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      <Description>NeurosurgeryThe Department of Neurosurgery at The Johns Hopkins Hospital continues its mission to improve the lives of patients by building upon a tradition of deep collaboration. The Department is comprised of 21 full time clinical neurosurgeons that provide care to our patients with the help of specialized nurses and other health care providers in the operating rooms, outpatient clinical building, and our inpatient critical care and acute care units. The Johns Hopkins Hospital has been ranked #1 in the 2010 U.S. News &amp; World Report rankings of American Hospitals and the neurology and neurosurgery specialty at Johns Hopkins Hospital is currently ranked number one in the nation.Our physicians are able to bring new and exceptional treatments to our adult and pediatric patients faster because of our tight network of experts who specialize in conditions such as brain tumor, cerebrovasular disease, spinal deformity, tumors and repair and trauma. We operate several Neurological Centers of Care at Johns Hopkins Hospital including the Epilepsy Center at Johns Hopkins which evaluates and cares for patients with seizure disorders from infants through the elderly. A unique aspect of our Epilepsy Center is that we provide a continuum of care for our patients across the age spectrum. Our Comprehensive Brain Tumor Center is one of the largest brain tumor treatment and research centers in the world. We treat an extremely large number of patients affected by all types of brain tumors. We tailor the best and most advanced therapies that each unique tumor demands. Our team consists of skilled surgeons and neurologists that can provide the most effective and safest treatment even on the most challenging types of tumors. Patients come to Johns Hopkins for neurological care from the local Baltimore community and the Mid-Atlantic region as well as from around the nation and the world to receive the most cutting-edge care, and find that we are a place of hope and care. In fiscal-year 2010, we provided over 30,000 outpatient consultations and performed more than 4,000 brain, tumor, vascular and peripheral nerve operations in the Johns Hopkins Outpatient Center. In our hospital, we also provided care to 2,400 adult and 537 pediatric patients with neurosurgical diseases. In the area of brain tumors our research programs have an unparalleled history of introducing new forms of treatment for the patients affected by malignant brain tumors. For example, the only two new effective surgical treatments for malignant brain tumors approved by FDA (Gliadel and GliaSite) were discovered and developed at Johns Hopkins. Our national leading role in the design and the completion of multi-center clinical trials allows us to apply the most promising discoveries from the laboratory to patient care in an effective and expeditious fashion. Presently, our most exciting areas of research include immunotherapy of brain tumors, adult stem cells and local delivery of a variety of new drug treatment options for brain tumors.</Description>
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        <Description>Cardiac SurgeryFor generations, people with serious heart problems have turned to Johns Hopkins cardiologists and cardiac surgeons for help. Recognized worldwide, Hopkins cardiologists provide comprehensive care of the highest quality, ensuring that patients receive the most advanced treatments known to medicine. Our cardiology program features expert physicians who diagnose and treat common and rare cardiac diseases. Some of these include coronary artery disease, cardiac arrhythmia, heart failure and valvular heart disease. During fiscal-year 2010, 1,173 adult and pediatric cardiac surgery procedures were performed at The Johns Hopkins Hospital. Our large volume, consisting of many complex and complicated procedures in all areas, including pediatric and aortic cardiac procedures, assures patients that they are receiving the best care possible from some of the most experienced and expertly skilled surgeons in the world. The surgeons of the Johns Hopkins Heart and Vascular Institute specialize in coronary artery bypass surgery, valve replacement, cogential cardiac surgery and minimally-invasive cardiac surgery. In addition to offering ground-breaking technology, our surgical program provides patients with the advantage of an on-site multi-disciplinary team of cardiologists, electrophysiologists, interventional radiologists, vascular surgeons, advanced practice nurses, nurse practitioners, dietitians, physical therapists, and social workers. This team often expands to include immediate care from on-site physicians from every medical specialty required. Our multi-disciplinary approach and expertise has gained us the reputation of being the best-prepared surgical practice to handle procedures that may be complex and/or complicated by underlying illness or age.The Johns Hopkins Hospital has been ranked #1 in the 2010 U. S. News &amp; World Report rankings of American Hospitals. Our Cardiovascular Program has been ranked #3 in the country and will continue to strive to provide the best patient care and most innovative treatment options to our patients and their families.</Description>
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        <Description>OncologySince its inception in 1973, the Sidney Kimmel Comprehensive Cancer Center at The Johns Hopkins Hospital has been dedicated to better understanding human cancers and finding more effective treatments. One of only 40 cancer centers in the country designated by the National Cancer Institute (NCI) as a Comprehensive Cancer Center, the Johns Hopkins Kimmel Cancer Center has active programs in clinical research, laboratory research, education, community outreach, and prevention and control. The Kimmel Cancer Center is the only Comprehensive Cancer Center in the state of Maryland. It encompasses a wide spectrum of specialty programs for both adults and children coping with cancer, including bone marrow transplantation and new drug development.During fiscal-year 2010, 3,157 inpatients were treated at the Sidney Kimmel Comprehensive Cancer Center and there were 79,113 outpatient visits made to The Johns Hopkins Hospital by oncology patients. Patients who visit the Kimmel Cancer Center have access to some of the most innovative and advanced therapies in the world. Because Kimmel Cancer Center research scientists and clinicians work closely together, new drugs and treatments developed in the laboratory are quickly transferred