2015-05-11T15:22:56-05:00 2014-06-30 990 2013-07-01 590683252 ALL CHILDREN'S HOSPITAL INC ATTN FINANCE DEPT 9010 ALLC 7277674401 501 SIXTH AVENUE SOUTH ST PETERSBURG FL 33701 NANCY STAHL VP FINANCE AND CFO 7277674401 2015-05-11 2013 2016-02-25 16:41:14Z JONATHAN ELLEN MD 501 SIXTH AVENUE SOUTH ST PETERSBURG FL 33701 564659243 0 X WWW.ALLKIDS.ORG X 1967 FL PROVIDE LEADERSHIP IN CHILD HEALTH THROUGH TREATMENT, EDUCATION, ADVOCACY AND RESEARCH. 33 29 3025 545 0 0 4952049 5503580 385066040 411869881 5975854 13079148 3226879 3310216 399220822 433762825 0 0 0 0 188729377 200607773 0 0 0 185233104 198807804 373962481 399415577 25258341 34347248 931200492 970556377 331320028 337327876 599880464 633228501 X THIS ORGANIZATION'S MISSION IS TO PROVIDE LEADERSHIP IN CHILD HEALTH THROUGH TREATMENT, EDUCATION, ADVOCACY, AND RESEARCH. THE ORGANIZATION (1) DELIVERS QUALITY INPATIENT AND OUTPATIENT HOSPITAL AND HEALTHCARE SERVICES WITH COMPASSION AND COMMITMENT TO FAMILY-CENTERED CARE, (2) PROVIDES EDUCATIONAL PROGRAMS FOR THE ORGANIZATION'S PATIENTS, FAMILIES, EMPLOYEES, AND HEALTHCARE PROFESSIONALS, (3) PROVIDES LEADERSHIP IN PROMOTING THE WELL-BEING OF CHILDREN AND (4) DEVELOPS, SUPPORTS AND PARTICIPATES IN CLINICAL, BASIC, AND TRANSLATIONAL RESEARCH. 0 0 94576000 0 94331000 THE CRITICAL CARE PROGRAM AT THE HOSPITAL INCLUDES THE PEDIATRIC INTENSIVE CARE UNIT AND PEDIATRIC MEDICINE. THIS PROGRAM EXPERIENCED 13,634 INPATIENT BEDS DAYS DURING THE PERIOD COVERED UNDER THIS RETURN. IN ADDITION, 41,380 OUTPATIENT VISITS WERE ATTRIBUTABLE TO THE CRITICAL CARE PROGRAM. THIS PROGRAM TREATS ACUTELY-ILL PATIENT'S PRESENTING WITH MEDICAL CONDITIONS OTHER THAN SURGICAL, CARDIAC AND HEMATOLOGY/ONCOLOGY. EXAMPLES INCLUDE PNEUMONIA, MENINGITIS AND OTHER INFECTIOUS DISEASES. HOSPITAL-BASED PHYSICIANS CARING FOR THESE PATIENTS INCLUDE 21 PEDIATRIC HOSPITALISTS AND 9 PEDIATRIC INTENSIVISTS. IN ADDITION, THE HOSPITAL PROVIDES EMPLOYED CHAPLAIN SERVICES, CHILD LIFE SERVICES, SOCIAL WORK SERVICES, DIETICIAN SERVICES AND REHABILITATIVE SERVICES TO THESE PATIENTS. MANY OF THESE PATIENTS ARE REFERRED TO THE HOSPITAL FROM OUTLYING COMMUNITY ACUTE-CARE HOSPITALS PRIMARILY SERVING ADULTS THAT LACK THE BREADTH AND DEPTH OF PEDIATRIC SUBSPECIALTY PROVIDERS NEEDED TO TREAT THESE MORE ACUTE PATIENTS. 67536000 0 96617000 THE NEONATOLOGY PROGRAM AT ALL CHILDREN'S HOSPITAL IS A SPECIALITY OF PEDIATRICS THAT FOCUSES ON TREATING PREMATURE INFANTS OR INFANTS WITH CRITICAL MEDICAL CONDITIONS. AN ALL CHILDREN'S AFFILIATE EMPLOYS 24 NEONATOLOGISTS THAT PROVIDE TWENTY-FOUR HOUR CARE IN THE NEONATAL INTENSIVE CARE UNIT (NICU). ALL CHILDREN'S NICU IS A LEVEL III NICU OFFERING THE HIGHEST LEVEL OF NEONATAL CARE TO THE NEWBORNS OF FLORIDA, THE SOUTHEAST US, AND MANY NEIGHBORING INTERNATIONAL LOCATIONS. THE HOSPITAL IS DESIGNATED A REGIONAL PERINATAL INTENSIVE CARE CENTER (RPICC) BY THE STATE OF FLORIDA'S CHILDREN'S MEDICAL SERVICES, PROVIDING HIGH-RISK OBSTETRICAL CARE AND NEONATAL INTENSIVE CARE TO ALL PATIENTS REGARDLESS OF FINANCIAL NEEDS. THE NICU PROVIDED 30,392 DAYS OF INPATIENT CARE DURING THE PERIOD COVERED BY THIS RETURN. THE NEONATOLOGY PROGRAM IS ALSO SUPPORTED BY AN EMPLOYED NEONATAL TRANSPORT TEAM AVAILABLE AT ANY TIME TO TRANSPORT THESE PATIENTS SAFELY AND EFFICIENTLY BY AMBULANCE OR AIR TRANSPORT FROM OUTLYING FACILITIES. 46137000 0 41847000 THE ALL CHILDREN'S CENTER FOR PEDIATRIC CANCER AND BLOOD DISORDERS ("CENTER") PROVIDES CLINICAL CARE AND RESEARCH TRIALS FOR CHILDREN, ADOLESCENTS, AND YOUNG ADULTS IN WEST AND WEST CENTRAL FLORIDA. ALL CHILDREN'S IS THE PRIMARY CANCER CENTER IN WEST FLORIDA PROVIDING MULTIDISCIPLINARY CARE FOR CHILDREN AND ADOLESCENTS. THE CENTER'S PROGRAMS INCLUDE THE ONCOLOGY PROGRAM SUPPORTED BY DIAGNOSTIC RADIOLOGISTS WITH EXPERTISE IN INTERVENTIONAL RADIOLOGY, PEDIATRIC SURGEONS, PEDIATRIC RADIATION ONCOLOGISTS, CHILD LIFE SPECIALISTS, PHYSICAL AND OCCUPATIONAL THERAPY, A CLINICAL PHARMACIST, AND SOCIAL WORKERS. OTHER PROGRAMS INCLUDE THE HEMATOLOGY PROGRAM THAT FOLLOWS APPROXIMATELY 300 PATIENTS WITH SICKLE CELL DISEASE AND OFFERS MULTIDISCIPLINARY THERAPY FOR THESE PATIENTS AND THEIR FAMILIES. INPATIENT ACCOMMODATIONS INCLUDE A 28-BED UNIT FOR HEMATOLOGY/ONCOLOGY AND MARROW/STEM TRANSPLANT PATIENTS, A POSITIVE-PRESSURE AIRFLOW SYSTEM, UNIT-BASED ONCOLOGY SOCIAL WORKER, CASE MANAGER AND CHILD LIFE SPECIALIST, DEDICATED PLAYROOM, HOSPITAL-BASED TEACHER, IN-ROOM ACCOMMODATIONS FOR TWO PARENTS AND A DAY-INFUSION CENTER. DURING THE PERIOD COVERED BY THIS RETURN, 5,530 DAYS OF INPATIENT CARE WERE PROVIDED AND 9,889 OUTPATIENT VISIT EPISODES OF CARE WERE PROVIDED TO THESE PATIENTS. 