2026-05-11T14:28:16-05:00 2025-06-30 205991824 SC&H GROUP INC 226 SCHILLING CIRCLE SUITE 300 HUNT VALLEY MD 21031 990 2024-07-01 526049658 GREATER BALTIMORE MEDICAL CENTER INC GREA 4438492000 6701 NORTH CHARLES STREET BALTIMORE MD 21204 PETER OSTASEWSKI MBA EVP/CFO 4438460305 2026-03-15 1 1 LORI S BURGHAUSER P00370694 4104031500 2026-05-11 2024 2025-03-06 01:10:19Z PAARI GOPALAKRISHNAN MD 6701 NORTH CHARLES STREET BALTIMORE MD 21204 676429556 0 X WWW.GBMC.ORG X 1960 MD TO PROVIDE MEDICAL CARE AND SERVICE OF THE HIGHEST QUALITY TO EACH PATIENT LEADING TO HEALTH, HEALING, AND HOPE. 28 25 4639 0 493955 206167 13705945 14855631 604574307 631737335 9607313 26772608 1295243 1272744 629182808 674638318 147632 153880 0 0 354634891 388519266 0 0 2048098 267488064 289875886 622270587 678549032 6912221 -3910714 901301924 870329948 483594312 474908914 417707612 395421034 X THE MISSION OF GBMC IS TO PROVIDE MEDICAL CARE AND SERVICE OF THE HIGHEST QUALITY TO EACH PATIENT AND TO EDUCATE THE NEXT GENERATION OF CLINICIANS, LEADING TO HEALTH, HEALING AND HOPE FOR THE COMMUNITY. OUR VISION: TO EVERY PATIENT, EVERY TIME, WE WILL PROVIDE THE CARE THAT WE WOULD WANT FOR OUR OWN LOVED ONES. 0 0 299191389 317395558 GREATER BALTIMORE MEDICAL CENTER, INC. (GBMC) IS A LEADING HEALTHCARE DESTINATION, PROUDLY SERVING OUR COMMUNITY WITH COMPASSION AND EXCELLENCE. OUR 211-BED ACUTE CARE MEDICAL CENTER PROVIDES ADVANCED MEDICAL SERVICES ON A WELCOMING SUBURBAN CAMPUS. IN THE PAST YEAR, GBMC CARED FOR 12,478 INPATIENTS, SUPPORTED 5,078 PATIENTS UNDER OBSERVATION, AND CELEBRATED THE ARRIVAL OF 3,670 NEWBORNS. OUR SPECIALIZED PROGRAMS - WOMEN'S CANCER CARE, SURGICAL AND MEDICAL SERVICES, AND COMPREHENSIVE ONCOLOGY - CONTINUE TO GROW TO MEET COMMUNITY NEEDS. WE RECENTLY EXPANDED OUR ONCOLOGY SERVICES, OPENING THE SANDRA R. BERMAN CANCER CENTER PROVIDING 15,670 INFUSION THERAPY VISITS. 125969934 113503709 DURING THE PAST FISCAL YEAR, GBMC'S STATE-OF-THE-ART OPERATING ROOMS SUCCESSFULLY PERFORMED MORE THAN 19,684 INPATIENT AND OUTPATIENT SURGICAL PROCEDURES, REFLECTING OUR COMMITMENT TO EXCEPTIONAL CARE AND INNOVATION. OUR SURGICAL SPECIALTIES ARE AMONG THE MOST ADVANCED IN THE REGION AND INCLUDE: - COMPREHENSIVE OBESITY MANAGEMENT PROGRAM - HOME TO THE OLDEST RECOGNIZED ASMBS CENTER OF EXCELLENCE IN METROPOLITAN BALTIMORE, SETTING THE STANDARD FOR BARIATRIC CARE. - JOHNS HOPKINS HEAD AND NECK SURGERY AT GBMC - PROVIDING WORLD-CLASS EXPERTISE CLOSE TO HOME. - MINIMALLY INVASIVE AND ENDOCRINE SURGERY - DELIVERING FASTER RECOVERY AND BETTER OUTCOMES THROUGH CUTTING-EDGE TECHNIQUES. - NEUROSURGERY, VASCULAR AND THORACIC SURGERY, AND UROLOGY - OFFERING HIGHLY SPECIALIZED CARE WITH A FOCUS ON PATIENT SAFETY AND QUALITY. 23671933 35891927 DURING THE FISCAL YEAR, OUR EMERGENCY DEPARTMENT PROVIDED CARE TO 58,132 PATIENTS, DELIVERING TIMELY AND COMPASSIONATE TREATMENT FOR A WIDE RANGE OF MEDICAL NEEDS. TO ENSURE EFFICIENT SERVICE AND REDUCE WAIT TIMES, THE DEPARTMENT IS ORGANIZED INTO THREE SPECIALIZED CARE AREAS: - URGENT CARE - DESIGNED FOR PATIENTS WITH MINOR INJURIES OR CONDITIONS, SUCH AS SPRAINS, REQUIRING PROMPT ATTENTION. - EMERGENT CARE - EQUIPPED TO HANDLE SEVERE AND COMPLEX CASES, INCLUDING ACUTE ABDOMINAL PAIN, CHEST PAIN, AND TRAUMATIC INJURIES FROM MOTOR VEHICLE ACCIDENTS. - OBSERVATIONAL CARE - LOCATED ADJACENT TO EMERGENT CARE, THIS AREA SUPPORTS ADULT PATIENTS WHO REQUIRE MONITORING AND EVALUATION WITHOUT HOSPITAL ADMISSION. OUR COMMITMENT TO PATIENT-CENTERED CARE ENSURES THAT INDIVIDUALS AND FAMILIES RECEIVE THE HIGHEST LEVEL OF SERVICE IN A SAFE, RESPONSIVE ENVIRONMENT. 129868861 153880 164791509 AMBULATORY, POST ACUTE AND PRIMARY CARE SERVICES 129868861 153880 164791509 578702117 1 1 0 1 0 0 0 0 0 1 1 1 0 1 1 1 0 1 0 1 1 0 0 0 1 0 1 1 1 0 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 1 1 0 0 1 165 0 4639 1 1 1 1 BD 0 0 0 1 1 0 0 0 0 1 0 X 28 25 1 0 0 0 1 1 1 1 1 0 1 1 1 1 1 1 1 1 0 0 1 1 MD X X PETER OSTASEWSKI MBA 4438492000 6701 NORTH CHARLES STREET BALTIMORE MD 21204 JOHN B CHESSARE MD DIRECTOR/CEO GBMC HEALTHCARE 32.00 28.00 X X 1139114 0 33270 ROBIN MOTTER-MAST DO DIRECTOR/CHIEF OF STAFF 50.00 10.00 X X 421636 0 35567 J CHRISTOPHER GREENAWALT MD DIRECTOR/VICE CHIEF OF STAFF 50.00 10.00 X X 369702 0 21001 FAITH E THOMAS CHAIR 1.00 2.00 X X 0 0 0 TIMOTHY L KRONGARD CO VICE CHAIR 1.00 1.00 X X 0 0 0 JAMES B STRADTNER CO VICE CHAIR 1.00 1.00 X X 0 0 0 STEPHEN T SCOTT TREASURER 1.00 1.00 X X 0 0 0 CHRISTINA FITTS SECRETARY 1.00 1.00 X X 0 0 0 ROBERT AUMILLER DIRECTOR 1.00 2.00 X 0 0 0 HEIDI KENNY BERMAN DIRECTOR 1.00 2.00 X 0 0 0 SANDRA BERMAN DIRECTOR 1.00 1.00 X 0 0 0 MONIQUE BOOKER DIRECTOR 1.00 1.00 X 0 0 0 TOBI HOLLANDER DIRECTOR 1.00 1.00 X 0 0 0 FREDERICK M HUDSON DIRECTOR 1.00 1.00 X 0 0 0 HARRY S JOHNSON DIRECTOR 1.00 1.00 X 0 0 0 LEON KAPLAN DIRECTOR 1.00 1.00 X 0 0 0 ANTHONY V MILANDO DIRECTOR 1.00 1.00 X 0 0 0 PATRICIA J MITCHELL DIRECTOR 1.00 1.00 X 0 0 0 BERNARD RHEE DIRECTOR 1.00 2.00 X 0 0 0 STEPHEN PLANO DIRECTOR 1.00 1.00 X 0 0 0 JOHN R SAUNDERS MD DIRECTOR 1.00 1.00 X 0 0 0 MICHELLE SIRI DIRECTOR 1.00 1.00 X 0 0 0 STUART A SMITH III DIRECTOR 1.00 2.00 X 0 0 0 DEVON SMITH DVM DIRECTOR 1.00 2.00 X 0 0 0 BONNIE B STEIN DIRECTOR 1.00 2.00 X 0 0 0 STEVEN A THOMAS DIRECTOR 1.00 1.00 X 0 0 0 ALEXIS THOMPSON DIRECTOR 1.00 1.00 X 0 0 0 MARION G THOMPSON DIRECTOR 1.00 1.00 X 0 0 0 JOHN L FLOWERS MD EVP & CHIEF MEDICAL OFFICER 50.00 10.00 X 824782 0 40927 LAURIE R BEYER EVP & CFO GBMC HEALTHCARE 40.00 20.00 X 700392 0 115031 CATHERINE HAMEL EVP/PRES. GILCHRIST & CHIEF STRATEGY OFFICER 20.00 40.00 X 621557 0 35771 CARL JEAN-BAPTISTE GENERAL COUNSEL & SVP FOR LEGAL SERVICES 40.00 20.00 X 402632 0 67585 ANNA-MARIA G PALMER SVP HR AND ORG DEVELOPMENT AND CHRO 40.00 20.00 X 484241 0 71884 ERLENE WASHINGTON SVP & COO OF GBMC HEALTH PARTNERS 50.00 10.00 X 456532 0 73652 JENNY COLDIRON SVP OF DEVELOPMENT AND MARKETING 10.00 50.00 X 429487 0 30662 STACEY L