2017-05-15T10:43:27-05:00 2016-06-30 861065772 DELOITTE TAX LLP 191 PEACHTREE STREET NE STE 2000 ATLANTA GA 30303 990 2015-07-01 526049658 GREATER BALTIMORE MEDICAL CENTER INC GREA 4438492000 6701 NORTH CHARLES STREET BALTIMORE MD 21204 LISA GOODLETT EVP & CFO 4438492000 2017-05-10 1 JOHN W SADOFF JR P00540589 4042201500 2015 2021-01-29 14:40:06Z LISA GOODLETT 6701 NORTH CHARLES STREET BALTIMORE MD 21204 494374362 0 X WWW.GBMC.ORG X 1960 MD TO PROVIDE MEDICAL CARE AND SERVICE OF THE HIGHEST QUALITY TO EACH PATIENT LEADING TO HEALTH, HEALING AND HOPE. 28 25 4126 644 746427 0 10579783 11021836 399648658 408930698 16147196 9321599 4003345 3922772 430378982 433196905 96680 118031 0 0 211747494 216858061 0 0 3682053 183580941 188706936 395425115 405683028 34953867 27513877 622797590 642400146 345248577 368210784 277549013 274189362 X SEE SCHEDULE O 0 0 141387991 150205186 THE GREATER BALTIMORE MEDICAL CENTER, INC. (GBMC) IS A 231-BED MEDICAL CENTER (ACUTE AND SUB-ACUTE CARE), LOCATED ON A SUBURBAN CAMPUS, WHICH PROVIDED INPATIENT CARE AND OBSERVATION SERVICES TO 16,699 AND 3,548 PATIENTS, RESPECTIVELY. ADDITIONALLY, GBMC DELIVERED OVER 3,853 BABIES IN THE FISCAL YEAR. SINCE ITS FOUNDING, GBMC'S ACCOMPLISHMENTS HAVE VALIDATED THE VISION OF ITS FOUNDERS TO COMBINE THE BEST OF COMMUNITY AND UNIVERSITY-LEVEL MEDICINE. 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. 67596953 94621729 THE OPERATING ROOM PERFORMED OVER 25,339 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 66549974 99471533 THE EMERGENCY DEPARTMENT TREATED 55,154 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. 78296867 118031 63885823 OTHER PROGRAM SERVICES: LABORATORY SERVICE; RADIOLOGY - THERAPEUTIC; RESIDENCY PROGRAM; MAGNETIC RESONANCE IMAGING; PHYSICIAN PRACTICES; OTHER PROGRAM SERVICES 78296867 118031 63885823 353831785 1 1 0 1 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 1 4126 1 1 1 0 0 0 0 1 1 0 0 0 0 X 28 25 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 1 1 MD X X LISA GOODLETT 4438492000 6701 NORTH CHARLES STREET BALTIMORE MD 21204 MR HERBERT J BELGRAD DIRECTOR 1.00 2.00 X 0 0 0 MS PATRICA MITCHELL DIRECTOR 1.00 2.00 X 0 0 0 MR JERRY FOCAS DIRECTOR 1.00 3.00 X 0 0 0 MR DELBERT ADAMS DIRECTOR 1.00 3.00 X 0 0 0 MS KARA C KING BESS DIRECTOR 1.00 2.00 X 0 0 0 ROBERT K BROOKLAND MD DIRECTOR 1.00 3.00 X 0 0 0 MS JANA BURCH DIRECTOR 1.00 3.00 X 0 0 0 MR CHARLES C FENWICK JR DIRECTOR 1.00 3.00 X 0 0 0 MR SAMUEL HEFFNER 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 3.00 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 MR THOMAS J O'DONNELL JR DIRECTOR 1.00 3.00 X 0 0 0 MELISSA SPARROW MD VICE CHIEF OF STAFF 38.00 2.00 X 242075 0 51292 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 HAROLD TUCKER MD CHIEF OF STAFF/PHYSICIAN 34.00 6.00 X 317193 0 26423 MS SANDRA BERMAN DIRECTOR 1.00 2.00 X 0 0 0 MS BONNIE R STEIN CHAIR 