2025-05-14T07:34:55-05:00 2024-06-30 990 2023-07-01 521341890 JOHNS HOPKINS BAYVIEW MEDICAL CENTER INC JOHN 4439975771 3910 KESWICK RD S BLDG 4300A BALTIMORE MD 21211 BRIAN RAYME CFO 4439975771 2025-05-14 1 2023 2025-03-06 01:10:19Z BRIAN RAYME 4940 EASTERN AVENUE BALTIMORE MD 21224 807881945 0 X WWW.HOPKINSMEDICINE.ORG/JOHNS_HOPKINS_BAYVIEW/ X 1984 MD JOHNS HOPKINS BAYVIEW MEDICAL CENTER, A MEMBER OF JOHNS HOPKINS MEDICINE, PROVIDES COMPASSIONATE HEALTH CARE THAT IS FOCUSED ON THE UNIQUENESS AND DIGNITY OF EACH PERSON WE SERVE. WE OFFER THIS CARE IN AN ENVIRONMENT THAT PROMOTES, EMBRACES AND HONORS THE DIVERSITY OF OUR GLOBAL COMMUNITY. WITH A RICH AND LONG TRADITION OF MEDICAL CARE, EDUCATION AND RESEARCH, WE ARE DEDICATED TO PROVIDING AND ADVANCING MEDICINE THAT IS RESPECTFUL AND NURTURING OF THE LIVES OF THOSE WE TOUCH. 14 10 3912 211 1398233 0 11404673 6497177 725525483 765646356 1352204 2873988 28900250 30609252 767182610 805626773 627730 968741 0 0 297952754 321135247 0 0 0 468598897 465373328 767179381 787477316 3229 18149457 407355737 459268595 303602268 328892103 103753469 130376492 X JOHNS HOPKINS BAYVIEW MEDICAL CENTER'S DEPARTMENT OF MEDICINE IS COMMITTED TO THE PRACTICE OF PRIMARY AND SPECIALITY MEDICAL CARE, THE TEACHING OF MEDICAL STUDENTS, RESIDENTS, FELLOWS, ALLIED HEALTH PROFESSIONALS, AND PHYSICIANS, RESEARCH AND DEVELOPMENT IN BASIC SCIENCE, CLINICAL CARE, HEALTH SERVICES DELIVERY, AND MEDICAL EDUCATION, ADMINISTRATION OF MEDICAL ACTIVITIES. 0 0 165317360 153883817 DEPARTMENT OF MEDICINE: THE DEPARTMENT OF MEDICINE IS COMMITTED TO THE PRACTICE OF PRIMARY AND SPECIALTY MEDICAL CARE, THE TEACHING OF MEDICAL STUDENTS, RESIDENTS, FELLOWS, ALLIED HEALTH PROFESSIONALS, AND PHYSICIANS, RESEARCH AND DEVELOPMENT IN BASIC SCIENCE, CLINICAL CARE, HEALTH SERVICES DELIVERY, AND MEDICAL EDUCATION, ADMINISTRATION OF MEDICAL ACTIVITIES AT JOHNS HOPKINS BAYVIEW MEDICAL CENTER. 119588981 185358215 DEPARTMENT OF SURGERY: THE DEPARTMENT OF SURGERY OFFERS COMPREHENSIVE SURGICAL CARE, INCLUDING SPECIALTIES IN GASTROINTESTINAL AND ABDOMINAL WALL SURGERY, TRAUMA AND SURGICAL CRITICAL CARE, BARIATRIC SURGERY, BURN AND RECONSTRUCTIVE SURGERY, SURGICAL ONCOLOGY, THORACIC SURGERY AND VASCULAR SURGERY. THE DEPARTMENT OF SURGERY FEATURE THE LATEST IN SURGICAL TECHNOLOGY, INCLUDING VIDEOSCOPIC AND MINIMALLY-INVASIVE APPROACHES TO THE TREATMENT OF SURGICAL DISORDERS AND 24/7 EMERGENCY COVERAGE OF OUR LEVEL II TRAUMA CENTER. 57683951 52587585 DEPARTMENT OF EMERGENCY MEDICINE: HOUSING MARYLAND'S ONLY REGIONAL BURN CENTER, A DESIGNATED LEVEL II TRAUMA CENTER AND A PEDIATRIC CENTER DESIGNED FOR EMERGENCY AND INPATIENT PEDIATRIC CARE, JOHNS HOPKINS BAYVIEW MEDICAL CENTER IS WELL PREPARED TO PROVIDE THE CARE NECESSARY FOR THE MOST COMPLEX EMERGENCY CASES. OUR MODERN FACILITIES AND COMPASSIONATE STAFF CONTINUE JOHNS HOPKINS MEDICINE'S TRADITION OF MEDICAL INNOVATION WITH A PATIENT-FAMILY-CENTERED APPROACH. 299499704 968741 379271740 AMONG THE OTHER PROGRAM SERVICES PROVIDED AT JOHNS HOPKINS BAYVIEW MEDICAL CENTER IS MEDICAL TREATMENT AT THE BURN CENTER. MARYLAND'S REGIONAL BURN CENTER PROVIDES AN INTERNATIONALLY RECOGNIZED COMPREHENSIVE PROGRAM OF CARE FOR PATIENTS WITH BURNS AND WOUNDS. OUR GOAL FOCUSES ON RETURNING PATIENTS TO THEIR HIGHEST LEVEL OF FUNCTION BY ATTENDING TO THE PHYSICAL, PSYCHOLOGICAL, SOCIAL AND VOCATIONAL ASPECTS OF THEIR LIVES. OUR SPECIALTY SERVICES INCORPORATE ACUTE ADULT AND PEDIATRIC BURN TREATMENT, PLASTIC AND RECONSTRUCTIVE BURN SURGERY, REPAIR OF COMPLEX SURGICAL WOUNDS. THE COMPLEX NATURE OF BURNS AND THEIR UNIQUE PHYSICAL AND PSYCHOLOGICAL ASPECTS REQUIRE THE EXPERTISE OF A MULTIDISCIPLINARY TEAM OF PROVIDERS. OUR HEALTH CARE TEAM CONSISTS OF SPECIALIST SURGEONS, INTENSIVISTS, NURSES, PHYSICAL AND OCCUPATIONAL THERAPISTS, NUTRITIONISTS, PHARMACISTS, PSYCHOLOGISTS, SOCIAL WORKERS AND CASE COORDINATORS, AS WELL AS OTHER SUPPORT SERVICES. WE ARE RECOGNIZED AS A STATE-OF-THE-ART FACILITY, PROVIDING INDIVIDUALIZED COORDINATED CARE FOR BURN PATIENTS. 