2023-05-11T07:37:46-05:00 2022-06-30 990 2021-07-01 590683252 JOHNS HOPKINS ALL CHILDREN'S HOSPITAL INC JOHN 4439975771 3910 KESWICK ROAD S BLDG 4300A BALTIMORE MD 21211 SHERRON ROGERS CFO 4439975771 2023-05-11 SHERRON ROGERS XXX-XX-XXXX 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z SHERRON ROGERS 501 6TH AVE S ST PETERSBURG FL 33701 688288781 0 X WWW.HOPKINSALLCHILDRENS.ORG X 1967 FL PROVIDE LEADERSHIP IN CHILD HEALTH THROUGH TREATMENT, EDUCATION, ADVOCACY AND RESEARCH. 32 28 3532 88 0 0 33447158 13496942 498798726 546678084 15133691 22473940 7866478 9214775 555246053 591863741 13808079 52150043 0 0 234459057 235894397 0 0 0 271027216 272947651 519294352 560992091 35951701 30871650 1163564768 1076831131 392327234 364190641 771237534 712640490 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 86235969 0 104853879 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 22052797 0 25283659 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. 20879478 0 31520009 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. 292527432 52150043 387780982 292527432 52150043 387780982 421695676 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 273 0 1 3532 1 0 0 0 0 0 0 0 0 0 0 0 0 X 32 28 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 CHAIR 1.00 59.00 X X 0 1909575 20338 GEORGE JALLO MD TRUSTEE, VICE DEAN/ PHYSICIAN IN CHIEF 56.00 4.00 X X 1316746 0 187956 INEZ STEWART TRUSTEE 1.00 59.00 X 0 1035385 29221 K ALICIA SCHULHOF PRESIDENT, TRUSTEE 54.00 6.00 X X 0 390360 39078 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 1.00 X 0 0 0 JANET CADY TRUSTEE 1.00 0.00 X 0 0 0 RAMON BOSQUEZ TRUSTEE 1.00 0.00 X 0 0 0 WILLIAM GREELEY MD 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 MARK LETTELEIR TRUSTEE 1.00 0.00 X 0 0 0 MARGARET MOON MD TRUSTEE 1.00 0.00 X 0 0 0 RAY NEWTON TRUSTEE, TREASURER 1.00 1.00 X X 0 0 0 JERRY BARBOSA MD TRUSTEE 1.00 1.00 X 0 0 0 TERRI LISPEY SCOTT TRUSTEE 1.00 0.00 X 0 0 0 MICHELLE SMITH MD 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 MD TRUSTEE 1.00 0.00 X 0 0 0 TONI WALSH TRUSTEE 1.00 1.00 X 0 0 0 MICHAEL FITZHARRIS TRUSTEE 1.00 0.00 X 0 0 0 CRISTIN KEANE TRUSTEE 1.00 0.00 X 0 0 0 CRAIG SHER TRUSTEE 1.00 0.00 X 0 0 0 RAY HAND TRUSTEE 1.00 0.00 X 0 0 0 J MARK STROUD TRUSTEE VICE CHAIRMAN 1.00 1.00 X 0 0 0 MICHAEL WAGNER TRUSTEE 1.00 0.00 X 0 0 0 MICHAEL WILSEY MD TRUSTEE 1.00 0.00 X 0 0 0 BETH VIVIO TRUSTEE 1.00 1.00 X 0 0 0 LAWRENCE REPAR TRUSTEE, CHAIRMAN 1.00 0.00 X 0 0 0 NANCY SWART TRUSTEE 1.00 0.00 X 0 0 0 DIVYA JOSHI MD VP PHYSICIANS SERVICES 56.00 4.00 X 0 734389 20731 JOSEPH PERNO MD VP MEDICAL AFFAIRS 59.00 1.00 X 6500 555595 77847 MELISSA MACOGAY RN VP & CNO 59.00 1.00 X 0 360026 61303 ANGELA GREEN VP CHIEF PATIENT SAFETY 57.00 3.00 X 0 319480 40386 NICHOLE WESTERLUND HANCOCK VP HUMAN RESOURCES 59.00 1.00 X 0 272622 