2018-05-14T12:50:21-05:00 2017-06-30 990 2016-07-01 530196602 LUCY WEBB HAYES NATIONAL TRAINING SCHOOL FOR DEACONESSES & MISSIONARIES LUCY 2025374000 5255 LOUGHBORO RD NW WASHINGTON DC 20016 MARTIN BASSO SR VP FINANCE & CFO 2025374000 2018-05-14 128.220.159.45 2018-05-14 13:49:58 ED P F9C1BA7B86FB6ECF2E4F2EBC7197D13F41C3E5AE 9BE364FC958DBF298A1FA46CC0E4BCF36838B0C2 2016 2021-01-29 14:40:06Z SIBLEY MEMORIAL HOSPITAL RICHARD O DAVIS 5255 LOUGHBORO RD NW WASHINGTON DC 20016 332561793 0 X WWW.SIBLEY.ORG X 1891 DC THE LUCY WEBB HAYES NATIONAL TRAINING SCHOOL FOR DEACONESSES AND MISSIONARIES MISSION IS TO DELIVER EXCELENCE AND COMPASSIONATE CARE TO EVERY PERSON, EVERY TIME. SIBLEY WILL BE THE ROLE MODEL FOR INNOVATION IN HEALTH CARE AND WELLNESS FOR ALL. THEIR VALUES ARE EXCELLENCE AND DISCOVERY, DIVERSITY AND INCLUSION, LEADERSHIP AND INTEGRITY, RESPECT AND COLLEGIALITY. 26 24 2579 289 111393 -11209 0 0 292561925 299307193 10428569 20352485 10453208 12646145 313443702 332305823 20500 91851 0 0 146309798 154200594 0 0 0 152370211 181902263 298700509 336194708 14743193 -3888885 933348819 1026274441 326395421 375186176 606953398 651088265 X THE LUCY WEBB HAYES NATIONAL TRAINING SCHOOL FOR DEACONESSES AND MISSIONARIES CONDUCTING BUSINESS AS SIBLEY MEMORIAL HOSPITAL IS A GENERAL SHORT-TERM ACUTE CARE HOSPITAL LOCATED IN N.W. WASHINGTON,DC. THE HOSPITAL PROVIDES ALL SERVICES WITHOUT REGARD TO RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. ITS MISSION IS TO DELIVER EXCELLENCE AND COMPASSIONATE CARE TO EVERY PERSON, EVERY TIME. ITS VISION IS TO BE THE ROLE MODEL FOR INNOVATION IN HEALTH CARE AND WELLNESS FOR ALL. THE HOSPITAL VALUES EXCELLENCE AND DISCOVERY, DIVERSITY AND INCLUSION, LEADERSHIP AND INTEGRITY, RESPECT AND COLLEGIALITY. 0 0 313632835 91851 311885388 PROVIDE ACUTE CARE HEALTHCARE SERVICES TO PATIENTS IN THE NORTHWEST WASHINGTON, DC AREA. TO PROVIDE QUALITY HEALTH SERVICES AND FACILITIES TO THIS COMMUNITY, PROMOTING WELLNESS, RELIEVE SUFFERING, AND RESTORE HEALTH AS SWIFTLY, SAFELY AND HUMANELY AS IT CAN BE DONE CONSISTENT WITH THE BEST SERVICE GIVEN AT THE HIGHEST VALUE.SIBLEY HOSPITAL IS A GENERAL SHORT TERM ACUTE CARE FACILITY LOCATED IN NORTHWEST WASHINGTON, DC. THE HOSPITAL PROVIDES ALL SERVICES WITHOUT REGARD TO RACE, CREED, SEX, SEXUAL PREFERENCE, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. IN NOVEMBER, 2010, THE HOSPITAL BECAME INTEGRATED WITH THE JOHNS HOPKINS HEALTH SYSTEM (JHHS). ONE OF THE REQUIREMENTS OF THE INTEGRATION WAS TO ADOPT THE FISCAL YEAR ACCOUNTING PERIOD OF JULY 1 TO JUNE 30. CONSEQUENTLY, THIS RETURN IS FOR THE 12-MONTH ACCOUNTING PERIOD JULY 1, 2016 TO JUNE 30, 2017. INHERENT IN THE PURPOSE IS THE HOSPITALS WILLINGNESS TO PROVIDE HEALTHCARE SERVICES TO MEMBERS OF THE COMMUNITY WHO ARE NOT ABLE TO PAY FOR SERVICES. FOR FISCAL YEAR 2017, THE HOSPITAL PROVIDED CHARITY CARE TO MORE THAN 1,000 PATIENTS, INCURRING COSTS OF APPROXIMATELY $3.3 MILLION. TOTAL BENEFITS AND UNCOMPENSATED COST OF CARE PROVIDED TO THE COMMUNITY EXCEEDED $7.9 MILLION. SIBLEY PROVIDES CHARITY CARE TO THE CLIENTS OF THE CATHOLIC HEALTH CARE NETWORK, MARY'S CENTER FOR MATERNAL AND CHILD HEALTH, THE COMMUNITY OF HOPE, COLUMBIA ROAD CLINIC, UNITY HEALTHCARE, AND BREAD FOR THE CITY. THE HOSPITAL ADMITTED OVER 10,800 PATIENTS IN 2017, AND PROVIDED OVER 43,100 DAYS OF INPATIENT CARE. ADDITIONALLY, 3,300 NEW BABIES WERE DELIVERED AS WELL. ADDITIONALLY, 3,500 NEW BABIES WERE DELIVERED AS WELL. ON THE OUTPATIENT SIDE, OVER 38,200 PATIENTS WERE TREATED IN OUR 24/7 EMERGENCY ROOM, APPROXIMATELY 10,900 SURGICAL CASES WERE PERFORMED AND APPROXIMATELY 74,600 VISITS WERE MADE FOR OTHER ANCILLIARY OUTPATIENT TREATMENTS OR PROCEDURES. 