2024-05-15T15:43:06-05:00 2023-06-30 861065772 DELOITTE TAX LLP 7900 TYSONS ONE PLACE STE 800 MCLEAN VA 22102 990 2022-07-01 590683252 JOHNS HOPKINS ALL CHILDREN'S HOSPITAL INC JOHN 4439975771 3910 KESWICK ROAD S BLDG 4300A BALTIMORE MD 21211 SHERRON ROGERS CFO 4439975771 2024-05-15 1 SHERRON ROGERS XXX-XX-XXXX 0 RACHEL KAUFMAN P01485017 7032511000 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z SHERRON ROGERS 501 6TH AVE S ST PETERSBURG FL 33701 733381615 0 X WWW.HOPKINSALLCHILDRENS.ORG X 1967 FL PROVIDE LEADERSHIP IN CHILD HEALTH THROUGH TREATMENT, EDUCATION, ADVOCACY AND RESEARCH. 31 25 3534 100 -25670 0 13496942 14225084 546678084 665122882 22473940 13504068 9214775 9298131 591863741 702150165 52150043 78656815 0 0 235894397 267543237 0 0 0 272947651 292663446 560992091 638863498 30871650 63286667 1076831131 1149805066 364190641 331476592 712640490 818328474 X MISSION: JOHNS HOPKINS ALL CHILDREN'S HOSPITAL (ALL CHILDREN'S), A MEMBER OF JOHNS HOPKINS MEDICINE, STRIVES TO PROVIDE THE HIGHEST QUALITY CARE TO IMPROVE THE HEALTH OF OUR ENTIRE COMMUNITY THROUGH INNOVATION, COLLABORATION, SERVICE EXCELLENCE, DIVERSITY AND A COMMITMENT TO PATIENT SAFETY. ITS VISION IS TO BE THE PREMIER CHILDREN'S HOSPITAL IN FLORIDA. 0 0 88349665 127580053 INTENSIVE CARE UNITSPURPOSE: JOHNS HOPKINS ALL CHILDREN'S HOSPITAL PEDIATRIC CRITICAL CARE SPECIALISTS TAKE CARE OF ACUTELY ILL PATIENTS IN THE TWO PEDIATRIC INTENSIVE CARE UNITS (PICU) AT ALL CHILDREN'S. THEY SERVE AS ATTENDING PHYSICIANS FOR THE PATIENTS ADMITTED TO PICU FOR MEDICAL PROBLEMS LIKE PNEUMONIA AND MENINGITIS. THEY WORK CLOSELY WITH SURGICAL SPECIALISTS IN TAKING CARE OF PATIENTS RECOVERING FROM MAJOR SURGERIES, AND ARE ACTIVELY INVOLVED IN THE CARE OF OUR CARDIOVASCULAR INTENSIVE CARE UNIT (CVICU) PATIENTS. ALL CHILDREN'S NEONATAL INTENSIVE CARE UNIT (NICU) IS A 97 BED LEVEL 3 NICU, OFFERING THE HIGHEST LEVEL OF NEONATAL CARE TO NEWBORNS. THE UNIT IS MADE UP ALMOST ENTIRELY OF PRIVATE ROOMS WITH THE MOST ADVANCED LIFE-SUPPORT AND MONITORING EQUIPMENT. ALL CHILDREN'S ALSO OFFERS SPACIOUS ROOMS AND COMFORTABLE LOUNGE CHAIRS THAT ENCOURAGE PARENTS TO SPEND AS MUCH TIME AS POSSIBLE WITH THEIR NEWBORN.ALL CHILDREN'S CRITICAL CARE UNITS INCLUDE:PEDIATRIC INTENSIVE CARE UNIT 1PEDIATRIC INTENSIVE CARE UNIT 2PEDIATRIC CARDIOVASCULAR INTENSIVE CARE UNITNEONATAL INTENSIVE CARE UNIT 21334715 29080203 RESPIRATORY THERAPYPURPOSE: THE PEDIATRIC PULMONOLOGY PROGRAM AT ALL CHILDREN'S IN ST. PETERSBURG, FLORIDA, TREATS CHILDREN WITH ACUTE AND CHRONIC DISEASES OF THE RESPIRATORY SYSTEM, INCLUDING ASTHMA, CYSTIC FIBROSIS, BRONCHOPULMONARY DYSPLASIA, CENTRAL APNEA, SLEEP APNEA AND SLEEP-DISORDERED BREATHING.THE PROGRAM IS ACCREDITED BY THE CYSTIC FIBROSIS FOUNDATION AS A CYSTIC FIBROSIS CARE CENTER, SERVING AS A CENTER OF EXCELLENCE FOR CLINICAL CARE, RESEARCH, AND MULTI-DISCIPLINARY SUPPORT FOR CF PATIENTS. THE PROGRAM IS ALSO A CYSTIC FIBROSIS FOUNDATION DESIGNATED THERAPEUTIC DEVELOPMENT CENTER - ONE OF MORE THAN 80 CENTERS WORLDWIDE SPECIALIZING IN CLINICAL TRIALS TO EVALUATE THE SAFETY AND EFFICACY OF NEW THERAPIES. THE PEDIATRIC PULMONOLOGISTS ALSO LEAD A COLLABORATIVE ASTHMA PROGRAM AT ALL CHILDREN'S AIMED AT REDUCING THE RATE OF HOSPITALIZATION FOR CHILDREN WITH ASTHMA AND LINKING HOSPITAL-BASED AND COMMUNITY RESOURCES FOR FAMILIES OF ASTHMATIC CHILDREN. 19116466 32654426 EMERGENCY CENTERTHE EMERGENCY CENTER AT JOHNS HOPKINS ALL CHILDREN'S HOSPITAL TREATS INFANTS, CHILDREN AND YOUNG ADULTS WHO HAVE EMERGENCY MEDICAL NEEDS.THE JOHNS HOPKINS ALL CHILDREN'S HOSPITAL EMERGENCY CENTER TREATS ALL EMERGENCY CONDITIONS AND IS STAFFED 24 HOURS A DAY BY PEDIATRIC EMERGENCY MEDICINE PHYSICIANS, GENERAL PEDIATRICIANS AND NURSES, ALL SPECIALLY TRAINED IN PEDIATRIC EMERGENCY MEDICINE. OUR TEAM SEES EMERGENCIES AND UNSCHEDULED VISITS THAT NEED IMMEDIATE ATTENTION.JOHNS HOPKINS ALL CHILDREN'S EMERGENCY CENTER HIGHLIGHTSPEDIATRIC EMERGENCY MEDICINE PHYSICIANSOUR PEDIATRIC EMERGENCY MEDICINE PHYSICIANS HAVE THREE ADDITIONAL YEARS OF PEDIATRIC TRAINING BEYOND THEIR REQUIRED TRAINING IN EMERGENCY MEDICINE. AT LEAST ONE BOARD-CERTIFIED PEDIATRIC EMERGENCY MEDICINE PHYSICIAN IS IN THE EMERGENCY CENTER AT ALL TIMES AND SOMETIMES AS MANY AS THREE. OUR EXPERTS' ADDITIONAL TRAINING MEANS FASTER DIAGNOSIS AND TREATMENT.PEDIATRIC RADIOLOGYOUR EMERGENCY CENTER IS DIRECTLY ADJACENT TO OUR PEDIATRIC RADIOLOGY DEPARTMENT, WHICH IS STAFFED 24 HOURS. ALL FILMS ARE READ BY PEDIATRIC RADIOLOGISTS. OUR RADIOLOGY PROGRAM IS PART OF THE IMAGE GENTLY CAMPAIGN, A WIDESPREAD EFFORT BY RADIOLOGISTS TO REDUCE RADIATION EXPOSURE IN CHILDREN.CHILD LIFE SPECIALISTSTHE EMERGENCY CENTER HAS A CHILD LIFE SPECIALIST WHO HELPS MAKE THE EMERGENCY CENTER EXPERIENCE LESS THREATENING AND STRESSFUL FOR PATIENTS AND FAMILIES. CHILD LIFE SPECIALISTS USE DISTRACTION AND PLAY TO HELP CHILDREN COPE BETTER WITH THE HOSPITAL EXPERIENCE. 