151813134 179074881 151813134 179074881 360062134 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 X 270 0 1 3025 1 0 0 0 0 0 0 0 0 0 0 X 33 29 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X NANCY STAHL 7277672582 501 SIXTH AVENUE SOUTH ST PETERSBURG FL 33701 R WILLIAM HORTON SR VP-STRATEGIC PLAN/TRUST 20.00 40.00 X X 1069132 0 47518 TIMOTHY BARBER TRUSTEE 1.00 X 0 0 0 SANDRA DIAMOND SECRETARY OF TRUSTEE 1.00 X X 0 0 0 MICHAEL BARODY TRUSTEE 1.00 X 0 0 0 HAMDEN BASKIN III TRUSTEE 1.00 X 0 0 0 KEN COPPEDGE TREASURER BOARD OF TRUSTEE 3.00 X X 0 0 0 MICHAEL CANNOVA TRUSTEE 1.00 X 0 0 0 VINCENT DOLAN TRUSTEE 1.00 X 0 0 0 GEORGE J DOVER MD TRUSTEE 1.00 X 0 0 0 JONATHAN ELLEN MD PRESIDENT/VICE DEAN/PIC/TR 47.00 7.00 X X 805337 0 97840 JOSEPH W FLEECE III CHAIRMAN BOARD OF TRUSTE 3.00 3.00 X X 0 0 0 DARLENE GRAYSON TRUSTEE 1.00 X 0 0 0 NANCY HAMILTON TRUSTEE 1.00 X 0 0 0 TROY HOLLAND TRUSTEE 1.00 X 0 0 0 WILLIAM HORNER EX OFFICIO/TRUSTEE 3.00 X 0 0 0 JACK KIRKLAND TRUSTEE 3.00 X 0 0 0 ERIC KOBREN TRUSTEE 1.00 X 0 0 0 WILLIAM LANE JR TRUSTEE 1.00 X 0 0 0 DARRYL LECLAIR TRUSTEE 3.00 X 0 0 0 MARK LETTELLEIR TRUSTEE 1.00 X 0 0 0 TOM MAHAFFEY TRUSTEE 1.00 X 0 0 0 MILTON H MILLER JR TRUSTEE 1.00 X 0 0 0 MARK MONDELLO TRUSTEE 1.00 X 0 0 0 RONALD PETERSON CORP VICE CHAIR/TRUSTEE 3.00 57.00 X X 0 1980826 1418697 PAUL RESOP TRUSTEE 1.00 X 0 0 0 CRAIG SHER TRUSTEE 1.00 X 0 0 0 RAYMOND SMITH TRUSTEE 1.00 X 0 0 0 MARK STROUD VICE CHAIRMAN OF THE BOARD 3.00 X X 0 0 0 STEPHANIE GOFORTH EX OFFICIO/TRUSTEE 3.00 3.00 X 0 0 0 STEVEN A RAYMUND TRUSTEE 1.00 X 0 0 0 JENNIFER R CASATELLI MD EX OFFICIO/TRUSTEE 1.00 40.00 X 0 209612 14482 EDWARD D MILLER MD TRUSTEE 1.00 X 0 0 0 MARTHA LITTLE TRUSTEE 1.00 X 0 0 0 NANCY STAHL VP FINANCE/CFO 41.00 19.00 X 409696 0 39466 CALVIN L POPOVICH VP INFORMATION TECHNOLOGY 52.00 8.00 X 316615 0 43626 JAY KUHNS VP HUMAN RESOURCES 52.00 8.00 X 298242 0 47850 CYNTHIA ROSE VP MARKETING & COMMUNITY R 58.00 2.00 X 179157 0 28126 HELLA EWING VP CHIEF NURSING OFFICER 58.00 2.00 X 289447 0 36861 HELENE M MARRA ASSISTANT SECRETARY 53.00 7.00 X 70787 0 20174 BRIGITTA MUELLER MD VICE PRESIDENT MEDICAL AFFAIRS 40.00 20.00 X 0 0 0 ANTHONY NAPOLITANO MD CO-CHAIR DEPT OF PED MEDICINE 60.00 X 367016 0 35196 CAROLYN CAREY MD NEUROSURGEON 10.00 40.00 X 305000 588226 34130 GERALD TUITE MD NEUROSURGEON 10.00 40.00 X 300000 582226 48380 LUIS RODRIGUEZ MD NEUROSURGEON 10.00 40.00 X 307500 582336 46600 RICHARD HARMEL MD PED SURGEON 10.00 40.00 X 150000 568972 43117 NEBBIE WALFORD PED SURGEON 10.00 40.00 X 145500 374098 19075 GARY A CARNES FORMER/PRESIDENT & CEO/TRU 0.00 X 867162 0 0 ARNOLD T STENBERG JR FORMER EXEC VP/CAO/TRUSTEE 47.00 13.00 X 817650 0 32981 TIMOTHY STROUSE FORMER VP FACILITIES MANAGEMENT 52.00 8.00 X 191273 0 26105 JOHN HARDING III FORMER VP OPERATIONS 55.00 5.00 X 250132 0 30753 7139646 4886296 2110977 164 1 1 1 FAIELLA & GULDEN PA 243 WEST PARK AVE WINTER PARK FL 32789 LAW FIRM 5100000 HILL WARD & HENDERSON PO BOX 2532 TAMPA FL 33601 LAW FIRM 1080713 CHILDREN'S ORTHOPAEDIC & SCOLIOSIS SURGE 625 6TH AVE SOUTH STE 450 ST PETERSBURG FL 33701 PHYSICIANS SERVICES 970826 COMPREHENSIVE CARE SERVICESINC 31330 SCHOOLCRAFT 200 LIVONIA MI 48150 HEALTH CONTRACT SERVICES 696471 QUEST DIAGNOSTICS 10101 RENNER BLVD LENEXA KS 66219 LAB SERVICES 628023 33 2064595 2783939 655046 5503580 HOSPITAL INPT & OUTPT 621990 221587596 221587596 MEDICARE/MEDICAID PYMN 621990 160084483 160084483 STATE OF FLORIDA SPECI 621990 9743576 9743576 CHILDREN'S HOSPITAL GR 621990 3448955 3448955 RETAIL PHARMACY INCOME 621990 2389621 2389621 14615650 14615650 411869881 4139881 4139881 3310216 0 3310216 3310216 3310216 136973000 2862685 130896418 0 6076582 2862685 8939267 8939267 433762825 411869881 0 16389364 3757464 3757464 153226111 149599886 3626225 8772715 8553145 219570 23741051 23071568 669483 11110432 10763359 347073 2550396 1001256 1549140 115189 115189 204438 204438 76754 76754 622699 66000 556699 10438518 10290278 148240 86225853 78379991 7845862 5686795 2758499 2928296 16970995 12628793 4342202 2195362 796645 1398717 295422 210860 84562 5785197 5785197 36528503 28879434 7649069 14851057 14849204 1853 OTHER SERVICES 6997815 5931865 1065950 INDIGENT FEE ASSESSMENT 5135827 5135827 0 COLLECTION SERVICES 1411022 0 1411022 DUES & SUBSCRIPTIONS 1114195 571536 542659 1601767 788791 812976 399415577 360062134 39353443 0 2696293 3458055 94733917 92408776 1176964 668350 35386420 60030519 8600345 8529321 9904828 9610884 519221411 119262148 422116908 399959263 244387477 281490786 1088319 1158591 12775364 14719062 98333657 98522770 931200492 970556377 59165984 68412917 215246547 210703107 56907497 58211852 331320028 337327876 X 577150907 609846332 9719170 9308263 