2024-05-15T13:07:23-05:00 2023-06-30 861065772 DELOITTE TAX LLP 695 TOWN CENTER DR STE 1000 COSTA MESA CA 92626 990 2022-07-01 526049658 GREATER BALTIMORE MEDICAL CENTER INC GREA 4438492000 6701 NORTH CHARLES STREET BALTIMORE MD 21204 LAURIE R BEYER EVP/CFO 4438492000 2024-04-04 1 LAURIE BEYER XXX-XX-XXXX 0 JOHN W SADOFF JR P00540589 7144367100 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z LAURIE R BEYER 6701 NORTH CHARLES STREET BALTIMORE MD 21204 684906442 0 X WWW.GBMC.ORG X 1960 MD TO PROVIDE MEDICAL CARE AND SERVICE OF THE HIGHEST QUALITY TO EACH PATIENT LEADING TO HEALTH, HEALING, AND HOPE. 29 26 4745 383 798202 0 19052843 18285811 567273649 576700797 23994044 28196694 1243845 1484517 611564381 624667819 165640 156740 0 0 332020303 340588281 0 0 2392862 277341147 286638925 609527090 627383946 2037291 -2716127 840832986 836992021 413491534 422830734 427341452 414161287 X SEE SCHEDULE O 0 0 274887491 274692575 THE GREATER BALTIMORE MEDICAL CENTER, INC. (GBMC) IS A 262-BED MEDICAL CENTER (ACUTE AND SUB-ACUTE CARE), LOCATED ON A SUBURBAN CAMPUS, WHICH PROVIDED INPATIENT CARE AND OBSERVATION SERVICES TO 13,308 AND 4,559 PATIENTS, RESPECTIVELY. ADDITIONALLY, GBMC DELIVERED OVER 3,759 BABIES IN THE FISCAL YEAR. GBMC'S DISTINCTIVE SERVICE LINES INCLUDE WOMEN'S CANCER, SURGICAL AND MEDICAL SERVICES. GBMC IS A FULLY ACCREDITED TEACHING HOSPITAL THAT IS AFFILIATED WITH JOHN HOPKINS UNIVERSITY. 131030787 111966091 THE OPERATING ROOM PERFORMED OVER 21,321 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. 23446009 34077021 THE EMERGENCY DEPARTMENT TREATED 55,945 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. 111536302 156740 155965110 AMBULATORY, POST ACUTE, & PRIMARY CARE SERVICES 111536302 156740 155965110 540900589 1 1 0 1 0 0 0 0 0 1 1 1 0 1 1 1 0 1 0 1 1 1 0 0 1 0 1 1 1 0 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 1 1 0 0 1 286 0 1 4745 1 1 1 1 BD 0 0 0 1 1 0 0 0 0 1 0 X 29 26 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 1 1 MD X X LAURIE R BEYER 4438492000 6701 NORTH CHARLES STREET BALTIMORE MD 21204 JOHN B CHESSARE MD DIRECTOR/CEO GBMC HEALTHCARE 42.00 18.00 X X 1221701 0 47923 J CHRISTOPHER GREENAWALT MD DIRECTOR/VICE CHIEF OF STAFF 50.00 10.00 X 376698 0 43767 ROBIN MOTTER-MAST DO DIRECTOR/CHIEF OF STAFF 50.00 10.00 X X 357308 0 56518 MR DELBERT ADAMS DIRECTOR 1.00 2.00 X 0 0 0 MR ROBERT AUMILLER DIRECTOR 1.00 2.00 X 0 0 0 MS HEIDI KENNY BERMAN DIRECTOR 1.00 2.00 X 0 0 0 MRS SANDRA BERMAN DIRECTOR 1.00 1.00 X 0 0 0 MS MONIQUE BOOKER DIRECTOR 1.00 1.00 X 0 0 0 ROBERT K BROOKLAND MD DIRECTOR 1.00 2.00 X 0 0 0 MRS ANN P CROOM DIRECTOR 1.00 2.00 X 0 0 0 MR CHARLES C FENWICK JR DIRECTOR 1.00 2.00 X 0 0 0 MRS CHRISTINA FITTS DIRECTOR 1.00 1.00 X 0 0 0 MR JERRY FOCAS DIRECTOR 1.00 2.00 X 0 0 0 MR FREDERICK M HUDSON CHAIR 1.00 1.00 X X 0 0 0 MR HARRY S JOHNSON DIRECTOR 1.00 1.00 X 0 0 0 MR LEON KAPLAN DIRECTOR 1.00 1.00 X 0 0 0 MR TIMOTHY L KRONGARD VICE CHAIR 1.00 1.00 X X 0 0 0 MR FRANKLIN M LEE DIRECTOR 1.00 1.00 X 0 0 0 MR THOMAS H MADDUX III SECRETARY 1.00 1.00 X X 0 0 0 MR ANTHONY V MILANDO DIRECTOR 1.00 1.00 X 0 0 0 MS PATRICA J MITCHELL DIRECTOR 1.00 1.00 X 0 0 0 JOHN R SAUNDERS MD DIRECTOR 1.00 1.00 X 0 0 0 MR STEPHEN T SCOTT TREASURER 1.00 1.00 X X 0 0 0 DEVON SMITH DVM DIRECTOR 1.00 2.00 X 0 0 0 MS BONNIE B STEIN DIRECTOR 1.00 2.00 X 0 0 0 MR JAMES B STRADTNER DIRECTOR 1.00 1.00 X 0 0 0 MRS FAITH E THOMAS VICE CHAIR 1.00 2.00 X X 0 0 0 MR STEVEN A THOMAS DIRECTOR 1.00 1.00 X 0 0 0 MS MARION G THOMPSON DIRECTOR 1.00 1.00 X 0 0 0 JOHN L FLOWERS MD EVP & CHIEF MEDICAL OFFICER 50.00 10.00 X 576354 0 151388 MS LAURIE R BEYER EVP & CFO GBMC HEALTHCARE 45.00 15.00 X 569499 0 128397 MS CATHERINE HAMEL EXEC VP CONT. CARE & PRES. GILCHRIST 20.00 40.00 X 535559 0 59996 MS SUSAN MARTIELLI GENERAL COUNSEL/VP LEGAL SERVICES 40.00 20.00 X 550696 0 31769 MR DAVID J HYNSON VP & CIO 45.00 15.00 X 475506 0 44727 MS ERLENE WASHINGTON VP & COO HEALTH PARTNERS 50.00 10.00 X 383321 0 95661 MS ANNA-MARIA G PALMER VP & CHIEF HUMAN RESOURCES OFFICER 40.00 20.00 X 405584 0 61904 MS JENNY COLDIRON VP DEVELOPMENT/PRESIDENT FOUNDATION 50.00 10.00 X 391913 0 49766 MS STACEY L MCGREEVY EVP & COO HOSPITAL 50.00 10.00 X 350384 0 90278 MS CAROLYN L CANDIELLO VP QUALITY & PT SAFETY 59.00 1.00 X 344598 0 46215 MS JOANN IOANNOU EXEC VP OF HOSPITAL OPERATIONS & CNO 45.00 15.00 X 292814 0 41190 VICTOR A KHOUZAMI MD CHAIR/PHYSICIAN 60.00 0.00 X 1580043 0 47080 BIMAL G RAMI MD MED DIRECTOR/PHYSICIAN 60.00 0.00 X 887022 0 59236 NIRAJ JANI MD MED DIRECTOR/PHYSICIAN 60.00 0.00 X 854637 0 59579 TIMOTHEE J FRIESEN MD PHYSICIAN 60.00 0.00 X 826436 0 66393 10980073 0 1181787 559 0 1 0 CHESAPEAKE MEDICAL STAFFING 2401 YORK ROAD LUTHERVILLE MD 21093 MEDICAL STAFFING 10661459 