299499704 968741 379271740 642089996 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 1 0 0 3912 1 1 1 0 0 0 0 0 0 0 0 0 X 14 10 0 0 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 MD X BRIAN RAYME 4439975771 3910 KESWICK RD SOUTH BLDG 4TH BALTIMORE MD 21211 KEVIN W SOWERS MSN RN FAA TRUSTEE, CORPORATE VICE CHAIR 1.00 59.00 X X 0 2437606 34491 INEZ STEWART TRUSTEE 1.00 59.00 X 0 1323905 35416 JENNIFER NICKOLES TRUSTEE, PRESIDENT 59.00 1.00 X X 0 677638 104848 JUDY HUANG MD TRUSTEE 1.00 0.00 X 0 0 0 MICHAEL SEAN BEATTY TRUSTEE 1.00 1.00 X 0 0 0 STEPHANIE COOPER GREENBERG TRUSTEE 1.00 0.00 X 0 0 0 CHARLES P SCHEELER ESQ TRUSTEE, CHAIR 1.00 0.00 X 0 0 0 KENNETH M STUZIN CFA TRUSTEE, VICE CHAIR 1.00 0.00 X 0 0 0 FRANCIS X KNOTT TRUSTEE 1.00 0.00 X 0 0 0 DAVID BRAMBLE TRUSTEE 1.00 0.00 X 0 0 0 SARAH MILLER COULSON TRUSTEE 1.00 0.00 X 0 0 0 JAMES T DRESHER JR TRUSTEE 1.00 2.00 X 0 0 0 RICHARD BASTINELLI TRUSTEE 1.00 0.00 X 0 0 0 RAFAEL LLINAS MD TRUSTEE 1.00 0.00 X 0 0 0 PETER MANCINO SECRETARY 1.00 59.00 X 0 591928 56640 RENEE J BLANDING MD VP, MEDICAL AFFAIRS 60.00 0.00 X 537869 0 54624 CHERYL R KOCH VICE PRESIDENT, COO 60.00 0.00 X 0 493157 52731 SHARON SMYTH VP, NURSING & CNO 60.00 0.00 X 0 470121 27360 BRIAN RAYME VICE PRESIDENT, FINANCE & CFO 60.00 0.00 X 0 483475 12640 GREGORY MILLER TREASURER 1.00 59.00 X 0 425515 58796 DANIELLE WHARTON VP, CLINICAL & SUPP SERVICES 60.00 0.00 X 0 309985 25969 SUSAN STEVENS VP, HUMAN RESOURCES (BEG 1/2024) 60.00 0.00 X 0 0 0 LISA FILBERT EXECUTIVE DIRECTOR 50.00 0.00 X 296372 0 102833 EMY ANN PANGANORON REGISTERED NURSE 50.00 0.00 X 217314 0 93967 CHRISTINA LACKNER CLINICAL MANAGER 50.00 0.00 X 240537 0 64264 BRUCE BLAYLOCK EXECUTIVE DIRECTOR 50.00 0.00 X 238873 0 63537 MIRIAM PASCO REGISTERED NURSE 50.00 0.00 X 225399 0 52532 RICHARD G BENNETT MD FORMER OFFICER 0.00 0.00 X 0 683834 -52009 CARL FRANCIOLI FORMER OFFICER 0.00 0.00 X 0 380653 0 MICHELE SEDNEY FORMER OFFICER 0.00 0.00 X 0 127291 27599 1756364 8405108 816238 660 1 1 1 GREEN CONTRACTING COMPANY INC 8837 YELLOW BRICK RD BALTIMORE MD 21237 CONTRACTING SERVICES 7004650 BROADWAY SERVICES INC 3709 E MONUMENT ST BALTIMORE MD 21205 MANAGEMENT SERVICES 4560602 AYA HEALTHCARE INC 5930 CORNERSTONE CT W STE 300 SAN DIEGO CA 92121 OUTSIDE LABOR SERVICES 3077598 CHESAPEAKE MEDICAL STAFFING INC 2401 YORK RD LUTHERVILLE MD 21093 STAFFING SERVICES 2534437 FRESENIUS MEDICAL CARE 16343 COLLECTION CENTER DRIVE CHICAGO IL 60693 DIALYSIS SERVICES 1321732 73 4361880 2135297 6497177 NET PATIENT SERVICES 621990 684706732 684706732 PHARMACY REVENUE 456110 80939624 79541391 1398233 765646356 3309160 3309160 247786 0 247786 247786 247786 1820000 378148 1877024 1441852 -1877024 -435172 -435172 ADMIN/MGMT FEES 624100 23508232 23508232 MISC REVENUE 900099 4313457 4313457 CAFETERIA REVENUE 722320 2539777 2539777 30361466 805626773 771101357 1398233 26630006 968741 968741 254225663 228370913 25854750 13455975 12087502 1368473 35677037 32048682 3628355 17776572 15968695 1807877 166602 166602 31711 31711 170739 140003 30736 182616 182616 43282163 18858736 24423427 171354 171354 8253617 1968908 6284709 2150815 1932077 218738 9642838 8662161 980677 342188 342188 323166 290300 32866 4296796 4296796 25592093 22989377 2602716 6847567 5854031 993536 PURCHASED SERVICES - 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THIS GUIDANCE DEFINES THE THRESHOLD FOR RECOGNIZING TAX RETURN POSITIONS IN THE FINANCIAL STATEMENTS AS "MORE LIKELY THAN NOT" THAT THE POSITION IS SUSTAINABLE, BASED ON ITS TECHNICAL MERITS. THIS GUIDANCE ALSO PROVIDES GUIDANCE ON THE MEASUREMENT, CLASSIFICATION AND DISCLOSURE OF TAX RETURN POSITIONS IN THE FINANCIAL STATEMENTS. THERE IS NO IMPACT ON JHBMC'S FINANCIAL STATEMENTS DURING THE YEARS ENDED JUNE 30, 2024 AND 2023. 1 1 X 1 X 1 X 500.000000000000 1 1 0 1 1 22928721 0 22928721 0.02910 0 0 0 0 22928721 22928721 0.02910 27758034 4718749 23039285 0.02930 53769324 0 53769324 0.06830 0 0 0 0 752784 8670 744114 0.00090 82280142 4727419 77552723 0.09850 105208863 4727419 100481444 0.12760 54607 0 54607 0.00010 0 0 131310 0 131310 0.00020 0 0 0 0 0 0 0 0 958 0 958 0.00000 0 0 186875 186875 0.00030 0 12966381 207378001 196353077 11024924 X 1 1 1 1 JOHNS HOPKINS BAYVIEW MEDICAL CENTER 4940 EASTERN AVENUE BALTIMORE MD 21224 WWW.HOPKINSMEDICINE.ORG 30-005 X JOHNS HOPKINS BAYVIEW MEDICAL CENTER 1 0 0 1 X X X X X X X X X 23 1 1 1 1 X SEE SUPPLEMENTAL INFORMATION X HTTPS://GCA.JHU.EDU/COMMUNITY-HEALTH-NEEDS-ASSESSMENT-2/ X X 1 23 1 SEE SUPPLEMENTAL INFORMATION 0 1 X 200.000000000000 500.000000000000 X X X 1 1 X X X X 1 X SEE SUPPLEMENTAL INFORMATION X SEE SUPPLEMENTAL INFORMATION X SEE SUPPLEMENTAL INFO X X X X X X 1 X 0 X X X X 1 X X 0 0 JOHNS HOPKINS BAYVIEW MEDICAL CENTER PART V, SECTION B, LINE 5: THE CHNA PROCESS FOR THE JOHNS HOPKINS