2025-05-15T10:22:20-05:00 2024-06-30 205991824 SC&H GROUP INC 910 RIDGEBROOK ROAD SPARKS MD 21152 990 2023-07-01 526049658 GREATER BALTIMORE MEDICAL CENTER INC GREA 4438492000 6701 NORTH CHARLES STREET BALTIMORE MD 21204 LAURIE R BEYER EVP/CFO 4438460305 2025-05-07 1 1 LORI S BURGHAUSER P00370694 4104031500 2025-05-14 2023 2025-03-06 01:10:19Z LAURIE R BEYER 6701 NORTH CHARLES STREET BALTIMORE MD 21204 638370032 0 X WWW.GBMC.ORG X 1960 MD TO PROVIDE MEDICAL CARE AND SERVICE OF THE HIGHEST QUALITY TO EACH PATIENT LEADING TO HEALTH, HEALING, AND HOPE. 28 25 4693 350 1173675 228493 18285811 13705945 576700797 604574307 28196694 9607313 1484517 1295243 624667819 629182808 156740 147632 0 0 340588281 354634891 0 0 2530262 286638925 267488064 627383946 622270587 -2716127 6912221 836992021 901301924 422830734 483594312 414161287 417707612 X SEE SCHEDULE O 0 0 266916081 294898140 THE GREATER BALTIMORE MEDICAL CENTER, INC. (GBMC) IS A 228-BED ACUTE CARE MEDICAL CENTER, LOCATED ON A SUBURBAN CAMPUS, WHICH PROVIDED INPATIENT CARE AND OBSERVATION SERVICES TO 12,728 AND 4,516 PATIENTS, RESPECTIVELY. ADDITIONALLY, GBMC DELIVERED OVER 3,438 BABIES IN THE FISCAL YEAR. GBMC'S DISTINCTIVE SERVICE LINES INCLUDE WOMEN'S CANCER, SURGICAL AND MEDICAL SERVICES. IN 2024, GBMC EXPANDED IT'S UNREGULATED ONCOLOGY SERVICES, PROVIDING 14,750 INFUSION THERAPY VISISTS. 142302057 125472957 THE OPERATING ROOM PERFORMED OVER 20,762 INPATIENT AND OUTPATIENT SURGICAL PROCEDURES IN THE FISCAL YEAR. SPECIALTIES INCLUDE GBMC'S COMPREHENSIVE OBESITY MANAGEMENT PROGRAM, THE OLDEST RECOGNIZED AMERICAN SOCIETY OF METABOLIC AND BARIATRIC SURGERY (ASMBS) CENTER OF EXCELLENCE IN THE METROPOLITAN BALTIMORE AREA; JOHNS HOPKINS HEAD AND NECK SURGERY AT GBMC; MINIMALLY INVASIVE AND ENDOCRINE SURGERY; NEUROSURGERY; VASCULAR AND THORACIC SURGERY; AND UROLOGY. 24779252 34213730 THE EMERGENCY DEPARTMENT TREATED 55,085 PATIENTS IN THE FISCAL YEAR. THE EMERGENCY SERVICES DEPARTMENT HAS 3 PATIENT CARE AREAS, DESIGNED TO MINIMIZE WAIT & MAXIMIZE SERVICE FOR PATIENTS & THEIR FAMILIES. PATIENTS WITH MINOR INJURIES SUCH AS SPRAINS ARE CARED FOR IN THE URGENT CARE AREA. SEVERE PROBLEMS SUCH AS ACUTE ABDOMINAL PAIN, CHEST PAIN OR INJURIES FROM MOTOR VEHICLE ACCIDENTS ARE EVALUATED AND TREATED IN EMERGENT CARE. ADJACENT TO THE EMERGENT CARE AREA IS AN OBSERVATIONAL CARE AREA FOR ADULT PATIENTS WHO NEED TO BE MONITORED BUT NOT ADMITTED. 106260314 147632 149274353 AMBULATORY, POST ACUTE AND PRIMARY CARE SERVICES 106260314 147632 149274353 540257704 1 1 0 1 0 0 0 0 0 1 1 1 0 1 1 1 0 1 0 1 1 0 0 0 1 0 1 1 1 0 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 1 1 0 0 1 238 0 4693 1 1 1 1 BD 0 0 0 1 1 0 0 0 0 1 0 X 28 25 1 0 0 0 1 1 1 1 1 0 1 1 1 1 1 1 1 1 0 0 1 1 MD X X LAURIE R BEYER 4438492000 6701 NORTH CHARLES STREET BALTIMORE MD 21204 JOHN B CHESSARE MD DIRECTOR/CEO GBMC HEALTHCARE 42.00 18.00 X X 1205161 0 48207 J CHRISTOPHER GREENAWALT MD DIRECTOR/VICE CHIEF OF STAFF 50.00 10.00 X X 369743 0 37413 ROBIN MOTTER-MAST DO DIRECTOR/CHIEF OF STAFF 50.00 10.00 X X 336537 0 55190 FAITH E THOMAS CHAIR 1.00 2.00 X X 0 0 0 TIMOTHY L KRONGARD CO VICE CHAIR 1.00 1.00 X X 0 0 0 JAMES B STRADTNER CO VICE CHAIR 1.00 1.00 X X 0 0 0 STEPHEN T SCOTT TREASURER 1.00 1.00 X X 0 0 0 DELBERT ADAMS DIRECTOR 1.00 2.00 X 0 0 0 ROBERT AUMILLER DIRECTOR 1.00 2.00 X 0 0 0 HEIDI KENNY BERMAN DIRECTOR 1.00 2.00 X 0 0 0 SANDRA BERMAN DIRECTOR 1.00 1.00 X 0 0 0 MONIQUE BOOKER DIRECTOR 1.00 1.00 X 0 0 0 TIMOTHY F DORAN MD DIRECTOR 1.00 2.00 X 0 0 0 CHRISTINA FITTS DIRECTOR 1.00 1.00 X 0 0 0 JERRY FOCAS DIRECTOR 1.00 2.00 X 0 0 0 FREDERICK M HUDSON DIRECTOR 1.00 1.00 X 0 0 0 HARRY S JOHNSON DIRECTOR 1.00 1.00 X 0 0 0 LEON KAPLAN DIRECTOR 1.00 1.00 X 0 0 0 ANTHONY V MILANDO DIRECTOR 1.00 1.00 X 0 0 0 PATRICIA J MITCHELL DIRECTOR 1.00 1.00 X 0 0 0 BERNARD RHEE DIRECTOR 1.00 1.00 X 0 0 0 JOHN R SAUNDERS MD DIRECTOR 1.00 1.00 X 0 0 0 MICHELLE SIRI DIRECTOR 1.00 1.00 X 0 0 0 DEVON SMITH DVM DIRECTOR 1.00 2.00 X 0 0 0 BONNIE B STEIN DIRECTOR 1.00 2.00 X 0 0 0 STEVEN A THOMAS DIRECTOR 1.00 1.00 X 0 0 0 ALEXIS THOMPSON DIRECTOR 1.00 2.00 X 0 0 0 MARION G THOMPSON DIRECTOR 1.00 1.00 X 0 0 0 JOHN L FLOWERS MD EVP & CHIEF MEDICAL OFFICER 50.00 10.00 X 836627 0 76118 LAURIE R BEYER EVP & CFO GBMC HEALTHCARE 45.00 15.00 X 598055 0 130464 CATHERINE HAMEL EVP GBMC,CHIEF STRATEGY OFF/PRES GHC 20.00 40.00 X 541416 0 60834 SUSAN MARTIELLI GEN COUNSEL/VP LEGAL SVCS (PART YEAR) 40.00 20.00 X 361688 0 16608 DAVID J HYNSON VP & CIO (PART YEAR) 45.00 15.00 X 418259 0 72013 ERLENE WASHINGTON SVP & COO OF GBMC HEALTH PARTNERS 50.00 10.00 X 402136 0 84954 ANNA-MARIA G PALMER SVP HR AND ORG DEVELOPMENT & CHRO 40.00 20.00 X 410791 0 60984 JENNY COLDIRON SVP OF DEVELOPMENT AND MARKETING 50.00 10.00 X 395410 0 48703 STACEY L MCGREEVY EVP & COO HOSPITAL 50.00 10.00 X 382908 0 105208 CAROLYN L CANDIELLO SVP OF QUALITY AND PATIENT SAFETY 59.00 1.00 X 347326 0 50336 MICHAEL STEIN SVP CLINICAL AND SUPPORT OPERATIONS 50.00 10.00 X 296309 0 85586 ANGELA FEURER SVP AND CNO 10.00 50.00 X 345013 0 102671 VICTOR A KHOUZAMI MD CHAIR/PHYSICIAN 60.00 0.00 X 1410350 0 50806 BIMAL G RAMI MD PHYSICIAN 60.00 0.00 X 1108166 0 60368 NIRAJ JANI MD PHYSICIAN 60.00 0.00 X 796527 0 60368 ANEESHA VARREY MD PHYSICIAN 60.00 0.00 X 752048 0 12308 GENA T MANLEY MD PHYSICIAN 60.00 0.00 X 755379 0 41655 12069849 0 1260794 706 0 1 0 SHEPPARD PRATT HEALTH SYSTEM 6501 N CHARLES STREET PO BOX 6815 BALTIMORE MD 212856815 MEDICAL STAFFING 5391243 HEALTH CAROUSEL LLC 3805 EDWARDS ROAD CINCINNATI OH 45209 MEDICAL STAFFING 5195286 EPIC SYSTEMS CORPORATION 1979 MILKY WAY VERONA WI 53593 SOFTWARE ENGINEERING 3301087 AMERICAN MEDICAL STAFFING INC 7324 SOUTHWEST FWY 1550 HOUSTON TX 77074 MEDICAL STAFFING 3275123 AYA HEALTHCARE INC 5930 CORNERSTONE COURT WEST SAN DIEGO CA 92121 MEDICAL STAFFING 2773263 164 354361 2466328 963264 9921992 13705945 PATIENT SERVICE 622110 574427924 574427924 SPECIALTY PHARMACY 620000 17179238 17179238 OTHER PATIENT REVENUE 620000 12967145 12252018 715127 604574307 8245378 458548 7786830 10412076 9048116 2025 1363960 -2025 1361935 1361935 74389 354361 137083 -62694 -62694 PARKING REVENUE 900099 1282348 1282348 CAFETERIA INCOME 900099 75589 75589 1357937 629182808 603859180 1173675 10444008 147632 147632 11335247 11335247 298526355 268938341 28381788 1206226 6623018 4250178 2348085 24755 18121961 16595477 1455786 70698 20028310 17093770 2850379 84161 1305124 696410 608714 155893 10746 145147 663064 663064 5797 5797 522214 522214 49154810 40462765 8245881 446164 1128799 17977 1015312 95510 133032316 131927303 833771 271242 16670653 12777408 3864437 28808 15624609 12054695 3319918 249996 802956 227511 535153 40292 1152874 710339 442283 252 6092064 47246 6044818 32275027 28134479 4128390 12158 3980980 3336577 644403 PURCHASED SERVICES 4108331 2599812 1508519 INSTITUTIONAL DUES 812553 229038 583515 622270587 540257704 79482621 2530262 92211037 