2020-07-13T11:00:32-05:00 2019-06-30 990 2018-07-01 590683252 JOHNS HOPKINS ALL CHILDREN'S HOSPITAL INC JOHN 4439975771 3910 KESWICK ROAD S BLDG NO 4300A BALTIMORE MD 21211 JEFF ROONEY VP FINANCE AND CFO 4439975771 2020-07-13 128.220.159.45 2020-07-13 11:00:21 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 AA414E185116BB862CEA1EFD9E057C93A361479B 2018 2020-09-22 18:59:49Z JEFF ROONEY 501 6TH AVE S ST PETERSBURG FL 33701 866497198 0 X WWW.HOPKINSALLCHILDRENS.ORG X 1967 FL PROVIDE LEADERSHIP IN CHILD HEALTH THROUGH TREATMENT, EDUCATION, ADVOCACY AND RESEARCH. 38 36 3516 693 0 0 9588458 14524928 473186649 473504673 3260840 31101631 10746612 10929717 496782559 530060949 67700 190385 0 0 222326119 244120772 0 0 0 240986981 272318348 463380800 516629505 33401759 13431444 1070501090 1041295060 382293833 377421465 688207257 663873595 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 61583279 0 76745295 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 16589492 0 28033564 EMERGENCY CENTERPURPOSE: CHILDREN'S HEALTH EMERGENCIES REQUIRE SPECIAL EXPERTISE AND SPECIAL TREATMENT. ALL CHILDREN'S HAS BUILT AN EMERGENCY CENTER AROUND THE SPECIFIC NEEDS OF CHILDREN IN EMERGENCY MEDICAL SITUATIONS. SOME OF THE DISTINCT ADVANTAGES OF THE ALL CHILDREN'S EMERGENCY CENTER ARE:-THE EC ATTENDING STAFF CONSISTS OF PEDIATRIC EMERGENCY MEDICINE PHYSICIANS AND GENERAL PEDIATRICIANS.-PEDIATRIC EMERGENCY MEDICINE PHYSICIANS HAVE THREE ADDITIONAL YEARS OF PEDIATRIC TRAINING BEYOND THEIR TRAINING IN EMERGENCY MEDICINE. -THERE IS AT LEAST ONE BOARD CERTIFIED PEDIATRIC EMERGENCY MEDICINE PHYSICIAN IN THE EC AT ALL TIMES, SOMETIMES AS MANY AS THREE.-IN ADDITION TO HAVING THE SKILLS TO MAKE KIDS FEELS MORE SECURE AND AT EASE IN EMERGENCY SITUATIONS, PEDIATRIC EMERGENCY PHYSICIANS' ADDITIONAL TRAINING MEANS FASTER DIAGNOSIS AND TREATMENT.-JOHNS HOPKINS ALL CHILDREN'S HOSPITAL ALSO USES ONLY PEDIATRICS RESIDENTS - DOCTORS WHO ARE TRAINING TO BE PEDIATRICIANS, RATHER THAN GENERAL PRACTICE RESIDENTS.-THE EMERGENCY CENTER NURSING STAFF IS SPECIALLY TRAINED IN PEDIATRIC EMERGENCY NURSING.-THE EMERGENCY CENTER IS DIRECTLY ADJACENT TO THE PEDIATRIC RADIOLOGY DEPARTMENT. THE RADIOLOGY DEPARTMENT IS STAFFED 24 HOURS, AND FILMS ARE READ BY PEDIATRIC RADIOLOGISTS. OUR RADIOLOGY DEPARTMENT IS PART OF THE IMAGE GENTLY CAMPAIGN; A WIDESPREAD EFFORT BY RADIOLOGISTS TO REDUCE RADIATION EXPOSURE IN CHILDREN'S IN MANY DIFFERENT WAYS.-THE 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.THE ALL CHILDREN'S EMERGENCY CENTER TREATS OVER 45,000 INFANTS, CHILDREN, AND TEENAGERS A YEAR, AND IS PART OF A JOINT TRAUMA PROGRAM WITH BAYFRONT MEDICAL CENTER. THE EMERGENCY CENTER IS ABLE TO TREAT ALL EMERGENCY CONDITIONS. 17274823 0 23852971 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. 