HOSPITAL (JHH) AND JOHNS HOPKINS BAYVIEW MEDICAL CENTER (JHBMC) INCLUDED THE COLLECTION AND ANALYSIS OF PRIMARY AND SECONDARY DATA. BOTH PUBLIC AND PRIVATE ORGANIZATIONS, SUCH AS FAITH-BASED ORGANIZATIONS, GOVERNMENT AGENCIES, EDUCATIONAL SYSTEMS, AND HEALTH AND HUMAN SERVICES ENTITIES WERE ENGAGED TO ASSESS THE NEEDS OF THE COMMUNITY. IN 2024, JOHNS HOPKINS AGAIN COLLABORATED WITH THE BALTIMORE CITY HEALTH DEPARTMENT (BCHD) AND A COALITION OF ALL HOSPITALS IN BALTIMORE TO PRODUCE A BALTIMORE CITY NEEDS ASSESSMENT. THE JHH/JHBMC CHNA BUILDS ON THE CITYWIDE DATA AND FOCUSES ON THE COMMUNITIES SURROUNDING THE HOSPITALS LOCATED WITHIN THE HOSPITALS' COMMUNITY BENEFIT SERVICE AREA (CBSA).PRIMARY DATA FOR THE JHH/JHBMC CHNA INCLUDED A REVIEW OF WORK DONE BY THE HOSPITAL IN RESPONSE TO THE PREVIOUS CHNA AND IMPLEMENTATION STRATEGY, A HEALTH NEEDS SURVEY, AVAILABLE ONLINE AND IN PAPER FORMATS IN BOTH ENGLISH AND SPANISH, EIGHT FOCUS GROUPS CONDUCTED WITH SPECIFIC VULNERABLE POPULATION REPRESENTATIVES, AND 54 STAKEHOLDER INTERVIEWS WITH INDIVIDUALS WHO REPRESENT A) BROAD INTERESTS OF THE COMMUNITY, B) POPULATIONS OF NEED, AND/OR C) PERSONS WITH SPECIALIZED KNOWLEDGE IN PUBLIC HEALTH. (A FULL LIST OF INTERVIEW PARTICIPANTS AND ORGANIZATIONS CONSULTED APPEARS IN APPENDICES D & E OF THE CHNA LINK UNDER 7A BELOW.)THE DEVELOPMENT OF THE CHNA WAS LED BY THE OFFICE OF GOVERNMENT, COMMUNITY AND ECONOMIC PARTNERSHIPS (MARIA TILDON, VICE PRESIDENT), DR. REDONDA MILLER (PRESIDENT OF THE JOHNS HOPKINS HOSPITAL), AND JENNIFER NICKOLES (PRESIDENT OF THE JOHNS HOPKINS BAYVIEW MEDICAL CENTER), AND INVOLVED THE CONTRIBUTIONS OF OVER 600 INDIVIDUALS THROUGH DIRECT INTERVIEWS, SURVEYS, AND FOCUS GROUPS. CONTRIBUTORS INCLUDED, BUT WERE NOT LIMITED TO, COMMUNITY RESIDENTS, MEMBERS OF FAITH-BASED ORGANIZATIONS, STATE AND LOCAL PUBLIC HEALTH DEPARTMENT REPRESENTATIVES, NEIGHBORHOOD ASSOCIATION LEADERS, OTHER NONPROFIT AND COMMUNITY BASED ORGANIZATION LEADERS, ACADEMIC EXPERTS, LOCAL GOVERNMENT OFFICIALS, LOCAL SCHOOL DISTRICT REPRESENTATIVES, HEALTH CARE CONSUMERS AND PROVIDERS, HEALTH PROFESSIONALS, MEMBERS OF POPULATIONS WITH LIMITED ACCESS TO HEALTHCARE SERVICES OR FINANCIAL RESOURCES, JOHNS HOPKINS MEDICINE LEADERSHIP, AND OTHER EXPERTS, BOTH INTERNAL AND EXTERNAL TO JOHNS HOPKINS.THE INFORMATION COLLECTED THROUGH SURVEYS, INTERVIEWS, AND FOCUS GROUPS WAS REVIEWED IN CONJUNCTION WITH COLLECTED SECONDARY DATA. REPRESENTATIVES FROM BALTIMORE CONNECT, VALIDATED THE REVIEW PROCESS AND FINDINGS AND PARTICIPATED IN THE PRIORITIZATION OF NEEDS. JOHNS HOPKINS BAYVIEW MEDICAL CENTER PART V, SECTION B, LINE 6A: JOHNS HOPKINS HOSPITAL (JHH) AND JOHNS HOPKINS BAYVIEW MEDICAL CENTER (JHBMC) SHARE THE SAME CBSA AND CONDUCT THEIR CHNA AS ONE UNIT. JOHNS HOPKINS BAYVIEW MEDICAL CENTER PART V, SECTION B, LINE 6B: SEVERAL HEALTH ORGANIZATIONS CAME TOGETHER AS THE CHNA COLLABORATIVE TO CONDUCT THE 2024 CHNA IN ADDITION TO JHH AND JHBMC INCLUDING THE BALTIMORE CITY HEALTH DEPARTMENT, LIFEBRIDGE HEALTH, ASCENSION SAINT AGNES HOSPITAL, MERCY MEDICAL CENTER, MEDSTAR HEALTH, UNIVERSITY OF MARYLAND MEDICAL CENTER AND MT. WASHINGTON PEDIATRIC HOSPITAL. JOHNS HOPKINS BAYVIEW MEDICAL CENTER PART V, SECTION B, LINE 7D: A PAPER COPY IS AVAILABLE AT NO CHARGE UPON REQUEST AT THE JOHNS HOPKINS OFFICE OF GOVERNMENT, COMMUNITY AND ECONOMIC PARTNERSHIPS BY CALLING 443-997-5999 OR BY EMAILING GCA@JHU.EDU. THIS INFORMATION IS POSTED ON THE CHNA WEBSITE. JOHNS HOPKINS BAYVIEW MEDICAL CENTER PART V, SECTION B, LINE 11: -AN INTERACTIVE RESOURCE INVENTORY WAS CREATED TO HIGHLIGHT AVAILABLE PROGRAMS AND SERVICES WITHIN THE JHH AND JHBMC CBSA. THE INVENTORY IDENTIFIES ORGANIZATIONS AND AGENCIES IN THE COMMUNITY THAT ARE SERVING THE VARIOUS TARGET POPULATIONS WITHIN EACH OF THE PRIORITY NEEDS. ADDITIONAL REFERENCES TO SOCIAL SERVICES REFERRAL PLATFORMS APPEAR WITH THE RESOURCE INVENTORY. THESE INCLUDE BUT ARE NOT LIMITED TO 211 (HTTPS://WWW.211.ORG/), CHARMCARE (HTTPS://WWW.CHARMCARE.ORG), AND FINDHELP (HTTPS://WWW.FINDHELP.ORG/.THE JHH/JHBMC IMPLEMENTATION STRATEGY FOR THE CHNA SPELLS OUT IN CONSIDERABLE DETAIL WAYS THAT JHBMC INTENDS TO ADDRESS THE MULTIPLE HEALTH NEEDS OF OUR COMMUNITY IN OUR TEN PRIORITY AREAS. AS THE HOSPITAL BEGINS TO USE THIS VALUABLE TOOL, THE IMPLEMENTATION STRATEGY ITSELF SHOULD BE CONSIDERED A DYNAMIC DOCUMENT AND MAY CHANGE AS JHBMC GAINS EXPERIENCE IN IMPLEMENTING PROGRAMS AND MEASURING