25386 GERAD THERIAC INTERIM VP FINANCE & CFO 54.00 6.00 X 258691 0 12273 KIMBERLY BERFIELD VP, GOVERNMENT & COMM AFFAIRS 59.00 1.00 X 0 239793 19219 VICKIE WILLIAMS SECRETARY 59.00 1.00 X 0 225089 8745 KEVIN CREWS ASSISTANT SECRETARY 54.00 6.00 X 0 132635 4568 SHERRON ROGERS VP FINANCE & CFO 54.00 6.00 X 0 0 0 ANTHONY NAPOLITANO MD DEPARTMENT CHAIR OF PEDIATRIC MED 60.00 0.00 X 429549 0 20273 DIPTI AMIN MD PHYSICIAN 40.00 10.00 X 298058 0 30392 JENNIFER ARNOLD MD MEDICAL DIRECTOR 40.00 10.00 X 286108 0 34903 NORMALIZ RODRIGUEZ MD ASSOC MEDICAL DIRECTOR 40.00 10.00 X 240662 0 27677 PAOLA DEES MD PHYSICIAN 40.00 10.00 X 234364 0 24932 LISA KERRICK ASSOCIATE CHIEF NURSING OFFICER 40.00 10.00 X 229658 0 17174 RONALD R PETERSON FORMER OFFICER 0.00 0.00 X 0 1275825 0 TOM KMETZ FORMER OFFICER 0.00 0.00 X 0 565331 2847 ROBERT SOSA MD FORMER KEY EMPLOYEE 0.00 0.00 X 194796 0 14590 PAUL COLOMBANI MD FORMER KEY EMPLOYEE 0.00 0.00 X 124475 0 0 3619607 8016105 719839 265 1 1 1 AYA HEALTHCARE INC 930 CORNERSTONE CT W STE 300 SAN DIEGO CA 92121 LABOR SERVICES 4007463 WEHR CONSTRUCTION 9423 CORPORATE LAKE DR TAMPA FL 33634 CONTRACT SERVICES 3322359 SODEXO INC & AFFILIATES PO BOX 536922 ATLANTA GA 30353 MANAGEMENT SERVICES 2591865 ONEBLOOD INC PO BOX 628342 ORLANDO FL 32862 LAB SERVICES 2176588 CHILDRENS ORTHOPAEDIC AND 625 6TH AVE S STE 450 ST PETERSBURG FL 33701 LABOR SERVICES 1512569 108 3113140 10076520 307282 13496942 HOSPITAL INPT & OUTPT 621990 497235223 497235223 MEDICAID/GME 621990 24892713 24892713 RETAIL PHARMACY INCOME 621990 11937906 11937906 12612242 12612242 546678084 13471980 13471980 6454330 0 6454330 6454330 6454330 105427000 96425040 9001960 9001960 9001960 CAFETERIA INCOME 722514 2760445 2760445 2760445 591863741 549438529 0 28928270 X 52140043 52140043 10000 10000 686947 541265 145682 186085896 146622326 39463570 49121554 38702137 10419417 5597374 5597374 649099 649099 2332 2332 396782 312636 84146 139196 139196 60222437 51156226 9066211 109096 35206 73890 14800059 8911516 5888543 63489 50025 13464 12326240 9712192 2614048 552720 35449 517271 269989 212732 57257 5308269 5308269 33179824 26143319 7036505 4893433 2660145 2233288 MEDICAL SUPPLIES 65443548 65443548 PURCHASED SRVC- INTR CO 54158097 6474274 47683823 INDIGENT FEE ASSESSMENT 6936526 0 6936526 CONTR PROGRAM SUPPORT 4290191 4290191 3608950 2934177 674773 560992091 421695676 139296415 0 46475042 31934906 100000 100000 104349176 126349698 11745171 12344060 13324350 12232393 668220947 290379240 393699129 377841707 517955732 447796805 5693390 24265556 22009803 45957222 46221759 1163564768 1076831131 59129281 53535810 7254455 475215 85800000 83625000 240143498 226554616 392327234 364190641 X 750721093 693731196 20516441 18909294 771237534 712640490 1163564768 1076831131 X 30871650 -94603051 5134357 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 396781 0 0 396781 0 SCHEDULE C, PART 11-B, LINE 1G JOHNS HOPKINS ALL CHILDRENS HOSPITAL PAID ITS PARENT CORPORATION, THE JOHNS HOPKINS HEALTH SYSTEM CORPORATION $24,000 DURING THE FISCAL YEAR ENDED JUNE 30, 2022 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 FY22, THE ORGANIZATION HAS CONFIRMED THAT $82,212 OF SUCH DUES WERE ALLOCATED TOWARDS LOBBYING ACTIVITIES. 