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MT WASHINGTON PEDIATRIC HOSPITAL INC: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
MT WASHINGTON PEDIATRIC HOSPITAL INC (EIN 52-0591483)
Tax period
2014-07-01 to 2015-06-30
Filed
2016-05-12
IRS object ID
201631339349300703
Schema version
2014v6.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2016-05-12T04:09:12-05:00ReturnTs
Tax Period End2015-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1GRANT THORNTON LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12001 MARKET STREET SUITE 700AddressLine1Txt
CityPHILADELPHIACityNm
State AbbreviationPAStateAbbreviationCd
ZIP19103ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2014-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN520591483EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Mt Washington Pediatric Hospital IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% S MICHELLE LEEInCareOfNm
Business Name ControlMTWABusinessNameControlTxt
Phone4105788600PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11708 W Rogers AvenueAddressLine1Txt
CityBaltimoreCityNm
State AbbreviationMDStateAbbreviationCd
ZIP21209ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonALFRED A PIETSCHPersonNm
Person TitleTreasurerPersonTitleTxt
Phone4105788600PhoneNum
Signature2016-05-05SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonFrank GiardiniPreparerPersonNm
PTINP00532355PTIN
Phone2155614200PhoneNum
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-08-17 19:52:53ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerSheldon SteinPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11708 W Rogers AvenueAddressLine1Txt
CityBaltimoreCityNm
State AbbreviationMDStateAbbreviationCd
ZIP21209ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$77,927,119GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.mwph.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1926FormationYr
Legal Domicile StateMDLegalDomicileStateCd
Activity Or MissionMt. WASHINGTON PEDIATRIC HOSPITAL IS DEDICATED TO MAXIMIZING THE HEALTH AND INDEPENDENCE OF THE CHILDREN WE SERVE.ActivityOrMissionDesc
Voting Members Governing Body12VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee692TotalEmployeeCnt
Total Volunteers114TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$870,170PYContributionsGrantsAmt
CY Contributions Grants$1,010,418CYContributionsGrantsAmt
PY Program Service Revenue$53,698,556PYProgramServiceRevenueAmt
CY Program Service Revenue$58,569,033CYProgramServiceRevenueAmt
PY Investment Income$620,336PYInvestmentIncomeAmt
CY Investment Income$739,193CYInvestmentIncomeAmt
PY Other Revenue$1,694,563PYOtherRevenueAmt
CY Other Revenue$1,199,631CYOtherRevenueAmt
PY Total Revenue$56,883,625PYTotalRevenueAmt
CY Total Revenue$61,518,275CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$36,001,483PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$36,175,970CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$163,914CYTotalFundraisingExpenseAmt
PY Other Expenses$14,852,338PYOtherExpensesAmt
CY Other Expenses$18,412,611CYOtherExpensesAmt
PY Total Expenses$50,853,821PYTotalExpensesAmt
CY Total Expenses$54,588,581CYTotalExpensesAmt
PY Revenues Less Expenses$6,029,804PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$6,929,694CYRevenuesLessExpensesAmt
Total Assets BOY$101,073,590TotalAssetsBOYAmt
Total Assets EOY$105,229,167TotalAssetsEOYAmt
Total Liabilities BOY$22,862,582TotalLiabilitiesBOYAmt
Total Liabilities EOY$21,643,343TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$78,211,008NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$83,585,824NetAssetsOrFundBalancesEOYAmt
MissionMT. WASHINGTON PEDIATRIC HOSPITAL IS DEDICATED TO MAXIMIZING THE HEALTH AND INDEPENDENCE OF THE CHILDREN WE SERVE.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$46,326,777ExpenseAmt
Revenue$59,733,811RevenueAmt
DescMT. WASHINGTON PEDIATRIC HOSPITAL, INC. OFFERED PEDIATRIC INPATIENT AND OUTPATIENT SERVICES FOR CHILDREN WITH CHRONIC ILLNESSES AND REHABILITATION NEEDS. 23,733 INPATIENT DAYS OF CARE WERE PROVIDED DURING THE FISCAL YEAR. 43,773 VISITS WERE RECORDED AT ITS SPECIALIZED CLINICS. THE MAJORITY OF PATIENTS TREATED WERE SOCIOECONOMIC DISADVANTAGED CHILDREN. 79% OF PATIENTS RECEIVED MEDICAL ASSISTANCE.Desc
Total Program Service Expenses$46,326,777TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesYes (true)FundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document89IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee692EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsYes (true)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (true)QuidProQuoContriDisclInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members12GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldMDStatesWhereCopyOfReturnIsFldCd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonS MICHELLE LEEPersonNm
Phone4103281376PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1250 W PRATT STREET SUITE 1436AddressLine1Txt
CityBaltimoreCityNm
State AbbreviationMDStateAbbreviationCd
ZIP21201ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
EDWARD B CHAMBERS
TRUSTEE1.00.0Yes (X)$0$0$0
ROBERT A CHRENCIK
TRUSTEE1.00.0Yes (X)$0$0$0
S TRACY COSTER
TRUSTEE1.00.0Yes (X)$0$0$0
STEVEN J CZINN MD
TRUSTEE1.00.0Yes (X)$0$0$0
GEORGE J DOVER MD
TRUSTEE1.00.0Yes (X)$0$0$0
JOHN KELLY
TRUSTEE1.00.0Yes (X)$0$0$0
LAWRENCE C PAKULA MD
TRUSTEE1.00.0Yes (X)$0$0$0
RONALD R PETERSON
TRUSTEE1.00.0Yes (X)$0$0$0
DR BERYL ROSENSTIEN
TRUSTEE1.00.0Yes (X)$0$0$0
G DANIEL SHEALER JR ESQUIRE
TRUSTEE1.00.0Yes (X)$0$0$0
ROSLYN STOLER
TRUSTEE1.00.0Yes (X)$0$0$0
FRED WOLF III ESQUIRE
TRUSTEE1.00.0Yes (X)$0$0$0
SHELDON STEIN
PRESIDENT CEO40.01.0$344,257$0$171,044Yes (X)
ALFRED A PIETSCH
TREASURER1.00.0$0$0$0Yes (X)
MARY MILLER
CFO / VP - FINANCE40.01.0$162,714$0$50,026Yes (X)
THOMAS ELLIS
VP - HUMAN RESOURCES40.00.0$163,375$0$66,287Yes (X)
JENNIFER BOWIE
VP - NURSING ADMIN40.00.0$172,886$0$31,542Yes (X)
BARINADA GIADOM
ATTENDING PHYSICIAN40.00.0$194,347$0$32,286Yes (X)
KATHERINE ALTER MD
DIRECTOR PHYSICAL MEDICINE32.00.0$235,388$0$28,532Yes (X)
SILVIA WILLIAMS MD
ATTENDING PHYSICIAN40.00.0$189,917$0$17,203Yes (X)
AJOKE AJAYI-AKINTADE MD
ATTENDING PHYSICIAN40.00.0$190,892$0$10,858Yes (X)
STEPHEN NICHOLS MD
ATTENDING PHYSICIAN40.00.0$217,027$0$34,641Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,870,803TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$442,419TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K34IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Pharmasource Healthcare Inc
PO Box 632849CINCINNATIOH452632849pharmacy$4,168,571
Whiting Turner Contracting
PO Box 17596BALTIMOREMD21297construction$1,394,467
Sleep Servuces Of America Inc
PO Box 198320ATLANTAGA30384neurology$1,216,942
Johns Hopkins University
600 North Wolf StreetBALTIMOREMD21287physican$1,517,196
Hord Coplan Macht Inc
750 East Pratt StreetBALTIMOREMD21202construction$540,816
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K15CntrctRcvdGreaterThan100KCnt
Fundraising$196,011FundraisingAmt
Related Organizations$358,482RelatedOrganizationsAmt
All Other Contributions$455,925AllOtherContributionsAmt
Total Contributions$1,010,418TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescNET PATIENT REVENUEDesc
Business900099BusinessCd
Total Revenue Column$58,569,033TotalRevenueColumnAmt
Related Or Exempt Func Income$58,569,033RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$58,569,033TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$280,672TotalRevenueColumnAmt
Exclusion$280,672ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$16,701,344OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$16,242,823OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$458,521OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$458,521TotalRevenueColumnAmt