76580813 26705216 26924133 61626914 74421946 6384447 6974809 17563573 17052501 870144445 493753294 316577239 376391151 203970103 130331894 8567691 68189501 103385801 124435176 836992021 901301924 101793506 85698238 1123144 184686947 235772862 24071947 21495219 112278334 139504849 422830734 483594312 X 312638333 328469168 101522954 89238444 414161287 417707612 836992021 901301924 X 6912221 7946773 -11312669 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 0 0 0 1 13591 13591 0 PART II-B, LINE 1: GOVERNMENT RELATIONS IS A FUNCTION WITHIN THE MARKETING AND COMMUNICATIONS DEPARTMENT OF GBMC HEALTHCARE. IN THIS ROLE, A STAFF MEMBER DEVOTES A PORTION OF HIS TIME SERVING ON THE LEGISLATIVE COMMITTEE OF THE MARYLAND HOSPITAL ASSOCIATION AND ATTENDS REGULAR COMMITTEE MEETINGS DURING THE STATE LEGISLATIVE SESSION. ADDITIONALLY, THIS ROLE INVOLVES THE COORDINATION OF PERIODIC TOURS OF GBMC WITH LOCAL AND STATE ELECTED OFFICIALS. A PORTION OF THIS PERSON'S SALARY IS ALLOCATED TO LOBBYING COSTS ($7,794). THE ORGANIZATION PAYS DUES TO THE MARYLAND HOSPITAL ASSOCIATION. A PORTION OF THE DUES PAID ARE USED FOR LOBBYING ACTIVITIES ($5,797). 40818185 248773 4933533 3228196 42772315 38625980 2394158 2723286 2924903 40818521 45212836 3486805 -5035114 5038547 38625980 3775539 1488212 11549578 5400493 45212836 36340739 3454850 2408463 4628513 37575539 0.70920 0.29080 0 0 15290673 15290673 494844277 266600825 228243452 15948313 8402054 7546259 159688395 120665852 39022543 184372787 98084563 86288224 376391151 CLOSELY HELD INVESTMENTS 7275862 C ALTERNATIVE INVESTMENTS 59193851 C PARTNERSHIP INVESTMENTS 1719788 C 68189501 INTERCOMPANY RECEIVABLES 85960830 DEFERRED ASSETS 26000 RIGHT OF USE ASSETS 37708643 DONATED TIMESHARE 44500 DUE FROM AFFILIATES - LONG TERM 695203 124435176 CAPITAL & OPERATING LEASES 58425811 OTHER LIABILITIES 7516954 CHARITABLE GIFT ANNUITY 974072 INSURANCE RESERVES 2614804 OTHER THIRD PARTY ADVANCES 17153523 INTERCOMPANY PAYABLES 52819685 139504849 X PART V, LINE 4: GREATER BALTIMORE MEDICAL CENTER, INC, HOLDS AND MANAGES THE ENDOWMENT FOR THE PURPOSE OF: 1) DEPARTMENT NEEDS - ONCOLOGY, PEDIATRICS, EMERGENCY DEPARTMENT, CHAPEL, OPHTHALMOLOGY, AND SAFE {DOMESTIC VIOLENCE PROGRAM), 2) RESEARCH - SUPPORT CLINICAL RESEARCH PERFORMED AT GREATER BALTIMORE MEDICAL CENTER, 3) EDUCATION - SUPPORT EDUCATION PROGRAMS, LECTURES AND SCHOLARSHIPS, CENTER FOR NURSING EXCELLENCE, 4) GENERAL SUPPORT FOR GREATER BALTIMORE MEDICAL CENTER, 5) UNCOMPENSATED CARE. PART X, LINE 2: GREATER BALTIMORE MEDICAL CENTER, INC. IS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS FOR GBMC HEALTHCARE, INC. AND SUBSIDIARIES, WHICH INCLUDES BOTH TAXABLE AND TAX-EXEMPT AFFILIATES. THE COMPANY IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THE COMPANY IS SUBJECT TO INCOME TAX ON UNRELATED BUSINESS INCOME. THE FINANCIAL ACCOUNTING STANDARDS BOARD'S (FASB) GUIDANCE ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES CLARIFIES THE ACCOUNTING FOR UNCERTAINTY OF INCOME TAX POSITIONS. THIS GUIDANCE DEFINES THE THRESHOLD FOR RECOGNIZING TAX RETURN POSITIONS IN THE CONSOLIDATED FINANCIAL STATEMENTS AS "MORE LIKELY THAN NOT" THAT THE POSITION IS SUSTAINABLE, BASED ON ITS TECHNICAL MERITS. THIS STANDARD ALSO PROVIDES GUIDANCE ON THE MEASUREMENT, CLASSIFICATION AND DISCLOSURE OF TAX RETURN POSITIONS IN THE CONSOLIDATED FINANCIAL STATEMENTS. THE COMPANY HAS ADOPTED THIS GUIDANCE, AND THERE WERE NO AMOUNTS RECORDED IN THE CONSOLIDATED FINANCIAL STATEMENTS AS OF AND DURING THE YEARS ENDED JUNE 30, 2024 AND 2023 FOR UNCERTAIN TAX POSITIONS. 1 CENTRAL AMERICA AND THE CARIBBEAN 1 0 INVESTMENT EXPENDITURES 13724498 CENTRAL AMERICA AND THE CARIBBEAN 1 0 INVESTMENTS 21489497 NORTH AMERICA 0 0 INVESTMENTS 5243703 1 0 0 0 1 0 40457698 0 40457698 1 0 1 1 1 0 GBMC GOLF OUTINGS 175677 143802 31875 22257 36949 930 WALK A MILE 141427 126367 15060 4638 11745 750 1124 2 111646 84192 27454 250 7920 13885 23551 1480 11604 428750 354361 74389 250 34815 25630 60500 2230 13658 137083 -62694 1 1 X 1 X 300.000000000000 1 X 500.000000000000 1 1 1 0 1 1 2601181 2601181 0.00420 2601181 2601181 0.00420 2412497 372775 2039722 0.00330 8425047 638553 7786494 0.01250 175882706 122271455 53611251 0.08620 620485 373515 246970 0.00040 141391 0 141391 0.00020 187482126 123656298 63825828 0.10260 190083307 123656298 66427009 0.10680 30578 30578 0.00000 1012 1012 0.00000 6269 6269 0.00000 37859 37859 0.00000 1 11390430 0 128427989 100211300 28216689 X 1 1 1 1 GREATER BALTIMORE MEDICAL CENTER 6701 NORTH CHARLES STREET BALTIMORE MD 21204 WWW.GBMC.ORG 03-015 X X X X X GREATER BALTIMORE MEDICAL CENTER 1 0 0 1 X X X X X X X X 23 1 1 1 1 X HTTPS://WWW.GBMC.ORG/CHNA 1 24 1 HTTPS://WWW.GBMC.ORG/CHNA 0 1 X 300.000000000000 500.000000000000 X X X X X 1 1 X X X 1 X HTTPS://WWW.GBMC.ORG/FINANCIALSUPPORT X HTTPS://WWW.GBMC.ORG/FINANCIALSUPPORT X HTTPS://WWW.GBMC.ORG/FINANCIALSUPPORT X X X X X X X 1 X 0 X X X X 1 X 0 0 GREATER BALTIMORE MEDICAL CENTER PART V, SECTION B, LINE 5: AS PART OF THE COMMUNITY HEALTHCARE NEEDS ASSESSMENT (CHNA), SELECT INDIVIDUALS THROUGHOUT THE COMMUNITY REPRESENTING A VARIETY OF UNIQUE SERVICES, INCLUDING PUBLIC HEALTH, MEDICAL SERVICES, SOCIAL ORGANIZATION, CHILD & YOUTH SERVICES, AND FAITH-BASED ORGANIZATIONS WERE CHOSEN TO PARTICIPATE IN DIRECTLY RESPONDING TO A SURVEY REGARDING WHAT EACH BELIEVED TO BE THE MOST SIGNIFICANT SOCIAL AND HEALTHCARE ISSUES FACING THE COMMUNITY-AT-LARGE. THESE SURVEY RESPONSES BECAME AN OFFICIAL COMPONENT OF THE OVERALL CHNA REPORT. ADDITIONALLY, TWO COMMUNITY STAKEHOLDER MEETINGS ARE HELD EVERY YEAR TO SOLICIT FEEDBACK ON INITIATIVES AND PROGRESS TOWARD GOALS. COMMUNITY INPUT INCLUDED DISCUSSIONS & CONSULTATIONS WITH BEHAVORIAL HEALTH SYSTEMS BALTIMORE, NATIONAL ALLIANCE ON MENTAL ILLNESS (NAMI) MARYLAND, AND BALTIMORE COUNTY DEPARTMENT OF HEALTH. GREATER BALTIMORE MEDICAL CENTER PART V, SECTION B, LINE 6A: THE CHNA WAS CONDUCTED WITH THE FOLLOWING OTHER HOSPITAL FACILITIES: NORTHWEST HOSPITAL OF LIFEBRIDGE HEALTH, SHEPPARD PRATT, THE UNIVERSITY OF MARYLAND ST. JOSEPH MEDICAL CENTER, ANDMEDSTAR FRANKLIN SQUARE MEDICAL CENTER. GREATER BALTIMORE MEDICAL CENTER PART V, SECTION B, LINE 6B: THE CHNA WAS CONDUCTED WITH ONE NON-HOSPITAL FACILITY, THE BALTIMORE COUNTY DEPARTMENT OF HEALTH. GREATER BALTIMORE MEDICAL CENTER PART V, SECTION B, LINE 11: GREATER BALTIMORE MEDICAL CENTER (GBMC) HAS MADE SIGNIFICANT STRIDES IN ITS IMPLEMENTATION OF PROGRAMS IN RESPONSE TO THE NEEDS IDENTIFIED IN THE CHNA, SPECIFICALLY, GBMC IS FOCUSED ON THE IDENTIFIED COMMUNITY HEALTH ISSUES IT HAS THE MOST ABILITY TO IMPACT IN A MEANINGFUL WAY, WHETHER THROUGH INTERNALLY DEVELOPED STRATEGIES AND/OR PARTNERSHIPS. GBMC HAS EXPANDED ITS COLLABORATIVE CARE MANAGEMENT AND CARE COORDINATION MODEL WITH THE ENHANCEMENT OF THREE PROGRAMS: BEHAVIORAL HEALTH EMBEDDED IN THE PATIENT CENTER MEDICAL HOME, ELDER MEDICAL CARE AT HOME AND, IN UNDERSERVED COMMUNITIES, AND