MCGREEVY EVP & COO HOSPITAL 50.00 10.00 X 436110 0 77403 ANGELA FEURER SVP AND CNO 10.00 50.00 X 392473 0 76792 CAROLYN L CANDIELLO SVP OF QUALITY AND PATIENT SAFETY 59.00 1.00 X 375116 0 29100 MICHAEL STEIN SVP CLINICAL & SUPPORT OPPS 50.00 10.00 X 326318 0 61053 DAVID J HYNSON VP & CIO (PART YEAR) 45.00 15.00 X 239542 0 6871 VICTOR A KHOUZAMI MD CHAIR/PHYSICIAN 60.00 0.00 X 1295261 0 34268 BIMAL G RAMI MD PHYSICIAN 60.00 0.00 X 1214999 0 37991 NIRAJ JANI MD PHYSICIAN 60.00 0.00 X 797330 0 38239 ANEESHA VARREY MD PHYSICIAN 60.00 0.00 X 748593 0 11465 CHEN GANG MD PHYSICIAN 60.00 0.00 X 886445 0 14330 12562262 0 912862 788 0 1 0 SHEPPARD PRATT HEALTH SYSTEM 6501 N CHARLES STREET BALTIMORE MD 21204 CONTRACTED PHYSICIAN & MEDICAL SERVICES 5325788 COMPUTER DESIGN & INTEGRATION 500 FIFTH AVENUE SUITE 1500 NEW YORK NY 10110 INFORMATION TECHNOLOGY SERVICES 5032384 JOHNS HOPKINS UNIVERSITY 125 MEDICAL ADMIN RD 720 RUTLAND BALTIMORE MD 21205 RESIDENCY PROGRAM 4887673 HEALTH CAROUSEL LLC 4000 SMITH ROAD CINCINNATI OH 45209 MEDICAL STAFFING 4715095 SODEXO INC 9801 WASHINGTON BLVD GAITHERSBURG MD 20878 MANAGEMENT - HOTEL SERVICES 4437611 122 518132 4154990 516055 9666454 14855631 PATIENT SERVICE 621110 595177431 595177431 SPECIALTY PHARMACY 620000 24521325 24521325 OTHER PATIENT REVENUE 621110 12038579 11883947 154632 631737335 18983745 339323 18644422 1146825 1146825 7260683 979009 1597654 0 5663029 979009 6642038 6642038 34328 518132 193584 -159256 -159256 PARKING REVENUE 900099 1359958 1359958 CAFETERIA INCOME 900099 72042 72042 1432000 674638318 631582703 493955 27706029 153880 153880 9188705 9188705 324617753 290637172 32913751 1066830 7158676 4697244 2437624 23808 26258851 25543098 600570 115183 21295281 18483304 2734668 77309 2662313 1001434 1660879 244201 57153 187048 325151 325151 5727 5727 627087 627087 45212976 34748991 10078855 385130 883895 7873 821934 54088 8249292 7714976 312341 221975 16528285 10419236 6101848 7201 16890588 16156092 734496 552599 194576 352428 5595 1185801 611171 573265 1365 7954974 76459 7878515 35608578 21920076 13676344 12158 3267656 2302072 965584 MEDICAL SUPPLIES 141608612 141608612 PURCHASED SERVICES 6199585 2316516 3805613 77456 GRANT RESERVE 1136546 1136546 INSTITUTIONAL DUES 732020 52182 679838 678549032 578702117 97798817 2048098 76580813 59972569 26924133 28534410 74421946 72239217 6974809 6430592 17052501 16928240 892440550 523617508 376391151 368823042 130331894 128021222 68189501 64181247 124435176 125199409 901301924 870329948 85698238 78847615 1123144 2777980 235772862 231628977 21495219 19077894 139504849 142576448 483594312 474908914 X 328469168 313098865 89238444 82322169 417707612 395421034 901301924 870329948 X -3910714 -4571513 -13804351 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 0 0 0 1 29110 29110 0 PART II-B, LINE 1: GOVERNMENT RELATIONS IS A FUNCTION WITHIN THE MARKETING AND COMMUNICATIONS DEPARTMENT OF GBMC HEALTHCARE. IN THIS ROLE, A STAFF MEMBER DEVOTES A PORTION OF HIS TIME SERVING ON THE LEGISLATIVE COMMITTEE OF THE MARYLAND HOSPITAL ASSOCIATION AND ATTENDS REGULAR COMMITTEE MEETINGS DURING THE STATE LEGISLATIVE SESSION. ADDITIONALLY, THIS ROLE INVOLVES THE COORDINATION OF PERIODIC TOURS OF GBMC WITH LOCAL AND STATE ELECTED OFFICIALS. A PORTION OF THIS PERSON'S SALARY IS ALLOCATED TO LOBBYING COSTS ($23,383). THE ORGANIZATION PAYS DUES TO THE MARYLAND HOSPITAL ASSOCIATION. A PORTION OF THE DUES PAID ARE USED FOR LOBBYING ACTIVITIES ($5,727). 46073595 5826574 4226814 3828576 52298407 40818185 3550053 4933533 3228196 46073595 38625980 2394158 2723286 2924903 40818521 45212836 3486805 -5035114 5038547 38625980 3775539 1488212 11549578 5400493 45212836 0.65290 0.34710 0 0 15290673 15290673 552744374 283122355 269622019 15948313 9093844 6854469 164680605 123492104 41188501 143776585 107909205 35867380 368823042 CLOSELY HELD INVESTMENTS 6670444 C ALTERNATIVE INVESTMENTS 55626101 C PARTNERSHIP INVESTMENTS 1884702 C 64181247 INTERCOMPANY RECEIVABLES 82330860 DEFERRED ASSETS 23104 RIGHT OF USE ASSETS 39321841 DONATED TIMESHARE 44500 DUE FROM AFFILIATES - LONG TERM 3479104 125199409 CAPITAL & OPERATING LEASES 57158471 OTHER LIABILITIES 9913518 CHARITABLE GIFT ANNUITY 1134910 INSURANCE RESERVES 2358994 OTHER THIRD PARTY ADVANCES 15926139 INTERCOMPANY PAYABLES 56084416 142576448 X PART V, LINE 4: GREATER BALTIMORE MEDICAL CENTER, INC, HOLDS AND MANAGES THE ENDOWMENT FOR THE PURPOSE OF: 1) DEPARTMENT NEEDS - ONCOLOGY, PEDIATRICS, EMERGENCY DEPARTMENT, CHAPEL, OPHTHALMOLOGY, AND SAFE {DOMESTIC VIOLENCE PROGRAM), 2) RESEARCH - SUPPORT CLINICAL RESEARCH PERFORMED AT GREATER BALTIMORE MEDICAL CENTER, 3) EDUCATION - SUPPORT EDUCATION PROGRAMS, LECTURES AND SCHOLARSHIPS, CENTER FOR NURSING EXCELLENCE, 4) GENERAL SUPPORT FOR GREATER BALTIMORE MEDICAL CENTER, 5) UNCOMPENSATED CARE. PART X, LINE 2: GREATER BALTIMORE MEDICAL CENTER, INC. IS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS FOR GBMC HEALTHCARE, INC. AND SUBSIDIARIES, WHICH INCLUDES BOTH TAXABLE AND TAX-EXEMPT AFFILIATES. THE COMPANY IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THE COMPANY IS SUBJECT TO INCOME TAX ON UNRELATED BUSINESS INCOME. 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 AS OF AND DURING THE YEARS ENDED JUNE 30, 2025 AND 2024 FOR UNCERTAIN TAX POSITIONS. 