Exclusion$458,521ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$200,874FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$196,011ContriRptFundraisingEventAmt
Fundraising Direct Expenses$166,021FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$34,853TotalRevenueColumnAmt
Exclusion$34,853ExclusionAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MEDICAL RECORDS900099$2,053$2,053
NET ASSETS RELEASED FOR OPERATING PURPOSES900099$289,605$289,605
ALL OTHER REVENUE900099$873,120$873,120
FieldValueIRS element (for citing)
Other Revenue Total$1,164,778OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$61,518,275TotalRevenueColumnAmt
Related Or Exempt Func Income$59,733,811RelatedOrExemptFuncIncomeAmt
Exclusion$774,046ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$837,188TotalAmt
Program Services$711,610ProgramServicesAmt
Management And General$125,578ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$28,322,627TotalAmt
Program Services$23,910,319ProgramServicesAmt
Management And General$4,248,394ManagementAndGeneralAmt
Fundraising$163,914FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$522,320TotalAmt
Program Services$443,972ProgramServicesAmt
Management And General$78,348ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$4,432,320TotalAmt
Program Services$3,767,472ProgramServicesAmt
Management And General$664,848ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$2,061,515TotalAmt
Program Services$1,752,288ProgramServicesAmt
Management And General$309,227ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$49,712TotalAmt
Program Services$42,255ProgramServicesAmt
Management And General$7,457ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$465,363TotalAmt
Program Services$395,559ProgramServicesAmt
Management And General$69,804ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$4,619TotalAmt
Program Services$3,926ProgramServicesAmt
Management And General$693ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$3,281,243TotalAmt
Program Services$2,789,057ProgramServicesAmt
Management And General$492,186ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$193,136TotalAmt
Program Services$164,166ProgramServicesAmt
Management And General$28,970ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,434,453TotalAmt
Program Services$1,219,285ProgramServicesAmt
Management And General$215,168ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$343,574TotalAmt
Program Services$292,038ProgramServicesAmt
Management And General$51,536ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$83,844TotalAmt
Program Services$71,267ProgramServicesAmt
Management And General$12,577ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$7,604TotalAmt
Program Services$6,463ProgramServicesAmt
Management And General$1,141ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$79,625TotalAmt
Program Services$67,681ProgramServicesAmt
Management And General$11,944ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$2,834,293TotalAmt
Program Services$2,409,149ProgramServicesAmt
Management And General$425,144ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$233,668TotalAmt
Program Services$198,618ProgramServicesAmt
Management And General$35,050ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
SUPPLIES$6,842,709$5,816,303$1,026,406
BED DEBT$602,648$602,648
CLINICAL$555,231$471,946$83,285
CAFE CATERING$354,388$301,230$53,158

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,046,501TotalAmt
Program Services$889,525ProgramServicesAmt
Management And General$156,976ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$54,588,581TotalAmt
Program Services$46,326,777ProgramServicesAmt
Management And General$8,097,890ManagementAndGeneralAmt
Fundraising$163,914FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$17,403,334BOYAmt
EOY$17,320,320EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$472,991BOYAmt
EOY$260,427EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$7,851,961BOYAmt
EOY$7,701,680EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$150,913BOYAmt
EOY$114,830EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$160,257BOYAmt
EOY$28,667EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$61,730,672LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$34,984,510LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$25,361,159BOYAmt
EOY$26,746,162EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$27,194,179BOYAmt
EOY$29,952,014EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$22,478,796BOYAmt
EOY$23,105,067EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$101,073,590BOYAmt
EOY$105,229,167EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$12,162,604BOYAmt
EOY$11,913,791EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$299,416BOYAmt
EOY$99,805EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$6,005,000BOYAmt
EOY$5,700,000EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$4,395,562BOYAmt
EOY$3,929,747EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$22,862,582BOYAmt
EOY$21,643,343EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$67,493,622BOYAmt
EOY$72,670,079EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$9,892,215BOYAmt
EOY$10,090,574EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$825,171BOYAmt
EOY$825,171EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$78,211,008BOYAmt
EOY$83,585,824EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$101,073,590BOYAmt
EOY$105,229,167EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$6,929,694ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$1,010,807NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$544,071OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp
Total Direct LobbyingTotalDirectLobbyingGrp
Total Lobbying ExpendTotalLobbyingExpendGrp
Other Exempt Purpose ExpendOtherExemptPurposeExpendGrp
Total Exempt Purpose ExpendTotalExemptPurposeExpendGrp
Lobbying Nontaxable AmountLobbyingNontaxableAmountGrp
Grassroots NontaxableGrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$4,619OtherActivitiesAmt
Total Lobbying Expenditures$4,619TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule C: Lobbying ActivitiesFormAndLineReferenceDesc
ExplanationPart II-B, 1i The organization does not engage in any direct lobbying activities. The organization pays membership dues to the Maryland Hospital Association (MHA), the American Hospital Association (AHA) and the Children's Hospital Association (CHA). MHA, AHA and CHA engage in many support activities including lobbying and advocating for their member hospitals. The MHA, AHA and CHA reported that 6.22%, 23.65% and 15.97% of member dues were used for lobbying purposes and as such, the organization has reported this amount on Schedule C Part IV as lobbying activities.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp
CY Minus3 Yr Endwmt FundCYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt FundCYMinus4YrEndwmtFundGrp

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$659,969OtherCostOrOtherBasisAmt
Book Value$659,969BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$41,754,280OtherCostOrOtherBasisAmt
Depreciation$20,590,748DepreciationAmt
Book Value$21,163,532BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$263,509OtherCostOrOtherBasisAmt
Depreciation$228,282DepreciationAmt
Book Value$35,227BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$19,052,914OtherCostOrOtherBasisAmt
Depreciation$14,165,480DepreciationAmt
Book Value$4,887,434BookValueAmt
FieldValueIRS element (for citing)
Other Land BuildingsOtherLandBuildingsGrp
Total Book Value Land Buildings$26,746,162TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDescBook ValueBookValueAmt
ASSETS LIMITED AS TO USE$4,357,550
ECONOMIC INTEREST IN MWPF$17,560,398
OTHER$813,055
OTHER ACCOUNTS RECEIVABLE$374,064
FieldValueIRS element (for citing)
Total Book Value Other Assets$23,105,067TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescADVANCES FROM 3RD PARTY PAYORSDesc