EXPANDED CARE COORDINATION/CARE MANAGEMENT. THE MARYLAND DEPARTMENT OF HEALTH AND MENTAL HYGIENE'S PRIMARY CARE NEEDS ASSESSMENT, RANKED BALTIMORE CITY LAST IN THE STATE ON INDICATORS SUCH AS PREVENTABLE HOSPITALIZATION, ACCESS TO CARE, AND OTHER SOCIAL DETERMINANTS OF HEALTH, MAKING IT THE JURISDICTION WITH THE GREATEST NEED FOR HEALTHCARE RESOURCES. IN ADDITION, BALTIMORE CITY ALSO HAD THE HIGHEST INCIDENCE IN MARYLAND OF HIV, CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD), DIABETES WITH LONG-TERM COMPLICATIONS, AND HYPERTENSION.GILCHRIST CENTER BALTIMORE, A RELATED ENTITY OF GBMC LOCATED IN BALTIMORE CITY, FILLS THIS NEED, SERVING ABOUT 150 TERMINALLY ILL INDIVIDUALS EACH YEAR. AS GILCHRIST CENTER BALTIMORE IS THE ONLY HOSPICE IN BALTIMORE CITY, THE FACILITY GENERALLY HAS A WAITING LIST OF PATIENTS. THOSE AGED 65 AND OLDER COMPRISE APPROXIMATELY 16.5% OF THE BALTIMORE CITY POPULATION, AND THE MARYLAND HEALTH CARE COMMISSION PROJECTS AN INCREASE IN CITY RESIDENTS NEEDING HOSPICE. THIS POPULATION ALSO TENDS TO BE THOSE MOST IN NEED. IN FISCAL YEAR 2024, GILCHRIST CENTER BALTIMORE HAD AN AVERAGE DAILY CENSUS OF 21.83 AND INCURRED A LOSS OF $1.7 MILLION.GBMC HAS INVESTED SIGNIFICANTLY, $39.2 MILLION IN FY24, IN ITS PHYSICIAN SERVICES. IN FY20, GBMC EARNED RECOGNITION FROM THE NATIONAL COMMITTEE FOR QUALITY ASSURANCE, AS A LEVEL 3 PHYSICIAN PRACTICE CONNECTIONS-PATIENT-CENTERED MEDICAL HOME (PPC-PCMH). GBMC'S INTEGRATED, MULTI-SPECIALTY MEDICAL GROUP MANAGES PATIENT'S HEALTH ACROSS GBMC'S SYSTEM OF CARE, WITH A FOCUS ON PREVENTION & WELLNESS, EVIDENCE-BASED CARE, AND ACTIVE MANAGEMENT OF CHRONIC DISEASE. CARE OUTSIDE OF THE ACUTE CARE SETTING SIGNIFICANTLY REDUCED THE TOTAL COST OF CARE AND ENHANCED PATIENT ACCESS.THE COLLABORATIVE CARE MODEL (COCM) PROGRAM BEGAN IN JULY OF 2020, ADAPTED FROM THE PREVIOUS INTEGRATED BEHAVIORAL HEALTHCARE MODEL, AND IS A CONTINUED PARTNERSHIP BETWEEN GBMC AND SHEPPARD PRATT. IT IS AN EVIDENCE-BASED MODEL THAT AIMS TO IMPROVE ACCESS TO CARE, AND PROVIDE HIGH-QUALITY SERVICES AIMED AT SYMPTOM IMPROVEMENT. THE TEAM OF BEHAVIORAL HEALTH CARE MANAGERS (PRIMARILY SOCIAL WORKERS) HAS NOW TREATED OVER 4,425 PATIENTS TO HELP THEM TARGET SYMPTOMS RANGING FROM ANXIETY AND DEPRESSION TO ALCOHOL USE AND POST-TRAUMATIC STRESS. EVALUATION DATA SHOWS IMPROVEMENT IN DEPRESSION AND ANXIETY SYMPTOMS AND REDUCED UTILIZATION OF THE EMERGENCY DEPARTMENT. GBMC'S SAFE & DOMESTIC VIOLENCE PROGRAM PARTNERS WITH BALTIMORE COUNTY LAW ENFORCEMENT, BALTIMORE COUNTY CHILD ADVOCACY CENTER, BALTIMORE COUNTY STATE'S ATTORNEY'S OFFICE, AND MARYLAND CENTER FOR SCHOOL SAFETY TO IMPROVE VICTIMS' SAFETY AND WELL-BEING. THE SAFE PROGRAM PROVIDES HIGH QUALITY COMPREHENSIVE DIRECT SERVICES TO VICTIMS OF SEXUAL ASSAULT, DOMESTIC VIOLENCE, CHILD ABUSE, AND HUMAN TRAFFICKING. GBMC PROVIDES 365 DAYS-A-YEAR COVERAGE FROM A FORENSIC NURSE AND AN ADVOCATE AND OFTEN HAS TWO FORENSIC NURSES AVAILABLE. GBMC SAFE HAS ADDITIONALLY ADDED A CHILD PROTECTION PROGRAM UNDER ITS UMBRELLA.THE SAFE PROGRAM CONTINUES TO PROVIDE COMPREHENSIVE MEDICAL FORENSIC SERVICES, AND CONDUCT SAFE EXAMINATIONS AND ENCOUNTERS, NON-FATAL STRANGULATION EXAMINATIONS, AND SUSPECT EXAMINATIONS. IN ADDITION TO FORENSIC NURSING SERVICES, OUR VICTIM ADVOCATES PROVIDED ADVOCACY AND CRISIS INTERVENTIONS. THE PROGRAM CONTINUES THE EXPANSION OF ITS SERVICES TO CARE FOR PEDIATRIC SEXUAL ABUSE, HUMAN TRAFFICKING, AND VICTIMS FOR WHOM ENGLISH IS A SECOND LANGUAGE. IN FY24, THE SAFE PROGRAM WAS RECOGNIZED BY THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES FOR THEIR INNOVATION RELATED TO THE PREVENTION OF HUMAN TRAFFICKING.GBMC HAS A COMPREHENSIVE OBESITY MANAGEMENT PROGRAM (COMP), WHOSE GOAL IS TO GET PATIENTS ENGAGED IN HEALTHIER LIFESTYLE CHANGES. THIS PROGRAM PROVIDES PATIENTS WITH THE NECESSARY TOOLS AND EDUCATION TO START A JOURNEY TO LOSE WEIGHT AND GAIN A BETTER HEALTH STATUS. IN FY24, GBMC'S COMP PERFORMED 452 BARIATRIC SURGERIES AND HAS EARNED LEVEL 1 ACCREDITATION BY THE AMERICAN COLLEGE OF SURGEONS BARIATRIC SURGERY CENTER NETWORK.THE GECKLE DIABETES AND NUTRITION CENTER AT GBMC OFFERS A COMPREHENSIVE APPROACH TO DIABETES EDUCATION AND TREATMENT FOR ALL TYPES OF DIABETES. THE DIABETES EDUCATION TEAM CONSISTS OF REGISTERED DIETITIANS, REGISTERED NURSES, AND CERTIFIED DIABETES EDUCATORS. THE CENTER TEACHES DIABETES SELF-MANAGEMENT AND PROVIDES PATIENTS THE TOOLS TO DO SO. DIABETES NUTRITION, MEAL PLANNING, AND PHYSICAL ACTIVITY ARE KEY COMPONENTS OF THE PROGRAM. GBMC HAS STARTED TO EXTEND THIS PROGRAM TO VARIOUS GBMC PRIMARY CARE OFFICES, TO BRINGING THE SERVICES TO THE PATIENT. WITH DIABETES SELF-MANAGEMENT SKILLS AND IMPROVED BLOOD GLUCOSE (SUGAR) LEVELS, GBMC IS HELPING TO REDUCE THE RISK OF COMPLICATIONS AND SIGNIFICANTLY IMPROVE THE QUALITY OF THE PATIENTS' LIVES. THE PRODUCE IN A SNAP INITIATIVE HAS BEEN ADDED TO OUR PROGRAMS THAT ARE TARGETING INDIVIDUALS WITH DIABETES AS WELL AS THOSE WITH FOOD INSECURITY AND OBESITY. THE PROMOTION ALONE THROUGHOUT BALTIMORE COUNTY HAS BROUGHT PATIENTS AND COMMUNITY MEMBERS FROM ALL WALKS OF LIFE TO BENEFIT FROM THIS GREAT MARKET. GBMC HAS IDENTIFIED SEVERAL SERVICE BARRIERS AS THE ORGANIZATION HAS WORKED TO IMPLEMENT ITS CHNA WORK. THESE INCLUDE ISOLATION AND STIGMA RELATED TO MENTAL HEALTH ISSUES, A SHORTAGE OF PSYCHIATRIC PHYSICIANS IN THE COMMUNITY AND TRANSPORTATION CHALLENGES FOR PATIENTS. THE ORGANIZATION CONTINUES TO IMPLEMENT SYSTEM-WIDE WORKFLOWS TO ASSESS AND ADDRESS SOCIAL DETERMINANTS OF HEALTH.GBMC DECIDED NOT TO CONCENTRATE ON VIOLENCE AND SAFETY FOR THIS CHNA CYCLE DUE TO LIMITED RESOURCES AVAILABLE TO PROPERLY ADDRESS. INSTEAD, OTHER ISSUES WERE CHOSEN TO ENSURE THE EFFECTIVE, EFFICIENT USAGE OF RESOURCES TO ACHIEVE THE LARGEST IMPACT ON IMPROVING THE LIVES OF THOSE IN THE COMMUNITIES WE SERVE. GREATER BALTIMORE MEDICAL CENTER PART V, SECTION B, LINE 16J: THE HOSPITAL PROVIDES A PERMISSION & ACKNOWLEDGEMENT DOCUMENT, WHICH AMONG OTHER THINGS, SUMMARIZES THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY. THE DOCUMENT IS PROVIDED TO THE PATIENTS AT THE TIME OF ADMISSION AND INCLUDED IN THE INVOICE BILLING.IN ADDITION, EACH INVOICE NOTES THE AVAILABILITY OF FINANCIAL ASSISTANCE TO PATIENTS WHO BELIEVE THEY ARE UNABLE TO PAY. THE EXISTENCE OF FINANCIAL ASSISTANCE IS ALSO VISIBLY DISPLAYED WITHIN AREAS OF PATIENT FLOW, SUCH AS THE EMERGENCY DEPARTMENT, REGISTRATION KIOSKS, SURGICAL SERVICE AREAS, ETC. PART I, LINE 7: THE FOLLOWING COSTING METHODOLOGIES WERE USED TO CALCULATE LINES 7A THROUGH 7I ON THE COMMUNITY BENEFIT REPORT.OFFSETTING REVENUE IS REVENUE FROM THE ACTIVITY DURING THE YEAR THAT OFFSETS THE TOTAL COMMUNITY BENEFIT EXPENSE OF THAT ACTIVITY INCLUDING ALL REVENUE GENERATED BY THE ACTIVITY OR PROGRAM, SUCH AS A PAYMENT OR REIMBURSEMENT FOR SERVICES PROVIDED. OFFSETTING REVENUE INCLUDES RESTRICTED GRANTS OR CONTRIBUTIONS USED TO PROVIDE THE SERVICE.DIRECT COSTS