1 CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS, 1 0 INVESTMENT EXPENDITURES 14580350 CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS, 1 0 INVESTMENTS 19788812 NORTH AMERICA - CANADA AND MEXICO, BUT NOT THE UNITED STATES 0 0 INVESTMENTS 3736266 1 0 0 0 1 0 38105428 0 38105428 1 0 1 1 1 0 WALK A MILE 252442 247876 4566 12610 18613 31910 1287 482 GBMC GOLF OUTINGS 157634 135134 22500 59934 775 1 142384 135122 7262 9792 14077 26772 2454 14878 552460 518132 34328 22402 92624 58682 3741 16135 193584 -159256 1 1 1 X 300.000000000000 1 X 500.000000000000 1 1 1 0 1 1 4421094 4421094 0.00650 4421094 4421094 0.00650 2366133 447676 1918457 0.00280 8680303 589228 8091075 0.01190 204934935 143417024 61517911 0.09070 666517 608401 58116 0.00010 146072 0 146072 0.00020 216793960 145062329 71731631 0.10570 221215054 145062329 76152725 0.11220 36801 36801 0.00010 11590 11590 0.00000 48391 48391 0.00010 1 13928682 0 133496844 103737377 29759467 X 1 1 1 1 GREATER BALTIMORE MEDICAL CENTER 6701 NORTH CHARLES STREET BALTIMORE MD 21204 WWW.GBMC.ORG 03-015 X X X X X GREATER BALTIMORE MEDICAL CENTER 1 0 0 1 X X X X X X X X X 23 1 1 1 1 X HTTPS://WWW.GBMC.ORG/CHNA 1 24 1 HTTPS://WWW.GBMC.ORG/CHNA 0 1 X 300.000000000000 500.000000000000 X X X X X 1 1 X X X 1 X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X X 1 X 0 X X X X 1 X 0 0 GREATER BALTIMORE MEDICAL CENTER PART V, SECTION B, LINE 5: AS PART OF THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), GBMC ENGAGED A DIVERSE GROUP OF COMMUNITY REPRESENTATIVES - INCLUDING PUBLIC HEALTH OFFICIALS, MEDICAL PROVIDERS, SOCIAL SERVICE ORGANIZATIONS, CHILD AND YOUTH ADVOCATES, AND FAITH-BASED LEADERS - TO PARTICIPATE IN A SURVEY IDENTIFYING THE MOST SIGNIFICANT SOCIAL AND HEALTHCARE ISSUES FACING THE COMMUNITY. THESE RESPONSES WERE INCORPORATED INTO THE OFFICIAL CHNA REPORT. BI-ANNUALLY, GBMC HOSTS TWO ANNUAL COMMUNITY STAKEHOLDER MEETINGS TO GATHER FEEDBACK ON INITIATIVES AND PROGRESS TOWARD GOALS. COMMUNITY INPUT INCLUDED CONSULTATIONS WITH BEHAVIORAL HEALTH SYSTEMS BALTIMORE, NATIONAL ALLIANCE ON MENTAL ILLNESS (NAMI) MARYLAND, AND THE BALTIMORE COUNTY DEPARTMENT OF HEALTH. GREATER BALTIMORE MEDICAL CENTER PART V, SECTION B, LINE 6A: THE CHNA WAS CONDUCTED IN COLLABORATION WITH THE FOLLOWING HOSPITAL FACILITIES: NORTHWEST HOSPITAL (LIFEBRIDGE HEALTH), SHEPPARD PRATT, UNIVERSITY OF MARYLAND ST. JOSEPH MEDICAL CENTER, AND MEDSTAR FRANKLIN SQUARE MEDICAL CENTER. GREATER BALTIMORE MEDICAL CENTER PART V, SECTION B, LINE 6B: THE CHNA WAS CONDUCTED WITH ONE NON-HOSPITAL FACILITY, THE BALTIMORE COUNTY DEPARTMENT OF HEALTH. GREATER BALTIMORE MEDICAL CENTER PART V, SECTION B, LINE 11: GBMC HAS IMPLEMENTED TARGETED PROGRAMS ADDRESSING PRIORITY NEEDS IDENTIFIED IN THE CHNA, FOCUSING ON AREAS WHERE THE ORGANIZATION CAN MAKE THE GREATEST IMPACT AS FOLLOWS: BEHAVIORAL HEALTH, PHYSICAL HEALTH, AND HEALTH DISPARITIES. KEY INITIATIVES INCLUDE:- BEHAVIORAL HEALTH INTEGRATION: COLLABORATIVE CARE MODEL (COCM) EMBEDDED WITHIN GBMC'S PRIMARY CARE PRACTICES WAS DEVELOPED IN COORDINATION WITH SHEPPARD PRATT. IN FY25, CARE PROVIDED TO 1,819 PATIENTS, IMPROVING BEHAVIORAL HEALTH OUTCOMES AND REDUCING EMERGENCY DEPARTMENT UTILIZATION.- EXPANDED CARE COORDINATION/CARE MANAGEMENT: PATIENTS ARE MANAGED THROUGH PRIMARY CARE PRACTICES BY A TWO-PERSON CARE TEAM WHO DEVELOP INDIVIDUALIZED CARE PLANS. THESE TEAMS FOLLOW UP AFTER EMERGENCY VISITS OR HOSPITALIZATIONS TO ENSURE CONTINUITY AND REDUCE READMISSIONS. THIS INITIATIVE ADVANCES GBMC'S MISSION TO IMPROVE HEALTH OUTCOMES AND REDUCE DISPARITIES IN THE COMMUNITY. IN FY25, THE PROGRAM MANAGED APPROXIMATELY 30,000 PATIENT ENCOUNTERS.- GBMC HEALTHCARE'S ELDER MEDICAL CARE (EMC) PROGRAM, IN PARTNERSHIP WITH GILCHRIST, BRINGS PRIMARY CARE DIRECTLY TO SENIORS AT HOME AND EXPANDS ACCESS IN UNDERSERVED BALTIMORE CITY COMMUNITIES. THIS INNOVATIVE APPROACH REDUCES BARRIERS LIKE TRANSPORTATION AND IMPROVES HEALTH OUTCOMES FOR FRAIL, CHRONICALLY ILL PATIENTS.GBMC'S EMC PROGRAM DELIVERS PRIMARY CARE TO SENIORS IN THEIR HOMES AND UNDERSERVED BALTIMORE COMMUNITIES, REDUCING BARRIERS LIKE TRANSPORTATION AND IMPROVING HEALTH EQUITY. WITH ADDED SUPPORT SUCH AS FREE LYFT RIDES AND CONNECTIONS TO FOOD AND BEHAVIORAL HEALTH RESOURCES, GBMC IS TRANSFORMING ELDER CARE BY KEEPING PATIENTS HEALTHIER AT HOME, LOWERING COSTS, AND REDUCING DISPARITIES.ADDITIONAL COMMUNITY-FOCUSED PROGRAMS INCLUDE:- SAFE & DOMESTIC VIOLENCE PROGRAM: GBMC PARTNERS WITH BALTIMORE COUNTY LAW ENFORCEMENT, THE CHILD ADVOCACY CENTER, THE STATE'S ATTORNEY'S OFFICE, AND THE MARYLAND CENTER FOR SCHOOL SAFETY TO IMPROVE VICTIM SAFETY AND WELL-BEING. THE SAFE PROGRAM PROVIDES COMPREHENSIVE MEDICAL FORENSIC SERVICES AND ADVOCACY FOR VICTIMS OF SEXUAL ASSAULT, DOMESTIC VIOLENCE, CHILD ABUSE, AND HUMAN TRAFFICKING. COVERAGE IS AVAILABLE 365 DAYS PER YEAR WITH AT LEAST ONE FORENSIC NURSE AND AN ADVOCATE ON CALL; OFTEN TWO FORENSIC NURSES ARE AVAILABLE. SAFE CONTINUES TO EXPAND SERVICES FOR PEDIATRIC SEXUAL ABUSE, HUMAN TRAFFICKING VICTIMS, AND INDIVIDUALS WITH LIMITED ENGLISH PROFICIENCY. IN FY24, THE PROGRAM WAS RECOGNIZED BY THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES FOR INNOVATION IN HUMAN TRAFFICKING PREVENTION.- COMPREHENSIVE OBESITY MANAGEMENT PROGRAM (COMP): IN FY25, GBMC PERFORMED 308 BARIATRIC SURGERIES; 98% WERE COMPLETED WITHOUT COMPLICATIONS WITHIN 30 DAYS.- GECKLE DIABETES & NUTRITION CENTER: DIABETES PREVENTION AND MANAGEMENT. THE CENTER OFFERS A COMPREHENSIVE, EVIDENCE-BASED APPROACH TO HELP INDIVIDUALS LIVE HEALTHIER LIVES. SERVICES INCLUDE PERSONALIZED NUTRITION COUNSELING, DIABETES EDUCATION CLASSES, MEAL PLANNING, AND PHYSICAL ACTIVITY GUIDANCE - ALL DELIVERED BY A MULTIDISCIPLINARY TEAM OF REGISTERED DIETITIANS, CERTIFIED DIABETES EDUCATORS, AND NURSES.TO IMPROVE ACCESS, GBMC HAS EXPANDED THESE SERVICES BEYOND THE MAIN CAMPUS INTO PRIMARY CARE OFFICES, MAKING EXPERT SUPPORT MORE CONVENIENT FOR PATIENTS. BY TEACHING SELF-MANAGEMENT SKILLS AND PROMOTING LIFESTYLE CHANGES, THE PROGRAM REDUCES COMPLICATIONS, IMPROVES BLOOD GLUCOSE CONTROL, AND ENHANCES QUALITY OF LIFE. THESE EFFORTS DIRECTLY ALIGN WITH GBMC'S MISSION TO PREVENT CHRONIC DISEASE AND EMPOWER PATIENTS TO TAKE CONTROL OF THEIR HEALTH.GBMC HAS IDENTIFIED SEVERAL BARRIERS IN IMPLEMENTING ITS CHNA INITIATIVES, INCLUDING MENTAL HEALTH STIGMA AND ISOLATION, A SHORTAGE OF PSYCHIATRIC PHYSICIANS, AND TRANSPORTATION CHALLENGES FOR PATIENTS. TO ADDRESS THESE ISSUES, GBMC CONTINUES TO IMPLEMENT SYSTEM-WIDE WORKFLOWS TO ASSESS AND MITIGATE SOCIAL DETERMINANTS OF HEALTH. DUE TO LIMITED RESOURCES, GBMC