13010387 14073906 599880464 633228501 931200492 970556377 X 34347248 28748516 -29747727 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 76754 0 0 76754 0 SCHEDULE C, PART 11-B, LINE 1G THE REPORTING ORGANIZATION IS AN ADVOCATE FOR CHILD HEALTHCARE ISSUES DIRECTLY TO STATE AND FEDERAL LEGISLATORS AND THROUGH OTHER CHILD HEALTH ADVOCACY GROUPS AS A MEMBER. THE REPORTING ORGANIZATION ADVOCATES FOR CHILDREN WHO ARE GENERALLY UNABLE TO DO SO FOR THEMSELVES. EFFORTS INCLUDE COVERAGE AND REIMBURSEMENT ISSUES FOR CHILDREN OF INDIGENT FAMILIES, MEDICAL TRAINING ISSUES OF PEDIATRIC MEDICAL STUDENTS, AND OTHER ISSUES SPECEFIC TO SAFETY NET HOSPITALS. DURING THE REPORTING PERIOD $50,432 WAS SPENT ON THESE EFFORTS. ALL CHILDRENS HOSPITAL PAID ITS PARENT CORPORATION, THE JOHNS HOPKINS HEALTH SYSTEM CORPORATION $26,322 DURING THE FISCAL YEAR ENDED JUNE 30, 2014 TO SUPPORT THEIR LOBBYING ACTIVITIES. THE JOHNS HOPKINS HEALTH SYSTEM MAINTAINS A DEPARTMENT OF GOVERNMENTAL RELATIONS. THE PRIMARY PURPOSE OF THIS DEPARTMENT IS TO MAINTAIN CONTACT WITH ELECTED AND APPOINTED STATE OFFICIALS, AND OCCASIONAL FEDERAL OFFICIALS, REGARDING ISSUES WHICH IMPACT THE JOHNS HOPKINS HEALTH SYSTEM OR ITS AFFILIATES AS WELL AS THE HEALTHCARE INDUSTRY IN GENERAL. 14436278 1442000 15878278 13601278 835000 14436278 14315278 -714000 13601278 12995278 26000 1294000 14315278 11144938 1850340 12995278 1.00000 0 0 21514676 21514676 299383205 39560963 259822242 773474 570523 202951 192136011 77439823 114696188 5414045 1690839 3723206 399959263 DUE TO AFFILIATES 10586813 INTEREST IN NET ASSETS OF FOUNDATION 72803317 TRADE NAME 11670000 DEBT ISSUANCE COSTS 143239 OTHER ASSETS 3319401 98522770 PROFESSIONAL LIABILITY 30807822 INTEREST RATE SWAP AGREEMENTS 25164126 OBLIGATION UNDER CAPITAL LEASES 315640 OTHER LIABILITIES 1924264 58211852 X 463088000 28748516 577877 29326393 433761607 1218 1218 433762825 399416000 423 423 399415577 0 399415577 PART V, LINE 4: THE INTENDED USE FOR ALL CHILDREN'S HOSPITAL ENDOWMENT FUNDS ARE SPECIFIC TO PROGRAM NEEDS AS DESIGNATED BY THE DONORS. PART X, LINE 2: FASB'S GUIDANCE ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES CLARIFIES THE ACCOUNTING FOR UNCERTAINTY OF INCOME TAX POSITIONS. THIS GUIDANCE DEFINES THE THRESHOLD FOR RECOGNIZING TAX RETURN POSITIONS IN THE FINANCIAL STATEMENTS AS "MORE LIKELY THAN NOT" THAT THE POSITION IS SUSTAINABLE, BASED ON ITS TECHNICAL MERITS. THE GUIDANCE ALSO PROVIDES GUIDANCE ON THE MEASUREMENT, CLASSIFICATION AND DISCLOSURE OF TAX RETURN POSITIONS IN THE FINANCIAL STATEMENTS. THERE WAS NO IMPACT ON THE HOSPITAL'S FINANCIAL STATEMENTS DURING THE YEARS ENDED JUNE 30, 2014 AND 2013. PART XI, LINE 2D - OTHER ADJUSTMENTS: NET ASSETS RELEASED FROM RESTRICTION 577,877. PART XI, LINE 4B - OTHER ADJUSTMENTS: ROUNDING 1,218. PART XII, LINE 2D - OTHER ADJUSTMENTS: ROUNDING 423. 1 1 X 1 X 1 X 1 1 1 0 1 1 2397390 0 2397390 0.00600 230556095 217973434 12582661 0.03150 232953485 217973434 14980051 0.03750 2086861 318241 1768620 0.00440 6761805 3448955 3312850 0.00830 15976351 10459813 5516538 0.01380 1027582 0 1027582 0.00260 1120056 0 1120056 0.00280 26972655 14227009 12745646 0.03190 259926140 232200443 27725697 0.06940 172264 0 172264 0.00040 172264 172264 0.00040 0 6149565 0 1003855 1113374 -109519 X 1 0 1 1 ALL CHILDREN'S HOSPITAL INC 501 6TH AVENUE SOUTH ST PETERSBURG FL 33701 WWW.ALLKIDS.ORG/ 4042 X X X X ALL CHILDREN'S HOSPITAL INC 1 1 X X X X X X X X X 12 1 0 1 X WWW.ALLKIDS.ORG/BODY.CFM?ID=1852 X X X X X X X X X 0 0 1 1 200.000000000000 1 400.000000000000 1 X X X X 1 1 X X 1 0 1 X 0 1 ALL CHILDREN'S HOSPITAL, INC PART V, SECTION B, LINE 3: TO GATHER INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY ACH THE FOLLOWING WAS DONE:A)ESTABLISHED A COMMUNITY ADVISORY COMMITTEE (CAC). B)THE JUVENILE WELFARE BOARD FACILITATED THE INVOLVEMENT OF COMMUNITY-BASED ORGANIZATIONS IN THE QUALITATIVE RESEARCH PROCESS, BY HELPING TO RECRUIT AND HOST FOCUS GROUPS WITH PARENTS AND CAREGIVERS.C)SIX FOCUS GROUPS AND 16 INTERVIEWS WITH COMMUNITY STAKEHOLDER WERE CONDUCTED.D)FIVE FOCUS GROUPS WERE CONDUCTED WITH PARENTS AND CAREGIVERS OF THE GENERAL PUBLIC RESIDING IN THE FIVE AT-RISK COMMUNITIES. A TOTAL OF 62 INDIVIDUALS PARTICIPATED IN THESE FOCUS GROUPS.E)ONE FOCUS GROUP WITH ACH STAFF AND INCLUDED 18 INDIVIDUALS REPRESENTING A WIDE RANGE OF DEPARTMENTS.F)INTERVIEWS WERE CONDUCTED WITH 18 INDIVIDUALS FROM A RANGE OF SECTORS INCLUDING GOVERNMENT OFFICIALS, EDUCATIONAL LEADERS, SOCIAL SERVICE PROVIDERS, AND HEALTH CARE PROVIDERS. ALL CHILDREN'S HOSPITAL, INC PART V, SECTION B, LINE 7: A RATING AND RANKING PROCESS THAT INCLUDED AGREED UPON SELECTION CRITERIA, WAS USED TO PRIORITIZE THE MANY