389075821 78656815 475808201 389075821 78656815 475808201 517876667 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 1 1 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 1 X 286 0 1 3534 1 0 0 0 0 0 0 0 0 0 0 0 0 X 31 25 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 FL X THE CORPORATION 4439975771 3910 KESWICK RD S BLDG BALTIMORE MD 21211 KEVIN W SOWERS MSN RN FAA TRUSTEE, CORPORATE VICE CHAIRMAN 1.00 59.00 X X 0 3140215 57115 INEZ STEWART TRUSTEE 1.00 59.00 X 0 1921478 33801 GEORGE JALLO MD TRUSTEE, VICE DEAN/PHYS IN CHIEF 56.00 4.00 X X 1067624 0 145356 K ALICIA SCHULHOF TRUSTEE, PRESIDENT 54.00 6.00 X X 0 979795 145507 G DANIEL SHEALER JR TRUSTEE 1.00 59.00 X 0 664813 -151293 MICHELLE SMITH MD TRUSTEE 1.00 59.00 X 0 429285 59671 LIZ ALHAND TRUSTEE 1.00 0.00 X 0 0 0 STEVE BORGES TRUSTEE 1.00 0.00 X 0 0 0 SANDRA DIAMOND TRUSTEE 1.00 0.00 X 0 0 0 JANET CADY TRUSTEE 1.00 0.00 X 0 0 0 TREVA DAVIS TRUSTEE 1.00 0.00 X 0 0 0 WILLIAM GREELEY MD TRUSTEE 1.00 0.00 X 0 0 0 KEVIN HAWKINS TRUSTEE 1.00 0.00 X 0 0 0 KIM R JENSON TRUSTEE 1.00 0.00 X 0 0 0 JACK KIRKLAND TRUSTEE 1.00 0.00 X 0 0 0 ATUL KHOSLA TRUSTEE 1.00 0.00 X 0 0 0 MARK LETTELLEIR TRUSTEE 1.00 0.00 X 0 0 0 MARGARET MOON MD TRUSTEE 1.00 0.00 X 0 0 0 RAY NEWTON TRUSTEE, VICE CHAIRMAN 1.00 1.00 X 0 0 0 TERRI LIPSEY SCOTT TRUSTEE 1.00 0.00 X 0 0 0 JOSEPH W FLEECE III TRUSTEE 1.00 0.00 X 0 0 0 LUCAS HIGMAN TRUSTEE 1.00 0.00 X 0 0 0 VIDISHA PATEL EDD TRUSTEE 1.00 0.00 X 0 0 0 TONI WALSH TRUSTEE 1.00 0.00 X 0 0 0 CRISTIN KEANE TRUSTEE, TREASURER (BEG 07/22) 2.00 0.00 X X 0 0 0 ALEX SHOUPPE TRUSTEE 1.00 0.00 X 0 0 0 J MARK STROUD TRUSTEE, CHAIRMAN 1.00 0.00 X 0 0 0 MICHAEL WAGNER TRUSTEE 1.00 0.00 X 0 0 0 BETH VIVIO TRUSTEE 1.00 1.00 X 0 0 0 LAWRENCE REPAR TRUSTEE 1.00 0.00 X 0 0 0 NANCY SWART TRUSTEE 1.00 0.00 X 0 0 0 DIVYA JOSHI MD VP, PHYSICIAN SERVICES (END 3/23) 56.00 4.00 X 0 736786 32432 JOSEPH PERNO MD VICE PRESIDENT MEDICAL AFFAIRS 59.00 1.00 X 51750 580479 56191 PETER MANCINO SECRETARY 1.00 59.00 X 0 578954 -10638 ANGELA GREEN VP, CHIEF SAFETY & QUAL (END 8/22) 1.00 59.00 X 0 362113 68997 MELISSA MACOGAY RN VICE PRESIDENT & CNO 59.00 1.00 X 0 365589 40824 SHERRON ROGERS VP, FINANCE & CFO 54.00 6.00 X 0 383497 460 NICHOLE WESTERLUND HANCOCK VP HUMAN RESOURCES 59.00 1.00 X 0 303501 22495 VICKIE WILLIAMS ASST. SECRETARY 54.00 6.00 X 0 260955 26958 JUSTIN OLSEN VICE PRESIDENT , CHIEF OPERATING OFFICER 59.00 1.00 X 0 209080 3846 URSULA NAWAB MD VP PATIENT SAF. & QUAL. (BEG 5/23) 59.00 1.00 X 0 0 0 KATHRYN GILLETTE VP GOVERNMENT AFFAIRS & CHIEF OF STAFF 59.00 1.00 X 0 0 0 LINDA VAN MARTER MEDICAL DIRECTOR OF MFM/OB INSTITUTE 59.00 1.00 X 453810 0 53953 PAUL DANIELSON MD CHAIR DEPT OF SURGERY 59.00 1.00 X 459560 0 34111 ANTHONY NAPOLITANO MD CHAIR DEPT OF PED MEDICINE 1.00 59.00 X 438228 0 30586 DIPTI AMIN MD PHYSICIAN 40.00 10.00 X 306212 0 39289 NORMALIZ RODRIGUEZ MD ASSOC MEDICAL DIRECTOR 40.00 10.00 X 286663 0 37117 PAOLA DEES MD PHYSICIAN 40.00 10.00 X 250771 0 31136 ANNA STRATIGOS SR DIRECTOR SUPPORT SERVICES 40.00 10.00 X 238801 0 34195 LISA KERRICK ASSOCIATE CHIEF NURSING OFFICER 40.00 10.00 X 245690 0 21970 RONALD R PETERSON FORMER OFFICER & TRUSTEE EX-OFFICIO 0.00 0.00 X 0 1275825 0 GERAD THERIAC FORMER OFFICER 40.00 5.00 X 225726 0 21796 KIMBERLY BERFIELD FORMER OFFICER 0.00 0.00 X 0 168760 8819 PAUL COLOMBANI MD FORMER KEY EMPLOYEE 0.00 0.00 X 147271 0 0 4172106 12361125 844694 373 1 1 1 AYA HEALTHCARE INC 5930 CORNERSTONE CT W STE 300 SAN DIEGO CA 92121 LABOR SERVICES 9795470 CERNER CORPORATION 2800 ROCK CREEK PKWY NORTH KANSAS CITY MO 64117 SOFTWARE SUPPORT 5391797 TRUSTED HEALTH INC PO BOX 7775 SAN FRANCISCO CA 94120 LABOR SERVICES 2791257 SODEXO INC & AFFILIATES PO BOX 536922 ATLANTA GA 30353 MANAGEMENT FEES 2493727 WEHR CONSTRUCTORS INC 9423 CORPORATE LAKE DR TAMPA FL 33634 CONSTRUCTION SERVICES 2289599 112 2725096 10357634 1142354 14225084 HOSPITAL INPT & OUTPT 621990 585010660 585010660 RETAIL PHARMACY INCOME 456110 27276128 27276128 MEDICAID/GME 621990 18256189 18256189 SUPPORT SERVICES 621990 12637956 12637956 EDUCATION REVENUE 611710 9549743 9549743 12392206 12392206 665122882 14337518 -25670 14363188 6002813 0 6002813 6002813 6002813 30398000 31231450 -833450 -833450 -833450 CAFETERIA INCOME 722514 3295318 3295318 3295318 702150165 665122882 -25670 22827869 78641815 78641815 15000 15000 442170 370168 72002 211499754 177059511 34440243 55601313 46544852 9056461 6704348 6704348 612654 612654 48767 48767 301655 252534 49121 577437 577437 57812676 51193221 6619455 90029 42649 47380 13737697 7767535 5970162 4126726 3454737 671989 13982664 11705752 2276912 771667 22265 749402 391142 327449 63693 7364882 7364882 33125902 27731739 5394163 4029393 1495624 2533769 MEDICAL SUPPLIES 84460618 84460618 PURCHASED SRVC- INTR CO 45603970 8694045 36909925 INDIGENT FEE ASSESSMENT 6364343 6364343 CONTR PROGRAM SUPPORT 4188663 3506589 682074 8368213 7225682 1142531 638863498 517876667 120986831 0 31934906 1363283 100000 70776539 126349698 118761920 12344060 12762260 12232393 11605661 672431044 304087217 377841707 368343827 447796805 499233392 66513 22009803 25679207 46221759 41212464 1076831131 1149805066 53535810 36091537 475215 458126 83625000 78500000 226554616 216426929 364190641 331476592 X 693731196 799284151 18909294 19044323 712640490 818328474 1076831131 1149805066 X 63286667 43059207 -657890 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 301656 0 0 301656 0 SCHEDULE C, PART 11-B, LINE 1G JOHNS HOPKINS ALL CHILDRENS HOSPITAL PAID ITS PARENT CORPORATION, THE JOHNS HOPKINS HEALTH SYSTEM CORPORATION $27,000 DURING THE FISCAL YEAR ENDED JUNE 30, 2023 TO SUPPORT THEIR LOBBYING ACTIVITIES. JOHNS HOPKINS OFFICE OF GOVERNMENT AND COMMUNIY AFFAIRS (GCA) SERVES JOHNS HOPKINS UNIVERSITY AND MEDICINE, JOHNS HOPKINS HEALTH SYSTEM AND AFFILIATES. THE PRIMARY PURPOSE OF THIS DEPARTMENT IS TO MAINTAIN CONTACT WITH ELECTED AND APPOINTED STATE OFFICIALS, AND OCCASIONAL FEDERAL OFFICIALS, REGARDING ISSUES WHICH IMPACT THE JOHNS HOPKINS HEALTH SYSTEM AND ITS AFFILIATES AS WELL AS THE HEALTHCARE INDUSTRY IN GENERAL. THE ORGANIZATION ALSO PAID CERTAIN DUES OR MEMBERSHIP FEES TO VARIOUS PROFESSIONAL ASSOCIATIONS, STATE HOSPITAL ASSOCIATIONS, AND OTHER PROFESSIONAL MEDICAL SOCIETIES WHO ALLOCATE A PORTION OF THOSE DUES TOWARDS LOBBYING EXPENSES. FOR FY23, THE ORGANIZATION HAS CONFIRMED THAT $124,454 OF SUCH DUES WERE ALLOCATED TOWARDS LOBBYING ACTIVITIES. 