to the clinical setting, offering patients constantly improved therapeutic options.The Kimmel Cancer Centers Bone Marrow Transplant Program (BMT), has been an internationally renowned program in the area of blood and marrow transplantation for more than 30 years. In that time, BMT has become an accepted, curative therapy for a broad range of diseases, including malignant diseases that involve the bone marrow such as leukemias and lymphomas, nonmalignant diseases that involve the bone marrow such as aplastic anemia and a variety of inherited diseases. To date, more than 3,000 bone marrow transplants have been performed at Johns Hopkins, a National Cancer Institute-designated Comprehensive Cancer Center that is fully accredited by the National Marrow Donor Program as an unrelated donor transplant center.Patients and families, who cope with cancer, face many challenges. We believe that the more our patients know about their cancer and its treatment, the more equipped they are to actively participate in their care. So, we have created many services and programs to help our patients during this time. The Harry J. Duffey Family Patient and Family Services Program at the Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins provides professional counseling to our patients, families and care-givers with psychological, emotional, and spiritual needs. The Cancer Counseling Center provides counseling services that assist cancer patients and family members struggling with the stress of a cancer diagnosis and treatments. Experienced staff provides emotional support while helping patients and family members problem solve issues of concern, whether the issue is a new diagnosis, relapse or end of life care.</Description>
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        <TotalCommunityBuildingExpense>5760310</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>5760310</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00390</PercentOfTotalExpense>
      </Total>
      <BadDebtExpenseReported>0</BadDebtExpenseReported>
      <BadDebtExpenseAmount>27643303</BadDebtExpenseAmount>
      <AmountReimbursedByMedicare>385721637</AmountReimbursedByMedicare>
      <CostOfCareReimbursedByMedicare>366173811</CostOfCareReimbursedByMedicare>
      <MedicareSurplusOrShortfall>19547826</MedicareSurplusOrShortfall>
      <CostingMethodologyUsed>
        <CostToChargeRatio>X</CostToChargeRatio>
      </CostingMethodologyUsed>
      <WrittenDebtCollectionPolicy>1</WrittenDebtCollectionPolicy>
      <ProvisionForCharityCare>1</ProvisionForCharityCare>
      <Form990ScheduleHPartV>
        <Name>
          <BusinessNameLine1>THE JOHNS HOPKINS HOSPITAL</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>600 NORTH WOLFE STREET</AddressLine1>
          <City>BALTIMORE</City>
          <State>MD</State>
          <ZIPCode>21287</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
      </Form990ScheduleHPartV>
      <Form990ScheduleHPartVI>
        <CostingMethodUsed>Part I, Line 7: A cost-to-charge ratio (from worksheet 2) is used to calculate the amounts on line 7a 7b (Charity Care and Unreimbursed Medicaid). The amounts for lines 7e-7i comes from our HSCRC Community Benefit Report filed with the state of Maryland and is not based on a cost-to charge ratio.</CostingMethodUsed>
        <SubsidizedHealthServicesExpln>Part I, Line 7g: The Johns Hopkins Hospital does not have any subsidized health services.</SubsidizedHealthServicesExpln>
        <PercentOfTotalExpenseExpln>Part I, Line 7f: The amount of bad debt expense included on Form 990, Part IX, line 25, column (A), but subtracted for purposes of calculating the percentage in this column is $35,541,711.</PercentOfTotalExpenseExpln>
        <BadDebtFootnote>Part III, Line 4: Bad Debt expense at cost is determined using the same cost-to-charge ratio that is used to calculate Charity Care and Unreimbursed Medicaid.Discounts and allowances are accounted for separately from bad debt expense.Maryland Hospitals are rate regulated under the HSCRC, which includes bad debt as part of the reimbursement formula for each hospital. Due to the rate regulation, The Johns Hopkins Hospital (JHH) cannot determine the amount that could be reasonably attributable to patients who likely would qualify for financial assistance under the hospital's charity care policy.The organization's financial statements do not include a footnote on bad debt expense. The financial statements show the provision for bad debts as a separate line item in the Statements of Operations and Changes in Net Assets under Operating expenses.</BadDebtFootnote>
        <ShortfallAsCommunityBenefit>Part III, Line 8: the trial balance expenses are adjusted to allowable expense in accordance with the Medicare Cost Reporting Rules and Regulations.</ShortfallAsCommunityBenefit>
        <DebtCollectionPolicy>Part III, Line 9b: The Hospital conforms to the principles and standards of the MHA Hospital Billing and Debt Collection Practices Principles as well as the MHA Minimum Standards for Financial Assistance in Maryland Hospitals.</DebtCollectionPolicy>
        <NeedsAssessment>Part VI, Line 2: JHH uses a variety of methods to identify the community needs. JHH conducted a formal needs assessment of East Baltimore in 1997. In 2000, the Johns Hopkins Urban Health Institute (UHI) was created to address the health care needs of the community. The UHI was created with significant input from the community, with collaborative groups meeting over several months to identify goals and needs. The mission of UHI is to marshal the resources of the Johns Hopkins Institutions as well as other, external resources to improve the health and well-being of the residents of East Baltimore and Baltimore City, and to promote evidence-based interventions to solve urban health problems nationwide.In FY2005, a community needs assessment was conducted that includes the community around JHH, and provided additional information for both JHH and the Johns Hopkins Bayview Medical Center to identify community needs and develop targeted initiatives. Other major community benefit initiatives include the East Baltimore Development Inc. (EBDI) and the Historic East Baltimore Community Action Coalition (HEBCAC). Both initiatives have included significant involvement of community members, nonprofit organizations, government representatives and the business community.Most recently, the UHI has created the Collaborative Community Health Initiative. It is designed to engage individuals, community groups and city government from East Baltimore and Johns Hopkins in an intense process of planning and critical thinking about how best to develop and implement a community health assessment. The health assessment will be conducted within five East Baltimore zip codes: 21202, 21205, 21213, 21224, and 21231. The UHI has committed resources to support the entire planning process.</NeedsAssessment>