DID NOT PRIORITIZE VIOLENCE AND SAFETY DURING THIS CHNA CYCLE. INSTEAD, THE ORGANIZATION FOCUSED ON OTHER CRITICAL ISSUES AS DISCUSSED ABOVE TO ENSURE RESOURCES ARE USED EFFECTIVELY AND ACHIEVE THE GREATEST IMPACT ON COMMUNITY HEALTH. GREATER BALTIMORE MEDICAL CENTER PART V, SECTION B, LINE 16J: GBMC PROVIDES FINANCIAL ASSISTANCE FOR EMERGENT AND MEDICALLY NECESSARY CARE TO UNINSURED AND UNDERINSURED PATIENTS. THE HOSPITAL PROVIDES A PERMISSION & ACKNOWLEDGEMENT DOCUMENT THAT SUMMARIZES ITS FINANCIAL ASSISTANCE POLICY (FAP). THIS DOCUMENT IS GIVEN TO PATIENTS AT ADMISSION AND INCLUDED WITH INVOICE BILLING. NOTICES ARE PROMINENTLY DISPLAYED IN PATIENT AREAS, INCLUDING THE EMERGENCY DEPARTMENT, REGISTRATION KIOSKS, AND SURGICAL SERVICE AREAS AND PATIENT REPRESENTATIVES ASSIST WITH APPLICATIONS. PRESUMPTIVE ELIGIBILITY IS DETERMINED THROUGH CREDIT SCORING AND ENROLLMENT IN MEANS-TESTED PROGRAMS SUCH AS WIC AND SNAP. GREATER BALTIMORE MEDICAL CENTER, INC.: PART V, LINE 16A, FAP WEBSITE:HTTPS://WWW.GBMC.ORG/FINANCIALSUPPORTPART V, LINE 16B, FAP APPLICATION WEBSITE:HTTPS://WWW.GBMC.ORG/SITES/DEFAULT/FILES/PDF/BILLING/GBMC-FINANCIAL-ASSISTANCE-APPLICATION.PDFPART V, LINE 16C, FAP PLAIN LANGUAGE SUMMARY WEBSITE:HTTPS://WWW.GBMC.ORG/SITES/DEFAULT/FILES/PDF/BILLING/GBMC-FINANCIAL-ASSISTANCE-POLICY.PDF PART I, LINE 7: THE FOLLOWING COSTING METHODOLOGIES WERE USED TO CALCULATE LINES 7A THROUGH 7I ON THE COMMUNITY BENEFIT REPORT: OFFSETTING REVENUE REFERS TO INCOME GENERATED BY AN ACTIVITY DURING THE YEAR THAT REDUCES ITS TOTAL COMMUNITY BENEFIT EXPENSE. THIS INCLUDES ALL PAYMENTS OR REIMBURSEMENTS FOR SERVICES PROVIDED, AS WELL AS RESTRICTED GRANTS OR CONTRIBUTIONS USED TO SUPPORT THE SERVICE. DIRECT COSTS INCLUDE SALARIES, EMPLOYEE BENEFITS, SUPPLIES, AND OTHER EXPENSES THAT ARE SPECIFICALLY ATTRIBUTABLE TO THE SERVICE AND WOULD NOT OCCUR WITHOUT IT. INDIRECT COSTS ARE DERIVED FROM AN INDIRECT COST RATIO CALCULATED FROM THE FY 2025 HSCRC ANNUAL COST REPORT AS DESCRIBED IN THE INSTRUCTIONS FOR THE COMMUNITY BENEFIT REPORT SUBMISSION. INDIRECT COSTS INCLUDE PATIENT CARE AND NON-PATIENT CARE OVERHEAD AS WELL AS CAPITAL FACILITIES ALLOWANCES. OVERHEAD INCLUDES, BUT IS NOT LIMITED TO, FINANCE, FACILITIES MANAGEMENT, AND HUMAN RESOURCES. PART I, LINE 7G: THE MAJORITY OF GBMC'S PHYSICIAN SUBSIDY (66%) SUPPORTS PHYSICIANS DELIVERING SERVICES IDENTIFIED BY THE HEALTH SYSTEM AS ESSENTIAL COMMUNITY NEEDS. THESE SERVICES INCLUDE, BUT ARE NOT LIMITED TO, ONCOLOGY, ANESTHESIOLOGY, PRIMARY CARE, OBSTETRICS AND GYNECOLOGY, SURGERY, AND ORTHOPEDICS. IN FY25 GBMC INVESTED $49.4 MILLION IN PHYSICIAN SERVICES. ITS INTEGRATED, MULTI-SPECIALTY MEDICAL GROUP COORDINATES PATIENT CARE ACROSS THE SYSTEM, EMPHASIZING PREVENTION AND WELLNESS, EVIDENCE-BASED PRACTICES, AND PROACTIVE MANAGEMENT OF CHRONIC CONDITIONS. BY EXPANDING CARE BEYOND THE ACUTE SETTING, GBMC HAS SIGNIFICANTLY REDUCED THE TOTAL COST OF CARE AND IMPROVED PATIENT ACCESS. THE REMAINING PORTION OF GBMC'S PHYSICIAN SUBSIDY SUPPORTS NON-RESIDENT ADVANCED PRACTITIONERS AND HOSPITALISTS. PART II, COMMUNITY BUILDING ACTIVITIES: COMMUNITY BUILDING ACTIVITIES PATHWAYS TO HEALTH EQUITY PROGRAM GBMC IMPLEMENTED THE PATHWAYS TO HEALTH EQUITY PROGRAM TO REDUCE HEALTH DISPARITIES AND IMPROVE ACCESS TO CARE FOR UNDERSERVED COMMUNITIES IN BALTIMORE CITY. THIS INITIATIVE ADDRESSES SOCIAL DETERMINANTS OF HEALTH THROUGH PARTNERSHIPS AND OUTREACH, INCLUDING: - PRIMARY CARE EXPANSION: OFFERING FLEXIBLE HOURS, TRANSPORTATION ASSISTANCE, AND INTEGRATED CARE AT GBMC HEALTH PARTNERS JONESTOWN PRACTICE.- IN-HOME MEDICAL CARE: PROVIDING SERVICES FOR HOMEBOUND PATIENTS AGED 55+ WITH CHRONIC CONDITIONS THROUGH GILCHRIST ELDER MEDICAL CARE.- COMMUNITY SUPPORT & PARTNERSHIPS: COLLABORATING WITH LOCAL ORGANIZATIONS TO DELIVER FRESH GROCERIES, FITNESS PROGRAMS, MENTAL HEALTH SERVICES, LEGAL AND INSURANCE ASSISTANCE, AND TRANSPORTATION RESOURCES.- HEALTH EDUCATION & OUTREACH: HOSTING COMMUNITY EVENTS SUCH AS THE BMORE HEALTHY EXPO AND SHARING EDUCATIONAL RESOURCES ON CHRONIC DISEASE PREVENTION, SCREENINGS, AND WELLNESS.- EQUITY & ACCESS INITIATIVES: PROMOTING EQUITABLE HEALTHCARE, ADDRESSING OPIOID EPIDEMIC PREVENTION, AND SUPPORTING VICTIMS OF DOMESTIC VIOLENCE AND HUMAN TRAFFICKING. THIS INITIATIVE ACCOMPLISHED THE FOLLOWING IN FY25: - 713 NEW PATIENTS ENROLLED IN PRIMARY CARE- 100 HEALTH PROMOTION EVENTS HELD- 151,000 POUNDS OF FOOD DISTRIBUTED PART III, LINE 2: GBMC INC. ESTIMATES BAD DEBT EXPENSE THROUGH AN ANALYSIS OF ANNUAL COLLECTIONS, BAD DEBT, AND CONTRACTUAL RATES ON ACCOUNTS RECEIVABLE AS OF A SPECIFIC POINT IN TIME. THIS ANALYSIS, UPDATED MONTHLY, APPLIES COLLECTION, BAD DEBT, AND CONTRACTUAL RATES BASED ON ACCOUNT AGE AND PAYOR. SEE PART III, LINE 4. PART III, LINE 3: MARYLAND HOSPITALS ARE RATE-REGULATED UNDER THE HSCRC, WHICH INCLUDES BAD DEBT AS PART OF THE REIMBURSEMENT FORMULA FOR EACH HOSPITAL. DUE TO THIS METHODOLOGY, GREATER BALTIMORE MEDICAL CENTER, INC. CANNOT DETERMINE THE AMOUNT REASONABLY ATTRIBUTABLE TO PATIENTS WHO LIKELY WOULD QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S CHARITY CARE POLICY. PART III, LINE 4: THE COMPANY APPLIES ACCOUNTING STANDARDS CODIFICATION (ASC) TOPIC 606, REVENUE FROM CONTRACTS WITH CUSTOMERS, WHICH PROVIDES A PRINCIPLE-BASED FRAMEWORK FOR RECOGNIZING REVENUE TO DEPICT THE TRANSFER OF PROMISED GOODS AND SERVICES TO CUSTOMERS IN AN AMOUNT THAT REFLECTS THE CONSIDERATION TO WHICH THE ENTITY EXPECTS TO BE ENTITLED IN EXCHANGE FOR THOSE GOODS AND SERVICES. NET PATIENT SERVICE REVENUE IS RECOGNIZED, OVER TIME, AS PERFORMANCE OBLIGATIONS ARE SATISFIED. PERFORMANCE OBLIGATIONS ARE DETERMINED BASED ON THE NATURE OF THE SERVICES PROVIDED. REVENUE FOR PERFORMANCE OBLIGATIONS SATISFIED OVER TIME IS RECOGNIZED AT THE ESTIMATED NET REALIZABLE AMOUNTS FROM PATIENTS AND THIRD-PARTY PAYORS FOR SERVICES RENDERED. PERFORMANCE OBLIGATIONS ARE DETERMINED BASED ON THE NATURE OF THE SERVICES PROVIDED. THE