2014-05-15T14:56:46-05:00 2013-06-30 861065772 DELOITTE TAX LLP 1750 TYSONS BLVD MCLEAN VA 221024219 990 2012-07-01 526049658 Greater Baltimore Medical Center Inc GREA 4438492000 6701 North Charles Street Baltimore MD 21204 Eric L Melchior 4438492000 2014-05-15 1 Yvette L Woods P00364424 7032511000 2012 2015-11-30 17:44:51Z Eric L Melchior 6701 North Charles Street Baltimore MD 21204 417725631 0 X www.gbmc.org X 1960 MD To provide medical care and service of the highest quality to each patient (Cont. on Sch O) leading to health, healing and hope. 26 19 4008 689 547080 0 8846500 5148335 397111334 382793474 1690713 4142040 4070519 4097821 411719066 396181670 233500 206437 0 0 207446989 203238152 0 0 0 185776259 176980335 393456748 380424924 18262318 15756746 477401916 506563818 300860361 273383375 176541555 233180443 X See Schedule O 0 0 128863117 134990932 The Greater Baltimore Medical Center, Inc. (GBMC) is a 270-bed medical center (acute and sub-acute care) located on a suburban campus, which provided inpatient care and observation services to 17,413 and 4,800 patients, respectively. Additionally, GBMC delivered over 3,976 babies in the fiscal year. Since its founding, GBMC's accomplishments have validated the vision of its founders to combine the best of community and university-level medicine. GBMC's distinctive service lines include women's cancer, surgical and medical services. GBMC is a fully accredited teaching hospital that is affiliated with John Hopkins University. 71578481 93232377 The operating room performed over 28,284 inpatient and outpatient surgical procedures in the fiscal year. Specialties include GBMC's comprehensive obesity management program, the oldest recognized American Society of Metabolic and Bariatric surgery (ASMBS) Center of Excellence in the Metropolitan Baltimore area; Johns Hopkins head and neck surgery at GBMC; minimally invasive and endocrine surgery; neurosurgery; vascular and thoracic surgery; and urology. 63677116 87213794 The emergency department treated 57,400 patients in the fiscal year. The emergency services department has 3 patient care areas, designed to minimize wait & maximize service for patients & their families. Patients with minor injuries such as sprains are cared for in the Urgent Care area. Severe problems such as acute abdominal pain, chest pain or injuries from motor vehicle accidents are evaluated and treated in Emergent Care. Adjacent to the Emergent Care area is an Observational Care area for adult patients who need to be monitored but not admitted. In addition to emergency services, GBMC provided other outpatient care to over 43,886 patients in specialty clinics such as Ophthalmology, wound care, anti-coagulation, radiation oncology and infusion therapy. 75718142 206437 66677364 Laboratory Service; Radiology - Therapeutic; Residency Program; Magnetic Resonance Imaging; Physician Practices; Cardiac Catheriazation; Other Program Services 75718142 206437 66677364 339836856 1 1 0 1 0 0 0 0 0 1 1 1 0 1 1 1 1 1 0 0 0 0 0 0 1 0 1 1 1 0 1 1 0 0 0 0 0 0 0 1 0 1 0 0 0 0 1 1 0 0 0 1 226 0 1 4008 1 1 1 0 0 0 0 0 0 0 0 0 0 X 26 19 0 0 0 0 1 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 0 MD X X Eric Melchior 4438492000 6701 North Charles Street Baltimore MD 21204 Honorable Vicki Ballou-Watts 1.00 3.00 X 0 0 0 Mr Herbert J Belgrad 1.00 2.00 X 0 0 0 Ms Sandra Berman 1.00 2.00 X 0 0 0 Ms Kara C King Bess 1.00 2.00 X 0 0 0 Robert K Brookland MD 1.00 3.00 X 0 0 0 Mr Samuel Heffner 1.00 2.00 X 0 0 0 Mr Frederick M Hudson 1.00 2.00 X 0 0 0 Theda C Kontis MD 1.00 2.00 X 0 0 0 Mr Benjamin F Lucas II 1.00 2.00 X 0 0 0 Mr Thomas H Maddux 1.00 2.00 X 0 0 0 Mr Anthony Milando 1.00 2.00 X 0 0 0 Mr Frank R Palmer 1.00 2.00 X 0 0 0 Mr Robert A Shelton 1.00 2.00 X 0 0 0 Mr Stuart O Simms 1.00 2.00 X 0 0 0 Ms Bonnie R Stein 1.00 2.00 X 0 0 0 Mr James B Stradtner 1.00 2.00 X 0 0 0 Mr Steven A Thomas 1.00 3.00 X 0 0 0 Ms Marion G Thompson 1.00 2.00 X 0 0 0 Harold Tucker MD 1.00 2.00 X 130000 0 0 Ronald F Tutrone Jr MD 12.00 2.00 X 300000 0 0 John M Wogan MD 1.00 2.00 X 0 0 0 John B Chessare MD 23.00 17.00 X X 735517 0 204279 Mr Harry S Johnson 1.00 2.00 X X 0 0 0 Ms Patricia J Mitchell 1.00 2.00 X X 0 0 0 Mr Stephen T Scott 1.00 2.00 X X 0 0 0 Ms Mary B Wieler 1.00 2.00 X X 0 0 0 Mr Eric L Melchior 20.00 20.00 X 863032 0 39795 Mr Keith R Poisson 28.00 12.00 X 469007 0 125592 John R Saunders MD 39.00 1.00 X 504470 0 74528 Mr George E Bayless III 29.00 11.00 X 266709 0 66032 Ms Carolyn L Candiello 39.00 1.00 X 181199 0 49135 Ms Jenny Coldiron 5.00 35.00 X 218793 0 64998 Mr John W Ellis 30.00 10.00 X 433127 0 123944 Mr Michael A Forthman 35.00 5.00 X 224148 0 52859 Ms Catherine Hamel 5.00 35.00 X 220400 0 55024 Ms Joanne Porter 39.00 1.00 X 