2024-05-10T11:11:45-05:00 2023-06-30 205991824 SC&H GROUP INC 910 RIDGEBROOK ROAD SPARKS MD 21152 990 2022-07-01 520607971 KENNEDY KRIEGER CHILDREN'S HOSPITAL INC KENN 4439239200 707 N BROADWAY BALTIMORE MD 21205 MICHAEL J NEUMAN SVP OF FINANCE 4439231810 2024-05-07 1 MICHAEL NEUMAN XXX-XX-XXXX 0 LORI S BURGHAUSER P00370694 4104031500 2024-05-07 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z BRAD L SCHLAGGAR MD PHD 707 N BROADWAY BALTIMORE MD 21205 227656028 0 X WWW.KENNEDYKRIEGER.ORG X 1937 MD TO IMPROVE THE LIVES OF CHILDREN AND ADOLESCENTS WITH PEDIATRIC DEVELOPMENTAL DISABILITIES AND OTHER NEUROLOGICAL ISSUES. 12 10 2230 133 0 0 10157775 7681364 191334672 219591909 280052 184188 756171 198567 202528670 227656028 360000 360000 0 0 150717957 167251691 0 0 0 50433164 57183875 201511121 224795566 1017549 2860462 108407233 110794168 49051330 41892637 59355903 68901531 X KENNEDY KRIEGER CHILDREN'S HOSPITAL (KKCH) OFFERS CLINICAL PROGRAMS TO MEET THE SPECIALIZED NEEDS OF CHILDREN AND ADOLESCENTS WITH DEVELOPMENTAL DISABILITIES. MORE THAN 35 DIFFERENT OUTPATIENT PROGRAMS AND FOUR INPATIENT UNITS ADDRESS THE SPECIFIC CONDITIONS OF CHILDREN WITH A WIDE RANGE OF DISORDERS. KKCH IS RECOGNIZED FOR THE RANGE OF SERVICES IN AREAS INCLUDING AUTISM, CEREBRAL PALSY, SPINA BIFIDA, NEUROREHABILITATION, SPINAL CORD INJURY AND FEEDING DISORDERS. AS A PROVIDER OF SPECIALTY PEDIATRIC HEALTHCARE SERVICES, KKCH IS VIEWED AS A "NICHE" PROVIDER. MANY SERVICES PROVIDED AT KKCH ARE NOT DUPLICATED THROUGHOUT THE GENERAL HEALTHCARE SYSTEM IN THE CITY, REGION OR WORLD. 0 0 146915204 360000 171136146 OUTPATIENT PROGRAMSPATIENTS ARE SEEN ON AN OUTPATIENT BASIS IN ONE OF MORE THAN 35 DIFFERENT CLINICS. A CHILD MAY BE SEEN BY A SINGLE PROFESSIONAL OR AN INTERDISCIPLINARY TEAM DEPENDING UPON THE NATURE OF THE CHILD'S NEEDS. CLINICS PROVIDE DIAGNOSTIC AND TREATMENT SERVICES IN THE FOLLOWING AREAS: ASSISTIVE TECHNOLOGY, ATAXIA TELAGIECTASIA, AUDIOLOGY, BEHAVIOR MANAGEMENT, BOTULINUM TOXIN TREATMENT, AUTISM AND RELATED DISORDERS, DEVELOPMENT AND LEARNING PROBLEMS, GENETIC MUSCLE DISORDERS, CEREBRAL PALSY, FEEDING DISORDERS, DEVELOPMENTAL COGNITIVE NEUROLOGY, DOWN SYNDROME, ENVIRONMENT HEALTH PROBLEMS, FRAGILE X, HOLOPROSENCEPHALY, SPINAL CORD INJURIES, MOVEMENT DISORDERS, NICU FOLLOW-UP, NEUROGENETICS, NEUROPHYSIOLOGY, NUTRITION, OCCUPATIONAL THERAPY, ORTHOPEDICS, OSTEOGENESIS IMPERFECT, CHILD PSYCHIATRY, REHABILITATION, PHYSICAL THERAPY, SOCIAL WORK AND SPEECH AND LANGUAGE. 50126950 0 48455763 INPATIENT PROGRAMS ARE MADE UP OF 3 UNITS:THE NEUROBEHAVIORAL UNIT (NBU) PROVIDES SERVICES FOR INDIVIDUALS WITH DEVELOPMENTAL DISABILITIES WHO ARE SELF-INJURIOUS, AGGRESSIVE AND DISPLAY OTHER SEVERE BEHAVIORS.THE PEDIATRIC FEEDING DISORDERS UNIT (PFDU) SERVES CHILDREN WITH SEVERE FEEDING PROBLEMS. MEDICAL ASSESSMENTS, NUTRITIONAL MONITORING, ORAL MOTOR ASSESSMENTS AND INTENSE BEHAVIORAL INTERVENTIONS CAN BE CONDUCTED.THE PEDIATRIC REHABILITATION UNIT (PRU) OPERATES ONE OF THE MOST SUCCESSFUL NEUROREHABILITATION PROGRAMS IN THE WORLD AND INCLUDES THE BRAIN INJURY PROGRAM AND THE INTERNATIONAL SPINAL CORD INJURY PROGRAM. 5190487 0 198567 PROFESSIONAL TRAINING PROGRAMSKENNEDY KRIEGER DEDICATES SUBSTANTIAL RESOURCES TO INCREASING THE NUMBER OF QUALIFIED SPECIALISTS IN THE FIELDS OF NEUROLOGICAL AND DEVELOPMENTAL DISABILITIES. WE ALSO TAKE SERIOUSLY OUR RESPONSIBILITY NOT ONLY TO IMPROVE CARE THROUGH RESEARCH, BUT TO SHARE THAT KNOWLEDGE WITH OTHERS. THAT IS WHY MORE THAN 400 INDIVIDUALS COME HERE TO TRAIN IN A WIDE VARIETY OF DISCIPLINES EACH YEAR. THE GOALS OF THE INSTITUTE'S CLINICAL TRAINING PROGRAMS ARE TWOFOLD: 1) TO TRAIN LEADERS IN THE FIELD OF NEURODEVELOPMENTAL DISABILITIES AND 2) TO HELP ENSURE THAT THERE IS A SUFFICIENT NUMBER OF QUALIFIED PROFESSIONALS TO MEET THE NEEDS OF CHILDREN WITH SPECIAL HEALTH CARE NEEDS AND THEIR FAMILIES. BY TRAINING FUTURE GENERATIONS OF RESEARCHERS AND PROFESSIONALS FROM UNDERGRADUATE STUDENTS TO CURRENT STAFF WE ARE ENSURING THAT CHILDREN EVERYWHERE CAN RECEIVE THE BEST POSSIBLE CARE. 202232641 1 1 0 1 0 0 0 0 0 0 0 1 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 56 0 2230 1 0 0 0 0 0 0 0 0 0 0 0 0 X 12 10 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 MD X MICHAEL J NEUMAN 4439231810 1741 ASHLAND AVE 7TH FLOOR BALTIMORE MD 21205 BRADLEY L SCHLAGGAR MD PHD PRESIDENT & CEO 23.00 17.00 X X 572546 385313 45923 NANCY S GRASMICK ED D CHAIRWOMAN 1.00 15.00 X 0 86180 9480 RONALD PETERSON VICE CHAIRMAN 1.00 6.00 X 0 0 0 THOMAS BROOKS DIRECTOR 1.00 2.00 X 0 0 0 RICHARD W CASS DIRECTOR 1.00 5.00 X 0 0 0 IKECHUKWU TONY CHUKUKA DIRECTOR 1.00 2.00 X 0 0 0 RICHARD J HIMELFARB DIRECTOR 1.00 2.00 X 0 0 0 RENEE R JENKINS MD FAAP DIRECTOR 1.00 2.00 X 0 0 0 STEPHEN M KEELTY DIRECTOR 1.00 2.00 X 0 0 0 MAYNARD MCALPIN DIRECTOR 1.00 2.00 X 0 0 0 ANDREW H SEGAL MD DIRECTOR 1.00 3.00 X 0 0 0 ROBERT L SLOAN DIRECTOR 1.00 1.00 X 0 0 0 JAMES M ANDERS JR SEC., ADMINISTRATOR & COO 23.00 17.00 X 570721 384084 36156 MICHAEL J NEUMAN TREASURER 23.00 17.00 X 307104 206676 35531 SEYED ALI FATEMI MD MBA CHIEF MEDICAL OFFICER 20.00 20.00 X 284929 284929 19518 JACQUELINE STONE CHIEF CLINICAL OFFICER 27.00 13.00 X 293731 146646 35556 VALARIE BONHAM VP GENERAL COUNSEL 23.00 17.00 X 208916 140598 43581 RAYMOND SHORT SVP OF HUMAN RESOURCES 23.00 17.00 X 276134 185833 51348 MICHAEL F CATALDO PHD SVP & PROGRAM DIRECTOR 30.00 10.00 X 556824 0 29778 MICHELLE MELICOSTA PRESIDENT OF MEDICAL STAFF 39.00 1.00 X 308145 0 51349 CARMEN LOPEZ-ARVISU MD FORMER PRESIDENT OF MEDICAL STAFF 40.00 0.00 X 305262 0 15256 SUZANNE RYBCZYNSKI MD ASSOC CHIEF MEDICAL OFFICER 40.00 0.00 X 399384 0 48499 REBECCA LANDA VICE PRESIDENT PROFESSOR 40.00 0.00 X 374647 0 35694 MELISSA TROVATO PROGRAM DIRECTOR 40.00 0.00 X 334024 0 28201 LOUIS HAGOPIAN PHD PROGRAM DIRECTOR 40.00 0.00 X 337513 0 50092 JAY SALPEKAR DIRECTOR, ASSOC PROFESSOR 40.00 0.00 X 361857 0 15062 HAROLYN BELCHER MD MHS FORMER PRES MED STAFF/PROGRAM DIR 40.00 0.00 X 288174 0 18610 PAUL LIPKIN FORMER PRES MED STAFF/PROGRAM DIR 40.00 0.00 X 287601 0 34897 CRISTINA SADOWSKY FORMER PRES MED STAFF/PROGRAM DIR 40.00 0.00 X 282985 0 