OUTCOMES. PART V, SECTION B, LINE 7A HTTPS://WWW.HOPKINSMEDICINE.ORG/ABOUT/COMMUNITY_HEALTH/JOHNS-HOPKINS-BAYVIEW/HEALTH_NEEDS_INITIATIVES/ PART V, SECTION B, LINE 10A HTTPS://WWW.HOPKINSMEDICINE.ORG/ABOUT/COMMUNITY_HEALTH/JOHNS-HOPKINS-BAYVIEW/HEALTH_NEEDS_INITIATIVES/ PART V, SECTION B, LINE 16A HTTPS://WWW.HOPKINSMEDICINE.ORG/PATIENT-CARE/PATIENTS-VISITORS/BILLING-INSURANCE/FINANCIAL-ASSISTANCE PART V, SECTION B, LINE 16B HTTPS://WWW.HOPKINSMEDICINE.ORG/PATIENT-CARE/PATIENTS-VISITORS/BILLING-INSURANCE/FINANCIAL-ASSISTANCE PART V, SECTION B, LINE 16C HTTPS://WWW.HOPKINSMEDICINE.ORG/PATIENT-CARE/PATIENTS-VISITORS/BILLING-INSURANCE/FINANCIAL-ASSISTANCE PART I, LINE 3C: SEE DETAILS IN SCH H, PART V, SECTION B, LINE 13. PART I, LINE 7: - A COST-TO-CHARGE RATIO (FROM WORKSHEET 2) IS USED TO CALCULATE THE AMOUNTS ON LINE 7A AND 7B (CHARITY CARE AND UNREIMBURSED MEDICAID). THE AMOUNTS FOR LINES 7E-7I COME FROM OUR HSCRC COMMUNITY BENEFIT REPORT FILED WITH THE STATE OF MARYLAND AND IS NOT BASED ON A COST-TO CHARGE RATIO.- 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. PART I, LINE 7G: JOHNS HOPKINS BAYVIEW MEDICAL CENTER, INC. DOES NOT HAVE ANY SUBSIDIZED HEALTH SERVICES. PART II, COMMUNITY BUILDING ACTIVITIES: IN FY 2024, THE JOHNS HOPKINS BAYVIEW MEDICAL CENTER'S COMMUNITY BENEFIT PROGRAMS INCLUDED NUMEROUS INITIATIVES THAT SUPPORT THE HOSPITAL'S EFFORTS TO MEET THE NEEDS OF THE COMMUNITY. THESE INITIATIVES ARE DECENTRALIZED AND USE A VARIETY OF METHODS TO IDENTIFY COMMUNITY NEEDS. THESE INITIATIVES ARE ACCOUNTED FOR IN PART I LINES 7EK AND PART II ACCORDING TO SPECIFIC SCHEDULE H GUIDELINES. IN TOTAL OVER 100 PROGRAMS AND INITIATIVES WERE CARRIED OUT OR SUPPORTED BY ADMINISTRATIVE, CLINICAL, AND OPERATIONAL DEPARTMENTS AT THE JOHNS HOPKINS BAYVIEW MEDICAL CENTER. PART III, LINE 2: THE PROVISION FOR BAD DEBTS IS BASED UPON A COMBINATION OF THE PAYOR SOURCE, THE AGING OF RECEIVABLES AND MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS, TRENDS IN HEALTH INSURANCE COVERAGE, AND OTHER COLLECTION INDICATORS. 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 THE RATE REGULATION, JHBMC CANNOT DETERMINE THE AMOUNT THAT REASONABLE COULD BE ATTRIBUTABLE TO PATIENTS WHO LIKELY WOULD QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S CHARITY CARE POLICY. PART III, LINE 4: THE JOHNS HOPKINS HEALTH SYSTEM CORPORATION AND AFFILIATES AUDITED FINANCIAL STATEMENTS PAGE 17. PART III, LINE 8: THE TRIAL BALANCE EXPENSES ARE ADJUSTED TO ALLOWABLE EXPENSE IN ACCORDANCE WITH THE MEDICARE COST REPORTING RULES AND REGULATIONS. 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. PART VI, LINE 2: COMMUNITY BENEFIT PLANNING IS AN INTEGRAL PART OF THE JOHNS HOPKINS HOSPITAL AND JOHNS HOPKINS BAYVIEW MEDICAL CENTER'S STRATEGIC PLAN THROUGH AN ANNUAL STRATEGIC OBJECTIVES PLANNING PROCESS THAT INVOLVES EVALUATING THE HOSPITAL'S PROGRESS AT MEETING TWO COMMUNITY HEALTH GOALS AND DEFINES METRICS FOR DETERMINING PROGRESS. THE COMMITMENT OF JOHNS HOPKINS' LEADERSHIP TO IMPROVING THE LIVES OF ITS NEAREST NEIGHBORS IS ILLUSTRATED BY THE INCORPORATION OF COMMUNITY ENGAGEMENT INITIATIVES AT THE HIGHEST LEVEL IN THE JOHNS HOPKINS MEDICINE STRATEGIC PLAN. JHM, CONSISTING OF THE JHU SCHOOL OF MEDICINE AND THE JOHNS HOPKINS HEALTH SYSTEM, IS COMMITTED TO A TRI-PARTITE MISSION (EDUCATION, RESEARCH AND HEALTHCARE). EVEN AT THIS CROSS-ENTITY LEVEL (JHU AND JHHS), COMMUNITY BENEFIT ACTIVITIES AND PLANNING GO BEYOND HOSPITAL REQUIREMENTS AND EXPECTATIONS AND ARE A CORE OBJECTIVE FOR ALL DEPARTMENTS, SCHOOLS AND AFFILIATES. SENIOR LEADERSHIP DIRECTS, OVERSEES AND APPROVES ALL COMMUNITY BENEFIT WORK INCLUDING THE ALLOCATION OF FUNDS THAT SUPPORT COMMUNITY OUTREACH DIRECTED AT POPULATIONS WITH LIMITED ACCESS TO CARE OR CONCENTRATED HEALTH NEEDS WITHIN THE CBSA. THIS HIGH-LEVEL REVIEW AND EVALUATION SETS THE PRIORITIES OF THE HOSPITAL'S OUTREACH WORK AND ENSURES THE EFFECTIVE, EFFICIENT USAGE OF FUNDS TO ACHIEVE THE LARGEST IMPACT IN IMPROVING THE LIVES OF THOSE WHO LIVE IN THE COMMUNITIES WE SERVE. THIS GROUP CONDUCTS THE FINAL REVIEW AND APPROVAL OF THE FINAL REPORT'S FINANCIAL ACCURACY TO THE HOSPITALS' FINANCIAL STATEMENTS, ALIGNMENT WITH THE STRATEGIC PLAN, AND COMPLIANCE WITH REGULATORY REQUIREMENTS. INDIVIDUAL CLINICAL LEADERS ALONG WITH ADMINISTRATORS MAKE DECISIONS ON COMMUNITY BENEFIT PROGRAMS FUNDED BY INDIVIDUAL DEPARTMENTAL BUDGETS. CLINICAL LEADERS WILL