282673806 190385 348290470 282673806 190385 348290470 378121400 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 1 1 1 0 0 0 0 0 0 0 0 1 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 X 285 0 1 3516 1 0 0 0 0 0 0 0 0 0 0 0 0 X 38 36 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 TINA CHENG MD TRUSTEE 1.00 0.00 X 0 0 0 BRIAN ELLERSON TRUSTEE 1.00 0.00 X 0 0 0 GEORGE JALLO MD INTERIM VICE DEAN/ PHYSICIAN IN CHIEF/TRUSTEE 1.00 0.00 X X 905592 0 120674 TIMOTHY BARBER TRUSTEE 1.00 0.00 X 0 0 0 MARTHA LITTLE TRUSTEE 1.00 0.00 X X 0 0 0 SANDRA DIAMOND TRUSTEE, CHAIRMAN 3.00 0.00 X 0 0 0 DEREK HESS MD TRUSTEE 1.00 0.00 X 0 0 0 JENNIFER COTTER TRUSTEE 1.00 0.00 X 0 0 0 KEN COPPEDGE TRUSTEE/BOARD TREASURER 3.00 0.00 X X 0 0 0 MICHAEL CANNOVA TRUSTEE 1.00 0.00 X 0 0 0 VIDISHA PATEL MD TRUSTEE 1.00 0.00 X 0 0 0 JONATHAN ELLEN MD PRESIDENT/VICE DEAN/PIC/TRUSTEE 47.00 13.00 X X 943977 0 114543 ALEX SHOUPPE TRUSTEE 1.00 0.00 X 0 0 0 STEPHANIE GOFORTH TRUSTEE 1.00 0.00 X 0 0 0 MARK LAPRADE TRUSTEE 1.00 0.00 X 0 0 0 NANCY HAMILTON TRUSTEE 1.00 0.00 X 0 0 0 DWAYNE HAWKINS TRUSTEE 1.00 0.00 X 0 0 0 KENDALL SMITH MD TRUSTEE 1.00 0.00 X 0 0 0 WILLIAM H HORNER TRUSTEE 1.00 0.00 X 0 0 0 JACK W KIRKLAND JR TRUSTEE, TREASURER 1.00 0.00 X X 0 0 0 ERIC KOBREN TRUSTEE 1.00 0.00 X 0 0 0 DARRYL LECLAIR SECRETARY OF THE BOARD 3.00 0.00 X X 0 0 0 MARK LETTELLEIR TRUSTEE 1.00 0.00 X 0 0 0 TOM MAHAFFEY TRUSTEE 1.00 0.00 X 0 0 0 WILLIAM R LANE JR TRUSTEE, VICE CHAIRMAN 1.00 0.00 X 0 0 0 MILTON H MILLER JR TRUSTEE 1.00 0.00 X 0 0 0 MARK MONDELLO TRUSTEE 1.00 0.00 X 0 0 0 KEVIN W SOWERS MSN RN FAA CORP VICE CHAIR/TRUSTEE 3.00 57.00 X X 0 1201609 165117 STEVEN A RAYMUND TRUSTEE 1.00 0.00 X 0 0 0 LAWRENCE REPAR TRUSTEE 1.00 0.00 X 0 0 0 CRAIG SHER TRUSTEE 1.00 0.00 X 0 0 0 RAYMOND SMITH TRUSTEE 1.00 0.00 X 0 0 0 NANCY SWART TRUSTEE 1.00 0.00 X 0 0 0 TROY TAYLOR TRUSTEE 1.00 0.00 X 0 0 0 CHRISTOPHER WHITBY VP, FINANCE & CFO 45.00 15.00 X 0 250307 52485 JACKIE CRAIN VP & CHIEF STRATEGY OFFICER 45.00 15.00 X 0 329252 57056 ROBERTA ALESSI EXECUTIVE VP & COO 33.00 27.00 X 0 518487 156755 TAMMY REYES ASSISTANT SECRETARY 53.00 7.00 X 84455 0 17761 MARCOS DELEON VP HUMAN RESOURCES 45.00 15.00 X 0 346905 78113 BRIGITTA MUELLER MD VP MEDICAL AFFAIRS 37.00 23.00 X 0 438757 75248 SYLVIA AMEEN VP MARKETING 45.00 15.00 X 0 304239 43178 KIMBERLY BERFIELD VP GOVERNMENT AFFAIRS 45.00 15.00 X 0 211282 11980 JOHN W MCLENDON VP & CIO 45.00 15.00 X 2157 410595 76606 MELISSA MACOGAY RN V.P., CHIEF NURSING OFFICER 1.00 0.00 X 0 115384 14251 JOSEPH PERNO INTERIM VP OF MEDICAL AFFAIRS 45.00 15.00 X 402097 0 43968 ANTHONY NAPOLITANO MD CO CHAIR DEPT OF PED MEDIC 50.00 10.00 X 374636 0 24593 PAUL COLOMBANI MD CHAIR OF SURGERY 29.00 31.00 X 1077275 0 