PRESSING COMMUNITY HEALTH NEEDS IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). THE ADDITIONAL TOPIC AREAS THAT WERE IDENTIFIED BY THE CHNA PROCESS (ENVIRONMENT, AIR QUALITY, FOOD SECURITY AND HUNGER, WELLNESS, ORAL HEALTH, COMMUNICABLE DISEASE, SEXUAL HEALTH, AND INJURIES) HAD A LOWER RANKING DURING THE PRIORITIZATION PROCESS. WHILE ACH WILL FOCUS THE MAJORITY OF OUR EFFORTS ON THE IDENTIFIED NEEDS IN THE STRATEGIC COMMUNITY BENEFIT PLAN, WE WILL REVIEW THE COMPLETE SET OF PRIORITIES AS THEY EMERGE TO DETERMINE OUR RESPONSE AND MAKE ANY ADJUSTMENTS IN OUR PLANS. ALL CHILDREN'S HOSPITAL, INC PART V, SECTION B, LINE 22: THE HOSPITAL CONTINUES TO IMPLEMENT RECENT GUIDANCE RELATED TO ITS FAP-ELIGIBLE PATIENTS. THE IMPLEMENTATION WAS NOT COMPLETE DURING THE PERIOD COVERED BY THIS RETURN. 9 ALL CHILDREN'S OUTPT CARE - BRANDON 885 SOUTH PARSONS AVE BRANDON FL 33511 PEDIATRIC OUTPATIENT CLINIC ALL CHILDREN'S OUTPT CARE - EAST LAKE 3850 TAMPA RD PALM HARBOR FL 34684 PEDIATRIC OUTPATIENT CLINIC ALL CHILDREN'S OUTPT CARE - FT MYERS 4550 COLONIAL BLVD FT MYERS FL 33966 PEDIATRIC OUTPATIENT CLINIC ALL CHILDREN'S OUTPT CARE - LAKELAND 3310 LAKELAND HILLS BLVD LAKELAND FL 33805 PEDIATRIC OUTPATIENT CLINIC ALL CHILDREN'S OUTPT CARE LAKEWOOD RANCH 8340 LAKEWOOD RANCH BLVD STE 160 BRADENTON FL 34202 PEDIATRIC OUTPATIENT CLINIC ALL CHILDREN'S OUTPATIENT CARE - PASCO 4443 ROWAN RD NEW PORT RICHEY FL 34653 PEDIATRIC OUTPATIENT CLINIC ALL CHILDREN'S SERTOMA OUTPT CARE CITRUS 538 NORTH LECANTO HWY STE 538 LECANTO FL 34461 PEDIATRIC OUTPATIENT CLINIC ALL CHILDREN'S OUTPT CARE - SARASOTA 5881 RAND BLVD SARASOTA FL 34238 PEDIATRIC OUTPATIENT CLINIC ALL CHILDREN'S OUTPT CARE - TAMPA 12220 BRUCE B DOWNS BLVD TAMPA FL 33612 PEDIATRIC OUTPATIENT CLINIC PART I, LINE 3C: IN ADDITION TO FPG, THE HOSPITAL ALSO PROVIDES FINANCIAL ASSISTANCE DISCOUNTS BASED ON MEDICAL FINANCIAL HARDSHIP CAUSED BY SIGNIFICANT MEDICAL DEBT. FACTORS THE HOSPITAL CONSIDERS WHEN EVALUATING MEDICAL DEBT LEVELS FOR FINANCIAL ASSISTANCE INCLUDE (1) MEDICAL DEBT INCURRED OVER THE PRIOR TWELVE MONTHS PRECEDING THE DATE OF A FINANCIAL HARDSHIP APPLICATION, (2) AN ASSET TEST SUCH THAT A LIQUID ASSETS OF THE GUARANTOR WILL NOT FALL BELOW $10,000 DUE TO MEDICAL DEBT, AND (3) FAMILY INCOME. PART I, LINE 7: A COST-TO-CHARGE RATIO (FROM WORKSHEET 2) IS USED TO CALCULATE THE AMOUNTS ON LINE 7A&7B (FINANCIAL ASSISTANCE AT COST AND UNREIMBURSED MEDICAID). THE AMOUNTS FOR LINES 7E-7I WOULD COME FROM THE BOOKS AND RECORDS OF SPECIFIC SEGMENTS OF THE ORGANIZATION AND WOULD NOT BE BASED ON A COST-TO CHARGE RATIO. PART I, LINE 7G: SUBSIDIZED HEALTH SERVICES DO NOT INCLUDE ANY COSTS ATTRIBUTABLE TO A PHYSICIAN CLINIC. PART II, COMMUNITY BUILDING ACTIVITIES: THE HOSPITAL SPONSORS AND TAKES PART IN COMMUNITY HEALTH SERVICES THAT ADDRESS CHILD SAFETY, DISEASE MANAGEMENT, AND PREVENTATIVE HEALTH WITH PROGRAMS THAT INCLUDE: ASTHMA EDUCATION; INFANT AND TODDLER HEALTH AND DEVELOPMENTAL SCREENING; PARENT SUPPORT GROUPS; AND A WEIGHT MANAGEMENT AND OBESITY PREVENTION PROGRAM. ALL CHILDRENS SPONSORS THE SUNCOAST SAFE KIDS COALITION AND ITS PROGRAMS ON CHILD PASSENGER SAFETY, PEDESTRIAN SAFETY, WATER SAFETY AND DROWNING PREVENTION. PART III, LINE 2: THE PROVISION FOR BAD DEBTS IS BASED UPON A COMBINATION OF THE PAYOR SOURCE, THE AGING OF RECEIVABLES AND MANAGEMENTS ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS, TRENDS IN HEALTH INSURANCE COVERAGE, AND OTHER COLLECTION INDICATORS. PART III, LINE 3: ALL CHILDREN'S HOSPITAL (ACH) DOES NOT REPORT AN ESTIMATE FOR THE PORTION OF BAD DEBT EXPENSE THAT MAY BE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. ACH TAKES THE POSITION THAT AMPLE OPPORTUNITY AND ASSISTANCE IS PROVIDED TO THE PATIENT TO QUALIFY UNDER THE FINANCIAL ASSISTANCE POLICY. IF SUFFICIENT INFORMATION IS NOT PROVIDED, THEN ACH MUST ASSUME THE PATIENT DOES NOT QUALIFY. PART III, LINE 4: ACH AUDITED FINANCIAL STATEMENTS PAGE 10. PART III, LINE 8: PART III, LINE 7 - THE SHORTFALL IN MEDICARE ALLOWABLE COSTS IS NOT TREATED AS A COMMUNITY BENEFIT.PART III, LINES 5 AND 6 METHODOLOGY: A STEP-DOWN PROCESS IS USED TO ALLOCATE ADMINISTRATIVE AND GENERAL COSTS TO PATIENT CARE DEPARTMENTS, AS WELL AS DEPARTMENTS THAT ARE NON-ALLOWABLE FOR MEDICARE. UPON ALLOCATION, A DAILY COST RATE IS COMPUTED FOR ROOM AND BOARD SERVICES. THE RESULTING DAILY COSTS ARE APPLIED TO THE NUMBER OF MEDICARE DAYS TO DETERMINE ALLOWABLE ROOM AND BOARD COSTS. FOR ANCILLARY SERVICES, A RATIO OF COST TO CHARGES (RCC) IS COMPUTED USING TOTAL ANCILLARY CHARGES. THE RCC IS THEN APPLIED TO CHARGES INCURRED BY MEDICARE PATIENTS TO DETERMINE ALLOWABLE MEDICARE COSTS. WITH THE EXCEPTION OF