2018-05-14T12:39:03-05:00 2017-06-30 861065772 DELOITTE TAX LLP 191 PEACHTREE STREET NE STE 2000 ATLANTA GA 30303 990 2016-07-01 526049658 GREATER BALTIMORE MEDICAL CENTER INC GREA 4438492000 6701 NORTH CHARLES STREET BALTIMORE MD 21204 LAURIE BEYER EVP & CFO 4438492000 2018-05-14 1 JOHN W SADOFF JR P00540589 4042201500 2016 2022-09-23 18:48:47Z LAURIE BEYER 6701 NORTH CHARLES STREET BALTIMORE MD 21204 489510916 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. 26 23 4242 622 791042 0 11021836 9003314 408930698 425428415 9321599 11350648 3922772 -6308753 433196905 439473624 118031 91970 0 0 216858061 225570447 0 0 3274118 188706936 196424079 405683028 422086496 27513877 17387128 642400146 614876795 368210784 283762779 274189362 331114016 X SEE SCHEDULE O 0 0 148596847 197294050 THE GREATER BALTIMORE MEDICAL CENTER, INC. (GBMC) IS A 259-BED MEDICAL CENTER (ACUTE AND SUB-ACUTE CARE), LOCATED ON A SUBURBAN CAMPUS, WHICH PROVIDED INPATIENT CARE AND OBSERVATION SERVICES TO 16,749 AND 3,270 PATIENTS, RESPECTIVELY. ADDITIONALLY, GBMC DELIVERED OVER 3,854 BABIES IN THE FISCAL YEAR. GBMC'S DISTINCTIVE SERVICE LINES INCLUDE WOMEN'S CANCER, SURGICAL AND MEDICAL SERVICES. GBMC IS A FULLY ACCREDITED TEACHING HOSPITAL THAT IS AFFILIATED WITH JOHNS HOPKINS UNIVERSITY. 103654916 117797772 THE OPERATING ROOM PERFORMED OVER 22,468 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. 12584892 32624325 THE EMERGENCY DEPARTMENT TREATED 52,518 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. IN ADDITION TO EMERGENCY SERVICES, GBMC PROVIDED OTHER OUPATIENT CARE TO OVER 52,766 PATIENTS IN SPECIALITY CLINICS SUCH AS OPHTHALMOLOGY, WOUND CARE, ANTI-COAGULATION, RADIATION ONCOLOGY AND INFUSION THERAPY. 91476782 91970 76921226 OTHER PROGRAM SERVICES: LABORATORY SERVICE; RADIOLOGY - THERAPEUTIC; RESIDENCY PROGRAM; MAGNETIC RESONANCE IMAGING; PHYSICIAN PRACTICES; OTHER PROGRAM SERVICES 91476782 91970 76921226 356313437 1 1 0 0 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 0 1 0 0 0 1 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 0 0 1 331 0 4242 1 1 1 0 0 0 0 1 1 0 0 0 0 X 26 23 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 1 1 MD X X LAURIE BEYER 4438492000 6701 NORTH CHARLES STREET BALTIMORE MD 21204 MR DELBERT ADAMS DIRECTOR 1.00 3.00 X 0 0 0 MR HERBERT J BELGRAD DIRECTOR 1.00 2.00 X 0 0 0 MS SANDRA BERMAN DIRECTOR 1.00 2.00 X 0 0 0 ROBERT K BROOKLAND MD DIRECTOR 1.00 3.00 X 0 0 0 MR CHARLES C FENWICK JR DIRECTOR 1.00 3.00 X 0 0 0 MR JERRY FOCAS DIRECTOR 1.00 3.00 X 0 0 0 MR SAMUEL HEFFNER DIRECTOR 1.00 3.00 X 0 0 0 MR RICHARD HUETHER DIRECTOR 1.00 3.00 X 0 0 0 THEDA C KONTIS MD DIRECTOR 1.00 2.00 X 0 0 0 MR TIMOTHY L KRONGARD DIRECTOR 1.00 2.00 X 0 0 0 MR FRANKLIN M LEE DIRECTOR 1.00 2.00 X 0 0 0 MR THOMAS H MADDUX DIRECTOR 1.00 2.00 X 0 0 0 MS CATHERINE P MCDONNELL DIRECTOR 1.00 2.00 X 0 0 0 MR ANTHONY MILANDO DIRECTOR 1.00 2.00 X 0 0 0 MS JEANNETTE M MILLS DIRECTOR 1.00 2.00 X 0 0 0 MS PATRICA MITCHELL DIRECTOR 1.00 2.00 X 0 0 0 MR THOMAS J O'DONNELL JR DIRECTOR 1.00 3.00 X 0 0 0 MELISSA SPARROW MD CHIEF OF STAFF 58.00 2.00 X 242548 0 46163 MR JAMES B STRADTNER DIRECTOR 1.00 2.00 X 0 0 0 MS FAITH E THOMAS DIRECTOR 1.00 3.00 X 0 0 0 MR STEVEN A THOMAS DIRECTOR 1.00 2.00 X 0 0 0 JOHN B CHESSARE MD PRESIDENT/CEO 32.00 28.00 X X 1003456 0 47040 MR FREDERICK M HUDSON VICE CHAIR 1.00 2.00 X X 0 0 0 MR STEPHEN T SCOTT TREASURER 1.00 2.00 X X 0 0 0 MS BONNIE R STEIN CHAIR 1.00 2.00 X X 0 0 0 MS MARION G THOMPSON SECRETARY 1.00 2.00 X X 0 0 0 MR GEORGE E BAYLESS III CFO HEALTHCARE 35.00 