MEDICUS ANESTHESIA SOLUTIONS 22 ROULSTON ROAD WINDHAM NH 03087 MEDICAL STAFFING 8883551 JOHNS HOPKINS UNIVERSITY 125 MEDICAL ADMIN RD 720 RUTLAND BALTIMORE MD 21205 RESIDENCY PROGRAM 6296171 SODEXO INC 9801 WASHINGTON BLVD GAITHERSBURG MD 20878 MANAGEMENT - HOTEL SERVICES 5562055 AYA HEALTHCARE INC 5930 CORNERSTONE COURT WEST SAN DIEGO CA 92121 MEDICAL STAFFING 4744923 152 302810 1319810 3713690 12949501 20201 18285811 PATIENT SERVICE 621110 546111395 546111395 OTHER OPERATING REV. 900099 27248870 26626056 622814 OTHER GRANT REVENUE 541700 3340532 3340532 576700797 9782236 175388 9606848 78567690 60153232 18414458 18414458 18414458 70113 302810 85391 -15278 -15278 PARKING REVENUE 812930 1417747 1417747 CAFETERIA INCOME 722210 82048 82048 1499795 624667819 576077983 798202 29505823 X 147802 147802 8938 8938 9591496 9591496 283195285 253992299 28361710 841276 6991041 5708890 1254487 27664 21619308 18860190 2684068 75050 19191151 16525632 2589628 75891 3278488 1949259 1329229 280638 34228 246410 752308 32844 719464 7980 7980 804444 804444 74382308 64393907 9402188 586213 875082 41953 737970 95159 126001063 118174861 7503559 322643 15964461 11977664 3985916 881 15898631 13297586 2601045 381199 195135 171246 14818 931127 404324 520841 5962 3963808 2543594 1420214 31241774 26194608 5035010 12156 4547983 1899455 2648528 PURCHASED SERVICES 6003705 4455292 1213564 334849 INSTITUTIONAL DUES 1323926 62128 1261498 300 627383946 540900589 84090495 2392862 135961873 92211037 26697742 26705216 55633029 61626914 6220054 6384447 14040157 17563573 778589182 462011943 247439262 316577239 282525690 212537794 72315179 103385801 840832986 836992021 104438583 101793506 186357466 184686947 24021436 24071947 98674049 112278334 413491534 422830734 X 345985861 312638333 81355591 101522954 427341452 414161287 840832986 836992021 X -2716127 -13625593 3161555 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 0 0 0 1 7980 7980 0 PART II-B, LINE 1: GOVERNMENT RELATIONS IS A FUNCTION WITHIN THE MARKETING AND COMMUNICATIONS DEPARTMENT OF GBMC HEALTHCARE. IN THIS ROLE, A STAFF MEMBER DEVOTES A PORTION OF HIS TIME SERVING ON THE LEGISLATIVE COMMITTEE OF THE MARYLAND HOSPITAL ASSOCIATION AND ATTENDS REGULAR COMMITTEE MEETINGS DURING THE STATE LEGISLATIVE SESSION. ADDITIONALLY, THIS ROLE INVOLVES THE COORDINATION OF PERIODIC TOURS OF GBMC WITH LOCAL AND STATE ELECTED OFFICIALS. 38625980 2394158 2723286 2924903 40818521 45212836 3486805 -5035114 5038547 38625980 37575539 1488212 11549578 5400493 45212836 36340739 3454850 2408463 4628513 37575539 32842811 1726910 4119628 2348610 36340739 0.74342 0.25658 0 1 1 15290673 15290673 364832805 252705117 112127688 15899167 7666865 8232302 147833994 113541973 34292021 234732543 88097988 146634555 316577239 8567691 C PUBLICLY TRADED INVESTMENTS 203970103 F 212537794 INTERCOMPANY RECEIVABLE 73589549 DEFERRED ASSETS 32809 RIGHT OF USE LEASE ASSETS 29718943 DONATED TIMESHARE 44500 103385801 CAPITAL LEASES 51552606 OTHER LIABILITIES 4384383 CHARITABLE GIFT ANNUITY 1140967 INSURANCE RESERVES 2303947 OTHER THIRD PARTY ADVANCES 15178639 INTERCOMPANY PAYABLES 37717792 112278334 X PART V, LINE 4: GREATER BALTIMORE MEDICAL CENTER, INC. HOLDS AND MANAGES THE ENDOWMENT FOR THE PURPOSE OF: 1) DEPARTMENT NEEDS - ONCOLOGY, PEDIATRICS, EMERGENCY DEPARTMENT, CHAPEL, OPHTHALMOLOGY, AND SAFE (DOMESTIC VIOLENCE PROGRAM). 2) RESEARCH - SUPPORT CLINICAL RESEARCH PERFORMED AT GREATER BALTIMORE MEDICAL CENTER. 3) EDUCATION - SUPPORT EDUCATION PROGRAMS, LECTURES AND SCHOLARSHIPS, CENTER FOR NURSING EXCELLENCE. 4) GENERAL SUPPORT FOR GREATER BALTIMORE MEDICAL CENTER. 5) UNCOMPENSATED CARE. PART X, LINE 2: GREATER BALTIMORE MEDICAL CENTER, INC. IS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS FOR GBMC HEALTHCARE, INC. AND SUBSIDIARIES, WHICH INCLUDES BOTH TAXABLE AND TAX-EXEMPT AFFILIATES. THE COMPANY IS A NOT FOR PROFIT CORPORATION EXEMPT FROM INCOME TAXES AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THE COMPANY IS SUBJECT TO INCOME TAX ON UNRELATED BUSINESS INCOME. INCOME TAXES ARE PROVIDED FOR EARNINGS (LOSS) OF THOSE SUBSIDIARIES WHICH ARE SUBJECT TO FEDERAL AND STATE INCOME TAX BASED ON AGENCY'S SHARE OF THE SUBSIDIARIES' TAXABLE INCOME, WHETHER OR NOT DISTRIBUTED. AGENCY'S SHARE OF THESE SUBSIDIARIES' NET LOSSES IS DEDUCTIBLE TO THE EXTENT OF AGENCY'S TAX BASIS IN THE SUBSIDIARIES. THE FINANCIAL ACCOUNTING STANDARDS BOARD'S (FASB) GUIDANCE ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES CLARIFIES THE ACCOUNTING FOR UNCERTAINTY OF INCOME TAX POSITIONS. THIS GUIDANCE DEFINES THE THRESHOLD FOR RECOGNIZING TAX RETURN POSITIONS IN THE CONSOLIDATED FINANCIAL STATEMENTS AS "MORE LIKELY THAN NOT" THAT THE POSITION IS SUSTAINABLE, BASED ON ITS TECHNICAL MERITS. THIS