1.00 2.00 X X 0 0 0 MR STEPHEN T SCOTT TREASURER 1.00 2.00 X X 0 0 0 MR FRANK R PALMER TREASURER (ENDED 7/15) 1.00 3.00 X X 0 0 0 MS MARION G THOMPSON SECRETARY 1.00 2.00 X X 0 0 0 JOHN B CHESSARE MD PRESIDENT/CEO 22.00 18.00 X X 2060766 0 46455 MR FREDERICK M HUDSON VICE CHAIR 1.00 2.00 X X 0 0 0 MR ERIC L MELCHIOR EVP & CFO (ENDED 7/15) 1.00 0.50 X X 474970 0 35001 JOHN R SAUNDERS MD EVP MEDICAL AFFAIRS & CMO 27.00 6.00 X 515359 0 77990 MR ROBERT THORNTON EVP & CFO GBMC HEALTHCARE 22.00 18.00 X 211053 0 47856 MR KEITH R POISSON EVP & COO GBMC HEATLHCARE 25.00 15.00 X 614913 0 49958 MS JOANNE PORTER - CHIEF NURSING EXEC ENDED 9/15 7.00 3.00 X 303876 0 25260 MS SUSAN MARTIELLI VP LEGAL AFFAIRS/CHIEF COUNSEL 25.00 15.00 X 287067 0 36095 MR GEORGE E BAYLESS III VP FINANCE 28.00 12.00 X 298011 0 37412 MR BENNETT J BERES VP & COO GBMA 35.00 5.00 X 311556 0 61990 MS CAROLYN L CANDIELLO VP QUALITY & PT SAFETY 39.00 1.00 X 247987 0 56960 MS JENNY COLDIRON VP DEVELOPMENT 5.00 35.00 X 264653 0 76904 MR JOHN W ELLIS SR. VP STRATEGY & BUS DEV 30.00 10.00 X 554526 0 40518 MS CATHERINE HAMEL VP POST ACUTE SRVS & EXEC 15.00 25.00 X 261817 0 73261 MR DAVID J HYNSON VP & CIO 35.00 5.00 X 301033 0 82452 MS DELORIS S TUGGLE VP HUMAN RESOURCES 35.00 5.00 X 320858 0 54398 MARK IGUCHI MD PHYSICIAN 40.00 0.00 X 870951 0 28799 ELIZABETH A DOVEC MD MEDICAL DIRECTOR 40.00 0.00 X 784947 0 34271 NIRAJ JANI MD PHYSICIAN 40.00 0.00 X 863298 0 45640 BIMAL G RAMI MD MED DIRECTOR/PHYSICIAN 40.00 0.00 X 1103772 0 56666 GARY I COHEN MD MED DIRECTOR/PHYSICIAN 39.00 1.00 X 773273 0 42998 MR MICHAEL A FORTHMAN FORMER VP FACILITIES 0.00 0.00 X 211689 0 37248 RONALD TUTRONE MD FORMER DIRECTOR/RESEARCH CHAIR 29.00 0.00 X 300000 0 0 12495643 0 1125847 377 1 1 0 EPIC SYSTEMS CORPORATION 1979 MILKY WAY VERONA WI 53593 SOFTWARE ENGINEERING 7023640 JOHNS HOPKINS UNIVERSITY 125 MEDICAL ADMIN ROAD BALTIMORE MD 21205 RESIDENCY PROGRAM 4831078 SODEXO USA 9801 WASHINGTON BLVD GAITHERSBURG VA 20878 MANAGEMENT - HOTEL SERVICES 2254402 ADVANCED RADIOLOGY MEDICAL IMAGING OF B 7253 AMBASSADOR ROAD BALTIMORE MD 21244 RADIOLOGY SERVICES 2134880 CLEARPATH 12100 SUNSET HILLS ROAD RESTON VA 20190 SOFTWARE ENGINEERING 1668445 167 426396 1917550 476134 8201756 128835 11021836 PATIENT SERVICE 621110 401178767 401178767 OTHER OPERATING REV. 900099 7751931 7005504 746427 408930698 4497316 4497316 212831 0 212831 212831 212831 65552681 60728398 4824283 4824283 4824283 64414 426396 449059 -384645 -384645 CAFETERIA INCOME 722210 2255911 2255911 PARKING REVENUE 812930 1838675 1838675 4094586 433196905 408184271 746427 13244371 118031 118031 7624648 7624648 168185711 156575144 10678746 931821 10582387 8646785 1935602 18550566 16193370 2189747 167449 11914749 10659232 1196835 58682 2099866 1761578 338288 288408 26200 262208 203214 34498 166875 1841 47358 47358 889119 889119 33495197 29109228 