325559 0 69026 Ms Tressa B Springman 35.00 5.00 X 331212 0 62552 Ms Deloris S Tuggle 35.00 5.00 X 292502 0 30759 Gary I Cohen MD 40.00 0.00 X 830583 0 38861 Neri M Cohen MD 40.00 0.00 X 748869 0 36467 Reginald J Davis MD 40.00 0.00 X 1590742 0 24388 Bimal G Rami MD 40.00 0.00 X 823801 0 35643 Lauren A Schnaper MD 40.00 0.00 X 596499 0 28838 Mr Laurence Merlis 0.00 0.00 X 860775 0 0 10946944 0 1182720 322 1 1 0 Johns Hopkins University 125 Medical Admin Rd 720 Rutland Baltimore MD 21205 Residency Program 5068876 Advanced RadiologyMedical Imaging of Ba 7253 Ambassador Road Baltimore MD 21244 Radiology Services 2009911 Aramark Healthcare Support Services PO Box 651009 Charlotte NC 28265 Management - Dietary 1347601 Physicians Anesthesia Associates LLC 110 West Road Suite 210 Towson MD 21204 Anesthesia Services 1303710 Crothall Healthcare 13028 Collection Center Drive Chicago MD 60693 Patient Transport & Environmental Serv. 1242452 121 275926 4604754 267655 5148335 Patient Service 621110 374794600 374794600 Other Operating Rev. 900099 7998874 7451794 547080 382793474 2506771 2506771 22915493 6500 21224369 62355 1691124 -55855 1635269 1635269 230264 275926 257237 -26973 -26973 Cafeteria Income 722210 2099043 2099043 Parking Revenue 812930 2025751 2025751 4124794 396181670 382246394 547080 8239861 206437 206437 6514198 6514198 156358684 147690498 8668186 11331248 9665257 1665991 18190639 16296542 1894097 10843383 9921437 921946 2292061 2126798 165263 130257 29259 100998 175149 50834 124315 54468 54468 469858 469858 28426053 25282450 3143603 1237052 183606 1053446 90537204 89361576 1175628 4844717 3408854 1435863 2034947 1789799 245148 393511 315988 77523 469014 421641 47373 6658321 5980731 677590 25508224 23082768 2425456 8849664 1478695 7370969 Purchased Services 2414279 610310 1803969 Residents 1703531 1703056 475 Other (Dues & Amort.) 782025 230320 551705 380424924 339836856 40588068 0 18755717 7543479 2059806 214242 45007171 44077103 3349076 3322140 8490568 9013489 548004340 325919604 226394104 222084736 103347024 139290553 23002320 33009699 46996130 48008377 477401916 506563818 58112260 64060917 110516221 107969247 132231880 101353211 300860361 273383375 X 146516322 197041373 21337976 25948808 8687257 10190262 176541555 233180443 477401916 506563818 X 15756746 11610997 29271145 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 1 0 0 1 833 1 3335 0 0 1 41128 0 0 1 9172 54468 0 Explanation of Lobbying Activities: Part II-B, Line 1: The amount for other activities includes meetings with GBMC staff, legislative committees and contracted GBMC lobbyist, as well as amounts incurred for general research on federal and state healthcare issues. 14235801 1503005 1659827 40542 17358091 12868698 1101223 304027 38147 14235801 10391609 1025384 1484905 33200 12868698 9433475 2135 993109 37110 10391609 10781157 53262 -1358011 42933 9433475 0.58710 0.41290 0 0 15290673 15290673 295998372 139210850 156787522 9561917 5130995 4430922 132182619 106803095 25379524 94970759 74774664 20196095 222084736 Interest in Net Assets of Affiliate 31392820 C Investment-Fiduciary Company 812228 C Investment in PP West Ltd 341139 C Investment in Premier 463512 C 33009699 Intercompany 46712518 Deferred Assets 1251304 Other Assets 44555 48008377 Third Party Advances 13650239 Pensions Liability 22565752 Other Liabilities 1755247 Capital Leases 29478334 Insurance Reserve 33141919 Charitable Gift Annuity 761720 101353211 X 416704929 11610997 8661044 20272041 396432888 -251218 -251218 396181670 379061937 -1149228 -1149228 380211165 213759 213759 380424924 Description of Intended Use of Endowment Funds: Part V, Line 4: Part V, line 4: GBMC Investments holds and manages the endowment of the Hospital. Intended uses of the organization's Endowment Funds: 1) Research - Support clinical research performed at Greater Baltimore Medical Center. 2) Education - Support education programs, lectures and scholarships. 3) Special Programs - Rehabilitation services for low vision and blindness, human genetics and the Center for Nursing Excellence. 