STANDARD ALSO PROVIDES GUIDANCE ON THE MEASUREMENT, CLASSIFICATION AND DISCLOSURE OF TAX RETURN POSITIONS IN THE CONSOLIDATED FINANCIAL STATEMENTS. THE COMPANY HAS ADOPTED THIS GUIDANCE, AND THERE WERE NO AMOUNTS RECORDED IN THE CONSOLIDATED FINANCIAL STATEMENTS AS OF AND DURING THE YEARS ENDED JUNE 30, 2023 AND 2022 FOR UNCERTAIN TAX POSITIONS. GBMC AGENCY, INC AND SUBSIDIARIES ARE TAXABLE ENTITIES, WHICH HAVE TAX OPERATING LOSS CARRY FORWARD AVAILABLE TO OFFSET FUTURE TAXABLE INCOME. EFFECTIVE FOR TAX YEARS AFTER DECEMBER 31, 2017, THE NET OPERATING LOSS CARRY FORWARD IS INDEFINITE. AS OF JUNE 30, 2023, AND 2022, THE DEFERRED TAX ASSETS CONSISTING PRIMARILY OF NET OPERATING LOSS CARRY FORWARDS WERE FULLY OFFSET BY A RELATED VALUATION ALLOWANCE. 1 CENTRAL AMERICA AND THE CARIBBEAN 1 0 PROGRAM SERVICES INSURANCE PREMIUMS HOLIDAY 1 0 0 0 1 0 0 0 0 RUSSIA AND NEIGHBORING STATES SUPPORT THE MEDICAL NEEDS OF UKRAINE 8938 ELECTRONIC FUND/WIRE TRANSFER 0 1 1 0 1 1 1 0 PART III ACCOUNTING METHOD: PART I, LINE 2: GBMC RUXTON IS A WHOLLY OWNED INSURANCE CAPTIVE OF GBMC. RUXTON'S BOARD APPROVES THE INSURANCE PREMIUMS CHARGED TO GBMC. THE FINANCIAL STATEMENTS OF RUXTON ARE REVIEWED BY GBMC MANAGEMENT MONTHLY. RUXTON IS ALSO SEPARATELY AUDITED. GBMC'S AUDITORS REVIEW RUXTON'S AUDITED FINANCIAL STATEMENTS ANNUALLY. FATHER'S DAY 5K 88880 71064 17816 0 6145 2450 3490 3560 9836 GOLF OUTING 117269 95144 22125 0 0 47844 0 0 930 2 166774 136602 30172 0 0 4317 0 1472 5347 372923 302810 70113 6145 54611 3490 5032 16113 85391 -15278 1 1 X 1 X 300.000000000000 0 1 1 1 0 1 0 7681861 6210344 1471517 0.00230 7681861 6210344 1471517 0.00230 3375931 472832 2903099 0.00460 8593190 8593190 0.01370 170562741 116052850 54509891 0.08690 606645 606645 0.00100 145090 145090 0.00020 183283597 116525682 66757915 0.10640 190965458 122736026 68229432 0.10870 30804 30804 0.00000 5915 5915 0.00000 36719 36719 0.00000 1 12120463 4229000 120683445 101370661 19312784 X 1 1 1 1 GREATER BALTIMORE MEDICAL CENTER 6701 NORTH CHARLES STREET BALTIMORE MD 21204 WWW.GBMC.ORG MARYLAND STATE LICENSE NUMBER: 03-015 X X X X X CONTAINS LICENSED SKILLED NURSING FACILITY BEDS GREATER BALTIMORE MEDICAL CENTER 1 0 0 1 X X X X X X X X X 20 1 1 1 1 X HTTPS://WWW.GBMC.ORG/CHNA 1 20 1 HTTPS://WWW.GBMC.ORG/CHNA 0 1 X 300.000000000000 0.000000000000 X X X X X 1 1 X X X 1 X HTTPS://WWW.GBMC.ORG/FINANCIALSUPPORT X HTTPS://WWW.GBMC.ORG/FINANCIALSUPPORT X HTTPS://WWW.GBMC.ORG/FINANCIALSUPPORT X X X X X X X 1 X 0 X X X X 1 X 0 0 GREATER BALTIMORE MEDICAL CENTER PART V, SECTION B, LINE 5: AS PART OF THE COMMUNITY HEALTHCARE NEEDS ASSESSMENT (CHNA), SELECT INDIVIDUALS THROUGHOUT THE COMMUNITY REPRESENTING A VARIETY OF UNIQUE SERVICES, INCLUDING PUBLIC HEALTH, MEDICAL SERVICES, SOCIAL ORGANIZATIONS, CHILD & YOUTH SERVICES AND FAITH-BASED ORGANIZATIONS WERE CHOSEN TO PARTICIPATE IN DIRECTLY RESPONDING TO A SURVEY REGARDING WHAT EACH INDIVIDUAL BELIEVED TO BE THE MOST SIGNIFICANT SOCIAL AND HEALTHCARE ISSUES FACING THE COMMUNITY AT-LARGE. THESE SURVEY RESPONSES BECAME AN OFFICIAL COMPONENT OF THE OVERALL CHNA REPORT. ADDITIONALLY, TWO COMMUNITY STAKEHOLDER MEETINGS ARE HELD EVERY YEAR TO SOLICIT FEEDBACK ON INITIATIVES AND PROGRESS TOWARD GOALS. GREATER BALTIMORE MEDICAL CENTER PART V, SECTION B, LINE 6A: THE CHNA WAS CONDUCTED WITH THE FOLLOWING OTHER HOSPITAL FACILITIES: NORTHWEST HOSPITAL OF LIFEBRIDGE HEALTH, SHEPPARD PRATT, THE UNIVERSITY OF MARYLAND ST. JOSEPH MEDICAL CENTER, AND MEDSTAR FRANKLIN SQUARE MEDICAL CENTER. GREATER BALTIMORE MEDICAL CENTER PART V, SECTION B, LINE 6B: THE CHNA WAS CONDUCTED WITH ONE NON-HOSPITAL FACILITY, THE BALTIMORE COUNTY DEPARTMENT OF HEALTH. GREATER BALTIMORE MEDICAL CENTER PART V, SECTION B, LINE 11: GREATER BALTIMORE MEDICAL CENTER (GBMC) HAS MADE SIGNIFICANT STRIDES IN ITS IMPLEMENTATION OF PROGRAMS IN RESPONSE TO THE NEEDS IDENTIFIED IN THE CHNA. SPECIFICALLY, GBMC IS FOCUSED ON THE IDENTIFIED COMMUNITY HEALTH ISSUES IT HAS THE MOST ABILITY TO IMPACT IN A MEANINGFUL WAY, WHETHER THROUGH INTERNALLY DEVELOPED STRATEGIES AND/OR PARTNERSHIPS. GBMC HAS EXPANDED ITS COLLABORATIVE CARE MANAGEMENT AND CARE COORDINATION MODEL WITH THE ENHANCEMENT OF THREE PROGRAMS: BEHAVIORAL HEALTH EMBEDDED IN THE PATIENT CENTER MEDICAL HOME, ELDER MEDICAL CARE AT HOME AND, IN UNDERSERVED COMMUNITIES, AND EXPANDING CARE COORDINATION/CARE MANAGEMENT. THE GOAL OF PROVIDING SERVICES OUTSIDE OF THE ACUTE CARE SETTING AND WITHIN THE COMMUNITY AND PRIMARY CARE PHYSICIANS IS ONE OF THE PATIENT CENTRICITIES.GBMC CONTINUES TO INVEST IN BEHAVIORAL HEALTH IN OUR PCMHS AND IMPLEMENTATION OF GBMC'S ELDER MEDICAL CARE PROGRAM HAS SIGNIFICANTLY IMPROVED SENIOR'S ACCESS TO CARE INCLUDING HOME-BASED SERVICES. AN INTERDISCIPLINARY TEAM PROVIDES