Amt$3,929,747Amt
FieldValueIRS element (for citing)
Total Liability$3,929,747TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceLiability for Uncertain Tax Position (ASC 740)FormAndLineReferenceDesc
ExplanationSchedule D, Part X, Line 2 The Hospital is a not-for-profit corporation as described under Section 501c(3) of the Internal Revenue Code (the Code) and is exempt from federal income taxes on related income pursuant to Section 501(a) of the Code. The Foundation is a not-for-profit corporation formed under the laws of the state of Maryland, organized for charitable purposes and recognized by the Internal Revenue Service as a tax-exempt organization under Section 501c(3) of the Code. The Corporation follows a threshold of more likely than not for recognition and derecognition of tax positions taken or expected to be taken in a tax return. Management does not believe that there are any unrecognized tax benefits that should be recognized.ExplanationTxt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1GOLFEvent1Nm
Gross Receipts Event1$91,535GrossReceiptsEvent1Amt
Charitable Contri Event1$31,122CharitableContriEvent1Amt
Gross Revenue Event1$60,413GrossRevenueEvent1Amt
Other Direct Expenses Event1$26,259OtherDirectExpensesEvent1Amt
Event2GALAEvent2Nm
Gross Receipts Event2$305,350GrossReceiptsEvent2Amt
Charitable Contri Event2$164,889CharitableContriEvent2Amt
Gross Revenue Event2$140,461GrossRevenueEvent2Amt
Other Direct Expenses Event2$139,762OtherDirectExpensesEvent2Amt
Other Events Total0OtherEventsTotalCnt
Gross Receipts Total$396,885GrossReceiptsTotalAmt
Charitable Contributions Tot$196,011CharitableContributionsTotAmt
Gross Revenue Total Events$200,874GrossRevenueTotalEventsAmt
Oth Direct Expnss Total Events$166,021OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$166,021DirectExpenseSummaryEventsAmt
Net Income Summary$34,853NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Discounted Care Other500.DiscountedCareOtherPct
FieldValueIRS element (for citing)
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$91,537TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$91,537NetCommunityBenefitExpnsAmt
Total Expense0.00170TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$91,537TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$91,537NetCommunityBenefitExpnsAmt
Total Expense0.00170TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$215,227TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$215,227NetCommunityBenefitExpnsAmt
Total Expense0.00400TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$346,500TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$346,500NetCommunityBenefitExpnsAmt
Total Expense0.00640TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,138,492TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$502,480DirectOffsettingRevenueAmt
Net Community Benefit Expns$636,012NetCommunityBenefitExpnsAmt
Total Expense0.01180TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,724TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$5,724NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$36,151TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$36,151NetCommunityBenefitExpnsAmt
Total Expense0.00070TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,742,094TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$502,480DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,239,614NetCommunityBenefitExpnsAmt
Total Expense0.02300TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,833,631TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$502,480DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,331,151NetCommunityBenefitExpnsAmt
Total Expense0.02470TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$17,619TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$17,619NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$30,001TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$30,001NetCommunityBenefitExpnsAmt
Total Expense0.00060TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$32,960TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$32,960NetCommunityBenefitExpnsAmt
Total Expense0.00060TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$80,580TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$80,580NetCommunityBenefitExpnsAmt
Total Expense0.00150TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$503,349BadDebtExpenseAmt
Cost Of Care Reimbursed By Medcr$8,339CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$8,339MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Mt Washington Pediatric Hospital incBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11708 W Rogers AvenueAddressLine1Txt
CityBaltimoreCityNm
State AbbreviationMDStateAbbreviationCd
ZIP21209ZIPCd
FieldValueIRS element (for citing)
Website Addresswww.mwph.orgWebsiteAddressTxt
State License30-026StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
Childrens HospitalYes (X)ChildrensHospitalInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1MT WASHINGTON PEDIATRIC HOSPITAL INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Information GapsYes (X)InformationGapsInd
CHNA Conducted15CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (true)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (true)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLWWW.MWPH.ORGOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt15ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLwww.mwph.orgStrategyWebsiteURLTxt
Strategy AttachedfalseStrategyAttachedInd
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care500.FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLhttp://www.mwph.orgFAPAvailableOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Notice DisplayedYes (X)FAPNoticeDisplayedInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Collection ActivitiesfalseCollectionActivitiesInd
FAP Notified Upon AdmissionYes (X)FAPNotifiedUponAdmissionInd
FAP Notified Before DischargeYes (X)FAPNotifiedBeforeDischargeInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Other Actions TakenYes (X)OtherActionsTakenInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Other Method UsedYes (X)OtherMethodUsedInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp

FieldValueIRS element (for citing)
Form And Line ReferenceMT. WASHINGTON PEDIATRIC HOSPITALFormAndLineReferenceDesc
ExplanationSchedule H, Part V, Section B Line 13h: In compliance with the new IRC Section 501(R) regulations MT. Washington Pediatric Hospital is currently in the process of updating their Financial Assistance Policy to ensure its compliance IRS regulations. Line 22: Due to state regulations, charges are not reduced for any payer, including commerical insurance, government payers, or uninsured patients. All charges are gross charges. SCHEDULE H, PART V, SECTION B LINE 22D - ALL PATIENTS ARE CHARGED STATE REGULATED RATES, REGARDLESS OF THEIR ABILITY TO PAY. LINE 24 - AS PREVIOUSLY DISCUSSED IN AN EARLIER SCHEDULE H NARRATIVE, THE STATE OF MARYLAND IS A UNIQUE STATE IN REGARD TO THE PROVISION OF HEALTH CARE SERVICES AND THEIR RELATED CHARGES BY HOSPITALS. ALL HOSPITAL CHARGES PROCESSED TO ALL PAYORS, INCLUDING GOVERNMENTAL PAYORS, ARE SET THROUGH MARYLAND'S HEALTH SERVICES COST COMMISSION. ACCORDINGLY, ALL HOSPITAL CHARGES ARE NOT GROSS CHARGES AS DEFINED BY THE IRS UNDER INTERNAL REVENUE CODE SECTION 501(R )(5)(B).ExplanationTxt

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Related Organization ReportSchedule H, Part I, Line 6a AN ANNUAL COMMUNITY BENEFIT REPORT IS PREPARED FOR EACH FISCAL YEAR ENDING JUNE 30. THIS REPORT IS SUBMITTED TO THE HEALTH SERVICES COST REVIEW COMMISSION (HSCRC), A STATE REGULATORY AGENCY, BY DECEMBER 15 OF EACH YEAR. IN ADDITION, THE ANNUAL COMMUNITY BENEFIT REPORT IS AVAILABLE UPON REQUEST AT THE ENTITY'S CORPORATE OFFICES.