17514278 -1444000 -327000 15743278 16531278 3000 2378000 -1398000 17514278 15456278 1004000 107000 -36000 16531278 14632278 861000 -37000 15456278 14988278 522000 -878000 14632278 0 0 23089125 23089125 316243587 117037593 199205994 1045867 269865 776002 309008968 165838671 143170297 18833400 7233111 11600289 377841707 PROFESSIONAL LIABILITY 35895685 INTEREST RATE SWAP AGREEMENTS 18739305 OTHER LIABILITIES 656400 DUE TO AFFILIATES 165424742 LEASE ROU LIABILITIES 1415467 LEASE ROU LIABILITIES- NET OF CURRENT 4423017 226554616 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, 2022 AND 2021. 1 1 X 1 X 1 X 500.000000000000 1 1 0 1 1 2281619 0 2281619 0.00410 263663618 220291267 43372351 0.07730 0 0 265945237 220291267 45653970 0.08140 7561645 1526436 6035209 0.01080 4333801 2854526 1479275 0.00260 22772094 10309784 12462310 0.02220 0 0 176508 0 176508 0.00030 34844048 14690746 20153302 0.03590 300789285 234982013 65807272 0.11730 0 0 0 0 0 0 0 0 0 0 0 0 0 0 851242 875 850367 0.00150 0 0 851242 875 850367 0.00150 0 9744896 0 452276 486852 -34576 X 1 0 1 1 JOHNS HOPKINS ALL CHILDREN'S HOSPITAL INC 501 6TH AVENUE SOUTH ST PETERSBURG FL 33701 WWW.HOPKINSALLCHILDRENS.ORG/ 4042 X X X X JOHNS HOPKINS ALL CHILDREN'S HOSPITAL I 1 0 0 1 X X X X X X X X X 21 1 1 1 1 X SEE SUPPLEMENTAL INFORMATION X HTTP://WWW.ALL4HEALTHFL.ORG/ 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 0 0 JOHNS HOPKINS ALL CHILDREN'S HOSPITAL, INC 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, INC 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, INC 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, INC PART V, SECTION B, LINE 7D: WE PROVIDED REPORTS AND SUMMARIES THROUGH MANY COMMUNITY CONVERSATIONS, COMMUNICATIONS AND MEETINGS. JOHNS HOPKINS ALL CHILDREN'S HOSPITAL, INC PART V, SECTION B, LINE 11: SINCE ITS ADOPTION IN 2019, THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WITH JOHNS HOPKINS ALL CHILDREN'S HOSPITAL HAS COLLABORATED WITH COMMUNITY STAKEHOLDERS TO REDUCE OR ELIMINATE COMMUNITY SIGNIFICANT HEALTH NEEDS. THESE COLLABORATIONS HAVE PERMITTED US TO ACHIEVE 90% OF THE OBJECTIVES OUTLINED AND APPROVED BY THE HOSPITAL'S BOARD OF TRUSTEES IN THE 2019 COMMUNITY BENEFIT STRATEGIC IMPLEMENTATION PLAN (CBSIP). THE CHNA IDENTIFIED SIX COMMUNITY PRIORITIES, INCLUDING:-ASTHMA/ALLERGIES-BIRTH OUTCOMES/INFANT MORTALITY-EXERCISE, NUTRITION, AND WEIGHT-INJURY PREVENTION -MENTAL HEALTH -SUBSTANCE USE AND ALCOHOL ABUSE OUTSTANDING 2019 OBJECTIVES REPRESENT ACTIVITIES LIKE PLACING NEBULIZERS IN EACH PINELLAS COUNTY SCHOOL AND TRAINING SCHOOL NURSES ON THE UTILIZATION OF THE MACHINE. WHILE WE HAVE PROCURED THE NEBULIZERS, OUR ANNUAL MEETING AND TRAINING WITH PINELLAS COUNTY SCHOOL NURSES OCCUR EACH FALL AT THE START OF THE SCHOOL YEAR. ADDITIONALLY, SEVERAL MENTAL HEALTH FIRST AIDE TRAININGS HAVE BEEN HELD TO PROVIDE SKILLS-BASED TRAINING REGARDING IDENTIFYING, UNDERSTANDING AND RESPONDING TO MENTAL AND BEHAVIORAL HEALTH ISSUES IN AN EFFORT TO ASSIST LAW ENFORCEMENT, EDUCATORS AND FAMILIES. WHILE WE HAVE BEEN ABLE TO COMPLETE THOSE TRAININGS, WE COMMITTED TO PERFORM, WE HAVE BEEN ASKED TO OFFER AT LEAST ONE MORE, IF POSSIBLE, PRIOR TO THE CLOSE OF 2022. FINALLY, WITH THE NATIONAL INFLATION RATE ON THE RISE AND THE TAMPA BAY AREA EXPERIENCING A 1.2% HIGHER RATE THAN THE REST OF THE COUNTRY FOOD INSECURITY REMAINS AN ISSUE, WHICH WILL CONTINUE TO FIGHT FOR FAMILIES OVER THE SUMMER SCHOOL BREAK BY HOSTING THE SUMMER FOOD SERVICE PROGRAM AND OFFERING TWO ADDITIONAL FOOD COMMUNITY DISTRIBUTIONS. PART V, SECTION B, LINE 7A HTTPS://WWW.HOPKINSALLCHILDRENS.ORG/COMMUNITY/IN-THE-COMMUNITY/COMMUNITY-HEALTH-NEEDS-ASSESSMENT PART V, SECTION B, LINE 10A HTTPS://WWW.HOPKINSALLCHILDRENS.ORG/COMMUNITY/IN-THE-COMMUNITY/COMMUNITY-HEALTH-NEEDS-ASSESSMENT PART V, SECTION B, LINE 16A HTTPS://WWW.HOPKINSALLCHILDRENS.ORG/PATIENTS-FAMILIES/PATIENT-FINANCIAL-INFORMATION/PAYMENT-PLANS-AND-FINANCIAL-ASSISTANCE PART V, SECTION B, LINE 16B HTTPS://WWW.HOPKINSALLCHILDRENS.ORG/PATIENTS-FAMILIES/PATIENT-FINANCIAL-INFORMATION/PAYMENT-PLANS-AND-FINANCIAL-ASSISTANCE PART V, SECTION B, LINE 16C HTTPS://WWW.HOPKINSALLCHILDRENS.ORG/PATIENTS-FAMILIES/PATIENT-FINANCIAL-INFORMATION/PAYMENT-PLANS-AND-FINANCIAL-ASSISTANCE 10 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 8 - JH ALL CHILDREN'S OUTPT CARE - S TAMPA 1202 SOUTH CHURCH AVE TAMPA FL 33629 PEDIATRIC OUTPATIENT CLINIC 9 - JH ALL CHILDREN'S SPORTS THERAPY TAMPA 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 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: JHACH HAS INCREASED THEIR LOCAL COMMUNITY BOARD REPRESENTATION AND SUPPORT (EXAMPLES: CLEARWATER REGIONAL CHAMBER OF COMMERCE, GREATER TAMPA CHAMBER OF COMMERCE) AND INCREASED THEIR SUPPORT FOR THE ECONOMIC DEVELOPMENT OF THEIR COMMUNITY BENEFIT SERVICE AREA (EXAMPLE: ST. PETERSBURG DOWNTOWN PARTNERSHIP, GREATER ST. PETERSBURG AREA ECONOMIC DEVELOPMENT CORPORATION, ST PETE INNOVATION DISTRICT, ETC.). JHACH PROMOTES COLLABORATING AROUND SYSTEMATIC CHANGE BY SUPPORTING AND DEVELOPING THESE CHAMBERS OR LOCAL ORGANIZATIONS PROJECTS AND ACTIVITIES. 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: JHACH STRATEGIC PLAN IS CENTERED AROUND SIX STRATEGIC PILLARS. COMMUNITY BENEFIT EFFORTS ARE INCLUDED AS PART OF THE PILLAR - SUPPORT THE WELL-BEING OF OUR PEOPLE AND OUR COMMUNITIES. 