CLINICAL INTERVENTIONS IN THE HOME SETTING, INCLUDING LAB SERVICES, BEHAVIORAL HEALTH CONSULTATIONS, COMMUNITY HEALTH COORDINATION AND INTERVENTIONS BY PHARMACISTS. THROUGH THESE PROGRAMS, GBMC REACHED 4,733 HOME BOUND SENIORS WITH ITS ELDER MEDICAL CARE AT HOME PROGRAM. POST COVID-19 PANDEMIC, WE HAVE RETURNED TO PRE-PANDEMIC VISIT VOLUMES.THE MARYLAND DEPARTMENT OF HEALTH AND MENTAL HYGIENE'S PRIMARY CARE NEEDS ASSESSMENT, RANKED BALTIMORE CITY LAST IN THE STATE ON INDICATORS SUCH AS PREVENTABLE HOSPITALIZATIONS, ACCESS TO CARE AND OTHER SOCIAL DETERMINANTS OF HEALTH, MAKING IT THE JURISDICTION WITH THE GREATEST NEED FOR HEALTHCARE RESOURCES. IN ADDITION, BALTIMORE CITY ALSO HAD THE HIGHEST INCIDENCE IN MARYLAND OF HIV, CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD), DIABETES WITH LONG-TERM COMPLICATIONS, HYPERTENSION.FILLING THIS SIGNIFICANT NEED, A RELATED ENTITY OF GBMC, GILCHRIST CENTER BALTIMORE SERVES ABOUT 146 TERMINALLY ILL INDIVIDUALS EACH YEAR, MOST OF WHOM ARE AT-RISK AND MEDICALLY UNDERSERVED BALTIMORE CITY RESIDENTS. AS GILCHRIST CENTER BALTIMORE IS THE ONLY HOSPICE FACILITY IN BALTIMORE CITY, THE FACILITY GENERALLY HAS A WAITING LIST OF ELIGIBLE PATIENTS. GILCHRIST PROVIDES A MUCH-NEEDED SERVICE TO THE BALTIMORE CITY POPULATION. THOSE AGED 65 AND OLDER COMPRISE APPROXIMATELY 14.1% OF THE TOTAL POPULATION, AND THE MARYLAND HEALTH CARE COMMISSION PROJECTS AN INCREASE IN CITY RESIDENTS NEEDING HOSPICE. THIS POPULATION ALSO TENDS TO BE THOSE MOST IN NEED. IN FISCAL YEAR 2023, GILCHRIST CENTER BALTIMORE HAD AN AVERAGE DAILY CENSUS OF 17.13 AND OPERATED AT A $2.4M ANNUAL LOSS.GBMC HAS INVESTED SIGNIFICANTLY, $38.3 MILLION IN FY23, IN ITS PHYSICIAN SERVICES. IN FY20, GBMC EARNED RECOGNITION FROM THE NATIONAL COMMITTEE FOR QUALITY ASSURANCE, AS A LEVEL 3 PHYSICIAN PRACTICE CONNECTIONS-PATIENT-CENTERED MEDICAL HOME (PPC-PCMH). GBMC'S INTEGRATED, MULTI-SPECIALTY MEDICAL GROUP MANAGES PATIENT'S HEALTH ACROSS GBMC'S SYSTEM OF CARE, WITH A FOCUS ON PREVENTION & WELLNESS, EVIDENCE-BASED CARE, AND ACTIVE MANAGEMENT OF CHRONIC DISEASE. CARE OUTSIDE OF THE ACUTE CARE SETTING SIGNIFICANTLY REDUCED TOTAL COST OF CARE AND ENHANCED PATIENT ACCESS OVER A TWO-YEAR PERIOD, GBMC'S COVERED LIVES DECLINED FROM PRIOR YEAR BY 1,362 OR 1.6%.THE COLLABORATIVE CARE MODEL (COCM) PROGRAM BEGAN IN JULY OF 2020, ADAPTED FROM A PREVIOUS INTEGRATED BEHAVIORAL HEALTH CARE MODEL, AND IS A CONTINUED PARTNERSHIP BETWEEN GBMC AND SHEPPARD PRATT. IT IS AN EVIDENCE-BASED MODEL THAT AIMS TO IMPROVE ACCESS TO CARE, PROVIDE HIGH-QUALITY SERVICES AIMED AT SYMPTOM IMPROVEMENT, AND IS EFFICIENT. THE TEAM OF BEHAVIORAL HEALTH CARE MANAGERS (PRIMARILY SOCIAL WORKERS) HAS NOW TREATED OVER 3,392 PATIENTS TO HELP THEM TO TARGET SYMPTOMS RANGING FROM ANXIETY AND DEPRESSION TO ALCOHOL USE AND POST-TRAUMATIC STRESS. EVALUATION DATA SHOWS IMPROVEMENT IN DEPRESSION AND ANXIETY SYMPTOMS AND REDUCED UTILIZATION OF THE EMERGENCY DEPARTMENT.ADDITIONAL NOTABLE PROGRAMS INCLUDE GBMC'S SAFE & DOMESTIC VIOLENCE PROGRAM STAFF, WHICH PARTNERS WITH BALTIMORE COUNTY LAW ENFORCEMENT (SVU & CACU), BALTIMORE COUNTY CHILD ADVOCACY CENTER, BALTIMORE COUNTY STATE'S ATTORNEY'S OFFICE, MARYLAND CENTER FOR SCHOOL SAFETY, AND OTHER COMMUNITY SERVICE PROVIDERS TO IMPROVE VICTIMS' SAFETY AND WELL-BEING BY PROVIDING HIGH QUALITY COMPREHENSIVE DIRECT SERVICES TO VICTIMS OF SEXUAL ASSAULT, DOMESTIC VIOLENCE, CHILD ABUSE AND HUMAN TRAFFICKING. GBMC PROVIDES 365-DAYS-A-YEAR COVERAGE FROM A FORENSIC NURSE AND AN ADVOCATE, AND OFTEN TIMES HAS TWO FORENSIC NURSES AVAILABLE. GBMC SAFE HAS ADDITIONALLY ADDED A CHILD PROTECTION PROGRAM UNDER ITS UMBRELLA. THE CPP ASSISTS WITH ALL SUSPECTED AND CONFIRMED CASES OF CHILD MALTREATMENT THAT COME THROUGH THE HOSPITAL. ONE CRITICAL COMPONENT OF THIS OBJECTIVE IS TO IMPROVE COURT OUTCOMES FOR VICTIMS. ANOTHER CRITICAL OUTCOME IS ENSURING A SMOOTH HANDOFF AND CONNECTION WITH VITAL RESOURCES WITHIN THE COMMUNITY. THE SAFE PROGRAM CONTINUES TO PROVIDE COMPREHENSIVE MEDICAL-FORENSIC SERVICES AND CONDUCTED OVER 275 SAFE EXAMINATIONS AND ENCOUNTERS, 105 NON-FATAL STRANGULATION EXAMINATIONS, AND 11 SUSPECT EXAMINATIONS. IN ADDITION TO FORENSIC NURSING SERVICES, OUR VICTIM ADVOCATES PROVIDED ADVOCACY AND CRISIS INTERVENTIONS TO OVER 300 INDIVIDUALS. AS RESTRICTIONS FOR THE PANDEMIC WERE LIFTED AND ORGANIZATIONS RETURNING IN PERSON, THE SAFE PROGRAM PROVIDED PRESENTATIONS TO OVER 8,000 COMMUNITY MEMBERS THROUGH BOTH IN PERSON AND VIRTUAL PLATFORMS. THE TEAM TRAVELED ACROSS THE COUNTRY TO PRESENT TRAUMA-INFORMED CARE AND THE GBMC MODEL AT THE NATIONAL CRIMES AGAINST CHILDREN CONFERENCE IN DALLAS, TEXAS. THE PROGRAM CONTINUES EXPANSION OF ITS SERVICE TO CARE FOR PEDIATRIC SEXUAL ABUSE, HUMAN TRAFFICKING, AND