35043 6350497 1820259 639574 312 1 1 0 JOHNS HOPKINS UNIVERSITY 3400 N CHARLES STREET BALTIMORE MD 21218 MEDICAL SERVICES 10822988 RESPITECH MEDICAL INC 250 RANCK AVE LANCASTER PA 17602 PROFESSIONAL SERVICES 1734278 EPIC SYSTEM 1979 MILKY WAY VERONA WI 31942 PROFESSIONAL SERVICES 1129718 INSIGHT DIRECT USA INC PO BOX 731069 DALLAS TX 75373 SOFTWARE SUPPORT SERVICES 344312 CONVERGEONE INC NW 5806 PO BOX 1450 MINNEAPOLIS MN 55485 SOFTWARE SUPPORT SERVICES 333673 13 2223028 5405017 53319 7681364 OUTPATIENT SERVICES 624100 171136146 171136146 INPATIENT SERVICES 624100 48455763 48455763 219591909 184188 184188 REIMBURSABLE COSTS REVENUE 900099 104328 104328 MEDICAL RECORD FEES 900099 30481 30481 INTERCOMPANY REVENUES 900099 25661 25661 38097 38097 198567 227656028 219790476 0 184188 360000 360000 3941212 3941212 947309 318028 629281 127741302 120685517 7055785 7557926 7048762 509164 17966261 16448007 1518254 9097681 8322633 775048 262261 63723 198538 16064 16064 64011 64011 15396305 13394360 2001945 493917 213420 280497 8713421 7252878 1460543 850312 591391 258921 26306659 24312289 1994370 711951 649987 61964 54550 54550 903390 903390 PERMITS AND LICENSES 676484 492678 183806 PROFESSIONAL DVLPMT 505826 443842 61984 NON-CAPITAL EQUIPMENT 341472 309523 31949 REPAIRS AND MAINTENANCE 339198 339198 1548054 986405 561649 224795566 202232641 22562925 0 14331288 8849314 457072 18785009 25135835 3296379 4209032 7008407 7890596 64986150 64252319 108407233 110794168 41700509 38260842 7350821 3631795 49051330 41892637 X 54103932 61820145 5251971 7081386 59355903 68901531 108407233 110794168 X 2860462 390829 6294337 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 0 1 64011 0 1 47382 111393 0 PART II-B, LINE 1: KENNEDY KRIEGER INSTITUTE, INC. PAYS IT'S LOBBYIST THORN RUN PARTNERS TO DIRECTLY CONTACT LEGISLATORS ON MATTERS AFFECTING HEALTH CARE, EDUCATION, COMMUNITY SERVICES, AND RESEARCH PROGRAMS. A PORTION OF THIS EXPENSE ($60,000) HAS BEEN ALLOCATED TO THIS ENTITY. THE ORGANIZATION PAYS DUES TO MARYLAND HOSPITAL ASSOCIATION AND NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS. A PORTION OF THESE DUES ($4,011) ARE USED FOR LOBBYING ACTIVITIES. EMILY ARNESON PERFORMS STATE LOBBYING ACTIVITIES AS AN EMPLOYEE. A PORTION OF HER COMPENSATION ($47,382) HAS BEEN ALLOCATED TO LOBBYING EXPENSES FOR HER LOBBYING RESPONSIBILITIES ON BEHALF OF THE ORGANIZATION. 0 RESTRICTED ASSETS 7890596 F 7890596 DUE FROM AFFILIATES 59907385 PENSION ASSET 4344934 64252319 ACCRUED WORKERS COMPENSATION 845525 RETIREMENT LIABILTY 457(B) 2447981 CAPITAL LEASE OBLIGATION 338289 3631795 1 1 1 X 1 X 1 1 1 0 0 3639156 3639156 0.01620 88134494 83422178 4712316 0.02100 5828620 2848349 2980271 0.01330 97602270 86270527 11331743 0.05050 3091958 1025288 2066670 0.00920 4778215 3103078 1675137 0.00750 243825 243825 0.00110 8113998 4128366 3985632 0.01780 105716268 90398893 15317375 0.06830 2680690 1632801 1047889 0.00470 34099 34096 3 0.00000 2714789 1666897 1047892 0.00470 1 6195851 750000 2985044 2840713 144331 X 1 1 1 1 KENNEDY KRIEGER CHILDREN'S HOSPITAL INC 707 N BROADWAY BALTIMORE MD 21205 WWW.KENNEDYKRIEGER.ORG 30-036 X KENNEDY KRIEGER CHILDREN'S HOSPITAL INC 1 0 0 1 X X X X X X X X X 21 1 0 1 1 X KENNEDYKRIEGER.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENT X X 1 21 1 KENNEDYKRIEGER.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENT 0 1 X 200.000000000000 400.000000000000 X X X X 1 1 X X X X X 1 X HTTP://WWW.KENNEDYKRIEGER.ORG/FINANCIAL-ASSISTANCE X HTTP://WWW.KENNEDYKRIEGER.ORG/FINANCIAL-ASSISTANCE X HTTP://WWW.KENNEDYKRIEGER.ORG/FINANCIAL-ASSISTANCE X X X X X X 1 0 X X X 0 X X 0 0 KENNEDY KRIEGER CHILDREN'S HOSPITAL, INC PART V, SECTION B, LINE 3J: THE CHNA REPORT PROVIDED INFORMATION ON HEALTH DISPARITIES SPECIFIC TO THE POPULATION SERVED. KENNEDY KRIEGER CHILDREN'S HOSPITAL, INC PART V, SECTION B, LINE 5: INPUT FOR THIS CHNA WAS WIDESPREAD AND DIVERSE. THROUGH THE MARYLAND CENTER FOR DEVELOPMENTAL DISABILITIES (MCDD), MULTIPLE PROJECTS WERE ACCESSED. KENNEDY KRIEGER CHILDREN'S HOSPITAL CONDUCTED A VOICE OF THE CAREGIVER SURVEY LEAD BY THE MCDD, DIRECTOR OF TRAINING. THIS SURVEY TARGETED INPUT FROM FAMILIES CARING FOR PERSONS WITH DISABILITIES ACROSS MARYLAND; 209 VALID RESPONSES WERE OBTAINED IN THE LAST QUARTER OF CALENDAR YEAR 2021 AND THE FIRST QUARTER OF 2022. PEOPLE ON THE GO MARYLAND (POG) CONDUCTED MULTIPLE LEADERSHIP GROUP MEETINGS AND TRAINING WHERE INPUT WAS RECEIVED DIRECTLY FROM SELF-ADVOCATES ACROSS MARYLAND. THE MCDD'S COMMUNITY ADVISORY COUNCIL MEETS QUARTERLY AND INCLUDES REPRESENTATIVES FROM MANY MARYLAND AGENCIES SUCH AS MARYLAND DEPARTMENT OF HEALTH - DEVELOPMENTAL ABILITIES ADMINISTRATION AND THE DEPARTMENT OF AGING, MARYLAND STATE DEPARTMENT OF EDUCATION, THE DISABILITY NETWORK - DISABILITY RIGHTS MARYLAND, THE DEVELOPMENTAL DISABILITIES COUNCIL, THE MCDD, COMMUNITY ORGANIZATIONS ACROSS THE STATE, SELF-ADVOCATES, AND CAREGIVERS. INPUT INTO THE CHNA WAS RECEIVED THROUGH EXCHANGE OF INFORMATION AT MEETINGS AND A SUMMARY OF THE FINDINGS PRIOR TO PUBLICATION WAS PROVIDED AT THE MCDD/CAC MEETING IN JUNE 2022. THE CONSORTIUM OF CARE-EASTERN SHORE FOR CHILDREN/YOUTH WITH SPECIAL HEALTH CARE NEEDS MEETS QUARTERLY. KENNEDY KRIEGER HAS MULTIPLE REPRESENTATIVES THAT ATTEND THE MEETINGS REGULARLY. IN ADDITION, COORDINATION IS PROVIDED WHEN SPEAKERS ARE SOUGHT BY THE ENTITY FROM OUR PROVIDER BASE. KENNEDY KRIEGER CHILDREN'S HOSPITAL, INC PART V, SECTION B, LINE 6B: MARYLAND CENTER FOR DEVELOPMENTAL DISABILITIES (MCDD) KENNEDY KRIEGER CHILDREN'S HOSPITAL, INC PART V, SECTION B, LINE 7D: IN ADDITION TO DISSEMINATION OF THE CHNA ON THE HOSPITAL'S WEBSITE, THE REPORT WAS SHARED THROUGH MULTIPLE PRESENTATIONS INTERNALLY AT THE HOSPITAL TO INCLUDE A SUMMARY AND A LINK TO THE FULL REPORT FOR EXTERNAL DISSEMINATION. THE REPORT WAS SHARED INTERNALLY VIA BOARD MEETINGS, THE WEEKLY DIRECTORS' MEETING, INSTITUTE-WIDE MEETINGS, THE EMPLOYEE NEWSLETTER, AND THROUGH PAPER AND DIGITAL COPIES IN THE RESOURCE FINDER. THE REPORT WAS ALSO SHARED VIA KENNEDY KRIEGER INSTITUTE'S POTENTIAL MAGAZINE AND WITH THE COMMUNITY ADVISORY COUNCIL AT THE MCDD. KENNEDY KRIEGER