102893 ROBERT SOSA MD MEDICAL DIR INTERNATIONAL PRO 45.00 15.00 X 436164 874 33564 JEFFREY JACOBS CO-DIR HEART INSTITUTE 20.00 40.00 X 0 901496 47157 GARY STAPLETON CO-DIR HEART INSTITUTE 45.00 15.00 X 0 458193 35570 SUSAN BRYD SR. DIRECTOR AMB SERVICES 40.00 10.00 X 207336 0 36533 DENNIS HART ADMINISTRATION REHAB SERV 40.00 10.00 X 345736 0 40419 JENNIFER ARNOLD MEDICAL DIRECTOR 40.00 10.00 X 240191 0 37847 DIPTI AMIN PHYSICIAN 40.00 10.00 X 297072 0 29760 LISA KERRICK ASSOC CHIEF NURSE 40.00 10.00 X 219676 0 20226 RONALD R PETERSON FORMER CORP VICE CHAIR/TRUSTEE 3.00 57.00 X 0 3223521 19840 5536364 8710901 1456137 239 1 1 0 SKANSKA USA BUILDING INC 4030 BOY SCOUT BLVD STE 200 TAMPA FL 33607 BUILDING CONTRACTOR 17064274 CERNER CORPORATION PO BOX 959156 ST LOUIS MO 63195 HEALTH IT SERVICES 12989061 AGENCY FOR HEALTH CARE PO BOX 13749 MAIL STOP 14 TALLAHASSEE FL 32317 NURSING SERVICES 5541912 ONEBLOOD INC PO BOX 628342 ORLANDO FL 32862 LAB SERVICES 2451070 FTI CONSULTING PO BOX 418005 BOSTON MA 02241 CONSULTING SERVICES 2383177 103 2311339 5878282 6335307 14524928 HOSPITAL INPT & OUTPT 621990 431802375 431802375 MEDICAID/GME 621990 13192925 13192925 RETAIL PHARMACY INCOME 621990 7518150 7518150 20991223 20991223 473504673 14155880 14155880 7512090 0 7512090 7512090 7512090 353382000 334309530 2126719 19072470 -2126719 16945751 16945751 CAFETERIA INCOME 900099 3417627 3417627 3417627 530060949 476922300 0 38613721 137985 137985 52400 52400 5172424 5172424 186953430 138046904 48906526 51918488 37304644 14613844 76430 54917 21513 8664644 4765554 3899090 1630516 896784 733732 11351 6243 5108 29100 16005 13095 73207 40264 32943 47729440 26251192 21478248 1761235 968679 792556 14832828 13197432 1635396 10028814 5515848 4512966 8021618 7137193 884425 2195156 1207336 987820 614783 338131 276652 6057499 6057499 33687126 24204985 9482141 6541980 3598089 2943891 MEDICAL SUPPLIES 59850287 53251484 6598803 CONTR PROGRAM SUPPORT 40417178 40417178 0 PURCHASED SRVC- INTR CO 18860611 10373336 8487275 INDIGENT FEE ASSESSMENT 5329177 0 5329177 5981798 4281318 1700480 516629505 378121400 138508105 0 31560542 4291134 100000 100000 81735374 67607009 10597043 10047960 15504061 17598081 681403485 241172026 439082989 440231459 393192772 452055520 6255135 25000 15801116 16198742 76672058 33140155 1070501090 1041295060 63436490 56561944 98766589 97671223 220090754 223188298 382293833 377421465 X 669536365 646144955 4836393 3961346 13834499 13767294 688207257 663873595 1070501090 1041295060 X 13431444 -13356209 -24408897 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 29100 0 0 29100 0 SCHEDULE C, PART 11-B, LINE 1G JOHNS HOPKINS ALL CHILDRENS HOSPITAL PAID ITS PARENT CORPORATION, THE JOHNS HOPKINS HEALTH SYSTEM CORPORATION $29,100 DURING THE FISCAL YEAR ENDED JUNE 30, 2019 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. 