VICTIMS WHOM ENGLISH IS A SECOND LANGUAGE, ALL ARE AN UNDERSERVED POPULATION IN BALTIMORE COUNTY. GBMC HAS A COMPREHENSIVE OBESITY MANAGEMENT PROGRAM (COMP), WHOSE GOAL IS TO GET PATIENTS ENGAGED IN HEALTHIER LIFESTYLE CHANGES. THIS PROGRAM PROVIDES THESE PATIENTS WITH THE NECESSARY TOOLS AND EDUCATION TO START A JOURNEY TO LOSE WEIGHT AND GAIN A BETTER HEALTH STATUS. IN FY23, THIS PROGRAM WAS LED BY DR. TIMOTHEE FRIESEN AND MANAGED TO ACHIEVE A LONG-TERM AVERAGE WEIGHT LOSS OF 21.2 POUNDS PER PARTICIPANT. COMP CONTINUES TO TREAT A HIGH VOLUME OF BARIATRIC PATIENTS THROUGH SURGICAL INTERVENTION.THE GOALS OF TREATMENT FOR DIABETES ARE TO PREVENT OR DELAY COMPLICATIONS AND MAINTAIN QUALITY OF LIFE. IT IS IMPORTANT TO UNDERSTAND WHAT RESOURCES ARE AVAILABLE IN YOUR COMMUNITY AND WORK TO CREATE PARTNERSHIPS WITH THESE RESOURCES TO FACILITATE HAND OFFS AND TRANSITIONS OF CARE. THE PRODUCE IN A SNAP INITIATIVE HAS ADDED TO OUR PROGRAMS THAT ARE TARGETING THOSE INDIVIDUALS WHO HAVE FOOD INSECURITY, OBESITY, AND DIABETES. THE PROMOTION ALONE THROUGHOUT BALTIMORE COUNTY HAS BROUGHT PATIENTS AND COMMUNITY MEMBERS FROM ALL WALKS OF LIFE TO BENEFIT FROM THIS GREAT MARKET. THE PANDEMIC STALLED THIS INITIATIVE, BUT WE HOPE TO HAVE THIS MARKET BACK UP AND RUNNING NEXT YEAR.THE GECKLE DIABETES AND NUTRITION CENTER AT GBMC OFFERS A COMPREHENSIVE APPROACH TO DIABETES EDUCATION AND TREATMENT FOR ALL TYPES OF DIABETES. THE DIABETES EDUCATION TEAM CONSISTS OF REGISTERED DIETITIANS AND REGISTERED NURSES, AND ALL ARE CERTIFIED DIABETES EDUCATORS. THE CENTER TEACHES DIABETES SELF-MANAGEMENT AND PROVIDES PATIENTS WITH THE TOOLS AVAILABLE TO HELP MANAGE THEIR DIABETES. DIABETES NUTRITION, MEAL PLANNING AND PHYSICAL ACTIVITY ARE KEY COMPONENTS OF THE PROGRAM. GBMC HAS STARTED TO EXTEND THIS PROGRAM TO VARIOUS GBMC PRIMARY CARE OFFICES TO BRING THE SERVICES TO THE PATIENT. WITH DIABETES SELF-MANAGEMENT SKILLS AND IMPROVED BLOOD GLUCOSE (SUGAR) LEVELS, GBMC IS HELPING TO REDUCE THE RISK OF COMPLICATIONS AND SIGNIFICANTLY IMPROVE THE QUALITY OF THE PATIENTS' LIVES.GBMC HAS IDENTIFIED SEVERAL SERVICE BARRIERS AS THE ORGANIZATION HAS WORKED TO IMPLEMENT ITS CHNA WORK. THESE INCLUDE ISOLATION AND STIGMA RELATED TO MENTAL HEALTH ISSUES, SHORTAGE OF PSYCHIATRIC PHYSICIANS IN THE COMMUNITY AND TRANSPORTATION CHALLENGES FOR PATIENTS. THESE HAVE BEEN EXACERBATED BY THE COVID-19 PANDEMIC. WHILE NOT FULLY ADDRESSED, SIGNIFICANT STRIDES HAVE BEEN MADE IN BREAKING DOWN THESE BARRIERS. THE ORGANIZATION CONTINUES TO IMPLEMENT SYSTEM-WIDE WORKFLOWS TO ASSESS AND ADDRESS SOCIAL DETERMINANTS OF HEALTH. FINALLY, IN PARTNERSHIP WITH SHEPPARD PRATT, GBMC'S COLLABORATIVE CARE PROGRAM PROVIDES PATIENTS WITH THE ABILITY TO ACCESS BEHAVIORAL HEALTH SERVICES. GREATER BALTIMORE MEDICAL CENTER PART V, SECTION B, LINE 16J: THE HOSPITAL PROVIDES A PERMISSION & ACKNOWLEDGMENTS DOCUMENT, WHICH AMONG OTHER THINGS, SUMMARIZES THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY. THE DOCUMENT IS PROVIDED TO PATIENTS AT THE TIME OF ADMISSION AND INCLUDED WITHIN THE INVOICE BILLING. IN ADDITION, EACH INVOICE NOTES THE AVAILABILITY OF FINANCIAL ASSISTANCE TO PATIENTS THAT BELIEVE THEY ARE UNABLE TO PAY. THE EXISTENCE OF FINANCIAL ASSISTANCE IS ALSO VISIBLY DISPLAYED WITHIN AREAS OF PATIENT FLOW, SUCH AS THE EMERGENCY DEPARTMENT, REGISTRATION KIOSKS, SURGICAL SERVICE AREAS, ETC. PART I, LINE 7: COST OF CHARITY CARE WAS CALCULATED USING THE COST-TO-CHARGE RATIO PRESCRIBED IN THE INSTRUCTIONS TO WORKSHEET 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 PAYOR'S RATES, WHICH DOES NOT ENABLE MARYLAND HOSPITALS TO BREAKOUT ANY OFFSETTING REVENUE RELATED TO UNCOMPENSATED CARE. PART I, LINE 7G: GBMC HAS INVESTED SIGNIFICANTLY, $38.3 MILLION IN FY23, IN ITS PHYSICIAN SERVICES. GBMC'S INTEGRATED, MULTI-SPECIALTY MEDICAL GROUP MANAGES PATIENTS' HEALTH ACROSS GBMC'S SYSTEM OF CARE, WITH A FOCUS ON PREVENTION & WELLNESS, EVIDENCEBASED CARE, AND ACTIVE MANAGEMENT OF CHRONIC DISEASE. CARE OUTSIDE OF THE ACUTE CARE SETTING SIGNIFICANTLY REDUCED TOTAL COST OF CARE AND ENHANCED PATIENT ACCESS. PART II, COMMUNITY BUILDING ACTIVITIES: GBMC, INC. IS COMMITTED TO BUILDING THE COMMUNITY IN WHICH IT OPERATES BY PROMOTING HEALTHY LIFE CHOICES AND THROUGH LEADERSHIP DEVELOPMENT. GBMC, INC. INVESTED IN A HEALTH AWARENESS CAMPAIGN THROUGH PRINT ADVERTISEMENTS AND TELEVISION SEGMENTS. TOPICS INCLUDED EATING WELL AND THE IMPORTANCE OF EXERCISE FOR A HEALTHY LIFESTYLE, HEALTH SCREENINGS, AND MENTAL HEALTH ISSUES. PART III, LINE 2: GBMC, INC. ESTIMATES BAD DEBT EXPENSE THROUGH THE ANALYSIS OF THE ANNUAL COLLECTIONS, BAD DEBT & CONTRACTUAL RATES ON THE ACCOUNTS RECEIVABLE AS OF A SPECIFIC POINT IN TIME. THE ANALYSIS, WHICH IS UPDATED MONTHLY, APPLIES