15743278 928000 -187000 -240000 16244278 17514278 -1444000 -327000 15743278 16531278 3000 2378000 -1398000 17514278 15456278 1004000 107000 -36000 16531278 14632278 861000 -37000 15456278 0.00000 1.00000 0.00000 0 0 23089125 23089125 317979955 127481388 190498567 1045867 374495 671372 306569534 169528536 137040998 23746563 6702798 17043765 368343827 PROFESSIONAL LIABILITY 31852143 INTEREST RATE SWAP AGREEMENTS 13022367 OTHER LIABILITIES 593684 DUE TO AFFILIATES 164252257 LEASE ROU LIABILITIES 1622909 LEASE ROU LIABILITIES- NET OF CURRENT 5083569 216426929 X PART V, LINE 4: THE INTENDED USE FOR ALL CHILDREN'S HOSPITAL ENDOWMENT FUNDS ARE SPECIFIC TO PROGRAM NEEDS AS DESIGNATED BY THE DONORS. PART X, LINE 2: FASB'S GUIDANCE ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES CLARIFIES THE ACCOUNTING FOR UNCERTAINTY OF INCOME TAX POSITIONS. THIS GUIDANCE DEFINES THE THRESHOLD FOR RECOGNIZING TAX RETURN POSITIONS IN THE FINANCIAL STATEMENTS AS "MORE LIKELY THAN NOT" THAT THE POSITION IS SUSTAINABLE, BASED ON ITS TECHNICAL MERITS. THE GUIDANCE ALSO PROVIDES GUIDANCE ON THE MEASUREMENT, CLASSIFICATION AND DISCLOSURE OF TAX RETURN POSITIONS IN THE FINANCIAL STATEMENTS. THERE WAS NO IMPACT ON THE HOSPITAL'S FINANCIAL STATEMENTS DURING THE YEARS ENDED JUNE 30, 2023 AND 2022. 1 1 X 1 X 1 X 500.000000000000 1 1 0 1 1 1857836 0 1857836 0.00290 319485335 282307792 37177543 0.05820 0 0 321343171 282307792 39035379 0.06110 5048466 0 5048466 0.00790 6900718 3194381 3706337 0.00580 26643424 11038992 15604432 0.02440 12367525 0 12367525 0.01940 193010 0 193010 0.00030 51153143 14233373 36919770 0.05780 372496314 296541165 75955149 0.11890 0 0 217 0 217 0.00000 16093 0 16093 0.00000 0 0 1446 0 1446 0.00000 5344 0 5344 0.00000 0 0 0 0 56771 0 56771 0.00010 79871 79871 0.00010 0 10983732 0 317697 367100 -49403 X 1 0 1 1 JOHNS HOPKINS ALL CHILDREN'S HOSPITAL 501 6TH AVENUE SOUTH ST PETERSBURG FL 33701 HTTPS://WWW.HOPKINSMEDICINE.ORG/ALL-CH 4042 X X X X JOHNS HOPKINS ALL CHILDREN'S HOSPITAL 1 0 0 1 X X X X X X X X X 21 1 1 1 1 X SEE SUPPLEMENTAL INFORMATION X SEE SUPPLEMENTAL INFORMATION X X 1 21 1 SEE SUPPLEMENTAL INFORMATION 0 1 X 200.000000000000 500.000000000000 X X X 1 1 X X X X 1 X SEE SUPPLEMENTAL INFORMATION X SEE SUPPLEMENTAL INFORMATION X SEE SUPPLEMENTAL INFO X X X X X X 1 X 0 X X X X 1 X X 0 0 JOHNS HOPKINS ALL CHILDREN'S HOSPITAL PART V, SECTION B, LINE 5: JOHNS HOPKINS ALL CHILDREN'S HOSPITAL CONTRACTED WITH HEALTHY COMMUNITIES INSTITUTE (HCI) TO GATHER COMMUNITY INPUT AND ASSIST WITH PRIORITIZING HEALTH ISSUES.HCI CONDUCTED A COMMUNITY SURVEY THAT INCLUDED 1,268 INDIVIDUALS WITH CHILDREN IN PINELLAS COUNTY AND 1,496 INDIVIDUALS WITH CHILDREN IN HILLSBOROUGH COUNTY. THE SURVEY WAS DELIVERED ELECTRONICALLY IN ENGLISH, SPANISH, AND HAITIAN CREOLE. THE SURVEY WAS DESIGNED AS A CONVENIENCE SAMPLE, A SNOWBALL SURVEY. AS SUCH, IT WAS NOT INTENDED TO BE STATISTICALLY SIGNIFICANT BUT HAS THE POTENTIAL TO BE A REPRESENTATIVE SAMPLE OF THE COMMUNITY SERVED INCLUDING, BUT NOT LIMITED TO MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS THROUGH TARGETED MARKETING AND SOLICITATION AT COMMUNITY GATHERING LOCATIONS LIKE COMMUNITY CENTERS. WEEKLY, WE RECEIVED A REPORT ON THE DEMOGRAPHIC BREAKDOWN OF OUR SURVEY RESPONDENTS. WE BENCHMARKED THE RESULTS TO THE NATIONAL CENSUS AND AMERICAN COMMUNITY SURVEY DATA TO ENSURE WE MATCHED OUR SURVEY'S DEMOGRAPHICS TO OUR COMMUNITY'S.OUR QUALITATIVE DATA INCLUDES FIVE FOCUS GROUPS IN PINELLAS COUNTY AND FIVE FOCUS GROUPS IN HILLSBOROUGH COUNTY. THE PURPOSE OF THE FOCUS GROUPS WAS TO GAIN EXPERIENCES, PERCEPTIONS, AND IDENTIFICATION OF STRENGTHS AND WEAKNESSES IN THE COMMUNITY AND LIVED EXPERIENCE. EXTERNAL GOVERNMENT ENTITIES WHICH PLAYED A ROLE INCLUDE CITY COMMISSIONERS, PINELLAS COUNTY COMMISSION, THE JUVENILE WELFARE BOARD AND PINELLAS COUNTY HEALTH DEPARTMENT, WHICH IS AN ACTIVE PARTICIPANT IN THE ALL4HEALTH COLLABORATIVE THROUGH SOLICITATION OF SURVEYS AND FEEDBACK THROUGH THEIR EVENTS, COMMUNITY AREAS OF ENGAGEMENT AND FACILITIES. JOHNS HOPKINS ALL CHILDREN'S HOSPITAL PART V, SECTION B, LINE 6A: WE PARTICIPATED AND COMPLETED OUR CHNA WITH THE ALL4HEALTHFL COLLABORATIVE. WITH COLLABORATING HOSPITAL/HOSPITAL SYSTEMS: ADVENTHEALTH, BAYCARE HEALTH SYSTEM, BAYFRONT HEALTH ST. PETERSBURG, MOFFITT CANCER CENTER, LAKELAND REGIONAL HEALTH, AND TAMPA GENERAL HOSPITAL. JOHNS HOPKINS ALL CHILDREN'S HOSPITAL PART V, SECTION B, LINE 6B: WE PARTICIPATED AND COMPLETED OUR CHNA WITH THE ALL4HEALTHFL COLLABORATIVE. WITH COLLABORATING PARTNERS: HILLSBOROUGH COUNTY HEALTH DEPARTMENT, PASCO COUNTY HEALTH DEPARTMENT, PINELLAS COUNTY HEALTH DEPARTMENT, POLK COUNTY HEALTH DEPARTMENT, JOHNS HOPKINS ALL CHILDREN'S HOSPITAL PART V, SECTION B, LINE 7D: WE PROVIDED REPORTS AND SUMMARIES THROUGH MANY COMMUNITY CONVERSATIONS, COMMUNICATIONS AND MEETINGS. JOHNS HOPKINS ALL CHILDREN'S HOSPITAL PART V, SECTION B, LINE 11: THE MOST RECENT CHNA SURVEY IDENTIFIED THE FOLLOWING AREAS TO BE ADDRESSED: ACCESS TO HEALTH AND SOCIAL SERVICES; BEHAVIORAL HEALTH (MENTAL HEALTH AND SUBSTANCE MISUSE); MATERNAL, FETAL, AND INFANT HEALTH; EXERCISE, NUTRITION, AND WEIGHT; IMMUNIZATION AND INFECTIOUS DISEASE; AND RESPIRATORY DISEASE.THESE SIX AREAS ARE THE FOCUS FOR THE COMMUNITY HEALTH TEAM AS WELL AS SEVERAL CLINICAL TEAMS AT JHACH. THE COMMUNITY HEALTH TEAMS PROGRAMS INCLUDE HEALTHY START, NUTRITION AND CULINARY EDUCATION, INCREASING FOOD SECURITY FOR STUDENTS AND FAMILIES, AND BEHAVIORAL HEALTH SUPPORT AND COLLABORATIONS WITH PINELLAS COUNTY SCHOOLS. EACH ONE OF THESE AREAS OF FOCUS STRIVES TO IMPROVE ACCESS TO HEALTH EDUCATION, RESOURCES AND SERVICE TO STUDENTS AND FAMILIES.THE SIGNIFICANT HEALTH NEEDS THAT ARE NOT BEING ADDRESSED INCLUDE: IMMUNIZATIONS AND INFECTIOUS DISEASES. THESE HEALTH