25.00 X 267646 0 46981 MS LISA F GOODLETT EVP & CFO (ENDED 6/17) 44.00 16.00 X 181549 0 10274 MR KEITH R POISSON EVP & COO GBMC HEATLHCARE 35.00 25.00 X 579715 0 50363 JOHN R SAUNDERS MD EVP MEDICAL AFFAIRS & CMO 27.00 6.00 X 463922 0 67778 MR ROBERT THORNTON EVP & CFO (ENDED 7/16) 2.00 1.00 X 228925 0 30019 MR BENNETT J BERES VP & COO GBMA 45.00 15.00 X 335624 0 58110 MS CAROLYN L CANDIELLO VP QUALITY & PT SAFETY 59.00 1.00 X 263413 0 61657 MS JENNY COLDIRON VP DEVELOPMENT 30.00 30.00 X 264361 0 78179 MR JOHN W ELLIS SR. VP STRATEGY & BUS DEV 45.00 15.00 X 524521 0 43317 MS CATHERINE HAMEL VP POST ACUTE SRVS & EXEC 20.00 40.00 X 370057 0 51510 MR DAVID J HYNSON VP & CIO 45.00 15.00 X 293135 0 75097 MS JOANN IOANNOU SVP PATIENT SERVICES 45.00 15.00 X 264537 0 89222 MR ELLERY JOYEAU INTERIM VP HUMAN RESOURCES 35.00 5.00 X 152916 0 20847 MS SUSAN MARTIELLI VP LEGAL AFFAIRS/CHIEF COUNSEL 40.00 20.00 X 322277 0 52413 MS DELORIS S TUGGLE VP HR (ENDED 11/16) 20.00 5.00 X 435979 0 26728 MARK IGUCHI MD PHYSICIAN 40.00 0.00 X 916415 0 31652 NIRAJ JANI MD PHYSICIAN 40.00 0.00 X 899865 0 46396 VICTOR A KHOUZAMI MD PHYSICIAN 40.00 0.00 X 696943 0 44420 BIMAL G RAMI MD MED DIRECTOR/PHYSICIAN 40.00 0.00 X 995423 0 53551 LEROY M SCHMIDT MD PHYSICIAN 40.00 0.00 X 640077 0 56174 MR MICHAEL A FORTHMAN FORMER VP FACILITIES (ENDED 5/16) 0.00 0.00 X 166595 0 0 10509899 0 1087891 377 1 1 0 PURSUIT HEALTHCARE ADVISORS 515 PENNSYLVANIA AVE FORT WASHINGTON MD 19034 CONSULTING/CONTRACT LABOR 5410150 JOHNS HOPKINS UNIVERSITY 125 MEDICAL ADMIN RD 720 RUTLAND BALTIMORE MD 21205 RESIDENCY PROGRAM 4680394 EPIC SYSTEMS CORPORATION 1979 MILKY WAY VERONA WI 53593 SOFTWARE ENGINEERING 4476807 SODEXO USA 9801 WASHINGTON BLVD GAITHERSBURG MD 20878 MANAGEMENT - HOTEL SERVICES 4118661 ADVANCED RADIOLOGY MEDICAL IMAGING OF B 7253 AMBASSADOR ROAD BALTIMORE MD 21244 RADIOLOGY SERVICES 2426621 147 458034 3275994 5269286 103584 9003314 PATIENT SERVICE 621110 418238582 418238582 OTHER OPERATING REV. 900099 6851345 6060303 791042 GRANT REVENUE 541700 338488 338488 425428415 4898867 4898867 185101 0 185101 185101 185101 56181145 49714948 14416 6466197 -14416 6451781 6451781 140161 458034 307928 -167767 -167767 PARKING REVENUE 812930 1750953 1750953 CAFETERIA INCOME 722210 767755 767755 LOSS ON EXTINGUISHMENT 921130 -8844795 -8844795 -6326087 439473624 424637373 791042 5041895 91970 91970 10989922 10989922 174204613 152625706 20559238 1019669 9252703 7368657 1846121 37925 18582433 16125045 2276787 180601 12540776 11165151 1311405 64220 1200168 917819 282349 128489 27274 101215 220209 26392 186148 7669 828460 828460 38508677 33605501 4827630 75546 1682297 60130 1206163 416004 87003212 84671160 1706738 625314 8978199 6322871 2653345 1983 6978277 6194309 783968 672970 485421 175242 12307 904466 753523 129343 21600 6807197 6040326 766871 30647400 27018792 3617501 11107 8830718 1498201 7332517 PURCHASD SRV & RESIDENT 2172989 1278774 94042 800173 FINANCING FEE AMORT 860351 36415 823936 422086496 356313437 62498941 3274118 37235214 25726289 4743944 10845887 46827789 53709678 3749364 4462125 10683963 8213145 661104360 411632051 246951888 249472309 215121193 210862087 10826776 6387612 66260015 45197663 642400146 614876795 70852458 58370951 99203327 104063994 41665521 59606495 156489478 61721339 368210784 283762779 X 228858383 284139586 29394031 31144974 15936948 15829456 274189362 331114016 642400146 614876795 X 17387128 17643550 21893976 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 28073800 186150 3745142 1569705 30435387 28313123 1556091 -384455 1410959 28073800 20282263 1914549 7592234 1475923 28313123 17358091 2274086 2154496 1504410 20282263 14235801 1503005 1659827 40542 17358091 0.43580 0.56420 0 1 1 15290673 15290673 338251318 193697672 144553646 4691887 2767784 1924103 141688855 119678737 22010118 161181627 95487858 65693769 249472309 INTERCOMPANY 45134549 DEFERRED ASSETS 18614 INTERCOMPANY RECEIVABLES 44500 45197663 THIRD PARTY ADVANCES 13046679 PENSIONS LIABILITY 13467745 OTHER LIABILITIES 3293502 CAPITAL LEASES 27074672 INSURANCE RESERVES 4165092 CHARITABLE GIFT ANNUITY 673649 61721339 X PART V, LINE 4: GREATER BALTIMORE MEDICAL CENTER, INC. HOLDS AND MANAGES THE ENDOWMENT FOR THE PURPOSE OF: 1) DEPARTMENT NEEDS - REHABILITATION SERVICES FOR LOW VISION AND BLINDNESS, HUMAN GENETICS. 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: THE MEDICAL CENTER 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 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 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 MEDICAL CENTER HAS ADOPTED THIS GUIDANCE, AND THERE WERE NO AMOUNTS RECORDED IN THE CONSOLIDATED FINANCIAL STATEMENTS AS OF AND DURING THE YEARS ENDED JUNE 30, 2017 AND 2016 FOR UNCERTAIN TAX POSITIONS. 1 CENTRAL AMERICA & THE CARIBBEAN PROGRAM SERVICES INSURANCE PREMIUMS 8319291 0 0 0 0 0 0 8319291 0 8319291 1 0 1 0 0 0 STEEPLE CHASE 350782 288657 62125 129155 78282 9258 11104 GOLF OUTING 172565 122724 49841 54261 2000 1101 74848 46653 28195 8703 3945 4322 1360 4437 598195 458034 140161 8703 187361 84604 10618 16642 307928 -167767 1 1 X 1 X 300.000000000000 0 1 1 0 1 1 10011168 8481413 1529755 0.00360 10011168 8481413 1529755 0.00360 774286 774286 0.00180 5559892 5559892 0.01320 52157173 36751185 15405988 0.03650 381579 381579 0.00090 26297 26297 0.00010 58899227 36751185 22148042 0.05250 68910395 45232598 23677797 0.05610 41508 41508 0.00010 41508 41508 0.00010 1 14581748 1 1 1 1 GREATER BALTIMORE MEDICAL CENTER 6701 NORTH CHARLES STREET BALTIMORE MD 21204 WWW.GBMC.ORG MARYLAND STATE LICENSE NUMBER: 03-015 X X X X CONTAINS LICENSED SKILLED NURSING FACILITY BEDS GREATER BALTIMORE MEDICAL CENTER 1 0 0 1 X X X X X X X X X 16 1 0 0 1 X HTTPS://WWW.GBMC.ORG/CHNA 1 16 1 SEE PART V, SECTION C 0 1 X 300.000000000000 X X X X X 1 1 X 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 0 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 ORGANIZATIONS, CHILD & YOUTH SERVICES AND FAITH-BASED ORGANIZATIONS WERE CHOSEN TO PARTICIPATE IN DIRECTLY, BY RESPONDING TO A SURVEY REGARDING WHAT EACH INDIVIDUAL 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.NAME AGENCYGREGORY BRANCH BALTIMORE COUNTY HEALTH DEPARTMENTSHINO BROWN LIFEBRIDGE HEALTHCAMILLE BURKE BALTIMORE CITY HEALTH DEPARTMENTJACQUELYN CORNISH BALTMORE COUNTY DEPARTMENT OF PLANNINGDONNA COX, PHD TOWSON UNIVERSITYSHONDA DESHILEDS BALTIMORE CITY HEALTH DEPARTMENTKRISTINE DUNKERTON COMMUNITY LAW CENTERCYRUS ENGINEER TOWSON UNIVERSITYEMILIE GILDE BALTIMORE CITY HEALTH DEPARTMENTSTACY HEINZE VETERANS AFFAIRS (BALTIMORE)ROBIN JACOBS COMMUNITY LAW CENTERJULIE LYNN BYKOTA SENIOR CENTERMARY MCSWEENEY-FIELD TOWSON UNIVERSITYCOLLEEN MERCIER HOLLY HILL NURSING AND REHABILITATIONBARRY PAGE BEHAVIORAL HEALTH ADMINISTRATION - CLINICAL SERVICESMICHELLE PROSER BALTIMORE COUNTY SCHOOL SYSTEMKATHLEEN WESTCOAT BEHAVIORAL HEALTH SYSTEM BALTIMOREJOANNE WILLIAMS BALTIMORE COUNTY DEPARTMENT OF AGINGUNIDENTIFIED RESPONDENT BALTIMORE COUNTY HEALTH DEPARTMENT - HEALTH AND HUMAN SERVICES GREATER BALTIMORE MEDICAL CENTER PART V, SECTION B, LINE 11: GREATER BALTIMORE MEDICAL