating room performed over 31,100 inpatient and outpatient surgical procedures in the fiscal year. Specialties include GBMC's comprehensive obesity management program, the oldest recognized American Society of Metabolic and Bariatric Surgery (ASMBS) Center of Excellence in the Metropolitan Baltimore area; Johns Hopkins head and neck surgery at GBMC; minimally invasive and endocrine surgery; neurosurgery; vascular and thoracic surgery; and urology. 63891587 86511686 The emergency department treated 59,800 patients in the fiscal year. The emergency services department has 3 patient care areas, designed to minimize wait & maximize service for patients & their families. Patients with minor injuries such as sprains are cared for in the Urgent Care area. Severe problems such as acute abdominal pain, chest pain or injuries from motor vehicle accidents are evaluated and treated in Emergent Care. Adjacent to the emergent care area is an observational care area for adult patients who need to be monitored but not admitted. In addition to emergency services, GBMC provided other outpatient care to over 46,590 patients in specialty clinics such as ophthalmology, wound care, anti-coagulation, radiation oncology and infusion therapy. 49939721 189104 76725315 Laboratory Service; Radiology - Therapeutic; Residency Program; Magnetic Resonance Imaging; Cardiac Catherization; Other Program Services 49939721 189104 76725315 342417439 1 1 0 1 0 0 0 0 1 1 1 1 0 0 0 0 0 0 1 0 1 1 0 1 1 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 1 1 0 0 1 235 0 1 4044 1 1 1 0 0 0 0 0 0 0 0 1 1 25 16 0 0 0 0 1 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 0 MD X X Eric Melchior 4438492000 6701 North Charles Street Baltimore MD 21204 The Honorable Vicki Ballou-Watts 1.00 X 0 0 0 Mr Kennethh P Barksdale 1.00 X 0 0 0 Mrs Sandra Berman 1.00 X 0 0 0 Robert K Brookland MD 1.00 X 0 0 0 Mr Samuel Heffner 1.00 X 0 0 0 Mr Frederick M Hudson 1.00 X 0 0 0 Mr Douglas Huether 1.00 X 0 0 0 Mr Williams A Kroh 1.00 X 0 0 0 Mr Thomas H Maddux 1.00 X 0 0 0 Mr Frank R Palmer 1.00 X 0 0 0 Mr Robert A Shelton 1.00 X 0 0 0 Mr Bernard Siegel 1.00 X 0 0 0 Mr Stuart O Simms 1.00 X 0 0 0 Ms Bonnie R Stein 1.00 X 0 0 0 Mr James B Stradtner 1.00 X 0 0 0 Mr Steven A Thomas 1.00 X 0 0 0 Ms Marion G Thompson 1.00 X 0 0 0 Ronald F Trutone Jr MD 5.00 X 250000 0 0 Mrs Mary Stuart Rodgers 1.00 X 0 0 0 Howard L Siegel MD 1.00 X 518653 0 0 Mrs Mary B Wieler 1.00 X X 0 0 0 John Saunders MD 35.00 X X 421351 0 25459 Mr Herbert J Belgrad 1.00 X X 0 0 0 John B Cheassare MD 35.00 X X 0 0 0 Mr Charles C Fenwick Jr 1.00 X X 0 0 0 Mr Harry S Johnson 1.00 X X 0 0 0 Mr Thomas M Kane 1.00 X X 0 0 0 Mr Laurence M Merlis 34.00 X X 921169 0 215411 Ms Patricia J Mitchell 1.00 X X 0 0 0 Mr Stephen T Scott 1.00 X X 0 0 0 Harold Tucker MD 1.00 X X 0 0 0 John M Wogan MD 1.00 X X 0 0 0 Mr Eric L Melchior 35.00 X 523144 0 129037 Mr Keith R Poisson 39.00 X 488294 0 104368 Rodney M Williams MD 39.00 X 560063 0 127556 Ms John W Ellis 20.00 X 466524 0 108030 Ms Joanne Porter 39.00 X 341973 0 59182 Ms Tressa B Springmann 39.00 X 341762 0 47145 Mr Mark R Thomas 39.00 X 334785 0 52216 Mr George E Bayless 37.00 X 309190 0 54355 Mr Michael A Forthman 39.00 X 238531 0 41171 James Demopoulos 40.00 X 40447 0 1610 Mr Steve Twaddle 1.00 X 225097 0 22077 Ms Catherine J Boyne 40.00 X 258411 0 17716 Mr Douglas G Smith 40.00 X 256961 0 50474 Reginald J Davis MD 40.00 X 1385372 0 35741 Wynee E Hawk 0.00 X 99739 0 0 Gary I Cohen MD 40.00 X 875623 0 35739 Bimal G Rami MD 40.00 X 795174 0 31690 Paul Celano MD 40.00 X 732637 0 33638 Neri M Cohen MD 40.00 X 700347 0 34684 10945061 0 1225689 284 0 1 0 Johns Hopkins University 125 Medical Admin Rd 720 Rutland Baltimore MD 21205 Residency Program 3751948 Associated Construction 1719 Morning Brook Drive Forest Hill MD 21050 Construction 3256591 Medical Imaging of Baltimore PO Box 630277 Baltimore MD 212630277 Radiology Services 2640799 Mayflower Textile Service 2601 W Lexington St PO Box 20659 Baltimore MD 212230492 Linen Service 1801967 Aramark Healthcare Support Services PO Box 651009 Charlotte NC 28265 Management - Dietary 1706491 106 184479 8811529 85482 476000 9557490 Patient Service 621110 386103669 386103669 Other Operating Rev. 900099 3861756 3861756 389965425 -902654 -902654 191279 153500 37779 37779 37779 7598387 6829369 471 769018 -471 768547 768547 57949 184479 116286 -58337 -58337 Cafeteria Income 722210 1954987 1954987 Parking Revenue 812930 1702979 1702979 Billing Fees 561000 34883 34883 3692849 403061099 389965425 34883 3503301 189104 189104 7558877 7558877 158322469 149638806 8683663 9931077 8578470 1352607 16700444 15701344 999100 11252844 10595700 657144 5655080 3791254 1863826 595378 85774 509604 211010 39810 171200 55957 55957 84626 84626 23639726 21270403 2369323 2117230 379226 1738004 89528026 88366028 1161998 3408683 2825108 583575 1962529 1487202 475327 305086 183534 121552 511555 281187 230368 4402444 3927185 475259 21955624 19406941 2548683 8599451 1439474 7159977 Uncollectible Accounts 8774538 8774538 Purchased Services 4681468 3771778 909690 Medical Residents 1369006 1369006 Dues 814556 315567 498989 382626788 342417439 40209349 0 33993949 30989986 2463855 1974530 46199440 50940403 3335596 3292075 6665694 9277536 454836535 248583252 207421783 206253283 36558160 59506442 13363754 16134012 29533789 19902968 379536020 398271235 56550527 55445898 123308207 119590603 41311859 54403545 221170593 229440046 X 132503672 139905590 19303240 22364949 6558515 6560650 158365427 168831189 379536020 398271235 X 0 1 1 X 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 1 0 1 856 1 3426 0 1 42252 0 1 9423 55957 0 Part II-B, Line 1i: Explanation of Other Lobbying Activities: The amount for other activities includes meeting with GBMC staff, legislative committees and contracted GBMC lobbyists, as well as amounts incurred for general research on federal and state healthcare issues. 