CHILDREN'S HOSPITAL, INC PART V, SECTION B, LINE 11: THE CHNA IMPLEMENTATION PLAN OUTLINES THE ACTIONS THE INSTITUTE WILL TAKE TO ADDRESS THE NEEDS THAT WERE IDENTIFIED IN PARTNERSHIP WITH OTHERS ACROSS MARYLAND. SOME OF THE AREAS ARE ABLE TO BE ADDRESSED SOLELY BY KENNEDY KRIEGER WHILE OTHERS WILL REQUIRE PARTNERSHIP AND ALL WILL REQUIRE INPUT TO DETERMINE ACHIEVEMENTS FROM PATIENTS AND FAMILIES SERVED. FOR THE POPULATION SERVED IN MARYLAND AND BEYOND, ACCESS TO CARE AND ENSURING WE HAVE AN ADEQUATE NUMBER OF PROVIDERS IS A SIGNIFICANT NEED. KENNEDY KRIEGER CHILDREN'S HOSPITAL IS ADDRESSING THESE NEEDS BY IDENTIFYING EQUITY ACCESS TO SERVICES PROVIDED AS A HOSPITAL AND DEVELOPING SOLUTIONS FOR AREAS WHERE NEEDED. BUILDING THE CAPACITY OF SPECIALTY PROVIDERS IN ALL DISCIPLINE AREAS IS IMPORTANT. PROVIDERS ARE NOT BEING FULLY DEVELOPED THROUGH ACADEMIC PROGRAMS. EXPERIENTIAL TRAINING IS ESSENTIAL TO ENSURE HIGHLY KNOWLEDGEABLE AND TRAINED PROVIDERS ARE DEVELOPED. TO SUPPORT THE ESSENTIAL AREAS OF THE SOCIAL DETERMINANTS OF HEALTH, ADVOCACY SERVES TO HELP PATIENTS BETTER UNDERSTAND THEIR HEALTH, HOW TO IMPROVE THEIR HEALTH AND HEALTH OUTCOMES, AND THE SYSTEMS IN WHICH THEY MUST NAVIGATE TO ACCESS ALL SERVICES. FINALLY, THE PLAN INCLUDES STRATEGIES NECESSARY TO PROGRESS INTO ADULTHOOD. BY SUPPORTING AND ADVOCATING FOR IMPROVED HEALTH WE WANT TO SEE OUR PATIENTS REACH THE NEXT LEVEL AND THAT BEING ADULTHOOD AND INDEPENDENCE. AREAS NOT ADDRESSED FROM THE ASSESSMENT BUT CLEARLY NOTED AS NEEDS BY FAMILIES AND PROVIDERS ACROSS MARYLAND INCLUDE THE FRAGMENTATION OF BEHAVIORAL HEALTH AND MEDICAL SERVICES FOR CHILDREN AND YOUTH WITH MEDICAL AND BEHAVIORAL/MENTAL HEALTH NEEDS. THE ABILITY TO FULLY ADDRESS THESE ADDITIONAL NEEDS REQUIRES SERVICES AND PROFESSIONAL EXPERTISE OUTSIDE THE SCOPE OF THE MEDICAL AND BEHAVIORAL HEALTH PROFESSIONALS AT KENNEDY KRIEGER. WE ACCESS COMMUNITY SERVICES WHEN PATIENTS OR FAMILIES OF OUR PATIENTS ARE IN NEED OF SERVICES BEYOND OUR PROFESSIONAL SCOPE. KENNEDY KRIEGER CHILDREN'S HOSPITAL, INC PART V, SECTION B, LINE 13H: DURING INTAKE, ALL SELF-PAY PATIENTS ARE INFORMED THAT KENNEDY KRIEGER HAS A FINANCIAL ASSISTANCE POLICY. IN ADDITION, PATIENTS ARE INFORMED OF THE POLICY AT THE APPOINTMENT, REGISTRATION AND DURING THE BILLING PROCESS. KENNEDY KRIEGER CHILDREN'S HOSPITAL, INC PART V, SECTION B, LINE 15E: THE RESOURCE FINDER: HTTPS://WWW.KENNEDYKRIEGER.ORG/COMMUNITY/INITIATIVES/RESOURCE-FINDER PART I, LINE 3C: PATIENTS WHOSE FAMILY INCOME EXCEEDS THE THRESHOLDS FOR MEDICAL INDIGENCY ARE ELIGIBLE FOR CATASTROPHIC ASSISTANCE IF MEDICAL BILLS AFTER PAYMENT BY THIRD-PARTY PAYERS EXCEED 60% OF THE INDIVIDUAL OR FAMILY ANNUAL GROSS INCOME; OR PATIENTS WHOSE MEDICAL BILLS EXCEED 60% OF THE INDIVIDUAL OR FAMILY ANNUAL GROSS INCOME AND THAT INCOME EXCEEDS 400% OF THE FEDERAL POVERY GUIDELINES AND ARE UNABLE TO PAY THE REMAINING BALANCE ON THE BILL. PART I, LINE 7: LINE A - CHARITY CARE AND UNREIMBURSED MEDICAID WERE DETERMINED BY USING A COST TO CHARGE RATIO. THIS COST TO CHARGE RATIO WAS DETERMINED BASED UPON THE HOSPITAL'S COSTS AND CHARGES FROM ITS MEDICAID COST REPORT AND FURTHER DOCUMENTED THROUGH THE MARYLAND DEPARTMENT OF HEALTH AND MENTAL HYGIENE AGREEMENT WITH THE ORGANIZATION. ALL OF THE OTHER AMOUNTS WERE REPORTED AT COST UTILIZING THE ORGANIZATION'S COST ACCOUNTING SYSTEM. CHARITY CARE IS DETERMINED BY THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY AND IS BASED UPON COST. THE HOSPITAL USES THE FEDERAL POVERTY GUIDELINES (AS UPDATED ANNUALLY) IN DETERMINING FREE AND DISCOUNTED CARE. IN ADDITION, THE HOSPITAL CONSIDERS FREE OR DISCOUNTED CARE FOR THE MEDICALLY INDIGENT.LINE B - THE NET COMMUNITY BENEFIT FOR MEDICAID IS BASED UPON MEDICAID COSTS NET OF MEDICAID REIMBURSEMENT AND DISPROPORTIONATE SHARE REVENUE.LINE C - THE NET COMMUNITY BENEFIT FOR OTHER MEANS-TESTED PROGRAMS IS BASED UPON MEDICARE COSTS NET OF MEDICARE REIMBURSEMENT FROM THE FY 2023 MEDICARE COST REPORT.LINE E - COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS INCLUDE GRANTS, THE COST OF PATIENT TRANSPORTATION, AND THE COSTS OF PROVIDING GUEST RELATIONS AND TRAINING SERVICES.PATIENT TRANSPORTATION: A PRIORITY AREA IDENTIFIED ON THE KKCH CHNA IS ACCESS TO SERVICES. TRANSPORTATION IS AN ITEM THAT PRESENTS BARRIERS TO ACCESS TO CARE, EDUCATION AND EMPLOYMENT, ESPECIALLY FOR THOSE WITH DISABILITIES AND UNDERREPRESENTED GROUPS. KKCH CLINICAL PROGRAMS PROVIDE TRANSPORTATION FOR THOSE WHO HAVE NO OTHER RESOURCES TO GET TO AND FROM THEIR HEALTHCARE APPOINTMENTS AT THE FACILITY.KENNEDY KRIEGER INSTITUTE CONDUCTED MANY COMMUNITY HEALTH IMPROVEMENT SERVICES DURING THE FISCAL YEAR 2023. THE HOSPITAL PROVIDES VIRTUAL AND FAMILY GROUP PSYCHOTHERAPY. IN 2023, THE INSTITUTE PARTICIPATED WITH THE BROOKLYN COMMUNITY AND ENOCH PRATT LIBRARY AFTER THE BROOKLYN HOMES SHOOTING TO OFFER COUNSELING, ACCESS TO SERVICES, AND GROUP DISCUSSIONS TO SUPPORT FAMILIES AND THE COMMUNITY AFFECTED. PARTICIPATION IN SOCIAL AND RECREATIONAL ACTIVITIES IS OFTEN LACKING FOR CHILDREN AND ADULTS WITH DISABILITIES. OUR PROGRAMS COLLABORATE WITH COMMUNITY ENTITIES TO OFFER ACTIVITIES SUCH AS SAILING, BASKETBALL, SOCCER AND ORGANIZED TEAM SPORTS TO CHILDREN AND ADULTS WITH DISABILITIES THAT OTHERWISE MAY NOT BE ABLE TO ENGAGE IN SUCH ACTIVITIES. KENNEDY KRIEGER RUNS THE BENNETT CENTER, WHICH PROVIDES OPPORTUNITIES FOR CHILDREN AND YOUNG ADULTS AGES 5-18. THE BENNETT INSTITUTE PHYSICALLY CHALLENGED SPORTS AND RECREATION PROGRAM OFFERS DISABLED INDIVIDUALS THE CHANCE TO BE A PART OF THE BENNETT BLAZERS. ACTIVITIES OFFERED INCLUDE: AMBULATORY SPORTS, BOCCIA, HANDCYCLING, I-SKATE: DOROTHY HAMILL'S ADAPTIVE ICE SKATING PROGRAM, JUNIOR BASEBALL, MOTOR DEVELOPMENT, POWER SOCCER, RUNNING (FOR BALTIMORE RUNNING FESTIVAL PARTICIPANTS), SAILING, SITTING VOLLEYBALL, SLED HOCKEY, SWIMMING, TABLE TENNIS/POLYBAT, TENNIS, TRACK AND FIELD, WHEELCHAIR BASKETBALL, WHEELCHAIR FLOOR HOCKEY, WHEELCHAIR FOOTBALL, WHEELCHAIR LACROSSE, WHEELCHAIR RUGBY, AND WHEELCHAIR SOFTBALL. THE MCDD'S RESOURCE FINDER PROVIDES DIRECT ACCESS TO CONNECT COMMUNITY MEMBERS WITH RESOURCES. INPUT FROM INQUIRIES AND VOLUMES