MAJORITY OF THE COMPANY'S HEALTHCARE SERVICES REPRESENT A BUNDLE OF SERVICES THAT ARE NOT CAPABLE OF BEING DISTINCT AND AS SUCH, ARE TREATED AS A SINGLE PERFORMANCE OBLIGATION SATISFIED OVER TIME AS SERVICES ARE RENDERED. THE COMPANY ALSO PROVIDES CERTAIN ANCILLARY SERVICES, WHICH ARE NOT INCLUDED IN THE BUNDLE OF SERVICES, AND AS SUCH, ARE TREATED AS SEPARATE PERFORMANCE OBLIGATIONS SATISFIED AT A POINT IN TIME, IF AND WHEN THOSE SERVICES ARE RENDERED. THE COMPANY'S ESTIMATE OF THE TRANSACTION PRICE INCLUDES ESTIMATES OF EXPLICIT PRICE CONCESSIONS FOR SUCH ITEMS AS CONTRACTUAL ALLOWANCES, CHARITY CARE, POTENTIAL ADJUSTMENTS THAT MAY ARISE FROM PAYMENT AND OTHER REVIEWS, AND UNCOLLECTIBLE AMOUNTS, WHICH ARE DETERMINED USING A PORTFOLIO APPROACH AS A PRACTICAL EXPEDIENT TO ACCOUNT FOR PATIENT CONTRACTS AS COLLECTIVE GROUPS RATHER THAN INDIVIDUALLY. ESTIMATES FOR IMPLICIT PRICE CONCESSIONS ARE BASED ON THE AGING OF THE ACCOUNTS RECEIVABLE, HISTORICAL COLLECTION EXPERIENCE FOR SIMILAR PAYORS AND PATIENTS, CURRENT MARKET CONDITIONS, AND OTHER RELEVANT FACTORS. SUBSEQUENT CHANGES TO THE ESTIMATE OF THE TRANSACTION PRICE ARE GENERALLY RECORDED AS ADJUSTMENTS TO PATIENT SERVICE REVENUE, NET IN THE PERIOD OF THE CHANGE. SUBSEQUENT CHANGES THAT ARE DETERMINED TO BE THE RESULT OF AN ADVERSE CHANGE IN THE PAYOR'S OR PATIENT'S ABILITY TO PAY ARE RECORDED AS BAD DEBT EXPENSES. BAD DEBT EXPENSE FOR THE YEARS ENDED JUNE 30, 2025, AND 2024 WAS NOT SIGNIFICANT TO THE CONSOLIDATED FINANCIAL STATEMENTS. PART III, LINE 8: COMMUNITY BENEFIT QUESTION IS NOT APPLICABLE IN MARYLAND AS MARYLAND HOSPITALS ARE REIMBURSED UNDER THE HSCRC WAIVER PROGRAM WHEREIN NET REVENUE IS BASED ON A PERCENTAGE OF REGULATED CHARGES. COSTS ARE REPORTED CONSISTENT WITH THE MEDICARE COST REPORT FILING. PART III, LINE 9B: PATIENTS WHO HAVE BEEN PREVIOUSLY SCREENED FOR CHARITY CARE, ARE NOT MEDICAL ASSISTANCE ELIGIBLE, AND HAVE NO INSURANCE DO NOT RECEIVE INVOICES. THEY ARE AUTOMATICALLY REFERRED TO GBMC'S ASSUMPTIVE FINANCIAL ASSISTANCE PROGRAM. THE PROGRAM IS RUN IN PARTNERSHIP WITH THE TRANSUNION CREDIT REPORTING AGENCY. ALL SELF-PAY ACCOUNTS AND THOSE PREVIOUSLY IDENTIFIED AS CHARITY CARE ARE REFERRED TO TRANSUNION, WHICH UTILIZES A PROPRIETARY CREDIT SCORING SYSTEM TO DETERMINE THE 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. PATIENTS APPROVED FOR FINANCIAL ASSISTANCE ARE WRITTEN OFF TO A ZERO BALANCE AND THEREFORE NOT PURSUED BY INTERNAL COLLECTION PROCESSES OR THIRD-PARTY AGENCIES. PART VI, LINE 2: OVER AN 8-MONTH PERIOD, GBMC CONDUCTED OUR TRIENNIAL COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). THE CHNA PROCESS WAS A COLLABORATIVE PROCESS IN WHICH WE GATHERED NEW AND EXISTING DATA TO ASSESS THE HEALTH OF OUR COMMUNITY. COMMUNITY BENEFIT ACTIVITIES ARE PLANNED, ORGANIZED, AND MEASURED APPROACHES TO MEETING IDENTIFIED COMMUNITY HEALTH NEEDS WITHIN A GIVEN SERVICE AREA. IT MOST OFTEN REQUIRES COLLABORATION WITH OTHER NON-PROFIT AND PUBLIC COMMUNITY-BASED ORGANIZATIONS AND MEETS THE FOLLOWING PARAMETERS: - IMPROVES THE HEALTH STATUS AND WELL-BEING OF SPECIFIC VULNERABLE POPULATIONS- GENERATES A LOW OR NEGATIVE MARGIN- IS NOT PROVIDED FOR MARKETING PURPOSES- SUPPORTS SERVICES OR PROGRAMS THAT WOULD LIKELY BE DISCONTINUED IF THE DECISION WERE MADE ON A PURELY FINANCIAL BASIS. THE 2023-2024 BALTIMORE COUNTY CHNA WAS A COLLABORATIVE EFFORT OF GBMC, THE BALTIMORE COUNTY DEPARTMENT OF HEALTH, MEDSTAR FRANKLIN SQUARE MEDICAL CENTER, NORTHWEST HOSPITAL OF LIFEBRIDGE HEALTH, SHEPPARD PRATT, AND THE UNIVERSITY OF MARYLAND ST. JOSEPH MEDICAL CENTER. SEVERAL STAFF FROM EACH ORGANIZATION COMPRISED THE CHNA STEERING COMMITTEE. THE PURPOSE OF THE CHNA WAS TO UNDERSTAND, QUANTIFY, AND ARTICULATE THE HEALTH NEEDS OF BALTIMORE COUNTY RESIDENTS AND THEN DETERMINE HEALTH PRIORITIES. MORE THAN 2,200 COMMUNITY MEMBERS AND STAKEHOLDERS CONTRIBUTED TO THE CHNA. THE DATA WAS COLLECTED THROUGH FOCUS GROUPS AND WEB-BASED SURVEYS. ACCESS TO HEALTHCARE, FOOD INSECURITY, AND TRANSPORTATION WERE IDENTIFIED AS THE TOP NEEDS THAT IMPACT THE HEALTH AND WELL-BEING OF PEOPLE LIVING IN BALTIMORE COUNTY. IN ADDITION TO NEW DATA FROM THE COMMUNITY, MORE THAN 100 DATA INDICATORS WERE ANALYZED. SOME OF THE DATA SOURCES INCLUDE THE MARYLAND DEPARTMENT OF HEALTH, ROBERT WOOD JOHNSON FOUNDATION, COUNTY HEALTH RANKINGS, AND THE CENTERS FOR DISEASE CONTROL AND PREVENTION. TOP COMMUNITY NEEDS IDENTIFIED THROUGH SECONDARY DATA ANALYSIS INCLUDED SOCIAL DETERMINANTS OF HEALTH, ACCESS TO HEALTHCARE, BEHAVIORAL HEALTH, AND HEALTH EQUITY. THE CHNA STEERING COMMITTEE WORKED TOGETHER TO IDENTIFY THE HEALTH PRIORITIES FOR THE NEXT THREE YEARS (FISCAL YEARS 2025 - 2028). ALONG WITH ANALYZING A WEALTH OF INFORMATION, NEEDS WERE IDENTIFIED BASED ON MANY FACTORS INCLUDING: SEVERITY OF NEED, THE ABILITY FOR HOSPITALS OR HEALTH DEPARTMENTS TO MAKE AN IMPACT, ASSOCIATED HEALTH DISPARITIES, AND IMPORTANCE TO THE COMMUNITY. THE STEERING COMMITTEE SELECTED THREE TOP PRIORITY HEALTH NEEDS: BEHAVIORAL HEALTH, PHYSICAL HEALTH, AND ACCESS TO CARE. THE COMPLETE CHNA REPORT IS AVAILABLE AT WWW.GBMC.ORG/CHNA. PART VI, LINE 3: GBMC IS COMMITTED TO PROVIDING FINANCIAL ASSISTANCE FOR EMERGENT AND MEDICALLY NECESSARY CARE TO INDIVIDUALS WHO ARE UNINSURED, UNDERINSURED, INELIGIBLE FOR GOVERNMENT PROGRAMS, OR OTHERWISE UNABLE TO PAY BASED ON THEIR FINANCIAL SITUATION. ALL PATIENTS PRESENTING FOR EMERGENCY SERVICES ARE TREATED REGARDLESS OF ABILITY TO PAY. FINANCIAL ASSISTANCE NOTICES ARE POSTED AT ADMITTING AND REGISTRATION POINTS THROUGHOUT THE HOSPITAL, AND GBMC'S "GREATER SERVICE" BROCHURE IS AVAILABLE TO ALL INPATIENTS AND OUTPATIENTS. PATIENT REPRESENTATIVES ASSIST PATIENTS AND FAMILIES WITH THE APPLICATION PROCESS. GBMC ALSO OFFERS PRESUMPTIVE FINANCIAL ASSISTANCE THROUGH A PARTNERSHIP WITH A CREDIT REPORTING AGENCY. SELF-PAY ACCOUNTS ARE EVALUATED USING A PROPRIETARY CREDIT SCORING SYSTEM BASED ON ESTIMATED INCOME AND FAMILY