9433475 2135 993109 37110 10391609 10781157 53262 -1358011 42933 9433475 0.63130 0.36870 0 0 15290673 15290673 229485969 96978897 132507072 7250363 4187790 3062573 114582558 86719542 27863016 88226972 60697023 27529949 206253283 Third Party Advances 11666105 Pensions Liability 31022098 Other Liabilities 9273603 Capital Leases 2441739 54403545 403061099 382626788 20434311 -1533843 -8434706 -9968549 10465762 401712415 -1533843 -84626 -1618469 403330884 -269786 -269786 403061098 382811948 0 382811948 -185160 -185160 382626788 Part V, Line 4: Description of Intended Use of Endowment Funds: Part V, line 4: GMBC Investments' holds and manages the endowment of the Hospital. Intended uses of the organization's Endowment Funds: 1) Research - Support clinical research performed at Greater Baltimore Medical Center. 2) Education - Support education programs, lectures and scholarships. 3) Special Programs - Rehabilitation services for low vision and blindness, human genetics and the Center for Nursing Excellence. 4) General Support for Greater Baltimore Medical Center. Part XI, Line 8 - Other Adjustments: Equity in Earnings: 3403899. Transfer to Affliates: -2356484. Pension Expense: -9482121. Part XII, Line 2d - Other Adjustments: Investment Fee: -84626. Part XII, Line 4b - Other Adjustments: Rental Expense, netted from revenue: -153500. Event Expense, netted from revenue: -116286. Part XIII, Line 4b - Other Adjustments: Investment Fee: 84626. Rental Expense, netted from revenue: -153500. Event Expense, netted from revenue: -116286. Part X, Line 2: Greater Baltimore Medical Center, Inc., as an affiliate of GBMC Healthcare, Inc. & Subsidiaries, has accounted for uncertain tax positions in accordance with FIN48 and has determined that these positions, as a whole, are immaterial. Father's Day 5K 194535 136586 57949 25428 14592 21180 4075 GBMC Golf Outing 47893 47893 7607 924 3311 17500 19463 2206 242428 184479 57949 36346 32092 40643 7205 116286 -58337 1 1 1 X 300.000000000000 0 1 1 1 0 1 1 4050790 0 4050790 0.01080 0 0 4050790 4050790 0.01080 1646010 604155 1041855 0.00280 9524056 52125 9471931 0.02530 312201 312201 0.00080 110951 110951 0.00030 11593218 656280 10936938 0.02920 15644008 656280 14987728 0.04000 322610 104243 218367 0.00060 100000 100000 0.00030 422610 104243 318367 0.00090 1 6933652 1 1 Greater Baltimore Medical Center

6701 North Charles Street Baltimore MD 21204

X X X X Skilled Nursing Facility Part I, Line 7: Cost of Charity Care was calculated using the cost-to-charge ratio prescribed in the instructions to Workeheet 2. 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 Uncompensated Care.Part I, 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.Part I, Line 7f, Column c: 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 Uncompensated Care.Part I, 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 Uncompensated Care. Part I, Line 7g: GBMC supports coverage of specialty services (orthopedics, anesthesia, general surgery, etc.) provided in the emergency room to medicaid and uninsured patient populations by ensuring payment of the physician professional fees for surgical related cases. GBMC also employs a full-time Geriatric Nurse Practitioner whose sole responsibility is to provide education and primary care services at Towson area low-income senior living facilities. During FY10, GBMC began a partnership with Catholic Charities and hired a pediatrician to provide on-site physician coverage at a residential mental health treatment for children (Villa Maria). Part III, Line 9b: Until final approval of the account as charity care, patients receive bills similar to non-charity care patients. Once charity care is approved, the account is written off. No further bills are sent and any refunds necessary are made to the patients. Even if the account is in collection and a patient presents a hardship, the patient can qualify for charity care up to the point of a judgment made on the account. American Diabetes Association "Reverse the Trend" Program: Clinical research has overwhelmingly identified the adverse consequences that occur when diabetes is developed. Through its Geckle Diabetes and Nutrition Center, GBMC helps patients with diabetes address and manage the daily and lifelong issues associated with this crippling disease. The statistics documenting the increasing incidence of type two diabetes, particularly in