NEEDS DO OVERLAP WITH SOME OF THE PRIORITIZED HEALTH TOPICS SUCH AS ACCESS TO HEALTH AND SOCIAL SERVICES AND EXERCISE, NUTRITION, AND WEIGHT.THE ORGANIZATION PREPARED AN IMPLEMENTATION STRATEGY ON NOVEMBER 10, 2022. THIS IMPLEMENTATION STRATEGY WAS PRESENTED TO AND APPROVED BY THE EXTERNAL AFFAIRS COMMITTEE OF THE BOARD OF TRUSTEES ON DECEMBER 8, 2022. HOWEVER, THE MINUTES OF THE DECEMBER 8, 2022 BOARD MEETING DO NOT REFLECT THE SPECIFIC APPROVAL OF THE IMPLEMENTATION STRATEGY. THE ORGANIZATION ATTEMPTED TO COMPLY WITH INTERNAL REVENUE CODE SECTION 501(R) AND THE REGULATIONS THEREUNDER IN GOOD FAITH BY HAVING THE IMPLEMENTATION STRATEGY APPROVED, HOWEVER, THERE IS A LACK OF DOCUMENTATION FORMALIZING SUCH APPROVAL. THE ORGANIZATION IDENTIFIED THE MINOR OMISSION IN DOCUMENTATION IN MAY 2024 AND IS ATTEMPTING TO CORRECT THIS ERROR AS SOON AS POSSIBLE, BY ENSURING THAT THE MOST RECENT IMPLEMENTATION STRATEGY IS FORMALLY APPROVED BY THE BOARD OF TRUSTEES AND THAT SUCH APPROVAL IS DOCUMENTED IN THE BOARD MINUTES. FURTHER, THE ORGANIZATION WILL ADOPT BEST PRACTICES TO ENSURE THAT FUTURE IMPLEMENTATION STRATEGIES ARE APPROVED AND SUCH APPROVAL IS DOCUMENTED.THE IMPLEMENTATION STRATEGY RELATES TO JOHNS HOPKINS ALL CHILDREN'S HOSPITAL LOCATED AT 501 6TH AVENUE SOUTH, ST. PETERSBURG, FL 33701. PART V, SECTION B, LINE 7A, 7B & 10A 7A - HTTPS://WWW.HOPKINSMEDICINE.ORG/ALL-CHILDRENS-HOSPITAL/COMMUNITY/COMMUNITY-BENEFITS/COMMUNITY-HEALTH-NEEDS-ASSESSMENT7B - HTTPS://WWW.ALL4HEALTHFL.ORG/CONTENT/SITES/WCFL/REPORTS__PLANS/2022_ALL4HEALTHFL_PINELLAS_COUNTY_REPORT_FINAL_1.PDF10A - HTTPS://WWW.HOPKINSMEDICINE.ORG/ALL-CHILDRENS-HOSPITAL/COMMUNITY/COMMUNITY-BENEFITS PART V, SECTION B, LINE 16A HTTPS://WWW.HOPKINSMEDICINE.ORG/PATIENT-CARE/PATIENTS-VISITORS/BILLING-INSURANCE/FINANCIAL-ASSISTANCE PART V, SECTION B, LINE 16B HTTPS://WWW.HOPKINSMEDICINE.ORG/PATIENT-CARE/PATIENTS-VISITORS/BILLING-INSURANCE/FINANCIAL-ASSISTANCE PART V, SECTION B, LINE 16C HTTPS://WWW.HOPKINSMEDICINE.ORG/PATIENT-CARE/PATIENTS-VISITORS/BILLING-INSURANCE/FINANCIAL-ASSISTANCE 11 1 - JH ALL CHILDREN'S OUTPT CARE - BRANDON 885 SOUTH PARSONS AVE BRANDON FL 33511 PEDIATRIC OUTPATIENT CLINIC 2 - JH ALL CHILDREN'S OUTPT CARE - EAST LAKE 3850 TAMPA RD PALM HARBOR FL 34684 PEDIATRIC OUTPATIENT CLINIC 3 - JH ALL CHILDREN'S OUTPT CARE - FT MYERS 4550 COLONIAL BLVD FT MYERS FL 33966 PEDIATRIC OUTPATIENT CLINIC 4 - JH ALL CHILDREN'S OUTPT CARE - LAKELAND 3310 LAKELAND HILLS BLVD LAKELAND FL 33805 PEDIATRIC OUTPATIENT CLINIC 5 - JH ALL CHILDREN'S OUTPT CARE - PASCO 4443 ROWAN RD NEW PORT RICHEY FL 34653 PEDIATRIC OUTPATIENT CLINIC 6 - JH ALL CHILDREN'S OUTPT CARE - SARASOTA 5881 RAND BLVD SARASOTA FL 34238 PEDIATRIC OUTPATIENT CLINIC 7 - JH ALL CHILDREN'S OUTPT CARE - TAMPA 12220 BRUCE B DOWNS BLVD TAMPA FL 33612 PEDIATRIC OUTPATIENT CLINIC 9 - JH ALL CHILDREN'S TAMPA SPORTS THERAPY C 3440 WEST MLK JR BLVD STE 208 TAMPA FL 33607 SPORTS THERAPY 10 - JH ALL CHILDREN'S OUTPT CARE-NORTH PORT 2345 BOBCAT VILLAGE CENTER RD NORTH PORT FL 34288 PEDIATRIC OUTPATIENT CLINIC 11 - JH ALL CHILDREN'S OUTPT CARE - LAKEWOOD 6075 WHITE EAGLE BLVD BRADENTON FL 34211 PEDIATRIC OUTPATIENT CLINIC 12 - JH ALL CHILDREN'S SPEECHFEEDING THERAPY 4439 ROWAN RD NEW PORT RICHEY FL 34653 PEDIATRIC SPEECH/FEEDING THERAPY PART I, LINE 3C: IN ADDITION TO FPG, THE HOSPITAL ALSO PROVIDES FINANCIAL ASSISTANCE DISCOUNTS BASED ON MEDICAL FINANCIAL HARDSHIP CAUSED BY SIGNIFICANT MEDICAL DEBT. FACTORS THE HOSPITAL CONSIDERS WHEN EVALUATING MEDICAL DEBT LEVELS FOR FINANCIAL ASSISTANCE INCLUDE (1) MEDICAL DEBT INCURRED OVER THE TWELVE MONTHS PRECEDING THE DATE OF THE FINANCIAL HARDSHIP ASSISTANCE APPLICATION, (2) LIQUID ASSETS (LEAVING A RESIDUAL OF $10,000), AND (3) FAMILY INCOME FOR THE TWELVE CALENDAR MONTHS PRECEDING THE DATE OF THE FINANCIAL HARDSHIP ASSISTANCE APPLICATION. PART I, LINE 7: A COST-TO-CHARGE RATIO (FROM WORKSHEET 2) IS USED TO CALCULATE THE AMOUNTS ON LINE 7A&7B (FINANCIAL ASSISTANCE AT COST AND UNREIMBURSED MEDICAID). THE AMOUNTS FOR LINES 7E-7I COME FROM THE BOOKS AND RECORDS OF SPECIFIC SEGMENTS OF THE ORGANIZATION AND WOULD NOT BE BASED ON A COST-TO CHARGE RATIO. PART I, LINE 7G: SUBSIDIZED HEALTH SERVICES DO NOT INCLUDE ANY COSTS ATTRIBUTABLE TO A PHYSICIAN CLINIC. PART II, COMMUNITY BUILDING ACTIVITIES: JOHNS HOPKINS ALL CHILDREN'S HOSPITAL COLLABORATES WITH COMMUNITY STAKEHOLDERS, TO SUPPORT REDUCING THE BARRIERS TO GOOD HEALTH (E.G., FOOD SECURITY AND ACCESS TO CARE AND RESOURCES). THE HOSPITAL IS A THOUGHT LEADER IN THE COMMUNITY FOR PEDIATRIC HEALTH INCLUDING TREATMENT, EDUCATION, RESEARCH AND ADVOCACY. THE PEDIATRIC PROVIDERS OFFER SUPPORT AND GUIDANCE TO THE ENTIRE FAMILY, NOT JUST THE CHILD. THE COMMUNITY HEALTH PROGRAMS THAT SUPPORT THIS PATIENT CARE MODEL INCLUDE HEALTHY START, CARING FOR MOMS, DADS AND INFANTS/CHILDREN, SAFE KIDS INJURY PREVENTION PROVIDING ACCESS TO RESOURCES TO KEEP CHILDREN SAFE AND FOOD SECURITY EFFORTS THAT CONNECT FAMILIES AND CHILDREN TO FOOD AND NUTRITION RESOURCES THROUGH HIGH SCHOOL PANTRIES, MOBILE FOOD DISTRIBUTIONS AND ON CAMPUS FOOD PANTRY FOR PATIENTS. PART III, LINE 2: THE PROVISION FOR BAD DEBTS IS BASED UPON A COMBINATION OF THE PAYOR SOURCE, THE AGING OF RECEIVABLES AND MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS, TRENDS IN HEALTH INSURANCE COVERAGE, AND OTHER COLLECTION INDICATORS. PART III, LINE 3: JOHNS HOPKINS ALL CHILDREN'S HOSPITAL (JHACH) DOES NOT REPORT AN ESTIMATE FOR THE PORTION OF BAD DEBT EXPENSE THAT MAY BE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. JHACH TAKES THE POSITION THAT AMPLE OPPORTUNITY AND ASSISTANCE IS PROVIDED TO THE PATIENT TO QUALIFY UNDER THE FINANCIAL ASSISTANCE POLICY. IF