SIZE. RESULTS ARE COMPARED TO GBMC'S ELIGIBILITY CRITERIA. PRESUMPTIVE ELIGIBILITY IS GRANTED FOR PATIENTS ENROLLED IN MEANS-TESTED PROGRAMS SUCH AS WOMEN, INFANTS, AND CHILDREN (WIC) AND SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP). PART VI, LINE 4: GBMC IS A PRIVATE, NOT-FOR-PROFIT, 211-BED REGIONAL MEDICAL CENTER 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. BALTIMORE COUNTY OCCUPIES 612 SQUARE MILES OF LAND PLUS 28 SQUARE MILES OF WATER IN THE GEOGRAPHIC CENTER OF MARYLAND. BALTIMORE COUNTY SURROUNDS MOST OF BALTIMORE CITY; HOWEVER, THE CITY WAS SEPARATED FROM THE COUNTY IN 1851. TODAY, BALTIMORE CITY IS AN INDEPENDENT JURISDICTION ON PAR WITH COUNTIES. WITH A POPULATION OF APPROXIMATELY 856,174 PEOPLE, BALTIMORE COUNTY IS THE THIRD-LARGEST COUNTY IN MARYLAND AND THE LARGEST JURISDICTION IN THE CENTRAL MARYLAND METROPOLITAN AREA. BALTIMORE CITY HAS AN ESTIMATED POPULATION OF 564,541. THE AGE DISTRIBUTION OF BALTIMORE COUNTY SKEWS SLIGHTLY OLDER THAN THAT OF BALTIMORE CITY, MARYLAND, AND THE U.S. THE MEDIAN AGE IN BALTIMORE COUNTY IS 39.5 YEARS. OF THE TOTAL POPULATION, 18.1% ARE UNDER AGE 15, 19.0% ARE AGES 15-29, 45.2% ARE AGES 30-64, 15.5% ARE AGES 65-84, AND 2.3% ARE 85 AND OLDER. WHILE PEOPLE OF ALL AGES BENEFIT FROM PREVENTIVE SERVICES AND HEALTH EDUCATION, OLDER ADULTS OFTEN REQUIRE HIGHER-ACUITY HEALTHCARE AND SPECIALIZED SERVICES SUCH AS CANCER CARE AND CHRONIC DISEASE MANAGEMENT. THE POPULATIONS OF BALTIMORE COUNTY AND BALTIMORE CITY SKEW MORE HEAVILY FEMALE COMPARED TO MARYLAND OVERALL. A GREATER PROPORTION OF BALTIMORE COUNTY RESIDENTS IDENTIFY AS BLACK OR AFRICAN AMERICAN COMPARED TO THE U.S. OVERALL. BY RACE, BALTIMORE COUNTY IS 54.1% WHITE, 30.3% BLACK OR AFRICAN AMERICAN, 6.0% ASIAN, 5.9% TWO OR MORE RACES, AND 3.4% OTHER RACES. BY ETHNICITY, ABOUT 7% OF BALTIMORE COUNTY'S POPULATION IS HISPANIC, WHICH IS SMALLER THAN BALTIMORE CITY, MARYLAND, AND THE U.S. OVERALL. THE PROPORTION OF FOREIGN-BORN INDIVIDUALS IN BALTIMORE COUNTY IS APPROXIMATELY 12-13%, HIGHER THAN BALTIMORE CITY BUT LOWER THAN THE MARYLAND STATE AVERAGE. THE DIVERSITY OF BALTIMORE COUNTY AND BALTIMORE CITY IS REFLECTED IN THE LANGUAGES RESIDENTS SPEAK AT HOME. ACCORDING TO THE MOST RECENT AMERICAN COMMUNITY SURVEY, ABOUT 15% OF BALTIMORE COUNTY RESIDENTS AND 10% OF BALTIMORE CITY RESIDENTS SPEAK A LANGUAGE OTHER THAN ENGLISH AT HOME, COMPARED TO ROUGHLY 20% STATEWIDE AND NATIONALLY. LESS THAN 5% OF BALTIMORE COUNTY RESIDENTS REPORT SPEAKING ENGLISH "LESS THAN VERY WELL," INDICATING THAT WHILE LINGUISTIC DIVERSITY EXISTS, MOST RESIDENTS ARE PROFICIENT IN ENGLISH. THE POPULATION IN GBMC'S SERVICE AREA HAS TRADITIONALLY BEEN AFFLUENT COMPARED TO THE NATION. THE MEDIAN HOUSEHOLD INCOME IN BALTIMORE COUNTY IS $90,904, WHICH IS HIGHER THAN THE NATIONAL MEDIAN OF APPROXIMATELY $85,157. IN BALTIMORE CITY, THE MEDIAN HOUSEHOLD INCOME IS $59,623. APPROXIMATELY 10% OF BALTIMORE COUNTY HOUSEHOLDS LIVE BELOW THE FEDERAL POVERTY LEVEL (FPL), WHILE BALTIMORE CITY'S POVERTY RATE IS SIGNIFICANTLY HIGHER AT 20.1%, COMPARED TO THE U.S. AVERAGE OF ABOUT 11.5%. BALTIMORE COUNTY IS RELATIVELY WELL-EDUCATED, WITH 67% OF RESIDENTS HAVING COMPLETED SOME EDUCATION BEYOND HIGH SCHOOL, AND 40% HOLDING A BACHELOR'S DEGREE OR HIGHER, WHICH IS SLIGHTLY ABOVE STATE AND NATIONAL AVERAGES. THE OVERALL UNEMPLOYMENT RATE IN BALTIMORE COUNTY WAS 4.3% IN AUGUST 2025, HIGHER THAN MARYLAND'S STATEWIDE RATE OF 3.6%, BUT LOWER THAN BALTIMORE CITY'S 5.6% AND THE U.S. RATE OF 4.3%. THE HIGHEST UNEMPLOYMENT RATE IN THE COUNTRY CONTINUES TO BE AMONG INDIVIDUALS AGES 25 TO 54. PART VI, LINE 5: A MAJORITY OF GBMC'S GOVERNING BODY IS COMPRISED OF INDIVIDUALS 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 COLORECTAL SURGERY. MOST RECENTLY, GBMC HAS EXPANDED ITS INVESTMENT IN A GERIATRIC NURSE PRACTITIONER PROGRAM, WHOSE SOLE RESPONSIBILITY IS TO PROVIDE EDUCATION AND PRIMARY CARE SERVICES TO LOW-INCOME SENIOR LIVING FACILITIES IN THE LOCAL SERVICE AREA. THE ORGANIZATION CONTINUES TO PROVIDE A PEDIATRICIAN TO CATHOLIC CHARITIES, SERVING AT-RISK ADOLESCENTS BY PERFORMING PRIMARY CARE ASSESSMENTS AND TREATMENTS, AS WELL AS COORDINATING FURTHER SPECIALIZED CARE. GBMC DONATES A PORTION OF ITS SPACE TO COMMUNITY PARTNERS TO HOST CLASSES THAT HELP STROKE VICTIMS REGAIN MOBILITY AND FUNCTIONALITY. GBMC CONTINUES TO FUND ANESTHESIA, OBSTETRICAL, AND ORTHOPEDIC SERVICES FOR MEDICAID AND UNINSURED PATIENT POPULATIONS. GBMC GENERALLY COVERS THESE COSTS BY AGREEING TO PROVIDE PHYSICIAN PAYMENT FOR SURGICAL CASES ORIGINATING IN THE EMERGENCY DEPARTMENT WHEN THE PATIENT IS CONSIDERED INDIGENT. PATIENT OUTCOME METRICS- HOSPITAL-ACQUIRED INFECTION RATES: GBMC REPORTED A 24% REDUCTION IN CENTRAL LINE-ASSOCIATED BLOODSTREAM INFECTIONS (CLABSI) AND A 25% REDUCTION IN CATHETER-ASSOCIATED URINARY TRACT INFECTIONS (CAUTI) COMPARED TO PRE-PANDEMIC BENCHMARKS. [AHA.ORG] - HAND HYGIENE COMPLIANCE: GBMC ACHIEVED A COMPLIANCE RATE CONSISTENTLY ABOVE 94%, SUPPORTING ITS GOAL OF ZERO PREVENTABLE HARM. - READMISSION RATES: GBMC MAINTAINED A 30-DAY ALL-CAUSE READMISSION RATE NEAR THE NATIONAL BENCHMARK OF 13.5%, WITH TARGETED PROGRAMS REDUCING PREVENTABLE READMISSIONS BY UP TO 20%. [GITNUX.ORG] - PATIENT SATISFACTION: GBMC'S HCAHPS SCORES INDICATE STRONG PERFORMANCE IN COMMUNICATION AND CARE COORDINATION, WITH 88% OF PATIENTS WILLING TO RECOMMEND THE HOSPITAL, EXCEEDING NATIONAL AVERAGES. [HEALTH.USNEWS.COM] MORTALITY OUTCOMES: GBMC PERFORMS BETTER THAN THE NATIONAL AVERAGE FOR CRITICAL CONDITIONS, INCLUDING HEART ATTACK AND STROKE, WITH MORTALITY RATES 5% LOWER THAN NATIONAL BENCHMARKS. [HOSPITALSTATS.ORG] PART VI, LINE 6: GBMC, INC. IS A SUBSIDIARY OF GBMC HEALTHCARE, A NONPROFIT HEALTH SYSTEM DEDICATED TO PROVIDING A COMPREHENSIVE RANGE OF HEALTH CARE AND RELATED SERVICES TO RESIDENTS PRIMARILY IN BALTIMORE CITY AND BALTIMORE, CARROLL, AND HARFORD COUNTIES. GBMC HEALTHCARE COLLABORATES ACROSS ITS ENTITIES TO