4144221 241748 1589019 55062 1180217 353740 90222107 88027245 1502820 692042 6996390 4637000 2356468 2922 5974883 5021133 953450 300 598126 280799 301164 16163 743360 601393 140169 1798 6996860 5535883 1460977 25920049 23216026 2690923 13100 8398288 1361354 7036934 RESIDENTS 1687128 1687128 FUNDRAISING DEPARTMENT 1200447 1200447 MISCELLANEOUS PURCHASED 1173769 101348 1072421 SECURITY 183348 183348 405683028 353831785 48169190 3682053 35687979 37235214 5395873 4743944 47721861 46827789 3772478 3749364 10445795 10683963 628018226 381066338 226168992 246951888 230992566 215121193 7577400 10826776 55034646 66260015 622797590 642400146 66691321 70852458 102620302 99203327 48246280 41665521 127690674 156489478 345248577 368210784 X 234064130 228858383 29104026 29394031 14380857 15936948 277549013 274189362 622797590 642400146 X 27513877 -10958152 -19915376 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 1 0 1 725 1 2900 0 1 35759 0 1 7974 47358 0 PART II-B, LINE 1: THE AMOUNT FOR OTHER ACTIVITIES INCLUDES MEETINGS WITH GBMC STAFF, LEGISLATIVE COMMITTEES, AND CONTRACTED GBMC LOBBYIST AND EXPENSES RELATED TO GENERAL RESEARCH ON FEDERAL AND STATE HEALTHCARE ISSUES. 28313123 1556091 -384455 1410959 28073800 20282263 1914549 7592234 1475923 28313123 17358091 2274086 2154496 1504410 20282263 14235801 1503005 1659827 40542 17358091 12868698 1101223 304027 38147 14235801 0.39800 0.60200 0 0 15290673 15290673 329358492 179934071 149424421 3136203 2136387 999816 135367940 113076765 22291175 144864918 85919115 58945803 246951888 INTERCOMPANY 64883872 DEFERRED ASSETS 1331576 INTERCOMPANY RECEIVABLES 44567 66260015 THIRD PARTY ADVANCES 12562943 PENSION LIABILTY 64921932 OTHER LIABILITIES 5200937 CAPITAL LEASES 28837192 INSURANCE RESERVES 44258005 CHARITABLE GIFT ANNUITY 708469 156489478 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. 2) 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, 2016 AND 2015 FOR UNCERTAIN TAX POSITIONS. CENTRAL AMERICA AND THE CARIBBEAN PROGRAM SERVICES INSURANCE PREMIUMS 8202976 0 0 0 0 0 0 8202976 0 8202976 1 0 1 0 0 0 FATHER'S DAY 5K 139858 139858 8675 680 7794 2520 24354 GBMC GOLF FUNDRAISING EVENT 125405 103410 21995 50084 1017 4 225547 183128 42419 2355 213257 67231 9476 61616 490810 426396 64414 11030 264021 75025 11996 86987 449059 -384645 1 1 X 1 X 300.000000000000 0 1 1 0 1 1 12398269 9275127 3123142 0.00770 12398269 9275127 3123142 0.00770 1017775 330 1017445 0.00250 8706993 13130 8693863 0.02140 1645296 517588 1127708 0.00280 480802 480802 0.00120 43052 43052 0.00010 11893918 531048 11362870 0.02800 24292187 9806175 14486012 0.03570 83514 83514 0.00020 83514 83514 0.00020 1 7944914 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 15 1 1 0 1 X HTTP://WWW.GBMC.ORG/COMMUNITYOUTREACH 1 15 1 SEE PART V, SECTION C 0 0 1 X 300.000000000000 X X X X 1 1 X X X 1 X 1 X 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 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. GREATER BALTIMORE MEDICAL CENTER PART V, SECTION B, LINE 6A: UNIVERSITY OF MARYLAND - ST. JOSEPH MEDICAL CENTER AND SHEPPARD PRATT HEALTH SYSTEM. 