INCLUDE SALARIES, EMPLOYEE BENEFITS, SUPPLIES, AND OTHER COSTS THAT ARE DIRECTLY ATTRIBUTABLE TO THE SPECIFIC SERVICE AND THAT WOULD NOT EXIST IF THE SERVICE OR EFFORT DID NOT EXIST.INDIRECT COSTS ARE DERIVED FROM AN INDIRECT COST RATIO CALCULATED FROM THE FY 2024 HSCRC ANNUAL COST REPORT AS DESCRIBED IN THE INSTRUCTIONS FOR THE COMMUNITY BENEFIT REPORT SUBMISSION. INDIRECT COSTS INCLUDE PATIENT CARE & NON-PATIENT CARE OVERHEAD AS WELL AS CAPITAL FACILITIES ALLOWANCES. OVERHEAD INCLUDES, BUT IS NOT LIMITED TO, FINANCE, FACILITIES MANAGEMENT, AND HUMAN RESOURCES. PART I, LINE 7G: THE BULK OF GBMC'S PHYSICIAN SUBSIDY (58%) IS RELATED TO PHYSICIANS PROVIDING SERVICES THE HEALTH SYSTEM DETERMINED ARE A COMMUNITY NEED. SERVICES INCLUDE, BUT ARE NOT LIMITED TO ONCOLOGY-CANCER, ANESTHESIOLOGY, PRIMARY CARE, OBSTETRICS & GYNECOLOGY, SURGERY, AND ORTHOPEDICS. GBMC HAS INVESTED SIGNIFICANTLY, $39.2 MILLION IN FY24, IN ITS PHYSICIAN SERVICES. GBMC'S INTEGRATED, MULTI-SPECIALTY MEDICAL GROUP MANAGES PATIENT'S HEALTH ACROSS GBMC'S SYSTEM OF CARE, WITH A FOCUS ON PREVENTION & WELLNESS, EVIDENCE-BASED CARE, AND ACTIVE MANAGEMENT OF CHRONIC DISEASE. CARE OUTSIDE OF THE ACUTE CARE SETTING SIGNIFICANTLY REDUCED THE TOTAL COST OF CARE AND ENHANCED PATIENT ACCESS.THE BALANCE OF GBMC'S PHYSICIAN SUBSIDY IS RELATED TO NON-RESIDENT ADVANCED PRACTITIONERS & HOSPITALISTS. PART II, COMMUNITY BUILDING ACTIVITIES: GBMC CONTINUES TO INVEST IN THE COMMUNITIES WE SERVE. IN THE LAST TWO YEARS, WE HAVE INVESTED OVER $134 MILLION IN COMMUNITY BENEFIT ACTIVITIES THAT INCLUDE COMMUNITY HEALTH SERVICES, HEALTH PROFESSIONS EDUCATION, MISSION DRIVEN INITIATIVES AND CHARITY CARE. WE ALSO FUND LOCAL ORGANIZATIONS IN THEIR EFFORTS TO PROMOTE HEALTHY BEHAVIORS AND ADDRESS THE SOCIAL DRIVERS OF HEALTH.WITH THE PATHWAYS TO HEALTH EQUITY PROGRAM, GBMC ESTABLISHED A COLLABORATIVE RELATIONSHIP BETWEEN GBMC'S ADVANCED PRIMARY CARE PRACTICE IN JONESTOWN AND NUMEROUS COMMUNITY PARTNERS IN UNDERSERVED COMMUNITIES. THE PROGRAM ALSO FOCUSED ON PRIMARY CARE IN THE HOME THROUGH GILCHRIST'S ELDER MEDICAL CARE PROGRAM. COMMUNITY PARTNERS SERVED AS TRUSTED ADVISORS TO THE COMMUNITY AND ADDRESSED SOCIAL DRIVERS OF HEALTH SUCH AS FOOD, HOUSING, AND TRANSPORTATION. PATHWAYS TO HEALTH EQUITY PROGRAM HIGHLIGHTS AND SUCCESSES:- 1525 NEW PATIENTS ENROLLED IN PRIMARY CARE- 100 HEALTH PROMOTION EVENTS HELD- 57,076 POUNDS OF FOOD DISTRIBUTED PART III, LINE 2: GBMC INC. ESTIMATES BAD DEBT EXPENSE THROUGH THE ANALYSIS OF THE ANNUAL COLLECTIONS, BAD DEBT & CONTRACTUAL RATES ON THE ACCOUNTS RECEIVABLE AS OF A SPECIFIC POINT IN TIME. THE ANALYSIS, WHICH IS UPDATED MONTHLY, APPLIES COLLECTION, BAD DEBT, AND CONTRACTUAL RATES BASED ON ACCOUNT AGE & PAYOR. SEE PART III, LINE 4. PART III, LINE 3: MARYLAND HOSPITALS ARE RATE REGULATED UNDER THE HSCRC, WHICH INCLUDES BAD DEBT AS PART OF THE REIMBURSEMENT FORMULA FOR EACH HOSPITAL. DUE TO THE RATE REGULATION METHODOLOGY, GREATER BALTIMORE MEDICAL CENTER, INC. CANNOT DETERMINE THE AMOUNT THAT REASONABLY COULD BE ATTRIBUTABLE TO PATIENTS WHO LIKELY WOULD QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S CHARITY CARE POLICY. PART III, LINE 4: THE COMPANY APPLIES ACCOUNTING STANDARDS CODIFICATION (ASC) TOPIC 606, REVENUE FROM CONTRACTS WITH CUSTOMERS, WHICH PROVIDES A PRINCIPLE-BASED FRAMEWORK FOR RECOGNIZING REVENUE TO DEPICT THE TRANSFER OF PROMISED GOODS AND SERVICES TO CUSTOMERS IN AN AMOUNT THAT REFLECTS THE CONSIDERATION TO WHICH THE ENTITY EXPECTS TO BE ENTITLED IN EXCHANGE FOR THOSE GOODS AND SERVICES. NET PATIENT SERVICE REVENUE IS RECOGNIZED, OVER TIME, AS PERFORMANCE OBLIGATIONS ARE SATISFIED. PERFORMANCE OBLIGATIONS ARE DETERMINED BASED ON THE NATURE OF THE SERVICES PROVIDED. REVENUE FOR PERFORMANCE OBLIGATIONS SATISFIED OVER TIME IS RECOGNIZED AT THE ESTIMATED NET REALIZABLE AMOUNTS FROM PATIENTS AND THIRD-PARTY PAYORS FOR SERVICES RENDERED. PERFORMANCE OBLIGATIONS ARE DETERMINED BASED ON THE NATURE OF THE SERVICES PROVIDED. THE MAJORITY OF THE COMPANY'S HEALTHCARE SERVICES REPRESENT A BUNDLE OF SERVICES THAT ARE NOT CAPABLE OF BEING DISTINCT AND AS SUCH, ARE TREATED AS A SINGLE PERFORMANCE OBLIGATION SATISFIED OVER TIME AS SERVICES RENDERED. THE COMPANY ALSO PROVIDES CERTAIN ANCILLARY SERVICES, WHICH ARE NOT INCLUDED IN THE BUNDLE OF SERVICES, AND AS SUCH, ARE TREATED AS SEPARATE PERFORMANCE OBLIGATIONS SATISFIED AT A POINT IN TIME, IF AND WHEN THOSE SERVICES ARE RENDERED.THE COMPANY'S ESTIMATE OF THE TRANSACTION PRICE INCLUDES ESTIMATES OF EXPLICIT PRICE CONCESSIONS FOR SUCH ITEMS AS CONTRACTUAL ALLOWANCES, CHARITY CARE, POTENTIAL ADJUSTMENTS THAT MAY ARISE FROM PAYMENT AND OTHER REVIEWS, AND UNCOLLECTIBLE AMOUNTS, WHICH ARE DETERMINED USING A PORTFOLIO APPROACH AS A PRACTICAL EXPEDIENT TO ACCOUNT FOR PATIENT CONTRACTS AS COLLECTIVE GROUPS RATHER THAN INDIVIDUALLY. ESTIMATES FOR IMPLICIT PRICE CONCESSIONS ARE BASED ON THE AGING OF THE ACCOUNTS RECEIVABLE, HISTORICAL COLLECTION EXPERIENCE FOR SIMILAR PAYORS AND PATIENTS, CURRENT MARKET CONDITIONS, AND OTHER RELEVANT FACTORS.SUBSEQUENT CHANGES TO THE ESTIMATE OF THE TRANSACTION PRICE ARE GENERALLY RECORDED AS ADJUSTMENTS TO PATIENT SERVICE REVENUE, NET IN THE PERIOD OF THE CHANGE. SUBSEQUENT CHANGES THAT ARE DETERMINED TO BE THE RESULT OF AN ADVERSE CHANGE IN THE PAYOR'S OR PATIENT'S ABILITY TO PAY ARE RECORDED AS BAD DEBT EXPENSES. BAD DEBT EXPENSE FOR THE YEARS ENDED JUNE 30, 2024, AND 2023 WAS NOT SIGNIFICANT TO THE CONSOLIDATED FINANCIAL STATEMENTS. PART III, LINE 8: COMMUNITY BENEFIT QUESTION IS NOT APPLICABLE IN MARYLAND AS MARYLAND HOSPITALS ARE REIMBURSED UNDER THE HSCRC WAIVER PROGRAM WHEREIN NET REVENUE IS BASED ON A PERCENTAGE OF REGULATED CHARGES. COSTS ARE REPORTED CONSISTENT WITH THE MEDICARE COST REPORT FILING. PART III, LINE 9B: PATIENTS WHO HAVE BEEN PREVIOUSLY SCREENED FOR CHARITY CARE, ARE NOT MEDICAL ASSISTANCE ELIGIBLE, AND HAVE NO INSURANCE DO NOT RECEIVE INVOICES. THEY ARE AUTOMATICALLY REFERRED TO GBMC'S ASSUMPTIVE FINANCIAL ASSISTANCE PROGRAM. THE PROGRAM IS RUN IN PARTNERSHIP WITH THE TRANSUNION CREDIT REPORTING AGENCY. ALL SELF-PAY ACCOUNTS AND THOSE PREVIOUSLY IDENTIFIED AS CHARITY CARE ARE REFERRED TO TRANSUNION, WHICH UTILIZES A PROPRIETARY CREDIT SCORING SYSTEM TO DETERMINE THE LIKELIHOOD OF ABILITY TO PAY BASED ON ESTIMATED INCOME AND FAMILY SIZE. THE RESULTS FROM THE TRANSUNION CREDIT SCORING ARE COMPARED TO GBMC'S FINANCIAL ASSISTANCE ELIGIBILITY CRITERIA. PATIENTS APPROVED FOR FINANCIAL ASSISTANCE ARE WRITTEN-OFF TO A ZERO BALANCE AND THEREFORE NOT PURSUED BY INTERNAL COLLECTION PROCESSES OR THIRD-PARTY AGENCIES. PART VI, LINE 2: OVER AN 8-MONTH PERIOD, GBMC CONDUCTED OUR TRIENNIAL COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). THE CHNA PROCESS WAS A COLLABORATIVE PROCESS IN WHICH WE GATHERED NEW AND EXISTING DATA TO ASSESS THE HEALTH OF OUR COMMUNITY. IT WAS A REMINDER THAT OUR HEALTH AND QUALITY OF LIFE ARE SHAPED