313632835 1 0 0 1 0 0 0 0 1 0 1 1 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 304 0 1 2579 1 1 1 0 0 0 0 0 0 0 0 0 X 26 24 0 0 0 0 0 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 DC X MARTIN BASSO SR VP FINANCE & CFO 3018962333 5255 LOUGHBORO RD NW WASHINGTON DC 20016 RICHARD O DAVIS PRESIDENT/CEO/TRUSTEE 58.00 2.00 X X 0 877429 152503 WILLIAM B BARTON ESQ TRUSTEE/VICE CHAIRMAN 5.00 10.00 X X 0 0 0 ROBERT BRANSON TRUSTEE 5.00 1.00 X 0 0 0 RICHARD E MORRIS TRUSTEE/TREASURER 5.00 10.00 X X 0 0 0 JOSHUA AMMERMAN MD TRUSTEE 5.00 0.00 X 0 0 0 REV A DAVID ARGO TRUSTEE 5.00 10.00 X 0 0 0 GEOFFREY D BROWN TRUSTEE 5.00 1.00 X 0 0 0 J RENE CARTER TRUSTEE/SECRETARY 5.00 20.00 X X 0 0 0 CHARLES M COCHRAN TRUSTEE 5.00 0.00 X 0 0 0 PAUL R ERICKSON TRUSTEE 5.00 0.00 X 0 0 0 MICHAEL K FARR TRUSTEE 5.00 11.00 X 0 0 0 BURKE HAYES TRUSTEE 5.00 0.00 X 0 0 0 DALE H HOSCHEIT ESQ TRUSTEE 5.00 10.00 X 0 0 0 NILOOFAR HOWE TRUSTEE 5.00 1.00 X 0 0 0 JOHN CASTELLANI TRUSTEE 5.00 0.00 X 0 0 0 RAMIN OSKOUI TRUSTEE 5.00 1.00 X 0 0 0 PRISCILLA I PAGANO TRUSTEE 5.00 0.00 X 0 0 0 CHARLES ROSS TRUSTEE 5.00 0.00 X 0 0 0 THOMAS J SCHAEFER TRUSTEE 5.00 0.00 X 0 0 0 MARTIN G PAUL MD TRUSTEE 5.00 0.00 X 0 0 0 ROBERT S SILBERMAN TRUSTEE 5.00 0.00 X 0 0 0 D SCOTT COHEN MD TRUSTEE 5.00 0.00 X 0 0 0 DEOBRAH TRAUTMAN PHD RN TRUSTEE 5.00 0.00 X 0 0 0 EDWARD J MILLER JR TRUSTEE/CHAIRMAN 5.00 21.00 X X 0 0 0 SHARON PERCY ROCKEFELLER TRUSTEE 5.00 0.00 X 0 0 0 RONALD R PETERSON TRUSTEE, CORP VICE CHAIRMAN 5.00 55.00 X X 0 2263048 502388 ALISON ARNOTT VP SUPPORT SERVICES 60.00 0.00 X 0 226340 19826 CAROLINE SHAFA VP CLINICAL OPERATIONS 60.00 0.00 X 0 212813 24761 MARTIN BASSO SR VP FINANCE & CFO 30.00 30.00 X 0 552136 59188 LAWRENCE RAMMUNO VP MEDICAL AFFAIRS 60.00 0.00 X 0 495044 81326 JOANNE MILLER VP PATIENT CARE & CNO 60.00 0.00 X 0 310637 65170 JERRY L PRICE SR VP REAL ESTATE & CONSTRU 60.00 0.00 X 0 570716 62885 JEFFREY L LIN DIR GYN ONCOLOGY & SURGERY 40.00 0.00 X 952888 0 28264 POUNEH RAZAVI PHYSICIAN DIR BREAST IMAGING 40.00 0.00 X 459664 0 34490 SARA SHAYLOR RADIOLOGIST 40.00 0.00 X 413698 0 30207 MARY O'DONNELL DIR HOSPITALIST SERVICES 40.00 0.00 X 394943 0 28233 COLETTE M MAGNANT BREAST SURGEON 40.00 0.00 X 791874 0 23150 ROBERT L SLOAN FORMER OFFICER/TRUSTEE 0.00 10.00 X 12636 127393 22968 QUEENIE PLATER FORMER VP & CHIEF HR OFFICER 30.00 30.00 X 0 379984 62546 CHRISTINE STUPPY FORMER VP BUS DEVELOP & ST 0.00 60.00 X 0 256826 4668 3025703 6272366 1202573 222 1 1 0 TURNER CONSTRUCTION COMPANY 11413 ISAAC NEWTON SQUARE SOUTH RESTON VA 20190 CONSTRUCTION 10818901 AMN HEALTHCARE INC 12400 HIGH BLUFF DR SAN DIEGO CA 92130 STAFFING 1361227 CARETECH SOLUTIONS INC 3270 W BIG BEAVER STE 100 TROY MI 48084 IT 1346738 WILMOT SANZ INC 18310 MONTGOMERY VILLAGE AVE STE 3 GAITHERSBURG MD 20879 ARCHITECTURE 1307570 EPLUS TECHNOLOGY 13595 DULLES TECHNOLOGY DR HERNDON VA 20171 IT 1250364 61 PATIENT REVENUE 621990 280711122 280711122 ASSISTED LIVING 623000 18484678 18484678 LAB REVENUE 621500 111393 111393 299307193 7783325 7783325 12590578 0 21418 12590578 -21418 12569160 12569160 354980 234552 120428 120428 OTHER INCOME 900099 8928673 8928673 PARKING LOT 900099 1831647 1831647 CAFETERIA/VENDING 900099 1088668 1088668 676729 676729 12525717 332305823 311885388 111393 20309042 X 91851 91851 129156044 114948879 14207165 5198109 4938204 259905 10705427 10170156 535271 9141014 8683963 457051 47323 44957 2366 467496 444121 23375 51232 51232 1360345 1360345 51788031 49198629 2589402 1082531 844374 238157 3511637 3336055 175582 1724397 1638177 86220 6521305 6195240 326065 559823 531832 27991 383132 363975 19157 9530440 9053918 476522 29862000 28368900 1493100 1009617 1009617 DIRECT PATIENT SUPPLIES 68862687 68862687 0 FOOD COSTS 2102083 1996979 105104 PROVIDER TAX 1171866 1171866 0 DUES & SUBSCRIPTIONS 585959 556661 29298 1280359 1181794 98565 336194708 313632835 22561873 0 21271760 35621528 34382228 27785307 5179140 5314962 3706222 3741445 594801665 114510875 447581719 480290790 330199353 347907918 91028397 125612491 933348819 1026274441 38933583 33780683 1726618 1798727 285735220 339606766 326395421 