14632278 861000 -37000 15456278 14988278 522000 -878000 14632278 14435278 553000 14988278 15107278 -672000 14435278 15878278 -771000 15107278 1.00000 0 0 23089125 23089125 308498417 83626377 224872040 527842 527842 0 319020376 146630081 172390295 30267725 10387726 19879999 440231459 PROFESSIONAL LIABILITY 30877483 INTEREST RATE SWAP AGREEMENTS 30420883 OTHER LIABILITIES 1114732 DUE TO AFFILIATES 160775200 223188298 X 517444000 -13356209 739765 -12616444 530060444 505 505 530060949 516629000 -505 -505 516629505 0 516629505 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, 2019 AND 2018. PART XI, LINE 2D - OTHER ADJUSTMENTS: NET ASSETS RELEASED FROM RESTRICTION 739,765. PART XI, LINE 4B - OTHER ADJUSTMENTS: ROUNDING 505. PART XII, LINE 2D - OTHER ADJUSTMENTS: ROUNDING -505. 1 1 X 1 X 1 X 1 1 1 0 1 1 3743746 0 3743746 0.00720 278261563 251838990 26422573 0.05110 282005309 251838990 30166319 0.05830 5107702 1479235 3628467 0.00700 3949591 773636 3175955 0.00610 14510226 6398952 8111274 0.01570 1648813 1391974 256839 0.00050 1326513 0 1326513 0.00260 26542845 10043797 16499048 0.03190 308548154 261882787 46665367 0.09020 0 0 813344 0 813344 0.00160 41118 0 41118 0.00010 10815 0 10815 0.00000 0 0 0 0 0 0 117591 0 117591 0.00020 0 0 982868 982868 0.00190 0 10525769 0 841084 930978 -89894 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 18 1 0 0 1 X WWW.HOPKINSALLCHILDRENS.ORG/COMMUNITY/IN-THE-COMMUNITY/ X 1 18 1 WWW.HOPKINSALLCHILDRENS.ORG/COMMUNITY/IN-THE-COMMUNITY/ 0 1 X 200.000000000000 400.000000000000 X X X X X 1 1 X X X 1 X WWW.HOPKINSALLCHILDRENS.ORG/PATIENTS-FAMILIES/PATIENT-FINANCIAL-INFORMATION X WWW.HOPKINSALLCHILDRENS.ORG/PATIENTS-FAMILIES/PATIENT-FINANCIAL-INFORMATION X WWW.HOPKINSALLCHILDRENS.ORG/PATIENTS-FAMILIES/PATIENT-FINANCIAL-INFORMATION X X X X X 1 X 0 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, INC. (JHACH) LEVERAGED INPUT FROM DIVERSE COMMUNITY REPRESENTATIVES SERVED BY THE HOSPITAL THROUGH A SIX-PART METHODOLOGY FOR LOCAL RESEARCH. THE RESEARCH REACHED OUT TO THE COMMUNITY IN A SIX-PART METHODOLOGY INCLUDING: 1) EXPLORATORY, IN-DEPTH INTERVIEWS (KEY INFORMANT INTERVIEWS); 2) COMMUNITY SURVEY; 3) FOCUS GROUPS; 4) COMMUNITY CONVERSATIONS; 5) SECONDARY RESEARCH; AND 6) A PRIORITIZATION FILTER. THE PINELLAS COUNTY COMMUNITY SURVEY CONSISTED OF 71 HEALTH AND WELL-BEING FOCUSED QUESTIONS. 