ARE USED TO DRIVE IDENTIFYING NEEDS IN THE TARGET AREA. THE RESOURCE FINDER RESPONDED TO 1,064 INQUIRIES, HELPING INDIVIDUALS FROM 29 STATES AND WASHINGTON, D.C., AND TWO COUNTRIES OUTSIDE THE UNITED STATES. OF THOSE SEEKING INFORMATION FROM THE RESOURCE FINDER, 93% REPORTED SATISFACTION WITH THE INFORMATION THEY RECEIVED.FOR FY23, THE TOP NEEDS IDENTIFIED THROUGH RESOURCE FINDER INQUIRIES: - REQUEST FOR SPECIALTY SERVICES (INCLUDING KENNEDY KREIGER) - REQUEST TO FURTHER UNDERSTAND DIAGNOSIS - INCREASE ACCESS TO RECREATIONAL RESOURCES - INCREASE ACCESS TO APPROPRIATE EDUCATION RESOURCES ACROSS THE AGE CONTINUUMPROJECT HEAL (HEALTH, EDUCATION, ADVOCACY, AND LAW) AT KENNEDY KRIEGER IS MARYLAND'S ONLY MEDICAL-LEGAL PARTNERSHIP AND A COMMUNITY-BASED PROGRAM OF THE MCDD. PROJECT HEAL PROVIDES ADVOCACY AND CIVIL LEGAL SERVICES FOR CHILDREN WITH INTELLECTUAL AND DEVELOPMENTAL DISABILITIES AND THEIR FAMILIES. PROJECT HEAL SIGNED ON TO 17 LEGISLATIVE TESTIMONIES DURING THE 2023 LEGISLATIVE SESSION. THE TESTIMONIES REFLECT THE INPUT FROM FAMILIES SERVED THROUGH REPRESENTATION AND LIMITED REPRESENTATION RELATED TO SPECIAL EDUCATION MATTERS; CASE CONSULTATION WITH KENNEDY KRIEGER PROVIDERS RELATED TO ADVICE THAT SUPPORTS ENGAGEMENT, ADVOCACY, AND SERVICE FOR PATIENTS AND FAMILIES; AND PROFESSIONAL AND COMMUNITY TRAINING FROM WHICH EVALUATION FEEDBACK IS RECEIVED THAT SUPPORTS AREAS OF NEED SPECIFIC TO THE POPULATION SERVED. PROJECT HEAL IS COMPRISED OF ATTORNEYS WHO PROVIDE FREE OR INCOME-ADJUSTED SERVICES TO PATIENTS AND FAMILIES ASSOCIATED WITH KENNEDY KRIEGER. PROJECT HEAL OFFERED 7 TRAININGS/PRESENTATIONS IN THE COMMUNITY DURING THE FISCAL YEAR. THE PRESENTATIONS DISSEMINATED INFORMATION SPECIFIC TO PROGRAM SERVICES AVAILABLE TO THE COMMUNITY AND A TRAINING ON GUARDIANSHIP AND LESS RESTRICTIVE ALTERNATIVES. KENNEDY KRIEGER HAS IMPLEMENTED A ROBUST ACCESSIBILITY INITIATIVE TO CREATE OPPORTUNITIES THAT PRODUCE HIGH QUALITY, HIGH USABLE LEARNING EXPERIENCES FOR FACULTY, STAFF, AND OUR PATIENTS AND THEIR FAMILIES. THE TEAM IS CURRENTLY ENGAGED IN DEVELOPING A LEARNING MANAGEMENT THROUGH CANVAS THAT WILL SERVE TO BUILD CAPACITY AMONGST INTERNAL PROVIDERS, STAFF AND THEN NEXT STEPS ACROSS MARYLAND'S COMMUNITY. THE LEADERSHIP GROUP MEETS WEEKLY WITH SUBGROUPS MEETING QUARTERLY.KENNEDY KRIEGER CONDUCTS AN ANNUAL NATIONAL CONFERENCE, ROOM TO GROW: JOURNEY TO CULTURAL AND LINGUISTIC COMPETENCY TO SUPPORT CAPACITY BUILDING AND FURTHER RECRUIT SPECIALTY PROVIDERS. FOR FY23, THE CONFERENCE WAS HELD ON SEPTEMBER 20,2022 WITH 312 PARTICIPANTS.LINE F - KKCH PROVIDED EXTENSIVE EDUCATION FOR HEALTH PROFESSIONALS THROUGH MULTIPLE PROGRAMMING ACROSS THE INSTITUTE, WHICH ACCOUNT FOR ALMOST 50% OF ALL EDUCATION PROVIDED. THE DISTRIBUTION OF PARTICIPANT TYPES WHO HAVE ENGAGED IN HEALTH PROFESSIONS EDUCATION IS DIVERSE AND SIGNIFICANT. OVER 15 YEARS AGO, WE OPENED MANY OF OUR HEALTH PROFESSION TRAININGS TO PATIENTS, FAMILIES, AND THE COMMUNITY, IN ADDITION TO HEALTH PROFESSIONALS. THE INTEGRATED AUDIENCE HAS ALLOWED GREATER PERSPECTIVES IN LEARNING AND ROBUST DISCUSSIONS AND LEARNING. WHILE SEVERAL EDUCATIONAL EVENTS WERE REPEATED TO ALLOW GREATER ACCESS, WE OFFERED OVER 600 UNIQUE EVENTS. DURING FISCAL YEAR 2023, THE ORGANIZATION OFFERED TRAINING TO APPROXIMATELY 1,000 TRAINEES AT VARIOUS LEVELS - UNDERGRADUATE, GRADUATE, PRE- & POST-DOCTORAL, AND FELLOWSHIP RESIDENCIES. LINE I - CASH AND IN-KIND CONTRIBUTIONS FROM THE HOSPITAL PROVIDE FUNDING FOR ACTIVITIES TO ACHIEVE THE MISSION OF THE HOSPITAL. PART II, COMMUNITY BUILDING ACTIVITIES: THIS NARRATIVE CORRESPONDS TO PARTS I AND II. SEE ADDITIONAL NARRATIVE FOR COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATION IN PART VI, LINE 5.COMMUNITY BUILDING ACTIVITIES CONDUCTED DURING FY 2023 INCLUDE THE FOLLOWING:LEADERSHIP DEVELOPMENT: PEOPLE ON THE GO (POG) IS A STATEWIDE SELF-ADVOCACY GROUP THAT FUNCTIONS AS A PARTNERSHIP BETWEEN THE MARYLAND DEVELOPMENTAL DISABILITIES COUNCIL AND THE MARYLAND CENTER FOR DEVELOPMENTAL DISABILITIES (MCDD) AT KENNEDY KRIEGER INSTITUTE. POG CONTRIBUTES TO THE MCDD CORE FUNCTION OF COMMUNITY SERVICE AND TECHNICAL ASSISTANCE AND INFORMATION DISSEMINATION. IT IS A GROUP RUN FOR AND BY THOSE WITH INTELLECTUAL AND/OR DEVELOPMENTAL DISABILITIES. POG REPRESENTS THE VOICE OF THE MARYLAND POPULATION SERVED BY KENNEDY KRIEGER. POG DRIVES LEGISLATIVE CHANGES IN MARYLAND THAT ENHANCE THE HEALTH AND WELLNESS OF PEOPLE WITH DISABILITIES. POG HAS WORKED TO INFORM ELECTED OFFICIALS OF COMMUNITY AND WORKFORCE NEEDS THROUGH THEIR ACTIVE PARTICIPATION IN MARYLAND LEGISLATIVE SESSIONS (TYPICALLY FROM JANUARY INTO APRIL) ANNUALLY. MEETINGS ALSO ADVISED AND TRAINED SELF- ADVOCATES TO SPEAK TO THEIR LEGISLATORS. TIP SHEETS AND OTHER RESOURCES WERE DEVELOPED FOR COMMUNITY MEMBERS TO ASSIST IN LEGISLATIVE INVOLVEMENT. IN 2023, POG CONDUCTED 2 TRAININGS FOCUSED ON THE LEGISLATIVE PROCESS; ADDITIONALLY, POG HELD 14 LEGISLATIVE POLICY COMMITTEE MEETINGS THAT INCLUDED ON AVERAGE 14 MEMBERS IN ATTENDANCE FOR EACH MEETING. DURING THE COMMITTEE MEETINGS SELF-ADVOCATES DISCUSSED LEGISLATION THAT WOULD IMPACT THE MARYLAND COMMUNITY. POG HELD LEGISLATIVE POLICY COMMITTEE MEETINGS. MEMBERS MET AND DISCUSS THE LEGISLATIVE SESSION TO ACTIVELY WORK ON MARYLAND'S LEGISLATIVE POLICIES TO ADVOCATE FOR CHANGES OR NEW POLICIES TO BETTER THE CONSTITUENTS. POG'S PUBLIC POLICY ASSISTANT FACILITATES THE LEGISLATIVE PUBLIC POLICY COMMITTEE. THESE COMMITTEE MEETINGS AVERAGE 14 ATTENDEES PER WEEK AND TESTIFIED ON MANY PIECES OF LEGISLATION: - 14 TESTIMONIES--6 ORAL AND 8 WRITTEN - 1 LETTER OF INFORMATION FOR HB1176 (9-1-1 REGISTRY BILL) - 9 WRITTEN TESTIMONIES IN COLLABORATION WITH OTHER DISABILITY ORGANIZATIONS PEOPLE ON THE GO MARYLAND (POG) CONDUCTED MULTIPLE, SOME WEEKLY, LEADERSHIP GROUP MEETINGS AND TRAININGS WHERE INPUT WAS RECEIVED DIRECTLY FROM SELF-ADVOCATES ACROSS MARYLAND. SELF-ADVOCATES LAUNCHED A NEW POLLING SYSTEM IN 2023 TO GATHER DATA IN VIRTUAL ENVIRONMENTS. THE POLLS WERE NEW AND DID NOT REFLECT FULL PARTICIPATION, BUT THE DATA GATHERED REVEALED THE FOLLOWING: - AFTER PARTICIPATION IN MARYLAND DEVELOPMENTAL DISABILITIES