BY MANY FACTORS THAT TAKE PLACE OUTSIDE OF THE CLINICAL ENVIRONMENT. GBMC CONTINUES TO INVEST IN THE COMMUNITIES WE SERVE. IN THE LAST TWO YEARS, WE HAVE INVESTED OVER $134 MILLION IN COMMUNITY BENEFIT ACTIVITIES THAT INCLUDE COMMUNITY HEALTH SERVICES, HEALTH PROFESSIONS EDUCATION, MISSION DRIVEN INITIATIVES AND CHARITY CARE. WE ALSO FUND LOCAL ORGANIZATIONS IN THEIR EFFORTS TO PROMOTE HEALTHY BEHAVIORS AND ADDRESS THE SOCIAL DRIVERS OF HEALTH.COMMUNITY BENEFIT ACTIVITIES ARE PLANNED, ORGANIZED, AND MEASURED APPROACHES TO MEETING IDENTIFIED COMMUNITY HEALTH NEEDS WITHIN A GIVEN SERVICE AREA. IT MOST OFTEN REQUIRES COLLABORATION WITH OTHER NON-PROFIT AND PUBLIC COMMUNITY-BASED ORGANIZATIONS AND MEETS THE FOLLOWING PARAMETERS: - IMPROVES THE HEALTH STATUS AND WELL-BEING OF SPECIFIC VULNERABLE POPULATIONS - GENERATES A LOW OR NEGATIVE MARGIN - IS NOT PROVIDED FOR MARKETING PURPOSES - SUPPORTS SERVICES OR PROGRAMS THAT WOULD LIKELY BE DISCONTINUED IF THE DECISION WERE MADE ON A PURELY FINANCIAL BASIS.THE 2024 BALTIMORE COUNTY CHNA WAS A COLLABORATIVE EFFORT OF GBMC, THE BALTIMORE COUNTY DEPARTMENT OF HEALTH, MEDSTAR FRANKLIN SQUARE MEDICAL CENTER, NORTHWEST HOSPITAL OF LIFEBRIDGE HEALTH, SHEPPARD PRATT AND THE UNIVERSITY OF MARYLAND ST. JOSEPH MEDICAL CENTER. SEVERAL STAFF FROM EACH ORGANIZATION COMPRISED THE CHNA STEERING COMMITTEE. THE PURPOSE OF THE CHNA WAS TO UNDERSTAND, QUANTIFY, AND ARTICULATE THE HEALTH NEEDS OF BALTIMORE COUNTY RESIDENTS AND THEN DETERMINE HEALTH PRIORITIES.MORE THAN 2,200 COMMUNITY MEMBERS AND STAKEHOLDERS CONTRIBUTED TO THE CHNA. THE DATA WAS COLLECTED THROUGH FOCUS GROUPS AND WEB-BASED SURVEYS. ACCESS TO HEALTHCARE, FOOD INSECURITY, AND TRANSPORTATION WERE IDENTIFIED AS THE TOP NEEDS THAT IMPACT THE HEALTH AND WELLBEING OF PEOPLE LIVING IN BALTIMORE COUNTY. IN ADDITION TO NEW DATA FROM THE COMMUNITY, MORE THAN 100 DATA INDICATORS WERE ANALYZED. SOME OF THE DATA SOURCES INCLUDE THE MARYLAND DEPARTMENT OF HEALTH, ROBERT WOOD JOHNSON FOUNDATION, COUNTY HEALTH RANKINGS, AND THE CENTERS FOR DISEASE CONTROL AND PREVENTION. TOP COMMUNITY NEEDS IDENTIFIED THROUGH SECONDARY DATA ANALYSIS INCLUDED SOCIAL DETERMINANTS OF HEALTH, ACCESS TO HEALTHCARE, BEHAVIORAL HEALTH, AND HEALTH EQUITY.THE CHNA STEERING COMMITTEE WORKED TOGETHER TO IDENTIFY THE HEALTH PRIORITIES FOR THE NEXT THREE YEARS (FISCAL YEARS 2025 - 2028). ALONG WITH ANALYZING A WEALTH OF INFORMATION, NEEDS WERE IDENTIFIED BASED ON MANY FACTORS INCLUDING: SEVERITY OF NEED, THE ABILITY FOR HOSPITALS OR HEALTH DEPARTMENTS TO MAKE AN IMPACT, ASSOCIATED HEALTH DISPARITIES, AND IMPORTANCE TO THE COMMUNITY. THE STEERING COMMITTEE SELECTED THREE TOP PRIORITY HEALTH NEEDS: BEHAVIORAL HEALTH, PHYSICAL HEALTH, AND ACCESS TO CARE. THE COMPLETE CHNA REPORT IS AVAILABLE AT WWW.GBMC.ORG/CHNA. PART VI, LINE 3: GBMC IS COMMITTED TO PROVIDING FINANCIAL ASSISTANCE TO PERSONS WHO HAVE HEALTH CARE NEEDS AND ARE UNINSURED, UNDERINSURED, INELIGIBLE FOR A GOVERNMENT PROGRAM, OR OTHERWISE UNABLE TO PAY, FOR EMERGENT AND MEDICALLY NECESSARY CARE BASED ON THEIR INDIVIDUAL FINANCIAL SITUATION. ALL PATIENTS PRESENTING FOR EMERGENCY SERVICES ARE TREATED REGARDLESS OF THEIR ABILITY TO PAY. FINANCIAL ASSISTANCE NOTICES ARE POSTED AT ADMITTING AND OTHER POINTS OF ENTRY AND REGISTRATION THROUGHOUT THE HOSPITAL. "GREATER SERVICE," GBMC'S PATIENT FINANCIAL SERVICES BROCHURE IS AVAILABLE TO ALL INPATIENTS AND OUTPATIENTS OF THE HEALTH SYSTEM. PATIENT REPRESENTATIVES ARE AVAILABLE TO ANSWER QUESTIONS AND ASSIST PATIENTS AND FAMILY MEMBERS WITH THE FINANCIAL ASSISTANCE APPLICATION PROCESS. PRESUMPTIVE FINANCIAL ASSISTANCE IS AN ALTERNATIVE METHOD FOR OBTAINING FINANCIAL ASSISTANCE. IT IS A PROGRAM RUN IN PARTNERSHIP WITH AN ESTABLISHED CREDIT REPORTING AGENCY. SELF-PAY ACCOUNTS ARE REFERRED TO THE AGENCY, WHICH UTILIZES A PROPRIETARY CREDIT SCORING SYSTEM TO DETERMINE THE LIKELIHOOD AND ABILITY TO PAY BASED ON ESTIMATED INCOME AND FAMILY SIZE. THE RESULTS FROM THE CREDIT SCORE ARE COMPARED TO GBMC'S FINANCIAL ASSISTANCE ELIGIBILITY CRITERIA. PRESUMPTIVE ELIGIBILITY IS ALSO GRANTED IF PATIENTS ARE ENROLLED IN MEANS-TESTED PROGRAMS INCLUDING THE WOMEN, INFANTS, AND CHILDREN (WIC) PROGRAM AND SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP). PART VI, LINE 4: GBMC IS A PRIVATE, NOT-FOR-PROFIT, 228-BED, REGIONAL MEDICAL CENTER. IT IS IN TOWSON, MARYLAND, A SUBURBAN BALTIMORE COUNTY COMMUNITY TWO MILES NORTH OF BALTIMORE CITY. GBMC'S PRIMARY SERVICE AREA INCLUDES ALL OF BALTIMORE COUNTY, THE NORTHERN PORTION OF BALTIMORE CITY, AND PORTIONS OF CARROLL AND HARFORD COUNTIES.BALTIMORE COUNTY OCCUPIES 612 SQUARE MILES OF LAND - PLUS AN ADDITIONAL 28 SQUARE MILES OF WATER - IN THE GEOGRAPHIC CENTER OF MARYLAND. BALTIMORE COUNTY SURROUNDS MOST OF BALTIMORE CITY, HOWEVER, THE CITY WAS SEPARATED FROM THE COUNTY IN 1851. TODAY, BALTIMORE CITY IS AN INDEPENDENT CITY ON PAR WITH COUNTY JURISDICTIONS.WITH A POPULATION OF ROUGHLY 860,000 PEOPLE, THE COUNTY IS THE LARGEST JURISDICTION IN THE CENTRAL MARYLAND METROPOLITAN AREA. THE AGE DISTRIBUTION OF BALTIMORE COUNTY SKEWS SLIGHTLY OLDER THAN THAT OF BALTIMORE CITY, MARYLAND, AND THE U.S. WHILE PEOPLE OF ALL AGES CAN BENEFIT FROM PREVENTIVE SERVICES AND HEALTH EDUCATION, OLDER PEOPLE MAY NEED HIGHER ACUITY HEALTHCARE AND SPECIALIZED SERVICES LIKE CANCER CARE OR CHRONIC DISEASE MANAGEMENT.THE POPULATIONS OF BALTIMORE COUNTY AND BALTIMORE CITY SKEW MORE HEAVILY FEMALE COMPARED TO THE STATE OF MARYLAND. A GREATER PROPORTION OF RESIDENTS IN BALTIMORE COUNTY IDENTIFY AS BLACK OR AFRICAN AMERICAN COMPARED TO THE U.S. OVERALL. BY ETHNICITY, LESS THAN 10% OF BALTIMORE COUNTY'S POPULATION IS HISPANIC. BALTIMORE COUNTY HAS A SMALLER HISPANIC POPULATION THAN BALTIMORE CITY, MARYLAND, AND THE U.S. OVERALL.THE PROPORTION OF FOREIGN-BORN INDIVIDUALS RESIDING IN BALTIMORE COUNTY IS HIGHER THAN THAT OF BALTIMORE CITY BUT LOWER THAN THAT OF THE STATE OF MARYLAND. THE DIVERSITY OF BALTIMORE COUNTY AND BALTIMORE CITY IS REFLECTED IN THE LANGUAGES THAT RESIDENTS SPEAK AT HOME. ACCORDING TO THE MOST RECENT AMERICAN COMMUNITY SURVEY, APPROXIMATELY 15% OF BALTIMORE COUNTY AND 10% OF BALTIMORE CITY RESIDENTS SPEAK A LANGUAGE OTHER THAN ENGLISH AT HOME, COMPARED TO AROUND 20% OF MARYLAND AND U.S. RESIDENTS. LESS THAN 5% OF COUNTY OR CITY RESIDENTS SPEAK SPANISH AT HOME. SPANISH IS MORE COMMONLY SPOKEN AT HOME IN THE STATE OF MARYLAND AND THE U.S. OVERALL. THE POPULATION IN GBMC'S SERVICE AREA HAS TRADITIONALLY BEEN AFFLUENT WHEN COMPARED TO THE NATION. THE MEDIAN HOUSEHOLD INCOME IN THE PRIMARY SERVICE AREA WAS $82,607, HIGHER THAN THE NATIONAL MEDIAN OF $72,603. APPROXIMATELY 10% OF BALTIMORE COUNTY HOUSEHOLDS WERE BELOW THE FEDERAL POVERTY LEVEL (FPL). THE SHARE OF HOUSEHOLDS BELOW THE FPL WAS HIGHER IN BALTIMORE CITY AND THE U.S. OVERALLBALTIMORE COUNTY IS RELATIVELY WELL-EDUCATED, WITH 67.1% OF RESIDENTS HAVING RECEIVED SOME EDUCATION BEYOND HIGH