        <PatientEducationAssistance>Part VI, Line 3: JHH informs its patients about the Charity Care policy through a number of tactics, including: Signs in English and Spanish are posted in patient waiting and registration areas that summarize the charity care policy, A copy of the charity care policy or a summary thereof with financial assistance contact information is provided to every patient upon admission, A summary of charity care policy with contact information for financial counselors is provided to every patient without insurance who presents to the Emergency Department, and 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, JHH financial counselors will schedule an interview with the patient to determine payment arrangements and/or assist the patient in completing a Medical Assistance application.</PatientEducationAssistance>
        <CommunityInformation>Part VI, Line 4: JHH geographic service area is urban.JHH primary service area includes: Baltimore City, Anne Arundel, Baltimore County, Harford County, and Howard County. The general data for this primary service area are as follows: Total population was 2,621,261 of which 48% were males and 52% were females, Average household income was $85,345, Unemployment was at 5.5%, 16.9% of residents are uninsured, 26.8% of residents are covered by Medicaid/Medicare, 40% of households earn $50,000 or less, 10% of households had income of $15,000 or less.The primary population served at the hospital comes from Baltimore City and Baltimore County. 24.9% of the Baltimore City population has income below the federal poverty guideline. 12.5% of the Baltimore County population has income below the federal poverty guideline.Number of other hospitals serving the community or communities: 30 Federally-designated medically underserved areas or populations are present in the community.</CommunityInformation>
        <CommunityBuildingActivities>Part VI, Line 5: JHH community building activities promote the health of the community it serves through a number of initiatives they have developed. For example, JHH is committed to developing the future workforce by exposing youth to careers in health care and providing them with development opportunities. Through Project R.E.A.C.H/Community Education Programs, JHH provides youth attending school in or around the city of Baltimore the opportunity to benefit from mentoring, internships, scholarships, job shadowing, lectures, and tours of the Johns Hopkins facilities.JHH is also part of the East Baltimore Development Initiative, which is a long term community redevelopment initiative to renew neighborhoods north of the JHH campus. The initial goals were to develop a vibrant community with new and rebuilt housing, employment opportunities, a new community school, and to attract commercial and retail business into the area. The project is also providing a comprehensive range of services for East Baltimore residents, from job training and financial counseling to health care and youth employment assistance.JHH is also part of the Historic East Baltimore Community Action Coalition (HEBCAC), which is a nonprofit community-based organization developed to address the needs of the East Baltimore community by a coalition that included representatives from JHH, Johns Hopkins University, local community, business, nonprofit organizations and governmental agencies. HEBCAC has been instrumental in spearheading a variety of community improvement projects including those that have enhanced housing opportunities, employment, youth development and the quality of the environment. Neighborhoods are being built up by catalyzing and leading real estate redevelopment and organizing other projects that make dramatic physical improvements to the neighborhoods. HEBCAC has also completed rehabilitation of fifty houses for community residents in the East Baltimore communities.</CommunityBuildingActivities>
        <OtherInformation>Part VI, Line 6: For the last 30 years, Maryland hospitals have met their community benefit obligations in a unique manner that builds the costs of uncompensated care - charity care and patient bad debt and graduate medical education into the rates that hospitals are reimbursed by all payors. The system is based in federal and state law and benefits all Maryland residents, including those in need of financial assistance to pay their hospital bills. Maryland is the only state in which all payors governmentally insured, commercially insured, or self pay are charged the same price for services at any given hospital.Under this system, Maryland hospitals are regulated by a state agency - the Health Services Cost Review Commission (HSCRC) that is required to:1. Publicly disclose information on the cost and financial position of hospitals;2. Review and approve hospital rates;3. Collect information detailing transactions between hospitals and firms with which their trustees have a financial interest; and,4. Maintain the solvency of efficient and effective hospitals.Since 2000, the rate setting commission has had its own framework for reporting hospitals community benefits and issuing a report annually regarding hospitals community benefit totals. That report is available on http://www.hscrc.state.md.us/community_benefits/documents/ CBR_FY2007_final_report.pdf. Because of this unique structure Maryland hospitals community benefits numbers will not compare with the rest of the nations hospitals. However, Maryland hospitals meet or exceed the community benefit standard established by the IRS in 1969. Additional detail illustrating this can be found within this Schedule H report.Line 7b - 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 directed offsetting revenue related to Uncompensated Care. Community benefit expenses are equal to Medicaid revenues in Maryland, as such, the net effect is zero. The exception to this is the impact on the hospital of its share of the Medicaid assessment. In recent years, the state of Maryland has closed fiscal gaps in the state Medicaid budget by assessing hospitals through the rate-setting system.Line 7f 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 Health Professions Education.</OtherInformation>