COUNCIL SUPPORTED ACTIVITIES, THE PERCENT OF PEOPLE WITH DEVELOPMENTAL DISABILITIES WHO REPORT INCREASING THEIR ADVOCACY AS A RESULT OF COUNCIL WORK= 13 - THE NUMBER OF PWDD WHO RESPONDED THAT THEY ARE 'BETTER ABLE TO SAY WHAT THEY WANT, ETC= 10 - THE NUMBER OF PWDD WHO RESPONDED THAT THEY ARE 'PARTICIPATING NOW IN ADVOCACY ACTIVITIES= 10 - THE NUMBER OF PEOPLE WITH DEVELOPMENTAL DISABILITIES SATISFIED WITH A PROJECT ACTIVITY= 13 - THE PERCENT OF PEOPLE WITH DEVELOPMENTAL DISABILITIES SATISFIED WITH A PROJECT ACTIVITY= 100%COMMUNITY HEALTH ADVOCACY: THE MARYLAND DEPARTMENT OF DEVELOPMENTAL DISABILITIES (MCDD) IS MARYLAND'S UNIVERSITY CENTERS FOR EXCELLENCE IN DEVELOPMENTAL DISABILITIES, PART OF A NATIONAL NETWORK, FUNDED BY THE ADMINISTRATION ON INTELLECTUAL AND DEVELOPMENTAL DISABILITIES. THE MCDD'S MISSION IS TO PROVIDE LEADERSHIP THAT ADVANCES THE INCLUSION OF PEOPLE WITH INTELLECTUAL, DEVELOPMENTAL, AND OTHER DISABILITIES. UCEDDS WORK TO IMPROVE THE LIVES OF PERSONS WITH DISABILITIES THROUGH FOUR CORE FUNCTIONS: INTERDISCIPLINARY PRE-SERVICE TRAINING AND CONTINUING EDUCATION, COMMUNITY SERVICE AND TECHNICAL ASSISTANCE, RESEARCH AND EVALUATION, AND INFORMATION SHARING/DISSEMINATION. THE MCDD INCLUDES VARIOUS PROGRAMS, PROJECTS, AND INITIATIVES THAT ADVOCATE FOR PEOPLE WITH INTELLECTUAL AND DEVELOPMENTAL DISABILITIES IN SOCIETY. THE PROGRAMS OF THE MCDD ADD VALUE AND INPUT FROM THE COMMUNITY SERVED BY KENNEDY KRIEGER. THE MCDD'S COMMUNITY ADVISORY COUNCIL (CAC) MEETS QUARTERLY AND INCLUDES REPRESENTATIVES FROM MANY MARYLAND AGENCIES - MARYLAND DEPARTMENT OF HEALTH - DEVELOPMENTAL ABILITIES ADMINISTRATION AND THE DEPARTMENT OF AGING, MARYLAND STATE DEPARTMENT OF EDUCATION, THE DISABILITY NETWORK - DISABILITY RIGHTS MARYLAND, THE DEVELOPMENTAL DISABILITIES COUNCIL, AND THE MCDD, COMMUNITY ORGANIZATIONS ACROSS THE STATE, SELF-ADVOCATES, AND CAREGIVERS. INPUT INTO THE CHNA WAS RECEIVED THROUGH EXCHANGE OF INFORMATION AT MEETINGS AND A SUMMARY OF THE FINDINGS PRIOR TO PUBLICATION WAS PROVIDED AT THE MCDD/CAC MEETING IN JUNE 2023. PART III, LINE 2: SEE NARRATIVE FOR PART III, LINE 4 PART III, LINE 3: SEE NARRATIVE FOR PART III, LINE 4 PART III, LINE 4: BASED UPON THE HOSPITAL'S BILLING AND COLLECTION POLICY, BAD DEBT EXPENSE IS RECORDED AT COST. AN ALLOWANCE FOR DOUBTFUL ACCOUNTS IS RECORDED FOR RECEIVABLES WHICH ARE ANTICIPATED TO BECOME UNCOLLECTIBLE IN FUTURE PERIODS. THE $750,000 OF BAD DEBT EXPENSE, VALUED AT COST, REPRESENTS THOSE ACCOUNTS WRITTEN OFF IN WHICH THE PATIENT WOULD HAVE QUALIFIED FOR THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY DUE TO THEIR INCOME LEVEL. PLEASE SEE PAGES 11 THROUGH 13 OF THE ATTACHED FINANCIAL STATEMENTS. PART III, LINE 8: THE MEDICARE ALLOWABLE COSTS OF CARE AMOUNTS WERE OBTAINED FROM THE FISCAL YEAR 2023 MEDICARE COST REPORT AND PROVIDER STATISTICAL REPORTS PROVIDED BY MEDICARE. PART III, LINE 9B: THE ORGANIZATION'S DEBT COLLECTION POLICY SPECIFICALLY ADDRESSES PATIENTS THAT QUALIFY FOR FINANCIAL ASSISTANCE. ONCE A PATIENT QUALIFIES FOR FINANCIAL NEED, THEIR FINANCIAL OBLIGATION IS REDUCED OR WRITTEN OFF BASED UPON THE FINANCIAL ASSISTANCE POLICY GUIDELINES. A SEPARATE FINANCIAL CLASS IS UTILIZED IN WHICH BILLS ARE NOT GENERATED. THESE ACCOUNTS ARE NOT PLACED WITH COLLECTION AND NO FURTHER DEBT COLLECTION EFFORTS ARE PURSUED. ADDITIONALLY, THE HOSPITAL DOES NOT CHARGE INTEREST, LATE FEES OR PENALTIES. FOR FAMILIES THAT MAY NOT HAVE SUFFICIENT COVERAGE TO ACCESS SERVICES AT KENNEDY KRIEGER, THEY ARE OFFERED ELIGIBILITY INFORMATION ON OUR FINANCIAL ASSISTANCE PROGRAM. PART VI, LINE 2: KENNEDY KRIEGER CREATED A CHNA TEAM IN 2020. THE TEAM INCLUDED A POPULATION HEALTH LEADER, TWO PROJECT MANAGERS, AND A RESEARCH COORDINATOR. THE ORGANIZATION ATTENDED MANY MEETINGS AND CONFERENCES VIRTUALLY DURING THE PANDEMIC. THE ENGAGEMENTS WITH COMMUNITY PARTNERS AND THROUGH THE COLLECTION AND ANALYSIS OF STATE, NATIONAL, AND PRIVATE DATA SOURCES RESULTED IN THE DEVELOPMENT OF THE IMPLEMENTATION PLAN. THE ORGANIZATION CONTINUES TO RELY ON PARTNERSHIPS THAT ALLOW US TO ACCESS AND SHARE DATA METRICS OVER THE YEARS THAT ASSIST ALL CORPORATE ENTITIES IN IDENTIFYING COMMUNITY NEEDS. PARTNERSHIPS HAVE ALLOWED INTERNAL AND EXTERNAL LEVERAGING OF RESOURCES TO PROVIDE AND ADVOCATE WITH THE SAME POPULATION: CHILDREN, ADOLESCENTS AND ADULTS WITH DISABILITIES AND THEIR FAMILIES. KEY ORGANIZATIONS THAT SHARED DATA INCLUDED: (1) KENNEDY KRIEGER'S MCDD; (2) DEVELOPMENTAL DISABILITIES COUNCIL; (3) DISABILITY RIGHTS MARYLAND; (4) MARYLAND EASTERN SHORE CONSORTIUM OF CARE; AND (5) MARYLAND LEGISLATIVE COMMUNITY, AMONG OTHERS.SIMULTANEOUSLY, THE INSTITUTE LAUNCHED A STRATEGIC PLANNING PROCESS IN WHICH THE WORK AND DATA FROM THE CHNA WAS USED TO ASSESS NEEDS, PRIORITIZE NEEDS, AND DEVELOP PLANS TO PROVIDE SERVICES TO THE POPULATION SERVED. THIS ALLOWED THE ORGANIZATION TO COLLECT AND ANALYZE DATA WITH INPUT FROM PERSONS SERVED AND CONSIDER DEVELOPMENT OF FUTURE PROGRAMS THAT WILL RESPOND TO THE NEEDS OF THE COMMUNITY. PART VI, LINE 3: ALL PATIENTS ARE INFORMED OF THEIR FINANCIAL RESPONSIBILITY PRIOR TO THEIR APPOINTMENT OR ADMISSION. IF THEY CANNOT MEET THIS RESPONSIBILITY, THEY ARE INFORMED OF THE FINANCIAL ASSISTANACE POLICY DURING PRE-ADMISSION, AT THE TIME OF THE APPOINTMENT, AT REGISTRATION AND BY PATIENT ACCOUNTING DURING THE BILLING AND COLLECTION PROCESS. THE FINANCIAL ASSISTANCE POLICY AND BILLING AND COLLECTION POLICIES ARE POSTED ON THE HOSPITAL'S WEBSITE AND AT INTERNAL CARE CENTERS ACROSS THE ORGANIZATION. THE HOSPITAL ALSO WORKS WITH FAMILIES TO EXPLORE QUALIFICATION FOR GOVERNMENT PROGRAMS OR OTHER FINANCIAL ASSISTANCE PROGRAMS. THE HOSPITAL HAS DEDICATED PATIENT FINANCIAL ASSISTANCE STAFF WHO WORK WITH PATIENTS AND THEIR FAMILIES WHO REQUIRE FINANCIAL ASSISTANCE. THE HOSPITAL HAS COMPLIED WITH THE REQUIREMENTS UNDER SECTION 501(R) FOR HOSPITALS UNDER THE AFFORDABLE CARE ACT. WRITTEN FINANCIAL ASSISTANCE POLICIES HAVE BEEN ESTABLISHED, REASONABLE EFFORTS ARE MADE TO DETERMINE IF AN INDIVIDUAL IS ELIGIBLE FOR FINANCIAL ASSISTANCE AND THE HOSPITAL DOES NOT EMPLOY EXTRAORDINARY COLLECTION EFFORTS.THE HOSPITAL