adolescents, is staggering, with "One out of every three children born after the year 2000 developing diabetes in their lifetime" (source: American Diabetes Association (ADA)). That's precisely the reason GBMC eagerly accepted an invitation from the ADA in fiscal year 2007 to partner in its "Reverse the Trend" program.Through two separate $25,000 contributions (one in fiscal year 2007 and the other in fiscal year 2009) and participation in the program design, GBMC has supported what it hopes is a program that will help make permanent lifestyle changes for area families and youth. Unlike many global efforts to educate at-risk patients regarding diabetes, the "Reverse the Trend" program is a hands-on initiative that works in specific high-risk communities directly with individuals. The program differentiates itself by not only providing education, but also through the aid of directed community partners within an individual's community. It also provides products or services that allow an individual to make a desired lifestyle change on a permanent basis. Villa Maria and St. Vincent's Centers: Operated by Catholic Charities, the Villa Maria and St. Vincent's Centers in Timonium offer residential mental health treatment for nearly 160 children between the ages of five to fourteen. Owing to a variety of complex socio-economic issues, this highly at-risk population tends to have a variety of associated medical conditions. When Catholic Charities noted the difficulty in finding adequate physician coverage to provide primary and preventive care, GBMC's Department of Pediatric Care Chairman, Timothy Doran, MD, quickly understood the critical need to provide these essential services at the facility's site to continue mental health treatments in the least disruptive manner possible. As a result, during fiscal year 2009, GBMC hired Rachel Bergen, MD, and began partnering with Catholic Charities to provide a GBMC-employed pediatrician on-site at the treatment centers to deliver assessments and treatment, review medical reports and coordinate specialized care and dietary needs as necessary. Health Partnerships with Seniors: In the beginning of fiscal year 2008, GBMC created a partnership of community outreach with the Assistance Center for Towson Churches and five senior income-restricted housing facilities to provide healthcare services to improve the health of the underserved population in neighborhoods surrounding the hospital's campus. A nurse practitioner specializing in geriatrics visits the apartment buildings one to two times per week, providing health screenings, exercise classes and basic health services such as blood pressure and glucose monitoring, immunizations and medication review. The nurse practitioner also offers an assessment of acute medical problems and provides monthly education on topics such as fall prevention, memory loss, depression and osteoporosis. Since the program was launched, the nurse practitioner has made more than 400 medical visits, administered more than 100 flu-pneumonia vaccines, has made numerous referrals to other medical providers and initiated weekly exercise classes in several of the facilities. Gilchrist Hospice Care's African Partnership: Gilchrist Hospice Care, a GBMC affiliate, has entered into a new partnership with Nkoaranga Lutheran Hospital in the Arusha Region of Tanzania.The pairing allows Gilchrist to share its wealth of knowledge about how best to provide quality, compassionate end-of-life care with a hospice program in Sub-Saharan Africa that struggles everyday to care for hundreds of patients, more than 95 percent of whom suffer from HIV/AIDS, with limited staff and resources. Through regular e-mails and phone calls and bi-annual visits between partners, Gilchrist hopes to share its expertise with Nkoaranga while also learning valuable lessons about how to do more with less, and how to better care for patients in the last stages of HIV/AIDS.The partnership, sponsored by the Foundations for Hospices in Sub-Saharan Africa, is part of a program that serves 16 countries in Africa through collaborations with hospice and palliative care programs in 28 states. Serving Those in Need Through Financial Assistance: GBMC has long understood the need to provide the highest quality medical care to all patients regardless of ability to pay. Accordingly, GBMC uses financial criteria well in excess of nationally recognized Federal Poverty Guidelines and State of Maryland required standards in order to provide free care. In addition, GBMC also works with patients not qualifying under the Financial Assistance Policy in determining potential insurance eligibility, as well as establishing reasonable and affordable payment plans.Medical Education: A core component of the GBMC vision is to provide physicians, nurses and staff with medical sophistication through clinical education and research. Because of the critical importance of primary care services, as well as core services, GBMC annually trains more than 60 interns, residents and fellows in the fields of Internal Medicine, Gynecology, Ophthalmology, Otolaryngology, Colo-Rectal Surgery and GYN Oncology. Our