4) General Support for Greater Baltimore Medical Center. Description of Uncertain Tax Positions Under FIN 48: Part X, Line 2: The Financial Accounting Standards Board's (FASB) guidance on accounting for uncertainty in income taxes clarifies the accounting for uncertainty of income tax positions. This guidance defines the threshold for recognizing tax return positions in the consolidated financial statements as "more likely than not" that the position is sustainable, based on its technical merits. This standard also provides guidance on the measurement, classification and disclosure of tax return positions in the consolidated financial statements. The Company has adopted this guidance, and there were no amounts recorded in the consolidated financial statements during the years ended June 30, 2013 and 2012 for uncertain tax positions. Part XI, Line 2d - Other Adjustments: Investment Fee reclassified to expense -469,858. Ruxton Insurance Company, Ltd. excluded from tax return 2,082,016. Net assets Released from Restriction for Operations 5,210,267. Equity in unrestricted assets of affiliate 1,838,619. Part XI, Line 4b - Other Adjustments: Event Expense, netted from revenue -257,237. GBMC/Hopkins Pediatric Surgery, LLC Capital contribution 6,019. Part XII, Line 2d - Other Adjustments: Ruxton Insurance Company, Ltd. -1,149,228. Part XII, Line 4b - Other Adjustments: Investment Fee reclassified to expense -256,099. Event Expense, netted from revenue 469,858. GBMC Golf Outing 203241 136249 66992 0 1100 45779 13938 0 1147 Steeple Chase 186554 23282 163272 25000 0 24531 35997 14390 66201 1 116395 116395 0 10545 0 1097 0 17512 506190 275926 230264 25000 11645 70310 51032 14390 84860 257237 -26973 1 1 1 X 300.000000000000 1 X 300.000000000000 1 1 1 0 1 1 15684956 10432036 5252920 0.01380 15684956 10432036 5252920 0.01380 931383 4971 926412 0.00240 10260319 64775 10195544 0.02680 1321220 518829 802391 0.00210 433849 433849 0.00110 24514 24514 0.00010 12971285 588575 12382710 0.03250 28656241 11020611 17635630 0.04630 25000 25000 0.00010 100000 100000 0.00020 125000 125000 0.00030 1 7179417 1 1 1 1 Greater Baltimore Medical Center

6701 North Charles Street Baltimore MD 21204

www.gbmc.org X X X X Contains licensed Skilled Nursing Facility beds Greater Baltimore Medical Center 1 1 X X X X X X 12 1 1 1 X X 0 0 1 1 300.000000000000 1 300.000000000000 1 X X X X X X 1 1 X 1 X 1 X X X X 1 X 0 0 Part I, Line 7: Cost of Charity Care was calculated using the cost-to-charge ratio prescribed in the instructions to Worksheet 2. 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. Part I, Line 7g: GBMC supports coverage of specialty services (orthopedics, anesthesia, general surgery, etc.) provided in the emergency room to Medicaid and uninsured patient populations by ensuring payment of the physician professional fees for surgical related cases. GBMC also employs a full-time Geriatric Nurse Practitioner whose sole responsibility is to provide education and primary care services at Towson area low-income senior living facilities. GBMC partners with Catholic Charities to provide on-site physician coverage at a residential mental health treatment for children (Villa Maria). Part I, L7 Col(f): GBMC adopted the guidance of ASU 2011-7, which required the reclassification of the provision for bad debts associated with patient service revenue from an operating expense to a deduction from patient service revenue. As such $9.5 million for provision of bad debt was recorded as a reduction of patient service revenue. Part II: GBMC's has contributed $500,000 over a 5-year period to a statewide Maryland initiative that is investing in nursing by ensuring the anticipated future demand and need for nursing care is adequately met. In addition, GBMC partners with the Christo Rey organization through a $25,000 annual sponsorship that allows for practical job skills to be gained by at-risk high-school students through sponsorship of a student in an on-site work/study role. Part III, Line 4: Part III, Line 2: GBMC uses a calculated cost ratio of 75.50%. This makes the reporting of bad debt consistent with the reporting of charity care.Part III, Line 4: Please see Page 12, Note 2(l) of the attached June 30, 2013 Audited Financial Statements. Part III, Line 9b: Patients who have been previously screened for charity care, are not Medical Assistance eligible and have no insurance do not receive invoices. They are automatically referred GBMC's Assumptive Financial Assistance Program. The Program is run in partnership with TransUnion credit reporting agency. All self pay accounts and those previously identified as charity care are referred to TransUnion, who utilizes a proprietary credit scoring system to determine likelihood of ability to pay based on estimated income and family size. The results from the TransUnion credit scoring are compared to GBMC's Financial Assistance eligibility criteria and a decision is made to write off or to pursue collection. Greater Baltimore Medical Center Part V, Section B, Line 3: As part of the Community Healthcare Needs Assessment (CHNA), select individuals throughout the community representing a variety of unique services, including public health, medical services, social organizations, child & youth services and faith-based organizations were chosen to participate in directly responding to a survey regarding what each individual believed to be the most significant