SCHOOL. BALTIMORE COUNTY'S PROPORTION OF THE POPULATION WITH A BACHELOR'S DEGREE WAS SLIGHTLY HIGHER THAN THAT OF BALTIMORE CITY, MARYLAND, AND THE U.S. THE OVERALL UNEMPLOYMENT RATE IN BALTIMORE COUNTY WAS HIGHER THAN MARYLAND, AND THE U.S. OVERALL IN 2023, BUT LOWER THAN BALTIMORE CITY. THE HIGHEST RATE OF UNEMPLOYMENT IN THE COUNTY WAS AMONG PEOPLE AGES 25 TO 54. PART VI, LINE 5: A MAJORITY OF GBMC'S GOVERNING BODY IS COMPRISED OF PERSONS WHO RESIDE IN THE ORGANIZATION'S PRIMARY SERVICE AREA. GBMC EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY. GBMC REINVESTS ITS OPERATING MARGIN INTO IMPROVEMENTS IN PATIENT CARE AND RESEARCH. GBMC PROVIDES TEACHING THROUGH ACCREDITED INTERN AND RESIDENT EDUCATION PROGRAMS IN INTERNAL, GYNECOLOGY, OPHTHALMOLOGY, OTOLARYNGOLOGY, AND COLO-RECTAL SURGERY. MOST RECENTLY, GBMC HAS INVESTED IN A GERIATRIC NURSE PRACTITIONER PROGRAM WHOSE SOLE RESPONSIBILITY IS TO PROVIDE EDUCATION AND PRIMARY CARE SERVICES TO LOW-INCOME SENIOR LIVING FACILITIES IN THE LOCAL SERVICE AREA. THE ORGANIZATION HAS PROVIDED A PEDIATRICIAN TO CATHOLIC CHARITIES SERVING AT RISK ADOLESCENTS TO PERFORM PRIMARY CARE ASSESSMENTS AND TREATMENTS AS WELL AS HELPING TO COORDINATE FURTHER SPECIALIZED CARE. GBMC DONATES A PORTION OF ITS SPACE TO COMMUNITY PARTNERS TO HOST CLASSES TO HELP STROKE VICTIMS REGAIN FULL MOBILITY AND FUNCTIONALITY. GBMC CONTINUES TO FUND ANESTHESIA, OBSTETRICAL, AND ORTHOPEDIC SERVICES TO MEDICAID AND UNINSURED PATIENT POPULATIONS. GBMC HAS GENERALLY COVERED THIS BY AGREEING TO PROVIDE PHYSICIAN PAYMENT FOR SURGICAL CASES COMING THROUGH THE EMERGENCY DEPARTMENT WHERE THE PATIENT IS CONSIDERED TO BE INDIGENT. PART VI, LINE 6: GBMC, INC. IS A SUBSIDIARY OF GBMC HEALTHCARE, A NONPROFIT HEALTH SYSTEM THAT PROVIDES A WIDE VARIETY OF HEALTH CARE AND RELATED SERVICES TO RESIDENTS WHO RESIDE PRIMARILY IN BALTIMORE CITY, BALTIMORE, CARROLL, & HARFORD COUNTIES. GBMC HEALTHCARE WORKS TOGETHER TO ENSURE COMMUNITY NEEDS ARE MET AND REDUCE UNNECESSARY HOSPITAL ADMISSIONS.GBMC'S POPULATION HEALTH INITIATIVES INCLUDE THE FOLLOWING:- GBMC HAS MULTIPLE PCMHS WITH EXTENDED WEEKDAY AND WEEKEND HOURS, INTEGRATED ELECTRONIC HEALTH RECORDS AND A FOCUS ON PREVENTATIVE MEDICINE AND CHRONIC DISEASE MANAGEMENT. EACH PCMH OFFERS A TEAM APPROACH OF CARE DELIVERY INCLUDING PROVIDERS, NURSE CARE MANAGERS, AND CARE COORDINATORS. IN ADDITION, EACH PCMH HAS BEHAVIORAL SPECIALISTS, PSYCHIATRISTS, AND ADDICTION SPECIALISTS.- GBMC PARTICIPATES IN THE MARYLAND PRIMARY CARE PROGRAM IN THE PCMH OFFICES. THE MARYLAND PRIMARY CARE PROGRAM ADDRESSES THE MANAGEMENT OF DIABETES, HYPERTENSION, SUBSTANCE ABUSE, AND REDUCTION OF UNNECESSARY UTILIZATION THROUGH INPATIENT AND OUTPATIENT CENTRALIZED CARE TEAMS OF PROVIDERS AND CARE MANAGEMENT.- GBMC IS AN ACTIVE PARTICIPANT IN THE EPISODE OF CARE IMPROVEMENT PROGRAM, DESIGNED TO ENHANCE THE MANAGEMENT OF SCHEDULED AND TRAUMATIC JOINT REPLACEMENTS POST-SURGERY.- GBMC'S COMPLEX CARE CLINIC WORKS WITH PATIENTS WHO HAVE MULTIPLE ER VISITS OR INPATIENT ADMISSIONS DUE TO COMPLEX MEDICAL DISEASE.- GBMC'S INTEGRATED PALLIATIVE CARE TEAM ACROSS THE GBMC SYSTEM ENHANCES THE PATIENT'S QUALITY OF LIFE AND CAN REDUCE UNNECESSARY UTILIZATION FOR PATIENTS WITH SERIOUS ILLNESS.- GILCHRIST ELDER MEDICAL CARE IS A COORDINATED TEAM THAT OFFERS MEDICAL CARE AND SUPPORT AT EVERY STAGE OF SERIOUS ILLNESS TO HELP OLDER ADULTS. THIS INCLUDES INTEGRATED MEDICAL CARE AND GUIDANCE AND ASSISTANCE IN CONNECTING PATIENTS TO COMMUNITY RESOURCES. OFTEN TIMES, THE CARE IS DELIVERED AT A SITE CONVENIENT TO THE PATIENT, BE IT THEIR HOME, OR ELSEWHERE. PART VI, LINE 7, REPORTS FILED WITH STATES MD 1 CRISTO REY INTERNSHIP PROGRAM INC 420 SOUTH CHESTER STREET BALTIMORE MD 21231 364067306 501(C)(3) 33000 0 TO MAKE A PRIVATE, COLLEGE-PREPARATORY EDUCATION AFFORDABLE TO URBAN YOUNG PEOPLE FROM BALTIMORE ASSOCIATED BLACK CHARITIES INC 2 HAMILL ROAD STE 272 BALTIMORE MD 21210 521427774 501(C)(3) 20000 0 GENERAL SUPPORT ALZHEIMER'S ASSOCIATION 225 N MICHIGAN AVE FLOOR 17 CHICAGO IL 60601 133039601 501(C)(3) 15000 0 GENERAL SUPPORT NAMI MARYLAND INC 10630 LITTLE PATUXENT PARKWAY STE 475 COLUMBIA MD 21044 521295484 501(C)(3) 7500 0 TO IMPROVE MENTAL HEALTH SERVICES THROUGHOUT THE STATE, REDUCE THE STIGMA ASSOCIATED WITH MENTAL ILLNESS, AND SUPPORT EFFECTIVE TREATMENT AND RECOVERY PROGRAMS. ULMAN CANCER FUND 1215 E FORT AVENUE 104 BALTIMORE MD 21230 522057636 501(C)(3) 6000 0 SUPPORTING YOUNG ADULTS IMPACTED BY CANCER 5 PART I, LINE 2: THE ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS IN THE U.S. ARE EVALUATED AND SELECTED THROUGH A FORMAL COMMUNITY NEEDS ADVISORY COMMITTEE AND ARE BASED ON UNIQUE AND IDENTIFIED NEEDS. PERIODIC REPORTS (SOME QUARTERLY AND OTHERS ANNUALLY) ARE REQUIRED BY GRANTORS. ADDITIONALLY, FIELD VISITS ARE CONDUCTED. 0 1 0 0 0 0 0 1 0 VICTOR A KHOUZAMI MD CHAIR/PHYSICIAN 1228605 0 181127 0 618 0 11245 0 39561 0 1461156 0 0 0 JOHN B CHESSARE MD DIRECTOR/CEO GBMC HEALTHCARE 751270 0 234181 0 219710 0 11250 0 36957 0 1253368 0 0 0 BIMAL G RAMI MD PHYSICIAN 900973 0 206917 0 276 0 11250 0 49118 0 1168534 0 0 0 JOHN L FLOWERS MD EVP & CHIEF MEDICAL OFFICER 477788 0 273081 0 85758 0 11250 0 64868 0 912745 0 0 0 NIRAJ JANI MD PHYSICIAN 650226 0 146121 0 180 0 11250 0 49118 0 856895 0 0 0 GENA T MANLEY MD PHYSICIAN 596010 0 156817 0 2552 0 11250 0 30405 0 797034 0 0 0 ANEESHA VARREY MD PHYSICIAN 601879 0 150144 0 25 0 11250 0 1058 0 764356 0 0 0 LAURIE R BEYER EVP & CFO GBMC HEALTHCARE 411791 0 177829 0 8435 0 73746 0 56718 0 728519 0 0 0 CATHERINE HAMEL EVP GBMC,CHIEF STRATEGY OFF/PRES GHC 384791 0 89975 0 66650 0 9059 0 51775 0 602250 0 0 0 DAVID J HYNSON VP & CIO (PART YEAR) 310734 0 101809 0 5716 0 40733 0 31280 0 490272 0 0 0 STACEY L MCGREEVY EVP & COO HOSPITAL 282193 0 96710 0 4005 0 53346 0 51862 0 488116 0 0 0 ERLENE WASHINGTON SVP & COO OF GBMC HEALTH PARTNERS 305303 0 91196 0 5637 0 35836 0 49118 0 487090 0 0 0 ANNA-MARIA G PALMER SVP HR AND ORG DEVELOPMENT & CHRO 307175 0 96163 0 7453 0 41828 0 19156 0 471775 0 0 0 ANGELA FEURER SVP AND CNO 297876 0 39634 0 7503 0 39952 0 62719 0 447684 0 0 0 JENNY COLDIRON SVP OF DEVELOPMENT AND MARKETING 286070 0 69897 0 39443 0 8932 0 39771 0 444113 0 0 0 J CHRISTOPHER GREENAWALT MD DIRECTOR/VICE CHIEF OF STAFF 369467 0 0 0 276 0 9750 0 27663 0 407156 0 0 0 CAROLYN L CANDIELLO SVP OF QUALITY AND PATIENT SAFETY 260999 0 55431 0 30896 0 8523 0 41813 0 397662 0 0 0 ROBIN MOTTER-MAST DO DIRECTOR/CHIEF OF STAFF 316266 0 15000 0 5271 0 9750 0 45440 0 391727 0 0 0 MICHAEL STEIN SVP CLINICAL AND SUPPORT OPERATIONS 258677 0 34719 0 2913 0 32168 0 53418 0 381895 0 0 0 SUSAN MARTIELLI GEN COUNSEL/VP LEGAL SVCS (PART YEAR 252315 0 71758 0 37615 0 6885 0 9723 0 378296 0 0 0 PART I, LINE 4B GBMC HEALTHCARE HAS A NON-QUALIFIED SUPPLEMENTAL RETIREMENT PLAN ("SERP"). THIS PLAN WAS APPROVED BY THE COMPENSATION COMMITTEE OF THE GBMC HEALTHCARE BOARD OF DIRECTORS TO