physicians partner with the interns, residents and fellows to provide comprehensive and thorough training and education to ensure that the next generation of physicians are exceptionally prepared to serve the patients and communities in which they will serve. In addition to its intern and resident programs, GBMC also offers vital nurse training and operates an allied health professionals program for approximately 20 radiology technician students a year. GBMC Wins United Way Make-Over Project: On September 29, 2009, a group of GBMC employees from five departments pulled together in true GBMC fashion to benefit others. They spent all day participating in The United Way's "Share Yourself Make-Over," an annual community project that is part fundraising, part do-it-yourself skill, part competition, and all unforgettable. Staff volunteers from GBMC were charged with collecting donations to make-over the kitchen and office of Medfield Community Center in Northeast Baltimore City, which is used primarily as an after school recreation and activities center for area youth. Then, the group rolled up their sleeves to clean, repair and decorate the two rooms, as well as stock them with necessities. Teams from five other local organizations were assigned to re-do the rest of the center including the arts and crafts room, homework room, gym, atrium and game room. At the end of the day, GBMC's team of volunteers took top honors for its outstanding work in the kitchen and office, but the real prize went to the children, who now have a clean, safe facility to use. Part VI, Line 2: GBMC completes a GAP assessment designed to evaluate and understand the unmet healthcare needs of the GBMC community, and how GBMC, given its service orientation, might be best served to assist in meeting the identified unmet needs. GBMC uses statistical and medical incidence data from local county health departments that collect such data, as well as other various national data. GBMC maintains an inter-disciplinary Community Needs Advisory Committee, with representation from the Board of Directors, Outreach Services, Compliance, Finance, Legal, Spiritual Support, and other clinic based areas, which meets monthly to evaluate, debate and approve community based initiatives. In addition, the committee reports directly to the President & Chief Executive Officer. Refer to Exhibit 1 for a GBMC publication highlighting recent community benefit activities. Part VI, Line 3: GBMC educates patients about their eligibility for governmental assistance and organization charity care assistance in many ways, starting with the intake process. A summary of the financial assistance policy is posted, along with contact information at all registration areas, the emergency room, and the billing office. When patients are registered, they are provided with a financial assistance brochure and are handed a "Permissions/Acknowledgment" (signed by the patient). This form explains the hospital's financial assistance policy and provides GBMC phone numbers and a website. Also stated on the form is information for how GBMC representatives can assist with applying for Maryland Medical Assistance. GBMC also contracts with outside agencies to help with the medical assistance eligibility process. Lastly, a statement about financial assistance and a copy of GBMC's policy accompanies all bills to patients. Part VI, Line 4: Greater Baltimore Medical Center, Inc. ("GBMC") is a private, not-for-profit, 310 bed, regional medical center. It is located in Towson, Maryland, a suburban Baltimore County community two miles north of Baltimore City. GBMC's primary service area includes all of Baltimore County, the northern portion of Baltimore City, and portions of Carroll and Harford Counties. The population in GBMC's service area has traditionally been affluent. Baltimore County ranked 2nd among MD counties for the highest income per capita in 2007. The 2007 per capita income in Baltimore County was 34% higher than the nation. But, in 2007 Baltimore County had: 8% of the population in poverty 9% of related children under 18 were below the poverty level 8% of people 65+ years old were below the poverty line 5% of all families lived in poverty 14% of families with a female householder and no husband present had incomes below the poverty levelIn FY2009, GBMC's service area patients were 1.47% self-pay and 5.26% Medicaid; whereas, GBMC's patients in FY2009, were 1.9% self-pay and 5.1% Medicaid. Part VI, Line 5: The Community Building activities in the amount of $322,610 included in this report are comprised of two components: $25,000 support to Christo Rey High School and $297,600 for Emergency Management. The alliance with Christo Rey provides an opportunity for Baltimore City students to work at GBMC and gain experience with an organization through work-study/internship. During FY10, GBMC partnered with Baltimore County government to provide a dedicated Emergency Management facility that can be used by the community to stage disaster drills, provide mass vaccinations, etc. This facility will serve the community by enhancing public safety and promoting wellness among all