Costing MethodologySchedule H, Part I, Line 7 SCHEDULE H, LINE 7A, COLUMN (D) MARYLAND'S REGULATORY SYSTEM CREATES A UNIQUE PROCESS FOR HOSPITAL PAYMENT THAT DIFFERS FROM THE REST 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 SERVICES DELIVERED AT THE SAME HOSPITAL. MARYLAND'S UNIQUE ALL PAYOR SYSTEM INCLUDES A METHOD FOR REFERENCING UNCOMPENSATED CARE IN EACH PAYORS' RATES, WHICH DOES NOT ENABLE MARYLAND HOSPITALS TO BREAKOUT ANY OFFSETTING REVENUE RELATED TO UNCOMPENSATED CARE. SCHEDULE H, LINE 7B, COLUMNS (C) THROUGH (F) MARYLAND'S REGULATORY SYSTEM CREATES A UNIQUE PROCESS FOR HOSPITAL PAYMENT THAT DIFFERS FROM THE REST 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 SERVICES DELIVERED AT THE SAME HOSPITAL. MARYLAND'S UNIQUE ALL PAYOR SYSTEM INCLUDES A METHOD FOR REFERENCING UNCOMPENSATED CARE IN EACH PAYORS' RATES, WHICH DOES NOT ENABLE MARYLAND HOSPITALS TO BREAKOUT ANY OFFSETTING REVENUE RELATED TO UNCOMPENSATED CARE. COMMUNITY BENEFIT EXPENSES ARE EQUAL TO MEDICAID REVENUES IN MARYLAND, AS SUCH, THE NET EFFECT IS ZERO. ADDITIONALLY, NET REVENUES FOR MEDICAID SHOULD REFLECT THE FULL IMPACT ON THE HOSPITAL OF ITS SHARE OF THE MEDICAID ASSESSMENT. SCHEDULE H, LINE 7F COLUMN (C) & (D) MARYLAND'S REGULATORY SYSTEM CREATES A UNIQUE PROCESS FOR HOSPITAL PAYMENT THAT DIFFERS FROM THE REST 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 SERVICES DELIVERED AT THE SAME HOSPITAL. MARYLAND'S UNIQUE ALL PAYOR SYSTEM INCLUDES A METHOD FOR REFERENCING UNCOMPENSATED CARE IN EACH PAYORS' RATES, WHICH DOES NOT ENABLE MARYLAND HOSPITALS TO BREAKOUT ANY OFFSETTING REVENUE RELATED TO UNCOMPENSATED CARE.
Community Building ActivitiesSchedule H, Part II COALITION BUILDING: PREMATURE INFANT HEALTH NETWORK, BALTIMORE CITY INFANTS & TODDLERS PROGRAM MWPH HAS TAKEN A PROACTIVE ROLE IN COMBATING LOW-BIRTH WEIGHT AND SUDDEN INFANT DEATH SYNDROME BY PARTIPATING AS MEMBERS OF THE PREMATURE INFANT HEALTH NETWORK. OUR PARTNERSHIP WITH BALTIMORE CITY HEALTH DEPARTMENTS B'MORE HEALTHY BABIES CAMPAIGN WAS DEVELOPED TO ADDRESS BALTIMORE CITY'S HIGH RATE OF INFANT DEATHS, AMONG THE WORST IN AMERICA. IN 2009 ALONE, MORE THAN 120 INFANTS IN BALTIMORE UNDER THE AGE OF ONE DIED, WITH MANY OF THE DEATHS BEING PREVENTABLE. THE CITY ALSO HAS A HIGH RATE OF BABIES BORN PRE-TERM AND UNDERWEIGHT - KEY FACTORS IN INFANT MORTALITY. STAFF ACTIVELY PARTICIPATES IN COMMUNITY MEETINGS AND ADVISORY GROUPS TO PROVIDE GUIDANCE IN THE DEVELOPMENT OF EDUCATIONAL MATERIALS AND OUTREACH INITIATIVES. COMMUNITY HEALTH IMPROVEMENT AND ADVOCACY: Children's Hospital ASsociation (CHA) OBESITY TASK FORCE, BRAIN INJURY ASSOCIATION OF MD PLANNING COMMITTEE CHA OBESITY TASK FORCE/WEIGH SMART AND WEIGH SMART JR. MWPH WERE ACTIVE PARTICIPANTS IN THE Children's Hospital Association OBESITY FOCUS GROUP. OUR CENTER WAS CHOSEN AS ONE OF 16 PROGRAMS NATIONWIDE TO PARTICIPATE IN THIS IMPORTANT ENDEAVOR. FINDINGS FROM THE WORK GROUP WILL BE PUBLISHED IN LARGE NATIONAL SCIENTIFIC JOURNALS THIS YEAR WITH PROGRAM STAFF BEING RECOGNIZED AS AUTHORS ON THESE IMPORTANT DOCUMENTS. OUR PRESIDENT AND CEO, SHELDON STEIN AND OUR MEDICAL DIRECTOR, DR. RICHARD KATZ, SERVE AS MEMBERS OF THE BOARD AND ADVOCACY AND LEADERSHIP COUNCILS FOR Children's Hospital Association. THE MT WASHINGTON PEDIATRIC HOSPITAL (MWPH) CENTER FOR PEDIATRIC WEIGHT MANAGEMENT AND HEALTHY LIVING (CENTER) EXPANDED THIS PAST FISCAL YEAR AND OFFERS SEVERAL COMPREHENSIVE, MULTI-DISCIPLINARY PROGRAMS FOR PEDIATRIC WEIGHT MANAGEMENT. THE CENTER NOW INCLUDES MEDICAL MANAGEMENT OF BOTH MEDICAL AND SURGICAL WEIGHT MANAGEMENT OPTIONS FOR CHILDREN AND ADOLESCENTS AND SERVES PATIENTS AGES TWO TO 18. MEDICALLY SUPERVISED WEIGHT MANAGEMENT PROGRAMS INCLUDE WEIGH SMART, AS WELL AS, THE NEWLY CREATED WEIGH SMART JR. PROGRAM. THE WEIGHT SMART JR. PROGRAM WAS A DIRECT REFLECTION OF THE INPUT FROM OUR COMMUNITY PHYSICIANS IN THE COMMUNITY NEEDS ASSESSMENT. MANY PHYSICIANS INDICATED "8 (YEARS OF AGE) IS TOO" LATE IN REGARDS TO THE BEST AGE FOR INTERVENTION WHEN DEALING WITH OBESITY. THIS PROGRAM WAS ADDED TO AUGMENT THE WEIGH SMART PROGRAM AND PROVIDE CONTINUITY OF CARE FOR CHILDREN OR ALL AGES. DURING FY10, THE CENTER EVALUATED OVER 200 NEW PATIENTS AND COMPLETED MORE THAN 80 FOLLOW-UP APPOINTMENTS. TOTAL PROGRAM VISITS INCREASED BY FORTY-THREE PERCENT OVER FISCAL YEAR 2009 FROM 2,424 TO 2,642 TOTAL PROGRAM VISITS. THE STAFF HAS PRESENTED FINDINGS AT SEVERAL NATIONAL AND REGIONAL CONFERENCES. THE STAFF WAS INVITED TO PROVIDE ADDITIONAL PRESENTATIONS TO SCHOOL GROUPS IN THE FALL OF 2010. BRAIN INJURY ASSOCIATION OF MD PLANNING COMMITTEE MWPH PARTICIPATION IN THE BRAIN INJURY ASSOCIATION OF MARYLAND'S PLANNING COMMITTEE INCLUDED PROVIDING A PRESENTATION AT ITS ANNUAL CONFERENCE, AS WELL AS, ACCESS TO SEVERAL MEMBERS OF OUR STAFF AS CLINICAL RESOURCES. THIS INCLUDED, BUT WAS NOT LIMITED TO, A NEUROPSYCHOLOGIST , A SPEECH THERAPIST, AN OCCUPATIONAL THERAPIST AND A POST-DOCTORAL FELLOW IN CLINICAL NEUROPSYCHOLOGY. THERE WERE ALSO PRESENTATIONS AND OUTREACH TO LOCAL SCHOOLS AND PROFESSIONAL GROUPS ON TRAUMATIC BRAIN INJURY AND CONCUSSION MANAGEMENT, AS WELL AS, A SUPPORT GROUP WHERE A PSYCHOLOGIST WAS PROVIDED AS A RESOURCE FOR FAMILIES AND PATIENTS WHO ARE COPING WITH TRAUMATIC BRAIN INJURY (TBI).
Bad Debt ExpenseSSchedule H, Part III, Lines 2 and 4 THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING HISTORICAL BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. PERIODICALLY THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON HISTORICAL WRITE OFF EXPERIENCE BY PAYOR CATEGORY. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE MODIFICATIONS TO THE PROVISION FOR BAD DEBTS AND TO ESTABLISH AN ALLOWANCE FOR UNCOLLECTIBLE RECEIVABLES. AFTER COLLECTION OF AMOUNTS DUE FROM INSURERS, THE CORPORATION FOLLOWS INTERNAL GUIDELINES FOR PLACING CERTAIN PAST DUE BALANCES WITH COLLECTION AGENCIES.
Medicare Cost ReportSchedule H, Part III, Line 8 IN MARYLAND, THE HEALTH SERVICES COST REVIEW COMMISSION (HSCRC) STARTED SETTING HOSPITAL RATES IN 1974. AT THAT TIME, THE HSCRC APPROVED RATES APPLIED ONLY TO COMMERCIAL INSURERS. IN 1977, THE HSCRC NEGOTIATED A WAIVER FROM MEDICARE HOSPITAL PAYMENT RULES FOR MARYLAND HOSPITALS TO BRING THE FEDERAL MEDICARE PAYMENTS UNDER HSCRC CONTROL. MEDICARE REIMBURSES MARYLAND HOSPITALS ACCORDING TO RATES ESTABLISHED BY THE HSCRC AS LONG AS THE STATE CONTINUES TO MEET A TWO-PART TEST. THIS TWO-PART WAIVER TEST ALLOWS MEDICARE TO PARTICIPATE IN THE MARYLAND SYSTEM AS LONG AS TWO CONDITIONS ARE MET. - ALL OTHER PAYERS PARTICIPATING IN THE SYSTEM PAY HSCRC SET RATES AND - THE RATE OF GROWTH IN MEDICARE PAYMENTS TO MARYLAND HOSPITALS FROM 1981 TO THE PRESENT IS NOT GREATER THAN THE RATE OF GROWTH IN MEDICARE PAYMENTS TO HOSPITALS NATIONALLY OVER THE SAME TIME FRAME.
Collection PracticesSchedule H, Part III, Line 9b THE ORGANIZATION EXPECTS PAYMENT AT THE TIME THE SERVICE IS PROVIDED. OUR POLICY IS TO COMPLY WITH ALL STATE AND FEDERAL LAW AND THIRD PARTY REGULATIONS AND TO PERFORM ALL CREDIT AND COLLECTION FUNCTIONS IN A DIGNIFIED AND RESPECTFUL MANNER. Currently, Mt. Washington Pediatric Hospital is in the process of updating its billing and collections process to ensure it is in compliance with the new IRC Section 501(r) regulations. EMERGENCY SERVICES WILL BE PROVIDED TO ALL PATIENTS REGARDLESS OF ABILITY TO PAY. FINANCIAL ASSISTANCE IS AVAILABLE FOR PATIENTS BASED ON FINANCIAL NEED AS DEFINED IN THE FINANCIAL ASSISTANCE POLICY. THE ORGANIZATION DOES NOT DISCRIMINATE ON THE BASIS OF AGE, RACE, CREED, SEX OR ABILITY TO PAY. PATIENTS WHO ARE UNABLE TO PAY MAY REQUEST A FINANCIAL ASSISTANCE APPLICATION AT ANY TIME PRIOR TO SERVICE OR DURING THE BILLING AND COLLECTION PROCESS. THE ORGANIZATION MAY REQUEST THE PATIENT TO APPLY FOR MEDICAL ASSISTANCE PRIOR TO APPLYING FOR FINANCIAL ASSISTANCE. THE ACCOUNT WILL NOT BE FORWARDED FOR COLLECTION DURING THE MEDICAL ASSISTANCE APPLICATION PROCESS OR THE FINANCIAL ASSISTANCE APPLICATION PROCESS.