SUPPLEMENT THE EXECUTIVE'S RETIREMENT INCOME. THE SUPPLEMENTAL RETIREMENT PLAN WAS DEVELOPED BASED ON AN INDEPENDENT CONSULTANT REPORT ON MARKET-BASED PRACTICES FOR SUPPLEMENTAL RETIREMENT PLANS, THE PERCENTAGE OF FINAL AVERAGE PAY, THE REQUIREMENTS FOR VESTING, PARTICIPANTS, AND PAY-OUT PROVISIONS WERE ESTABLISHED, REVIEWED, AND APPROVED BY THE COMPENSATION COMMITTEE. DURING CALENDAR YEAR 2023, THE FOLLOWING PARTICIPATED IN THE SERP PLAN: JOHN B. CHESSARE - $202,186 LAURIE R. BEYER - $62,496 JOHN L. FLOWERS, M.D. - $72,293 CATHERINE HAMEL - $58,362 CAROLYN L. CANDIELLO - $26,537 JENNY COLDIRON - $32,910 DAVID J. HYNSON - $31,166 SUSAN MARTIELLI - $34,795 STACEY L. MCGREEVY - $43,484 ANNA-MARIA G. PALMER - $30,578 ERLENE WASHINGTON - $30,900 MICHAEL STEIN - $27,000 ANGELA FEURER - $31,400 DURING THE CALENDAR YEAR, THE FOLLOWING INDIVIDUALS RECEIVED PAYMENTS AS PART OF THEIR PARTICIPATION IN THE SERP PLAN: JOHN B. CHESSARE, M.D. - $202,186 JOHN L. FLOWERS, M.D. - $72,293 CATHERINE Y. HAMEL - $58,362 CAROLYN L. CANDIELLO - $26,537 JENNY COLDIRON - $32,910 SUSAN MARTIELLI - $34,795 PART I, LINE 7 EXECUTIVE BONUSES ARE ESTABLISHED BY THE BOARD OF DIRECTORS COMPENSATION COMMITTEE WITH THE CONSULTATION OF AN INDEPENDENT THIRD-PARTY EXECUTIVE COMPENSATION CONSULTANT. THE COMPENSATION COMMITTEE FOLLOWS GOVERNANCE BEST PRACTICES: - ESTABLISHES AN EXECUTIVE COMPENSATION PHILOSOPHY. - CONDUCTS A COMPREHENSIVE COMPENSATION REVIEW AND APPROVAL PROCESS LED BY AN INDEPENDENT, BOARD-AUTHORIZED COMPENSATION COMMITTEE. - REINFORCES PAY-FOR-PERFORMANCE THROUGH AN ANNUAL INCENTIVE PLAN, WITH GOALS AND METRICS APPROVED BY THE COMPENSATION COMMITTEE; DETERMINATION OF ACHIEVEMENT AND AWARDS WITHIN COMPENSATION COMMITTEE'S SOLE DISCRETION. - PROMOTES TRANSPARENCY WITH ANNUAL REPORT TO THE BOARD. - ENSURES COMPLIANCE WITH IRS "INTERMEDIATE SANCTIONS" SAFE HARBOR* PROTECTIONS FOR EXECUTIVE COMPENSATION DECISIONS. A MD HEALTH & HIGHER ED 520936091 2017-03-08 73720000 TO REFUND BONDS ISSUED 04/20/11 AND 04/11/12 0 0 0 B MD HEALTH & HIGHER ED 520936091 57421CCW2 2021-09-01 139417204 TO FUND CONSTRUCTION OF PROMISE PROJECT 0 0 0 C MD HEALTH & HIGHER ED 520936091 2023-10-19 29000000 TO FUND CONSTRUCTION OF BERMAN CANCER CENTER 0 0 0 A 6550000 73720000 22274 73697726 2017 0 1 1 1 B 140206562 6244517 131520335 2441710 0 0 0 1 C 29000000 1000178 309280 27690542 0 0 0 1 A 0 1 1 0 0 0.00170 0.00000 0.00170 0 0 1 B 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 C 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 0 1 0 0 0 0 1 B 0 1 0 0 1 0 0 0 1 C 0 1 0 0 1 1 CAPITAL ONE NATIONAL 7.700000000000 1 0 0 0 1 A 1 B 1 C 1 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: MD HEALTH & HIGHER ED DATE THE REBATE COMPUTATION WAS PERFORMED: 09/23/2022 SCHEDULE K, PART II, LINE 3, COLUMN B: TOTAL PROCEEDS OF ISSUE INCLUDE INVESTMENT INCOME OF THE INVESTMENT OF BOND PROCEEDS. SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 6217317 GENERAL CONTRACTOR 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 3301087 SOFTWARE SERVICES 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 1202988 CONSTRUCTION MANAGEMENT 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 377519 CONSULTING 0 FORM 990, PART III, LINE 1, DESCRIPTION OF ORGANIZATION MISSION: (1) TO ORGANIZE, BUILD, ERECT, EQUIP, MANAGE AND OPERATE EXCLUSIVELY FOR CHARITABLE PURPOSES, A NON-PROFIT GENERAL HOSPITAL AND MEDICAL CENTER FOR THE CARE OF THE SICK, AND TO FURNISH MEDICAL AND SURGICAL ATTENDANCE THEREIN IN ANY FORM IN THE CARE OF SICK, AFFLICTED INFIRM OR INJURED PERSONS PROVIDED, HOWEVER, THE OPERATIONS ARE NOT TO BE EXCLUSIVELY FOR THOSE WHO ARE ABLE AND EXPECTED TO PAY BUT TO THE EXTENT OF FINANCIAL ABILITY ARE TO BE FOR THOSE NOT ABLE TO PAY FOR THE SERVICES RENDERED, AND THE FACILITIES ARE NOT TO BE RESTRICTED TO A PARTICULAR GROUP OF PHYSICIANS AND SURGEONS, EXCEPT TO THE EXTENT THAT DISCRETIONARY AUTHORITY IN THE MANAGEMENT MAY IMPOSE LIMITATIONS BASED UPON THE QUALIFICATIONS OF THOSE APPLYING OR UPON THE SIZE AND NATURE OF THE FACILITIES, AND NO PART OF ITS NET EARNINGS ARE TO INURE DIRECTLY OR INDIRECTLY TO THE BENEFIT OF ANY PRIVATE SHAREHOLDER OR INDIVIDUAL. (2) TO ORGANIZE, BUILD, ERECT, EQUIP, MANAGE AND OPERATE A SCHOOL OR SCHOOLS FOR TRAINING PHYSICIANS, SURGEONS, NURSES AND OTHERS, AND TO EDUCATE AND TRAIN ANY SUCH PERSONS IN THE CARE OF SICK, AFFLICTED, INFIRM, OR INJURED PERSONS BY TEACHING MEDICINE, HYGIENE, SURGERY AND EVERYTHING HAVING TO DO WITH THE PHYSICAL WELL-BEING OF INDIVIDUALS. (3) TO ENGAGE IN ANY ACTIVITY AND TO DO ANYTHING AND EVERYTHING THATMAY BE NECESSARY, EXPEDIENT OR INCIDENTAL TO THE PURPOSES STATED IN PARAGRAPHS (1) AND (2). (4) TO HAVE AND TO EXERCISE TO THE EXTENT NECESSARY OR DESIRABLE FOR THE ACCOMPLISHMENT OF ANY OF THE AFORESAID PURPOSES, AND TO THE EXTENT THAT THEY ARE NOT INCONSISTENT WITH THE CHARITABLE PURPOSES OF THE CORPORATION, AND THE LIMITATIONS IMPOSED BY SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, ANY AND ALL POWERS CONFERRED UPON CORPORATIONS BY THE MARYLAND GENERAL CORPORATION LAW. FORM 990, PART VI, SECTION A, LINE 2 MS. HEIDI KENNY BERMAN AND MRS. SANDRA BERMAN HAVE A FAMILY RELATIONSHIP. FORM 990, PART VI, SECTION A, LINE 6 THE BOARD OF DIRECTORS OF GBMC HEALTHCARE, INC, IS THE GOVERNING BODY FOR THE ORGANIZATION, GBMC HEALTHCARE, INC, IS THE PARENT CORPORATION AND SOLE STOCKHOLDER OF THE ORGANIZATION, THE BUSINESS AND AFFAIRS OF THE ORGANIZATION ARE MANAGED UNDER THE DIRECTION OF ITS BOARD OF DIRECTORS EXCEPT AS RESERVED TO THE STOCKHOLDER, GBMC HEALTHCARE, INC, IN ACCORDANCE WITH THE BYLAWS SUCH AS: A) TO CHANGE THE MISSION, PURPOSE, PHILOSOPHY OR OBJECTIVES OF THE ORGANIZATION B) TO AMEND THE BYLAWS OF THE ORGANIZATION C) TO DISSOLVE, TO CONSOLIDATE OR TO MERGE THE ORGANIZATION D} TO RATIFY THE ELECTION OF THE PRESIDENT OR OTHER OFFICERS OF THE ORGANIZATION E) TO REMOVE THE PRESIDENT OR OTHER OFFICERS OF THE ORGANIZATION F} TO ELECT MEMBERS OF THE BOARD OF DIRECTORS OF THE ORGANIZATION G) TO REMOVE MEMBERS OF THE BOARD OF DIRECTORS OF THE ORGANIZATION H} TO PURCHASE, SELL OR ENCUMBER WITH DEBT I) TO SELL ALL OR SUBSTANTIALLY ALL OF THE ORGANIZATION'S ASSETS, OR TO UNDERTAKE MAJOR EXPANSION PROJECTS J) TO APPROVE THE ANNUAL OPERATING AND CAPITAL BUDGETS OF THE ORGANIZATION K) TO APPOINT GENERAL COUNSEL TO AND THE FISCAL AUDITOR OF THE ORGANIZATION L) TO SET THE FISCAL YEAR OF THE ORGANIZATION M} TO ISSUE ADDITIONAL STOCK, FOLLOWING THE INITIAL ISSUANCE OF STOCK FORM 990, PART VI, SECTION A, LINE 7A SEE FORM 990, PART VI, SECTION A, LINE 6 DESCRIPTION FORM 990, PART VI, SECTION A, LINE 7B SEE FORM 990, PART VI, SECTION A, LINE 6 DESCRIPTION FORM 990, PART VI, SECTION B, LINE 11B THE AUDIT COMMITTEE OF GREATER BALTIMORE MEDICAL CENTER, INC.'S SUPPORTED PARENT ORGANIZATION, GBMC HEALTHCARE, INC., REVIEWS THIS FORM 990, A COPY OF THE FORM 990 IS PROVIDED TO THE FULL BOARD OF DIRECTORS OF THE