6,494 RESIDENTS OF PINELLAS COUNTY COMPLETED A COMMUNITY SURVEY. THE SURVEY WAS DISTRIBUTED AS A WEB LINK AND AS A PAPER COPY IN ENGLISH AND SPANISH. SURVEY PARTICIPATION WAS COMPARABLE TO THE DEMOGRAPHIC PROFILE OF PINELLAS COUNTY. SURVEY RESPONDENTS WERE: 70.8% FEMALE, 75.2% WHITE, 7.2% HISPANIC OR LATINO, 2.2% SPANISH-SPEAKING. THE CHNA WAS COMPLETED AS PART OF A COLLABORATIVE EFFORT OF THE FLORIDA DEPARTMENT OF HEALTH, PINELLAS COUNTY AND THREE OTHER NON-PROFIT HOSPITALS IN THE AREA. THE COLLABORATIVE HIRED A CONSULTANT (HEALTHY COMMUNITIES INSTITUTE) FOR DATA COLLECTION, ANALYSIS AND REPORTING RESULTS. THIS COLLABORATIVE MET ON A BI-MONTHLY BASIS FROM DECEMBER 2018 MAY 2019. TO INFORM SURVEY DEVELOPMENT, EACH MEMBER OF THE COLLABORATIVE BROUGHT EXISTING QUESTIONS FROM THEIR PREVIOUS COMMUNITY SURVEYS TO PRODUCE A COMPREHENSIVE REFLECTION FOR CONSISTENT DATA ANALYSIS. THE PURPOSE WAS TO KEEP SOME HISTORY FOR DATA ANALYSIS. THE FOCUS OF THIS CHNA IS TO GAIN A COMPREHENSIVE UNDERSTANDING OF THE HEALTH NEEDS IN THE SERVICE AREA (PINELLAS COUNTY) AND GUIDE OUR EFFORTS AND RESOURCES TO MEET THE COMMUNITY IDENTIFIED NEEDS. COLLECTIVE AND COLLABORATIVE PARTNERSHIPS LIKE OURS PRODUCE AN OPPORTUNITY FOR PUBLIC/GOVERNMENT COLLABORATIONS ON SIMILAR ACTIVITIES AND LEVERAGE RESOURCES TO MEET REQUIREMENTS TO BECOME A MEANS OF ADDRESSING PUBLIC AND POPULATION HEALTH CHALLENGES. JOHNS HOPKINS ALL CHILDREN'S HOSPITAL, INC PART V, SECTION B, LINE 11: UNIFIED4ALLKIDS IS A COLLABORATIVE EFFORT TO CREATE SOCIAL CHANGE AROUND THE TOP HEALTH ISSUES AFFECTING THE CHILDREN IN OUR COMMUNITY. THIS PROCESS BEGAN IN 2016 WHEN JOHNS HOPKINS ALL CHILDREN'S HOSPITAL, GUIDED BY A COMMUNITY ADVISORY COUNCIL, SOLICITED INPUT FROM PARENTS, EDUCATORS, NON-PROFIT PROFESSIONALS, COMMUNITY LEADERS AND HEALTH CARE PROVIDERS TO IDENTIFY THE MOST PRESSING PEDIATRIC HEALTH NEEDS IN THE COMMUNITY. IN FY 19, JOHNS HOPKINS ALL CHILDREN'S HOSPITAL CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), WITH OTHER NON-PROFIT HOSPITALS AND THE LOCAL DEPARTMENT OF HEALTH. THE CHNA REVEALED THAT MANY OF SAME TOPICS WERE IDENTIFIED AGAIN AS SIGNIFICANT NEEDS, WITH THE EXCEPTION OF A NEW TOPIC AREA (INJURY PREVENTION). CONCLUSIONS FROM THE FY 19 CHNA AND PRIORITIZATION INDICATED THAT THERE WERE SIX KEY AREAS OF NEED CONCERNING CHILDREN'S' HEALTH AND WELL-BEING: ASTHMA/ALLERGIES/TOBACCO USE (VAPING/E-CIGARETTE) EXERCISE, NUTRITION & WEIGHT SUBSTANCE AND ALCOHOL ABUSE INJURY PREVENTION MENTAL HEALTH BIRTH OUTCOMES/INFANT MORTALITY LAUNCHED IN 2018, THE COMMUNITY BENEFIT STRATEGIC IMPLEMENTATION PLAN (CBSIP) OUTLINES OBJECTIVES, ACTIONS AND STEPS TO MAKE PROGRESS IN EACH OF THESE AREAS OF NEED AND OFFERS RECOMMENDATIONS ON EVALUATION. WE ASK OUR PARTNERS AND SUPPORTERS TO CHAMPION THE CBSIP GOALS AND OBJECTIVES BY INTEGRATING AND ADOPTING PARTS OF THE PLAN INTO THEIR PROTOCOLS AND TO TRACK OUR PROGRESS ON OUR ACCOUNTABILITY DASHBOARDS. DASHBOARD AND UPDATES CAN BE FOUND AT: WWW.HOPKINSALLCHILDRENS.ORG/COMMUNITY/IN-THE-COMMUNITY 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.). 