HAS ON STAFF FINANCIAL COUNSELORS WHO CONSULT WITH FAMILIES REGARDING THEIR INSURANCE AUTHORIZATION, COVERAGE, RESPONSIBLE PORTION, AND A BENEFIT AND FINANCIAL SERVICE FOR FAMILIES AND PATIENTS. THE FINANCIAL COUNSELORS INFORM AND ASSIST FAMILIES IN UNDERSTANDING THEIR INSURANCE POLICY, FINANCIAL ASSISTANCE OPTIONS THROUGH THE HOSPITAL AND OTHER COMMUNITY RESOURCES THAT MAY BE AVAILABLE. IN ADDITION, THE RESOURCE FINDER IS AVAILABLE TO AID FAMILIES IN FINDING RESOURCES FOR NEEDED SERVICES OR EQUIPMENT NOT COVERED BY INSURANCE. SOME DEPARTMENTS ACROSS THE ORGANIZATION HAVE SECURED GRANTS OR BEEN THE RECIPIENT OF PHILANTROPIC FUNDS THAT ARE USED TO FILL IN THE GAP WHEN NEEDED SERVICES ARE NOT PARTIALLY OR FULLY COVERED BY INSURANCE. PART VI, LINE 4: KENNEDY KRIEGER INSTITUTE SERVES CHILDREN, ADOLESCENTS, AND ADULTS FROM MARYLAND, ACROSS THE UNITED STATES, AND INTERNATIONALLY. DATA FROM THE FISCAL YEARS 2019, 2020 AND 2021 INDICATE THAT 60 PERCENT OF ALL INPATIENT AND 87 PERCENT OF OUPATIENTS SERVED BY KENNEDY KRIEGER ARE MARYLAND RESIDENTS, ALTHOUGH GEOGRAPHIC DEMOGRAPHICS VARY SIGNIFICANTLY BY PROGRAM. THE HOSPITAL VIEWS THE STATE OF MARYLAND AS THE COMMUNITY IT SERVES. MARYLAND'S POPULATION IS ESTIMATED AT 6,037,624 AND RANKED AS THE 19TH LARGEST STATE POPULATION IN THE NATION. THE STATE COVERS 9,774 SQUARE MILES AND IS THE 5TH MOST DENSELY POPULATED STATE IN THE NATION WITH 595 PERSONS PER SQUARE MILE, YET THE STATE HAS RURAL, LESS DENSELY POPULATED AREAS IN THE SOUTHERN, WESTERN AND EASTERN SHORES. MARYLAND HAS 24 COUNTIES/COUNTY-EQUIVALENTS DIVIDED INTO FIVE REGIONS. EACH REGION IS DISTINCT AND COMPRISES POPULATIONS THAT HAVE FOCUSED NEEDS AND RESOURCES. KKCH IS LOCATED IN THE CENTRAL REGION, THUS ACCESS FROM PARTICULARLY SOUTHERN, WESTERN, AND EASTERN SHORE REGIONS PRESENTS AS A BARRIER.WITHIN MARYLAND COMMUNITIES, OVER 634,300 RESIDENTS HAVE A REPORTED DISABILITY (2015, CENSUS BUREAU). KKCH HELPS THE DEVELOPMENTALLY DISABLED POPULATION AND OTHERS WITH RELATED DISABILITIES SUCH AS SPINAL CORD INJURY, PERSONS WITH DEVELOPMENTAL DISABILITIES USE INDIVIDUALLY PLANNED AND COORDINATED SERVICES AND SUPPORTS OF THEIR CHOOSING (E.G., HOUSING, EMPLOYMENT, EDUCATION, CIVIL AND HUMAN RIGHTS PROTECTION, HEALTH CARE) TO LIVE IN AND TO PARTICIPATE IN ACTIVITIES IN THE COMMUNITY. KKCH IS LOCATED IN THE EAST BALTIMORE COMMUNITY. THE DISABILITY RATE OF SCHOOL-AGED CHILDREN ENROLLED IN PUBLIC SCHOOLS (US CENSUS, 2010) THAT HAVE A COGNITIVE DISABILITY (I.E., LEARNING DISABILITY, ADHD, ETC.) FOR THE BALTIMORE METROPOLITAN AREA IS 4.0% AND WITH A GENERAL DISABILITY RATE OF 5.3%. OUR CONTRIBUTIONS TO THE COMMUNITY TARGET A WIDE GEOGRAPHIC REACH MIRRORING OUR MARYLAND PATIENT POPULATION. KKCH SERVED PERSONS RANGING FROM LESS THAN ONE YEAR TO OVER 75 YEARS OF AGE. APPROXIMATELY 48% OF THE POPULATION SERVED ARE 11 YEARS AND OLDER. GENERALLY, KKCH SERVES ALMOST TWICE AS MANY MALES AS FEMALES. OUR TARGET POPULATION INCLUDES CHILDREN, ADOLESCENTS AND ADULTS WITH DISABILITIES AND THOSE AT THE HIGHEST RISK FOR DISORDERS OF THE NERVOUS SYSTEM. IN MARYLAND, 23.2% OF CHILDREN 0 TO 17 YEARS OF AGE HAVE A SPECIAL HEALTHCARE NEED, AS ADOPTED BY THE HEALTH RESOURCES AND SERVICES ADMINISTRATION. THESE INCLUDE CHILDREN AND YOUTH WHO, ALONG WITH THEIR FAMILIES, OFTEN NEED SERVICES FROM MULTIPLE SYSTEMS HEALTHCARE, PUBLIC HEALTH, EDUCATION, MENTAL HEALTH AND SOCIAL SERVICES. NARROWING THE FOCUS, WE KNOW THAT APPROXIMATELY 17% OF U.S. CHILDREN EXPERIENCE DEVELOPMENTAL DELAYS OR DISABILITIES, WHICH RANGE IN SEVERITY AND SCOPE FROM ISOLATED DELAYS IN ACHIEVING CERTAIN DEVELOPMENTAL MILESTONES TO FUNCTIONAL IMPAIRMENTS IN HEARING OR VISION, AS WELL AS DIAGNOSABLE LEARNING, EMOTIONAL AND BEHAVIORAL DISORDERS. PART VI, LINE 5: KENNEDY KRIEGER INSTITUTE PARTNERS WITH MULTIPLE AGENCIES ACROSS THE MARYLAND COMMUNITIES. SOME EXAMPLES OF OUR PARTNERSHIPS ARE:-BALTIMORE CITY COMMUNITY COLLEGE PROVIDING FREE ESL/GED TO OUR PARENTS.-BALTIMORE CITY HEALTH DEPARTMENT PROVING DENTAL SCREENING, FLUORIDE TREATMENT, AND REFERRALS TO OUR STUDENTS EVERY 3 MONTHS. -BMORE FOR HEALTHY BABIES - CITY WIDE INITIATIVE VIA THE FAMILY LEAGUE AND THE HEALTH DEPARTMENT ON THE EAST SIDE. BHB BRINGS TOGETHER COMMUNITIES, ORGANIZATIONS, AND RESOURCES SO THAT EVERY BABY MIGHT HAVE THE BEST START POSSIBLE. -COMMODORE JOHN ROGERS ELEMENTARY SCHOOL - PROVIDING CONTINUITY OF EDUCATIONAL SERVICES AS STUDENTS TRANSITION FROM EARLY HEAD START AND HEAD START. THEY ALSO TAKE CARE OF OUR FACILITIES/ MECHANICAL MAINTENANCE NEEDS.-JOHNS HOPKINS UNIVERSITY STUDENT OUTREACH RESOURCE CENTER (SOURCE) - COMMUNITY ENGAGEMENT AND SERVICE LEARNING CENTER FOR JHU STUDENTS, WHO WORK WITH COMMUNITY BASED ORGANIZATIONS THROUGH ACTIVITIES THAT PROMOTE HEALTH AND SOCIAL JUSTICE.-JUDY CENTER - TO PROVIDE A CENTRAL LOCATION FOR EARLY CHILDHOOD EDUCATION AND FAMILY SUPPORT SERVICES FOR CHILDREN FROM BIRTH TO KINDERGARTEN.-LIVING CLASSROOMS - COLLABORATING WITH HEAD START, JUDY CENTER, AND SEEHS TO ESTABLISH YEARLY GOALS OF PROMOTING STUDENT SCHOOL READINESS AND TRACKING CONTINUUM OF EARLY CHILDHOOD EDUCATION FROM BIRTH TO ELEMENTARY LEVEL.-MARYLAND FAMILY NETWORK - GRANTEE OF SEEHS. PROVIDING ONGOING SUPPORT OF PROGRAM STAFF AND PROGRAM ADMINISTRATION. -ST. VINCENT DE PAUL EARLY HEAD START/HEAD START - TO CREATE REFERRAL PARTNERSHIP, SOURCE OF RECRUITMENT FOR ESL AND GED PROGRAM, AND NETWORKING ACTIVITIES.-TURNAROUND TUESDAY - TO PREPARE "RETURNING" CITIZENS AND UNEMPLOYED CITIZENS TO REENTER THE WORKFORCE AND TO LEAD IN CREATING JOB OPPORTUNITIES IN BALTIMORE.-WOMEN, INFANTS, AND CHILDREN (WIC) - SUPPLEMENTAL FOODS, HEALTH CARE REFERRALS, AND NUTRITION EDUCATION FOR LOW-INCOME PREGNANT, BREASTFEEDING, AND NON-BREASTFEEDING POSTPARTUM WOMEN, AND TO INFANTS AND CHILDREN UP TO AGE FIVE.