        <AffiliatedHealthCareSystem>Part VI, Line 7: The Johns Hopkins Health System Corporation (JHHS) is incorporated in the State of Maryland to, among other things, formulate policy among and provide centralized management for JHHS and Affiliates. 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.JHHS 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, and Suburban Hospital, Inc. (SHI), a community based hospital.</AffiliatedHealthCareSystem>
        <ReportsFiledWithStates>MD</ReportsFiledWithStates>
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          <BusinessNameLine1>JOHNS HOPKINS COMMUNITY PHYSICIANS INC</BusinessNameLine1>
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          <AddressLine1>1101 EAST 33RD STREET</AddressLine1>
          <City>BALTIMORE</City>
          <State>MD</State>
          <ZIPCode>21218</ZIPCode>
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        <EINOfRecipient>521467441</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>2688000</AmountOfCashGrant>
        <PurposeOfGrant>SERVICES TO UNINSURED PATIENTS</PurposeOfGrant>
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          <BusinessNameLine1>THE CHILDREN'S HOUSE AT JOHNS HOPKINS HOSPITAL INC</BusinessNameLine1>
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          <AddressLine1>1915 MCELDERRY STREET</AddressLine1>
          <City>BALTIMORE</City>
          <State>MD</State>
          <ZIPCode>21205</ZIPCode>
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        <EINOfRecipient>521619682</EINOfRecipient>
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        <AmountOfCashGrant>65000</AmountOfCashGrant>
        <PurposeOfGrant>TO SUPPORT HEALTH CARE PUBLIC CHARITY</PurposeOfGrant>
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          <BusinessNameLine1>HEALTH CARE FOR THE HOMELESS</BusinessNameLine1>
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          <AddressLine1>111 PARK AVE</AddressLine1>
          <City>BALTIMORE</City>
          <State>MD</State>
          <ZIPCode>21201</ZIPCode>
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          <BusinessNameLine1>AMERICAN HEART ASSOCIATION</BusinessNameLine1>
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        <PurposeOfGrant>TO SUPPORT HEALTH CARE PUBLIC CHARITY</PurposeOfGrant>
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          <BusinessNameLine1>THE LIVING LEGACY FOUNDATION OF MARYLAND</BusinessNameLine1>
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          <AddressLine1>1730 TWIN SPRINGS RD</AddressLine1>
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        <Identifier>Procedure for Monitoring Grants in the U.S.:</Identifier>
        <ReturnReference>Part I, Line 2:</ReturnReference>
        <Explanation>Schedule I, Part I, Line 2: The Board of Trustees has delegated the facilitation and accounting for all grant programs administered by Johns Hopkins Hospital to the Officers, Directors, and Key Employees of the organization.</Explanation>
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          <BusinessNameLine1>CHARLES BARBARA</BusinessNameLine1>
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          <BusinessNameLine1>JAHANSHA BEHZAD</BusinessNameLine1>
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          <BusinessNameLine1>WALKER WYLIE</BusinessNameLine1>
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          <BusinessNameLine1>SHELLEY BARANOWSKI</BusinessNameLine1>
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        <NameBusiness>
          <BusinessNameLine1>LOUIS CROCETTI III</BusinessNameLine1>
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        <NameBusiness>
          <BusinessNameLine1>KAREN HAUCK</BusinessNameLine1>
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        <NameBusiness>
          <BusinessNameLine1>ALAN COLTRI</BusinessNameLine1>
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        <NameBusiness>
          <BusinessNameLine1>ELIZABETH AMBINDER</BusinessNameLine1>
        </NameBusiness>
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        <BonusFilingOrg>12902</BonusFilingOrg>
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      <Form990ScheduleJPartIII>
        <ReturnReference>Part I, Line 1a</ReturnReference>
        <Explanation>OFFICERS AND CERTAIN KEY EMPLOYEES OF THE JOHNS HOPKINS HOSPITAL WERE PROVIDED A GROSS UP ON THEIR DEPENDENT TUITION AMOUNTS. THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS APPROVED ALL GROSS UPS. PROPER BUSINESS DOCUMENTATION WAS PROVIDED AND THE GROSS UP WAS TREATED AS TAXABLE COMPENSATION TO THE EMPLOYEE.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <ReturnReference>Part I, Line 1b</ReturnReference>
        <Explanation>AN INTERNAL POLICY IS USED TO AWARD OFFICERS AND KEY EMPLOYEES GROSS UP PAYMENTS ON DEPENDENT TUITION.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <ReturnReference>Part I, Line 4a</ReturnReference>
        <Explanation>Make Whole Plan &amp; SERP I Plan: The Make Whole and SERP I plans are frozen, non-tax qualified defined benefit plans. Participation in the plans is limited to the existing plan participants. The benefits under the plans are based upon the participant's length of service and compensation. The Make Whole plan was designed to replace the benefits the participants lost due to the compensation limits imposed by law upon our qualified defined benefit plan. In the manner required by applicable IRS rules, the design of each of these arrangements was approved as reasonable, in advance, by an independent compensation committee, which based its decision on data provided by an independent compensation consultant. Participants' interests under these arrangements are not guaranteed or secured at any way and at all times are subject to claims of employer's bankruptcy/insolvency creditors. Furthermore, if a participant voluntarily terminates employment or is terminated by the employer for cause prior to the applicable vesting date under the Make Whole Plan, the participant's entire Make Whole Plan benefit is forfeited. If a participant terminates employment for any reason prior to the applicable vesting date under the SERP I, the participant's entire SERP I benefit is forfeited. In addition, under current law, interests under these arrangements are reportable as taxable compensation when they become vested, even if those amounts are not yet payable to the participant (and even if those amounts are never paid to the participant). No rollover or other tax-deferral options are available to participants. Note