ALSO IDENTIFY AND CREATE STRATEGIES TO TACKLE COMMUNITY HEALTH NEEDS THAT ARISE IN THE CBSA AND OVERSEE DEPARTMENT PROGRAMS FOR CONTENT ACCURACY AND ADHERENCE TO DEPARTMENT PROTOCOLS AND BEST PRACTICES. THE JHBMC COMMUNITY BENEFIT TEAM INTERACTS WITH ALL GROUPS IN THE HOSPITAL PERFORMING COMMUNITY BENEFIT ACTIVITIES. THEY EDUCATE, ADVOCATE AND COLLABORATE WITH INTERNAL AUDIENCES TO INCREASE UNDERSTANDING, APPRECIATION AND PARTICIPATION OF THE COMMUNITY BENEFIT REPORT PROCESS, THE IMPORTANCE OF COMMUNITY BENEFIT ACTIVITIES THAT ADDRESS CHNA IDENTIFIED NEEDS AND COMMUNITY OUTREACH ACTIVITIES. TEAM MEMBERS COLLECT AND VERIFY ALL CB DATA, COMPILE THE REPORT, PROVIDE INITIAL AUDIT AND VERIFICATION OF CBR FINANCIAL INFORMATION AND WRITE THE CBR NARRATIVE. THROUGHOUT THE YEAR, THE CB TEAM ATTENDS LOCAL AND REGIONAL COMMUNITY HEALTH CONFERENCES AND MEETINGS, REPRESENTS THE HOSPITAL TO EXTERNAL AUDIENCES, AND WORKS WITH COMMUNITY AND JHBMC CLINICAL LEADERS TO IDENTIFY PROMISING PROJECTS OR PROGRAMS THAT ADDRESS CBSA COMMUNITY HEALTH NEEDS. THE JHHS COMMUNITY HEALTH IMPROVEMENT STRATEGY COUNCIL (JCHISC) CONVENES MONTHLY TO BRING COMMUNITY HEALTH/COMMUNITY BENEFIT GROUPS TOGETHER WITH TAX, FINANCIAL ASSISTANCE, AND HEALTH POLICY STAFF FROM ACROSS THE HEALTH SYSTEM TO COORDINATE PROCESS, PRACTICE, AND POLICY. CHISC MEMBERS DISCUSS ISSUES AND PROBLEMS THEY FACE IN COMMUNITY BENEFIT REPORTING, REGULATORY COMPLIANCE TO STATE AND FEDERAL COMMUNITY BENEFIT REQUIREMENTS, AND TECHNICAL ASPECTS OF ADMINISTERING AND REPORTING COMMUNITY BENEFIT SYSTEMS. WHEN NEEDED, A DESIGNATED REPRESENTATIVE FROM THE GROUP CONTACTS THE GOVERNING AGENCY FOR CLARIFICATION OR DECISION REGARDING THE ISSUES IN QUESTION TO ENSURE THAT ALL HOSPITALS REPORTS ARE CONSISTENT IN THE INTERPRETATION OF REGULATIONS. PART VI, LINE 3: JHBMC WILL PUBLISH THE AVAILABILITY OF FINANCIAL ASSISTANCE ON A YEARLY BASIS IN THEIR LOCAL NEWSPAPERS AND WILL POST NOTICES OF AVAILABILITY AT PATIENT REGISTRATION SITES, ADMISSIONS/BUSINESS OFFICE, THE BILLING OFFICE AND AT THE EMERGENCY DEPARTMENT WITHIN JHBMC. NOTICE OF AVAILABILITY WILL ALSO BE SENT TO PATIENTS ON PATIENT BILLS. A PATIENT BILLING AND FINANCIAL ASSISTANCE INFORMATION SHEET WILL BE PROVIDED TO INPATIENTS BEFORE DISCHARGE AND WILL BE AVAILABLE TO ALL PATIENTS UPON REQUEST.JHBMC (FINANCIAL COUNSELORS/PATIENT FINANCIAL SERVICES REPRESENTATIVES, SOCIAL SERVICES DEPARTMENT PERSONNEL AND/OR MEDICAL ASSISTANCE/MEDICAID ELIGIBILITY TECHNICIAN) WILL PROVIDE PATIENTS WITH ASSISTANCE IN DETERMINING ELIGIBILITY FOR AND MAKING APPLICATION TO A VARIETY OF SPECIAL ENTITLEMENT PROGRAMS THAT PROVIDE FINANCIAL ASSISTANCE BOTH TOWARD PAYMENT OF MEDICAL BILLS AND GENERAL EXPENSES. THE FINANCE DEPARTMENT, IN CONJUNCTION WITH THE SOCIAL SERVICES DEPARTMENT, WILL INTERVIEW PATIENTS TO DETERMINE POTENTIAL ELIGIBILITY FOR MARYLAND MEDICAL ASSISTANCE AS WELL AS OTHER SPECIAL PROGRAMS. PART VI, LINE 4: IN 2015, THE JOHNS HOPKINS HOSPITAL (JHH) AND JOHNS HOPKINS BAYVIEW MEDICAL CENTER (JHBMC) MERGED THEIR RESPECTIVE COMMUNITY BENEFIT SERVICE AREAS (CBSA) IN ORDER TO BETTER INTEGRATE COMMUNITY HEALTH AND COMMUNITY OUTREACH ACROSS THE EAST AND SOUTHEAST BALTIMORE CITY AND COUNTY REGION. THE GEOGRAPHIC AREA CONTAINED WITHIN THE NINE ZIP CODES INCLUDES 21202, 21205, 21206, 21213, 21218, 21219, 21222, 21224, AND 21231. THIS AREA REFLECTS THE POPULATION WITH THE LARGEST USAGE OF THE EMERGENCY DEPARTMENTS AND THE MAJORITY OF RECIPIENTS OF COMMUNITY CONTRIBUTIONS AND DELIVERY OF PROGRAM OUTREACH. WITHIN THE CBSA, JHH AND JHBMC HAVE FOCUSED ON CERTAIN TARGET POPULATIONS SUCH AS THE ELDERLY, AT-RISK CHILDREN AND ADOLESCENTS, UNINSURED, UNDERINSURED AND LOW-INCOME INDIVIDUALS AND HOUSEHOLDS. THE CBSA COVERS APPROXIMATELY 27.9 SQUARE MILES WITHIN THE CITY OF BALTIMORE OR APPROXIMATELY 34% PERCENT OF THE TOTAL 80.94 SQUARE MILES OF LAND AREA FOR THE CITY AND 25.6 SQUARE MILES IN BALTIMORE COUNTY IN TERMS OF POPULATION, AS OF MARCH 2024, AN ESTIMATED 292,988 PEOPLE LIVE WITHIN CBSA, 20.4% OF THE POPULATION IS ESTIMATED TO HAVE MEDICAID COVERAGE, 16.8% HAVE MEDICARE AND 6.2% ARE UNINSURED; 15.6% OF THE POPULATION IS BELOW THE FEDERAL POVERTY GUIDELINES AND 13.2% HAVE LESS THAN A HIGH SCHOOL DEGREE. IN TERMS OF HOUSEHOLD INCOME, 21.7% OF HOUSEHOLDS EARN LESS THAN $25,000 ANNUALLY, COMPRISING 26,541 HOUSEHOLDS OUT OF 121,924 HOUSEHOLDS IN THE CBSA (2024 SG2 MARKET DEMOGRAPHICS