SUFFICIENT INFORMATION IS NOT PROVIDED, THEN JHACH MUST ASSUME THE PATIENT DOES NOT QUALIFY. PART III, LINE 4: JOHNS HOPKINS HEALTH SYSTEM CONSOLIDATED AUDITED FINANCIAL STATEMENTS PAGE 18. PART III, LINE 8: PART III, LINE 7 - THE SHORTFALL IN MEDICARE ALLOWABLE COSTS IS NOT TREATED AS A COMMUNITY BENEFIT.PART III, LINES 5 AND 6 METHODOLOGY: A STEP-DOWN PROCESS IS USED TO ALLOCATE ADMINISTRATIVE AND GENERAL COSTS TO PATIENT CARE DEPARTMENTS, AS WELL AS DEPARTMENTS THAT ARE NON-ALLOWABLE FOR MEDICARE. UPON ALLOCATION, A DAILY COST RATE IS COMPUTED FOR ROOM AND BOARD SERVICES. THE RESULTING DAILY COSTS ARE APPLIED TO THE NUMBER OF MEDICARE DAYS TO DETERMINE ALLOWABLE ROOM AND BOARD COSTS. FOR ANCILLARY SERVICES, A RATIO OF COST TO CHARGES (RCC) IS COMPUTED USING TOTAL ANCILLARY CHARGES. THE RCC IS THEN APPLIED TO CHARGES INCURRED BY MEDICARE PATIENTS TO DETERMINE ALLOWABLE MEDICARE COSTS. WITH THE EXCEPTION OF PASS-THROUGH COSTS (CAPITAL-RELATED, NON-PHYSICIAN ANESTHETIST, AND MEDICAL EDUCATION COSTS), ALLOWABLE MEDICARE COSTS ARE SUBJECT TO A TEFRA TARGET AMOUNT, WHICH IS COMPUTED ON A DISCHARGE BASIS. IF ALLOWABLE COSTS EXCEED THE TEFRA TARGET AMOUNT, THE FACILITY IS REIMBURSED IN THE AMOUNT OF THE TARGET LIMIT PLUS A RELIEF PAYMENT. IF ALLOWABLE COSTS ARE UNDER THE TARGET AMOUNT, THE FACILITY IS REIMBURSED BY THE AMOUNT OF THE TARGET LIMIT PLUS A BONUS PAYMENT. PART VI, LINE 2: COMMUNITY BENEFIT PLANNING IS AN INTEGRAL PART OF THE JOHNS HOPKINS ALL CHILDREN'S HOSPITAL'S STRATEGIC PLAN THROUGH AN ANNUAL STRATEGIC OBJECTIVES PLANNING PROCESS THAT INVOLVES EVALUATING THE HOSPITAL'S PROGRESS AT MEETING TWO COMMUNITY HEALTH GOALS AND DEFINES METRICS FOR DETERMINING PROGRESS. THE COMMITMENT OF JOHNS HOPKINS' LEADERSHIP TO IMPROVING THE LIVES OF ITS NEAREST NEIGHBORS IS ILLUSTRATED BY THE INCORPORATION OF COMMUNITY ENGAGEMENT INITIATIVES AT THE HIGHEST LEVEL IN THE JOHNS HOPKINS MEDICINE STRATEGIC PLAN. JHM, CONSISTING OF THE JHU SCHOOL OF MEDICINE AND THE JOHNS HOPKINS HEALTH SYSTEM, IS COMMITTED TO A TRI-PARTITE MISSION (EDUCATION, RESEARCH AND HEALTHCARE). EVEN AT THIS CROSS-ENTITY LEVEL (JHU AND JHHS) COMMUNITY BENEFIT ACTIVITIES AND PLANNING GO BEYOND HOSPITAL REQUIREMENTS AND EXPECTATIONS AND ARE A CORE OBJECTIVE FOR ALL DEPARTMENTS, SCHOOLS AND AFFILIATES. THE JOHNS HOPKINS MEDICINE INNOVATION 2023 STRATEGIC PLAN INCLUDES COMMUNITY SUPPORT AS ONE OF ITS SIX CORE AREAS. ALL HOSPITALS MUST SUBMIT STRATEGIC GOALS WITH ACCOMPANYING METRICS THAT MEET THE DIRECTIVE TO "SUPPORT THE WELL-BEING OF OUR PEOPLE AND OUR COMMUNITIES" GROW OUR LOCAL COMMUNITY-ENGAGEMENT TO ADDRESS IDENTIFIED NEEDS TO IMPROVE HEALTH"SENIOR LEADERSHIP DIRECTS, OVERSEES AND APPROVES ALL COMMUNITY BENEFIT WORK INCLUDING THE ALLOCATION OF FUNDS THAT SUPPORT COMMUNITY OUTREACH DIRECTED AT UNDERSERVED AND HIGH-NEED POPULATIONS IN THE CBSA. THIS HIGH-LEVEL REVIEW AND EVALUATION SETS THE PRIORITIES OF THE HOSPITAL'S OUTREACH WORK AND ENSURES THE EFFECTIVE, EFFICIENT USAGE OF FUNDS TO ACHIEVE THE LARGEST IMPACT IN IMPROVING THE LIVES OF THOSE WHO LIVE IN THE COMMUNITIES WE SERVE. THIS GROUP CONDUCTS THE FINAL REVIEW AND APPROVAL OF THE FINAL REPORT'S FINANCIAL ACCURACY TO THE HOSPITALS' FINANCIAL STATEMENTS, ALIGNMENT WITH THE STRATEGIC PLAN, AND COMPLIANCE WITH REGULATORY REQUIREMENTS. INDIVIDUAL CLINICAL LEADERS ALONG WITH ADMINISTRATORS MAKE DECISIONS ON COMMUNITY BENEFIT PROGRAMS FUNDED BY INDIVIDUAL DEPARTMENTAL BUDGETS. CLINICAL LEADERS WILL ALSO IDENTIFY AND CREATE STRATEGIES TO TACKLE COMMUNITY HEALTH NEEDS THAT ARISE IN THE CBSA AND OVERSEE DEPARTMENT PROGRAMS FOR CONTENT ACCURACY AND, ADHERENCE TO DEPARTMENT PROTOCOLS AND BEST PRACTICES. THE JHACH COMMUNITY BENEFIT TEAM INTERACTS WITH ALL GROUPS IN THE HOSPITAL PERFORMING COMMUNITY BENEFIT ACTIVITIES. THEY EDUCATE, ADVOCATE AND COLLABORATE WITH INTERNAL AUDIENCES TO INCREASE UNDERSTANDING, APPRECIATION AND PARTICIPATION OF THE COMMUNITY BENEFIT REPORT PROCESS, THE IMPORTANCE OF COMMUNITY BENEFIT ACTIVITIES THAT ADDRESS CHNA IDENTIFIED NEEDS AND COMMUNITY OUTREACH ACTIVITIES. TEAM MEMBERS COLLECT AND VERIFY ALL CB DATA, COMPILE THE REPORT, PROVIDE INITIAL AUDIT AND VERIFICATION OF CBR FINANCIAL INFORMATION AND WRITE THE CBR NARRATIVE. THROUGHOUT THE YEAR, THE CB TEAM ATTENDS LOCAL AND REGIONAL COMMUNITY HEALTH CONFERENCES AND MEETINGS, REPRESENTS THE HOSPITAL TO EXTERNAL AUDIENCES, AND WORKS WITH COMMUNITY AND JHACH CLINICAL LEADERS TO IDENTIFY PROMISING PROJECTS OR PROGRAMS THAT ADDRESS CBSA COMMUNITY HEALTH NEEDS. THE JHHS COMMUNITY HEALTH IMPROVEMENT STRATEGY COUNCIL (JCHISC) CONVENES MONTHLY TO BRING COMMUNITY HEALTH/COMMUNITY BENEFIT GROUPS TOGETHER WITH TAX, FINANCIAL ASSISTANCE, AND HEALTH POLICY STAFF FROM ACROSS THE HEALTH SYSTEM TO COORDINATE PROCESS, PRACTICE, AND POLICY. JCHISC MEMBERS DISCUSS ISSUES AND PROBLEMS THEY FACE IN COMMUNITY BENEFIT REPORTING, REGULATORY COMPLIANCE TO STATE AND FEDERAL COMMUNITY BENEFIT REQUIREMENTS, AND TECHNICAL ASPECTS OF ADMINISTERING AND REPORTING COMMUNITY BENEFIT SYSTEMS. WHEN NEEDED, A DESIGNATED REPRESENTATIVE FROM THE GROUP CONTACTS THE GOVERNING AGENCY FOR CLARIFICATION OR DECISION REGARDING THE ISSUES IN QUESTION TO ENSURE THAT ALL HOSPITALS REPORTS ARE CONSISTENT IN THE INTERPRETATION OF REGULATIONS. PART VI, LINE 3: NOTIFICATION ABOUT CHARITY AVAILABLE FROM JHACH, WHICH INCLUDES A CONTACT NUMBER, IS DISTRIBUTED BY JHACH BY VARIOUS MEANS, WHICH INCLUDES, BUT IS NOT LIMITED TO, THE PUBLICATION OF NOTICES IN PATIENT BILLS AND POSTING NOTICES IN EMERGENCY ROOMS, IN THE CONDITIONS OF ADMISSION FORM, AT CARE CENTERS, ADMITTING AND REGISTRATION DEPARTMENTS, HOSPITAL BUSINESS OFFICES, AND PATIENT FINANCIAL SERVICES OFFICES THAT ARE LOCATED ON FACILITY CAMPUSES, AND AT OTHER PUBLIC PLACES AS JHACH ELECTS. A SUMMARY OF JHACH'S FINANCIAL ASSISTANCE POLICY IS PROVIDED TO PATIENTS UPON INTAKE OR DISCHARGE AND IS AVAILABLE TO ALL PATIENTS UPON REQUEST. JHACH PUBLISHES AND WIDELY PUBLICIZES A SUMMARY OF THE FINANCIAL ASSISTANCE POLICY ON THEIR WEBSITE, IN BROCHURES AVAILABLE IN PATIENT ACCESS SITES AND AT OTHER PLACES WITHIN THE COMMUNITY SERVED BY JHACH. SUCH NOTICES AND SUMMARY INFORMATION IS PROVIDED IN THE PRIMARY LANGUAGES SPOKEN BY THE POPULATION SERVICED BY JHACH. PART VI, LINE 4: THE HOSPITAL USES THE FOLLOWING INFORMATION AND DATA TO DRIVE PROGRAM DEVELOPMENT AND IMPLEMENTATION TO IMPACT HEALTH IN THE COMMUNITY. 