that any Make Whole Plan or SERP I vested amount or payment being reported as compensation was also reported in previous year(s) when that interest accrued under the plan. SERP II Plan &amp; SRP Plan: The SERP II and SRP plans are active; non-tax qualified defined contribution target benefit plans. The plans are designed to achieve a reasonable targeted retirement benefit level for each participant (in combination with the other retirement programs of the employer) based upon certain criteria, such as each participant's length of service and compensation. In the manner required by applicable IRS rules, the design of each of these arrangements was approved as reasonable, in advance, by an independent compensation committee, which based its decision on data provided by an independent compensation consultant. Participants' interests under these arrangements are not guaranteed or secured at any way and at all times are subject to claims of employer's bankruptcy/insolvency creditors. If a participant voluntarily terminates employment or is terminated by the employer for cause prior to the applicable vesting date under each arrangement, the participant's account is forfeited. In addition, under current law, interests under these arrangements are reportable as taxable compensation when they become vested, even if those amounts are not yet payable to the participant (and even if those amounts are never paid to the participant). No rollover or other tax-deferral options are available to participants. Note that any SERP II or SRP Plan vested amount or payment being reported as compensation was also reported in previous year(s) when that interest accrued under the plan. The following individuals 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): Daniel Ashby $1,335; Charles Barbara $5,656; Jahansha Behzad $4,116; Edward B. Chambers $5,360; Richard O. Davis $37,168; Stuart Erdman $90,782; Howard Gwon $5,091; Dalal Haldeman $41,112; Karen B. Haller $34,003; Christina Lundquist $8,168; Edward D. Miller $228,049; Ronald R. Peterson $214,557; Robert Scheu $25,236; James Scheulen $3,765; Walker Wylie $35,540; ELIZABETH AMBINDER $0.00; MARTIN BLEDSOE $0.00; KAREN DAVIS $0.00; CECELIA DIGIACOMO $0.00; Renee Demski $0.00; JAMES HEDEMAN $0.00; Jane Hill $0.00; Harry Koffenberger $0.00; SHARON KRUMM $0.00; TERRY LANGBAUM $0.00; Sally W. MacConnell $0.00; STEVEN MANDELL $0.00; Pamela D. Paulk $0.00; Joanne E. Pollak $0.00; Judy A. Reitz $0.00; G. Daniel Shealer $0.00; Ronald J. Werthman $0.00 AND RICHARD THOMAS $0.00. The following individuals listed on Form 990, Part VII, Section A, line 1a participated in a non qualified retirement plan and received payment from the plan, it is reported on Schedule J, Part II, Column (B)(iii) as well as Schedule J, Part II, Column (F) if they were required to be disclosed on prior years forms 990: Martin Bledsoe $7,304; Richard O. Davis $24,395; Stuart Erdman $8,431; James Hedeman $5,917; Kenneth Grant $62,798; John Hundt $20,244; Harry Koffenberger $196,252; Pamela D. Paulk $500,544; Ronald R. Peterson $23,022; Sally W. McConnell $500,030; Joanne E. Pollak $1,690,170; Judy A. Reitz $1,658, 368; G. Daniel Shealer, Jr. $337,154; Diann Synder $4,200; Renee Demski $ 5,971; Jane Hill $14,634 and Ronald J. Werthman $1,172,501.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <ReturnReference>Part I, Line 7</ReturnReference>
        <Explanation>BONUSES: THE BONUSES ARE ISSUED ON A WEIGHTED FORMULA BASED ON THE ATTAINMENT OF QUANTIFIABLE ORGANIZATION OBJECTIVES SET BY THE TRUSTEE COMPENSATION COMMITTEE EACH YEAR. THEY ARE REVIEWED BY MANAGEMENT THAT USES DISCRETION TO DETERMINE PAYMENT. DEPENDENT TUITION REIMBURSEMENT: THE DEPENDENT TUITION REIMBURSEMENT PROGRAM REIMBURSES EMPLOYEES FOR 50% LESS TAXES OF EACH DEPENDENT CHILD'S FULL TIME UNDERGRADUATE TUITION AND MANDATORY ACADEMNIC FEES, UP TO A MAXIMUM OF 50% OF THE JOHNS HOPKINS UNIVERSITY'S FRESHMAN UNDERGRADUATE TUITION FOR EACH ELIGIBLE DEPENDENT. EMPLOYEES WHO HAVE A MINIMUM OF TWO YEARS OF CONTINUOUS SERVICE ARE ELIGIBLE. THE DEPENDENT MUST BE ENROLLED FULL TIME AT AN APPROVED, ACCREDITED COLLEGE OR UNIVERSITY AND IN GOOD ACADEMIC STANDING. PAYMENT IS LIMITED TO FOUR YEARS OF FULL TIME, UNDERGRADUATE STUDY PER DEPENDENT CHILD. TUITION REIMBURSEMENT: TUITION REIMBURSEMENT IS AVAILABLE TO EMPLOYEES THAT WORK 20 HOURS OR MORE A WEEK FOR UP TO A MAXIMUM BENEFIT OF $10,000 PER ACADEMIC YEAR. TO RECEIVE REIMBURSEMENT, ELIGIBLE EMPLOYEES MUST PURSUE A COURSE OF STUDY AT AN ACCREDITED UNIVERSITY OR COLLEGE THAT LEADS TO A LICENSURE, DEGREE, OR MEETS THE NECESSITY RELATED TO CURRENT POSITION OR ANOTHER POSITION WITHIN THE ORGANIZATION.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>Supplemental Information</Identifier>
        <ReturnReference>Part III</ReturnReference>
        <Explanation>Schedule J, Part II, Column F The amount reported in column F represents the amount of a payment reported in column B that was already reported on prior 990s as deferred compensation. The amount reported could be different than the total amount previously reported on prior year 990s because participants have accrued benefits under our deferred compensation plan for many years and some plans originated in the 1980s. Therefore it is difficult to identify the entire previously reported amount for this extended period of time. Prior year returns and work papers were used to determine our best estimate of the previously reported amounts and placed in Column F. The amount in column F may also be different than the amount reported in column B (iii) due to gains/losses that have accrued over the years, and some individuals were not required to be reported in all prior years. Since this is a new requirement of the IRS, going forward we have adopted a spreadsheet that will track the deferred compensation reported on the 990 by each year to remain in compliance with Schedule J, Part II, Column F.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="RetDoc1053100001">
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          <BusinessNameLine1>MARYLAND HEALTH AND HIGHER EDUCATIONAL FACILITIES AUTHORITY</BusinessNameLine1>
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        <IssuerEIN>520936091</IssuerEIN>
        <CUSIPNumber>574212BB1</CUSIPNumber>
        <DateIssued>2003-03-06</DateIssued>
        <IssuePrice>70814997</IssuePrice>
        <DescriptionOfPurpose>REFUND 6/24/99, 7/1/01, 6/17/97 BONDS.</DescriptionOfPurpose>
        <Defeased>0</Defeased>
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        <CUSIPNumber>57421U5AA</CUSIPNumber>