social and healthcare issues facing the community at-large. These survey responses became an official component of the overall CHNA report. Greater Baltimore Medical Center Part V, Section B, Line 4: University of Maryland - St. Joseph Medical Center and Sheppard Pratt Health System. Greater Baltimore Medical Center Part V, Section B, Line 7: Greater Baltimore Medical Center (GBMC) continues to define and put into operations work around its implementation strategy in response to the needs identified in the Community Needs Health Assessment. However, due to the timing and receipt of the Community Health Needs Assessment report, much of that work continues to be on-going and was not accomplished during the time period covered by this tax return. Specifically, GBMC will focus on the identified community health issues it has the most ability to impact in a meaningful way, whether through internally developed strategies and/or partnerships. However, the GBMC implementation strategy will likely have a very limited focus on the identified need of mental health services, a service which it is not designated to provide within its acute care spectrum of services. Instead, it is believed that much of this need identified community need will be the primary focus of the Sheppard Pratt Health System, a dedicated psychiatric hospital located adjacent to GBMC. Greater Baltimore Medical Center Part V, Section B, Line 14g: The hospital provides a Permission & Acknowlegements document, which among other things, summarizes the hospital's financial assistance policy. The document is provided to patients at the time of admission and included within the invoice billing. In addition, each invoice notes the availability of financial assistance to patients that believe they are unable to pay. The existence of financial assistance is also visibly displayed within areas of patient flow, such as the emergency department, registration kiosks, surgical service areas, etc. Greater Baltimore Medical Center Part V, Section B, Line 16e: Three invoices are sent to the patient and two follow-up phone calls are made. Patients are provided with information regarding the financial assistance application process. Primary collection agencies do not credit report. Greater Baltimore Medical Center Part V, Section B, Line 17e: Three invoices are sent to the patient and two follow-up phone calls are made. Patients are provided with information regarding the financial assistance application process. Primary collection agencies do not credit report. Greater Baltimore Medical Center Part V, Section B, Line 20d: GBMC uses objective criteria in accordance with the Maryland State Uniform Financial Assistance application to determine the eligible charity care reduction from the Maryland Health Services Cost Review Commission's approved rates. Patients with combined gross household income of less than 300% of the poverty guidelines are generally eligible for 100% financial assistance. Applicants with income over 300% of the poverty guidelines are reviewed on a case by case basis utilizing criteria outlined in the policy which considers net income relative to monthly expenses. Part VI, Line 2: Greater Baltimore Medical Center (GBMC) completes a GAP assessment designed to evaluate and understand the unmet healthcare needs of the GBMC community, and how GBMC, given its service orientation, might be best served to assist in meeting the identified unmet needs. GBMC uses statistical and medical incidence data from local County health departments that collect such data, as well as other various national data. GBMC maintains an inter-disciplinary Community Needs Advisory Committee, with representation from the Board of Directors, Outreach Services, Compliance, Finance, Legal, Spiritual Support, and other clinic based areas, which meets monthly to evaluate, debate and approve community based initiatives. In addition, the Committee reports directly to the President and Chief Executive Officer. Refer to Exhibit 1 for a GBMC publication highlighting recent community benefit activities. Part VI, Line 3: GBMC educates patients about their eligibility for governmental assistance and organization charity care assistance in many ways, starting with the intake process. A summary of the financial assistance policy is posted, along with contact information at all registration areas, the emergency room, and the billing office. When patients are registered, they are provided with a financial assistance brochure and are handed a "Permissions/Acknowledgment" (signed by the patient). This form explains the hospital's financial assistance policy and provides GBMC phone numbers and a website. Also stated on the form is information for how GBMC representatives