PASS-THROUGH COSTS (CAPITAL-RELATED, NON-PHYSICIAN ANESTHETIST, AND MEDICAL EDUCATION COSTS), ALLOWABLE MEDICARE COSTS ARE SUBJECT TO A TEFRA TARGET AMOUNT, WHICH IS COMPUTED ON A DISCHARGE BASIS. IF ALLOWABLE COSTS EXCEED THE TEFRA TARGET AMOUNT, THE FACILITY IS REIMBURSED IN THE AMOUNT OF THE TARGET LIMIT PLUS A RELIEF PAYMENT. IF ALLOWABLE COSTS ARE UNDER THE TARGET AMOUNT, THE FACILITY IS REIMBURSED BY THE AMOUNT OF THE TARGET LIMIT PLUS A BONUS PAYMENT. PART VI, LINE 2: EXISTING SOCIAL, ECONOMIC, AND HEALTH DATA WERE DRAWN FROM NATIONAL, STATE, COUNTY, AND LOCAL SOURCES, SUCH AS THE U.S. CENSUS AND FLORIDA DEPARTMENT OF HEALTH, WHICH INCLUDE SELF-REPORT, PUBLIC HEALTH SURVEILLANCE, AND VITAL STATISTICS DATA. OVER 80 INDIVIDUALS FROM MULTI-SECTOR ORGANIZATIONS, COMMUNITY STAKEHOLDERS, AND RESIDENTS WERE ENGAGED IN FOCUS GROUPS AND INTERVIEWS TO GAUGE THEIR PERCEPTIONS OF THE COMMUNITY, PRIORITY HEALTH CONCERNS, AND WHAT PROGRAMMING, SERVICES, OR INITIATIVES ARE MOST NEEDED TO ADDRESS THESE CONCERNS. FINALLY, AN ENVIRONMENTAL SCAN OF HEALTH-RELATED PROGRAMS AND SERVICES WAS CONDUCTED IN ORDER TO ASSESS THE CURRENT LANDSCAPE OF ACTIVITY RELATED TO CHILDHOOD OBESITY, ASTHMA, TOBACCO, INJURY AND VIOLENCE PREVENTION, MENTAL HEALTH, SUBSTANCE USE, AND YOUTH EMPOWERMENT.MUCH OF THE SECONDARY DATA WAS DERIVED FROM HEALTHY TAMPA BAY, AN INITIATIVE OF ONE BAY: HEALTHY COMMUNITIES. PART VI, LINE 3: ACH INFORMS ITS PATIENTS ABOUT THE FINANCIAL ASSISTANCE POLICY THROUGH A NUMBER OF MEANS, INCLUDING SIGNS IN ENGLISH AND SPANISH POSTED IN PATIENT WAITING AND REGISTRATION AREAS STATING THAT ESTIMATES OF CARE CAN BE PROVIDED, UPON REQUEST.ALL PATIENTS INDICATING A NEED FOR CHARITY CARE ARE REFERRED TO A FINANCIAL COUNSELOR WHO REVIEWS WITH THEM THE AVAILABILITY OF VARIOUS GOVERNMENT BENEFIT AND PROGRAMS, AND ASSISTS THEM WITH APPLICATION TO SUCH PROGRAMS. IF THE PATIENT DOES NOT HAVE INSURANCE, ACH FINANCIAL COUNSELORS WILL SCHEDULE AN INTERVIEW WITH THE PATIENT TO DETERMINE PAYMENT ARRANGEMENTS AND/OR ASSIST THE PATIENT IN COMPLETING A MEDICAL ASSISTANCE APPLICATION. PART VI, LINE 4: THE HOSPITAL CONSIDERS ITS COMMUNITY BENEFIT SERVICE AREA (CBSA) AS SPECIFIC POPULATIONS OR COMMUNITIES OF NEED TO WHICH THE HOSPITAL ALLOCATES RESOURCES THROUGH ITS COMMUNITY BENEFIT PLAN. THE CBSA IS DEFINED AS PINELLAS COUNTY. THE GENERAL DATA FOR THIS COMMUNITY BENEFIT SERVICE AREA ARE AS FOLLOWS: TOTAL POPULATION WAS 931,741 OF WHICH 48% WERE MALES AND 52% WERE FEMALES, AVERAGE HOUSEHOLD INCOME WAS $44,273, 19% OF RESIDENTS ARE UNINSURED, 11% OF RESIDENTS ARE COVERED BY MEDICAID/MEDICARE, 12% OF PEOPLE HAD INCOME BELOW THE FEDERAL POVERTY GUIDELINES.NUMBER OF OTHER HOSPITALS SERVING THE COMMUNITY OR COMMUNITIES: 48FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREAS OR POPULATIONS ARE PRESENT IN THE COMMUNITY. PART VI, LINE 5: ALL CHILDREN'S IS DEDICATED TO ONE OF THE MOST EFFECTIVE TOOLS IN PROMOTING GOOD HEALTH - EDUCATION THROUGH COMMUNITY OUTREACH TO CHILDREN AND FAMILIES. SOME OF THE PROGRAMS ARE MENTIONED ABOVE. OTHERS INCLUDE PARTICIPATION AT SEVERAL LOCAL CHILDREN'S MUSEUMS WITH INTERACTIVE DISPLAYS ON NUTRITION, SAFETY AND SPORTS. ALL CHILDREN'S SUPPORTS AN IN-CLASSROOM PROGRAM, MORE HEALTH, IN THE PINELLAS COUNTY SCHOOLS REACHING MORE THAN 70,000 STUDENTS ANNUALLY. IN ADDITION, THE HOSPITAL PROMOTES BIKE, PEDESTRIAN AND SPORTS SAFETY PROGRAMS IN THE SCHOOLS. THE HOSPITAL CONDUCTS MULTIPLE SCHOOL NURSE PROGRAMS IN ORDER TO ENHANCE THE KNOWLEDGE OF SCHOOL NURSES IN OUR CATCHMENT AREA. WE HOST SUPPORT GROUPS AND COMMUNITY ORGANIZATIONS AT OUR FACILITIES AND PROVIDE SPEAKERS TO NUMEROUS COMMUNITY ORGANIZATIONS THROUGH THE YEAR. ALL CHILDREN'S HOSPITAL BOARD OF TRUSTEES, IS COMPRISED OF 33 MEMBERS, OF WHICH 6 SERVE ON THE BOARD BY VIRTUE OF THEIR POSITION AS MEMBERS OF AFFILIATE BOARDS, MEDICAL STAFF, VOLUNTEER AND ACADEMIC OFFICERS, ETC. THE REMAINING 27 BOARD MEMBERS ARE ELECTED FROM THE COMMUNITY AT LARGE FOR MAXIMUM TERMS OF 9 YEARS PER INDIVIDUAL. ALL CHILDREN'S HOSPITAL MAINTAINS AN OPEN MEDICAL STAFF FOR CERTAIN PHYSICIAN SPECIALTIES. PART VI, LINE 6: THE JOHNS HOPKINS HEALTH SYSTEM CORPORATION (JHHSC) IS INCORPORATED IN THE STATE OF MARYLAND TO, AMONG OTHER THINGS, FORMULATE POLICY AMONG AND PROVIDE CENTRALIZED MANAGEMENT FOR JHHSC AND AFFILIATES (JHHS). JHHS IS ORGANIZED AND OPERATED FOR THE PURPOSE OF PROMOTING HEALTH BY FUNCTIONING AS A PARENT HOLDING COMPANY OF AFFILIATES WHOSE COMBINED MISSION IS TO PROVIDE PATIENT CARE IN THE TREATMENT AND PREVENTION OF HUMAN ILLNESS WHICH COMPARES FAVORABLY WITH THAT RENDERED BY ANY OTHER INSTITUTION IN THIS COUNTRY OR ABROAD.JHHSC IS THE SOLE MEMBER OF THE JOHNS HOPKINS