375186176 X 603122987 647264539 1986393 1979709 1844018 1844017 606953398 651088265 933348819 1026274441 X -3888885 27099846 20923906 X 0 1 X 1 0 X 0 0 0 0 0 0 1 28732 0 1 22500 51232 0 PART II-B, LINE 1: DIRECT CONTACT: SIBLEY MEMORIAL HOSPITAL RETAINS LEGAL COUNSEL TO PERFORM LOBBYING ACTIVITIES ON ITS BEHALF. THE LOBBYING ACTIVITIES RELATE TO PRESERVING AND PROTECTING THE HOSPITAL'S INTERESTS WITH REGARDS TO MATTERS AFFECTING HEALTH CARE AND HEALTH FACILITIES. OTHER ACTIVITIES: SIBLEY MEMORIAL HOSPITAL PAID ITS PARENT CORPORATION, THE JOHNS HOPKINS HEALTH SYSTEM CORPORATION $22,500 DURING THE FISCAL YEAR ENDED JUNE 30, 2017 TO SUPPORT THEIR LOBBYING ACTIVITIES. THE JOHNS HOPKINS HEALTH SYSTEM MAINTAINS A DEPARTMENT OF GOVERNMENTAL RELATIONS. 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 OR ITS AFFILIATES AS WELL AS THE HEALTHCARE INDUSTRY IN GENERAL. 0 1 X 50824565 50824565 274081218 49425176 224656042 108713 35897 72816 217226076 64644872 152581204 52561093 404930 52156163 480290790 JOINT VENTURES 2883497 F OTHER SECURITIES 345024421 F 347907918 OTHER RECEIVABLES 3795252 INTEREST RECEIVABLE 1659033 OTHER ASSETS 16211325 DUE FROM AFFILIATES 542733 LIMITED USE ASSETS 103404148 125612491 ALLOW FOR MALPRACTICE CLAIMS 10900784 ESTIMATED THIRD PARTY SETTLE 713828 MISCELLANEOUS LIABILITIES 16153878 DUE TO AFFILIATES 311838276 339606766 X PART IV, LINE 2B: THE HOSPITAL ACTS AS ADMINISTRATOR/TRUSTEE FOR A CHARITABLE GIFT ANNUITY (CGA) PROGRAM. THE ASSETS ARE CUSTODIED WITH THE FIDUCIARY TRUST COMPANY. DONORS MAKE ARRANGEMENTS WITH THE HOSPITAL AND THE CUSTODIAN TO MAKE A ONE-TIME CONTRIBUTION TO THE CGA. PERIODIC ANNUITY PAYMENTS ARE THEN MADE TO THE DONOR OVER THE LIFETIME OF THE DONOR. THE HOSPITAL INCLUDES ON ITS BALANCE SHEET THE MARKET VALUE OF THE ASSETS CONTRIBUTED BY ALL DONORS IN THE PROGRAM. THE HOSPITAL ALSO INCLUDES A LIABILITY FOR ESTIMATED PAYMENTS CALCULATED TO BE PAID TO ITS DONORS IN FUTURE YEARS. THE ASSETS ARE INVESTED IN FIXED INCOME AND EQUITY SECURITIES, MONITORED REGURARLY BY THE HOSPITAL'S INVESTMENT COMMITTEE. FOR FISCAL YEAR ENDING JUNE 30, 2017, THE MARKET VALUE OF THE ASSETS INCREASED BY $52,681. 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. THIS GUIDANCE ALSO PROVIDES GUIDANCE ON THE MEASUREMENT, CLASSIFICATION AND DISCLOSURE OF TAX RETURN POSITIONS IN THE FINANCIAL STATEMENTS. THERE WAS NO IMPACT ON THE ORGANIZATION'S FINANCIAL STATEMENTS DURING THE YEARS ENDED JUNE 30, 2017 AND 2016. 1 1 X 1 X 1 X 500.000000000000 1 1 0 1 1 3365508 0 3365508 0.01000 10365071 7072362 3292709 0.00980 13730579 7072362 6658217 0.01980 2527927 0 2527927 0.00750 1293118 149270 1143848 0.00340 24377320 17353331 7023989 0.02090 1235864 50333 1185531 0.00350 1071044 0 1071044 0.00320 30505273 17552934 12952339 0.03850 44235852 24625296 19610556 0.05830 1 10401909 0 67438308 107184979 -39746671 X 1 1 1 1 SIBLEY MEMORIAL HOSPITAL 5255 LOUGHBORO RD NW WASHINGTON DC 20016 WWW.HOPKINSMEDICINE.ORG/SIBLEY-MEMORIA HFD01-0213 X X X SIBLEY MEMORIAL HOSPITAL 1 0 0 1 X X X X X X X X X 15 1 1 0 1 X WWW.HOPKINSMEDICINE.ORG/SIBLEY-MEMORIAL-HOSPITAL/COMMUNITY-HEALTH/ X WWW.DCHEALTHMATTERS.ORG/ X 1 15 1 WWW.HOPKINSMEDICINE.ORG/SIBLEY-MEMORIAL-HOSPITAL/COMMUNITY-HEALTH/ 0 1 X 200.000000000000 500.000000000000 X X X 1 1 X X X X 1 X WWW.HOPKINSMEDICINE.ORG/PATIENT_CARE/PAY_BILL/ASSISTANCE_POLICIES.HTML X WWW.HOPKINSMEDICINE.ORG/PATIENT_CARE/PAY_BILL/ASSISTANCE_POLICIES.HTML X WWW.HOPKINSMEDICINE.ORG/SIBLEY-MEMORIAL-HOSPITAL/PLANNING-YOUR-VISIT/ X X X X X X 1 X 0 X X X X 1 X 0 0 SIBLEY MEMORIAL HOSPITAL PART V, SECTION B, LINE 5: OVER AN 18 MONTH PERIOD (SEPTEMBER 2014 - MARCH 2016) SIBLEY MEMORIAL HOSPITAL, INC. (SMH) TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL THROUGH VARIOUS WAYS LISTED BELOW:A) 113 ONLINE SURVEY RESPONDENTS,B) 80 COMMUNITY FORUM ATTENDEES,C) 60 COMMUNITY-BASED ORGANIZATIONS,D) 40 FOCUS GROUP PARTICIPANTS,E) 31 KEY