Community Health Care Needs AssessmentSchedule H, Part VI, Line 2 To complete a comprehensive assessment of the needs of the community, the Association for Community Health Improvement's (ACHI) 6-step Community Health Assessment Process was utilized as an organizing methodology. The University of Maryland Medical System (UMMS) Community Benefit Team (CBT) served as the lead team to conduct the Community Health Needs Assessment (CHNA) with input from other University of Maryland Medical System Baltimore City-based hospitals, community leaders, the academic community, the public, health experts, and the Baltimore City Health Department. MWPH adopted the following Association of Community Heath Initiatives 6-step process to lead the assessment process and the additional 5-component assessment and engagement strategy to lead the data collection methodology. According to the Patient Protection and Affordable Care Act (ACA), hospitals must perform a community health needs assessment either fiscal year 2011, 2012, or 2013, adopt an implementation strategy to meet the community health needs identified, and beginning in 2013, perform an assessment at least every three years thereafter. The needs assessment must take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health, and must be made widely available to the public. For the purposes of this report, a community health needs assessment is a written document developed by a hospital facility (alone or in conjunction with others) that utilizes data to establish community health priorities, and includes the following: 1. A description of the process used to conduct the assessment. 2. Who the hospital has collaborated with to complete the assessment 3. How the hospital took into account input from community members and public health experts 4. A description of the community served 5. A description of the health needs identified through the assessment process. Data was collected from the five major areas illustrated above to complete a comprehensive assessment of the community's needs. The MWPH participates in a wide variety of local coalitions including, several sponsored by the Baltimore City Health Department, Cancer Coalition, Baltimore Healthy Start Program, Kids in Safety Seats (KISS), Coalition to End Lead Poisoning, as well as partnerships with many community-based organizations like Children's Hospital Association (CHA), Traumatic Brain Injury Society, Injury Free Coalition for Kids, Greater Baltimore Asthma Alliance (GBAA), American Diabetes Association (ADA), American Heart Association (AHA), B'More Healthy Babies, Text4baby, and Safe Kids to name a few. To effectively reach the mission, MWPH conducted a formal community health needs assessment (CHNA) during FY 2012. Despite the larger regional patient mix of MWPH, for purposes of community benefits programming and this report, the Community Benefit Service Area (CBSA) of MWPH is within Baltimore City. The Mt Washington Pediatric Hospital serves a large portion of Baltimore County and Baltimore City; We draw 59% of our discharges from a defined market area with four sub-areas within the Baltimore County and Baltimore City. Our core market is defined as 13 contiguous ZIP codes in Baltimore City from which we draw 54% of our discharges. These 13 targeted zip codes are the primary community benefit service area. (CBSA) and comprise the geographic scope of this assessment. The community's perspective was obtained through two surveys offered to the public during health fairs throughout Baltimore City. A 6-item survey asked respondents to identify their top health concerns and their top barriers in accessing health care. A longer survey was also created and posted online on the public website. Methods A 6-item written survey distributed to health fair participants in FY2012 (Short Form), N = 871 and a 25-item online survey posted to www.umm.edu website for community to complete (Long Form). The Community Advocacy & Injury Prevention Coordinator attended neighborhood meetings hosted by the Baltimore City Health Department which discussed major health needs in discreet Baltimore neighborhoods within MWPH's CBSA. Results Analysis by CBSA targeted zip codes revealed the same top health concerns and top health barriers with little deviation from the overall Baltimore City data. The top health concerns vocalized by the community through survey were overweight/obesity, high blood pressure/stroke, diabetes/sugar, smoking cessation/drug ac, and heart disease. They also felt that the barriers to accessing health care services included, respectively, No Health Insurance, (service) Too Expensive, inaccessible Transportation, Local doctors not part of health insurance plan and that the doctor was too far from home. Health Experts Methods A community stakeholder meeting was hosted that included community organizers, faith-based organization leaders, community-based non-profit organization members/leaders. Attendees reviewed & included National Prevention Strategy Priorities, Maryland State Health Improvement Plan (SHIP) indicators, and Healthy Baltimore 2015 plan from the Baltimore City Health Department. Results As a recommendation, a National Prevention Strategy with 7 Priority Areas established, a State Health Improvement Process (SHIP) which includes 39 Objectives in 6 Vision Areas for the State, includes targets for Baltimore City, and Healthy Baltimore 2015 that identifies 10 Priority Areas for health disparity. Health Experts from University of Maryland at Baltimore Campus Panel Focus Group Top Action Items also included improve communication and synergy across campus schools and MWPH. Include MWPH on Community Action Council and consider intensively working with one neighborhood to improve health and social determinates of health outcomes. As well as to continue to look for ways to partner, collaborate and support each other. We then aligned Federal, State, and Local Health Priorities; National Prevention Strategy (NPS): 2011 Priority Areas, Maryland State Health Improvement Plan (SHIP) 2011, and the Healthy Baltimore 2015 For example, Tobacco Free Living (NPS) aligned perfectly with the priorities identified by the SHIP priority Preventing Drug Abuse & Excessive Alcohol Use and Healthy Baltimore 2015's Be Tobacco Free. The National health priority areas that were identified for MWPH are Tobacco Free Living Preventing Drug Abuse & Excessive Alcohol Use, Healthy Eating, Active Living, Injury & Violence Free Living, Reproductive & Sexual Health, and Mental & Emotional Well-Being. The State health priority areas that were identified included Healthy Babies, Healthy Social Environments, Safe Physical Environments, Infectious Diseases, Chronic Diseases and Healthcare Access. On the local level, the priority areas identified by Healthy Baltimore 2015 were Promote Access to Quality Health Care for All, Be Tobacco Free, Redesign Communities to Prevent Obesity, Promote Heart Health, Stop the Spread of HIV & Other Sexually Transmitted Infections, Recognize & Treat Mental Health Needs, Reduce Drug Use & Alcohol Use, Encourage Early Detection of Cancer, Promote Healthy Children & Adolescents and Creating Health Promoting Neighborhoods. Faith-Based Community Leaders Our organization community stakeholder meeting of faith-based leaders to include their communities' perspectives on health needs (October 2011) and participated in UMMS Community Partner Focus Group (April 2012). Results included the most serious problem identified (44.8% reported) the need for Affordable Health Care. The next serious problem identified (35.7% reported) was the issue of violence with in the community. The next three problems, that were to be considered of moderate importance included, respectively, Behavioral/Mental Illness, Heart Disease and Diabetes. We also found out that 86.7% of the community gets their health information from family & friends, 63% from Internet and 60% from church. After gathering this data, three action items were proposed; a Mobile Unit that would provide screenings, health education, and encourage community engagement. Possibly setting up a Green Neighborhood as a Model, and focusing on providing more Mental Health services. Social Determinants of Health (SDoH) defined by the World Health Organization as: the conditions in which people are born, grow, live, work and age, to identify SDoH, MWPH Reviewed data from identified 2011 Baltimore City Health Department's Baltimore City Neighborhood Profiles, Baltimore City Food Desert Map. We concluded that the Top SDoHs were Low Education Attainment (52.6% w/ less than HS degree), High Poverty Rate (15.7%)/High Unemployment Rate (11%), Violence, and Poor Food Environment. Health Statistics/Indicators Methods MWPH regularly reviewed local data sources such as, the Baltimore City Health Status Report, the Baltimore Hea
Eligibility EducationSchedule H, Part VI, Line 3 The Patient Financial Assistance Policy at Mt. Washington Pediatric Hospital is a comprehensive policy designed to assess the needs of patients and families that have expressed concerns about their ability to pay for needed medical services. In compliance with the new IRC section 501(r) regulations Mt. Washington Pediatric Hospital is currently in the process of updating their Financial Assistance Policy to ensure its compliance with IRS regulations. Mt. Washington Pediatric Hospital makes every effort to make financial assistance information available to our patients/families. These efforts include signage at our outpatient desks and inpatient welcome areas, notices on patient bills and admissions documents, and information on our web site. Description of how MWPH informs Patients of the Charity Care Policy Notices informing the patient about the availability of financial assistance have been posted in certain locations within the Hospital. Notices were posted on the outpatient registration desk at Rogers Avenue, the outpatient registration desk at PG Hospital, the inpatient family welcome room at Rogers Avenue, and the inpatient nurse's station at PG Hospital. The posted notices state the following: "Mount Washington Pediatric Hospital has a Patient Financial Assistance Program established to help patients obtain financial aid when it is beyond their ability to pay for services. An application and further information is available from the financial counselor in the admissions office". Other means of informing the patients of availability of financial assistance include handouts, notification by the admissions office, social work staff, and patient accounting representatives, and/or billing company staff. Also, an information sheet is provided to the patients, the patient's family, or the patient's authorized representative before discharge, with hospital bill, or on request. The information sheet included the following items: a. A description of the Hospital's financial assistance policy; b. A description of the patient's rights and obligations with regard to Hospital billing and collection; c. Contact information for the individual or office at the Hospital that is available to assist the patient or the patient representative in understanding the hospital bill and how to apply for free and reduced cost care; d. Contact information for the Maryland Medical Assistance Program; e. A statement that physician charges are not included in the Hospital bill and is billed separately.
Description of Community ServedSchedule H, Part VI, Line 4 MWPH is located in the northwest quadrant of Baltimore City, serving both its immediate neighbors and others from throughout Baltimore City, County and several other counties in the region. The neighborhoods surrounding MWPH are identified by the Baltimore Neighborhood Indicators Alliance (BNIA) as Southern Park Heights (SPH) and Pimlico/Arlington/Hiltop (PAH). The primary service area zip codes does not necessarily determine eligibility for community benefit services, because we are specialty pediatric facility, our patients residence span the state of Maryland and many from out of the state. MWPH determined that the specific zip codes of 21215 & 21216 defines the hospitals Community Benefit Service Area (CBSA) and constitute an area that is predominantly African American with below average median family income, but above average rates for unemployment, and other social determinants of poor health. Relying on data from the 2009 American Community Survey , SPHs median household income was $27,365 and PAHs median household was $29,031. This is compared to Baltimore Citys median household income of $37,395 in 2009. The percentage of families had incomes below the federal poverty guidelines in SPH was 25.9% ; in PAH, 21.3% of rates for SPH and PAH, were 17.5% and 17.0% respectively while the Baltimore City unemployment rate recorded in 2010 was 10.9%. The racial composition and income distribution of the zip codes described below reflect the segregation and income disparity characteristic of the Baltimore metropolitan region. As indicated above, those zip codes that have a predominantly African American population, including 21215, reflect the racial segregation and poverty representative of Baltimore City. This is in contrast to neighboring Baltimore County zip codes (21208 &21209) in which the hospital is located, the median household income is much higher, and in which the population is predominately white. The Baltimore City Health Department uses the Community Statistical Areas (CSA) when analyzing health outcomes and risk factors. The CSAs represent clusters of neighborhoods based on census track data rather than zip code and were developed by Baltimore City Planning Department based on recognizable city neighborhood perimeters. One zip code (21207) spans city and county lines (see footnote below chart). Baltimore County does not provide CSAs. The presence of health disparities is a major key factor in determining who the target population for our CBSA is and how MWPH might serve it best as a pediatric specialty hospital. Unlike most other hospitals that share one or more of our primary service area zip codes and because of the specialty services we provide, our patients come to us from all over the state of Maryland and Pennsylvania. MWPH is also located in the 21209 zip code which is one of the most wealthy and healthy neighborhoods in the city of Baltimore. Interestingly enough, MWPH is within walking distance from the 21215 zip code and Pimlico/Arlington/Hilltop neighborhood which as the aforementioned data demonstrates has several health disparities, poverty, and vulnerable populations.