HOSPITAL (JHH), AN ACADEMIC MEDICAL CENTER, JOHNS HOPKINS BAYVIEW MEDICAL CENTER, INC. (JHBMC), A COMMUNITY BASED TEACHING HOSPITAL AND LONG-TERM CARE FACILITY, HOWARD COUNTY GENERAL HOSPITAL, INC. (HCGH), A COMMUNITY BASED HOSPITAL, SUBURBAN HOSPITAL, INC. (SHI), A COMMUNITY BASED HOSPITAL, SIBLEY MEMORIAL HOSPITAL (SMH), A D.C. COMMUNITY BASED HOSPITAL, AND ALL CHILDRENS HOSPITAL, INC (ACH), A FL ACADEMIC CHILDRENS HOSPITAL. X 0 0 X X X X X 1 1 0 0 0 0 0 0 0 R WILLIAM HORTON SR VP-STRATEGIC PLAN/TRUST 392676 0 0 0 676456 0 26746 0 20772 0 1116650 0 0 0 JONATHAN ELLEN MD PRESIDENT/VICE DEAN/PIC/TR 584882 0 209759 0 10696 0 72000 0 25840 0 903177 0 0 0 RONALD PETERSON CORP VICE CHAIR/TRUSTEE 0 1296286 0 504543 0 179997 0 1394743 0 23954 0 3399523 0 0 JENNIFER R CASATELLI MD EX OFFICIO/TRUSTEE 0 209612 0 0 0 0 0 14482 0 0 0 224094 0 0 NANCY STAHL VP FINANCE/CFO 336604 0 0 0 73092 0 26746 0 12720 0 449162 0 0 0 CALVIN L POPOVICH VP INFORMATION TECHNOLOGY 315936 0 0 0 679 0 26746 0 16880 0 360241 0 0 0 JAY KUHNS VP HUMAN RESOURCES 248237 0 0 0 50005 0 26746 0 21104 0 346092 0 0 0 CYNTHIA ROSE VP MARKETING & COMMUNITY R 178711 0 0 0 446 0 18835 0 9291 0 207283 0 0 0 HELLA EWING VP CHIEF NURSING OFFICER 245411 0 0 0 44036 0 22349 0 14512 0 326308 0 0 0 ANTHONY NAPOLITANO MD CO-CHAIR DEPT OF PED MEDICINE 367016 0 0 0 0 0 26746 0 8450 0 402212 0 0 0 CAROLYN CAREY MD NEUROSURGEON 305000 588226 0 0 0 0 0 19096 0 15034 305000 622356 0 0 GERALD TUITE MD NEUROSURGEON 300000 582226 0 0 0 0 0 27715 0 20665 300000 630606 0 0 LUIS RODRIGUEZ MD NEUROSURGEON 307500 582336 0 0 0 0 0 26746 0 19854 307500 628936 0 0 RICHARD HARMEL MD PED SURGEON 150000 568972 0 0 0 0 0 26746 0 16371 150000 612089 0 0 NEBBIE WALFORD PED SURGEON 145500 374098 0 0 0 0 0 19075 0 0 145500 393173 0 0 GARY A CARNES FORMER/PRESIDENT & CEO/TRU 0 0 0 0 867162 0 0 0 0 0 867162 0 0 0 ARNOLD T STENBERG JR FORMER EXEC VP/CAO/TRUSTEE 224739 0 0 0 592911 0 25688 0 7293 0 850631 0 0 0 TIMOTHY STROUSE FORMER VP FACILITIES MANAGEMENT 191258 0 0 0 15 0 22477 0 3628 0 217378 0 0 0 JOHN HARDING III FORMER VP OPERATIONS 188214 0 0 0 61918 0 19096 0 11657 0 280885 0 0 0 PART I, LINE 1A ORGANIZATION PROVIDED BENEFITS FORM 990, SCHEDULE J, PART 1, QUESTION 1A THE NON-SUBSTANTIATED PORTION OF MONTHLY AUTOMOBILE ALLOWANCES ARE GROSSED UP FOR FICA TAXES ONLY. HOUSING ALLOWANCES ARE PROVIDED ONLY IN LIMITED CIRCUMSTANCES AND FOR FINITE PERIODS OF TIME AS PART OF SOME EMPLOYEE RELOCATION AGREEMENTS. PART I, LINES 4A-B THE FOLLOWING INDIVIDUALS LISTED ON THE 990 RECEIVED SEVERANCE FROM ALL CHILDREN'S HOSPITAL: GARY CARNES $867,162 JOHN HARDING $592,893 ARNOLD STENBERG $61,918 THE SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (THE PLAN) OF ALL CHILDREN'S HEALTH SYSTEM, INC. (THE COMPANY) IS A NONQUALIFIED DEFERRED COMPENSATION PLAN INTENDED TO BE GOVERNED BY SECTION 457(F) OF THE INTERNAL REVENUE CODE. THE BOARD OF DIRECTORS OF THE COMPANY DETERMINES ELIGIBILITY FOR THE PLAN FROM AMONG A SELECT GROUP OF KEY EMPLOYEES AND MANAGEMENT. THE PLAN PROVIDES FOR A SUPPLEMENTAL RETIREMENT BENEFIT BEGINNING AT RETIREMENT OR UPON SEPARATION FROM THE COMPANY. DURING THE TIME PERIOD COVERED BY THE RETURN, THE FOLLOWING INDIVIDUALS PARTICIPATED IN THE PLAN AND WERE AWARDED AMOUNTS AS FOLLOWS WHICH ARE INCLUDED ON SCHEDULE J, COLUMN B(III): R. WILLIAM HORTON $675,720; JAY KUHNS $49,392; HELLA EWING $43,481 AND NANCY STAHL $72,413. THE MAKE WHOLE AND SERP I PLANS ARE FROZEN DEFINED BENEFIT PLANS PROVIDED BY THE RELATED ORGANIZATION JOHNS HOPKINS HEALTH SYSTEM CORPORATION. THE PLANS ARE LIMITED TO THE EXISTING PLAN PARTICIPANTS. THE PLANS ARE SUBJECT TO CLAIMS OF EMPLOYER'S BANKRUPTCY/INSOLVENCY CREDITORS. THE MAKE WHOLE PLAN WAS DESIGNED TO REPLACE THE BENEFITS THE PARTICIPANTS LOST AS DO THE COMPENSATION LIMITS THAT WERE IMPOSED UPON OUR QUALIFIED DEFINED BENEFIT PLAN. FURTHERMORE, IF A PARTICIPANT TERMINATES EMPLOYMENT PRIOR TO COMPLETING THE SERVICE REQUIREMENTS, THE PARTICIPANT'S BENEFIT IS FORFEITED. NOTE THAT ANY ITEM BEING REPORTED AS COMPENSATION WAS ALSO REPORTED IN PREVIOUS YEARS FORMS 990 AS REQUIRED, WHEN AMOUNTS ACCRUED UNDER THE PLAN. THE FOLLOWING INDIVIDUAL LISTED ON FORM 990, PART VII, SECTION A, LINE 1A PARTICIPATED IN A NONQUALIFIED RETIREMENT PLAN AND RECEIVED ACCRUED DEFERRED COMPENSATION THAT IS REPORTED ON SCHEDULE J, PART II, COLUMN (C): RONALD R. PETERSON $1,349,219 FORM 990, SCHEDULE J, PART 1, QUESTION 3 SEE SCHEDULE O DISCLOSURE FOR FORM 990, PART VI, LINES 15(A) & (B) REGARDING THE PROCESS USED BY ALL CHILDREN'S HEALTH SYSTEM, INC. TO DETERMINE EXECUTIVE COMPENSATION WHICH IS RELIED UPON BY ALL CHILDREN'S HOSPITAL. FORM 990, PART VII, SECTION