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: JHACH AUDITED FINANCIAL STATEMENTS PAGES 13-14. 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 NINE STRATEGIC GOALS. COMMUNITY BENEFIT EFFORTS ARE INCLUDED AS PART OF GOAL #2: STAKEHOLDER ENGAGEMENT (INCREASE AND STRENGTHEN RELATIONSHIPS WITH INTERNAL AND EXTERNAL STAKEHOLDERS TO BROADEN THEIR LEVELS OF ADVOCACY, DONATING, VOLUNTEERING OR REFERRING) AND GOAL #7: POPULATION HEALTH (CREATE THE CAPABILITIES NECESSARY TO MANAGE THE CARE OF CHRONIC PATIENT POPULATIONS AND TO THRIVE IN A REIMBURSEMENT ENVIRONMENT WHICH EMPHASIZES VALUE OVER VOLUME). USING THE HOSPITAL'S STRATEGIC PLAN AS ITS GUIDE, SENIOR LEADERSHIP ENSURES THAT COMMUNITY BENEFIT STRATEGIES AND UPDATES ARE DISCUSSED AT THE BOARD LEVEL AND THE EXECUTIVE CABINET LEVEL. SENIOR LEADERSHIP HAS ESTABLISHED A COUNCIL STRUCTURE WHEREBY COMMUNITY BENEFIT ACTIVITIES AND STRATEGIES ARE ADDRESSED BY THE HOSPITAL'S ADVOCACY COUNCIL. PART VI, LINE 3: NOTIFICATION ABOUT CHARITY AVAILABLE FROM JHACH, WHICH INCLUDES A CONTACT NUMBER, IS DISTRIBUTED BY JHACH BY VARIOUS MEANS, WHICH INCLUDES, BUT IS NOT LIMITED TO, THE PUBLICATION OF NOTICES IN PATIENT BILLS AND POSTING NOTICES IN EMERGENCY ROOMS, IN THE CONDITIONS OF ADMISSION FORM, AT CARE CENTERS, ADMITTING AND REGISTRATION DEPARTMENTS, HOSPITAL BUSINESS OFFICES, AND PATIENT FINANCIAL SERVICES OFFICES THAT ARE LOCATED ON FACILITY CAMPUSES, AND AT OTHER PUBLIC PLACES AS JHACH ELECTS. A SUMMARY OF JHACH'S FINANCIAL ASSISTANCE POLICY IS PROVIDED TO PATIENTS UPON INTAKE OR DISCHARGE AND IS AVAILABLE TO ALL PATIENTS UPON REQUEST. JHACH PUBLISHES AND WIDELY PUBLICIZES A SUMMARY OF THE FINANCIAL ASSISTANCE POLICY ON THEIR WEBSITE, IN BROCHURES AVAILABLE IN PATIENT ACCESS SITES AND AT OTHER PLACES WITHIN THE COMMUNITY SERVED BY JHACH. SUCH NOTICES AND SUMMARY INFORMATION IS PROVIDED IN THE PRIMARY LANGUAGES SPOKEN BY THE POPULATION SERVICED BY JHACH. PART VI, LINE 4: THE CITY OF ST. PETERSBURG (POPULATION, 259,906) WAS IDENTIFIED AS THE COMMUNITY BENEFIT SERVICE AREA (CBSA). THE CBSA COVERS APPROXIMATELY 137 SQUARE MILES AND IS LOCATED IN SOUTHERN PINELLAS COUNTY. THE POPULATION OF ST. PETERSBURG IS PREDOMINANTLY WHITE (69%), 23.5% IDENTIFIES AS BLACK OR AFRICAN AMERICAN, AND 7.1% IDENTIFIES AS HISPANIC OR LATINOTHE MEDIAN HOUSEHOLD INCOME IN ST. PETERSBURG ($51,474) IS SLIGHTLY HIGHER THAN THAT OF FLORIDA ($50,860) AND ACUTELY LOWER THAN THE U.S. ($57,617). NEARLY 19% OF CHILDREN IN ST. PETERSBURG LIVE IN POVERTY WHILE 33.8% LIVE IN A HOUSEHOLD ON SOME TYPE OF PUBLIC ASSISTANCE. THOUGH AFRICAN AMERICANS ARE ONLY 24% OF ST. PETERSBURG'S TOTAL POPULATION, AND 43% OF THE CITY'S POVERTY POPULATION: 75% OF ALL CHILDREN LIVE WITH SINGLE MOMS; 77% OF POOR PEOPLE LIVE IN SINGLE HEADED HOUSEHOLDS; AND 58% OF