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: PINELLAS COUNTY (POPULATION OF 970,637- AS OF THE 2019 U.S. CENSUS) WAS IDENTIFIED AS THE COMMUNITY BENEFIT SERVICE AREA (CBSA). THE MEDIAN HOUSEHOLD INCOME IN PINELLAS COUNTY ($51,500) IS SLIGHTLY LOWER THAN THAT OF FLORIDA ($52,600) AND ACUTELY LOWER THAN THE U.S. ($67,100). NEARLY 17% OF CHILDREN IN PINELLAS COUNTY LIVE IN POVERTY WHILE 50% LIVE IN A HOUSEHOLD ON SOME TYPE OF PUBLIC ASSISTANCE. IN THE 2019 CHNA, DATA WAS ANALYZED AND DEMOGRAPHIC DATA WERE FURTHER BROKEN DOWN BY RACE/ETHNICITY, GENDER, AND AGE TO IDENTIFY GROUPS OF INDIVIDUALS THAT MAY BE IMPACTED GREATER BY FACTORS SUCH AS FINANCIAL BURDEN, EDUCATION ATTAINMENT, AND TRANSPORTATION. THESE SOCIAL DETERMINANTS OF HEALTH IMPACT ONE'S ABILITY TO ATTAIN OVERALL HEALTH. IN PINELLAS COUNTY, BLACK OR AFRICAN AMERICANS HAVE THE LOWEST MEDIAN INCOME ($32,913) WHEN COMPARED TO OTHER RACE/ETHNIC GROUPS. HISPANIC OR LATINO RESIDENTS HAVE THE NEXT LOWEST MEDIAN INCOME ($41,998). BOTH GROUPS' INCOMES ARE WELL BELOW THE OVERALL MEDIAN INCOME IN THE COMMUNITY. SPENDING A HIGH PROPORTION OF MONTHLY INCOME ON RENT CAN CREATE FINANCIAL HARDSHIP. WITH A LIMITED INCOME, PAYING A HIGH RENT MAY NOT LEAVE ENOUGH MONEY FOR OTHER EXPENSES, SUCH AS FOOD, TRANSPORTATION AND MEDICAL CARE. COMMUNITY MEMBERS WHO ARE OVER 65 OR BETWEEN THE AGES OF 15 AND 24 ARE AT THE HIGHEST RISK OF FINANCIAL BURDEN DUE TO RENT WHEN COMPARED TO OTHER AGE GROUPS. OVERALL, ABOUT HALF OF THE COMMUNITY IS SPENDING 30% OR MORE OF THEIR INCOME ON RENT. PINELLAS RESIDENTS UNDER THE AGE OF 24 ARE ALSO THE MOST LIKELY TO LIVE BELOW THE POVERTY LEVEL WHEN COMPARED TO OTHER AGE GROUPS. WITHIN THIS CBSA, JHACH IS FOCUSED ON CERTAIN TARGET POPULATIONS, SUCH AS AT-RISK CHILDREN AND ADOLESCENTS, UNINSURED FAMILIES, WOMEN OF CHILDBEARING AGE, AND UNDERINSURED AND LOW-INCOME FAMILIES AND HOUSEHOLDS. NUMBER OF OTHER HOSPITALS SERVING THE COMMUNITY OR COMMUNITIES: 48.THERE ARE FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREAS OR POPULATIONS ARE PRESENT IN THE COMMUNITY. 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 ALL CHILDREN'S RESEARCH INSTITUTE INC 3910 KESWICK RD BALTIMORE MD 21211 592481742 501(C)(3) 10621000 0 PROGRAM SUPPORT PEDIATRIC PHYSICIAN SERVICES INC 3910 KESWICK RD BALTIMORE MD 21211 593425191 501(C)(3) 39411384 0 PROGRAM SUPPORT ALL CHILDREN'S HEALTH SYSTEM INC 3910 KESWICK RD BALTIMORE MD 21211 593476049 501(C)(3) 2107659 0 PROGRAM SUPPORT 3 NURSING SCHOLARSHIPS 4 10000 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 CHAIR 0 1201889 0 690648 0 17038 0 9436 0 10902 0 1929913 0 0 GEORGE JALLO MD TRUSTEE, VICE DEAN/ PHYSICIAN IN CHI 826029 0 167093 0 323624 0 151888 0 36068 