INFORMANT INTERVIEWS,F) 15 HOSPITALS AND COMMUNITY HEALTH CENTERS,G) 11 GOVERNMENT AGENCIES, AND H) 8 ELECTED OFFICIALS, INCLUDING DC COUNCILMEMBERS AND ADVISORY NEIGHBORHOOD COMMISSIONERS SIBLEY MEMORIAL HOSPITAL PART V, SECTION B, LINE 6A: THE OTHER HOSPITAL FACILITIES WITH WHICH SMH CONDUCTED ITS CHNA ARE:A)CHILDREN'S NATIONAL HEALTH SYSTEMB)HOWARD UNIVERSITY HOSPITALC)PROVIDENCE HEALTH SYSTEMD)COMMUNITY OF HOPE, DCE)UNITY HEALTH CARE, INC.F)BREAD FOR THE CITYG)MARY'S CENTERTHE GROUP FORMED A COALITION - THE DC HEALTHY COMMUNITIES COLLABORATIVE (DCHCC). SIBLEY MEMORIAL HOSPITAL PART V, SECTION B, LINE 11: THE SMH IMPLEMENTATION STRATEGY FOR THE CHNA SPELLS OUT IN CONSIDERABLE DETAIL WAYS THAT SMH INTENDS TO ADDRESS THE MULTIPLE HEALTH NEEDS OF OUR COMMUNITY. AS THE HOSPITAL BEGINS TO USE THIS VALUABLE TOOL, THE IMPLEMENTATION STRATEGY ITSELF SHOULD BE CONSIDERED A DYNAMIC DOCUMENT AND MAY CHANGE AS SMH GAINS EXPERIENCE IN IMPLEMENTING PROGRAMS AND MEASURING OUTCOMES.THE COMMUNITY NEEDS THAT ARE NOT BEING ADDRESSED IN THE IMPLEMENTATION STRATEGY ARE CULTURAL COMPETENCE, FOOD INSECURITY, HEALTHY BEHAVIORS, AND HEALTH DATA DISSEMINATION. THE DCHCC RECOGNIZED THERE ARE OTHER ORGANIZATIONS OR LOCAL GOVERNMENT AGENCIES WITH EXISTING PROGRAMS TO ADDRESS THESE NEEDS. FOR COMMUNITY VIOLENCE, THE DCHCC LACKS THE RELATIVE EXPERTISE OR COMPETENCIES TO ADDRESS THIS NEED. 1 1 - GRAND OAKS 5901 MACARTHUR BLVD NW WASHINGTON DC 20016 ASSISTED LIVING FACILITY PART I, LINE 7: A COST-TO-CHARGE RATIO (FROM WORKSHEET 2) IS USED TO CALCULATE THE AMOUNTS ON LINE 7A-7B (FINANCIAL ASSISTANCE AND UNREIMBURSED MEDICAID). THE AMOUNTS FOR LINES 7E-7I WOULD 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: THERE ARE NO COSTS REPORTED THAT ARE ATTRIBUTABLE TO A PHYSICIANS CLINIC. PART II, COMMUNITY BUILDING ACTIVITIES: SIBLEY MEMORIAL HOSPITAL'S (SMH) COMMUNITY BUILDING ACTIVITIES PROMOTE WORKFORCE DEVELOPMENT BY OFFERING CAREER MENTORING PROGRAMS OF IT AND PROFESSIONAL SERVICES.THE HOSPITAL ALSO INCURS COST FOR BEING IN A CONSTANT STATE OF READINESS FOR ANY EMERGENCIES, SUCH AS NATURAL DISASTERS, EPIDEMICS, CHEMICAL SPILLS OR TECHNICAL DISASTERS THAT MAY ARISE. THE HOSPITAL'S DISASTER TREATMENT TEAM WORKS ROUTINELY WITH THE DISTRICT OF COLUMBIA EMERGENCY HEALTHCARE COALITION, DC HOMELAND SECURITY ORGANIZATION, DC DEPARTMENT OF HEALTH AND OTHER SIMILAR ORGANIZATIONS IN PLANNING AND TRAINING FOR TREATMENT OF PATIENTS DURING ANY POTENTIAL DISASTERS. THE HOSPITAL MAKES AVAILABLE A 24/7 EMERGENCY CARE FACILITY, PROVIDES STATE-OF-THE-ART EQUIPMENT TO TREAT PATIENTS EFFICIENTLY AND QUICKLY, AND INCURS COSTS OF EDUCATING HOSPITAL STAFF TO ADMINISTER BETTER QUALITY CARE TO THE COMMUNITY. 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: SMH 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. SMH 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 SMH MUST ASSUME THE PATIENT DOES NOT QUALIFY. PART III, LINE 4: THE JOHNS HOPKINS HEALTH SYSTEM CORPORATION AND AFFILIATES AUDITED FINANCIAL STATEMENTS PAGE 14. PART III, LINE 8: SIBLEY MEMORIAL HOSPITAL TREATS PATIENTS WITH MANY INSURANCE CARRIERS. HOWEVER, SMH'S MEDICARE INPATIENT VOLUME IS AMONG THE HIGHEST RATIO AMONG DISTRICT OF COLUMBIA HOSPITALS. ALTHOUGH PROVIDING THE BEST POSSIBLE CARE TO OUR MEDICARE PATIENTS CREATES A FINANCIAL LOSS, WE RELIEVE THE GOVERNMENT AND SURROUNDING OTHER HOSPITALS OF THE FINANCIAL BURDEN OF TREATING THESE PATIENTS INSURED BY THE MEDICARE PROGRAM. PART OF THE MISSION OF OUR HOSPITAL IS TO SERVE ITS ELDERLY PATIENTS WITHIN THE COMMUNITY THROUGH VARIOUS PROGRAMS THAT ARE DESIGNED TO EDUCATE AND IMPROVE THEIR HEALTH STATUS. THE HOSPITAL FEELS THAT PROVIDING THESE PROGRAMS HAS CONTRIBUTED TO THE IMPROVEMENT OF HEALTH OVERALL WITHIN THE COMMUNITY. PART III, LINE 9B: WHEN A PATIENT ASKS FOR CHARITY CARE OR FINANCIAL ASSISTANCE, THE PATIENT MUST COMPLETE AN APPLICATION AND PROVIDE FINANCIAL