        <DateIssued>2004-02-09</DateIssued>
        <IssuePrice>75165000</IssuePrice>
        <DescriptionOfPurpose>REFUND PRIOR ISSUES 6/22/93.</DescriptionOfPurpose>
        <Defeased>0</Defeased>
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        <DateIssued>2004-03-01</DateIssued>
        <IssuePrice>60000000</IssuePrice>
        <DescriptionOfPurpose>REFUND PRIOR ISSUES 6/29/98, REVOLVING COMMERCIAL PAPER PROGRAM.</DescriptionOfPurpose>
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        <DescriptionOfPurpose>FINANCE OR REFINANCE THE ACQUISITION, CONSTRUCTION, RENOVATION AND EQUIPMENT</DescriptionOfPurpose>
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        <PercentageOfPrvtBusinessReUBI>0.00090</PercentageOfPrvtBusinessReUBI>
        <TotalPrivateBusinessUse>0.00240</TotalPrivateBusinessUse>
        <PostIssuanceComplianceProcdrs>1</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>0</Form8038TFiled>
        <VariableRateIssue>1</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>0</HedgeIdentifiedInBooksAndRecds>
        <NameOfHedgeProvider>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </NameOfHedgeProvider>
        <GrossProceedsInvestedInGIC>0</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>1</GrossProceedsInvested>
        <ExceptionToRebate>0</ExceptionToRebate>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>0</Form8038TFiled>
        <VariableRateIssue>1</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>0</HedgeIdentifiedInBooksAndRecds>
        <NameOfHedgeProvider>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </NameOfHedgeProvider>
        <GrossProceedsInvestedInGIC>0</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>0</GrossProceedsInvested>
        <ExceptionToRebate>1</ExceptionToRebate>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>0</Form8038TFiled>
        <VariableRateIssue>1</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>0</HedgeIdentifiedInBooksAndRecds>
        <NameOfHedgeProvider>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </NameOfHedgeProvider>
        <GrossProceedsInvestedInGIC>0</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>0</GrossProceedsInvested>
        <ExceptionToRebate>1</ExceptionToRebate>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartIV>
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        <VariableRateIssue>1</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>0</HedgeIdentifiedInBooksAndRecds>
        <NameOfHedgeProvider>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </NameOfHedgeProvider>
        <GrossProceedsInvestedInGIC>0</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>0</GrossProceedsInvested>
        <ExceptionToRebate>1</ExceptionToRebate>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>0</Form8038TFiled>
        <VariableRateIssue>1</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>1</HedgeIdentifiedInBooksAndRecds>
        <NameOfHedgeProvider>
          <BusinessNameLine1>MERRILL LYNCH</BusinessNameLine1>
        </NameOfHedgeProvider>
        <TermOfHedge>30.800000000000</TermOfHedge>
        <GrossProceedsInvestedInGIC>0</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>1</GrossProceedsInvested>
        <ExceptionToRebate>0</ExceptionToRebate>
      </Form990ScheduleKPartIV>
    </IRS990ScheduleK>
    <IRS990ScheduleK documentId="RetDoc1053100002">
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>MARYLAND HEALTH AND HIGHER EDUCATIONAL FACILITIES AUTHORITY</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>520936091</IssuerEIN>
        <CUSIPNumber>574217X83</CUSIPNumber>
        <DateIssued>2008-06-26</DateIssued>
        <IssuePrice>150002476</IssuePrice>
        <DescriptionOfPurpose>CONSTRUCTION AND EQUIPMENT FOR CARDIOVASCULAR, CRITICAL CARE AND CHILDRENS.</DescriptionOfPurpose>
        <Defeased>0</Defeased>
        <OnBehalfOfIssuer>0</OnBehalfOfIssuer>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>MARYLAND HEALTH AND HIGHER EDUCATIONAL FACILITIES AUTHORITY</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>520936091</IssuerEIN>
        <CUSIPNumber>57422B7M9</CUSIPNumber>
        <DateIssued>2008-04-02</DateIssued>
        <IssuePrice>84100000</IssuePrice>
        <DescriptionOfPurpose>REFUND PRIOR ISSUE 10/25/07.</DescriptionOfPurpose>
        <Defeased>0</Defeased>
        <OnBehalfOfIssuer>0</OnBehalfOfIssuer>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>MARYLAND HEALTH AND HIGHER EDUCATIONAL FACILITIES AUTHORITY</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>520936091</IssuerEIN>
        <CUSIPNumber>5742176Z3</CUSIPNumber>
        <DateIssued>2010-06-16</DateIssued>
        <IssuePrice>150000216</IssuePrice>
        <DescriptionOfPurpose>CONSTRUCTION AND EQUIPPING OF TWO MEDICAL TOWERS.</DescriptionOfPurpose>
        <Defeased>0</Defeased>
        <OnBehalfOfIssuer>0</OnBehalfOfIssuer>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartII>
        <TotalProceeds>150002476</TotalProceeds>
        <AmountUnspent>2476</AmountUnspent>
        <CapitalExpenditures>150000000</CapitalExpenditures>
        <YearOfSubstCompletion>2012</YearOfSubstCompletion>
        <CurrentRefunding>0</CurrentRefunding>
        <AdvanceRefunding>0</AdvanceRefunding>
        <FinalAllocationMade>1</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>1</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartII>
        <TotalProceeds>84100000</TotalProceeds>
        <AmountDefeased>84100000</AmountDefeased>
        <CurrentRefunding>1</CurrentRefunding>
        <AdvanceRefunding>0</AdvanceRefunding>
        <FinalAllocationMade>1</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>1</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartII>
        <TotalProceeds>150000216</TotalProceeds>
        <CapitalExpenditures>150000216</CapitalExpenditures>
        <YearOfSubstCompletion>2012</YearOfSubstCompletion>
        <CurrentRefunding>0</CurrentRefunding>
        <AdvanceRefunding>0</AdvanceRefunding>
        <FinalAllocationMade>1</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>1</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>1</OwningBondFinancedProperty>
        <AnyLeaseArrangements>0</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>0</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>0</AnyResearchAgreements>
        <BondCounselRoutinelyEngaged>1</BondCounselRoutinelyEngaged>
        <PrcntgePrvtBusinessUseByOthers>0.00000</PrcntgePrvtBusinessUseByOthers>
        <PercentageOfPrvtBusinessReUBI>0.00000</PercentageOfPrvtBusinessReUBI>