0 1504702 0 308402 0 RONALD R PETERSON FORMER OFFICER 0 0 0 0 0 1275825 0 0 0 0 0 1275825 0 0 INEZ STEWART TRUSTEE 0 711992 0 0 0 323393 0 9436 0 19785 0 1064606 0 0 DIVYA JOSHI MD VP PHYSICIANS SERVICES 0 567059 0 139298 0 28032 0 9436 0 11295 0 755120 0 0 JOSEPH PERNO MD VP MEDICAL AFFAIRS 6500 421899 0 102820 0 30876 0 43920 0 33927 6500 633442 0 0 TOM KMETZ FORMER OFFICER 0 515622 0 0 0 49709 0 0 0 2847 0 568178 0 0 ANTHONY NAPOLITANO MD DEPARTMENT CHAIR OF PEDIATRIC MED 422620 0 0 0 6929 0 0 0 20273 0 449822 0 0 0 K ALICIA SCHULHOF PRESIDENT, TRUSTEE 0 265360 0 50000 0 75000 0 34318 0 4760 0 429438 0 0 MELISSA MACOGAY RN VP & CNO 0 283008 0 70237 0 6781 0 33506 0 27797 0 421329 0 0 ANGELA GREEN VP CHIEF PATIENT SAFETY 0 253477 0 58918 0 7085 0 9436 0 30950 0 359866 0 0 DIPTI AMIN MD PHYSICIAN 291073 0 0 0 6985 0 0 0 30392 0 328450 0 0 0 JENNIFER ARNOLD MD MEDICAL DIRECTOR 284633 0 575 0 900 0 224 0 34679 0 321011 0 0 0 NICHOLE WESTERLUND HANCOCK VP HUMAN RESOURCES 0 228494 0 41256 0 2872 0 6200 0 19186 0 298008 0 0 GERAD THERIAC INTERIM VP FINANCE & CFO 226249 0 31000 0 1442 0 1312 0 10961 0 270964 0 0 0 NORMALIZ RODRIGUEZ MD ASSOC MEDICAL DIRECTOR 240559 0 0 0 103 0 2426 0 25251 0 268339 0 0 0 PAOLA DEES MD PHYSICIAN 232803 0 0 0 1561 0 1078 0 23854 0 259296 0 0 0 KIMBERLY BERFIELD VP, GOVERNMENT & COMM AFFAIRS 0 189968 0 45320 0 4505 0 6695 0 12524 0 259012 0 0 LISA KERRICK ASSOCIATE CHIEF NURSING OFFICER 222238 0 6000 0 1420 0 3318 0 13856 0 246832 0 0 0 VICKIE WILLIAMS SECRETARY 0 187583 0 35863 0 1643 0 0 0 8745 0 233834 0 0 ROBERT SOSA MD FORMER KEY EMPLOYEE 190657 0 0 0 4139 0 313 0 14277 0 209386 0 0 0 PAUL COLOMBANI MD FORMER KEY EMPLOYEE 0 0 0 0 124475 0 0 0 0 0 124475 0 124475 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, A HIGHEST PAID EMPLOYEE OF THE ORGANIZATION RECEIVED A GROSS UP PAYMENT. THIS BENEFIT WAS TREATED AS TAXABLE COMPENSATION TO THE LISTED INDIVIDUAL. 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 2021 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 2021. INEZ STEWART $295,787 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 2021, 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, SCHEDULE J, PART 1, QUESTION 3 SEE SCHEDULE O DISCLOSURE FOR FORM 990, PART VI, LINES 15(A) & (B) REGARDING THE PROCESS USED BY ALL CHILDREN'S HEALTH SYSTEM, INC. TO DETERMINE EXECUTIVE COMPENSATION WHICH IS RELIED UPON BY ALL CHILDREN'S HOSPITAL. 