A, QUESTION 5 THE FOLLOWING OFFICER OF ALL CHILDREN'S HOSPITAL RECEIVED COMPENSATION FROM AN UNRELATED ORGANIZATION FOR SERVICES RENDERED TO THE FILING ORGANIZATION. ALL CHILDREN'S HOSPITAL REIMBURSED THE JOHNS HOPKINS UNIVERSITY FOR SERVICES ASSOCIATED WITH THE OFFICER AND HIS ROLE AT THE HOSPITAL. JONATHAN ELLEN, M.D. BASE COMPENSATION $584,882.00, BONUS & INCENTIVE COMPENSATION $209,759, OTHER REPORTABLE COMPENSATION $10,696.00, DEFERRED COMPENSATION $72,000.00 AND NON-TAXABLE BENEFITS $25,840.00. A CITY OF ST PETERSBURG HEALTH FACILITIES AUTHORITY 596000424 793309HR9 2007-10-01 92200000 REFUND PRIOR ISSUE (4/20/05) CONSTRUCTION OF NEW BUILDING 0 0 0 B CITY OF ST PETERSBURG HEALTH FACILITIES AUTHORITY 596000424 793309JK2 2009-04-23 62609540 REFUND PRIOR ISSUES (10/01/07) 0 0 0 C CITY OF ST PETERSBURG HEALTH FACILITIES AUTHORITY 596000424 793309JM8 2012-06-28 102400000 REFUND PRIOR ISSUE (04/20/05 A&B) 0 0 0 A 66325000 92200000 793939 1406061 60000000 2009 1 0 1 1 B 800000 62609540 1030540 2009 1 0 1 1 C 3300000 102400000 2007 1 0 1 1 A 0 0 0 0 0.00870 0.00870 0 0 0 B 0 0 0 0 0.01650 0.01650 0 0 0 C 0 0 0 0 0.00010 0.00010 0 0 0 A 0 0 1 0 1 0 0 0 0 B 0 0 1 0 0 0 0 0 0 C 0 0 1 0 1 1 SEE SCHEDULE O 22.300000000000 0 0 0 0 0 A 1 B 1 C 1 SCHEDULE K CUSIP NUMBERS OF BONDS ISSUED ON 04/20/2005 ARE 793309HM0, 793309HN8 AND 793309HP3. HEDGES WERE PROVIDED WITH RESPECT TO THE BOND ISSUE BY CITIBANK AND ROYAL BANK OF CANADA. SCHEDULE K, PART II, LINE 13 DUE TO REFUNDING, YEAR OF SUBSTANTIAL COMPLETION IS NOT APPLICABLE SCHEDULE K, PART III, LINE 4 ON THE ADVICE OF BOND COUNSEL ALL CHILDRENS HOSPITAL, INC. HAS ADDED COST OF ISSUANCE REPORTED IN PART II TO THE PRIVATE BUSINESS USE PERCENTAGE. SCHEDULE K, PART III, LINES 7-9 THE ORGANIZATION ANSWERED 'NO' BECAUSE IT HAS NO NONQUALIFIED BONDS. FORM 990, PART V, QUESTION 2A ALL COMPENSATION OF ALL CHILDREN'S HOSPITAL EMPLOYEES IS PAID THROUGH ALL CHILDREN'S HEALTH SYSTEM, INC. USING ITS FEDERAL TAX ID NUMBER. THIS IS KNOWN AS A COMMON PAYMASTER AGREEMENT. EMPLOYEES OF ALL CHILDREN'S HEALTH SYSTEM AND ITS OTHER SUBSIDIARIES ARE ALSO PAID THROUGH THE SAME AGREEMENT. FORM 990, PART VI, SECTION A, LINE 6 THE JOHNS HOPKINS HEALTH SYSTEM CORPORATION IS THE SOLE CORPORATE MEMBER OF ALL CHILDREN'S HOSPITAL, INC. FORM 990, PART VI, SECTION A, LINE 7A THE JOHNS HOPKINS HEALTH SYSTEM CORPORATION, A IRC 501(C)(3) TAX EXEMPT SOLE MEMBER OF ALL CHILDREN'S HOSPITAL, INC. ELECTS THE BOARD OF TRUSTEES. FORM 990, PART VI, SECTION A, LINE 7B THE GOVERNING BODY OF ALL CHILDREN'S HOSPITAL, INC. IS EMPOWERED BY ITS BYLAWS TO MAKE CERTAIN DECISIONS; ALL OTHER DECISIONS ARE SUBJECT TO APPROVAL OF THE SOLE MEMBER, THE JOHNS HOPKINS HEALTH SYSTEM CORPORATION. FORM 990, PART VI, SECTION B, LINE 11 A COPY OF THE FORM 990 WAS PROVIDED TO THE ORGANIZATION'S GOVERNING BODY BEFORE IT WAS FILED. FORM 990, PART VI, SECTION B, LINE 12C ALL CHILDREN'S HOSPITAL, INC HAS AN ANNUAL CONFLICT OF INTEREST DISCLOSURE PROCESS THAT HAS BEEN FORMALLY DOCUMENTED IN POLICY. THE PROCESS IS FACILITATED BY THE COMPLIANCE OFFICER WITH OVERSIGHT FROM THE ALL CHILDREN'S HEALTH SYSTEM (FORMER PARENT AND CURRENT AFFILIATE) BOARD'S COMPLIANCE COMMITTEE. DISCLOSURES ARE REQUESTED FROM KEY EMPLOYEES, KEY CONTRACTORS, BOARD MEMBERS AND OFFICERS, AND DESIGNATED MEDICAL STAFF. ALL DISCLOSURES ARE REVIEWED BY THE COMPLIANCE OFFICER. SELECTED DISCLOSURES ARE REVIEWED BY THE PRESIDENT/CHIEF EXECUTIVE OFFICER. A FORMAL REPORT IS MADE ANNUALLY TO THE COMPLIANCE COMMITTEE WHERE CONFLICT MANAGEMENT IS ADDRESSED FOR EMPLOYEES, CONTRACTORS, AND PHYSICIANS. BOARD MEMBER DISCLOSURES ARE REVIEWED BY THE RESPECTIVE BOARD PRESIDENTS FOR CONFLICT MANAGEMENT. BOARD MEMBERS ARE REQUIRED TO DECLARE ANY POTENTIAL CONFLICTS PRIOR TO CONDUCTING BUSINESS AT EACH MEETING. IF A CONFLICT IS FOUND TO EXIST BY A BOARD MEMBER, THAT BOARD MEMBER IS PROHIBITED FROM VOTING. FORM 990, PART VI, SECTION B, LINE 15 EVERY THREE YEARS AN INDEPENDENT STUDY IS CONDUCTED GATHERING INDUSTRY COMPENSATION AVERAGES FROM SELECT PEER INSTITUTIONS. EVERY YEAR THE JOHNS HOPKINS BOARD OF TRUSTEES COMPENSATION COMMITTEE REVIEWS COMPENSATION AMOUNTS FOR OFFICERS AND ALL EMPLOYEES AT THE DIRECTOR AND HIGHER LEVELS. FORM 990, PART VI, SECTION C, LINE 19 ALL CHILDREN'S HOSPITAL, INC. DOES NOT MAKE ITS GOVERNING DOCUMENTS OR CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC. FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC THROUGH WWW.DACBOND.COM FORM 990, PART XI, LINE 9: CHANGE INTEREST IN NET ASSETS OF THE FOUNDATION 1,952,993. INTEREST EXPENSE ON SWAP AGREEMENT -3,365,547. NON-OPERATING SERVICES -6,000,000. CHANGE IN MARKET VALUE OF INTEREST RATE SWAPS -1,662,707. NET