citizens. Part VI, Line 6: A majority of GBMC's governing body is comprised of persons who reside in the organization's primary service area. GBMC extends medical staff privileges to all qualified physicians in its community. GBMC reinvests its operating margin into improvements in patient care and research. GBMC provides teaching through accredited intern and resident education programs in Internal Medicine, Gynecology, Ophthalmology, Otolaryngology, and Colo-Rectal surgery. Most recently, GBMC has invested in a geriatric nurse practitioner program whose sole responsibility is to provide education and primary care services to low-income senior living facilities in the local service area. GBMC continues to fund anesthesia, obstetrical, and orthopedic services to Medicaid and uninsured patient populations. GBMC has generally covered this by agreeing to provide physician payment for surgical cases coming through the emergency department where the patient is considered to be indigent. MD 1 Healthcare for the Homeless 111 Park Avenue Baltimore MD 21201 521576404 501(c)(3) 13333 See Part IV Cristo Rey Internship Program Inc 420 South Charles Street Baltimore MD 21231 205300491 501(c)(3) 25000 See Part IV Body Harmony Yoga 10 Fila Way Suite D 392 Sparks MD 21152 270877377 N/A 9800 See Part IV Maryland Healthcare Education Institute 6820 Deerpath Road Elkridge MD 210756234 043511768 501(c)(3) 100000 See Part IV 4 0 Procedure for Monitoring Grants in the U.S.: Part I, Line 2: Schedule I, Part I, Line 2: The organization's procedures for monitoring the use of grant funds in the U.S. are evaluated and selected through a formal Community Needs Advisory Committee and are based on unique and identified needs. Periodic reports (some quarterly and other are annual) are required by grantors. Additionally, field visits have been conducted. Other Information: Part IV: Part II, line 1, Column (h): Name of Organization or Government: Healthcare for the Homeless (h) Purpose of Grant or Assistance: Assisting a community based organization to improve the health and wellness of the homeless in the greater Baltimore area. Name of Organization or Government: Cristo Rey Internship Program, Inc. (h) Purpose of Grant or Assistance: Sponsorship of Baltimore urban youth college prepatory program. Name of Organization or Government: Body Harmony Yoga (h) Purpose of Grant or Assistance: Participation in the establishment of a Yoga for stroke program, provided at no charge to stroke survivors. Name of Organization or Government: Maryland Healthcare Education Institute (h) Purpose of Grant or Assistance: MHA assistance in partnership with other organizations throughout the state to end Maryland's chronic nursing shortages. X X X X 0 1 X X X X X 1 1 0 0 0 0 0 0 0 Ronald F Trutone Jr MD 250000 0 0 0 0 0 0 0 0 0 250000 0 0 0 Howard L Siegel MD 518653 0 0 0 0 0 0 0 0 0 518653 0 0 0 John Saunders MD 407851 0 0 0 13500 0 10197 0 15262 0 446810 0 0 0 Mr Laurence M Merlis 630950 0 204795 0 85424 0 198988 0 16423 0 1136580 0 0 0 Mr Eric L Melchior 368961 0 98771 0 55412 0 111779 0 17258 0 652181 0 0 0 Mr Keith R Poisson 335850 0 101280 0 51164 0 81481 0 22887 0 592662 0 0 0 Rodney M Williams MD 388966 0 107888 0 63209 0 106900 0 20656 0 687619 0 3069 0 Ms John W Ellis 341288 0 93085 0 32151 0 92036 0 15994 0 574554 0 23587 0 Ms Joanne Porter 237000 0 57791 0 47182 0 47427 0 11755 0 401155 0 9044 0 Ms Tressa B Springmann 252295 0 66588 0 22879 0 38123 0 9022 0 388907 0 19134 0 Mr Mark R Thomas 251960 0 53899 0 28926 0 32006 0 20210 0 387001 0 2081 0 Mr George E Bayless 204587 0 77832 0 26771 0 32790 0 21565 0 363545 0 38895 0 Mr Michael A Forthman 182714 0 45681 0 10136 0 20163 0 21008 0 279702 0 14794 0 Mr Steve Twaddle 149559 0 2856 0 72682 0 4191 0 17886 0 247174 0 2856 0 Ms Catherine J Boyne 189366 0 52411 0 16634 0 12881 0 4835 0 276127 0 16411 0 Mr Douglas G Smith 198625 0 26477 0 31859 0 25456 0 25018 0 307435 0 7077 0 Reginald J Davis MD 1221021 0 142075 0 22276 0 15600 0 20141 0 1421113 0 0 0 Gary I Cohen MD 453621 0 378494 0 43508 0 17448 0 18291 0 911362 0 0 0 Bimal G Rami MD 336810 0 446181 0 12183 0 10638 0 21052 0 826864 0 0 0 Paul Celano MD 426468 0 289301 0 16868 0 15196 0 18442 0 766275 0 0 0 Neri M Cohen MD 436776 0 248399 0 15172 0 12186 0 22498 0 735031 0 161399 0 Part I, Line 1a The executive VP's, senior VP's, and VP's have a limited accountable plan (expenses have to be supported with receipts) for the following expenses: financial and legal counseling, club memberships, tuition, health equipment, and medical expenses not covered by an insurance plan. The reimbursements range from $3,000 to $5,000 per year and are grossed-up for income tax purposes. The president of GBMC Healthcare, Inc. has a discretionary spending account. The amount of the account was established in his employment agreement and is not required to be substantiated. The discretionary spending account is included in taxable income. Part I, Line 1b Although not all of the benefits identified in Schedule J, Part I, Line 1a are set forth in written policies, the compensation committee of Greater Baltimore Medical Center, Inc.'s parent