can assist with applying for Maryland Medical Assistance. GBMC also contracts with outside agencies to help with the medical assistance eligibility process. Lastly, a statement about financial assistance and a copy of GBMC's policy accompanies all bills to patients. Part VI, Line 4: Greater Baltimore Medical Center, Inc. ("GBMC") is a private, not-for-profit, 270 bed, regional medical center. It is located in Towson, Maryland, a suburban Baltimore County community two miles north of Baltimore city. GBMC's primary service area includes all of Baltimore County, the northern portion of Baltimore City, and portions of Carroll and Harford Counties. The population in GBMC's service area has traditionally been affluent when compared to that of Baltimore County and the Nation. The 2010 Median Family income for GBMC's immediate service area was $78,627, compared to $85,098 and $62,982 for Maryland and the Nation respectively. However, GBMC's percentage of uninsured is 1.47% for its immediate service area, compared to 12.0% for Baltimore County and a National average of 13.2%. GBMC's immediate service area has a Medicaid population of 5.26%, compared to Medicaid averages of 13% and 15% for Baltimore County and the State of Maryland respectively. Part VI, Line 5: A majority of GBMC's governing body is comprised of persons who reside in the organization's primary service area. GBMC extends medical staff privileges to all qualified physicians in its community. GBMC reinvests its operating margin into improvements in patient care and research. GBMC provides teaching through accredited intern and resident education programs in Internal Medicine, Gynecology, Ophthalmology, Otolaryngology, and Colo-Rectal surgery. Most recently, GBMC has invested in a geriatric nurse practitioner program whose sole responsibility is to provide education and primary care services to low-income senior living facilities in the local service area. GBMC continues to fund anesthesia, obstetrical, and orthopedic services to Medicaid and uninsured patient populations. GBMC has generally covered this by agreeing to provide physician payment for surgical cases coming through the emergency department where the patient is considered to be indigent. Reports Filed With States Part VI, Line 7 MD 1 Cristo Rey Internship Program Inc 420 South Chester Baltimore MD 21231 364067306 501(c)(3) 25000 See Part IV Maryland Healthcare Education Institute 6820 Deerpath Road Elkridge MD 210756234 043511768 501(c)(3) 100000 See Part IV American Heart Association 415 North Charles Street Baltimore MD 21297 135613797 501(c)(3) 11667 See Part IV GBMC Healthcare Inc 6701 North Charles Street Baltimore MD 21204 521484872 501(c)(3) 50000 See Part IV 4 0 Schedule I, Part I, Line 2: The organization's procedures for monitoring the use of grant funds in the U.S. are evaluated and selected through a formal Community Needs Advisory Committee and are based on unique and identified needs. Periodic reports (some quarterly and other annually) are required by grantors. Additionally, field visits are conducted. Part II, line 1, Column (h): Name of Organization or Government: Cristo Rey Internship Program, Inc. (h) Purpose of Grant or Assistance: To make a private, college - preparatory education affordable to urban young people from Baltimore. Name of Organization or Government: Maryland Healthcare Education Institute (h) Purpose of Grant or Assistance: MHA assistance in partnership with other organizations throughout the state to end Maryland's chronic nursing shortages. Name of Organization or Government: American Heart Association (h) General support Name of Organization or Government: GBMC Healthcare, Inc. (h) General support for GBMC Healthcare, Inc. 0 1 0 0 0 0 0 0 0 Ronald F Tutrone Jr MD 300000 0 0 0 0 0 0 0 0 0 300000 0 0 0 John B Chessare MD 651193 0 59289 0 25035 0 175412 0 28867 0 939796 0 0 0 Mr Eric L Melchior 397105 0 423950 0 41977 0 15850 0 23945 0 902827 0 278334 0 Mr Keith R Poisson 381781 0 60239 0 26987 0 93762 0 31830 0 594599 0 0 0 John R Saunders MD 440060 0 37069 0 27341 0 38500 0 36028 0 578998 0 0 0 Mr George E Bayless III 224759 0 32303 0 9647 0 35401 0 30631 0 332741 0 0 0 Ms Carolyn L Candiello 155112 0 21561 0 4526 0 27864 0 21271 0 230334 0 0 0 Ms Jenny Coldiron 181970 0 29868 0 6955 0 28709 0 36289 0 283791 0 0 0 Mr John W Ellis 347131 0 58713 0 27283 0 101796 0 22148 0 557071 0 0 0 Mr Michael A Forthman 191359 0 24656 0 8133 0 22776 0 30083 0 277007 0 0 0 Ms Catherine Hamel 179200 0 30230 0 10970 0 17937 0 37087 0 275424 0 0 0 Ms Joanne Porter 255116 0 37211 0 33232 0 55320 0 13706 0 394585 0 0 0 Ms Tressa B Springman 253122 0 70582 0 7508 0 52319 0 10233 0 393764 0 0 0 Ms Deloris S Tuggle 241080 0 19472 0 31950 0 