        <TotalPrivateBusinessUse>0.00000</TotalPrivateBusinessUse>
        <PostIssuanceComplianceProcdrs>1</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>1</OwningBondFinancedProperty>
        <AnyLeaseArrangements>1</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>1</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>1</AnyResearchAgreements>
        <BondCounselRoutinelyEngaged>1</BondCounselRoutinelyEngaged>
        <PrcntgePrvtBusinessUseByOthers>0.00140</PrcntgePrvtBusinessUseByOthers>
        <PercentageOfPrvtBusinessReUBI>0.00090</PercentageOfPrvtBusinessReUBI>
        <TotalPrivateBusinessUse>0.00230</TotalPrivateBusinessUse>
        <PostIssuanceComplianceProcdrs>1</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIII>
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        <AnyLeaseArrangements>0</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>0</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>0</AnyResearchAgreements>
        <BondCounselRoutinelyEngaged>1</BondCounselRoutinelyEngaged>
        <PrcntgePrvtBusinessUseByOthers>0.00000</PrcntgePrvtBusinessUseByOthers>
        <PercentageOfPrvtBusinessReUBI>0.00000</PercentageOfPrvtBusinessReUBI>
        <TotalPrivateBusinessUse>0.00000</TotalPrivateBusinessUse>
        <PostIssuanceComplianceProcdrs>1</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>0</Form8038TFiled>
        <VariableRateIssue>0</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>0</HedgeIdentifiedInBooksAndRecds>
        <NameOfHedgeProvider>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </NameOfHedgeProvider>
        <GrossProceedsInvestedInGIC>0</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>0</GrossProceedsInvested>
        <ExceptionToRebate>1</ExceptionToRebate>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>0</Form8038TFiled>
        <VariableRateIssue>1</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>1</HedgeIdentifiedInBooksAndRecds>
        <NameOfHedgeProvider>
          <BusinessNameLine1>GOLDMAN SACHS</BusinessNameLine1>
        </NameOfHedgeProvider>
        <TermOfHedge>30.800000000000</TermOfHedge>
        <GrossProceedsInvestedInGIC>0</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>1</GrossProceedsInvested>
        <ExceptionToRebate>0</ExceptionToRebate>
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      <Form990ScheduleKPartIV>
        <Form8038TFiled>0</Form8038TFiled>
        <VariableRateIssue>0</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>0</HedgeIdentifiedInBooksAndRecds>
        <NameOfHedgeProvider>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </NameOfHedgeProvider>
        <GrossProceedsInvestedInGIC>0</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>0</GrossProceedsInvested>
        <ExceptionToRebate>1</ExceptionToRebate>
      </Form990ScheduleKPartIV>
    </IRS990ScheduleK>
    <IRS990ScheduleM documentId="RetDoc1042900001">
      <WorksOfArt>
        <NonCashCheckbox>X</NonCashCheckbox>
        <NumberOfContributions>2</NumberOfContributions>
        <NoncashContribsRptdF990>22000</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>APPRAISED FMV</MethodOfDeterminingRevenues>
      </WorksOfArt>
      <NumberOf8283Received>1</NumberOf8283Received>
      <AnyPropertyThatMustBeHeld>0</AnyPropertyThatMustBeHeld>
      <ReviewProcessUnusualNCGifts>1</ReviewProcessUnusualNCGifts>
      <ThirdPartiesUsed>0</ThirdPartiesUsed>
      <Form990ScheduleMPartII>
        <Identifier>Method for Determining Number of Contributors:</Identifier>
        <ReturnReference>Part I, Column (b):</ReturnReference>
        <Explanation>THE JOHNS HOPKINS HOSPITAL RECEIVED TWO PAINTINGS BY REYNOLDS BEAL.</Explanation>
      </Form990ScheduleMPartII>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section A, line 7a</Identifier>
        <Explanation>Johns Hopkins Health System Corporation, a IRC 501(c)(3) tax exempt parent organization of The Johns Hopkins Hospital elects the board of trustees.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section A, line 7b</Identifier>
        <Explanation>The governing body of the JOHNS HOPKINS HOSPITAL is empowered by its by-laws to make certain decisions; all other decisions are subject to approval of the parent organization Johns Hopkins Health System Corporation.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 11</Identifier>
        <Explanation>A SECURED WEBSITE PROVIDES ACCESS TO THE COPY OF THE FORM 990 TO THE ORGANZIATION'S GOVERNING BODY BEFORE IT IS FILED.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 12c</Identifier>
        <Explanation>THE CONFLICT OF INTEREST POLICY IS A PART OF THE ANNUAL FINANCIAL AUDIT CONFIRMATION PROCESS PROVIDED ONLINE. ALL OFFICERS, DIRECTORS, TRUSTEES, AND KEY EMPLOYEES ARE REQUIRED TO COMPLY ON AN ANNUAL BASIS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 15</Identifier>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section C, line 19</Identifier>
        <Explanation>INTERNAL POLICIES, INCLUDING CONFLICT OF INTEREST POLICY, ARE PROVIDED TO THE PUBLIC ON THE ORGANIZATION'S WEBSITE. FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST, THE GOVERNING DOCUMENTS HAVE BEEN MADE AVAILABLE IN THE PUBLIC FILING WITH THE STATE OF MARYLAND AND THE INTERNAL REVENUE SERVICE.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Schedule K Part II, line 8</Identifier>
        <ReturnReference>Year of substantial completion</ReturnReference>
        <Explanation>due to refunding, year of substantial completion is not applicable.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 5471, SCHEDULE O, PART II, SECTION B</Identifier>
        <Explanation>SCHEDULE O, PART II, SECTION B-U.S. PERSONS WHO ARE OFFICERS OR DIRECTORS OF THE FOREIGN CORP. NAME &amp; ADDRESS SOCIAL SECURITY OFFICER DIRECTOR ----------------------------------------------------------------------- 1. MICHAEL C. GOONAN * X * 2. STEVEN M. COHEN * X * 3. PHYLLIS R.F. LANTOS * X X * 4. JAMES M. STATEN * X X * 5. CHRISTOPHER D. SMITH * X * 6. ABRAHAM P. CHEIJ, JR. * X * 7. RONALD J. WERTHMAN * X X * 8. CHARLES G. COLLIS,ESQ. * X X * 9.FREDERICK G. SAVAGE,ESQ. * X X * 10.PETER R. CHESTERTON * X * 11.MARK LARMORE * X * 12.RICHARD U. LEVINE, MD * X * 13.CHRISTOPHER GARROD * X * 14.DAVID J. LEFFELL * X * * - DETAIL AVAILABLE UPON REQUEST</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 5471 - REGS SEC. 1.6046-1(B)(11)</Identifier>