TOOL). ADDITIONAL INFORMATION BY NEIGHBORHOOD IS DETAILED BELOW.WITHIN THE CBSA, THERE ARE THREE BALTIMORE COUNTY NEIGHBORHOODS - DUNDALK, SPARROWS POINT, AND EDGEMERE. BALTIMORE CITY IS TRULY A CITY OF NEIGHBORHOODS WITH OVER 270 OFFICIALLY RECOGNIZED NEIGHBORHOODS. THE BALTIMORE CITY DEPARTMENT OF HEALTH HAS SUBDIVIDED THE CITY AREA INTO 23 NEIGHBORHOODS OR NEIGHBORHOOD GROUPINGS THAT ARE COMPLETELY OR PARTIALLY INCLUDED WITHIN THE CBSA. THESE NEIGHBORHOODS ARE BELAIR-EDISON, CANTON, CEDONIA/FRANKFORD, CLAREMONT/ARMISTEAD, CLIFTON-BEREA, DOWNTOWN/SETON HILL, FELLS POINT, GREATER CHARLES VILLAGE/BARCLAY, GREATER GOVANS, GREENMOUNT EAST (WHICH INCLUDES NEIGHBORHOODS SUCH AS OLIVER, BROADWAY EAST, JOHNSTON SQUARE, AND GAY STREET), HAMILTON, HIGHLANDTOWN, JONESTOWN/OLDTOWN, LAURAVILLE, MADISON/EAST END, MIDTOWN, MIDWAY-COLDSTREAM, NORTHWOOD, ORANGEVILLE/EAST HIGHLANDTOWN, PATTERSON PARK NORTH & EAST, PERKINS/MIDDLE EAST, SOUTHEASTERN, AND THE WAVERLIES. THE JOHNS HOPKINS HOSPITAL IS IN THE NEIGHBORHOOD CALLED PERKINS/MIDDLE EAST, AND THE NEIGHBORHOODS THAT ARE CONTIGUOUS TO PERKINS/MIDDLE EAST INCLUDE GREENMOUNT EAST (INCLUDING OLIVER, BROADWAY EAST, JOHNSTON SQUARE, AND GAY STREET), CLIFTON-BEREA, MADISON/EAST END, PATTERSON PARK NORTH & EAST, FELLS POINT, CANTON, AND JONESTOWN/OLDTOWN. RESIDENTS OF MOST OF THESE NEIGHBORHOODS ARE PRIMARILY AFRICAN AMERICAN, WITH THE EXCEPTIONS OF FELLS POINT, WHICH IS PRIMARILY WHITE, AND PATTERSON PARK NORTH & EAST, WHICH REPRESENTS A DIVERSITY OF RESIDENT ETHNICITIES. WITH THE EXCEPTIONS OF FELLS POINT, CANTON, AND PATTERSON PARK N&E, THE MEDIAN HOUSEHOLD INCOME OF MOST OF THESE NEIGHBORHOODS IS SIGNIFICANTLY LOWER THAN THE BALTIMORE CITY MEDIAN HOUSEHOLD INCOME. MEDIAN INCOME IN FELLS POINT, CANTON, AND PATTERSON PARK N&E SKEWS HIGHER, AND THERE ARE HIGHER PERCENTAGES OF WHITE HOUSEHOLDS HAVING HIGHER MEDIAN INCOMES RESIDING IN THESE NEIGHBORHOODS. IN SOUTHEAST BALTIMORE, THE CBSA POPULATION DEMOGRAPHICS HAVE HISTORICALLY TRENDED AS WHITE MIDDLE-INCOME, WORKING-CLASS COMMUNITIES, HIGHLANDTOWN, SOUTHEASTERN, ORANGEVILLE/E. HIGHLANDTOWN; HOWEVER, IN THE PAST FEW DECADES, SOUTHEAST BALTIMORE HAS BECOME MUCH MORE DIVERSE WITH A GROWING LATINO POPULATION CLUSTERED AROUND PATTERSON PARK, HIGHLANDTOWN, ORANGEVILLE/E. HIGHLANDTOWN. MEDIAN INCOMES IN THESE NEIGHBORHOODS RANGE FROM SIGNIFICANTLY BELOW THE CITY MEDIAN IN SOUTHEASTERN TO WELL ABOVE THE MEDIAN IN HIGHLANDTOWN. IN BALTIMORE COUNTY, LARGELY SERVED BY JHBMC, DUNDALK, SPARROWS POINT, AND EDGEMERE HAVE BEEN PREDOMINANTLY WHITE WITH INCREASING POPULATIONS OF HISPANIC AND AFRICAN AMERICAN RESIDENTS. NEIGHBORHOODS FARTHER NORTH OF THE JOHNS HOPKINS HOSPITAL INCLUDE BELAIR-EDISON, CEDONIA/FRANKFORD, CLAREMONT/ARMISTEAD, CLIFTONBEREA, GREATER CHARLES VILLAGE/BARCLAY, GREATER GOVANS, HAMILTON, LAURAVILLE, MIDTOWN, MIDWAY-COLDSTREAM, NORTHWOOD, AND THE WAVERLIES. RESIDENTS OF THESE NEIGHBORHOODS ARE RACIALLY MORE DIVERSE THAN IN THE NEIGHBORHOODS CLOSEST TO JHBMC AND MEDIAN HOUSEHOLD INCOMES RANGE FROM SIGNIFICANTLY ABOVE THE MEDIAN TO CLOSE TO THE MEDIAN HOUSEHOLD INCOME FOR BALTIMORE CITY. SINCE THE END OF THE SECOND WORLD WAR, THE POPULATION OF BALTIMORE CITY HAS BEEN LEAVING THE CITY TO THE SURROUNDING SUBURBAN COUNTIES. THIS DEMOGRAPHIC TREND ACCELERATED IN THE 1960S AND 1970S, GREATLY AFFECTING THE NEIGHBORHOODS AROUND JHH AND JHBMC. AS THE POPULATION OF BALTIMORE CITY DROPPED, THERE HAS BEEN A CONSIDERABLE DISINVESTMENT IN HOUSING STOCK IN THESE NEIGHBORHOODS. ECONOMIC CONDITIONS THAT RESULTED IN THE CLOSING OR RELOCATION OF MANUFACTURING AND INDUSTRIAL JOBS IN BALTIMORE CITY AND BALTIMORE COUNTY LED TO HIGHER UNEMPLOYMENT IN THE NEIGHBORHOODS AROUND THE JOHNS HOPKINS HOSPITAL AND JOHNS HOPKINS BAYVIEW MEDICAL CENTER, AND SOCIAL TRENDS DURING THE 1970S AND 1980S LED TO INCREASES IN SUBSTANCE ABUSE AND VIOLENT CRIME AS WELL. THESE NEIGHBORHOODS EXPERIENCE GREATER VARIATION IN HEALTH OUTCOMES RELATIVE TO STATE AND COUNTY AVERAGES.THE DECEMBER 2019 REPORT FROM THE MARYLAND OFFICE OF MINORITY HEALTH AND HEALTH DISPARITIES HIGHLIGHTS SOME OF THESE DISPARITIES INCLUDING HIGHER EMERGENCY DEPARTMENT UTILIZATION RATES FOR BLACKS THAN WHITES FOR CARDIOVASCULAR DISEASE/HIGH BLOOD PRESSURE (3.27 TIMES HIGHER FOR BLACKS THAN WHITES), DIABETES (3.15 TIMES HIGHER) AND ASTHMA (3.52 TIMES HIGHER) IN MARYLAND. PART VI, LINE 5: IN ADDITION TO THE COMMUNITY ENGAGEMENT OUTREACH