organization, GBMC Healthcare, Inc., periodically reviews all benefits provided to executives, including those benefits specifically identified. Part I, Line 4a Mr. Steve Twaddle received severance payments totaling $54,600 during the year. Part I, Line 4b: The following individuals participate in a non-qualified supplemental retirement plan. This plan was approved by the Compensation Committee of the GBMC Healthcare Board of Directors to supplement the executive's retirement income. The supplemental retirement plan was developed based on an independent consultant report on market-based practices for supplemental retirement plans, the percentage of final average pay, the requirements for vesting, participants, and pay-out provisions were established, reviewed, and approved by the Compensation Committee. The contributions to the supplemental non-qualified retirement plan are included in Schedule J, Part II, Column C as part of deferred compensation or in Schedule J, Part II, Column B(iii) as part of deferred compensation. Mr. Laurence M. Merlis - $ 181,512 Earned, $0 Paid Mr. Eric L. Melchior - $97,112 Earned, $0 Paid Mr. George E. Bayless- $21,632 Earned, $38,895 Paid Mr. Douglas Smith- $15,208 Earned, $7,077 Paid Mr. Keith R. Possion $67,025 Earned, $0 Paid Rodney M. Williams, M.D. $100,000 Earned, $3,069 Paid Mr. John W. Ellis $82,733 Earned, $23,587 Paid Ms. Joanne Porter $35,418 Earned, $9,044 Paid Ms. Tressa B. Springmann $23,655 Earned, $19,134 Paid Mr. Mark R. Thomas $20,015 Earned, $2,081 Paid Mr. Michael A. Forthman $10,027 Earned, $14,794 Paid Ms. Catherine J. Boyne $0 Earned, $16,411 Paid Mr. Steve Twaddle $0 Earned, $2,856 Paid Supplemental Information Part III Part I, Line 3: Greater Baltimore Medical Center, Inc. relied on its parent, GBMC Healthcare, Inc., to set compensation for Greater Baltimore Medical Center, Inc.'s president. GBMC Healthcare, Inc. used a compensation committee, an independent compensation consultant, a written employment contract, a compensation survey or study, and an approval by a board or compensation committee to establish the top management official's compensation. MD Health & Higher Ed Fac Auth 520936091 5742173X1 2009-03-15 15065000 Building Renovation 0 0 MD Health & Higher Ed Fac Auth 520936091 5742173Z6 2009-04-01 29935000 To Refund Series 1993 0 0 15066733 160075 14906658 0 0 1 1 29035000 1 0 1 1 0 1 1 0 1 1 0 1 1 0 1 0.01380 0.01380 1 0 1 0 NA 0 NA 0 1 0 1 0 NA 0 NA 0 1 Ronald Tutrone Jr MD Board Member 460000 See Sch O 0 Howard Siegel Board Member 518653 See Sch O 0 Harry Johnson Chair Elect Member 22105 See Sch O 0 Herbert Belgrad Former Treasurer 156272 See Sch O 0 Robert Shelton Board Member 234564 See Sch O 0 Bonnie Stein Board Member 85000 See Sch O 0 Form 990, Part VI, Section A, line 6 The Board of Directors of GBMC Healthcare, Inc. is the governing body for the organization. GBMC Healthcare, Inc. is the parent corporation and sole stockholder of the organization. The business and affairs of the organization are managed under the direction of its Board of Directors except as reserved to the stockholder, GBMC Healthcare, Inc. in accordance with the bylaws such as: A) To change the mission, purpose philosophy or objectives of the organization B) To amend the bylaws of the organization C) To dissolve, to consolidate or to merge the organization D) To ratify the election of the president or other officers of the organization E) To remove the president or other officers of the organization F) To elect members of the Board of Directors of the organization G) To remove members of the Board of Directors of the organization H) To purchase, sell or encumber with debt I) To sell all or substantially all of the organization's assets, or to undertake major expansion projects J) To approve the annual operating and capital budgets of the organization K) To appoint general counsel to and the fiscal auditor of the organization L) To set the fiscal year of the organization M) To issue additional stock, following the initial issuance of stock Form 990, Part VI, Section A, line 7a See Form 990, Part VI Section A, Line 6 Description Form 990, Part VI, Section A, line 7b See Form 990, Part VI Section A, Line 6 Description Form 990, Part VI, Section B, line 11 The audit committee of Greater Baltimore Medical Center, Inc.'s supported parent organization, GBMC Healthcare, Inc., reviews this Form 990. A copy of the Form 990 is provided to the full Board of Directors of the Hospital and GBMC Healthcare prior to filing. Form 990, Part VI, Section B, line 12c Annually, every Board member, physician, advanced practitioner and manager (which includes key employees) must complete a comprehensive questionnaire that provides for the disclosure of potential conflicts. All disclosures are reviewed by the Compliance Officer. Those disclosures that are questionable or may rise to the level of a conflict are discussed with the Chief Legal Officer and appropriate action is taken, if necessary. A summary of disclosures is provided to the Audit Committee (for management) and to the Governance Committee (for Board members) annually. Form 990, Part VI, Section B, line 15 The compensation of GBMC's president and key employees is determined by a subcommittee of its parent organization, GBMC Healthcare's, Board of Directors. The Compensation Committee of the Board of Directors is chartered with the responsibility to assure GBMC pays competitive salaries to the executives. The approach that is taken is based on current market "best practices" for non-profit organizations. The committee meets at least 6 times annually to review and discuss executive's salaries and benefits. The steps taken are as follows: 1) An independent executive compensation consultant was selected based on an RFP process and face-to-face interviews were conducted. 