COLLECTION, BAD DEBT, AND CONTRACTUAL RATES BASED ON ACCOUNT AGE & PAYOR. PART III, LINE 3: THE ESTIMATED AMOUNT OF THE ORGANIZATION'S BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY IS 4,229,000. THIS REFLECTS THE WRITE-OFF OF PATIENT ACCOUNTS DEEMED UNCOLLECTIBLE. PART III, LINE 4: THE COMPANY APPLIES ACCOUNTING STANDARDS CODIFICATION (ASC) TOPIC 606, REVENUE FROM CONTRACTS WITH CUSTOMERS, WHICH PROVIDES A PRINCIPLES-BASED FRAMEWORK FOR RECOGNIZING REVENUE TO DEPICT THE TRANSFER OF PROMISED GOODS OR SERVICES TO CUSTOMERS IN AN AMOUNT THAT REFLECTS THE CONSIDERATION TO WHICH THE ENTITY EXPECTS TO BE ENTITLED IN EXCHANGE FOR THOSE GOODS OR SERVICES.NET PATIENT SERVICE REVENUE IS RECOGNIZED, OVER TIME, AS PERFORMANCE OBLIGATIONS ARE SATISFIED. PERFORMANCE OBLIGATIONS ARE DETERMINED BASED ON THE NATURE OF THE SERVICES PROVIDED. REVENUE FOR PERFORMANCE OBLIGATIONS SATISFIED OVER TIME IS RECOGNIZED AT THE ESTIMATED NET REALIZABLE AMOUNTS FROM PATIENTS AND THIRD PARTY PAYORS FOR SERVICES RENDERED.THE COMPANY GENERATES REVENUES, PRIMARILY BY PROVIDING HEALTHCARE SERVICES TO ITS CUSTOMERS. REVENUES ARE RECOGNIZED WHEN CONTROL OF THE PROMISED GOOD OR SERVICE IS TRANSFERRED TO OUR CUSTOMERS, IN AN AMOUNT THAT REFLECTS THE CONSIDERATION TO WHICH THE COMPANY EXPECTS TO BE ENTITLED FROM PATIENTS, THIRD PARTY PAYORS (INCLUDING GOVERNMENT PROGRAMS AND INSURERS) AND OTHERS, IN EXCHANGE FOR THOSE GOODS AND SERVICES.PERFORMANCE OBLIGATIONS ARE DETERMINED BASED ON THE NATURE OF THE SERVICES PROVIDED. THE MAJORITY OF THE COMPANY'S HEALTHCARE SERVICES REPRESENT A BUNDLE OF SERVICES THAT ARE NOT CAPABLE OF BEING DISTINCT AND AS SUCH, ARE TREATED AS A SINGLE PERFORMANCE OBLIGATION SATISFIED OVER TIME AS SERVICES ARE RENDERED. THE COMPANY ALSO PROVIDES CERTAIN ANCILLARY SERVICES WHICH ARE NOT INCLUDED IN THE BUNDLE OF SERVICES, AND AS SUCH, ARE TREATED AS SEPARATE PERFORMANCE OBLIGATIONS SATISFIED AT A POINT IN TIME, IF AND WHEN THOSE SERVICES ARE RENDERED.THE COMPANY'S ESTIMATE OF THE TRANSACTION PRICE INCLUDES ESTIMATES OF PRICE CONCESSIONS FOR SUCH ITEMS AS CONTRACTUAL ALLOWANCES, CHARITY CARE, POTENTIAL ADJUSTMENTS THAT MAY ARISE FROM PAYMENT AND OTHER REVIEWS, AND UNCOLLECTIBLE AMOUNTS, WHICH ARE DETERMINED USING A PORTFOLIO APPROACH AS A PRACTICAL EXPEDIENT TO ACCOUNT FOR PATIENT CONTRACTS AS COLLECTIVE GROUPS RATHER THAN INDIVIDUALLY. ESTIMATES FOR UNCOLLECTIBLE AMOUNTS ARE BASED ON THE AGING OF THE ACCOUNTS RECEIVABLE, HISTORICAL COLLECTION EXPERIENCE FOR SIMILAR PAYORS AND PATIENTS, CURRENT MARKET CONDITIONS, AND OTHER RELEVANT FACTORS.SUBSEQUENT CHANGES TO THE ESTIMATE OF THE TRANSACTION PRICE ARE GENERALLY RECORDED AS ADJUSTMENTS TO NET PATIENT SERVICE REVENUE IN THE PERIOD OF THE CHANGE. SUBSEQUENT CHANGES THAT ARE DETERMINED TO BE THE RESULT OF AN ADVERSE CHANGE IN THE PAYOR'S OR PATIENT'S ABILITY TO PAY ARE RECORDED AS BAD DEBT EXPENSE. BAD DEBT EXPENSE FOR THE YEARS ENDED JUNE 30, 2023 AND 2022 WAS NOT SIGNIFICANT TO THE CONSOLIDATED FINANCIAL STATEMENTS PART III, LINE 8: N/A; MARYLAND HAS A MEDICARE WAIVER. PART III, LINE 9B: PATIENTS WHO HAVE BEEN PREVIOUSLY SCREENED FOR CHARITY CARE ARE NOT MEDICAL ASSISTANCE ELIGIBLE AND HAVE NO INSURANCE DO NOT RECEIVE INVOICES. THEY ARE AUTOMATICALLY REFERRED TO GBMC'S ASSUMPTIVE FINANCIAL ASSISTANCE PROGRAM. THE PROGRAM IS RUN IN PARTNERSHIP WITH TRANSUNION CREDIT REPORTING AGENCY. ALL SELF PAY ACCOUNTS AND THOSE PREVIOUSLY IDENTIFIED AS CHARITY CARE ARE REFERRED TO TRANSUNION, WHO UTILIZES A PROPRIETARY CREDIT SCORING SYSTEM TO DETERMINE LIKELIHOOD OF ABILITY TO PAY BASED ON ESTIMATED INCOME AND FAMILY SIZE. THE RESULTS FROM THE TRANSUNION CREDIT SCORING ARE COMPARED TO GBMC'S FINANCIAL ASSISTANCE ELIGIBILITY CRITERIA AND A DECISION IS MADE TO WRITE OFF OR TO PURSUE COLLECTION. PART VI, LINE 2: GREATER BALTIMORE MEDICAL CENTER (GBMC) COMPLETES A COMMUNITY HEALTH NEEDS 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. 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, 262 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 WHEN COMPARED TO THE NATION. THE MEDIAN HOUSEHOLD INCOME IN THE PRIMARY SERVICE AREA WAS $81,846, HIGHER THAN THE NATIONAL MEDIAN OF $74,580. PART VI, LINE 5: 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, 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. THE ORGANIZATION HAS PROVIDED A PEDIATRICIAN TO CATHOLIC CHARITIES SERVING AT RISK ADOLESCENTS TO PERFORM PRIMARY CARE ASSESSMENTS AND TREATMENTS AS WELL AS HELPING TO COORDINATE FURTHER SPECIALIZED CARE. GBMC DONATES A PORTION OF ITS SPACE TO COMMUNITY PARTNERS TO HOST CLASSES TO HELP STROKE VICTIMS REGAIN FULL MOBILITY AND FUNCTIONALITY. 