CENTER(GBMC) CONTINUES TO DEFINE AND PUT INTO OPERATIONS WORK AROUND ITS IMPLEMENTATION STRATEGY IN RESPONSE TO THE NEEDS IDENTIFIED IN 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. GREATER BALTIMORE MEDICAL CENTER HAS EXPANDED ITS COLLABORATIVE CARE MANAGEMENT AND CARE COORDINATION MODEL WITH THE ADDITION OF THREE PROGRAMS: BEHAVIORAL HEALTH EMBEDDED IN THE PATIENT CENTER MEDICAL HOME, ELDER MEDICAL CARE AT HOME AND EXPANDING CARE COORDINATION/CARE MANAGEMENT. THE GOAL OF PROVIDING SERVICES OUTSIDE OF THE ACUTE CARE SETTING AND WITHIN THE COMMUNITY AND PRIMARY CARE PHYSICIANS IS ONE OF PATIENT CENTRICITY. GBMC EXPECTS THAT EARLY IDENTIFICATION, EARLY INTERVENTION, AND USE OF COMMUNITY-BASED SUPPORTS WILL SIGNIFICANTLY REDUCE ER VISITS AND PQI ADMISSIONS; CARE MANAGEMENT RELATIONSHIPS AND COMMUNITY SUPPORT WILL RESPOND TO NEEDS OF THE PATIENT BEFORE MEDICAL CONDITIONS ARE EXACERBATED, AND PATIENTS WILL BECOME ACCUSTOMED TO RELYING ON SUPPORT OTHER THAN THE HOSPITAL. REGARDING BEHAVIORAL HEALTH, GBMC HAS PARTNERED WITH SHEPPARD PRATT TO STAFF BEHAVIOR HEALTH CONSULTANTS, A SUBSTANCE ABUSE SPECIALIST, AND A PSYCHIATRIST IN ALL GBMC'S PRIMARY CARE PRACTICES. THROUGH THIS INITIATIVE, GBMC BELIEVES THAT MANY MORE PATIENTS WILL ACCESS MENTAL HEALTH SERVICES EARLY ON, AS THE STIGMA IS REMOVED; THIS WILL LEAD TO EARLY IDENTIFICATION AND MORE EFFECTIVE MANAGEMENT OF CHRONIC MEDICAL CONDITIONS WHICH WILL REDUCE THE NEED FOR HOSPITAL SERVICES. REGARDING GBMC'S STRATEGY TO ADDRESS OBESITY INITIATIVE, GBMC HAS A COMPREHENSIVE OBESITY MANAGEMENT PROGRAM (COMP) AND A DIABETES AND NUTRITION CENTER. GBMC UNDERSTANDS THAT BARIATRIC SURGERY REQUIRES A LIFELONG COMMITMENT AND OFFERS A VARIETY OF SUPPORT SERVICES TO HELP PATIENTS BEFORE, DURING AND AFTER THEIR PROCEDURES. COMP IS NOTED FOR THE COMPREHENSIVE NATURE OF ITS SERVICES AND FOR ITS EXCEPTIONAL PATIENT OUTCOMES. IN ADDITION, COMP HAS PARTNERED UP WITH AN EXERCISE PHYSIOLOGIST AND PSYCHOLOGIST TO PROVIDE PATIENTS WITH MULTIFACETED APPROACH TO TREATING MORBID OBESITY. 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 AND REGISTERED NURSES, AND ALL ARE CERTIFIED DIABETES EDUCATORS. THE CENTER TEACHES ABOUT DIABETES SELF-MANAGEMENT AND TOOLS AVAILABLE TO HELP MANAGE THEIR DIABETES. DIABETES NUTRITION AND 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 BRING 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. GREATER BALTIMORE MEDICAL CENTER PART V, SECTION B, LINE 16J: THE HOSPITAL PROVIDES A PERMISSION & ACKNOWLEDGMENTS DOCUMENT, WHICH AMONG OTHER THINGS, SUMMARIZES THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY. THE DOCUMENT IS PROVIDED TO PATIENTS AT THE TIME OF ADMISSION AND INCLUDED WITHIN THE INVOICE BILLING. IN ADDITION, EACH INVOICE NOTES THE AVAILABILITY OF FINANCIAL ASSISTANCE TO PATIENTS THAT 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 V, SECTION B, LINE 10 THE HOSPITAL'S MOST RECENTLY ADOPTED IMPLEMENTATION STRATEGY IS POSTED ON THE FOLLOWING WEBSITE:HTTPS://WWW.GBMC.ORG/CHNA PART V, SECTION B, LINE 3C THE KEY INFORMANT REPORT, A COMPONENT OF THE COMMUNITY NEEDS ASSESSMENT REPORT, DESCRIBES THE RESOURCES AVAILABLE THAT ADDRESS THE KEY "AREA OF NEEDS". PART I, LINE 7: COST OF CHARITY CARE WAS CALCULATED USING THE COST-TO-CHARGE RATIOPRESCRIBED IN THE INSTRUCTIONS TO WORKSHEET 2. MARYLAND'S REGULATORYSYSTEM CREATES A UNIQUE PROCESS FOR HOSPITAL PAYMENT THAT DIFFERS FROM THEREST OF THE NATION. THE HEALTH SERVICES COST REVIEW COMMISSION (HSCRC)DETERMINES PAYMENT THROUGH A RATE SETTING PROCESS AND ALL