HOSPITAL AND GBMC HEALTHCARE PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C GREATER BALTIMORE MEDICAL CENTER, INC. IS GOVERNED BY THE POLICIES OF ITS PARENT ORGANIZATION, GBMC HEALTHCARE, INC, THESE POLICIES INCLUDE A WRITTEN CONFLICT OF INTEREST POLICY ATTESTED TO ANNUALLY, A WRITTEN WHISTLEBLOWER POLICY, AND A WRITTEN DOCUMENT RETENTION AND DESTRUCTION POLICY. ANNUALLY, EVERY BOARD MEMBER, PHYSICIAN, ADVANCED PRACTITIONER AND MANAGER (WHICH INCLUDES KEY EMPLOYEES) MUST COMPLETE A COMPREHENSIVE QUESTIONNAIRE THAT PROVIDES FOR THE DISCLOSURE OF POTENTIAL CONFLICTS. ALL DISCLOSURES ARE REVIEWED BY THE COMPLIANCE OFFICER. THOSE DISCLOSURES THAT ARE QUESTIONABLE OR MAY RISE TO THE LEVEL OF A CONFLICT ARE DISCUSSED WITH THE CHIEF LEGAL OFFICER AND APPROPRIATE ACTION IS TAKEN, IF NECESSARY. A SUMMARY OF DISCLOSURES IS PROVIDED TO THE AUDIT COMMITTEE (FOR MANAGEMENT) AND TO THE GOVERNANCE COMMITTEE (FOR BOARD MEMBERS) ANNUALLY FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION COMMITTEE ("COMMITTEE") OF THE BOARD OF DIRECTORS OF GBMC HEALTHCARE, INC., WHICH IS COMPRISED OF DIRECTORS THAT ARE "DISINTERESTED" AS DEFINED BY IRS REGULATIONS, IS AUTHORIZED TO OVERSEE THE ORGANIZATION'S EXECUTIVE COMPENSATION PROGRAM. THE COMMITTEE REVIEWS AND APPROVES THE COMPENSATION PROVIDED TO THE ORGANIZATION'S PRESIDENT AND CHIEF EXECUTIVE OFFICER AND EACH OFFICER, KEY EMPLOYEE AND SENIOR LEADER, WHETHER OR NOT THESE INDIVIDUALS WOULD BE CONSIDERED "DISQUALIFIED PERSONS" UNDER THE INTERMEDIATE SANCTIONS REGULATIONS OF FEDERAL INCOME TAX LAW. THE COMMITTEE HAS ADOPTED A WRITTEN PHILOSOPHY SETTING FORTH THE GUIDING PRINCIPLES GOVERNING THE COMPENSATION PROVIDED TO THE ORGANIZATION'S EXECUTIVES. THE COMMITTEE'S REVIEW AND APPROVAL PROCESS WAS ESTABLISHED AND IS CONDUCTED IN A MANNER SO AS TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE INTERMEDIATE SANCTIONS REGULATIONS OF FEDERAL INCOME TAX LAW. ALL FORMS OF COMPENSATION AND BENEFITS PROVIDED TO MEMBERS OF THE SENIOR LEADERSHIP TEAM ARE REVIEWED, WHICH INCLUDES CURRENT AND DEFERRED COMPENSATION AND ALL EMPLOYEE BENEFITS, BOTH QUALIFIED AND NONQUALIFIED TO ENSURE THAT THE "TOTAL COMPENSATION" IS REASONABLE. THE COMMITTEE ENGAGED AN INDEPENDENT EXECUTIVE COMPENSATION CONSULTANT THAT SPECIALIZES IN THE REVIEW OF HOSPITAL AND HEALTH SYSTEM EXECUTIVE COMPENSATION AND BENEFITS TO COMPILE MARKET COMPENSATION DATA OF SIMILARLY SIZED HEALTH CARE ORGANIZATIONS THROUGHOUT THE COUNTRY AS WELL AS THE SAME GEOGRAPHIC REGION. NO DATA FROM ANY FOR-PROFIT ENTITIES WERE USED. THE DATA WERE CATEGORIZED BY EXECUTIVE POSITION, AND A SALARY RANGE WAS DEVELOPED WITH THE ASSISTANCE OF THE INDEPENDENT COMPENSATION CONSULTANT. THE COMMITTEE RELIED UPON THIS DATA, RELEVANT BUSINESS JUDGMENT FACTORS (E.G., EXPERIENCE, PERFORMANCE, RECRUITMENT AND RETENTION FACTORS AND THE UNIQUE DEMANDS OF THE POSITION), THE GUIDANCE PROVIDED BY THE STATED COMPENSATION PHILOSOPHY AND THE WRITTEN OPINION OF THE INDEPENDENT EXECUTIVE COMPENSATION CONSULTANT AS TO THE REASONABLENESS OF THE COMPENSATION IN RELATION TO MARKET DATA IN MAKING ITS EXECUTIVE COMPENSATION DECISIONS. THE COMMITTEE ALSO CONSIDERS ITS BUSINESS JUDGMENT. THE COMMITTEE DOCUMENTS THE BASIS FOR ITS DECISIONS THROUGH THE TIMELY PREPARATION OF WRITTEN MINUTES OF THE COMPENSATION COMMITTEE MEETINGS DURING WHICH SUCH DECISIONS ARE DELIBERATED AND DETERMINED. THE COMMITTEE'S DECISIONS ARE SUBJECT TO THE FINAL APPROVAL OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS ARE LOCATED ON THE STATE OF MARYLAND DEPARTMENT OF TAXATION'S WEBSITE, FINANCIAL STATEMENTS ARE MADE PUBLIC THROUGH THE STATE OF MARYLAND CHARITABLE REGISTRATION, FINANCIAL STATEMENTS FOR GBMC HEALTHCARE, INC, ARE ALSO AVAILABLE THROUGH THE ELECTRONIC MUNICIPAL MARKET ACCESS {EMMA) WEBSITE VIA THE CONTINUING DISCLOSURE DOCUMENT, THE CONFLICT OF INTEREST POLICY IS NOT AVAILABLE TO THE PUBLIC. FORM 990, PART XI, LINE 9: LOSS ON UNCOLLECTIBLE PLEDGES (DIRECT WRITE-OFFS) -808,679. DEFERRED PENSION & NET PERIODIC PENSION 1,284,849. OTHER ADJUSTMENTS 180. TRANSFER TO AFFILIATE -11,789,019. FORM 990, PART XII, LINE 2C: NEITHER THE OVERSIGHT PROCESS NOR THE SELECTION PROCESS FOR THE ORGANIZATION'S FINANCIAL STATEMENT AUDIT HAVE CHANGED FROM THE PRIOR YEAR. GBMC HEALTHCARE PARTNERS AT HELPING UP MISSION LLC 6545 N CHARLES ST TOWSON MD 21204 833101128 HEALTHCARE MD 1463506 2490943 GREATER BALTIMORE MEDICAL CENTER INC GBMC HOSPITAL BASED SERVICES LLC 6701 N CHARLES ST TOWSON MD 21204 881423038 HEALTHCARE MD 11997048 6513536 GREATER BALTIMORE MEDICAL CENTER INC GBMC OPTICAL CENTER LLC 8625 PLEASANT PLAINS RD TOWSON MD 21286 882319666 HEALTHCARE MD 715127 1167440 GREATER BALTIMORE MEDICAL CENTER INC GBMC FOUNDATION INC 6701 NORTH CHARLES STREET BALTIMORE MD 21204 521411935 FUNDRAISING MD 501(C)(3) LINE 12B, II GBMC HEALTHCARE INC 0 GILCHRIST HOSPICE CARE INC 11311 MCCORMICK ROAD SUITE 350 HUNT VALLEY MD 21031 521851251 HOSPICE SERVICES MD 501(C)(3) LINE 3 GBMC HEALTHCARE INC 0 GBMC LAND INC 6701 NORTH CHARLES STREET BALTIMORE MD 21204 521413360 REAL ESTATE PROPERTY MD 501(C)(3) LINE 12A, I GBMC HEALTHCARE INC 0 GBMC HEALTHCARE INC 6701 NORTH CHARLES STREET BALTIMORE MD 21204 521484872 HEALTHCARE MD 501(C)(3) LINE 12C, III-FI N/A 0 PRESBYTERIAN EYE EAR & THROAT CHARITY HOSP INC BOARD LADY MGRS 1055 W JOPPA RD 718 TOWSON MD 20878 526052408 SUPPORTING MD 501(C)(3) LINE 12C, III-FI N/A 0 PRESBYTERIAN EYE EAR & THROAT CHARITY HOSPITAL 320 MORRIS AVE LUTHERVILLE MD 21093 520449990 SUPPORTING MD 501(C)(3) LINE 12C, III-FI N/A 0 WOMEN'S HOSPITAL FOUNDATION INC 102 W PENNSYLVANIA AVE 600 TOWSON MD 21204 520591609 SUPPORTING MD 501(C)(3) LINE 12D, III-O N/A 0 MILTON J DANCE JR ENDOWMENT INC 10112 NICHOLSON RD ELLICOTT CITY MD 21042 521104173 SUPPORTING MD 501(C)(3) LINE 12C, III-FI N/A 0 GILCHRIST BALTIMORE CENTER SUPPORT CORP 11311 MCCORMICK ROAD SUITE 350 HUNT VALLEY MD 21031 854086504 SUPPORTING MD 501(C)(3) LINE 12C, III-FI GILCHRIST HOSPICE CARE INC 0 JOSEPH RICHEY HOUSE INC 11311 MCCORMICK RD SUITE 350 HUNT VALLEY MD 21031 521184960 PALLIATIVE CARE FOR TERMINALLY ILL ADULTS AND CHILDREN MD 501(C)(3) LINE 7 GILCHRIST HOSPICE CARE INC 0 GBMC PAVILION WEST MEDICAL ARTS LLC 6701 NORTH CHARLES STREET BALTIMORE MD 21204 521899034 REAL ESTATE MANAGEMENT MD GBMC AGENCY INC EXCLUDED 219384 2239253 0 0 0.37900 GBMC-WP-PT LLC 1447 YORK ROAD SUITE 401 LUTHERVILLE MD 21093 812388743 PHYSICAL THERAPY MD N/A 0 0 GREATER BALTIMORE DIAGNOSTIC IMAGING 7253 AMBASSADOR ROAD BALTIMORE MD 21244 521411931 RADIOLOGY MD N/A 0 0 GBMC AGENCY INC 6701 NORTH CHARLES STREET BALTIMORE MD 21204 521411931 INVESTMENTS MD N/A C 0 RUXTON INSURANCE COMPANY INC 3 GORHAM ROAD HAMILTON HM 08 HAMILTON BD 980413102 INSURANCE CAPTIVE BD GREATER BALTIMORE MEDICAL CENTER INC C 1554898 78452667 1.00000 1 0 1 1 1 1 0 0 0 0 1 1 1 1 1 1 1 1 1 1 RUXTON INSURANCE COMPANY LTD R 13724498 COST RUXTON INSURANCE COMPANY LTD Q 1585274 COST