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. PART VI, LINE 7, REPORTS FILED WITH STATES MD 1 CRISTO REY INTERNSHIP PROGRAM INC 420 SOUTH CHESTER STREET BALTIMORE MD 21231 364067306 501(C)(3) 32000 0 TO MAKE A PRIVATE, COLLEGE-PREPARATORY EDUCATION AFFORDABLE TO URBAN YOUNG PEOPLE FROM BALTIMORE ASSOCIATED BLACK CHARITIES INC 2 HAMILL ROAD STE 272 BALTIMORE MD 21210 521427774 501(C)(3) 10000 0 GENERAL SUPPORT ULMAN CANCER FUND 1215 E FORT AVENUE 104 BALTIMORE MD 21230 522057636 501(C)(3) 6000 0 SUPPORTING YOUNG ADULTS IMPACTED BY CANCER HORIZON DAY CAMP 8 MARKET PLACE 331 BALTIMORE MD 21202 465555854 501(C)(3) 5000 0 FUND DAY CAMP FOR UNDERPRIVILEGED YOUTHS AMERICAN HEART ASSOCIATION 7272 GREENVILLE AVENUE DALLAS TX 75231 135613797 501(C)(3) 10000 0 FUNDS CARDIOVASCULAR MEDICAL RESEARCH, EDUCATES CONSUMERS ON HEALTHY LIVING AND FOSTERS APPROPRIATE CARDIAC CARE IN AN EFFORT TO REDUCE DISABILITY AND DEATHS CAUSED BY CARDIOVASCULAR DISEASE AND STROKE. ALZHEIMER'S ASSOCIATION 225 N MICHIGAN AVE FLOOR 17 CHICAGO IL 60601 133039601 501(C)(3) 15000 0 SUPPORT THE ORGANIZATION'S ANNUAL MEMORY BALL FUNDRAISER. MARYLAND VOLUNTEER LAWYERS SERVICE 201 NORTH CHARLES STREET SUITE 1400 BALTIMORE MD 21201 521225979 501(C)(3) 20000 0 FUND AN EXTENSIVE EDUCATION CAMPAIGN IN BALTIMORE CITY TO SUPPORT OLDER ADULT RESIDENTS ON PROPER LEGAL SUPPORT IN THE UPKEEP OF THEIR HOMES, BILLS, CLEAN TITLE AND DEED. NAMI MARYLAND INC 10630 LITTLE PATUXENT PARKWAY STE 475 COLUMBIA MD 21044 521295484 501(C)(3) 5040 0 SUPPORT FOR MENTAL ILLNESS PROGRAMS AND AWARENESS CAMPAIGNS. GEDCO 1010 EAST 33RD STREET BALTIMORE MD 21218 521767577 501(C)(3) 5000 0 SUPPORTING GENERAL SERVICES PROVIDED TO RESIDENTS IN AFFORDABLE HOUSING. TEENS WITH TRAUMA INC 14511 VENTRY FARM COURT SPARKS MD 21152 922136285 501(C)(3) 5000 0 SUPPORTING PROGRAMS THAT ASSIST TEENAGERS WITH PTSD AS A RESULT OF PHYSICAL OR SEXUAL TRAUMA. 10 0 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 OTHERS ANNUALLY) ARE REQUIRED BY GRANTORS. ADDITIONALLY, FIELD VISITS ARE CONDUCTED. 0 1 0 0 0 0 0 0 0 VICTOR A KHOUZAMI MD CHAIR/PHYSICIAN 1243686 0 335739 0 618 0 15550 0 31530 0 1627123 0 0 0 JOHN B CHESSARE MD DIRECTOR/CEO GBMC HEALTHCARE 859603 0 119814 0 242284 0 15550 0 32373 0 1269624 0 0 0 BIMAL G RAMI MD MED DIRECTOR/PHYSICIAN 866731 0 20015 0 276 0 13892 0 45344 0 946258 0 0 0 NIRAJ JANI MD MED DIRECTOR/PHYSICIAN 651244 0 203213 0 180 0 15550 0 44029 0 914216 0 0 0 TIMOTHEE J FRIESEN MD PHYSICIAN 484397 0 341859 0 180 0 9158 0 57235 0 892829 0 0 0 JOHN L FLOWERS MD EVP & CHIEF MEDICAL OFFICER 508748 0 54721 0 12885 0 91859 0 59529 0 727742 0 76309 0 MS LAURIE R BEYER EVP & CFO GBMC HEALTHCARE 440297 0 120767 0 8435 0 78618 0 49779 0 697896 0 65968 0 MS CATHERINE HAMEL EXEC VP CONT. CARE & PRES. GILCHRIST 417842 0 47825 0 69892 0 13922 0 46074 0 595555 0 0 0 MS SUSAN MARTIELLI GENERAL COUNSEL/VP LEGAL SERVICES 372881 0 134158 0 43657 0 15550 0 16219 0 582465 0 0 0 MR DAVID J HYNSON VP & CIO 332602 0 104291 0 38613 0 15550 0 29177 0 520233 0 0 0 MS ERLENE WASHINGTON VP & COO HEALTH PARTNERS 325030 0 52894 0 5397 0 43767 0 51894 0 478982 0 32617 0 MS ANNA-MARIA G PALMER VP & CHIEF HUMAN RESOURCES OFFICER 328496 0 69635 0 7453 0 44812 0 17092 0 467488 0 32277 0 MS JENNY COLDIRON VP DEVELOPMENT/PRESIDENT FOUNDATION 307280 0 43362 0 41271 0 14370 0 35396 0 441679 0 0 0 MS STACEY L MCGREEVY EVP & COO HOSPITAL 291122 0 55283 0 3979 0 41968 0 48310 0 440662 0 27816 0 J CHRISTOPHER GREENAWALT MD DIRECTOR/VICE CHIEF OF STAFF 376518 0 0 0 180 0 15550 0 28217 0 420465 0 0 0 ROBIN MOTTER-MAST DO DIRECTOR/CHIEF OF STAFF 336782 0 15000 0 5526 0 15550 0 40968 0 413826 0 0 0 MS CAROLYN L CANDIELLO VP QUALITY & PT SAFETY 280823 0 32138 0 31637 0 14899 0 31316 0 390813 0 0 0 MS JOANN IOANNOU EXEC VP OF HOSPITAL OPERATIONS & CNO 245942 0 44174 0 2698 0 9564 0 31626 0 334004 0 0 0 PART I, LINE 4B GREATER BALTIMORE MEDICAL CENTER, INC. HAS 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) OR IN SCHEDULE J, PART II, COLUMN B(III) AS PART OF DEFERRED COMPENSATION. JOHN B. CHESSARE, M.D.; JOHN FLOWERS, M.D.; MS. CATHERINE HAMEL; MS. CAROLYN L. CANDIELLO; MS. LAURIE R. BEYER; MS. JENNY COLDIRON; MR. DAVID J. HYNSON; MS. SUSAN MARTIELLI; MS. STACEY MCGREEVY; AND MS. ANNA-MARIA PALMER PARTICIPATED IN THIS SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN. THE AMOUNTS PAID OUT OF THIS PLAN IN 2022 WERE AS FOLLOWS: JOHN B. CHESSARE, M.D. - $224,651 MS. CATHERINE HAMEL - $61,605 MS. CAROLYN L. CANDIELLO - $28,010 MS. JENNY COLDIRON - $34,738 MR. DAVID J. HYNSON - $32,898 MS. SUSAN MARTIELLI - $36,728 A MD HEALTH & HIGHER ED FAC AUTH 520936091 000000000 2017-03-08 73720000 TO REFUND BONDS ISSUED 4/20/11 AND 4/11/12 0 0 0 B MD HEALTH & HIGHER ED FAC AUTH 520936091 57421CCW2 2021-09-01 139417204 TO FUND CONSTRUCTION OF PROMISE PROJECT 0 0 0 A 4595000 