SINGLE MOTHERS LIVE IN POVERTY (2020 PLAN TASKFORCE).NOTABLY, EIGHT OF THE PINELLAS COUNTY SCHOOL DISTRICT'S TRANSFORMATION ZONE ELEMENTARY AND MIDDLE SCHOOLS CAN BE FOUND IN ST. PETERSBURG, HOME OF JHACH'S MAIN CAMPUS. THE ON-TIME HIGH SCHOOL GRADUATION RATE FOR THE ENTIRE DISTRICT IS 80.1%, SLIGHTLY LOWER THAN THE STATE AVERAGE (82%). FURTHERMORE, MORE THAN 42% OF THE CBSA'S ADULT POPULATION HAD AN ASSOCIATE'S DEGREE OR HIGHER, 47.8% HAD A HIGH SCHOOL DIPLOMA OR SOME COLLEGE, AND 10% HAD LESS THAN A HIGH SCHOOL DIPLOMA. (2016 ACS 5-YEAR ESTIMATES). 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: 51 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, JHACH PROVIDES HIGH-QUALITY PEDIATRIC CARE TO ALL CHILDREN REGARDLESS OF THEIR ABILITY TO PAY. APPROXIMATELY 70% OF THE HOSPITALS 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 THE CITY OF ST. PETERSBURG, ONE OF PINELLAS COUNTY'S 24 MUNICIPALITIES. TWELVE OF THE TOP 15 ZIP CODES IN ST. PETERSBURG REPRESENTS THE LARGEST USAGE OF THE HOSPITAL'S EMERGENCY CENTER. ST. PETERSBURG 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 FLORIDA PTA DBA NORTH SHORE ELEMENTARY PTA 200 35TH AVE NE ST PETERSBURG FL 33704 237109342 501(C)(3) 10000 PROGRAM SUPPORT FLORIDA DEPARTMENT OF HEALTH 205 MLK STREET N ST PETERSBURG FL 33701 593502843 115 92744 PROGRAM SUPPORT JOHNS HOPKINS UNIVERSITY 3910 KESWICK RD BALTIMORE MD 21211 520595110 501(C)(3) 35241 PROGRAM SUPPORT 3 NURSING S CHOLARSHIPS 133 52400 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 X 0 1 0 0 0 0 0 1 0 GEORGE JALLO MD INTERIM VICE DEAN/ PHYSICIAN IN CHIE 745162 0 154054 0 6376 0 91526 0 29148 0 1026266 0 0 0 JONATHAN ELLEN MD PRESIDENT/VICE DEAN/PIC/TRUSTEE 684029 0 249886 0 10062 0 84255 0 30288 0 1058520 0 0 0 KEVIN W SOWERS MSN RN FAA CORP VICE CHAIR/TRUSTEE 0 1016112 0 179392 0 6105 0 153370 0 11747 0 1366726 0 0 CHRISTOPHER WHITBY VP, FINANCE & CFO 0 223642 0 25638 0 1027 0 28960 0 23525 0 302792 0 0 JACKIE CRAIN VP & CHIEF STRATEGY OFFICER 0 235395 0 57894 0 35963 0 29410 0 27646 0 386308 0 13411 ROBERTA ALESSI EXECUTIVE VP & COO 0 398267 0 110910 0 9310 0 139343 0 17412 0 675242 0 0 MARCOS DELEON VP HUMAN RESOURCES 0 279133 0 65043 0 2729 0 67230 0 10883 0 425018 0 0 BRIGITTA MUELLER MD VP MEDICAL AFFAIRS 0 344707 0 82795 0 11255 0 62129 0 13119 0 514005 0 0 SYLVIA AMEEN VP MARKETING 0 197842 0 104369 0 2028 0 34110 0 9068 0 347417 0 0 KIMBERLY BERFIELD VP GOVERNMENT AFFAIRS 0 171233 0 38684 0 1365 0 3468 0 8512 0 223262 0 0 JOHN W MCLENDON VP & CIO 2157 330956 0 74341 0 5298 0 45713 531 30362 2688 486670 0 0 JOSEPH PERNO INTERIM VP OF MEDICAL AFFAIRS 400168 0 0 0 1929 0 15185 0 28783 0 446065 0 0 0 ANTHONY NAPOLITANO MD CO CHAIR DEPT OF PED MEDIC 369408 0 0 0 5228 0 15185 0 9408 0 399229 0 0 0 PAUL