ADDRESS COMMUNITY HEALTH NEEDS, IMPROVE ACCESS TO CARE, AND REDUCE AVOIDABLE HOSPITAL ADMISSIONS THROUGH COORDINATED PROGRAMS AND SERVICES. GBMC'S POPULATION HEALTH INITIATIVES INCLUDE: - ADVANCED PRIMARY CARE PRACTICES: GBMC OPERATES MULTIPLE ADVANCED PRIMARY CARE PRACTICES WITH EXTENDED WEEKDAY AND WEEKEND HOURS, INTEGRATED ELECTRONIC HEALTH RECORDS, AND A STRONG FOCUS ON PREVENTIVE MEDICINE AND CHRONIC DISEASE MANAGEMENT. EACH PRACTICE USES A PATIENT CENTERED APPROACH TO CARE DELIVERY, INCLUDING PROVIDERS, NURSE CARE MANAGERS, AND CARE COORDINATORS. BEHAVIORAL HEALTH SPECIALISTS, PSYCHIATRISTS, AND ADDICTION SPECIALISTS ARE ALSO EMBEDDED WITHIN THESE PRACTICES. IMPACT METRICS: - PREVENTIVE CARE COMPLIANCE: GBMC PRIMARY CARE PATIENTS ACHIEVED A 12% INCREASE IN ANNUAL WELLNESS VISITS COMPARED TO FY24. - CHRONIC DISEASE CONTROL: AMONG ENROLLED PATIENTS, BLOOD PRESSURE CONTROL IMPROVED BY 10 PERCENTAGE POINTS, AND DIABETES HBA1C CONTROL IMPROVED BY 8 PERCENTAGE POINTS YEAR-OVER-YEAR. - BEHAVIORAL HEALTH INTEGRATION: OVER 1,200 PATIENTS RECEIVED BEHAVIORAL HEALTH INTERVENTIONS, REDUCING ER VISITS FOR MENTAL HEALTH CRISES BY 15%.- MARYLAND PRIMARY CARE PROGRAM PARTICIPATION: GBMC PARTICIPATES IN THE MARYLAND PRIMARY CARE PROGRAM. THIS PROGRAM ADDRESSES THE MANAGEMENT OF DIABETES, HYPERTENSION, AND SUBSTANCE USE DISORDERS, WHILE REDUCING UNNECESSARY UTILIZATION THROUGH CENTRALIZED INPATIENT AND OUTPATIENT CARE TEAMS COMPOSED OF PROVIDERS AND CARE MANAGERS. IMPACT METRICS: - AVOIDABLE ADMISSIONS: GBMC REDUCED AVOIDABLE HOSPITAL ADMISSIONS BY 9% AMONG HIGH-RISK PATIENTS. - CARE PLAN ENGAGEMENT: 94% OF ELIGIBLE PATIENTS ENROLLED IN CARE MANAGEMENT PLANS, EXCEEDING PROGRAM TARGETS.- EPISODE QUALITY IMPROVEMENT PROGRAM: GBMC ACTIVELY PARTICIPATES IN THIS PROGRAM, WHICH IS DESIGNED TO IMPROVE OUTCOMES AND CARE COORDINATION FOR PARTICIPATING CLINICAL EPISODE CATEGORIES WHICH INCLUDES PATIENTS UNDERGOING HIP AND KNEE REPLACEMENT SURGERIES. IMPACT METRICS: - READMISSION REDUCTION: GBMC ACHIEVED A 49% REDUCTION IN 90-DAY READMISSIONS FOR JOINT REPLACEMENT SURGERIES COMPARED TO FY24.- INTEGRATED PALLIATIVE MEDICINE: GBMC OFFERS AN INTEGRATED PALLIATIVE CARE TEAM ACROSS ITS SYSTEM TO ENHANCE QUALITY OF LIFE FOR PATIENTS WITH SERIOUS ILLNESSES AND REDUCE UNNECESSARY HOSPITAL UTILIZATION. IMPACT METRICS: - HOSPITAL UTILIZATION: GBMC REDUCED HOSPITAL READMISSIONS FOR PATIENTS BY 48% IN THE MONTH AFTER ADMISSION, AS REPORTED BY CRISP. PART VI, LINE 7, REPORTS FILED WITH STATES MD 1 CRISTO REY INTERNSHIP PROGRAM INC 420 SOUTH CHESTER STREET BALTIMORE MD 21231 364067306 501(C)(3) 34000 0 TO MAKE A PRIVATE, COLLEGE-PREPARATORY EDUCATION AFFORDABLE TO URBAN YOUNG PEOPLE FROM BALTIMORE ALZHEIMER'S ASSOCIATION 225 N MICHIGAN AVE FLOOR 17 CHICAGO IL 60601 133039601 501(C)(3) 17500 0 GENERAL SUPPORT ASSOCIATED BLACK CHARITIES INC 2 HAMILL ROAD STE 272 BALTIMORE MD 21210 521427774 501(C)(3) 15000 0 GENERAL SUPPORT CENTER FOR A HEALTHY MARYLAND 1211 CATHEDRAL STREET BALTIMORE MD 21212 521110642 501(C)(3) 10000 0 TO EDUCATE AND ADVANCE THE PRACTICE OF MEDICINE, ENHANCE THE QUALITY OF MEDICAL CARE AND PROMOTE THE HEALTH OF THE CITIZENS OF THE STATE OF MARYLAND. THE BIT COMMUNITY CENTER 315 HOMELAND SOUTHWAY BALTIMORE MD 21201 522169101 501(C)(3) 10000 0 TO EDUCATE AND ADVANCE THE PRACTICE OF MEDICINE, ENHANCE THE QUALITY OF MEDICAL CARE AND PROMOTE THE HEALTH OF THE CITIZENS OF THE STATE OF MARYLAND. ULMAN CANCER FUND 1215 E FORT AVENUE 104 BALTIMORE MD 21230 522057636 501(C)(3) 6000 0 SUPPORTING YOUNG ADULTS IMPACTED BY CANCER 6 PART I, LINE 2: THE ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS IN THE U.S. ARE EVALUATED AND SELECTED THROUGH A FORMAL COMMUNITY NEEDS ADVISORY COMMITTEE AND ARE BASED ON UNIQUE AND IDENTIFIED NEEDS. PERIODIC REPORTS (SOME QUARTERLY AND OTHERS ANNUALLY) ARE REQUIRED BY GRANTORS. ADDITIONALLY, FIELD VISITS ARE CONDUCTED. 0 1 0 0 0 0 0 1 0 VICTOR A KHOUZAMI MD CHAIR/PHYSICIAN 1078987 0 199208 0 17066 0 11299 0 22969 0 1329529 0 0 0 BIMAL G RAMI MD PHYSICIAN 891530 0 323193 0 276 0 11208 0 26783 0 1252990 0 0 0 JOHN B CHESSARE MD DIRECTOR/CEO GBMC HEALTHCARE 848972 0 0 0 290142 0 11208 0 22062 0 1172384 0 0 0 CHEN GANG MD PHYSICIAN 545332 0 340838 0 275 0 11459 0 2871 0 900775 0 0 0 JOHN L FLOWERS MD EVP & CHIEF MEDICAL OFFICER 546521 0 177694 0 100567 0 11112 0 29815 0 865709 0 0 0 NIRAJ JANI MD PHYSICIAN 667011 0 130043 0 276 0 11456 0 26783 0 835569 0 0 0 LAURIE R BEYER EVP & CFO GBMC HEALTHCARE 445983 0 148630 0 105779 0 85248 0 29783 0 815423 0 68079 0 ANEESHA VARREY MD PHYSICIAN 664662 0 83823 0 108 0 11236 0 229 0 760058 0 0 0 CATHERINE HAMEL EVP/PRES. GILCHRIST & CHIEF STRATEGY 394329 0 136175 0 91053 0 6670 0 29101 0 657328 0 0 0 ANNA-MARIA G PALMER SVP HR AND ORG DEVELOPMENT AND CHRO 351803 0 93190 0 39248 0 48655 0 23229 0 556125 0 31459 0 ERLENE WASHINGTON SVP & COO OF GBMC HEALTH PARTNERS 332919 0 81354 0 42259 0 46869 0 26783 0 530184 0 33622 0 STACEY L MCGREEVY EVP & COO HOSPITAL 311042 0 92201 0 32867 0 55121 0 22282 0 513513 0 27365 0 CARL JEAN-BAPTISTE GENERAL COUNSEL & SVP FOR LEGAL SERV 358781 0 41046 0 2805 0 40000 0 27585 0 470217 0 0 0 ANGELA FEURER SVP AND CNO 289159 0 77244 0 26070 0 42871 0 33921 0 469265 0 0 0 JENNY COLDIRON SVP OF DEVELOPMENT AND MARKETING 294262 0 73781 0 61444 0 6209 0 24453 0 460149 0 0 0 ROBIN MOTTER-MAST DO DIRECTOR/CHIEF OF STAFF 401120 0 20000 0 516 0 8640 0 26927 0 457203 0 0 0 CAROLYN L CANDIELLO SVP OF QUALITY AND PATIENT SAFETY 257751 0 62498 0 54867 0 6138 0 22962 0 404216 0 0 0 J CHRISTOPHER GREENAWALT MD DIRECTOR/VICE CHIEF OF STAFF 369426 0 0 0 276 0 11250 0 9751 0 390703 0 0 0 MICHAEL STEIN SVP CLINICAL & SUPPORT OPPS 261982 0 59940 0 4396 0 34270 0 26783 0 387371 0 0 0 DAVID J HYNSON VP & CIO (PART YEAR) 155159 0 70453 0 13930 0 3940 0 2931 0 246413 0 0 0 PART I, LINE 4B GBMC HEALTHCARE HAS A NON-QUALIFIED SUPPLEMENTAL RETIREMENT PLAN ("SERP"). 