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 NEED IDENTIFIED IN CHNA. THE IMPLEMENTATION PLAN FOR THE CHNA WAS IN PROCESS FOR THIS TAX RETURN YEAR. 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. HOWEVER, THE GBMC IMPLEMENTATION STRATEGY HAS A VERY LIMITED FOCUS ON THE IDENTIFIED NEED OF MENTAL HEALTH SERVICES, A SERVICE WHICH IT IS NOT DESIGNATED TO PROVIDE WITHIN ITS ACUTE CARE SPECTRUM OF SERVICES. INSTEAD, IT IS BELIEVED THAT MUCH OF THIS IDENTIFIED COMMUNITY NEED WILL BE THE PRIMARY FOCUS OF THE SHEPPARD PRATT HEALTH SYSTEM, A DEDICATED PSYCHIATRIC HOSPITAL LOCATED ADJACENT TO GBMC. GBMC'S STRATEGY DURING THIS FISCAL YEAR HAS FOCUSED ON DIABETES, GERIATRICS, ACCESS TO CARE AND POPULATION HEALTH. GREATER BALTIMORE MEDICAL CENTER PART V, SECTION B, LINE 16I: 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. GREATER BALTIMORE MEDICAL CENTER PART V, SECTION B, LINE 18D: THREE INVOICES ARE SENT TO THE PATIENT AND TWO FOLLOW-UP PHONE CALLS ARE MADE. PATIENTS ARE PROVIDED WITH INFORMATION REGARDING THE FINANCIAL ASSISTANCE APPLICATION PROCESS. PRIMARY COLLECTION AGENCIES DO NOT CREDIT REPORT. GREATER BALTIMORE MEDICAL CENTER PART V, SECTION B, LINE 22D: GBMC USES OBJECTIVE CRITERIA IN ACCORDANCE WITH THE MARYLAND STATE UNIFORM FINANCIAL ASSISTANCE APPLICATION TO DETERMINE THE ELIGIBLE CHARITY CARE REDUCTION FROM THE MARYLAND HEALTH SERVICES COST REVIEW COMMISSION'S APPROVED RATES. PATIENTS WITH COMBINED GROSS HOUSEHOLD INCOME OF LESS THAN 300% OF THE POVERTY GUIDELINES ARE GENERALLY ELIGIBLE FOR 100% FINANCIAL ASSISTANCE. APPLICANTS WITH INCOME OVER 300% OF THE POVERTY GUIDELINES ARE REVIEWED ON A CASE BY CASE BASIS UTILIZING CRITERIA OUTLINED IN THE POLICY WHICH CONSIDERS NET INCOME RELATIVE TO MONTHLY EXPENSES. PART V, SECTION B, LINE 10 THE HOSPITAL'S MOST RECENTLY ADOPTED IMPLEMENTATION STRATEGY IS POSTED ON THE FOLLOWING WEBSITE:HTTP://WWW.GBMC.ORG/WORKFILES/COMMUNITY/COMMUNITYHEALTHNEEDSASSESSMENTIMPLEMENTATIONSTRATEGY2014.PDF 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: GBMC SUPPORTS COVERAGE OF SPECIALTY SERVICES (ORTHOPEDICS, ANESTHESIA, GENERAL SURGERY, ETC.) PROVIDED IN THE EMERGENCY ROOM TO MEDICAID AND UNINSURED PATIENT POPULATIONS BY ENSURING PAYMENT OF THE PHYSICIAN PROFESSIONAL FEES FOR SURGICAL RELATED CASES. GBMC ALSO EMPLOYS A FULL-TIME GERIATRIC NURSE PRACTITIONER WHOSE SOLE RESPONSIBILITY IS TO PROVIDE EDUCATION AND PRIMARY CARE SERVICES AT TOWSON AREA LOW-INCOME SENIOR LIVING FACILITIES. GBMC PARTNERS WITH CATHOLIC CHARITIES TO PROVIDE ON-SITE PHYSICIAN COVERAGE AT A RESIDENTIAL MENTAL HEALTH TREATMENT FOR CHILDREN (VILLA MARIA). 