COLOMBANI MD CHAIR OF SURGERY 704788 0 112253 0 260234 0 85358 0 17535 0 1180168 0 260234 0 ROBERT SOSA MD MEDICAL DIR INTERNATIONAL PRO 427877 857 0 0 8287 17 15155 30 18342 37 469661 941 0 0 JEFFREY JACOBS CO-DIR HEART INSTITUTE 0 899268 0 0 0 2228 0 15185 0 31972 0 948653 0 0 GARY STAPLETON CO-DIR HEART INSTITUTE 0 455862 0 0 0 2331 0 8250 0 27320 0 493763 0 0 SUSAN BRYD SR. DIRECTOR AMB SERVICES 197255 0 8491 0 1590 0 11530 0 25003 0 243869 0 0 0 DENNIS HART ADMINISTRATION REHAB SERV 336481 0 5948 0 3307 0 14613 0 25806 0 386155 0 0 0 JENNIFER ARNOLD MEDICAL DIRECTOR 239988 0 0 0 203 0 6072 0 31775 0 278038 0 0 0 DIPTI AMIN PHYSICIAN 295238 0 0 0 1834 0 10295 0 19465 0 326832 0 0 0 LISA KERRICK ASSOC CHIEF NURSE 209830 0 0 0 9846 0 12037 0 8189 0 239902 0 0 0 RONALD R PETERSON FORMER CORP VICE CHAIR/TRUSTEE 0 38162 0 286829 0 2898530 0 19446 0 394 0 3243361 0 2398868 PART I, LINE 1A ORGANIZATION PROVIDED BENEFITS FORM 990, SCHEDULE J, PART 1, QUESTION 1A BONUSES WERE GROSSED UP FOR CERTAIN EMPLOYEES. 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 2018 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 2018. SYLVIA AMEEN $54,639.78; AND JACKIE CRAIN $34,628.97 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 2018, MR. PETERSON RECEIVED A PAYMENT OF $1,275,825; THIS AMOUNT IS REPORTED IN SCHEDULE J, PART II, COLUMN (B)(III) AND ALSO IN SCHEDULE J, PART II, COLUMN (F). MR. PETERSON ALSO PARTICIPATED IN A LEGACY PROGRAM, FUNDED WITH EMPLOYEE CONTRIBUTIONS, THAT RESULTED IN A TOTAL PAYOUT OF $1,621,905 DURING 2018; THIS AMOUNT IS REPORTED IN SCHEDULE J, PART II, COLUMN (B)(III) AND ALSO IN SCHEDULE J, PART II, COLUMN (F) TO THE EXTENT PREVIOUSLY REPORTED AS DEFERRED COMPENSATION ACCRUALS IN PRIOR YEARS. 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 OFFICER 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. JONATHAN ELLEN, M.D. BASE COMPENSATION $664,230.00, BONUS & INCENTIVE COMPENSATION $211,429.00, OTHER REPORTABLE COMPENSATION $10,062.00, DEFERRED COMPENSATION $81,976.00 AND NON-TAXABLE BENEFITS $30,403.00. 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 12475000 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 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. DOES NOT MAKE ITS GOVERNING DOCUMENTS OR CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC. FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC THROUGH WWW.DACBOND.COM FORM 990, PART XI, LINE 9: CHANGE INTEREST IN NET ASSETS OF THE FOUNDATION 5,589,967. INTEREST EXPENSE ON SWAP AGREEMENT -1,997,251. NON-OPERATING SERVICES -6,000,000. CHANGE IN MARKET VALUE OF INTEREST RATE SWAPS -7,430,584. TRANSFER BETWEEN AFFILIATES -8,394,414. NET ASSETS TRANSFERRED -6,176,615. 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