INFORMATION THAT WOULD DEMONSTRATE FINANCIAL NEED. THE APPLICATION IS REVIEWED BY FINANCIAL COUNSELORS FOR ELIGIBILITY. PART VI, LINE 2: THE DCHCC USED A COMBINATION OF QUALITATIVE AND QUANTITATIVE DATA TO PROVIDE A BALANCED AND COMPREHENSIVE VIEW OF HEALTH AND WELL-BEING FOR DC RESIDENTS. THE QUALITATIVE DATA CONSISTED OF SEMI-STRUCTURED DIALOGUES WITH COMMUNITY STAKEHOLDERS TO OBTAIN THEIR PERSPECTIVE ON HEALTH IN DC. THE QUANTITATIVE DATA CONSISTED OF CENSUS POPULATION DATA, HEALTH STATUS AND BEHAVIOR SURVEY DATA, SURVEILLANCE REPORTS, AND HEALTH CARE PROVIDER ADMINISTRATIVE DATA. ANALYSIS OF THE QUALITATIVE AND QUANTITATIVE DATA REVEALED A LIST OF PRESSING HEALTH NEEDS. THE DCHCC USED A STRUCTURED PROCESS, A MODIFIED HANLON METHOD, TO PRIORITIZE THE NEEDS. PART VI, LINE 3: BEFORE THE BEGINNING OF ITS FISCAL YEAR, SIBLEY WILL PUBLISH A NOTICE OF AVAILABILITY OF ITS UNCOMPENSATED CARE OBLIGATION IN A NEWSPAPER OF GENERAL CIRCULATION IN THE DISTRICT OF COLUMBIA. SIBLEY WILL ALSO SUBMIT A COPY OF SUCH NOTICE TO SHPDA. A NOTICE ANNOUNCING THE AVAILABILITY OF UNCOMPENSATED CARE IS POSTED IN PLAIN VIEW IN THE PATIENT REGISTRATION SITES, ADMISSIONS DEPARTMENT, THE BUSINESS OFFICE AND THE EMERGENCY DEPARTMENT. THE NOTICE IS PUBLISHED IN ENGLISH AND SPANISH AND ANY OTHER LANGUAGE WHICH IS THE USUAL LANGUAGE OF HOUSEHOLDS OF TEN PERCENT OR MORE OF THE POPULATION OF THE DISTRICT OF COLUMBIA. SIBLEY WILL COMMUNICATE THE CONTENTS OF THE POSTED NOTICE TO ANY PERSON WHO SIBLEY HAS REASON TO BELIEVE CANNOT READ THE NOTICE. NOTICE OF AVAILABILITY IS ALSO POSTED ON THE HOSPITALS WEBSITE. PART VI, LINE 4: SMH GEOGRAPHIC SERVICE AREA IS URBAN.THE HOSPITAL CONSIDERS ITS COMMUNITY BENEFIT SERVICE AREA (CBSA) AS SPECIFIC POPULATIONS OR COMMUNITIES OF NEED TO WHICH THE HOSPITAL ALLOCATES RESOURCES THROUGH ITS COMMUNITY BENEFIT PLAN. THE CBSA IS DEFINED BY THE GEOGRAPHIC AREA CONTAINED WITHIN THE FOLLOWING ZIP CODES: 20016, 20815, 20015, 20008, 20007, 20816, 20009, 20817, 20854, 20011, 20814, 20010, 20850, 20906, 20902, 20874, 20782, 20886, 20783, 20877, AND 20903. THE GENERAL DATA FOR THIS COMMUNITY BENEFIT SERVICE AREA ARE AS FOLLOWS: TOTAL POPULATION WAS 672,228 OF WHICH 47.4% WERE MALES AND 52.6% WERE FEMALES, AVERAGE HOUSEHOLD INCOME WAS $69,235, 4.2% OF RESIDENTS ARE UNINSURED, 38% OF RESIDENTS ARE COVERED BY MEDICAID/MEDICARE, 17.3% OF HOUSEHOLDS WITH INCOMES BELOW THE FEDERAL POVERTY GUIDELINES.NUMBER OF OTHER HOSPITALS SERVING THE COMMUNITY OR COMMUNITIES: 8FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREAS OR POPULATIONS ARE PRESENT IN THE COMMUNITY . PART VI, LINE 5: SIBLEY HOSPITAL ENSURES THAT ITS BOARD MEMBERS ARE LEADERS WITHIN THE LOCAL BUSINESS COMMUNITY AND HAVE EXPERTISE IN MANY DIFFERENT AREAS. THE SKILLS, DEDICATION AND LEADERSHIP OF THE BOARD OF TRUSTEES FORM THE FOUNDATION OF THE HOSPITAL'S ABILITY TO PROVIDE NEEDED SERVICES TO THE COMMUNITY. BEFORE BEING APPOINTED TO THE BOARD, POTENTIAL MEMBERS EXPERIENCE A RIGOROUS SCREENING PROCESS, ENSURING THAT THEY ARE NEITHER FAMILY MEMBERS OF CURRENT BOARD MEMBERS NOR CONTRACTORS OF SIBLEY. TO FURTHER BENEFIT THE COMMUNITY, THE HOSPITAL PROVIDES, THROUGH ITS EXCESS FUNDS, MANY PROGRAMS FOR THE CITIZENS OF THE COMMUNITY THAT ARE OF LITTLE OR NO COST TO ATTENDEES. THESE PROGRAMS ARE DESIGNED TO EDUCATE, COMFORT, IMPROVE HEALTH AND PROVIDE SUPPORT TO THOSE WHO ATTEND. A NUMBER OF FREE HEALTH AND WELLNESS SEMINARS ARE PROVIDED REGULARLY TO MEMBERS OF THE COMMUNITY, SUCH AS DIABETES EDUCATION, HEART HEALTHY EATING AND ARTHRITIS. PHYSICIANS AND STAFF DONATE THEIR TIME TO EDUCATE ATTENDEES ON WAYS TO MAINTAIN OR IMPROVE INDIVIDUAL HEALTH. THERE ARE SEVERAL ONGOING SUPPORT GROUPS THAT MEET REGULARLY. EXISTING AND NEW MEMBERS ARE STRONGLY ENCOURAGED TO ATTEND. SUPPORT GROUPS FOR BOTH THE PERSON WITH THE ILLNESS AND THE CARE PARTNER ARE PROVIDED FOR PARKINSON'S, OSTOMY, CARDIAC IMPLANT, AND STROKE. SUPPORT