EFFORTS INCLUDED IN THE COMMUNITY BENEFIT REPORT, JHBMC SEARCHES FOR ADDITIONAL INNOVATIVE OPPORTUNITIES TO SUPPORT COMMUNITY HEALTH. OVER THE PAST FOUR YEARS, JHBMC PARTICIPATED IN KEY PUBLIC AND PRIVATE INSTITUTIONAL PARTNERSHIPS TO CREATE NEW OUTREACH INITIATIVES ADDRESSING CHNA PRIORITIES INCLUDING A PILOT PROGRAM TO PROVIDE STABLE HOUSING, HEALTHCARE AND SUPPORTIVE SERVICES FOR 300 INDIVIDUALS AND FAMILIES IN BALTIMORE WHO WERE HOMELESS OR AT RISK OF BECOMING HOMELESS. RESIDENTS ARE CONNECTED TO COMMUNITY-BASED HEALTH AND MENTAL HEALTH CARE, EMPLOYMENT SERVICES AND INDEPENDENT LIVING SKILLS SPPORT. THE GOAL OF THE PROGRAM IS TO AVOID A RETURN TO HOMELESSNESS, IMPROVE HEALTH AND REDUCE THE NEED FOR EMERGENCY CARE. INITIAL RESULTS ARE EXTREMELY POSITIVE. A THIRD-PARTY INDEPENDENT REVIEW WAS COMPLETED IN 2023 AND FOUND STATISTICALLY SIGNIFICANT REDUCTIONS IN EMERGENCY DEPARTMENT UTILIZATION, HOSPITALIZATION AND HOSPITAL READMISSION. IN 2024 THE PROGRAM WAS EXTENDED TILL 2026.THE HOSPITAL HAS COLLABORATED WITH PUBLIC AND PRIVATE SECTOR PARTNERS TO EXPAND BEHAVIORAL HEALTH CRISIS STABILIZATION SERVICES. THIS INCLUDES ESTABLISHING A REGIONAL CRISIS HOTLINE AND EXPANDING MOBILE CRISIS TEAMS AND ACCESS TO SAME DAY TREATMENT. A NEW PROGRAM IS THE "BREAK THE CYCLE, A VIOLENCE INTERVENTION PROGRAM" WHICH PROVIDES COMPREHENSIVE CASE MANAGEMENT AND SUPPORT SERVICES TO VICTIMS OF GUNSHOTS AND STABBINGS AND THEIR FAMILIES. THESE THREE PROGRAMS ARE EXAMPLES OF HOW THE HOSPITAL ADDRESSES THE TOP NEEDS IDENTIFIED IN THE LATEST CHNA (2024) BY THE RESIDENTS IN THEIR SURROUNDING COMMUNITIES. INCLUDED IN THE TOP IDENTIFIED NEEDS WERE ACCESS TO CARE/SUPPORT, NEIGHBORHOOD SAFETY, HOUSING/HOMELESSNESS AND BEHAVIORIAL HEALTH. - FOR THE LAST 30 YEARS, MARYLAND HOSPITALS HAVE MET THEIR COMMUNITY BENEFIT OBLIGATIONS IN A UNIQUE MANNER THAT BUILDS THE COSTS OF UNCOMPENSATED 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: PUBLICLY DISCLOSE INFORMATION ON THE COST AND FINANCIAL POSITION OF HOSPITALS; REVIEW AND APPROVE HOSPITAL RATES; COLLECT INFORMATION DETAILING TRANSACTIONS BETWEEN HOSPITALS AND FIRMS WITH WHICH THEIR TRUSTEES HAVE A FINANCIAL INTEREST; AND, 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 HTTPS://HSCRC.STATE.MD.US/PAGES/INIT_CB.ASPXBECAUSE OF THIS UNIQUE STRUCTURE MARYLAND HOSPITALS' COMMUNITY BENEFITS NUMBERS WILL NOT COMPARE WITH THE REST OF THE NATION'S 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. PART VI, LINE 6: THE JOHNS HOPKINS HEALTH SYSTEM CORPORATION (JHHSC) IS INCORPORATED IN THE STATE OF MARYLAND TO, AMONG OTHER THINGS, FORMULATE POLICY AMONG AND PROVIDE CENTRALIZED MANAGEMENT FOR JHHSC AND AFFILIATES (JHHS). JHHS IS ORGANIZED AND OPERATED FOR THE PURPOSE OF PROMOTING HEALTH BY FUNCTIONING AS A PARENT HOLDING COMPANY OF AFFILIATES WHOSE COMBINED MISSION IS TO PROVIDE PATIENT CARE IN THE TREATMENT AND PREVENTION OF HUMAN ILLNESS WHICH COMPARES FAVORABLY WITH THAT RENDERED BY ANY OTHER INSTITUTION IN THIS COUNTRY OR ABROAD.JHHSC IS THE SOLE MEMBER OF THE JOHNS HOPKINS HOSPITAL (JHH), AN ACADEMIC MEDICAL CENTER, JOHNS HOPKINS BAYVIEW MEDICAL CENTER, INC. (JHBMC), A COMMUNITY BASED TEACHING HOSPITAL AND LONG-TERM CARE FACILITY, HOWARD COUNTY GENERAL HOSPITAL, INC. (HCGH), A COMMUNITY BASED HOSPITAL, SUBURBAN HOSPITAL, INC. (SHI), A COMMUNITY BASED HOSPITAL, SIBLEY MEMORIAL HOSPITAL (SMH), A D.C. COMMUNITY BASED HOSPITAL, AND JOHNS HOPKINS ALL CHILDRENS HOSPITAL, INC (JHACH), A FL ACADEMIC CHILDRENS HOSPITAL. PART VI, LINE 7, REPORTS FILED WITH STATES MD 1 BEHAVIORAL HEALTH SYSTEM BALTIMORE 100 S CHARLES S 8TH FL BALTIMORE MD 21201 521519025 501(C)(3) 728741 0 COMMUNITY OUTREACH SOUTHEAST COMMUNITY DEVELOPMENT 3323 EASTERN AVENUE SUITE 200 BALTIMORE MD 21224 521034460 501(C)(3) 200000 0 COMMUNITY OUTREACH DUNDALK RENAISSANCE CORPORATION 11 CENTER PLACE 1ST FL DUNDALK MD 21222 522306483 501(C)(3) 40000 0 COMMUNITY OUTREACH 3 PART I, LINE 2: AS PART OF THE COMMUNITY BENEFIT REVIEW PROCESS, JOHNS HOPKINS BAYVIEW MEDICAL CENTER, INC. (JHBMC) MONITORS AND REVIEWS SELECTED GRANTS MADE BY THE ORGANIZATION. THIS MONITORING INCLUDES VERIFICATION OF THE NATURE OF THE AWARD AND THE BENEFITING ORGANIZATION. FURTHER, AS A PRECONDITION FOR MAKING ANY DONATIONS, JHBMC REQUIRES THE USE OF FUNDS FOR EACH AWARD TO BE USED ONLY FOR THEIR INTENDED CHARITABLE RECIPIENT. X X X X X 1 1 0 0 0 0 0 1 0 KEVIN W SOWERS MSN RN FAA TRUSTEE, CORPORATE