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 $11.4 MILLION FOR PROVISION OF BAD DEBT WAS RECORDED AS A REDUCTION OF PATIENT SERVICE REVENUE.PART II, COMMUNITY BUILDING ACTIVITIES: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 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 ALLOWANCE FOR DOUBTFUL ACCOUNTS REMAINED THE SAME AT 14% OF GROSS ACCOUNTS RECEIVABLE AS OF JUNE 30, 2016 AND JUNE 30, 2015. 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, INC. ("GBMC") IS A PRIVATE,NOT-FOR-PROFIT, 231 BED, REGIONAL MEDICAL CENTER. IT IS LOCATED IN TOWSON,MARYLAND, A SUBURBAN BALTIMORE COUNTY COMMUNITY TWO MILES NORTH OFBALTIMORE CITY. GBMC'S PRIMARY SERVICE AREA INCLUDES ALL OF BALTIMORECOUNTY, THE NORTHERN PORTION OF BALTIMORE CITY, AND PORTIONS OF CARROLLAND HARFORD COUNTIES. THE POPULATION IN GBMC'S SERVICE AREA HASTRADITIONALLY BEEN AFFLUENT WHEN COMPARED TO THAT OF BALTIMORE COUNTY ANDTHE NATION. THE 2010 MEDIAN FAMILY INCOME FOR GBMC'S IMMEDIATE SERVICEAREA WAS $79,062, COMPARED TO $85,098 AND $62,982 FOR MARYLAND AND THENATION RESPECTIVELY. HOWEVER, GBMC'S PERCENTAGE OF UNINSURED IS 1.66% FORITS IMMEDIATE SERVICE AREA, COMPARED TO 12.0% FOR BALTIMORE COUNTY AND ANATIONAL AVERAGE OF 13.26%. GBMC'S IMMEDIATE SERVICE AREA HAS A MEDICAIDPOPULATION OF 11.2%, COMPARED TO MEDICAID AVERAGES OF 13% AND 15% FORBALTIMORE COUNTY AND THE STATE OF MARYLAND RESPECTIVELY. 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) 26500 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 GBMC HEALTHCARE 6545 N CHARLES TOWSON MD 21204 521484872 501(C)(3) 50000 GENERAL SUPPORT FOR HEALTHCARE. 3 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 VICE CHIEF OF STAFF 241674 0 0 0 401 0 14411 0 36881 0 293367 0 0 0 HAROLD TUCKER MD CHIEF OF STAFF/PHYSICIAN 316789 0 0 0 404 0 8445 0 17978 0 343616 0 0 0 JOHN B CHESSARE MD PRESIDENT/CEO 710540 0 1328677 0 21549 0 14200 0 32255 0 2107221 0 952545 0 MR ERIC L MELCHIOR EVP & CFO (ENDED 7/15) 266703 0 196362 0 11905 0 16195 0 18806 0 509971 0 0 0 JOHN R SAUNDERS MD EVP MEDICAL AFFAIRS & CMO 389610 0 101875 0 23874 0 16800 0 61190 0 593349 0 0 0 MR ROBERT THORNTON EVP & CFO GBMC HEALTHCARE 174714 0 20000 0 16339 0 30000 0 17856 0 258909 0 0 0 MR KEITH R POISSON EVP & COO GBMC HEATLHCARE 414974 0 176286 0 23653 0 14200 0 35758 0 664871 0 0 0 MS JOANNE PORTER - CHIEF NURSING EXEC ENDED 9/15 218027 0 74455 0 11394 0 15116 0 10144 0 329136 0 0 0 MS SUSAN MARTIELLI VP LEGAL AFFAIRS/CHIEF COUNSEL 277211 0 3820 0 6036 0 24523 0 11572 0 323162 0 0 0 MR GEORGE E BAYLESS III VP FINANCE 230600 0 62020 0 5391 0 12714 0 24698 0 335423 0 0 0 MR BENNETT J BERES VP & COO GBMA 263168 0 37397 0 10991 0 48560 0 13430 0 373546 0 0 0 MS CAROLYN L CANDIELLO VP QUALITY & PT SAFETY 204870 0 34445 0 8672 0 32762 0 24198 0 304947 0 0 0 MS JENNY COLDIRON VP DEVELOPMENT 211397 0 47755 0 5501 0 37941 0 38963 0 341557 0 0 0 MR JOHN W