Promoting the Health of the CommunitySchedule H, Part VI, Line 5 MWPH created a Baltimore City Health Outcomes Summary for the aforementioned CBSA-targeted zip codes. The top three causes of death in Baltimore City identified, respectively, were Heart Disease, Cancer, and Stroke. The number one cause of pediatric deaths is the high rate of Infant Mortality. Based on our community needs assessment, MWPH prioritized and identified the community needs as follows: 1) Education/Health Literacy/Outreach 2) Access to Health Care 3) Chronic Disease/Obesity/Diabetes 4) Maternal and Child Health 5) Lead Poisoning 6) Asthma 7) Injury Prevention The communitys perspective was obtained through two surveys offered to the public during health fairs throughout Baltimore City. A 6-item survey asked respondents to identify their top health concerns and their top barriers in accessing health care. A longer survey was also created and posted online on the public website. Methods Included a 3-item survey distributed to the public at a variety of outreach events in FY15 (Short Form) and made available in Maryland Matters publication (N=1,212). A 25-item online survey was also posted to the survey monkey and www.umm.edu website for community to complete (Long Form). The Community Advocacy actively engaged community members from attending and participating in several neighborhood meetings hosted by Baltimore City Health Department and other local community organizations. The results identified the top five health concerns, top 5 barriers to health care, and presented an opportunity for participants to provide recommendations or solutions. The top five health concerns identified were Diabetes (n=708), High Blood Pressure/Stroke (n=669), Heart Disease (n=596), Smoking/Alcohol/Drug Abuse (n=535), and Cancer (n=515). Analysis by CBSA targeted zip codes revealed the same top health concerns and top health barriers with little deviation from the overall Baltimore City data. The top five barriers to health care identified included 'No Health Insurance' (n=833), 'Too Expensive' (n=726), 'No Transportation' (n+446), 'Local MDs Not Part of Plan' (n=259), 'Couldnt get an appointment with Doctor' (n=138), 'Doctor too far away' (n=125), and '(Medical) service not available in the city' (91). There were also 103 individual responses that provided additional insight into local health disparities. Analysis by CBSA targeted zip codes identified very similar health concerns and top health barriers with little to no deviation from overall Baltimore City data, or the MWPH CHNA completed in 2012. Analysis of all quantitative and qualitative data described in the above section identified these top six areas of need within Baltimore City. These top priorities represent the intersection of documented unmet community health needs and the organizations key strengths and mission. These priorities were identified and approved by the MWPH Community Empowerment Team and validated with the health experts from the Baltimore City Department of Health, local schools medicine, and nursing, rehabilitation, social work and MWPH employees who engage in community affairs. A prioritization meeting was held on April 30, 2015 with a cross section of clinicians, community stakeholders/activists, as well as community health educators. Participants were provided all the data collected for the fiscal year CHNA which included the community perspective, health experts/focus groups/interviews, as well as national and local health prevention strategies. The group was charged with prioritizing the health needs of the CBSA using the following criteria: -Magnitude: the number of people impacted by the problem -Severity: the risk of morbidity and mortality with the problem -Historical trends -Alignment of the problem with the MWPHs strengths and priorities -Impact of the problem on the vulnerable populations of the CBSA -Importance of the problem in the community -Relationship of the problem to other community issues -Feasibility of change, availability of tested approaches -Value if immediate intervention vs. any delay, especially for long-term or complex threats. Participants were asked to select six priorities based on this criteria where 1 is the most important/significant and 6 is not as urgent an need. As a result there were 15 different priorities identified. A matrix was then utilized (see chart below) to better identify in what order we would prioritize our services and/or programming and the feasibility of having so many. The Community Advocacy team facilitated focus group meetings to includes specialty clinical staff; Outpatient(Psychology, Weigh Smart, Social Work) [October 7, 2014], Traumatic Brain Injury & Recreational Therapy [September 29, 2014] as well as MWPH employees who engage in community affairs and MWPH Family Advisory Council [October 24, 2014]. There was also a telephone interview conducted Baltimore City Health Dept. Director of Chronic Disease Prevention, and finally a thorough review and include National Prevention Strategy Priorities, State Health Improvement Plan (SHIP) indicators , and Healthy Baltimore 2015 plan from BCHD MWPH results included utilizing the following data to create direction and a guide for all future community benefit initiatives; the National Prevention Strategy (7 Priority Areas) and the SHIPs (State Health Improvement Plan) 39 Objectives in 6 Vision Areas for State, includes targets for Baltimore City, and Healthy Baltimore 2015 which identified 10 Priority Areas. Comparison of Federal, State, and Local Health Priorities -National Prevention Strategy: 2011 Priority Areas -Maryland State Health Improvement Plan (SHIP) -2011 Healthy Baltimore 2015 -Tobacco Free Living Healthy Babies Promote Access to Quality Health Care for All -Preventing Drug Abuse & Excessive Alcohol Use Healthy Social Environments Be Tobacco Free -Healthy Eating Safe Physical Environments Redesign Communities to Prevent Obesity -Active Living Infectious Diseases Promote Heart Health -Injury & Violence Free Living Chronic Diseases Stop the Spread of HIV & Other ST Infections -Reproductive & Sexual Health Healthcare Access Recognize & Treat Mental Health Needs -Mental & Emotional Well-Being Reduce Drug Use & Alcohol Use -Encourage Early Detection of Cancer -Promote Healthy Children & Adolescents -Create Health Promoting Neighborhoods During the telephone interview with Laura Fox, MPH, Director, Office of Chronic Disease Prevention, Baltimore City Health Department (2/17/15), MWPH was able to identify the top 4 health problems per Baltimore City Mayors health priorities: 1. Cardiovascular Disease (CVD) Decrease premature mortality (as defined as death prior to 75 years) 2. Asthma With a concentration on pediatrics specifically 3. Heroin Use while a priority, no major initiatives to date 4. Diabetes as related to CVD as a co-morbidity Top Barriers to Health identified are: 1. Knowledge deficit with respect to health insurance 2. People dont know how to use (navigate) the system- need care connectors and/or health navigators 3. People arent sure what MCOs will accept them 4. Limited minutes on phone limits calls for assistance 5. General Education/Literacy (SDoH) Community Leaders MWPH facilitated a focus group in the Park Heights Community, which is located in the community benefit service area of the hospital which included over 30 Community Partners Focus Group (October 2014). The following needs were discussed/identified during this meeting: #1 Serious Problem identified: 44.8% reported the need for Health Literacy (See Chart 3) #2 Serious Problem identified: 35.7% reported the issue of Violence MWPH identified the top 3 moderate concerns and they are as follows, respectively; Behavioral/Mental Illness, Heart Disease, and Diabetes. We also were made aware that 86.7% of community received their health information from family & friends, 63% from Internet, 60% from church. The top 3 action items for this meeting that were discussed, Mobile Unit Screenings, Health Education, Community Engagement, Set up a Green Neighborhood as a Model, and Mental Health services. Social Determinants of Health (SDoH) Defined by the World Health Organization as: 'the conditions in which people are born, grow, live, work and age.' Methods Reviewed data from identified 2011 Baltimore City Health Departments Baltimore City Neighborhood Profiles, Baltimore City Food Desert Map (See Figure 5) Results Utilizing the Baltimore City Neighborhood Profiles, the community advocacy team identified SDoHs for the following zip codes within the CBSA (Community Benefit Service Area) Upton/ Druid Heights (21217), SW Baltimore (21223), Mondawmin Pimlico/ Arlington/ Hilltop (21216 & 21215) Howard Park/ W. Arlington (21207), Southern Park Heights (21215), Clifton-Berea (21206). The Top SDoHs identified were 'Low Education Attainment' (52.6% w/ less than HS degree), 'High Poverty Rate'(15.7%), 'High Unemployment Rate'(11%), Violence, and Poor Food Environment. Heal
Affiliated Health Care System RolesSchedule H, Part VI, Line 6 MWPH is a regional leader in pediatric specialty care and is a jointly owned corporate affiliate of the University of Maryland Medical Systems (UMMS) and Johns Hopkins Health System (Hopkins).