12.6% OR 18,369 CHILDREN IN PINELLAS COUNTY ARE FOOD INSECURE (JWB DATA 2021) 21.5% IS THE 2020 PROJECTED CHILD HUNGER RATE (FEEDING AMERICA) 62% OF PINELLAS COUNTY FAMILIES FALL BELOW SNAP, OTHER NUTRITION PROGRAMS THRESHOLD OF 200% POVERTY (FEEDING AMERICA MEAL GAP DATA) 74% OF THE PATIENT POPULATION IS ON MEDICAID (HOSPITAL PATIENT POPULATION DATA)IN ADDITION TO JOHNS HOPKINS ALL CHILDREN'S HOSPITAL THE TAMPA BAY AREA INCLUDES FOUR OTHER HOSPITAL SYSTEMS WHO ALSO PROVIDE PROGRAMS AND SERVICES TO FAMILIES. PART VI, LINE 5: - AS ONE OF THREE STATUTORILY DEFINED, FREESTANDING PEDIATRIC HOSPITALS IN THE STATE OF FLORIDA, JOHNS HOPKINS ALL CHILDREN'S HOSPITAL PROVIDES HIGH-QUALITY PEDIATRIC CARE TO ALL CHILDREN REGARDLESS OF THEIR ABILITY TO PAY. APPROXIMATELY 70% OF THE HOSPITAL'S PATIENTS ARE COVERED BY MEDICAID, WHICH MAKES JHACH THE HIGHEST PROVIDER OF MEDICAID SERVICES FOR CHILDREN IN THE STATE OF FLORIDA. ALTHOUGH JHACH PROVIDES PROGRAMS AND SERVICES TO A 17-COUNTY SERVICE AREA, THE IMPLEMENTATION STRATEGY ADDRESSES PINELLAS COUNTY. PINELLAS COUNTY (WHERE THE HOSPITAL IS SITUATED) PROVIDES THE HIGHEST PATIENT VOLUMES AND LARGEST USAGE OF THE HOSPITAL'S EMERGENCY CENTER. PINELLAS COUNTY ALSO RECEIVES THE MAJORITY OF COMMUNITY BENEFIT PROGRAMS AND SERVICES. PART VI, LINE 6: THE JOHNS HOPKINS HEALTH SYSTEM CORPORATION (JHHSC) IS INCORPORATED IN THE STATE OF MARYLAND TO, AMONG OTHER THINGS, FORMULATE POLICY AMONG AND PROVIDE CENTRALIZED MANAGEMENT FOR JHHSC AND AFFILIATES (JHHS). JHHS IS ORGANIZED AND OPERATED FOR THE PURPOSE OF PROMOTING HEALTH BY FUNCTIONING AS A PARENT HOLDING COMPANY OF AFFILIATES WHOSE COMBINED MISSION IS TO PROVIDE PATIENT CARE IN THE TREATMENT AND PREVENTION OF HUMAN ILLNESS WHICH COMPARES FAVORABLY WITH THAT RENDERED BY ANY OTHER INSTITUTION IN THIS COUNTRY OR ABROAD.JHHSC IS THE SOLE MEMBER OF THE JOHNS HOPKINS HOSPITAL (JHH), AN ACADEMIC MEDICAL CENTER, JOHNS HOPKINS BAYVIEW MEDICAL CENTER, INC. (JHBMC), A COMMUNITY BASED TEACHING HOSPITAL AND LONG-TERM CARE FACILITY, HOWARD COUNTY GENERAL HOSPITAL, INC. (HCGH), A COMMUNITY BASED HOSPITAL, SUBURBAN HOSPITAL, INC. (SHI), A COMMUNITY BASED HOSPITAL, SIBLEY MEMORIAL HOSPITAL (SMH), A D.C. COMMUNITY BASED HOSPITAL, AND JOHNS HOPKINS ALL CHILDRENS HOSPITAL, INC (JHACH), A FL ACADEMIC CHILDRENS HOSPITAL. 1 PEDIATRIC PHYSICIAN SERVICES INC 3910 KESWICK RD BALTIMORE MD 21211 593425191 501(C)(3) 61885609 0 PROGRAM SUPPORT ALL CHILDREN'S RESEARCH INSTITUTE INC 3910 KESWICK RD BALTIMORE MD 21211 592481742 501(C)(3) 11000000 0 PROGRAM SUPPORT WEST COAST NEONATOLOGY INC 3910 KESWICK RD BALTIMORE MD 21211 593398308 501(C)(3) 4956206 0 PROGRAM SUPPORT ALL CHILDREN'S HEALTH SYSTEM INC 3910 KESWICK RD BALTIMORE MD 21211 592481740 501(C)(3) 800000 0 PROGRAM SUPPORT 4 0 NURSING SCHOLARSHIPS 5 15000 PART I, LINE 2: JOHNS HOPKINS ALL CHILDREN'S HOSPITAL INC. REGULARLY MONITORS ALL GRANT ACTIVITY PROGRESS AND FINANCIAL DOCUMENTATION IN COMPLIANCE WITH APPLICABLE INSTITUTIONAL POLICIES AND PROCEDURES. X 1 1 X X X X X 0 1 0 0 0 0 0 1 0 KEVIN W SOWERS MSN RN FAA TRUSTEE, CORPORATE VICE CHAIRMAN 0 1628974 0 1198350 0 312891 0 44608 0 12507 0 3197330 0 275832 INEZ STEWART TRUSTEE 0 807631 0 601028 0 512819 0 19880 0 13921 0 1955279 0 59005 RONALD R PETERSON FORMER OFFICER & TRUSTEE EX-OFFICIO 0 0 0 0 0 1275825 0 0 0 0 0 1275825 0 0 GEORGE JALLO MD TRUSTEE, VICE DEAN/PHYS IN CHIEF 875104 0 174258 0 18262 0 107699 0 37657 0 1212980 0 0 0 K ALICIA SCHULHOF TRUSTEE, PRESIDENT 0 665302 0 311300 0 3193 0 124402 0 21105 0 1125302 0 0 DIVYA JOSHI MD VP, PHYSICIAN SERVICES (END 3/23) 0 581760 0 126864 0 28162 0 19880 0 12552 0 769218 0 0 JOSEPH PERNO MD VICE PRESIDENT MEDICAL AFFAIRS 51750 438963 0 92666 0 48850 0 19949 0 36242 51750 636670 0 0 PETER MANCINO SECRETARY 0 419349 0 111225 0 48380 0 -34571 0 23933 0 568316 0 0 G DANIEL SHEALER JR TRUSTEE 0 37627 0 419096 0 208090 0 -151293 0 0 0 513520 0 0 LINDA VAN MARTER MEDICAL DIRECTOR OF MFM/OB INSTITUTE 402898 0 40353 0 10559 0 36600 0 17353 0 507763 0 0 0 PAUL DANIELSON MD CHAIR DEPT OF SURGERY 438004 0 0 0 21556 0 13536 0 20575 0 493671 0 0 0 MICHELLE SMITH MD TRUSTEE 0 405041 0 5000 0 19244 0 4386 0 55285 0 488956 0 0 ANTHONY NAPOLITANO MD CHAIR DEPT OF PED MEDICINE 431398 0 0 0 6830 0 13536 0 17050 0 468814 0 0 0 ANGELA GREEN VP, CHIEF SAFETY & QUAL (END 8/22) 0 297528 0 57024 0 7561 0 35551 0 33446 0 431110 0 0 MELISSA MACOGAY RN VICE PRESIDENT & CNO 0 295512 0 63301 0 6776 0 1881 0 38943 0 406413 0 0 SHERRON ROGERS VP, FINANCE & CFO 0 310118 0 73056 0 323 0 0 0 460 0 383957 0 0 DIPTI AMIN MD PHYSICIAN 298872 0 0 0 7340 0 7147 0 32142 0 345501 0 0 0 NICHOLE WESTERLUND HANCOCK VP HUMAN RESOURCES 0 248184 0 52345 0 2972 0 19644 0 2851 0 325996 0 0 NORMALIZ RODRIGUEZ MD ASSOC MEDICAL DIRECTOR 278594 0 7924 0 145 0 7826 0 29291 0 323780 0 0 0 VICKIE WILLIAMS ASST. SECRETARY 0 216590 0 39280 0 5085 0 15922 0 11036 0 287913 0 0 PAOLA DEES MD PHYSICIAN 243521 0 5000 0 2250 0 8802 0 22334 0 281907 0 0 0 ANNA STRATIGOS SR DIRECTOR SUPPORT