2) Once selected, the compensation consultant compiled, independently, salary survey data of similar size organizations from throughout the country. 3) The survey data is presented to the compensation committee with the national survey data; various surveys are categorized by size of organization, academic and non-academic, system and community-based hospitals. 4) The data is categorized by executive position, and a salary range is recommended by the compensation specialist. 5) Base salary of an individual executive is based on survey results, years of experience and performance. 6) A recommendation is made to the compensation committee by the CEO for salary rates for the vice presidents. 7) The Compensation Committee either accepts or modifies the recommendation from the CEO for base salary adjustments. 8) The Compensation Committee determines the salary adjustment for the CEO based on national salary survey data, years of experience and performance. 9) The incentive bonus is determined based on actual results compared with the plan document and recommendation is made to the Compensation Committee for approval or modification. 10) The amount of bonus is determined by the criteria stated in the incentive plan document and is also based on current market practices from national surveys. 11) Survey of executive benefits is also reviewed by the compensation consultants to assure reasonableness. 12) The compensation consultant provides a written document on the reasonableness of the salaries being paid. 13) The Board of Directors reviews and approves the decisions of the Compensation Committee. Form 990, Part VI, Section C, line 19 The governing documents are located on the State of Maryland Department of Taxation's website. Financial statements are made public through the State of Maryland Charitable Registration. Financial statements for GBMC Healthcare, Inc. are also available through the Electronic Municipal Market Access (EMMA) website via the continuing disclosure document. The Conflict of Interest policy is not available to the public. Form 990, Part III, Line 1 Description of Organization Mission: Greater Baltimore Medical Center's primary exempt purpose is as follows: (1) To organize, build, erect, equip, manage and operate exclusively for charitable purposes, a non-profit general hospital and medical center for the care of the sick, and to furnish medical and surgical attendance therein in any form in the care of sick, afflicted, infirm or injured persons; provided, however, the operations are not to be exclusively for those who are able and expected to pay but to the extent of financial ability are to be for those not able to pay for the services rendered, and the facilities are not to be restricted to a particular group of physicians and surgeons except to the extent that discretionary authority in the management may impose limitations based upon the qualifications of those applying or upon the size and nature of the facilities, and no part of its net earnings are to inure directly or indirectly to the benefit of any private shareholder or individual. (2) To organize, build, erect, equip, manage and operate a school or schools for training physicians, surgeons, nurses and others, and to educate and train any such persons in the care of sick, afflicted, infirm, or injured persons by teaching medicine, hygiene, surgery and everything having to do with the physical well-being of individuals. (3) To engage in any activity and to do anything and everything that may be necessary, expedient or incidental to the purposes stated in paragraphs (1) and (2). (4) To have and to exercise to the extent necessary or desirable for the accomplishment of any of the aforesaid purposes, and to the extent that they are not inconsistent with the charitable purposes of the corporation, and the limitations imposed by section 501(c)(3) of the Internal Revenue Code, any and all powers conferred upon corporations by the Maryland General Corporation law. Form 990, Part VII, Section A During the fiscal year, these individuals devoted the following estimated hours each week to a related organization: The Honorable Vicki Ballou-Watts: 2 Mr. Kennethh P. Barksdale: 2 Mr. Herbert J. Belgrad: 2 Mrs. Sandra Berman: 2 Robert K. Brookland, M.D.: 3 John B. Chessare, M.D.: 5 Mr. Charles C. Fenwick, Jr.: 2 Mr. Samuel Heffner: 2 Mr. Frederick M. Hudson: 2 Mr. Douglas Huether: 2 Mr. Harry S. Johnson: 2 Mr. Thomas M. Kane: 2 Mr. Williams A. Kroh: 2 Mr. Thomas