state filing of community benefit reportschedule h, part vi, line 7 Maryland

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
SHELDON STEIN
PRESIDENT CEO$247,539$0$93,204$0$3,514$0$154,245$0$16,799$0$515,301$0$0$0
MARY MILLER
CFO / VP - FINANCE$137,518$0$24,572$0$624$0$26,693$0$23,333$0$212,740$0$0$0
THOMAS ELLIS
VP - HUMAN RESOURCES$138,333$0$23,389$0$1,653$0$46,074$0$20,213$0$229,662$0$0$0
BARINADA GIADOM
ATTENDING PHYSICIAN$193,908$0$0$0$439$0$8,953$0$23,333$0$226,633$0$0$0
KATHERINE ALTER MD
DIRECTOR PHYSICAL MEDICINE$234,438$0$0$0$950$0$11,733$0$16,799$0$263,920$0$0$0
SILVIA WILLIAMS MD
ATTENDING PHYSICIAN$189,212$0$0$0$705$0$7,870$0$9,333$0$207,120$0$0$0
AJOKE AJAYI-AKINTADE MD
ATTENDING PHYSICIAN$190,258$0$0$0$634$0$10,858$0$0$0$201,750$0$0$0
STEPHEN NICHOLS MD
ATTENDING PHYSICIAN$216,752$0$0$0$275$0$11,308$0$23,333$0$251,668$0$0$0
JENNIFER BOWIE
VP - NURSING ADMIN$147,054$0$25,579$0$253$0$14,450$0$17,092$0$204,428$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceNon Fixed PaymentsFormAndLineReferenceDesc
ExplanationSchedule J, Part I, Line 7 BONUSES PAID ARE BASED ON A NUMBER OF VARIABLES INCLUDING BUT NOT LIMITED TO INDIVIDUAL GOAL ACHIEVEMENTS AS WELL AS ORGANIZATION OPERATION ACHIEVEMENTS. THE FINAL DETERMINATION OF THE BONUS AMOUNT IS DETERMINED AND APPROVED BY THE BOARD AS PART OF THE OVERALL COMPENSATION REVIEW OF THE OFFICERS AND KEY EMPLOYEES.ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1Maryland Health & Higher Educational FacilitiesBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN500936091BondIssuerEIN
CUSIP574216LR6CUSIPNum
Bond Issued2007-11-01BondIssuedDt
Issue Price$7,585,000IssuePriceAmt
PurposeConstructionPurposeDesc
DefeasedfalseDefeasedInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Pool FinancingfalsePoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$0RetiredAmt
Bond Defeased$7,585,000BondDefeasedAmt
Total Proceeds$0TotalProceedsAmt
In Reserve Fund$0InReserveFundAmt
Capitalized Interest$0CapitalizedInterestAmt
Refunding Escrow$0RefundingEscrowAmt
Issuance Costs From Proceeds$0IssuanceCostsFromProceedsAmt
Credit Enhancement$0CreditEnhancementAmt
Working Capital Expenditures$0WorkingCapitalExpendituresAmt
Capital Expenditures$0CapitalExpendituresAmt
Other Spent Proceeds$0OtherSpentProceedsAmt
Unspent$0UnspentAmt
Substantial Completion1985SubstantialCompletionYr
Current RefundingfalseCurrentRefundingInd
Advance RefundingfalseAdvanceRefundingInd
Final Allocation MadeYes (true)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (true)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed PropertyfalseOwningBondFinancedPropertyInd
Any Lease ArrangementsfalseAnyLeaseArrangementsInd
Mgmt Contract Bond Fincd PropfalseMgmtContractBondFincdPropInd
Any Research AgreementsfalseAnyResearchAgreementsInd
Private Bus Use By Others0PrivateBusUseByOthersPct
Bond Iss Meet Prvt Sec Pymt TestYes (true)BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed PropfalseChangeInUseBondFinancedPropInd
Remedial Action TakenfalseRemedialActionTakenInd
Procs Nonqualified Bond RemdtdYes (true)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T FiledfalseForm8038TFiledInd
Rebate Not Due YetfalseRebateNotDueYetInd
Exception To RebatefalseExceptionToRebateInd
No Rebate DueYes (true)NoRebateDueInd
Variable Rate IssueYes (true)VariableRateIssueInd
Hedge Identified In Bks And RecfalseHedgeIdentifiedInBksAndRecInd

Hedge Provider Name HedgeProviderName

FieldValueIRS element (for citing)
Business Name Line10BusinessNameLine1Txt
FieldValueIRS element (for citing)
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGICInd

GIC Provider Name GICProviderName

FieldValueIRS element (for citing)
Business Name Line10BusinessNameLine1Txt
FieldValueIRS element (for citing)
Gross Proceeds InvestedfalseGrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (true)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (true)ProceduresCorrectiveActionInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Members or StockholdersForm 990, Part VI, Line 6 and 7a JOHNS HOPKINS HEALTH SYSTEM (JHHS) AND THE UNIVERSITY OF MARYLAND MEDICAL SYSTEM (UMMS) ARE EQUAL MEMBERS OF MT. WASHINGTON PEDIATRIC HOSPITAL (MWPH). JHHS AND UMMS EACH ELECT AN EQUAL NUMBER OF MEMBERS TO THE BOARD OF MWPH.
Form 990 Review ProcessForm 990, Part VI, Line 11b THE IRS FORM 990 IS PREPARED AND REVIEWED BY THE ACCOUNTING FIRM OF GRANT THORNTON. ACCOUNTING PERSONNEL IN FINANCE SHARED SERVICES AT THE UNIVERSITY OF MARYLAND MEDICAL SYSTEM GATHER THE INFORMATION NEEDED TO COMPLETE THE RETURN AND INPUT THE DATA INTO THE GRANT THORNTON TAX ORGANIZER, WHICH IS AN EXCEL-BASED SYSTEM. WHEN ALL DATA HAS BEEN ENTERED, THE INFORMATION IS SUBMITTED TO GRANT THORNTON FOR IMPORTATION INTO THEIR TAX SOFTWARE. AT THIS POINT, GRANT THORNTON STAFF MEMBERS REVIEW THE DATA, ASK FOR ADDITIONAL INFORMATION IF NEEDED AND PREPARE THE TAX RETURN. EACH RETURN IS REVIEWED AT SEVERAL LEVELS AT GRANT THORNTON INCLUDING THE TAX PARTNER. AFTER THEIR REVIEW PROCESS, A DRAFT RETURN IS SENT TO THE ACCOUNTING STAFF AT UMMS FOR AN IN-HOUSE REVIEW. UPON COMPLETION OF THE IN-HOUSE REVIEW, GRANT THORNTON IS INSTRUCTED TO MAKE ANY NECESSARY CHANGES AND TO PREPARE THE FINAL TAX RETURN. THE FINAL RETURN UNDERGOES ANOTHER REVIEW BY THE ACCOUNTING STAFF AT FINANCE SHARED SERVICES AND IS ALSO REVIEWED BY THE ACCOUNTING MANAGER, THE DIRECTOR OF FINANCIAL REPORTING, THE VICE PRESIDENT OF FINANCE AND THE CFO, WHO SIGNS THE RETURN. PRIOR TO FILING THE IRS FORM 990, THE ORGANIZATION'S BOARD CHAIRMAN, TREASURER, AUDIT COMMITTEE CHAIRMAN, EXECUTIVE COMMITTEE CHAIRMAN OR OTHER MEMBER OF THE BOARD WITH SIMILAR AUTHORITY WILL REVIEW THE IRS FORM 990. AT THE DISCRETION OF THE REVIEWING BOARD MEMBER, SUCH MEMBER WILL BRING ANY ISSUES OR QUESTIONS RELATED TO THE COMPLETED IRS FORM 990 TO THE ATTENTION OF THE BOARD. NOTWITHSTANDING THE ABOVE, A BOARD RESOLUTION IS NOT REQUIRED FOR THE FILING OF THE ORGANIZATION'S IRS FORM 990. EACH BOARD MEMBER IS PROVIDED WITH A COPY OF THE FINAL IRS FORM 990 BEFORE FILING.