SERVICES 227205 0 8000 0 3596 0 10742 0 23453 0 272996 0 0 0 LISA KERRICK ASSOCIATE CHIEF NURSING OFFICER 235743 0 8000 0 1947 0 10846 0 11124 0 267660 0 0 0 GERAD THERIAC FORMER OFFICER 216632 0 8000 0 1094 0 9732 0 12064 0 247522 0 0 0 JUSTIN OLSEN VICE PRESIDENT , CHIEF OPERATING OFF 0 148400 0 25000 0 35680 0 0 0 3846 0 212926 0 0 KIMBERLY BERFIELD FORMER OFFICER 0 135328 0 30789 0 2643 0 0 0 8819 0 177579 0 0 PAUL COLOMBANI MD FORMER KEY EMPLOYEE 0 0 0 0 147271 0 0 0 0 0 147271 0 147271 0 PART I, LINE 1A THE ORGANIZATION WILL PROVIDE TAX GROSS UP PAYMENTS IN CERTAIN CIRCUMSTANCES WITH APPROPRIATE LEVELS OF REVIEW AND APPROVAL. DURING THE TAX YEAR, TWO OF THE HIGHEST PAID EMPLOYEES OF THE ORGANIZATION RECEIVED A GROSS UP PAYMENT. THIS BENEFIT WAS TREATED AS TAXABLE COMPENSATION TO THE LISTED INDIVIDUALS. PART I, LINE 3 THE COMPENSATION COMMITTEE OF THE BOARD OF JOHNS HOPKINS MEDICINE, ON BEHALF OF THE ORGANIZATION, REVIEWS THE PERFORMANCE AND APPROVES THE COMPENSATION OF THE OFFICERS AND KEY PERSONNEL OF THE ORGANIZATION. IN REVIEWING AND APPROVING COMPENSATION, THE COMMITTEE RELIES ON APPROPRIATE MARKET DATA FOR COMPARABLE JOBS IN ORGANIZATIONS, AND ENSURES THAT SUCH DATA INDICATES THE COMPENSATION ORDINARILY PROVIDED BY SIMILARLY SITUATED ORGANIZATIONS, UNDER LIKE CIRCUMSTANCES. DELIBERATIONS AND DECISIONS OF THE COMMITTEE REGARDING THE COMPENSATION ARRANGEMENTS ARE DOCUMENTED IN THE FORM OF MINUTES OF COMMITTEE MEETINGS, AND COPIES OF ALL COMPARABILITY DATA AND REPORTS RETAINED. PART I, LINE 4B A SELECT GROUP OF SENIOR LEADERS OF THE JOHNS HOPKINS HEALTH SYSTEM CORPORATION (JHHSC) PARTICIPATE IN SUPPLEMENTAL RETIREMENT/DEFERRED COMPENSATION PROGRAMS, INCLUDING SOME LEGACY ARRANGEMENTS THAT ARE NO LONGER AVAILABLE TO NEW HIRES. PRE-2011 PARTICIPANTS RECEIVE CASH PAYMENTS EACH YEAR DETERMINED WITH REFERENCE TO THEIR SERVICE WITH JHHSC AND THEIR FINAL AVERAGE COMPENSATION. AS OF JANUARY 2019, FUTURE CASH PAYMENTS ARE MADE ACCORDING TO A FIXED SCHEDULE FOR THESE PARTICIPANTS. POST-2011 PARTICIPANTS ACCRUE BENEFITS UNDER A DEFINED CONTRIBUTION FORMULA WHERE CONTRIBUTIONS ARE TIERED BY POSITION LEVEL. CONTRIBUTIONS MADE IN 2018 AND PRIOR YEARS GENERALLY VEST AFTER THE LATER OF FIVE YEARS OF SERVICE WITH JHHSC OR THREE YEARS OF PLAN PARTICIPATION; CONTRIBUTIONS MADE IN 2019 AND FUTURE YEARS VEST THREE YEARS AFTER EACH CONTRIBUTION IS MADE, WITH FULL VESTING ON THE LATER OF AGE 65 OR THREE YEARS OF PLAN PARTICIPATION. ALL CONTRIBUTIONS VEST ON DEATH, DISABILITY OR INVOLUNTARY TERMINATION WITHOUT CAUSE. IF A PARTICIPANT VOLUNTARILY TERMINATES EMPLOYMENT OR IS TERMINATED BY THE EMPLOYER FOR CAUSE PRIOR TO THE APPLICABLE VESTING DATE, THE PARTICIPANT'S ENTIRE NON-VESTED BENEFIT IS FORFEITED ALL OF THESE ARRANGEMENTS WERE APPROVED, IN ADVANCE, BY AN INDEPENDENT COMPENSATION COMMITTEE, WHICH BASED ITS DECISION ON DATA PROVIDED BY AN INDEPENDENT COMPENSATION CONSULTANT. PARTICIPANTS' INTERESTS UNDER THESE ARRANGEMENTS ARE NOT GUARANTEED OR SECURED AT ANY WAY AND AT ALL TIMES ARE SUBJECT TO CLAIMS OF EMPLOYER'S BANKRUPTCY/INSOLVENCY CREDITORS. THE FOLLOWING INDIVIDUALS LISTED ON FORM 990, PART VII, SECTION A, LINE 1A RECEIVED PAYMENT FROM ONE OR MORE SUPPLEMENTAL RETIREMENT/DEFERRED COMPENSATION PROGRAMS, WITH PAYMENTS REPORTED IN SCHEDULE J, PART II, COLUMN (B)(III); THE TOTAL OF AMOUNTS PAYABLE DURING 2022 BUT REPORTED AS DEFERRED COMPENSATION IN COLUMN (C) IN PREVIOUS YEARS IS REPORTED IN SCHEDULE J, PART II, COLUMN (F). THE AMOUNTS BELOW MAY REFLECT ANNUAL CASH PAYMENTS OR MULTIPLE YEARS OF ACCRUALS THAT VESTED IN 2022. INEZ STEWART $486,116.50; PETER MANCINO $40,484.82; G. DANIEL SHEALER $204,811.87 AND KEVIN SOWERS $275,831.54 IN ADDITION TO THOSE LISTED ABOVE, RONALD PETERSON RECEIVED PAYMENT FROM A SUPPLEMENTAL RETIREMENT PROGRAM THAT WAS IN PLACE PRIOR TO 1986 AND SUBJECT TO DIFFERENT TAX RULES. MR. PETERSON ACCRUED BENEFITS OVER A 40+ YEAR CAREER AT JOHNS HOPKINS HEALTH SYSTEM AND THE BENEFIT HAS BEEN REPORTED ON THE FORM 990 TWICE ALREADY: ONCE WHEN ACCRUED AND AGAIN WHEN INCLUDED AS TAXABLE INCOME FOR MEDICARE TAX PURPOSES. BENEFITS ARE PAID AS AN ANNUITY TO MR. PETERSON OVER HIS REMAINING LIFETIME AND TAXED FOR INCOME TAX PURPOSES AS PAID. UNDER FORM 990 REPORTING REQUIREMENTS, MR. PETERSON'S BENEFIT IS REQUIRED TO BE REPORTED A THIRD TIME WHEN PAID. DURING 2022, MR. PETERSON RECEIVED A PAYMENT OF $1,275,825; THIS AMOUNT IS REPORTED IN SCHEDULE J, PART II, COLUMN (B)(III). PART I, LINE 7 ANNUAL INCENTIVE PLAN: EXECUTIVES PARTICIPATE IN AN ANNUAL INCENTIVE PLAN THAT REWARDS PARTICIPANTS FOR THE ACHIEVEMENT OF ORGANIZATION OBJECTIVES APPROVED BY THE JOHNS HOPKINS MEDICINE COMPENSATION COMMITTEE EACH YEAR, INCLUDING FINANCIAL AND NON-FINANCIAL MEASURES. A PORTION OF THE OVERALL AWARD IS DETERMINED BASED ON INDIVIDUAL PERFORMANCE. DEPENDENT TUITION REIMBURSEMENT: DUE TO THEIR CLOSE COLLABORATION WITH THE JOHNS HOPKINS UNIVERSITY (JHU), JHHSC PROVIDES LEADERS WITH DEPENDENT TUITION REIMBURSEMENT ON A SIMILAR BASIS AS THEIR JHU COUNTERPARTS. DEPENDENT TUITION REIMBURSEMENT IS TAXABLE FOR JHHSC EMPLOYEES. THE DEPENDENT MUST BE ENROLLED FULL TIME AT AN APPROVED, ACCREDITED COLLEGE OR UNIVERSITY AND IN GOOD ACADEMIC STANDING. PAYMENT IS LIMITED TO FOUR YEARS OF FULL TIME, UNDERGRADUATE STUDY PER DEPENDENT CHILD. FORM 990, PART VII, SECTION A, QUESTION 5 THE FOLLOWING OFFICERS OF JOHNS HOPKINS ALL CHILDREN'S HOSPITAL RECEIVED COMPENSATION FROM AN UNRELATED ORGANIZATION FOR SERVICES RENDERED TO THE FILING ORGANIZATION. ALL CHILDREN'S HOSPITAL REIMBURSED THE JOHNS HOPKINS UNIVERSITY FOR SERVICES ASSOCIATED WITH THE OFFICERS AND THEIR ROLES AT THE HOSPITAL. GEORGE JALLO, M.D. BASE COMPENSATION $875,104.40, BONUS & INCENTIVE COMPENSATION $174,257.52, OTHER REPORTABLE COMPENSATION $18,261.61, DEFERRED COMPENSATION $107,699.00 AND NON-TAXABLE BENEFITS $37,657.40.PAUL COLOMBANI BASE COMPENSATION $0.00, BONUS & INCENTIVE COMPENSATION $0.00, OTHER REPORTABLE COMPENSATION $147,271, DEFERRED COMPENSATION $0.00 AND NON-TAXABLE BENEFITS $0.00. LINDA VAN MARTER BASE COMPENSATION $402,897.58, BONUS & INCENTIVE COMPENSATION $40,352.68, OTHER REPORTABLE COMPENSATION $10,558.71, DEFERRED COMPENSATION $36,600.00 AND NON-TAXABLE BENEFITS $17,352.76. A CITY OF ST PETERSBURG HFA 596000424 793309JM8 2012-06-28 102400000 REFUND PRIOR ISSUE (04/20/05 A&B) 0 0 0 A 23900000 102400000 102400000 1 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 1 0 1 1 CITIBANK & RBC 22.300000000000 0 0 0 0 1 A 1 SCHEDULE K, PART II, LINE 11 THE OTHER SPENT PROCEEDS ARE THE REFUNDING PROCEEDS SCHEDULE K, PART I, LINE A: CITY OF ST. PETERSBURG HEALTH FACILITIES AUTHORITY KEVIN SOWERS TRUSTEE, OFFICER 140000 SEE PART V 0 FORM 990 LINE, PART IV (D) MR. SOWERS HAS BEEN A BOARD MEMBER OF VIZIENT, INC. ("VIZIENT") SINCE 2016. JHHS AND ITS AFFILIATES PURCHASED HOSPITAL AND HEALTHCARE CONSULTING SERVICES FROM VIZIENT. MR. SOWERS HAS NO INPUT ON THE NEGOTIATIONS BETWEEN JHHS AND VIZIENT. FORM 990, PART I, LINE 8 PURSUANT TO THE CORONAVIRUS AID, RELIEF, AND ECONOMIC SECURITY (CARES) ACT, JOHNS HOPKINS ALL CHILDREN'S HOSPITAL, INC. RECOGNIZED $3,147,462 OF FUNDING FROM THE EMPLOYEE RETENTION CREDIT (ERC) ADMINISTERED BY THE INTERNAL REVENUE SERVICE, AN AGENCY OF THE U.S. TREASURY DEPARTMENT DURING FY23. THIS AMOUNT HAS BEEN RECOGNIZED AS GRANT REVENUE ON PART I, LINE 8 OF THE ORGANIZATION'S FORM 990. FORM 990, PART V, QUESTION 2A ALL COMPENSATION OF JOHNS HOPKINS ALL CHILDREN'S HOSPITAL EMPLOYEES IS PAID THROUGH ALL CHILDREN'S HEALTH SYSTEM, INC. USING ITS FEDERAL TAX ID NUMBER. THIS IS KNOWN AS A COMMON PAYMASTER AGREEMENT. EMPLOYEES OF ALL CHILDREN'S HEALTH SYSTEM AND ITS OTHER SUBSIDIARIES ARE ALSO PAID THROUGH THE SAME AGREEMENT. FORM 990, PART VI, SECTION A, LINE 6 THE JOHNS HOPKINS HEALTH SYSTEM CORPORATION IS THE SOLE CORPORATE MEMBER OF JOHNS HOPKINS ALL CHILDREN'S HOSPITAL, INC. FORM 990, PART VI, SECTION A, LINE 7A THE JOHNS HOPKINS HEALTH SYSTEM CORPORATION, A IRC 501(C)(3) TAX EXEMPT SOLE MEMBER OF JOHNS HOPKINS ALL CHILDREN'S HOSPITAL, INC. ELECTS THE BOARD OF TRUSTEES. FORM 990, PART VI, SECTION A, LINE 7B THE GOVERNING BODY OF JOHNS HOPKINS ALL CHILDREN'S HOSPITAL, INC. IS EMPOWERED BY ITS BYLAWS TO MAKE CERTAIN DECISIONS; ALL OTHER DECISIONS ARE SUBJECT TO APPROVAL OF THE SOLE MEMBER, THE JOHNS HOPKINS HEALTH SYSTEM CORPORATION. FORM 990, PART VI, SECTION B, LINE 11B A COPY OF THE FORM 990 IS PROVIDED ELECTRONICALLY TO THE ORGANIZATION'S GOVERNING BODY BEFORE IT IS FILED. THE FORM 990 IS PROVIDED TO THE ORGANIZATION'S TRUSTEES AND APPROPRIATE OFFICERS, WHO ARE GIVEN THE OPPORTUNITY TO ASK QUESTIONS AND PROVIDE FEEDBACK BEFORE THE FORM 990 IS FILED. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT-OF-INTEREST POLICY IS A PART OF THE ANNUAL DISCLOSURE STATEMENT PROCESS. ALL OFFICERS, DIRECTORS, TRUSTEES, AND KEY EMPLOYEES ARE REQUIRED TO REPORT ANY CONFLICTS OF INTEREST AND TO COMPLY WITH THE CONFLICT-OF-INTEREST POLICY. CONFLICTS OF INTEREST ARE DETERMINED AT A HEALTH SYSTEM LEVEL AND INCLUDE THE ORGANIZATION AND ALL OF ITS AFFILIATES. THE ORGANIZATION LEGAL DEPARTMENT IS RESPONSIBLE FOR REVIEWING ALL THE ACTUAL OR POTENTIAL CONFLICTS OF INTERESTS AND FOR DETERMINING APPROPRIATE ACTION TO ELIMINATE OR MANAGE THE CONFLICT OF INTEREST. IF A CONFLICT ARISES, THE AFFECTED MEMBER MUST (1) REFRAIN FROM ANY ATTEMPTS TO EITHER DIRECTLY OR INDIRECTLY INFLUENCE THE DECISION MAKING PROCESS IN WHICH THERE EXISTS A POTENTIAL FOR CONFLICTS OF INTEREST; (2) REFRAIN FROM PARTICIPATING IN ANY DISCUSSIONS LEADING TO THE APPROVAL OR DISAPPROVAL OF THE TRANSACTION CREATING THE CONFLICT, EXCEPT TO DISCLOSE MATERIAL FACTS RELATING TO THE CONFLICT; AND (3) ABSTAIN FROM VOTING ON THE TRANSACTION CREATING THE CONFLICT OR TRANSMITTING ANY OTHER OPINION, INCLUDING NOT BEING PRESENT IN THE ROOM WHEN THE VOTE IS TAKEN, UNLESS THE VOTE IS BY SECRET BALLOT. FURTHERMORE, THE ORGANIZATION'S INTERMEDIATE SANCTIONS TRANSACTION REVIEW COMMITTEE REVIEWS AND DETERMINES WHETHER A PROPOSED TRANSACTION BETWEEN A TRUSTEE, OFFICER, KEY EMPLOYEE OR DISQAULIFIED PERSON AND THE ORGANIZATION WOULD CREATE AN EXCESS BENEFIT TO SUCH TRUSTEE, OFFICER, KEY EMPLOYEE OR A DISQAULIFIED PERSON, OR WHETHER SUCH PROPOSED TRANSACTION QUALIFIES FOR A REBUTABLE PRESUMPTION AGAINST EXCESS BENEFIT. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION COMMITTEE OF THE BOARD OF JOHNS HOPKINS MEDICINE, ON BEHALF OF THE ORGANIZATION, REVIEWS THE PERFORMANCE AND APPROVES THE COMPENSATION OF THE OFFICERS AND KEY PERSONNEL OF THE ORGANIZATION. IN REVIEWING AND APPROVING COMPENSATION, THE COMMITTEE RELIES ON APPROPRIATE MARKET DATA FOR COMPARABLE JOBS IN ORGANIZATIONS, AND ENSURES THAT SUCH DATA INDICATES THE COMPENSATION ORDINARILY PROVIDED BY SIMILARLY SITUATED ORGANIZATIONS, UNDER LIKE CIRCUMSTANCES. DELIBERATIONS AND DECISIONS OF THE COMMITTEE REGARDING THE COMPENSATION ARRANGEMENTS ARE DOCUMENTED IN THE FORM OF MINUTES OF COMMITTEE MEETINGS, AND COPIES OF ALL COMPARABILITY DATA AND REPORTS RETAINED. FORM 990, PART VI, SECTION C, LINE 19 JOHNS HOPKINS ALL CHILDREN'S HOSPITAL, INC. MAKE ITS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: CHANGE IN NET ASSETS 535,671. INTEREST EXPENSE ON SWAP AGREEMENT -961,945. NON-OPERATING SERVICES -6,000,000. CHANGE IN MARKET VALUE OF INTEREST RATE SWAPS 5,717,938. TRANSFER BETWEEN AFFILIATES 50,446. 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