ELLIS SR. VP STRATEGY & BUS DEV 368645 0 164065 0 21816 0 14200 0 26318 0 595044 0 0 0 MS CATHERINE HAMEL VP POST ACUTE SRVS & EXEC 218292 0 36849 0 6676 0 35844 0 37417 0 335078 0 0 0 MR DAVID J HYNSON VP & CIO 248611 0 43330 0 9092 0 46901 0 35551 0 383485 0 0 0 MS DELORIS S TUGGLE VP HUMAN RESOURCES 267123 0 42159 0 11576 0 40855 0 13543 0 375256 0 0 0 MARK IGUCHI MD PHYSICIAN 725720 0 145111 0 120 0 13949 0 14850 0 899750 0 0 0 ELIZABETH A DOVEC MD MEDICAL DIRECTOR 426927 0 357925 0 95 0 14005 0 20266 0 819218 0 0 0 NIRAJ JANI MD PHYSICIAN 583029 0 280149 0 120 0 13962 0 31678 0 908938 0 0 0 BIMAL G RAMI MD MED DIRECTOR/PHYSICIAN 931965 0 171687 0 120 0 15275 0 41391 0 1160438 0 0 0 GARY I COHEN MD MED DIRECTOR/PHYSICIAN 532431 0 240110 0 732 0 16800 0 26198 0 816271 0 0 0 MR MICHAEL A FORTHMAN FORMER VP FACILITIES 200015 0 10000 0 1674 0 23035 0 14213 0 248937 0 0 0 RONALD TUTRONE MD FORMER DIRECTOR/RESEARCH CHAIR 300000 0 0 0 0 0 0 0 0 0 300000 0 0 0 PART I, LINES 4A-B MICHAEL FORTHMAN VP OF FACILITIES RECEIVED SEVERANCE PAYMENTS TOTALING $101,672. 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. JOHN B. CHESSARE $0 EARNED, $952,545 PAID MR. BENNETT BERES $35,245, $0 PAID MS. CAROLYN L. CANDIELLO $21,065 EARNED, $0 PAID MS. JENNY COLDIRON $24,882 EARNED, $0 PAID MR. MICHAEL A. FORTHMAN $20,119 EARNED, $0 PAID MS. CATHERINE HAMEL $22,534 EARNED, $0 PAID MR. DAVID J. HYNSON $33,915 EARNED, $0 PAID MS. DELORIS TUGGLE $27,109 EARNED, $0 PAID MS. JOANN Z. IOANNOU $10,993 EARNED, $0 PAID MS. SUSAN F. MARTIELLI $12,735 EARNED, $0 PAID MR. ROBERT W. THORNTON $30,000 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 A 9755000 67785379 4608793 723328 4999718 62062333 2011 1 0 1 1 B 36317095 773125 36317095 1 0 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 A 0 0 1 0 0 0 0 0 1 B 0 1 0 0 0 0 0 0 1 A 1 B 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 II, LINE 4, COLUMN A AND COLUMN B THE AMOUNTS SHOWN HERE CONSIST SOLELY OF DEBT SERVICE FUND DEPOSITS. X 18 128835 COST OR SELLING PRICE 0 0 0 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 11 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 -20,458,747. TRANSFER TO AFFILIATES 674,001. PARTNERSHIP INCOME FROM FORM K-1 -130,630. FINNEY TRIMBLE SURGICAL ASSOCIATES LLC 6535 NORTH CHARLES STREET SUITE 510 TOWSON MD 21204 270277242 SURGICAL PHYSICIAN PRACTICE MD 0 0 GREATER BALTIMORE MEDICAL CENTER INC GBMC FOUNDATION INC 6701 NORTH CHARLES STREET BALTIMORE MD 21204 521411935 FUNDRAISING MD 501(C)(3) LINE 7: 170(B)(1)(A) GBMC HEALTHCARE INC 0 GILCHRIST HOSPICE CARE INC 11311 MCCORMICK ROAD NO 350 HUNT VALLEY MD 21031 521851251 HOSPICE SERVICE MD 501(C)(3) LINE 3: 170(B)(1)(A) GBMC HEALTHCARE INC 0 GBMC INVESTMENTS INC 6701 NORTH CHARLES STREET BALTIMORE MD 21204 521040300 INVESTMENT MANAGEMENT MD 501(C)(3) LINE 11, TYPE II: 50 GBMC HEALTHCARE INC 0 DIVERSIFIED