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. DURING CALENDAR YEAR 2024, THE FOLLOWING PARTICIPATED IN THE SERP PLAN: JOHN B. CHESSARE - $249,618 LAURIE R. BEYER - $74,730 JOHN L. FLOWERS, M.D. - $87,750 CATHERINE HAMEL - $64,845 CAROLYN L. CANDIELLO - $29,480 JENNY COLDIRON - $36,567 DAVID J. HYNSON - $12,473 STACEY L. MCGREEVY - $48,315 ANNA-MARIA G. PALMER - $36,980 ERLENE WASHINGTON - $35,320 MICHAEL STEIN - $27,000 ANGELA FEURER - $31,400 CARL JEAN-BAPTISTE - $40,000 DURING THE CALENDAR YEAR, THE FOLLOWING INDIVIDUALS RECEIVED PAYMENTS AS PART OF THEIR PARTICIPATION IN THE SERP PLAN: JOHN B. CHESSARE, M.D. - $249,618 JOHN L. FLOWERS, M.D. - $87,750 CATHERINE Y. HAMEL - $64,845 CAROLYN L. CANDIELLO - $29,480 JENNY COLDIRON - $36,567 LAURIE BEYER - $74,069 ERLENE WASHINGTON - $36,622 ANNA-MARIA PALMER - $31,794 STACEY MCGREEVY - $29,773 DAVID J. HYNSON - $12,473 PART I, LINE 7 EXECUTIVE BONUSES ARE ESTABLISHED BY THE BOARD OF DIRECTORS COMPENSATION COMMITTEE WITH THE CONSULTATION OF AN INDEPENDENT THIRD-PARTY EXECUTIVE COMPENSATION CONSULTANT. THE COMPENSATION COMMITTEE FOLLOWS GOVERNANCE BEST PRACTICES: - ESTABLISHES AN EXECUTIVE COMPENSATION PHILOSOPHY. - CONDUCTS A COMPREHENSIVE COMPENSATION REVIEW AND APPROVAL PROCESS LED BY AN INDEPENDENT, BOARD-AUTHORIZED COMPENSATION COMMITTEE. - REINFORCES PAY-FOR-PERFORMANCE THROUGH AN ANNUAL INCENTIVE PLAN, WITH GOALS AND METRICS APPROVED BY THE COMPENSATION COMMITTEE; DETERMINATION OF ACHIEVEMENT AND AWARDS WITHIN COMPENSATION COMMITTEE'S SOLE DISCRETION. - PROMOTES TRANSPARENCY WITH ANNUAL REPORT TO THE BOARD. - ENSURES COMPLIANCE WITH IRS "INTERMEDIATE SANCTIONS" SAFE HARBOR* PROTECTIONS FOR EXECUTIVE COMPENSATION DECISIONS. A MD HEALTH & HIGHER ED 520936091 2017-03-08 73720000 TO REFUND BONDS ISSUED 04/20/11 AND 04/11/12 0 0 0 B MD HEALTH & HIGHER ED 520936091 57421CCW2 2021-09-01 139417204 TO FUND CONSTRUCTION OF PROMISE PROJECT 0 0 0 C MD HEALTH & HIGHER ED 520936091 2023-10-19 29000000 TO FUND CONSTRUCTION OF BERMAN CANCER CENTER 0 0 0 A 9580000 73720000 22274 73697726 2011 0 1 1 1 B 141280405 6244517 135035888 2023 0 0 0 1 C 200000 30146825 1000178 309280 14781455 14055912 0 0 0 1 A 0 1 1 0 1 0 0.00170 0.00170 0 0 1 B 0 1 0 0 0 0 1 C 0 1 0 0 0 0 1 A 0 0 0 1 0 0 0 0 1 B 0 1 0 0 1 0 0 0 1 C 0 1 0 0 1 1 CAPITAL ONE NATIONAL 7.700000000000 1 0 0 0 1 A 1 B 1 C 1 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: MD HEALTH & HIGHER ED DATE THE REBATE COMPUTATION WAS PERFORMED: 09/23/2022 SCHEDULE K, PART II, LINE 3, COLUMN B: TOTAL PROCEEDS OF ISSUE INCLUDE INVESTMENT INCOME OF THE INVESTMENT OF BOND PROCEEDS. SCHEDULE K, PART II, LINE 3, COLUMN C: TOTAL PROCEEDS OF ISSUE INCLUDE INVESTMENT INCOME OF THE INVESTMENT OF BOND PROCEEDS. SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 3124656 SOFTWARE SERVICES 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 2204137 GENERAL CONTRACTOR 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 259134 ENGINEERING 0 FORM 990, PART VI, SECTION A, LINE 2 MS. HEIDI KENNY BERMAN AND MRS. SANDRA BERMAN HAVE A FAMILY RELATIONSHIP. 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 11B THE AUDIT COMMITTEE OF GREATER BALTIMORE MEDICAL CENTER, INC.'S SUPPORTED PARENT ORGANIZATION, GBMC HEALTHCARE, INC., REVIEWS THIS FORM 990, A COPY OF THE FORM 990 IS PROVIDED TO THE FULL BOARD OF DIRECTORS OF THE HOSPITAL AND GBMC HEALTHCARE PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C GREATER BALTIMORE MEDICAL CENTER, INC. IS GOVERNED BY THE POLICIES OF ITS PARENT ORGANIZATION, GBMC HEALTHCARE, INC, THESE POLICIES INCLUDE A WRITTEN CONFLICT OF INTEREST POLICY ATTESTED TO ANNUALLY, A WRITTEN WHISTLEBLOWER POLICY, AND A WRITTEN DOCUMENT RETENTION AND DESTRUCTION POLICY. 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 NONQUALIFIED TO ENSURE THAT THE "TOTAL COMPENSATION" IS REASONABLE. THE COMMITTEE ENGAGED AN INDEPENDENT EXECUTIVE COMPENSATION CONSULTANT THAT SPECIALIZES IN THE REVIEW OF HOSPITAL AND HEALTH SYSTEM EXECUTIVE COMPENSATION AND BENEFITS TO COMPILE MARKET COMPENSATION DATA OF SIMILARLY SIZED HEALTH CARE ORGANIZATIONS THROUGHOUT THE COUNTRY AS WELL AS THE SAME GEOGRAPHIC REGION. NO DATA FROM ANY FOR-PROFIT ENTITIES WERE USED. THE DATA WERE CATEGORIZED BY EXECUTIVE POSITION, AND A SALARY RANGE WAS DEVELOPED WITH THE ASSISTANCE OF THE INDEPENDENT COMPENSATION CONSULTANT. THE COMMITTEE RELIED UPON THIS DATA, RELEVANT BUSINESS JUDGMENT FACTORS (E.G., EXPERIENCE, PERFORMANCE, RECRUITMENT AND RETENTION FACTORS AND THE UNIQUE DEMANDS OF THE POSITION), THE GUIDANCE PROVIDED BY THE STATED COMPENSATION PHILOSOPHY AND THE WRITTEN OPINION OF THE INDEPENDENT EXECUTIVE COMPENSATION CONSULTANT AS TO THE REASONABLENESS OF THE COMPENSATION IN RELATION TO MARKET DATA IN MAKING ITS EXECUTIVE COMPENSATION DECISIONS. THE COMMITTEE ALSO CONSIDERS ITS BUSINESS JUDGMENT. THE COMMITTEE DOCUMENTS THE BASIS FOR ITS DECISIONS THROUGH THE TIMELY PREPARATION OF WRITTEN MINUTES OF THE COMPENSATION COMMITTEE MEETINGS DURING WHICH SUCH DECISIONS ARE DELIBERATED AND DETERMINED. THE COMMITTEE'S DECISIONS ARE SUBJECT TO THE FINAL APPROVAL OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS ARE LOCATED ON THE STATE OF MARYLAND DEPARTMENT OF TAXATION'S WEBSITE, FINANCIAL STATEMENTS ARE MADE PUBLIC THROUGH THE STATE OF MARYLAND CHARITABLE REGISTRATION, FINANCIAL STATEMENTS FOR GBMC HEALTHCARE, INC, ARE ALSO AVAILABLE THROUGH THE ELECTRONIC MUNICIPAL MARKET ACCESS {EMMA) WEBSITE VIA THE CONTINUING DISCLOSURE DOCUMENT, THE CONFLICT OF INTEREST POLICY IS NOT AVAILABLE TO THE PUBLIC. FORM 990, PART XI, LINE 9: LOSS ON UNCOLLECTIBLE PLEDGES (DIRECT WRITE-OFFS) -519,470. DEFERRED PENSION & NET PERIODIC PENSION 378,063. TRANSFER TO AFFILIATE -13,887,944. TRANSFEER FROM AFFILIATE 225,000. FORM 990, PART XII, LINE 2C: NEITHER THE OVERSIGHT PROCESS NOR THE SELECTION PROCESS FOR THE ORGANIZATION'S FINANCIAL STATEMENT AUDIT HAVE CHANGED FROM THE PRIOR YEAR. 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