GROUPS FOR THE PERSON FACING A CHRONIC DISEASE ARE PROVIDED FOR ARTHRITIS, CARDIAC IMPLANT, LYME DISEASE, MACULAR DEGENERATION, AND MYOTONIC DYSTROPHY. THE SUPPORT GROUP, CLUB MEMORY PROVIDES SUPPORT GROUPS AND SOCIAL ENGAGEMENT FOR PERSONS WITH MEMORY IMPAIRING ILLNESSES AND THEIR CARE PARTNER, WHICH SERVES PERSONS BOTH IN AND OUTSIDE SIBLEYS PRIMARY SERVICE AREA. IN ADDITION TO HAVING A NATIONALLY-KNOWN BREAST CANCER TREATMENT CENTER, AT LEAST FIVE CANCER SUPPORT GROUPS MEET ON A REGULAR BASIS. MEMBERS OF THE HOSPITAL STAFF AND PHYSICIANS ALSO TRAVEL OFF CAMPUS TO CONDUCT OR BE PART OF COMMUNITY HEALTH EVENTS HELD AT LOCAL CHURCHES OR COMMUNITY SOCIAL GATHERINGS. FINALLY, THE HOSPITAL PROVIDES ADDITIONAL FREE BENEFITS TO MEMBERS OF ITS SIBLEY SENIOR ASSOCIATION, CURRENTLY HAVING MORE THAN 7,000 ACTIVE MEMBERS. BENEFITS INCLUDE FREE HEALTH SCREENING, EDUCATIONAL PROGRAMS, A WIDOWED PERSONS SERVICE, AND SEMINARS ON HEALTH RELATED SUBJECTS. 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. PART VI, LINE 7, REPORTS FILED WITH STATES DC 1 HEROES INC 1200 29TH ST NW WASHINGTON DC 20007 526057916 501(C)(3) 5000 GENERAL SUPPORT DISTRICT OF COLUMBIA HOSPITAL ASSOCIATION 1152 15TH ST NW STE 900 WASHINGTON DC 20005 521135713 501(C)(6) 5000 GENERAL SUPPORT DC CHAMBER OF COMMERCE 506 9TH ST NW WASHINGTON DC 20004 237158230 501(C)(6) 8000 GENERAL SUPPORT THE LEADERSHIP COUNCIL FOR HEALTHY COMMUNITIES INC 710 RANDOLPH ST NW WASHINGTON DC 20011 452938187 501(C)(3) 12500 GENERAL SUPPORT AMERICAN LUNG ASSOCIATION OF THE MID-ATLANTIC 3001 OLD GETTYSBURG RD CAMP HILL PA 17011 251825116 501(C)(3) 7500 GENERAL SUPPORT BREAST CARE FOR WASHINGTON 4 ATLANTIC ST SW WASHINGTON DC 20032 455574713 501(C)(3) 12500 GENERAL SUPPORT NATIONAL CAPITAL POISON CENTER 3201 NEW MEXICO AVE 310 WASHINGTON DC 20016 521880478 501(C)(3) 10000 GENERAL SUPPORT 5 2 PART I, LINE 2: THE PROCEDURES IN PLACE TO MONITOR THE USE OF GRANT FUNDS GIVEN TO THE ORGANIZATIONS LISTED CONSIST OF ANNUAL STATUS REPORTS. THESE REPORTS WILL CONTAIN A) PROGRESS ON THE RESEARCH CONDUCTED, B) FULL ACCOUNTING OF FUNDS SPENT, C) ACHIEVEMENT OF MEASURABLE OUTCOMES AND ANY CHANGES FROM THE ORIGINAL PROPOSAL, D) DATA GATHERING AND THE METHODS OR STRATEGIES USED, AND E) FINDINGS AND CONCLUSIONS. IN ADDITION, THE GRANTEES ARE REQUIRED TO MAINTAIN ACCOUNTING RECORDS WITH PRUDENT RECORD-KEEPING PROCEDURES AS REQUIRED BY ANY APPLICABLE FEDERAL, STATE, OR LOCAL LAWS, RULES OR REGULATIONS. THE GRANTOR (SIBLEY HOSPITAL) RESERVES THE RIGHT TO HAVE ACCESS TO AND EXAMINE ALL BOOKS AND RECORDS TO ASCERTAIN IF GRANT FUNDS ARE BEING DISBURSED PURSUANT TO THE TERMS OF THE AGREEMENTS. X 1 1 X X X X X X 1 1 0 0 0 0 0 1 0 RICHARD O DAVIS PRESIDENT/CEO/TRUSTEE 0 472538 0 170128 0 234763 0 123579 0 28924 0 1029932 0 174323 RONALD R PETERSON TRUSTEE, CORP VICE CHAIRMAN 0 1409062 0 705810 0 148176 0 477286 0 25102 0 2765436 0 0 ALISON ARNOTT VP SUPPORT SERVICES 0 186454 0 39262 0 624 0 15753 0 4073 0 246166 0 0 CAROLINE SHAFA VP CLINICAL OPERATIONS 0 175185 0 37050 0 578 0 10336 0 14425 0 237574 0 0 MARTIN BASSO SR VP FINANCE & CFO 0 384450 0 89070 0 78616 0 36896 0 22292 0 611324 0 0 LAWRENCE RAMMUNO VP MEDICAL AFFAIRS 0 363384 0 113490 0 18170 0 53905 0 27421 0 576370 0 0 JOANNE MILLER VP PATIENT CARE & CNO 0 248148 0 53785 0 8704 0 42732 0 22438 0 375807 0 0 JERRY L PRICE SR VP REAL ESTATE & CONSTRU 0 318617 0 241163 0 10936 0 52808 0 10077 0 633601 0 0 JEFFREY L LIN DIR GYN ONCOLOGY & SURGERY 593602 0 179262 0 180024 0 16320 0 11944 0 981152 0 0 0 POUNEH RAZAVI PHYSICIAN DIR BREAST IMAGING 365497 0 93775 0 392 0 10146 0 24344 0 494154 0 0 0 SARA SHAYLOR RADIOLOGIST 349451 0 63913 0 334 0 8090 0 22117 0 443905 0 0 0 MARY O'DONNELL DIR HOSPITALIST SERVICES 359929 0 25000 0 10014 0 16320 0 11913 0 423176 0 0 0 COLETTE M MAGNANT BREAST SURGEON 644718 0 142473 0 4683 0 16320 0 6830 0 815024 0 0 0 ROBERT L SLOAN FORMER OFFICER/TRUSTEE 