26148 0 4611 0 323261 0 0 0 Gary I Cohen MD 223268 0 601835 0 5480 0 15850 0 23011 0 869444 0 0 0 Neri M Cohen MD 628488 0 120000 0 381 0 4900 0 31567 0 785336 0 0 0 Reginald J Davis MD 1312906 0 277320 0 516 0 4900 0 19488 0 1615130 0 0 0 Bimal G Rami MD 593855 0 229826 0 120 0 4900 0 30743 0 859444 0 0 0 Lauren A Schnaper MD 520707 0 75000 0 792 0 7350 0 21488 0 625337 0 0 0 Mr Laurence Merlis 0 0 860775 0 0 0 0 0 0 0 860775 0 860775 0 Part I, Line 4b Part II, Line 4b: The following individuals participate in a non-qualified supplemental retirement plan. GBMC Healthcare has a non-qualified supplemental retirement plan. This plan was approved by the Compensation Committee of the GBMC Healthcare Board of Directors to supplement the executive's retirement income. The supplemental retirement plan was developed based on an independent consultant report on market-based practices for supplemental retirement plans. The percentage of final average pay, the requirements for vesting, participants, and pay-out provisions were established, reviewed, and approved by the compensation committee. The contributions to the supplemental non-qualified retirement plan are included in schedule J, Part II, column C or in schedule J, Part I, column B(III) as part of deferred compensation. The following individuals participated in this supplemental non-qualified retirement plan: John B. Chessare, M.D. - $170,512 Earned, $0 Paid Mr. George E. Bayless, III - $23,129 Earned, $0 Paid Ms. Carolyn L. Candiello - $20,000 Earned, $0 Paid Ms. Jenny Coldiron - $21,548 Earned, $0 Paid Mr. John W. Ellis - $88,396 Earned, $0 Paid Mr. Michael A. Forthman - $11,842 Earned, $0 Paid Ms. Catherine Hamel - $6,088 Earned, $0 Paid Mr. Eric Melchior - $0 Earned, $278,334 Paid Mr. Keith R. Poisson - $80,362 Earned, $0 Paid Ms. Joanne Porter - $39,470 Earned, $0 Paid John R. Saunders, M.D. - $30,000 Earned, $0 Paid Ms. Tressa B. Springmann - $37,361 Earned, $0 Paid Ms. Deloris Tuggle - $20,000 Earned, $0 Paid Mr. Lawerence Merlis - $0 Earned, $860,775 Paid Part I, Line 3: Greater Baltimore Medical Center, Inc. relied on its parent, GBMC Healthcare, Inc., to set compensation for Greater Baltimore Medical Center, Inc.'s president. GBMC Healthcare, Inc. used a compensation committee, an independent compensation consultant, a written employment contract, a compensation survey or study, and an approval by a board or compensation committee to establish the top management official's compensation. A MD Health & Higher Ed Fac Auth 520936091 574218BX0 2011-04-20 67785219 Building Renovation and Refund Series 2009. 0 0 0 B MD Health & Higher Ed Fac Auth 520936091 574218EY5 2012-04-11 36317095 Building Renovation and Refund Series 2001. 0 0 0 A 62062333 67945000 723328 4999558 2011 1 0 0 1 B 36317095 35680000 2012 1 0 0 1 A 0 1 1 1 0 0.01740 0.00000 0.01740 1 0 1 B 0 1 1 1 0 0.00720 0.00000 0.00720 1 0 1 A 0 0 0 0 0 0 0 1 B 0 0 0 0 0 0 0 1 A 1 B 1 Ms Bonnie Stein Board Member 139422 See Part V 0 Howard Siegel MD Former Board Member 518653 See Part V 0 Mr Herbert Belgrad Board Member 63430 See Part V 0 Mr Harry Johnson Chairman 4476 See Part V 0 John Wogan MD Vice Chief of Staff 82236 See Part V 0 Ronald F Tutrone Jr MD Director 162000 See Part V 0 Ms. Bonnie Stein is an EVP at PNC Bank, which is the trustee for many of GBMC's investments.Howard Siegel, M.D. is a partner in a PA that provides pathology services to GBMC.Mr. Herbert Belgrad is a partner in Tydings & Rosenberg LLP that provides legal services to GBMC.Mr. Harry Johnson is a partner in the law firm Whiting, Taylor & Preston LLP that provides legal services to GBMC.John Wogan, M.D. is a partner in a PA that provides educational services to GBMC.Ronald F. Tutrone, Jr., M.D. provides urology research to GBMC. Description of Organization Mission: Form 990, Part III, Line 1 Greater Baltimore Medical Center's primary exempt purpose is as follows: (1) To organize, build, erect, equip, manage and operate exclusively for charitable purposes, a non-profit general hospital and medical center for the care of the sick, and to furnish medical and surgical attendance therein in any form in the care of sick, afflicted infirm or injured persons; provided, however, the operations are not to be exclusively for those who are able and expected to pay but to the extent of financial ability are to be for those not able to pay for the services rendered and the facilities are not to be restricted to a particular group of physicians and surgeons except to the extent that discretionary authority in the management may impose limitations based upon the qualifications of those applying or upon the size and nature of the facilities, and no part of its net earnings are to inure directly or indirectly to