PAYORS,INCLUDING GOVERNMENTAL PAYORS, PAY THE SAME AMOUNT FOR THE SAME SERVICESDELIVERED AT THE SAME HOSPITAL. MARYLAND'S UNIQUE ALL PAYOR SYSTEMINCLUDES A METHOD FOR REFERENCING UNCOMPENSATED CARE IN EACH PAYORS'RATES, WHICH DOES NOT ENABLE MARYLAND HOSPITALS TO BREAKOUT ANY OFFSETTINGREVENUE RELATED TO UNCOMPENSATED CARE. PART I, LINE 7G: HOSPITAL BASED PHYSICIANS- GBMC EMPLOYS SELECT HOSPITAL BASED PHYSICIAN GROUPS (I.E. NEUROLOGY, INFECTIOUS DISEASE, GENETICS) TO BETTER SERVE THE CLINICAL NEEDS OF THE REGION THAT MAY NOT BE AVAILABLE OR AS EASILY ACCESSIBLE THROUGH COMMUNITY BASED PHYSICIANS. NON-RESIDENT HOUSE STAFF AND HOSPITALIST - GBMC EMPLOYS SELECT HOSPITALIST GROUPS (OB, NICU, MEDICINE & INTENSIVIST) TO SERVE THE INPATIENT CLINICAL NEEDS THROUGH IN-HOUSE 24/7 COVERAGE. COVERAGE OF EMERGENCY DEPARTMENT - GBMC EMPLOYS EMERGENCY MEDICINE PROVIDERS TO MEET THE EMERGENT CLINICAL NEEDS OF THE COMMUNITY THAT CANNOT BE MET BY COMMUNITY PHYSICIANS AND URGENT CARE FACILITIES BASED ON CLINICAL NEED AND/ OR HOURS OF OPERATION. PART I, LN 7 COL(F): GBMC ADOPTED THE GUIDANCE OF ASU 2011-7, WHICH REQUIRED THE RECLASSIFICATION OF THE PROVISION FOR BAD DEBTS ASSOCIATED WITH PATIENT SERVICE REVENUE FROM AN OPERATING EXPENSE TO A DEDUCTION FROM PATIENT SERVICE REVENUE. AS SUCH $14.6 MILLION FOR PROVISION OF BAD DEBT WAS RECORDED AS A REDUCTION OF PATIENT SERVICE REVENUE.PART II, COMMUNITY BUILDING ACTIVITIES:GBMC SUPPORTS COVERAGE OF SPECIALTY SERVICES (ORTHOPEDICS, ANESTHESIA,GENERAL SURGERY, ETC.) PROVIDED IN THE EMERGENCY ROOM TO MEDICAID ANDUNINSURED PATIENT POPULATIONS BY ENSURING PAYMENT OF THE PHYSICIANPROFESSIONAL FEES FOR SURGICAL RELATED CASES. GBMC ALSO EMPLOYS AFULL-TIME GERIATRIC NURSE PRACTITIONER WHOSE SOLE RESPONSIBILITY IS TO PROVIDE EDUCATION AND PRIMARY CARE SERVICES AT TOWSON AREA LOW-INCOMESENIOR LIVING FACILITIES. GBMC PARTNERS WITH CATHOLIC CHARITIES TO PROVIDEON-SITE PHYSICIAN COVERAGE AT A RESIDENTIAL MENTAL HEALTH TREATMENT FORCHILDREN (VILLA MARIA).GBMC PARTNERS WITH THE CHRISTO REY ORGANIZATION THROUGH AN ANNUAL SPONSORSHIP THAT ALLOWS FOR PRACTICAL JOB SKILLS TO BE GAINED BY AT-RISK HIGH-SCHOOL STUDENTS THROUGH SPONSORSHIP OF A STUDENT IN AN ON-SITE WORK/STUDY ROLE. PART III, LINE 2: GBMC USES A CALCULATED COST RATIO OF 77.31%. THIS MAKES THE REPORTING OF BAD DEBT CONSISTENT WITH THE REPORTING OF CHARITY CARE. PART III, LINE 3: IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE COMPANY ANALYZES HISTORICAL COLLECTIONS AND WRITE OFFS AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR BAD DEBTS AND PROVISION FOR UNCOLLECTIBLE ACCOUNTS. MANAGEMENT REGULARLY REVIEWS ITS ESTIMATE AND EVALUATES THE SUFFICIENCY OF THE ALLOWANCE FOR BAD DEBTS. FOR PATIENT ACCOUNTS RECEIVABLE ASSOCIATED WITH SELF PAY PATIENTS, WHICH INCLUDES THOSE PATIENTS WITHOUT EXISTING INSURANCE COVERAGE FOR A PORTION OF THE BILL, THE COMPANY RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS FOR PATIENTS THAT ARE UNABLE OR UNWILLING TO PAY FOR THE PORTION OF THE BILL REPRESENTING THEIR FINANCIAL RESPONSIBILITY. ACCOUNT BALANCES ARE CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS AFTER ALL MEANS OF COLLECTION HAVE BEEN EXHAUSTED. PART III, LINE 4: PATIENT ACCOUNTS RECEIVABLE ARE REDUCED BY ALLOWANCES FOR BAD DEBTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE COMPANY ANALYZES HISTORICAL COLLECTIONS AND WRITE OFFS AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR BAD DEBTS AND PROVISION FOR UNCOLLECTIBLE ACCOUNTS. MANAGEMENT REGULARLY REVIEWS ITS ESTIMATE AND EVALUATES THE SUFFICIENCY