0 127393 0 0 12636 0 22968 0 0 0 35604 127393 0 0 QUEENIE PLATER FORMER VP & CHIEF HR OFFICER 0 294585 0 73359 0 12040 0 52871 0 9675 0 442530 0 0 CHRISTINE STUPPY FORMER VP BUS DEVELOP & ST 0 31530 0 0 0 225296 0 2865 0 1803 0 261494 0 3847 PART I, LINE 1A BONUSES WERE GROSSED UP FOR CERTAIN EXECUTIVES. PART I, LINES 4A-B THE FOLLOWING INDIVIDUAL LISTED ON THE 990 RECEIVED SEVERANCE FROM SIBLEY MEMORIAL HOSPITAL: CHRISTINE STUPPY $203,949.79 THE FOLLOWING INDIVIDUALS LISTED ON FORM 990, PART VII, SECTION A, LINE 1A PARTICIPATED IN A NONQUALIFIED RETIREMENT PLAN WITH THE RELATED ORGANIZATION JOHNS HOPKINS HEALTH SYSTEM CORPORATION AND RECEIVED ACCRUED DEFERRED COMPENSATION THAT IS REPORTED ON SCHEDULE J, PART II, COLUMN (C): RONALD PETERSON $473,624.00; RICHARD DAVIS $92,605.00; QUEENIE PLATER $23,188.00; CHRISTINE STUPPY $1,154.00; ALISON ARNOTT $3,718.00; CAROLINE SHAFA $3,900.00; LAWRENCE RAMUNNO $26,366.00; AND JOANNE MILLER $16,451.00. THE FOLLOWING INDIVIDUAL LISTED ON FORM 990, PART VII, SECTION A, LINE 1A PARTICIPATED IN A NON QUALIFIED RETIREMENT PLAN WITH THE RELATED ORGANIZATION JOHNS HOPKINS HEALTH SYSTEM CORPORATION AND RECEIVED PAYMENT, IT IS REPORTED ON SCHEDULE J, PART II, COLUMN (B)(III) AS WELL AS SCHEDULE J, PART II, COLUMN (F) IF THEY WERE REQUIRED TO BE DISCLOSED ON PRIOR YEAR'S FORMS 990: RICHARD DAVIS $174,323.00; MARTIN BASSO $58,244.00; CHRISTINE STUPPY $5,245.44; AND ROBERT SLOAN $35,604.00. PART I, LINE 7 DEPENDENT TUITION REIMBURSEMENT: THE DEPENDENT TUITION REIMBURSEMENT PROGRAM REIMBURSES EMPLOYEES FOR 50% LESS TAXES OF EACH DEPENDENT CHILD'S FULL TIME UNDERGRADUATE TUITION AND MANDATORY ACADEMNIC FEES, UP TO A MAXIMUM OF 50% OF THE JOHNS HOPKINS UNIVERSITY'S FRESHMAN UNDERGRADUATE TUITION FOR EACH ELIGIBLE DEPENDENT. EMPLOYEES WHO HAVE A MINIMUM OF TWO YEARS OF CONTINUOUS SERVICE ARE ELIGIBLE. 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. TUITION REIMBURSEMENT: TUITION REIMBURSEMENT IS AVAILABLE TO EMPLOYEES THAT WORK 20 HOURS OR MORE A WEEK FOR UP TO A MAXIMUM BENEFIT OF $10,000 PER ACADEMIC YEAR. TO RECEIVE REIMBURSEMENT, ELIGIBLE EMPLOYEES MUST PURSUE A COURSE OF STUDY AT AN ACCREDITED UNIVERSITY OR COLLEGE THAT LEADS TO A LICENSURE, DEGREE, OR MEETS THE NECESSITY RELATED TO CURRENT POSITION OR ANOTHER POSITION WITHIN THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A DURING THE TRANSITION PERIOD JOHNS HOPKINS HEALTH SYSTEM CORPORTION, AN IRC 501C(3) TAX EXEMPT PARENT ORGANIZATION OF SIBLEY MEMORIAL HOSPITAL MAY ELECT ONE TRUSTEE. AFTER THE STATED TRANSITION PERIOD, JOHNS HOPKINS HEALTH SYSTEM CORPORATION ELECTS THE BOARD OF TRUSTEES. FORM 990, PART VI, SECTION A, LINE 7B THE GOVERNING BODY OF SIBLEY MEMORIAL HOSPITAL IS EMPOWERED BY ITS BY-LAWS TO MAKE CERTAIN DECISIONS; ALL OTHER DECISIONS ARE SUBJECT TO APPROVAL OF THE PARENT ORGANIZATION JOHNS HOPKINS HEALTH SYSTEM CORPORATION. FORM 990, PART VI, SECTION B, LINE 11B A COPY OF THE FORM 990 WAS PROVIDED TO THE FINANCE COMMITTEE BEFORE IT WAS FILED. FORM 990, PART VI, SECTION B, LINE 12C THE HOSPITAL HAS AN EXISTING POLICY (#02-25-09) WHICH SPECIFICALLY ADDRESSES POTENTIAL CONFLICT(S) OF INTEREST FOR DECISION MAKERS AT ALL LEVELS WITHIN ITS BORDERS. THIS COVERAGE INCLUDES MEMBERS OF THE GOVERNING BOARD, ADMINISTRATION, MEDICAL STAFF, AND ALL OTHER EMPLOYEES. DISCLOSURE FORMS ASKING FOR POTENTIAL CONFLICTS OF INTEREST ARE DISTRIBUTED AT LEAST ANNUALLY SO THAT APPROPRIATE ACTION MAY BE TAKEN TO ENSURE THAT SUCH POTENTIAL CONFLICTS DO NOT INFLUENCE IMPORTANT DECISIONS. THE HOSPITAL'S BOARD MEMBERS ARE ASKED TO SUBMIT DISCLOSURE FORMS SEMI-ANNUALLY AND ON A CASE-BY-CASE BASIS. THE GOVERNING BOARD, SENIOR MANAGEMENT, AND THE EXECUTIVE COMMITTEE OF THE MEDCAL STAFF (AS APPROPRATE) BEAR RESPONSIBILITY FOR ADDRESSING AND REVIEWING ALL POTENTIAL CONFLICTS AND TAKING APPROPRIATE ACTION. WHEN CONFLICTS DO ARISE, THE MATTER IS BROUGHT BEFORE THE APPROPRIATE GOVERNING BODY AND DISCUSSED, AND THE CONFLICT IS ELIMINATED. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION USES AN INDEPENDENT COMPENSATION COMMITTEE, AN INDEPENDENT COMPENSATION CONSULTANT, A WRITTEN EMPLOYMENT CONTRACT, A COMPENSATION SURVEY OR STUDY, APPROVAL BY THE BOARD AND CONTEMPORANEOUS WRITTEN SUBSTANTIATION OF THE DECISION-MAKING PROCESS WHEN DETERMINING COMPENSATION FOR THE CEO AND OTHER OFFICERS OF THE ORGANIZATION. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G OTHER FEES FOR SERVICE: PROGRAM SERVICE EXPENSES 49,198,629. MANAGEMENT AND GENERAL EXPENSES 2,589,402. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 51,788,031. FORM 990, PART XI, LINE 9: CHANGE IN BENEFICIAL INTEREST IN FOUNDATION ROCKVILLE IMAGING K-1 195,407. CHEVY CHASE IMAGING K-1 385,236. CHANGE IN MINIMUM PENSION LIABILITY -1,169,000. NET ASSETS RELEASED 10,661,827. INTERCOMPANY TRANSFERS 10,016,282. NON-OPERATING SERVICES 834,154. JOHNS HOPKINS HEALTH SYSTEM CORPORATION 3910 KESWICK RD SOUTH BLDG 4TH FL S BALTIMORE MD 21211 521465301 SUPPORTING ORGANIZATION MD 501(C)(3) LINE 12C, III-FI JOHNS HOPKINS HEALTH SYSTEM CORPORATION 0 JOHNS HOPKINS BAYVIEW MEDICAL CENTER INC 3910 KESWICK RD SOUTH BLDG 4TH FL S BALTIMORE MD 21211 521341890 HOSPITAL MD 501(C)(3) LINE 3 JOHNS HOPKINS HEALTH SYSTEM CORPORATION 0 JOHNS HOPKINS COMMUNITY PHYSICIANS INC 3910 KESWICK RD SOUTH BLDG 4TH FL S BALTIMORE MD 21211 521467441 HEALTHCARE SERVICES MD 501(C)(3) LINE 12C, III-FI JOHNS HOPKINS HEALTH SYSTEM CORPORATION 0 JOHNS HOPKINS MEDICAL SERVICES CORPORATION 3910 KESWICK RD SOUTH BLDG 4TH FL S BALTIMORE MD 21211 521232569 HEALTHCARE SERVICES MD 501(C)(3) LINE 3 JOHNS HOPKINS HEALTH SYSTEM CORPORATION 0 THE JOHNS HOPKINS HOSPITAL 3910 KESWICK RD SOUTH BLDG 4TH FL S BALTIMORE MD 21211 520591656 HOSPITAL MD 501(C)(3) LINE 3 JOHNS HOPKINS HEALTH SYSTEM CORPORATION 0 SUBURBAN HOSPITAL HEALTHCARE SYSTEM INC 8600 OLD GEORGETOWN ROAD BETHESDA 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562296930 REAL ESTATE MD N/A GCM SURBURBAN IMAGING LLC 1201 SEVEN LOCKS ROAD STE 200 ROCKVILLE MD 20854 522326237 OUTPATIENT RADIOLOGY MD N/A ROCKVILLE IMAGING LLC 1201 SEVEN LOCKS ROAD STE 200 ROCKVILLE MD 20854 141944128 OUTPATIENT RADIOLOGY MD N/A CHEVY CHASE IMAGING LLC 1201 SEVEN LOCKS ROAD STE 200 ROCKVILLE MD 20854 141944126 RADIOLOGY SERVICES MD N/A HEALTHCARE SUPPLY CHAIN INNOVATIONS LLC 3910 KESWICK RD SOUTH BLDG 4TH FL S BALTIMORE MD 21211 472509307 GROUP PURCHASING MD N/A JOHNS HOPKINS REGIONAL SUPPLY CHAIN NETWORK LLC 3910 KESWICK RD SOUTH BLDG 4TH FL S BALTIMORE MD 21211 472912848 GROUP PURCHASING MD N/A HCP VENTURE ONE CORPORATION 3910 KESWICK RD SOUTH BLDG 4TH FL S BALTIMORE MD 21211 521558858 MEDICAL SERVICES MD N/A C 0 HSI MEDICAL SERVICES CORPORATION 3910 KESWICK RD SOUTH BLDG 4TH FL S BALTIMORE MD 21211 521847705 HEALTHCARE-SLEEP DIAGNOSTICS MD N/A C 0 HOWARD COUNTY HEALTH SERVICES INC 3910 KESWICK RD SOUTH BLDG 4TH FL S BALTIMORE MD 21211 521434783 HEALTHCARE MANAGEMENT MD N/A C 0 JOHNS HOPKINS MEDICAL MANAGEMENT CORPORATION 3910 KESWICK RD SOUTH BLDG 4TH FL S BALTIMORE MD 21211 521250028 NURSING SERVICES MD N/A C 0 JOHNS HOPKINS EMPLOYER HEALTH PROGRAM 3910 KESWICK RD SOUTH BLDG 4TH FL S BALTIMORE MD 21211 521947678 BENEFIT PLANS MD N/A C 0 TCAS INC 3910 KESWICK RD SOUTH BLDG 4TH FL S BALTIMORE MD 21211 521979344 NURSING SERVICES MD N/A C 0 SUBURBAN HEALTH ENTERPRISES INC 8600 OLD GEORGETOWN ROAD BETHESDA MD 20814 522052352 MEDICAL OFFICE LEASING AND RELEASING MD N/A C 0 0 1 1 0 1 0 0 0 0 1 0 0 0 1 1 0 0 1 1 THE JANE BANCROFT ROBINSON FOUNDATION B 941775 FMV THE JANE BANCROFT ROBINSON FOUNDATION C 137500 FMV THE JANE BANCROFT ROBINSON FOUNDATION O 31105 FMV THE JANE BANCROFT ROBINSON FOUNDATION R 6132312 FMV THE JANE BANCROFT ROBINSON FOUNDATION S 1880816 FMV THE STACY MARK REED FOUNDATION S 15269674 FMV SIBLEY MEMORIAL HOSPITAL FOUNDATION S 11372688 FMV