the benefit of any private shareholder or individual. (2) To organize, build, erect, equip, manage and operate a school or schools for training physicians, surgeons, nurses and others, and to educate and train any such persons in the care of sick, afflicted, infirm, or injured persons by teaching medicine, hygiene, surgery and everything having to do with the physical well-being of individuals. (3) To engage in any activity and to do anything and everything that may be necessary, expedient or incidental to the purposes stated in paragraphs (1) and (2). (4) To have and to exercise to the extent necessary or desirable for the accomplishment of any of the aforesaid purposes, and to the extent that they are not inconsistent with the charitable purposes of the corporation, and the limitations imposed by section 501(c)(3) of the Internal Revenue Code, any and all powers conferred upon corporations by the Maryland General Corporation law. Form 990, Part VI, Section A, line 6 The Board of Directors of GBMC Healthcare, Inc. is the governing body for the organization. GBMC Healthcare, Inc. is the parent corporation and sole stockholder of the organization. The business and affairs of the organization are managed under the direction of its Board of Directors except as reserved to the stockholder, GBMC Healthcare, Inc. in accordance with the bylaws such as: A) To change the mission, purpose, philosophy or objectives of the organization B) To amend the bylaws of the organization C) To dissolve, to consolidate or to merge the organization D) To ratify the election of the president or other officers of the organization E) To remove the president or other officers of the organization F) To elect members of the Board of Directors of the organization G) To remove members of the Board of Directors of the organization H) To purchase, sell or encumber with debt I) To sell all or substantially all of the organization's assets, or to undertake major expansion projects J) To approve the annual operating and capital budgets of the organization K) To appoint general counsel to and the fiscal auditor of the organization L) To set the fiscal year of the organization M) To issue additional stock, following the initial issuance of stock Form 990, Part VI, Section A, line 7a See Form 990, Part VI, Section A, Line 6 Description Form 990, Part VI, Section A, line 7b See Form 990, Part VI, Section A, Line 6 Description Form 990, Part VI, Section B, line 11 The Audit and Compliance Committee of Greater Baltimore Medical Center, Inc.'s supported parent organization, GBMC Healthcare, Inc., reviews this Form 990. A copy of the Form 990 is provided to the full Board of Directors of the Hospital and GBMC Healthcare prior to filing. Form 990, Part VI, Section B, line 12c Annually, every board member, physician, advanced practitioner and manager (which includes key employees) must complete a comprehensive questionnaire that provides for the disclosure of potential conflicts. All disclosures are reviewed by the Compliance Officer. Those disclosures that are questionable or may rise to the level of a conflict are discussed with the Chief Legal Officer and appropriate action is taken, if necessary. A summary of disclosures is provided to the Audit Committee (for management) and to the Governance Committee (for Board members) annually. Form 990, Part VI, Section B, line 15 The Compensation Committee ("Committee") of the Board of Directors of GBMC Healthcare, Inc., which is comprised of directors that are "disinterested" as defined by IRS regulations, is authorized to oversee the organization's executive compensation program. The Committee reviews and approves the compensation provided to the organization's President and Chief Executive Officer and each officer, key employee and senior leader, whether or not these individuals would be considered "disqualified persons" under the intermediate sanctions regulations of federal income tax law. The Committee has adopted a written philosophy setting forth the guiding principles governing the compensation provided to the organization's executives. The Committee's review and approval process was established and is conducted in a manner so as to qualify for the rebuttable presumption of reasonableness under the intermediate sanctions regulations of federal income tax law. All forms of compensation and benefits provided to members of the senior leadership team are reviewed, which includes current and deferred compensation and all employee benefits, both qualified and non-qualified to ensure that the "total compensation" is reasonable. The Committee engaged an independent executive compensation consultant that specializes in the review of hospital and health system executive