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 OFFICER AND HIS ROLE AT THE HOSPITAL. GEORGE JALLO, M.D. BASE COMPENSATION $826,029.16, BONUS & INCENTIVE COMPENSATION $167,093.38, OTHER REPORTABLE COMPENSATION $323,624.10, DEFERRED COMPENSATION $151,888.01 AND NON-TAXABLE BENEFITS $36,068.24 PAUL COLOMBANI BASE COMPNESATION $0.00, BONUS & INCENTIVE COMPENSATION $0.00, OTHER REPORTABLE COMPENSATION $124,475, DEFERRED COMPENSATION $0.00 AND NON-TAXABLE BENEFITS $0.00. A CITY OF ST PETERSBURG HFA -2012 ACH 596000424 793309JM8 2012-06-28 102400000 REFUND PRIOR ISSUE (04/20/05 A&B) 0 0 0 A 18775000 102400000 102400000 2007 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 THAT ARE NO LONGER IN ESCROW SCHEDULE K, PART I, LINE A: CITY OF ST. PETERSBURG HEALTH FACILITIES AUTHORITY KEVIN SOWERS TRUSTEE, OFFICER 135000 SEE PART V 0 SCH L, PART IV, LINE 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 $4,163,127 OF FUNDING FROM THE PROVIDER RELIEF FUND ADMINISTERED BY THE HEALTH RESOURCES AND SERVICES ADMINISTRATION, AN AGENCY OF THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES DURING FY22. 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 WAS PROVIDED TO THE ORGANIZATION'S GOVERNING BODY BEFORE IT WAS FILED. FORM 990, PART VI, SECTION B, LINE 12C JOHNS HOPKINS ALL CHILDREN'S HOSPITAL, INC HAS AN ANNUAL CONFLICT OF INTEREST DISCLOSURE PROCESS THAT HAS BEEN FORMALLY DOCUMENTED IN POLICY. THE PROCESS IS FACILITATED BY THE COMPLIANCE OFFICER WITH OVERSIGHT FROM THE ALL CHILDREN'S HEALTH SYSTEM (FORMER PARENT AND CURRENT AFFILIATE) BOARD'S COMPLIANCE COMMITTEE. DISCLOSURES ARE REQUESTED FROM KEY EMPLOYEES, KEY CONTRACTORS, BOARD MEMBERS AND OFFICERS, AND DESIGNATED MEDICAL STAFF. ALL DISCLOSURES ARE REVIEWED BY THE COMPLIANCE OFFICER. SELECTED DISCLOSURES ARE REVIEWED BY THE PRESIDENT/CHIEF EXECUTIVE OFFICER. A FORMAL REPORT IS MADE ANNUALLY TO THE COMPLIANCE COMMITTEE WHERE CONFLICT MANAGEMENT IS ADDRESSED FOR EMPLOYEES, CONTRACTORS, AND PHYSICIANS. BOARD MEMBER DISCLOSURES ARE REVIEWED BY THE RESPECTIVE BOARD PRESIDENTS FOR CONFLICT MANAGEMENT. BOARD MEMBERS ARE REQUIRED TO DECLARE ANY POTENTIAL CONFLICTS PRIOR TO CONDUCTING BUSINESS AT EACH MEETING. IF A CONFLICT IS FOUND TO EXIST BY A BOARD MEMBER, THAT BOARD MEMBER IS PROHIBITED FROM VOTING. FORM 990, PART VI, SECTION B, LINE 15 EVERY THREE YEARS AN INDEPENDENT STUDY IS CONDUCTED GATHERING INDUSTRY COMPENSATION AVERAGES FROM SELECT PEER INSTITUTIONS. EVERY YEAR THE JOHNS HOPKINS BOARD OF TRUSTEES COMPENSATION COMMITTEE REVIEWS COMPENSATION AMOUNTS FOR OFFICERS AND ALL EMPLOYEES AT THE DIRECTOR AND HIGHER LEVELS. FORM 990, PART VI, SECTION C, LINE 19 JOHNS HOPKINS ALL CHILDREN'S HOSPITAL, INC. MAKE ITS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 51,156,226. MANAGEMENT AND GENERAL EXPENSES 9,066,211. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 60,222,437. FORM 990, PART XI, LINE 9: CHANGE IN NET ASSETS -2,300,469. INTEREST EXPENSE ON SWAP AGREEMENT -3,255,123. NON-OPERATING SERVICES -6,000,000. CHANGE IN MARKET VALUE OF INTEREST RATE SWAPS 16,496,549. TRANSFER BETWEEN AFFILIATES -827,731. NET ASSETS TRANSFERRED 1,021,131. 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