HEALTH ENTERPRISES INC 6701 NORTH CHARLES STREET BALTIMORE MD 21204 521725005 HEALTH SERVICES MD 501(C)(3) LINE 11, TYPE II: 50 GBMC HEALTHCARE INC 0 DIVERSIFIED NURSES INC 6701 NORTH CHARLES STREET BALTIMORE MD 21204 521305904 NURSING SERVICES MD 501(C)(3) LINE 9: 509(A)(2) GBMC HEALTHCARE INC 0 DIVERSIFIED HEALTH SERVICES INC 6701 NORTH CHARLES STREET BALTIMORE MD 21204 521331933 HEALTH SERVICES MD 501(C)(3) LINE 9: 509(A)(2) GBMC HEALTHCARE INC 0 GBMC LAND INC 6701 NORTH CHARLES STREET BALTIMORE MD 21204 521413360 REAL ESTATE PROPERTY MD 501(C)(3) LINE 11, TYPE I: 509 GBMC HEALTHCARE INC 0 GBMC HEALTHCARE INC 6701 NORTH CHARLES STREET BALTIMORE MD 21204 521413360 HEALTH SERVICES MD 501(C)(3) LINE 7: 170(B)(1)(A) N/A 0 PRESBYTERIAN EYE EAR AND THROAT CHARITY HOSPITAL 2639 QUEENSLAND DRIVE ELLICOTT CITY MD 21093 520449990 SUPPORTING MD 501(C)(3) LINE 11, TYPE III-FI N/A 0 MILTON J DANCE JR ENDOWMENT INC 409 WASHINGTON AVENUE BALTIMORE MD 21204 521104173 SUPPORTING MD 501(C)(3) LINE 11, TYPE III-FI N/A 0 WOMEN'S HOSPITAL FOUNDATION INC PO BOX 166 RIDERWOOD MD 21139 520591609 FUNDRAISING MD 501(C)(3) LINE 11, TYPE III-FI N/A 0 JOSEPH RICHEY HOUSE INC 838 NORTH EUTAW STREET BALTIMORE MD 21201 521184960 HOSPITAL SERVICES MD 501(C)(3) LINE 3: 170(B)(1)(A) GILCHRIST HOSPICE CARE 0 BROWNLOW BYRON HOME 838 NORTH EUTAW STREET BALTIMORE MD 21201 522019909 HOUSING FOR LOW INCOME TENANTS MD 501(C)(3) LINE 3: 170(B)(1)(A) GILCHRIST HOSPICE CARE 0 PRESBYTERIAN EYE EAR & THROAT CHARITY HOSP INC BOARD OF LADY MGRS 20 INDIAN LANE BALTIMORE MD 21210 526052408 SUPPORTING MD 501(C)(3) LINE 11, TYPE III-FI N/A 0 GBMC MEDICAL ARTS LP 6701 NORTH CHARLES STREET BALTIMORE MD 21204 521412751 REAL ESTATE MGT MD N/A GBMC MEDICAL ARTS PAVILION WEST LP 6701 NORTH CHARLES STREET BALTIMORE MD 21204 521899034 REAL ESTATE MGT MD GBMC AGENCY INC EXCLUDED 208325 655174 0 0 0.37900 GREATER BALTIMORE DIAGNOSTIC IMAGING PARTNERSHIP 6701 NORTH CHARLES STREET BALTIMORE MD 21204 521561640 IMAGING SERVICES MD N/A GBMC AGENCY INC 6701 NORTH CHARLES STREET BALTIMORE MD 21204 521411931 INVESTMENTS MD N/A C 0 GBMC MANAGEMENT INC 6701 NORTH CHARLES STREET BALTIMORE MD 21204 521411974 MANAGEMENT CO. MD N/A C 0 GBMC FINANCE CORPORATION 6701 NORTH CHARLES STREET BALTIMORE MD 21204 521863069 FINANCING AGENT MD N/A C 0 GBMC FINANCE CORPORATION II 6701 NORTH CHARLES STREET BALTIMORE MD 21204 521836142 FINANCING AGENT MD N/A C 0 GBMC FINANCE CORPORATION III 6701 NORTH CHARLES STREET BALTIMORE MD 21204 521836144 FINANCING AGENT MD N/A C 0 RUXTON INSURANCE COMPANY LTD 3 GORHAM ROAD HAMILTON HM 08 HAMILTON BD 980413102 INSURANCE CAPTIVE BD N/A C 9710623 75918813 1.00000 1 GBMD INC 6701 NORTH CHARLES STREET BALTIMORE MD 21204 521914558 HEALTHCARE MD N/A C 0 1 1 1 0 0 0 0 0 0 1 1 1 1 1 1 1 1 1 0 RUXTON INSURANCE COMPANY LTD B 11150241 COST RUXTON INSURANCE COMPANY LTD Q 10286746 COST