OF THE ALLOWANCE FOR BAD DEBTS. THE COMPANY ANALYZES CONTRACTUAL AMOUNTS DUE FROM PATIENTS WHO HAVE THIRD PARTY COVERAGE AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS. FOR PATIENT ACCOUNTS RECEIVABLE ASSOCIATED WITH SELF PAY PATIENTS, WHICH INCLUDES THOSE PATIENTS WITHOUT EXISTING INSURANCE COVERAGE FOR A PORTION OF THE BILL, THE COMPANY RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS FOR PATIENTS THAT ARE UNABLE OR UNWILLING TO PAY FOR THE PORTION OF THE BILL REPRESENTING THEIR FINANCIAL RESPONSIBILITY. ACCOUNT BALANCES ARE CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS AFTER ALL MEANS OF COLLECTION HAVE BEEN EXHAUSTED.THE COMPANY'S ALLOWANCE FOR DOUBTFUL ACCOUNTS REMAINED THE SAME AT 19% AND 14% OF GROSS ACCOUNTS RECEIVABLE AS OF JUNE 30, 2017 AND JUNE 30, 2016. 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 TRANSUNION CREDIT REPORTING AGENCY. ALL SELF PAY ACCOUNTS AND THOSE PREVIOUSLY IDENTIFIED AS CHARITY CARE ARE REFERRED TO TRANSUNION, WHO UTILIZES A PROPRIETARY CREDIT SCORING SYSTEM TO DETERMINE 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 AND A DECISION IS MADE TO WRITE OFF OR TO PURSUE COLLECTION. PART VI, LINE 2: GREATER BALTIMORE MEDICAL CENTER (GBMC) COMPLETES A COMMUNITY HEALTH NEEDS ASSESSMENT DESIGNED TO EVALUATE AND UNDERSTAND THE UNMET HEALTHCARE NEEDS OF THE GBMC COMMUNITY, AND HOW GBMC, GIVEN ITS SERVICE ORIENTATION, MIGHT BE BEST SERVED TO ASSIST IN MEETING THE IDENTIFIED UNMET NEEDS. GBMC USES STATISTICAL AND MEDICAL INCIDENCE DATA FROM LOCAL COUNTY HEALTH DEPARTMENTS THAT COLLECT SUCH DATA, AS WELL AS OTHER VARIOUS NATIONAL DATA. PART VI, LINE 3: GBMC EDUCATES PATIENTS ABOUT THEIR ELIGIBILITY FOR GOVERNMENTAL ASSISTANCE AND ORGANIZATION CHARITY CARE ASSISTANCE IN MANY WAYS, STARTING WITH THE INTAKE PROCESS. A SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS POSTED, ALONG WITH CONTACT INFORMATION AT ALL REGISTRATION AREAS, THE EMERGENCY ROOM, AND THE BILLING OFFICE. WHEN PATIENTS ARE REGISTERED, THEY ARE PROVIDED WITH A FINANCIAL ASSISTANCE BROCHURE AND ARE HANDED A "PERMISSIONS/ACKNOWLEDGMENT" (SIGNED BY THE PATIENT). THIS FORM EXPLAINS THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY AND PROVIDES GBMC PHONE NUMBERS AND A WEBSITE. ALSO STATED ON THE FORM IS INFORMATION FOR HOW GBMC REPRESENTATIVES CAN ASSIST WITH APPLYING FOR MARYLAND MEDICAL ASSISTANCE. GBMC ALSO CONTRACTS WITH OUTSIDE AGENCIES TO HELP WITH THE MEDICAL ASSISTANCE ELIGIBILITY PROCESS. LASTLY, A STATEMENT ABOUT FINANCIAL ASSISTANCE AND A COPY OF GBMC'S POLICY ACCOMPANIES ALL BILLS TO PATIENTS. PART VI, LINE 4: GREATER BALTIMORE MEDICAL CENTER (GBMC) IS A 259-BED ACUTE AND SUB-ACUTE CARE HOSPITAL LOCATED IN TOWSON, MARYLAND. GBMC HANDLES MORE THAN 26,700 INPATIENT CASES AND APPROXIMATELY 60,000 EMERGENCY ROOM VISITS ANNUALLY. THE MISSION OF GBMC IS TO PROVIDE MEDICAL CARE AND SERVICE OF THE HIGHEST QUALITY TO EACH PATIENT LEADING TO HEALTH, HEALING, AND HOPE. SINCE ITS FOUNDING IN 1965, GBMC'S ACCOMPLISHMENTS HAVE VALIDATED THE VISION OF ITS FOUNDERS TO COMBINE THE BEST OF COMMUNITY AND UNIVERSITY-LEVEL MEDICINE.BETWEEN 2010 AND 2014, THE POPULATION OF THE GBMC SERVICE AREA EXPERIENCED SLIGHTLY SLOWER GROWTH (1.7%) WHEN COMPARED TO MARYLAND (2.0%) BUT IS THE SAME AS THE NATION (1.7%). AS EVIDENCED BY THE MEDIAN AGE, THE GBMC SERVICE AREA HAS A SIMILAR AGE MAKEUP COMPARED TO THE STATE OF MARYLAND BUT IS SLIGHTLY OLDER THAN THE NATION. CONSEQUENTLY, THE GBMC SERVICE AREA DOES HAVE A LARGER PROPORTION OF RESIDENTS AGED 75 YEARS AND OLDER (8.1%) THAN