73720000 22274 73697726 0 1 1 1 B 140206562 6244517 62390574 71571471 0 0 0 1 A 0 1 1 0 0 0.00170 0.00000 0.00170 0 0 1 B 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 0 1 1 0 0 0 1 B 0 1 0 0 1 0 0 0 1 A 1 B 1 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: MD HEALTH & HIGHER ED. FAC. AUTH DATE THE REBATE COMPUTATION WAS PERFORMED: 09/23/2022 PART II, LINE 3, COLUMN B DIFFERENCES BETWEEN THE ISSUE PRICE (PART I) AND TOTAL PROCEEDS (PART II, LINE 3) ARE DUE TO INVESTMENT EARNINGS. PART IV, LINE 6, COLUMN A THIS QUESTION IS BEING ANSWERED WITHOUT REGARD TO A YIELD-RESTRICTED ADVANCE REFUNDING ESCROW FINANCED WITH PROCEEDS OF THE BONDS. SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 2928716 SOFTWARE SERVICES 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 454000 AUDIT/CONSULTING SERVICES 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 466356 ENGINEERING 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 35763 BANKING SERVICES 0 0 FORM 990, PART I, 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 VI, SECTION A, LINE 2 MS. HEIDI KENNY BERMAN AND MRS. SANDRA BERMAN HAVE A FAMILY RELATIONSHIP. 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 11B 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 GREATER BALTIMORE MEDICAL CENTER, INC. IS GOVERNED BY THE POLICIES OF ITS PARENT ORGANIZATION, GBMC HEALTHCARE, INC. THESE POLICIES INCLUDE A WRITTEN CONFLICT OF INTEREST POLICY ATTESTED TO ANNUALLY, A WRITTEN WHISTLEBLOWER POLICY, AND A WRITTEN DOCUMENT RETENTION AND DESTRUCTION POLICY. 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 COMMITTEE ("COMMITTEE") OF THE BOARD OF DIRECTORS OF GBMC HEALTHCARE, INC., WHICH IS COMPRISED OF DIRECTORS THAT ARE "DISINTERESTED" AS DEFINED BY IRS REGULATIONS, IS AUTHORIZED TO OVERSEE THE ORGANIZATION'S EXECUTIVE COMPENSATION PROGRAM. THE COMMITTEE REVIEWS AND APPROVES THE COMPENSATION PROVIDED TO THE ORGANIZATION'S PRESIDENT AND CHIEF EXECUTIVE OFFICER AND EACH OFFICER, KEY EMPLOYEE AND SENIOR LEADER, WHETHER OR NOT THESE INDIVIDUALS WOULD BE CONSIDERED "DISQUALIFIED PERSONS" UNDER THE INTERMEDIATE SANCTIONS REGULATIONS OF FEDERAL INCOME TAX LAW. THE COMMITTEE HAS ADOPTED A WRITTEN PHILOSOPHY SETTING FORTH THE GUIDING PRINCIPLES GOVERNING THE COMPENSATION PROVIDED TO THE ORGANIZATION'S EXECUTIVES. THE COMMITTEE'S REVIEW AND APPROVAL PROCESS WAS ESTABLISHED AND IS CONDUCTED IN A MANNER SO AS TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE INTERMEDIATE SANCTIONS REGULATIONS OF FEDERAL INCOME TAX LAW. ALL FORMS OF COMPENSATION AND BENEFITS PROVIDED TO MEMBERS OF THE SENIOR LEADERSHIP TEAM ARE REVIEWED, WHICH INCLUDES CURRENT AND DEFERRED COMPENSATION AND ALL EMPLOYEE BENEFITS, BOTH QUALIFIED AND NON-QUALIFIED TO ENSURE THAT THE "TOTAL COMPENSATION" IS REASONABLE. THE COMMITTEE ENGAGED AN INDEPENDENT EXECUTIVE COMPENSATION CONSULTANT THAT SPECIALIZES IN THE REVIEW OF HOSPITAL AND HEALTH SYSTEM EXECUTIVE COMPENSATION AND BENEFITS TO COMPILE MARKET COMPENSATION DATA OF SIMILARLY SIZED HEALTH CARE ORGANIZATIONS THROUGHOUT THE COUNTRY AS WELL AS THE SAME GEOGRAPHIC REGION. NO DATA FROM ANY FOR-PROFIT ENTITIES WERE USED. THE DATA WERE CATEGORIZED BY EXECUTIVE POSITION, AND A SALARY RANGE WAS DEVELOPED WITH THE ASSISTANCE OF THE INDEPENDENT COMPENSATION CONSULTANT. THE COMMITTEE RELIED UPON THIS DATA, RELEVANT BUSINESS JUDGMENT FACTORS (E.G., EXPERIENCE, PERFORMANCE, RECRUITMENT AND RETENTION FACTORS AND THE UNIQUE DEMANDS OF THE POSITION), THE GUIDANCE PROVIDED BY THE STATED COMPENSATION PHILOSOPHY AND THE WRITTEN OPINION OF THE INDEPENDENT EXECUTIVE COMPENSATION CONSULTANT AS TO THE REASONABLENESS OF THE COMPENSATION IN RELATION TO MARKET DATA IN MAKING ITS EXECUTIVE COMPENSATION DECISIONS. THE COMMITTEE ALSO CONSIDERS ITS BUSINESS JUDGMENT. THE COMMITTEE DOCUMENTS THE BASIS FOR ITS DECISIONS THROUGH THE TIMELY PREPARATION OF WRITTEN MINUTES OF THE COMPENSATION COMMITTEE MEETINGS DURING WHICH SUCH DECISIONS ARE DELIBERATED AND DETERMINED. THE COMMITTEE'S DECISIONS ARE SUBJECT TO THE FINAL APPROVAL OF THE BOARD OF DIRECTORS. 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 IX, LINE 11G CONTRACT LABOR: PROGRAM SERVICE EXPENSES 54,016,366. MANAGEMENT AND GENERAL EXPENSES 3,793,410. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 57,809,776. CONSULTANTS: PROGRAM SERVICE EXPENSES 8,728,950. MANAGEMENT AND GENERAL EXPENSES 4,141,353. FUNDRAISING EXPENSES 586,213. TOTAL EXPENSES 13,456,516. OTHER SERVICES: PROGRAM SERVICE EXPENSES 1,648,591. MANAGEMENT AND GENERAL EXPENSES 1,467,425. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,116,016. FORM 990, PART XI, LINE 9: PENSION EXPENSE 3,298,121. LOSSES ON UNCOLLECTIBLE PLEDGES -136,566. 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