        <Explanation>Statement Required Pursuant to Regulations Section 1.6046-1(b)(11) Pursuant to Regulations Section 1.6046-1(b)(11), The Medical Centre Insurance Company, Ltd. had the following amounts of indebtedness: a. to any United States person owning 5 percent or more in value of the Company's stock. NONE b. to any other foreign corporation owning 5 percent or more in value of the outstanding stock of the foreign corporation. NONE Statement Required Pursuant to Regulation Section 1.6046-1(b)(12) Pursuant to Regulation Section 1.6046-1(b)(12), the following is a complete list of all subscribers to the stock of The Medical Centre Insurance Company, Ltd. as of December 31, 2009: NONE</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>JOHNS HOPKINS HEALTH SYSTEM CORPORATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1101 E 33RD STREET</AddressLine1>
          <City>BALTIMORE</City>
          <State>MD</State>
          <ZIPCode>21218</ZIPCode>
        </AddressUS>
        <EIN>521465301</EIN>
        <PrimaryActivities>SUPPORTING ORGANIZATION</PrimaryActivities>
        <LegalDomicileState>MD</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11, III fi</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>JOHNS HOPKINS HEALTH SYSTEM CORPORATION</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>HOWARD COUNTY GENERAL HOSPITAL INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>5755 CEDAR LANE</AddressLine1>
          <City>COLUMBIA</City>
          <State>MD</State>
          <ZIPCode>21044</ZIPCode>
        </AddressUS>
        <EIN>522093120</EIN>
        <PrimaryActivities>HOSPITAL</PrimaryActivities>
        <LegalDomicileState>MD</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>JOHNS HOPKINS HEALTH SYSTEM CORPORATION</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>HOWARD COUNTY LIQUIDATION CORPORATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>5755 CEDAR LANE</AddressLine1>
          <City>COLUMBIA</City>
          <State>MD</State>
          <ZIPCode>21044</ZIPCode>
        </AddressUS>
        <EIN>520892284</EIN>
        <PrimaryActivities>TRANSITION ORGANIZATION</PrimaryActivities>
        <LegalDomicileState>MD</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>JOHNS HOPKINS HEALTH SYSTEM CORPORATION</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>JOHNS HOPKINS BAYVIEW MEDICAL CENTER INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1101 E 33RD STREET</AddressLine1>
          <City>BALTIMORE</City>
          <State>MD</State>
          <ZIPCode>21218</ZIPCode>
        </AddressUS>
        <EIN>521341890</EIN>
        <PrimaryActivities>HOSPITAL</PrimaryActivities>
        <LegalDomicileState>MD</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>JOHNS HOPKINS HEALTH SYSTEM CORPORATION</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>JOHNS HOPKINS COMMUNITY PHYSICIANS INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1101 E 33RD STREET</AddressLine1>
          <City>BALTIMORE</City>
          <State>MD</State>
          <ZIPCode>21218</ZIPCode>
        </AddressUS>
        <EIN>521467441</EIN>
        <PrimaryActivities>HEALTHCARE SERVICES</PrimaryActivities>
        <LegalDomicileState>MD</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11, iii fi</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>JOHNS HOPKINS HEALTH SYSTEM CORPORATION</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>JOHNS HOPKINS HOSPITAL ENDOWMENT FUND INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1101 E 33RD STREET</AddressLine1>
          <City>BALTIMORE</City>
          <State>MD</State>
          <ZIPCode>21218</ZIPCode>
        </AddressUS>
        <EIN>237252596</EIN>
        <PrimaryActivities>SUPPORTING ORGANIZATION</PrimaryActivities>
        <LegalDomicileState>MD</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11, III fi</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>JOHNS HOPKINS HOSPITAL ENDOWMENT FUND INC</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>JOHNS HOPKINS MEDICAL SERVICES CORPORATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1101 E 33RD STREET</AddressLine1>
          <City>BALTIMORE</City>
          <State>MD</State>
          <ZIPCode>21218</ZIPCode>
        </AddressUS>
        <EIN>521232569</EIN>
        <PrimaryActivities>HEALTHCARE SERVICES</PrimaryActivities>
        <LegalDomicileState>MD</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>JOHNS HOPKINS HEALTH SYSTEM CORPORATION</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>JOHNS HOPKINS PARKING CORPORATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1101 E 33RD STREET</AddressLine1>
          <City>BALTIMORE</City>
          <State>MD</State>
          <ZIPCode>21218</ZIPCode>
        </AddressUS>
        <EIN>311475716</EIN>
        <PrimaryActivities>SUPPORTING ORGANIZATION</PrimaryActivities>
        <LegalDomicileState>MD</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11, I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>JOHNS HOPKINS PARKING CORPORATION</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SUBURBAN HOSPITAL HEALTHCARE SYSTEM INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>8600 OLD GEORGETOWN ROAD</AddressLine1>
          <City>BETHESDA</City>
          <State>MD</State>
          <ZIPCode>20814</ZIPCode>
        </AddressUS>
        <EIN>522052354</EIN>
        <PrimaryActivities>SUPPORTING ORGANIZATION</PrimaryActivities>
        <LegalDomicileState>MD</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11, III fi</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>JOHNS HOPKINS HEALTH SYSTEM CORPORATION</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SUBURBAN HOSPITAL INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>8600 OLD GEORGETOWN ROAD</AddressLine1>
          <City>BETHESDA</City>
          <State>MD</State>
          <ZIPCode>20814</ZIPCode>
        </AddressUS>
        <EIN>520610545</EIN>
        <PrimaryActivities>HOSPITAL</PrimaryActivities>
        <LegalDomicileState>MD</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>johNS HOPKINS HEALTH SYSTEM CORPORATION</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>JHMI UTILITIES LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1101 E 33RD STREET</AddressLine1>
          <City>BALTIMORE</City>
          <State>MD</State>
          <ZIPCode>21218</ZIPCode>
        </AddressUS>
        <EIN>202814243</EIN>
        <PrimaryActivity>UTILITY FACILITIES</PrimaryActivity>
        <LegalDomicileState>MD</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <PredominantIncomeType>RELATED</PredominantIncomeType>
        <ShareOfTotalIncome>1199313</ShareOfTotalIncome>
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</Return>