Conflict of Interest Policy Monitoring & EnforcementForm 990, Part VI, Line 12c THE ORGANIZATION'S OFFICERS, DIRECTORS, EMPLOYEES AND MEDICAL STAFF MEMBERS, AS APPLICABLE, SHALL DISCLOSE CONFLICTS OF INTEREST OR POTENTIAL CONFLICTS OF INTEREST BETWEEN THEIR PERSONAL INTERESTS AND THE INTERESTS OF THE ORGANIZATION, OR ANY ENTITY CONTROLLED BY OR OWNED IN SUBSTANTIAL PART BY THE ORGANIZATION. A QUESTIONNAIRE WHICH DISCLOSES POTENTIAL CONFLICTS OF INTEREST IS DISTRIBUTED ANNUALLY TO ALL OFFICERS, DIRECTORS AND KEY EMPLOYEES. THE GENERAL COUNSEL OF THE UNIVERSITY OF MARYLAND MEDICAL SYSTEM CORPORATION (UMMSC) REVIEWS THE RESPONSES FOR UMMSC AND JAMES LAWRENCE KERNAN HOSPITAL. THE CEO OR CFO OF EACH OF THE OTHER ENTITIES IN THE UNIVERSITY OF MARYLAND MEDICAL SYSTEM REVIEWS THE RESPONSES FOR THOSE ENTITIES. THE GENERAL COUNSEL, IN CONSULTATION WITH THE AUDIT COMMITTEE, IF NECESSARY, WOULD DETERMINE IF A CONFLICT OF INTEREST EXISTED FOR UMMSC, AND JAMES LAWRENCE KERNAN HOSPITAL. WITH RESPECT TO THE OTHER ENTITIES IN THE UNIVERSITY OF MARYLAND MEDICAL SYSTEM, THE GENERAL COUNSEL MAY BE CALLED FOR CONSULT. IF SO, THE GENERAL COUNSEL MAY CONSULT THE AUDIT COMMITTEE, IF NECESSARY. WHENEVER A CONFLICT OR POTENTIAL CONFLICT OF INTEREST EXISTS, THE NATURE OF THE CONFLICT OR POTENTIAL CONFLICT OF INTEREST MUST BE DISCLOSED IN WRITING TO THE ORGANIZATION'S BOARD, BOARD COMMITTEE, AN OFFICER OF THE ORGANIZATION OR OTHER APPROPRIATE EXECUTIVE. SUCH INDIVIDUAL HAVING A POTENTIAL CONFLICT OF INTEREST SHALL PLAY NO ROLE ON BEHALF OF THE ORGANIZATION, OR ANY ORGANIZATION CONTROLLED OR SUBSTANTIALLY OWNED, IN ANY TRANSACTION IN WHICH A CONFLICT EXISTS. ALL INVITATIONS FOR BIDS, PROPOSALS OR SOLICITATIONS FOR OFFERS INCLUDE THE FOLLOWING PROVISION: ANY VENDOR, SUPPLIER OR CONTRACTOR MUST DISCLOSE ANY ACTUAL OR POTENTIAL TRANSACTION WITH ANY ORGANIZATION OFFICER, DIRECTOR, EMPLOYEE OR MEMBER OF THE MEDICAL STAFF, INCLUDING FAMILY MEMBERS WITHIN FIVE DAYS OF THE TRANSACTION. FAILURE TO COMPLY WITH THIS PROVISION IS A MATERIAL BREACH OF AGREEMENT. IN ADDITION, A BOARD DISCLOSURE REPORT IS FILED WITH THE MARYLAND HEALTH SERVICES COST REVIEW COMMISSION ON AN ANNUAL BASIS SHOWING ANY BUSINESS TRANSACTIONS BETWEEN THE BOARD MEMBERS AND THE ORGANIZATION.
Process for Determining CompensationForm 990, Part VI, Lines 15a and 15b THE ORGANIZATION DETERMINES THE EXECUTIVE COMPENSATION PAID TO ITS EXECUTIVES IN THE FOLLOWING MANNER PRESCRIBED IN THE IRS REGULATIONS: EXECUTIVE COMPENSATION PACKAGES ARE DETERMINED BY A COMMITTEE OF THE BOARD THAT IS COMPOSED ENTIRELY OF BOARD MEMBERS WHO HAVE NO CONFLICT OF INTEREST. THE COMMITTEE ACQUIRES CREDIBLE COMPARABILITY MARKET DATA CONCERNING THE COMPENSATION PACKAGES OF SIMILARLY SITUATED EXECUTIVES. THE COMMITTEE CAREFULLY REVIEWS THAT DATA, THE EXECUTIVE'S PERFORMANCE AND THE PROPOSED COMPENSATION PACKAGES DURING THE DECISION MAKING PROCESS. THE COMMITTEE MEMORIALIZES ITS DELIBERATIONS IN DETAILED MINUTES REVIEWED AND ADOPTED AT THE NEXT-FOLLOWING MEETING. THE COMMITTEE SEEKS AN OPINION OF COUNSEL THAT IT HAS MET THE REQUIREMENTS OF THE IRS INTERMEDIATE SANCTIONS REGULATIONS. THIS PROCESS IS USED TO DETERMINE THE COMPENSATION PACKAGES FOR ALL MANAGEMENT EMPLOYEES FROM THE VICE PRESIDENT LEVEL AND UP.
How Documents are Made Available to the PublicForm 990, Part VI, Line 19 IN GENERAL, FINANCIAL AND TAX INFORMATION RELATING TO THE ORGANIZATION IS DEEMED PROPRIETARY AND NOT SUBJECT TO DISCLOSURE UPON REQUEST. HOWEVER, SPECIFIC PROVISIONS OF FEDERAL AND STATE LAW REQUIRE THE ORGANIZATION TO DISCLOSE CERTAIN LIMITED FINANCIAL AND TAX DATA UPON A SPECIFIC REQUEST FOR THAT INFORMATION. REQUESTS FOR FORM 990 AND FORM 1023: A REQUESTOR SEEKING TO REVIEW AND/OR OBTAIN A COPY OF THE ORGANIZATION'S IRS FORM 990 OR FORM 1023 AS FILED WITH THE INTERNAL REVENUE SERVICE, INCLUDING ALL SCHEDULES AND ATTACHMENTS, MAY APPEAR IN PERSON OR SUBMIT A WRITTEN REQUEST. THE MOST RECENT THREE YEARS OF IRS FORM 990 MAY BE REQUESTED. IF THE REQUESTER APPEARS IN PERSON, THE INDIVIDUAL IS DIRECTED TO THE OFFICE OF THE CHIEF FINANCIAL OFFICER FOR THE ORGANIZATION AND THE FORM 990 AND/OR FORM 1023 ARE MADE AVAILABLE FOR INSPECTION. THE INDIVIDUAL IS PERMITTED TO REVIEW THE RETURN, TAKE NOTES AND REQUEST A COPY. IF REQUESTED, A COPY IS PROVIDED ON THE SAME DAY. A NOMINAL FEE IS CHARGED FOR MAKING THE COPIES. THE ORGANIZATION MAY HAVE AN EMPLOYEE PRESENT DURING THE PUBLIC INSPECTION OF THE DOCUMENT. WRITTEN REQUESTS FOR AN ENTITY'S FORM 990 OR FORM 1023 ARE DIRECTED IMMEDIATELY TO THE OFFICE OF THE CHIEF FINANCIAL OFFICER FOR THE ORGANIZATION. THE REQUESTED COPIES ARE MAILED WITHIN 30 DAYS OF THE REQUEST. REPRODUCTION FEES AND MAILING COSTS ARE CHARGED TO THE REQUESTOR. CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS: IF THE GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY OF OUR ORGANIZATION ARE SUBJECT TO THE FEDERAL PUBLIC DISCLOSURE RULES (OR STATE PUBLIC DISCLOSURE RULES), THESE DOCUMENTS WILL BE MADE PUBLICLY AVAILABLE AS APPLICABLE LAW MAY REQUIRE. OTHERWISE, THE GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY WILL BE PROVIDED TO THE PUBLIC AT THE DISCRETION OF MANAGEMENT.
Reconciliation of Net AssetsForm 990, Part XI, Line 9 Unrestricted: Change in Funded Status of Defined Benefit Plan (115,530) Change in Economic Interest- MWPF Unrestricted (221,856) Net Assets Released for purchase of equipment 147,482 ------------ Restricted: Change in Economic Interest- MWPF Restricted 214,333 Net Assets Released for Operations (421,018) Net Assets Released for purchase of equipment (147,482) ------------ TOTAL CHANGE TO NET ASSETS (544,071)

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1Mount Washington Pediatric FoundationBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11708 West Rogers AvenueAddressLine1Txt
CityBaltimoreCityNm
State AbbreviationMDStateAbbreviationCd
ZIP21209ZIPCd
FieldValueIRS element (for citing)
EIN521736672EIN
Primary ActivitiesFundraisingPrimaryActivitiesTxt
Legal Domicile StateMDLegalDomicileStateCd
Exempt Code Section501(c)(3)ExemptCodeSectionTxt
Public Charity Status11aPublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1MWPHBusinessNameLine1Txt
FieldValueIRS element (for citing)
Controlled OrganizationYes (true)ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1Mt Washington Pediatric FoundationBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypecTransactionTypeTxt
Involved$358,482InvolvedAmt
Method Of Amount DeterminationfmvMethodOfAmountDeterminationTxt