THE STATE (5.7%) AND THE NATION (6.2%).THE GBMC SERVICE AREA HAS A MUCH LARGER WHITE POPULATION (72.8%) WHEN COMPARED TO MARYLAND (60.4%) BUT IS SLIGHTLY LESS THAN THE NATION (76.3%). THEY ALSO HAVE A MUCH SMALLER PROPORTION OF BLACK/AFRICAN AMERICAN RESIDENTS (19.9%) THAN THE STATE (31.1%). THE HISPANIC/LATINO POPULATION LIVING IN THE GBMC SERVICE AREA IS ALSO NOTABLY SMALLER THAN MARYLAND AND THE NATION. THE RACIAL BREAKDOWN PROVIDES A FOUNDATION FOR PRIMARY LANGUAGE STATISTICS. THE PERCENTAGE OF PEOPLE WHO SPEAK A LANGUAGE OTHER THAN ENGLISH AT HOME IS MUCH LOWER IN THE GBMC SERVICE AREA (14.4%) WHEN COMPARED TO THE STATE (22.2%) AND THE NATION (20.9%). RESIDENTS IN THE GBMC SERVICE AREA WHO SPEAK A LANGUAGE OTHER THAN ENGLISH AT HOME ARE MOST LIKELY TO SPEAK OTHER INDO-EUROPEAN LANGUAGES. THIS IS SIMILAR TO THE STATE, BUT MUCH DIFFERENT THAN THE NATION WHERE THEY ARE MOST LIKELY TO SPEAK SPANISH.WHEN LOOKING AT HOUSING COSTS IN GBMC SERVICE AREA, A SLIGHTLY LOWER PROPORTION OF HOMEOWNERS AND RENTERS ARE SPENDING LESS THAN 30% OF THEIR INCOME ON A MORTGAGE OR RENT WHEN COMPARED TO THE STATE AND NATION. HOWEVER, THE GBMC SERVICE AREA HAS A HIGHER PERCENTAGE OF HOUSEHOLDERS LIVING ALONE AND SPECIFICALLY AGED 65 YEARS AND OVER (12.5%) THAN IN THE STATE (9.6%) AND THE NATION (10.0%).GBMC'S SERVICE AREA HAS A HIGHER PERCENTAGE OF RESIDENTS WITH A BACHELOR'S DEGREE OR HIGHER (39.3%) WHEN COMPARED TO MARYLAND (37.3%) AND THE NATION (29.3%). THE MEDIAN INCOME FOR HOUSEHOLDS IN THE GBMC SERVICE AREA ($65,969) IS LOWER WHEN COMPARED TO THE STATE ($74,149) BUT STILL HIGHER WHEN COMPARED TO THE NATION ($53,482). 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 CAREASSESSMENTS 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 7, REPORTS FILED WITH STATES MD 1 CRISTO REY INTERNSHIP PROGRAM INC 420 SOUTH CHESTER STREET BALTIMORE MD 21231 364067306 501(C)(3) 24750 TO MAKE A PRIVATE, COLLEGE-PREPARATORY EDUCATION AFFORDABLE TO URBAN YOUNG PEOPLE FROM BALTIMORE AMERICAN HEART ASSOCIATION 415 NORTH CHARLES BALTIMORE MD 21297 135613797 501(C)(3) 7500 GENERAL SUPPORT SHEPPARD & ENOCH PRATT FOUNDATION 6501 N CHARLES STREET TOWSON MD 21204 521357109 501(C)(3) 5000 MENTAL HEALTH CARE OTHER INSTRUCTION & TRAINING. GBMC HEALTHCARE 6545 N CHARLES STREET TOWSON MD 21204 521484872 501(C)(3) 50000 GENERAL SUPPORT FOR HEALTHCARE 4 0 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 1 1 0 0 0 0 0 0 0 MELISSA SPARROW MD CHIEF OF STAFF 242131 0 0 0 417 0 8380 0 37783 0 288711 0 0 0 JOHN B CHESSARE MD PRESIDENT/CEO 743087 0 242888 0 17481 0 14300 0 32740 0 1050496 0 0 0 MR GEORGE E BAYLESS III CFO HEALTHCARE 218532 0 44689 0 4425 0 15166 0 31815 0 314627 0 0 0 MS LISA F GOODLETT EVP & CFO (ENDED 6/17) 179355 0 0 0 2194 0 1010 0 9264 0 191823 0 0 0 MR KEITH R POISSON EVP & COO GBMC HEATLHCARE 432230 0 129298 0 18187 0 14300 0 36063 0 630078 0 0 0 JOHN R SAUNDERS MD EVP MEDICAL AFFAIRS & CMO 395664 0 52812 0 15446 0 16950 0 50828 0 531700 0 0 0 MR ROBERT THORNTON EVP & CFO (ENDED 7/16) 226686 0 0 0 2239 0 6341 0 23678 0 258944 0 0 0 MR BENNETT J BERES VP & COO GBMA 298712 0 28518 0 8394 0 44510 0 13600 0 393734 0 0 0 MS CAROLYN L CANDIELLO VP QUALITY & PT SAFETY 234341 0 22285 0 6787 0 36910 0 24747 0 325070 0 0 0 MS JENNY COLDIRON VP DEVELOPMENT 222052 0 37572 0 4737 0 39319 0 38860 0 342540 0 0 0 MR JOHN W ELLIS SR. VP STRATEGY & BUS DEV 375926 0 132213 0 16382 0 16950 0 26367 0 567838 0 0 0 MS CATHERINE HAMEL VP POST ACUTE SRVS & EXEC 258870 0 106579 0 4608 0 13607 0 37903 0 421567 0 58407 0 MR DAVID J HYNSON