ASSETS RELEASED FROM RESTRICTION -393,810. TRANSFER BETWEEN AFFILIATES -20,278,656. JOHNS HOPKINS HEALTH SYSTEM CORPORATION 3910 KESWICK RD SOUTH BLDG 4TH FL S BALTIMORE MD 21211 521465301 SUPPORTING ORGANIZATION MD 501(C)(3) LINE 11C, III-FI JOHNS HOPKINS HEALTH SYSTEM CORP 0 THE JOHNS HOPKINS HOSPITAL 3910 KESWICK RD SOUTH BLDG 4TH FL S BALTIMORE MD 21211 520591656 HOSPITAL MD 501(C)(3) LINE 3 JOHNS HOPKINS HEALTH SYSTEM CORP 0 LUCY WEBB HAYES NATIONAL TRAINING SCHOOL FOR DEACONESSES 5255 LOUGHBORO RD NW WASHINGTON DC 20016 530196602 HOSPITAL DC 501(C)(3) LINE 3 JOHNS HOPKINS HEALTH SYSTEM CORP 0 JOHNS HOPKINS COMMUNITY PHYSICIANS INC 3910 KESWICK RD SOUTH BLDG 4TH FL S BALTIMORE MD 21211 521467441 HEALTHCARE SERVICES MD 501(C)(3) LINE 11C, III-FI JOHNS HOPKINS HEALTH SYSTEM CORP 0 JOHNS HOPKINS MEDICAL SERVICES CORPORATION 3910 KESWICK RD SOUTH BLDG 4TH FL S BALTIMORE MD 21211 521232569 HEALTHCARE SERVICES MD 501(C)(3) LINE 3 JOHNS HOPKINS HEALTH SYSTEM CORP 0 JOHNS HOPKINS BAYVIEW MEDICAL CENTER INC 3910 KESWICK RD SOUTH BLDG 4TH FL S BALTIMORE MD 21211 521341890 HOSPITAL MD 501(C)(3) LINE 3 JOHNS HOPKINS HEALTH SYSTEM CORP 0 SUBURBAN HOSPITAL INC 8600 OLD GEORGETOWN ROAD BETHESDA MD 20814 520610545 HOSPITAL MD 501(C)(3) LINE 3 JOHNS HOPKINS HEALTH SYSTEM CORP 0 HOWARD COUNTY LIQUIDATION CORPORATION 3910 KESWICK RD SOUTH BLDG 4TH FL S BALTIMORE MD 21211 520892284 INACTIVE TAX-EXEMPT ORGANIZATION MD 501(C)(3) LINE 3 JOHNS HOPKINS HEALTH SYSTEM CORP 0 HOWARD COUNTY GENERAL HOSPITAL INC 3910 KESWICK RD SOUTH BLDG 4TH FL S BALTIMORE MD 21211 522093120 HOSPITAL MD 501(C)(3) LINE 3 JOHNS HOPKINS HEALTH SYSTEM CORP 0 POTOMAC HOME SUPPORT INC 6001 MONTROSE ROAD NO 1020 ROCKVILLE MD 20852 521750383 HOME HEALTH CARE MD 501(C)(3) LINE 9 N/A 0 SIBLEY SUBURBAN HOME HEALTH AGENCY 6001 MONTROSE ROAD NO 307 ROCKVILLE MD 20852 521450142 HOME HEALTH CARE MD 501(C)(3) LINE 9 N/A 0 PEDIATRIC PHYSICIAN SERVICES INC 501 SIXTH AVENUE SOUTH ST PETERSBURG FL 33701 593425191 PEDIATRIC MEDICAL SERVICES FL 501(C)(3) LINE 9 ALL CHILDREN'S HEALTH SYSTEM INC 0 ALL CHILDREN'S HEALTH SYSTEM INC 501 SIXTH AVENUE SOUTH ST PETERSBURG FL 33701 592481740 MANAGEMENT SERVICES FL 501(C)(3) LINE 11C, III-FI JOHNS HOPKINS HEALTH SYSTEM CORP 0 ALL CHILDREN'S HOSPITAL FOUNDATION INC 501 SIXTH AVENUE SOUTH ST PETERSBURG FL 33701 592481738 FOUNDATION FL 501(C)(3) LINE 7 ALL CHILDREN'S HEALTH SYSTEM INC 0 ALL CHILDREN'S RESEARCH INSTITUTE INC 501 SIXTH AVENUE SOUTH ST PETERSBURG FL 33701 592481742 RESEARCH FL 501(C)(3) LINE 4 ALL CHILDREN'S HEALTH SYSTEM INC 0 SURGIKID OF FLORIDA INC 501 SIXTH AVENUE SOUTH ST PETERSBURG FL 33701 593441883 MEDICAL SERVICES FL 501(C)(3) LINE 9 ALL CHILDREN'S HEALTH SYSTEM INC 0 KIDS HOME CARE INC 501 SIXTH AVENUE SOUTH ST PETERSBURG FL 33701 593476049 HOME HEALTH CARE FL 501(C)(3) LINE 9 ALL CHILDREN'S HEALTH SYSTEM INC 0 WEST COAST NEONATOLOGY INC 501 SIXTH AVENUE SOUTH ST PETERSBURG FL 33701 593398308 NEONATAL CARE FL 501(C)(3) LINE 9 ALL CHILDREN'S HEALTH SYSTEM INC 0 SUBURBAN HOSPITAL HEALTHCARE SYSTEM INC 8600 OLD GEORGETOWN ROAD BETHESDA MD 20814 522052354 HEALTHCARE SERVICES MD 501(C)(3) LINE 11C, III-FI JOHNS HOPKINS HEALTH SYSTEM CORP 0 OPHTHALMOLOGY ASSOCIATES LLC 3910 KESWICK RD SOUTH BLDG 4TH FL S BALTIMORE MD 21211 521890957 OPHTHALMOLOGY SERVICES MD N/A SUBURBAN WELLNESS CENTER LLC 20500 GOLDENROD LANE GERMANTOWN MD 20874 562296930 REAL ESTATE MD N/A GCM SUBURBAN IMAGING LLC 1201 SEVEN LOCKS ROAD STE 200 ROCKVILLE MD 20854 522326237 OUTPATIENT RADIOLOGY MD N/A ROCKVILLE IMAGING LLC 1201 SEVEN LOCKS ROAD STE 200 ROCKVILLE MD 20854 141944128 OUTPATIENT RADIOLOGY MD N/A CHEVY CHASE IMAGING LLC 1201 SEVEN LOCKS ROAD STE 200 ROCKVILLE MD 20854 141944126 RADIOLOGY SERVICES MD N/A HCP VENTURE ONE CORPORATION 3910 KESWICK RD SOUTH BLDG 4TH FL S BALTIMORE MD 21211 521558858 MEDICAL SERVICES MD N/A C 0 HSI MEDICAL SERVICES CORPORATION 3910 KESWICK RD SOUTH BLDG 4TH FL S BALTIMORE MD 21211 521847705 HEALTHCARE-SLEEP DIAGNOSTICS MD N/A C 0 HOWARD COUNTY HEALTH SERVICES INC 3910 KESWICK RD SOUTH BLDG 4TH FL S BALTIMORE MD 21211 521434783 HEALTHCARE MANAGEMENT MD N/A C 0 JOHNS HOPKINS MEDICAL MANAGEMENT CORPORATION 3910 KESWICK RD SOUTH BLDG 4TH FL S BALTIMORE MD 21211 521250028 NURSING SERVICES MD N/A C 0 JOHNS HOPKINS EMPLOYER HEALTH PROGRAMS INC 3910 KESWICK RD SOUTH BLDG 4TH FL S BALTIMORE MD 21211 521947678 BENEFIT PLANS MD N/A C 0 TCAS INC 3910 KESWICK RD SOUTH BLDG 4TH FL S BALTIMORE MD 21211 521979344 NURSING SERVICES MD N/A C 0 SUBURBAN HEALTH ENTERPRISES INC 8600 OLD GEORGETOWN ROAD BETHESDA MD 20814 522052352 MEDICAL OFFICE LEASING AND RELEASING MD N/A C 0 0 1 1 0 0 0 0 0 0 1 1 1 1 0 0 0 0 0 0