H. Maddux: 2 Mr. Laurence M. Merlis: 6 Ms. Patricia J. Mitchell: 2 Mr. Frank R. Plamer: 2 Mrs. Mary Stuart Rodgers: 2 Mr. Stephen T. Scott: 2 Mr. Robert A. Shelton: 2 Mr. Bernard Siegel: 2 Mr. Stuart O. Simms: 2 Ms. Bonnie R. Stein: 2 Mr. James B. Stradtner: 4 Mr. Steven A. Thomas: 4 Ms. Marion G. Thompson: 2 Harold Tucker, M.D.: 2 Ronald F. Trutone, Jr., M.D.: 2 Mrs. Mary B. Wieler: 2 John M. Wogan, M.D.: 2 John Saunders, M.D.: 5 Mr. Eric L. Melchior: 5 Mr. Keith R. Poisson: 1 Mr. Rodney M. Williams: 1 Mr. John W. Ellis: 20 Ms. Joanne Porter: 1 Ms. Tressa B. Springmann: 1 Mr. Mark R. Thomas: 1 Mr. George E. Bayless: 3 Mr. Michael A. Forthman: 1 Mr. Steve Twaddle: 39 Ms. Catherine J. Boyne: 21 Mr. Douglas G. Smith: 39 Sch L, Part IV, Business Transactions Involving Interested Persons: (a) Name of Person: Ronald Tutrone, Jr. MD (d) Description of Transaction: Independent Contractor that provides research services to GBMC (a) Name of Person: Howard Siegel (d) Description of Transaction: Howard Siegel is a partner in a PA that provides pathology services to GBMC (a) Name of Person: Harry Johnson (d) Description of Transaction: Mr. Harry Johnson is a partner in the firm, Whiteford, Taylor & Preston LLP, that provided legal services to GBMC (a) Name of Person: Herbert Belgrad (b) Relationship Between Interested Person and Organization: Former Treasurer (left board 11/09) (d) Description of Transaction: Mr. Herbert Belgrad is a partner in Tydings & Rosenburg LLP which provided legal services to GBMC (a) Name of Person: Robert Shelton (d) Description of Transaction: Mr. Robert Shelton was a partner in the firm, Venable, that provided legal services to GBMC (a) Name of Person: Bonnie Stein (d) Description of Transaction: Ms. Bonnie Stein is an EVP at PNC Bank who is the trustee for many of GBMC investments GBMC Foundation Inc 6701 North Charles Street Baltimore MD 21204 521411935 Fundraising MD 501(c)(3) Line 7: 170(b)(1)(a) N/A Gilchrist Hospice Care Inc 555 W Towsontown Blvd Baltimore MD 21204 521851251 Hospice Services MD 501(c)(3) Line 3: 170(b)(1)(a) N/A GBMC Investments Inc 6701 North Charles Street Baltimore MD 21204 521040300 Investment Management MD 501(c)(3) Line 11 Type II: 509 N/A Diversified Health Enterprises Inc 6701 North Charles Street Baltimore MD 21204 521725005 Health Services MD 501(c)(3) Line 11 Type II: 509 N/A Diversified Nurses Inc 6701 North Charles Street Baltimore MD 21204 521305904 Nursing Services MD 501(c)(3) Line 9: 509(a)(2) N/A Diversified Health Services Inc 6701 North Charles Street Baltimore MD 21204 521331993 Health Services MD 501(c)(3) Line 9: 509(a)(2) N/A GBMC Land Inc 6701 North Charles Street Baltimore MD 21204 521413360 Real Estate Property MD 501(c)(3) Line 11 Type I: 509( N/A GBMC Healthcare Inc 6701 North Charles Street Baltimore MD 21204 521484872 Healthcare MD 501(c)(3) Line 7: 170(b)(1)(a) N/A GBMC Medical Arts LP 6701 North Charles Street Baltimore MD 21204 521412751 Real Estate Mgt MD N/A N/A 0 0 GBMC Medical Arts Pavilion West LP 6701 North Charles Street Baltimore MD 21204 521899034 Real Estate Mgt MD N/A N/A 0 0 Greater Baltimore Diagnostic Imaging Partnership 6701 North Charles Street Baltimore MD 21204 521561640 Imaging Services MD N/A N/A 0 0 GBMC Agency Inc 6701 North Charles Street Baltimore MD 21204 521411931 Investments MD N/A C GBMC Management Inc 6701 North Charles Street Baltimore MD 21204 521411974 Management Company MD N/A C GBMC Finance Corporation 6701 North Charles Street Baltimore MD 21204 521863069 Financing Agent MD N/A C GBMC Finance Corporation II 6701 North Charles Street Baltimore MD 21204 521836142 Financing Agent MD N/A C GBMC Finance Corporation III 6701 North Charles Street Baltimore MD 21204 521836144 Financing Agent MD N/A C Ruxton Insurance Company LTD Cedar Hour 41 Cedar Avenue HM EX Ex Hamition BD 980413102 Insurance Captive BD N/A C GBMD Inc 6701 North Charles Street Baltimore MD 21204 521914558 Healthcare MD N/A C 0 1 1 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 GBMC Investments Inc B 1219585 GBMC Foundation Inc B 1613037 GBMC Investments Inc C 536207 GBMC Foundation Inc C 8590135 Gilchrist Hospice Care Inc C 221395 GBMC Medical Arts Limited Partnership H 67302 GBMC Medical Arts West Limited Partnership H 850562 GBMC Agency Inc H 451254 GBMC Physicians LLC I 164680 Greater Baltimore Medical Center Land Inc J 250000 GBMC Medical Arts Limited Partnership J 1095517 GBMC Medical Arts West Limited Partnership J 1007240 GBMC Agency Inc J 465466 GBMC Healthcare Inc K 260004 GBMC Agency Inc K 335683 GBMC Physicians LLC K 10733863 GBMCHopkins Pediatric Surgery LLC K 98698 Ruxton Insurance Company LTD K 208337 GBMC Medical Arts Limited Partnership K 60000 GBMC Medical Arts West Limited Partnership K 60000 Ruxton Insurance Company LTD L 10507910 GBMC Agency Inc P 470285 Ruxton Insurance Company LTD P 5053144 Greater Baltimore Medical Center Land Inc P 1386274 GBMC Medical Arts Limited Partnership P 575926 GBMC Medical Arts West Limited Partnership P 474987 GBMC Agency Inc P 121205 Ruxton Insurance Company LTD Q 7897201 Ruxton Insurance Company LTD R 4000000 GBMC Medical Arts West Limited Partnership R 153524