compensation and benefits to compile market compensation data of similarly sized health care organizations throughout the country as well as the same geographic region. No data from any for-profit entities were used. The data were categorized by executive position, and a salary range was developed with the assistance of the independent compensation consultant. The Committee relied upon this data, relevant business judgment factors (e.g., experience, performance, recruitment and retention factors and the unique demands of the position), the guidance provided by the stated compensation philosophy and the written opinion of the independent executive compensation consultant as to the reasonableness of the compensation in relation to market data in making its executive compensation decisions. The Committee also considers its business judgment. The Committee documents the basis for its decisions through the timely preparation of written minutes of the compensation committee meetings during which such decisions are deliberated and determined. The Committee's decisions are subject to the final approval of the Board of Directors. Form 990, Part VI, Section C, line 19 The governing documents are located on the State of Maryland Department of Taxation's website. Financial statements are made public through the State of Maryland Charitable Registration. Financial statements for GBMC Healthcare, Inc. are also available through the Electronic Municipal Market Access (EMMA) website via the continuing disclosure document. The Conflict of Interest policy is not available to the public. Changes in Net Assets or Fund Balances: Form 990, Part XI, line 9: Equity in Earnings 7,148,003. Transfer to Affliates -1,667,437. Pension Expense 23,790,579. Finney Trimble Surgical Associates LLC 6535 North Charles Street Suite 510 Towson MD 21204 270277242 Surgical physician practice MD -983239 232605 Greater Baltimore Medical Center Inc GBMC Foundation Inc 6701 North Charles Street Baltimore MD 21204 521411935 Fundraising MD 501(c)(3) Line 7: 170(b)(1)(a) GBMC Healthcare Inc 0 Gilchrist Hospice Care Inc 11311 McCormick Road No 350 Hunt Valley MD 21031 521851251 Hospice Service MD 501(c)(3) Line 3: 170(b)(1)(a) GBMC Healthcare Inc 0 GBMC Investments Inc 6701 North Charles Street Baltimore MD 21204 521040300 Investment Management MD 501(c)(3) Line 11, Type II: 50 GBMC Healthcare Inc 0 Diversified Health Enterprises Inc 6701 North Charles Street Baltimore MD 21204 521725005 Health Services MD 501(c)(3) Line 11, Type II: 50 GBMC Healthcare Inc 0 Diversified Nurses Inc 6701 North Charles Street Baltimore MD 21204 521305904 Nursing Services MD 501(c)(3) Line 9: 509(a)(2) GBMC Healthcare Inc 0 Diversified Health Services Inc 6701 North Charles Street Baltimore MD 21204 521331933 Health Services MD 501(c)(3) Line 9: 509(a)(2) GBMC Healthcare Inc 0 GBMC Land Inc 6701 North Charles Street Baltimore MD 21204 521413360 Real Estate Property MD 501(c)(3) Line 11, Type I: 509 GBMC Healthcare Inc 0 GBMC Healthcare Inc 6701 North Charles Street Baltimore MD 21204 521484872 Health Services MD 501(c)(3) Line 7: 170(b)(1)(a) N/A 0 Presbyterian Eye Ear and Throat Charity Hospital 2639 Queensland Drive Ellicott City MD 21093 520449990 Supporting MD 501(c)(3) Line 11, Type III-FI Greater Baltimore Medical Center Inc 0 Milton J Dance Jr Endowment Inc 409 Washington Avenue Baltimore MD 21204 521104173 Supporting MD 501(c)(3) Line 11, Type III-FI Greater Baltimore Medical Center Inc 0 Women's Hospital Foundation Inc PO Box 166 Riderwood MD 21139 520591609 Fundraising MD 501(c)(3) Line 11, Type III-FI Greater Baltimore Medical Center Inc 0 GBMC Medical Arts LP 6701 North Charles Street Baltimore MD 21204 521412751 Real Estate Mgt MD N/A N/A 0 0 GBMC Medical Arts Pavilion West LP 6701 North Charles Street Baltimore MD 21204 521899034 Real Estate Mgt MD N/A N/A 0 0 Greater Baltimore Diagnostic Imaging Partnership 6701 North Charles Street Baltimore MD 21204 521561640 Imaging Services MD N/A N/A 0 0 GBMC Agency Inc 6701 North Charles Street Baltimore MD 21204 521411931 Investments MD N/A C 0 GBMC Management Inc 6701 North Charles Street Baltimore MD 21204 521411974 Management Co. MD N/A C 0 GBMC Finance Corporation 6701 North Charles Street Baltimore MD 21204 521863069 Financing Agent MD N/A C 0 GBMC Finance Corporation II 6701 North Charles Street Baltimore MD 21204 521836142 Financing Agent MD N/A C 0 GBMC Finance Corporation III 6701 North Charles Street Baltimore MD 21204 521836144 Financing Agent MD N/A C 0 Ruxton Insurance Company Ltd 3 Gorham Road Hamilton HM 08 Hamilton BD 980413102 Insurance Captive BD N/A C 0 GBMD Inc 6701 North Charles Street Baltimore MD 21204 521914558 Healthcare MD N/A C 0 1 1 1 0 0 0 0 0 0 1 1 1 1 1 1 0 1 1 1