-YMCA - PROVIDING CONTINUITY OF EDUCATIONAL SERVICES AS STUDENTS TRANSITION FROM EARLY HEAD START AND HEAD START. THEY ALSO TAKE CARE OF OUR FACILITIES/ MECHANICAL MAINTENANCE NEEDS.KENNEDY KRIEGER PROVIDES TRAINING TO HEALTH PROVIDERS, FAMILIES, AND INDIVIDUALS WITH DISABILITIES ACROSS THE STATE. SINCE THE PANDEMIC, MOST TRAININGS HAVE OCCURRED VIRTUALLY, WHICH HAS OFFERED GREATER ACCESS TO MORE PEOPLE. KENNEDY KRIEGER IS INVOLVED IN THE COMMUNITY THROUGH EXHIBITING AT LOCAL HEALTH FAIRS, EXPOS, COMMUNITY PARTNERSHIPS, TRAININGS, AND MORE. SELECTED COMMUNITY EVENTS, ACTIVITIES, AND PROGRAMS ARE LISTED BELOW:1. THE ORGANIZATION PROVIDES IMMUNIZATION EVENTS OPEN TO THE COMMUNITY, INCLUDING COVID-19 AND INFLUENZA VACCINATIONS FOR FY 2023 BY MONTH/YEAR (VISIT): JULY 2022 (37), AUGUST 2022 (53), SEPTEMBER 2022 (31), OCTOBER 2022 (50), NOVEMBER 2022 (77), DECEMBER 2022 (36), JANUARY 2023 (46), FEBRUARY 2022 (30), MARCH 2023 (26), APRIL 2023 (23), MAY 2023 (31), JUNE 2023 (33)2. EARLY VOTING AND VOTING COMMUNICATIONS AND TRAINING TO ENSURE ACCESSIBILITY 3. BACK TO SCHOOL DRIVE PROVIDED 24 CLASSROOMS WITH SCHOOL SUPPLIES, INCLUDING BACKPACKS (OVER $5000 IN DONATION)4. THANKSGIVING CONTRIBUTIONS TO THE COMMUNITY FOOD AND GROCERY GIFT CARDS KENNEDY KRIEGER WAS ABLE TO PROVIDE 55 THANKSGIVING MEALS TO FAMILIES DURING 2 SEPARATE EVENTS AND LOCATIONS. OVER 30 STAFF WERE INVOLVED IN THE EVENT.5. THE ENOCH PRATT FREE LIBRARY & KENNEDY KRIEGER INSTITUTE COLLABORATION WAS FIRST EXPLORED IN MAY 2019. COMMITTEES FORMED FROM EACH INSTITUTION TO DISCUSS OPTIONS FOR WORKING TOGETHER TO INCREASE RESOURCE ACCESS TO THE FAMILIES WE BOTH SERVE. OPTIONS DISCUSSED INCLUDED SMALLER INITIATIVES, SUCH AS EXCHANGING PHYSICAL MATERIALS TO INFORM STAFF OF RESOURCES AVAILABLE AT BOTH LOCATIONS, AND LARGER INITIATIVES SUCH AS DEVELOPING A CURRICULUM TO OFFER ENOCH PRATT LIBRARIANS ADDITIONAL INFORMATION ON PROVIDING SERVICES TO PEOPLE WITH DISABILITIES, INCREASING ACCESS TO THE LIBRARY FOR KENNEDY KRIEGER FAMILIES, AND EXPANDING INTO LARGER, MORE COLLABORATIVE EVENTS AT BOTH INSTITUTIONS. 6. MCDD SUMMER LEARNING SERIES7. MCDD PROJECT HEAL TRAININGS8. OTHER MCDD TRAININGS 9. PROJECT ECHO10. UPDATED COUNTY RANKINGS11. 2023 KIDS COUNT DATA BOOK12. LEGISLATIVE MEETINGS13. MARYLAND COALITIONS AND COMMISSION MEMBERSHIPS14. SUICIDE PREVENTION AND AWARENESS IN THE INTELLECTUAL AND DEVELOPMENTAL DISABILITY COMMUNITY PART VI, LINE 6: KENNEDY KRIEGER INSTITUTE IS AN INTERNATIONALLY RECOGNIZED INSTITUTION LOCATED IN BALTIMORE, MARYLAND DEDICATED TO IMPROVING THE LIVES OF CHILDREN AND ADOLESCENTS WITH DEVELOPMENTAL DISABILITIES THROUGH PATIENT CARE, SPECIAL EDUCATION, RESEARCH, AND PROFESSIONAL TRAINING. OUR CLINICAL PROGRAMS OFFER AN INTERDISCIPLINARY APPROACH IN TREATMENT TAILORED TO THE INDIVIDUAL NEEDS OF EACH CHILD. SERVICES INCLUDE OVER 40 OUTPATIENT CLINICS; NEUROBEHAVIORAL, REHABILITATION, AND PEDIATRIC FEEDING DISORDERS INPATIENT UNITS; PLUS SEVERAL HOME AND COMMUNITY PROGRAMS PROVIDING SERVICES TO ASSIST FAMILIES. IN ADDITION TO PROVIDING EVALUATION, REHABILITATION, EDUCATIONAL SERVICES AND CUTTING EDGE RESEARCH ON BEHALF OF CHILDREN WITH BRAIN, SPINAL CORD AND MUSCULOSKELETAL RELATED DISORDERS, THE HOSPITAL ALSO PROVIDES PROFESSIONAL TRAINING INCREASING THE NUMBER OF QUALIFIED SPECIALISTS IN THE UNITED STATES AND ABROAD. THE FOLLOWING ARE SOME OF THE AFFILIATES OF KENNEDY KRIEGER AND A SUMMARY OF THEIR RESPECTIVE ROLES:KENNEDY KRIEGER FOUNDATION, INC. - THE ORGANIZATION SUPPORTS THE CHARITABLE, SCIENTIFIC AND EDUCATIONAL PURPOSES OF THE KENNEDY KRIEGER GROUP BY CONDUCTING FUNDRAISING, MANAGING ENDOWMENT FUNDS, AND DISTRIBUTING THE FUNDS RAISED TO KENNEDY KRIEGER INSTITUTE AFFILIATES.HUGO W. MOSER RESEARCH INSTITUTE AT KENNEDY KRIEGER, INC. - THE RESEARCH INSTITUTE IS AN INTERNATIONALLY RECOGNIZED RESEARCH FACILITY FINDING ANSWERS TO PROBLEMS AND INJURIES THAT AFFECT A CHILD'S DEVELOPING BRAIN. RESEARCHERS HAVE MADE MEDICAL DISCOVERIES ABOUT THE HUMAN BRAIN AND HAVE INFLUENCED TREATMENT PROGRAMS FOR THOUSANDS OF INDIVIDUALS WITH DISABILITIES. THE MANY STUDIES CURRENTLY BEING CONDUCTED IN AREAS SUCH AS LEARNING DISABILITIES, DOWN SYNDROME, ADRENOLEUKODYSTROPHY, CEREBRAL PALSY AND AUTISM WILL AFFECT AN ENTIRELY NEW GENERATION.KENNEDY KRIEGER EDUCATION & COMMUNITY SERVICES, INC. - THIS AFFILIATE OPERATES SPECIAL EDUCATION SCHOOLS FOR CHILDREN WITH SPECIAL EDUCATION NEEDS, AS WELL AS PROVIDES COMMUNITY OUTREACH PROGRAMS FOR FAMILIES WITH CHILDREN WITH SPECIAL NEEDS.PACT: HELPING CHILDREN WITH SPECIAL NEEDS, INC. - PACT PROMOTES THE DEVELOPMENT OF CHILDREN WITH SPECIAL NEEDS AND THEIR FAMILIES THROUGH COMPREHENSIVE ASSESSMENTS, EARLY INTERVENTION SERVICES, FAMILY SUPPORT SERVICES, PARENT EDUCATION, COUNSELING, SPECIALIZED CHILD CARE AND PROFESSIONAL TRAINING. PART VI, LINE 7, REPORTS FILED WITH STATES MD 0 PACT HELPING CHILDREN WITH SPECIAL NEEDS INC 7000 TUDSBURY ROAD BALTIMORE MD 21244 521230183 501(C)(3) 360000 0 TO HELP AID IN THE OPERATIONS OF PACT: HELPING CHILDREN WITH SPECIAL NEEDS, INC. 1 0 PART I, LINE 2: GRANTS ARE ONLY MADE TO RELATED ENTITIES TO SUPPORT CHARITABLE PURPOSES. X 1 1 X X X 0 0 0 0 0 0 0 0 0 BRADLEY L SCHLAGGAR MD PHD PRESIDENT & CEO 340173 228930 104006 69994 128367 86389 8204 5521 19246 12952 599996 403786 0 0 JAMES M ANDERS JR SEC., ADMINISTRATOR & COO 343453 231137 104006 69994 123262 82953 10939 7361 10673 7183 592333 398628 0 0 SEYED ALI FATEMI MD MBA CHIEF MEDICAL OFFICER 219084 219084 50000 50000 15845 15845 8080 8080 1679 1679 294688 294688 0 0 MICHAEL F CATALDO PHD SVP & PROGRAM DIRECTOR 344653 0 115000 0 97171 0 18300 0 11478 0 586602 0 0 0 MICHAEL J NEUMAN TREASURER 236104 158894 38853 26147 32147 21635 10923 7351 10315 6942 328342 220969 0 0 RAYMOND SHORT SVP OF HUMAN RESOURCES 190514 128212 26898 18102 58722 39519 10939 7361 19754 13294 306827 206488 0 0 JACQUELINE STONE CHIEF CLINICAL OFFICER 235029 117339 40020 19980 18682 9327 12206 6094 11510 5746 317447 158486 0 0 SUZANNE RYBCZYNSKI MD ASSOC CHIEF MEDICAL OFFICER 306104 0 52000 0 41280 0 18300 0 30199 0 447883 0 0 0 REBECCA LANDA VICE PRESIDENT PROFESSOR 299177 0 50000 0 25470 0 18300 0 17394 0 410341 0 0 0 VALARIE BONHAM VP GENERAL COUNSEL 172912 116367 14943 10057 21061 14174 8176 5502 17874 12029 234966 158129 0 0 LOUIS HAGOPIAN PHD PROGRAM DIRECTOR 248590 0 25000 0 63923 0 17893 0 32199 0 387605 0 0 0 JAY SALPEKAR DIRECTOR, ASSOC PROFESSOR 239710 0 75000 0 47147 0 14772 0 290 0 376919 0 0 0 MELISSA TROVATO PROGRAM DIRECTOR 254004 0 37163 0 42857 0 17965 0 10236 0 362225 0 0 0 MICHELLE MELICOSTA PRESIDENT OF MEDICAL STAFF 222282 0 23462 0 62401 0 18300 0 33049 0 359494 0 0 0 PAUL LIPKIN FORMER PRES MED STAFF/PROGRAM DIR 264912 0 5000 0 17689 0 14791 0 20106 0 322498 0 0 0 CARMEN LOPEZ-ARVISU MD FORMER PRESIDENT OF MEDICAL STAFF 222313 0 40000 0 42949 0 14580 0 676 0 320518 0 0 0 CRISTINA SADOWSKY FORMER PRES MED STAFF/PROGRAM DIR 257922 0 11250 0 13813 0 15799 0 19244 0 318028 0 0 0 HAROLYN BELCHER MD MHS FORMER PRES MED STAFF/PROGRAM DIR 257444 0 15000 0 15730 0 16054 0 2556 0 306784 0 0 0 PART I, LINE 1A OFFICERS AND KEY EMPLOYEES WERE PROVIDED ADDITIONAL COMPENSATION TO OFFSET THE TAX IMPACT OF EXECUTIVE LIFE INSURANCE AND LONG TERM DISABILITY PREMIUMS MADE ON THEIR BEHALF. THIS BENEFIT WAS TREATED AS TAXABLE COMPENSATION TO THESE INDIVIDUALS. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THE KENNEDY KRIEGER CHILDREN'S HOSPITAL, INC. IS THE KENNEDY KRIEGER INSTITUTE, INC. (THE "INSTITUTE"), A SECTION 501(C)(3) ENTITY THAT SERVES AS THE PARENT CORPORATION OF THE INTEGRATED INSTITUTION. FORM 990, PART VI, SECTION A, LINE 7A THE SOLE MEMBER OF THE KENNEDY KRIEGER CHILDREN'S HOSPITAL, INC. IS THE KENNEDY KRIEGER INSTITUTE, INC. (THE "INSTITUTE"), A SECTION 501(C)(3) ENTITY THAT SERVES AS THE PARENT CORPORATION OF THE INTEGRATED INSTITUTION. THE INSTITUTE HAS THE POWER TO ELECT AND REMOVE BOARD MEMBERS OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7B THE SOLE MEMBER OF THE KENNEDY KRIEGER CHILDREN'S HOSPITAL, INC. IS THE KENNEDY KRIEGER INSTITUTE, INC. THE KENNEDY KRIEGER INSTITUTE, INC. HAS THE POWER AND RESPONSIBILITY TO APPROVE DECISIONS OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11B THE IRS FORM 990 WAS DIRECTLY REVIEWED BY THE AUDIT AND FINANCE COMMITTEE OF THE BOARD OF DIRECTORS PRIOR TO FILING. THE FORM 990 WAS ALSO MADE AVAILABLE TO THE ENTIRE BOARD OF DIRECTORS PRIOR TO ITS FILING THROUGH A WEB PORTAL AND EMAIL. FORM 990, PART VI, SECTION B, LINE 12C ALL EMPLOYEES ARE REQUIRED TO SUBMIT A CONFLICT OF INTEREST DECLARATION OF OUTSIDE EMPLOYMENT UPON HIRE, ANNUALLY THEREAFTER, OR AT SUCH TIME DURING THE COURSE OF EMPLOYMENT WHEN THE EMPLOYEE ENTERS A BUSINESS, CLINICAL, OR PERSONAL RELATIONSHIP THAT MAY APPEAR TO BE A CONFLICT OR IS IN FACT A CONFLICT OF INTEREST. SENIOR MANAGEMENT WILL REVIEW EACH CONFLICT OF INTEREST DISCLOSURE FORM TO DETERMINE WHETHER A POTENTIAL OR ACTUAL CONFLICT OF INTEREST EXISTS. IF THE DETERMINATION IS MADE THAT A CONFLICT OF INTEREST DOES EXIST, THEN APPROPRIATE MEASURES ARE TAKEN TO RECTIFY THE CONFLICT. BOARD MEMBERS AND SENIOR MANAGEMENT SUBMIT AN ANNUAL CONFLICT OF INTEREST DISCLOSURE QUESTIONNAIRE TO DISCLOSE EXISTING OR POTENTIAL CONFLICTS THAT MAY RELATE TO FUTURE DECISION MAKING. WHEN AN ACTUAL CONFLICT INVOLVING A BOARD MEMBER IS IDENTIFIED, THE DIRECTOR WILL ABSTAIN FROM VOTING AND NOT USE HIS/HER PERSONAL INFLUENCE ON THE MATTER. SITUATIONS INVOLVING SENIOR MANAGEMENT MAY BE HANDLED THROUGH THE HUMAN RESOURCES PROCESS OR CONSIDERED BY THE BOARD OF DIRECTORS. RELATIONSHIPS WITH OTHER PROVIDERS, EDUCATIONAL INSTITUTIONS, MANUFACTURERS AND PAYORS ARE REVIEWED TO DETERMINE WHETHER CONFLICTS OF INTEREST EXIST. ANY CONFLICTS ARE ADDRESSED WHEN THEY ARISE. POLICIES DESIGNED TO IDENTIFY AND PREVENT POTENTIAL CONFLICTS OF INTEREST PERTAINING TO CONTRACTUAL BUSINESS RELATIONSHIPS ARE ADDRESSED THROUGH THE POLICY ON FAIR BUSINESS PRACTICES. FORM 990, PART VI, SECTION B, LINE 15 THE PRESIDENT/CEO AND OTHER SENIOR EXECUTIVES COMPENSATION IS REVIEWED AND APPROVED ANNUALLY BY THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS. INDEPENDENTLY DEVELOPED EXECUTIVE COMPENSATION SURVEYS ARE USED TO DETERMINE REASONABLENESS OF COMPENSATION LEVELS. FORM 990, PART VI, SECTION C, LINE 19 KKCH'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, FORM 990 AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. IN ADDITION, CERTAIN FINANCIAL DOCUMENTS ARE AVAILABLE THROUGH THE ORGANIZATION'S WEBSITE. ALSO, A COPY OF THE FORM 990 IS AVAILABLE VIA WWW.GUIDESTAR.ORG. FORM 990, PART XI, LINE 9: CHANGE IN FUNDED STATUS OF DEFINED BENEFIT PLAN 6,294,337. FORM 990, PAGE 12, PART XII, LINE 2C THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. FORM 990 - INFORMATION REGARDING TAX-EXEMPT BOND ISSUE THE ORGANIZATION IS PART OF AN OBLIGATED GROUP UNDER CERTAIN TAX-EXEMPT BOND ISSUES. SCHEDULE K HAS BEEN COMPLETED IN ITS ENTIRETY FOR MADISON STREET PROPERTIES, INC. KENNEDY KRIEGER INSTITUTE INC 707 N BROADWAY BALTIMORE MD 21205 521524965 PARENT ORGANIZATION TO RELATED ENTITIES; SUPPORTS HEALTHCARE MD 501(C)(3) LINE 12C, III-FI N/A 0 HUGO W MOSER RESEARCH INSTITUTE AT KENNEDY KRIEGER INC 707 N BROADWAY BALTIMORE MD 21205 521524967 BIO-MEDICAL RESEARCH MD 501(C)(3) LINE 4 KENNEDY KRIEGER INSTITUTE INC 0 KENNEDY KRIEGER EDUCATION & COMMUNITY SERVICES INC 707 N BROADWAY BALTIMORE MD 21205 521753040 SPECIAL EDUCATION SCHOOLS AND COMMUNITY SUPPORT PROGRAMS MD 501(C)(3) LINE 7 KENNEDY KRIEGER INSTITUTE INC 0 KENNEDY KRIEGER ASSOCIATES INC 707 N BROADWAY BALTIMORE MD 21205 521633229 SUPPORTS KENNEDY KRIEGER INSTITUTE AND ITS AFFILIATES MD 501(C)(3) LINE 12B, II KENNEDY KRIEGER INSTITUTE INC 0 MADISON STREET PROPERTIES INC 707 N BROADWAY BALTIMORE MD 21205 521949813 PROPERTY HOLDING COMPANY MD 501(C)(3) LINE 12B, II KENNEDY KRIEGER FOUNDATION INC 0 PACT HELPING CHILDREN WITH SPECIAL NEEDS INC 7000 TUDSBURY ROAD BALTIMORE MD 21244 521230183 MEDICAL DAY CARE & OTHER SERVICES FOR CHILDREN WITH SPECIAL NEEDS MD 501(C)(3) LINE 7 KENNEDY KRIEGER INSTITUTE INC 0 KENNEDY KRIEGER FOUNDATION INC 707 N BROADWAY BALTIMORE MD 21205 521734695 RAISES FUNDS TO SUPPORT KENNEDY KRIEGER INSTITUTE AND ITS AFFILIATES MD 501(C)(3) LINE 7 KENNEDY KRIEGER INSTITUTE INC 0 MADISON GROUP VENTURES 707 N BROADWAY BALTIMORE MD 21205 900743111 RESEARCH & DEVELOPMENT MD N/A C 0 CHARITABLE REMAINDER TRUSTS (3) CHARITABLE REMAINDER TRUSTS MD N/A T 0 0 1 1 1 1 0 0 0 0 0 1 0 1 1 1 0 1 0 1 PACT HELPING CHILDREN WITH SPECIAL NEEDS INC B 360000 FMV KENNEDY KRIEGER FOUNDATION C 2023808 FMV MADISON STREET PROPERTIES INC C 199220 FMV MADISON STREET PROPERTIES INC K 26107985 FMV