VP & CIO 259216 0 27736 0 6183 0 39721 0 35376 0 368232 0 0 0 MS JOANN IOANNOU SVP PATIENT SERVICES 242274 0 19920 0 2343 0 46502 0 42720 0 353759 0 0 0 MR ELLERY JOYEAU INTERIM VP HUMAN RESOURCES 149108 0 3004 0 804 0 7483 0 13364 0 173763 0 0 0 MS SUSAN MARTIELLI VP LEGAL AFFAIRS/CHIEF COUNSEL 295248 0 22103 0 4926 0 41004 0 11409 0 374690 0 0 0 MS DELORIS S TUGGLE VP HR (ENDED 11/16) 278135 0 148309 0 9535 0 14119 0 12609 0 462707 0 104304 0 MARK IGUCHI MD PHYSICIAN 912446 0 3849 0 120 0 14049 0 17603 0 948067 0 0 0 NIRAJ JANI MD PHYSICIAN 653525 0 246220 0 120 0 14062 0 32334 0 946261 0 0 0 VICTOR A KHOUZAMI MD PHYSICIAN 632044 0 64167 0 732 0 16950 0 27470 0 741363 0 0 0 BIMAL G RAMI MD MED DIRECTOR/PHYSICIAN 892016 0 103287 0 120 0 15425 0 38126 0 1048974 0 0 0 LEROY M SCHMIDT MD PHYSICIAN 640077 0 0 0 0 0 14300 0 41874 0 696251 0 0 0 MR MICHAEL A FORTHMAN FORMER VP FACILITIES (ENDED 5/16) 0 0 124319 0 42276 0 0 0 0 0 166595 0 0 0 PART I, LINES 4A-B MICHAEL A. FORTHMAN, VICE PRESIDENT OF FACILITIES, RECEIVED SEVERANCE PAYMENTS OF $42,276. PART I, LINE 4B: GREATER BALTIMORE MEDICAL CENTER, INC. A NON-QUALIFIED SUPPLEMENTAL RETIREMENT PLAN. 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. THE CONTRIBUTIONS TO THE SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (C) ARE PART OF DEFERRED COMPENSATION. THE FOLLOWING INDIVIDUALS PARTICIPATED IN THIS SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN: MR. BENNETT BERES $30,210 EARNED, $0 PAID MS. CAROLYN L. CANDIELLO $24,014 EARNED, $0 PAID MS. JENNY COLDIRON $25,878 EARNED, $0 PAID MR. MICHAEL A. FORTHMAN $0 EARNED, $0 PAID MS. CATHERINE HAMEL $0 EARNED, $58,407 PAID MR. DAVID J. HYNSON $26,265 EARNED, $0 PAID MS. DELORIS TUGGLE $0 EARNED, $104,304 PAID MS. JOANN Z. IOANNOU $38,309 EARNED, $0 PAID MS. SUSAN MARTIELLI $28,799 EARNED, $0 PAID A MD HEALTH & HIGHER ED FAC AUTH 520936091 574218BX0 2011-04-20 67785219 SEE PART VI 0 0 0 B MD HEALTH & HIGHER ED FAC AUTH 520936091 574218EY5 2012-04-11 36317095 TO REFUND BONDS ISSUED 12/6/2001 0 0 0 C MD HEALTH & HIGHER ED FAC AUTH 520936091 000000000 2017-03-08 73720000 TO REFUND BONDS ISSUED 4/20/11 AND 4/11/12 0 0 0 A 12845000 32480000 67785379 723328 4999718 62062333 2011 1 0 1 1 B 32205000 36317095 36317095 1 0 1 1 C 73720000 73697726 22274 0 1 1 1 A 0 1 1 1 0 0.00450 0.00000 0.00450 0 0 1 B 0 1 1 1 0 0.00450 0.00000 0.00450 0 0 1 C 0 1 1 1 0 0.00970 0.00970 0 0 1 A 0 0 1 0 0 0 0 0 1 B 0 0 1 0 0 0 0 0 1 C 0 1 0 0 1 0 0 0 1 A 1 B 1 C 1 PART I, COLUMN (F), LINE A DESCRIPTION OF PURPOSE: BUILDING RENOVATIONS AND TO REFUND BONDS ISSUED 8/10/1993, 12/6/2001, 3/17/2009, AND 4/1/2009 PART II, LINE 3, COLUMN A DIFFERENCES BETWEEN THE ISSUE PRICE (PART I) AND TOTAL PROCEEDS (PART II, LINE 3) ARE DUE TO INVESTMENT EARNINGS. PART IV, LINE 6, COLUMN C THIS QUESTION IS BEING ANSWERED WITHOUT REGARD TO A YIELD-RESTRICTED ADVANCE REFUNDING ESCROW FINANCED WITH PROCEEDS OF THE BONDS. X 10 103584 COST OR SELLING PRICE 0 1 0 PART I, COLUMN (B): SECURITIES - PUBLICLY TRADED - NO. OF CONTRIBUTIONS FORM 990 PART III, LINE 1 GREATER BALTIMORE MEDICAL CENTER'S PRIMARY EXEMPT PURPOSE IS AS FOLLOWS: (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 THAT MAY 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 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 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 NON-QUALIFIED 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: PENSION EXPENSE 17,545,253. TRANSFER TO AFFILIATES 4,348,723. 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