VICE CHAIR 0 1542757 0 661230 0 233619 0 21498 0 12993 0 2472097 0 203752 INEZ STEWART TRUSTEE 0 811331 0 258127 0 254447 0 21498 0 13918 0 1359321 0 0 JENNIFER NICKOLES TRUSTEE, PRESIDENT 0 543969 0 107258 0 26411 0 70492 0 34356 0 782486 0 0 PETER MANCINO SECRETARY 0 411056 0 140206 0 40666 0 31645 0 24995 0 648568 0 7513 RICHARD G BENNETT MD FORMER OFFICER 0 24978 0 0 0 658856 0 -52418 0 409 0 631825 0 0 RENEE J BLANDING MD VP, MEDICAL AFFAIRS 416489 0 77673 0 43707 0 50383 0 4241 0 592493 0 43207 0 CHERYL R KOCH VICE PRESIDENT, COO 0 351866 0 71039 0 70252 0 18930 0 33801 0 545888 0 0 SHARON SMYTH VP, NURSING & CNO 0 377632 0 70675 0 21814 0 21498 0 5862 0 497481 0 0 BRIAN RAYME VICE PRESIDENT, FINANCE & CFO 0 373013 0 93629 0 16833 0 10596 0 2044 0 496115 0 0 GREGORY MILLER TREASURER 0 328110 0 93245 0 4160 0 24966 0 33830 0 484311 0 0 LISA FILBERT EXECUTIVE DIRECTOR 256076 0 19934 0 20362 0 69877 0 32956 0 399205 0 0 0 CARL FRANCIOLI FORMER OFFICER 0 0 0 0 0 380653 0 0 0 0 0 380653 0 0 DANIELLE WHARTON VP, CLINICAL & SUPP SERVICES 0 255442 0 50518 0 4025 0 -9888 0 35857 0 335954 0 0 EMY ANN PANGANORON REGISTERED NURSE 213006 0 3000 0 1308 0 68519 0 25448 0 311281 0 0 0 CHRISTINA LACKNER CLINICAL MANAGER 230031 0 1183 0 9323 0 31419 0 32845 0 304801 0 0 0 BRUCE BLAYLOCK EXECUTIVE DIRECTOR 213243 0 18036 0 7594 0 28906 0 34631 0 302410 0 0 0 MIRIAM PASCO REGISTERED NURSE 217953 0 3000 0 4446 0 40492 0 12040 0 277931 0 0 0 MICHELE SEDNEY FORMER OFFICER 0 116779 0 0 0 10512 0 10558 0 17041 0 154890 0 0 PART I, LINES 4A-B SEVERANCE: RICHARD BENNETT $627,780; CHERYL KOCH $16,245.68 AND CARL FRANCIOLI $378,065.17 A SELECT GROUP OF SENIOR LEADERS OF THE JOHNS HOPKINS HEALTH SYSTEM CORPORATION (JHHSC) PARTICIPATE IN SUPPLEMENTAL RETIREMENT/DEFERRED COMPENSATION PROGRAMS, INCLUDING SOME LEGACY ARRANGEMENTS THAT ARE NO LONGER AVAILABLE TO NEW HIRES. PRE-2011 PARTICIPANTS RECEIVE CASH PAYMENTS EACH YEAR DETERMINED WITH REFERENCE TO THEIR SERVICE WITH JHHSC AND THEIR FINAL AVERAGE COMPENSATION. AS OF JANUARY 2019, FUTURE CASH PAYMENTS ARE MADE ACCORDING TO A FIXED SCHEDULE FOR THESE PARTICIPANTS. POST-2011 PARTICIPANTS ACCRUE BENEFITS UNDER A DEFINED CONTRIBUTION FORMULA WHERE CONTRIBUTIONS ARE TIERED BY POSITION LEVEL. CONTRIBUTIONS MADE IN 2018 AND PRIOR YEARS GENERALLY VEST AFTER THE LATER OF FIVE YEARS OF SERVICE WITH JHHSC OR THREE YEARS OF PLAN PARTICIPATION; CONTRIBUTIONS MADE IN 2019 AND FUTURE YEARS VEST THREE YEARS AFTER EACH CONTRIBUTION IS MADE, WITH FULL VESTING ON THE LATER OF AGE 65 OR THREE YEARS OF PLAN PARTICIPATION. ALL CONTRIBUTIONS VEST ON DEATH, DISABILITY OR INVOLUNTARY TERMINATION WITHOUT CAUSE. IF A PARTICIPANT VOLUNTARILY TERMINATES EMPLOYMENT OR IS TERMINATED BY THE EMPLOYER FOR CAUSE PRIOR TO THE APPLICABLE VESTING DATE, THE PARTICIPANT'S ENTIRE NON-VESTED BENEFIT IS FORFEITED ALL OF THESE ARRANGEMENTS WERE APPROVED, 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. THE FOLLOWING INDIVIDUALS LISTED ON FORM 990, PART VII, SECTION A, LINE 1A RECEIVED PAYMENT FROM ONE OR MORE SUPPLEMENTAL RETIREMENT/DEFERRED COMPENSATION PROGRAMS, WITH PAYMENTS REPORTED IN SCHEDULE J, PART II, COLUMN (B)(III); THE TOTAL OF AMOUNTS PAYABLE DURING 2023 BUT REPORTED AS DEFERRED COMPENSATION IN COLUMN (C) IN PREVIOUS YEARS IS REPORTED IN SCHEDULE J, PART II, COLUMN (F). THE AMOUNTS BELOW MAY REFLECT ANNUAL CASH PAYMENTS OR MULTIPLE YEARS OF ACCRUALS THAT VESTED IN 2023. KEVIN SOWERS $203,752.20; RICHARD BENNETT $30,359.00; CHERYL KOCH $12,004; INEZ STEWART $227,854.58; AND PETER MANCINO $32,522.41. PART I, LINE 7 ANNUAL INCENTIVE PLAN: EXECUTIVES PARTICIPATE IN AN ANNUAL INCENTIVE PLAN THAT REWARDS PARTICIPANTS FOR THE ACHIEVEMENT OF ORGANIZATION OBJECTIVES APPROVED BY THE JOHNS HOPKINS MEDICINE COMPENSATION COMMITTEE EACH YEAR, INCLUDING FINANCIAL AND NON-FINANCIAL MEASURES. A PORTION OF THE OVERALL AWARD IS DETERMINED BASED ON INDIVIDUAL PERFORMANCE. DEPENDENT TUITION REIMBURSEMENT: DUE TO THEIR CLOSE COLLABORATION WITH THE JOHNS HOPKINS UNIVERSITY (JHU), JHHSC PROVIDES LEADERS WITH DEPENDENT TUITION REIMBURSEMENT ON A SIMILAR BASIS AS THEIR JHU COUNTERPARTS. DEPENDENT TUITION REIMBURSEMENT IS TAXABLE FOR JHHSC EMPLOYEES. 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. PART VII, SECTION A, QUESTION 5 THE FOLLOWING OFFICER OF JOHNS HOPKINS BAYVIEW MEDICAL CENTER, INC. IS PAID AND REPORTED BY THE JOHNS HOPKINS UNIVERSITY (EIN 52-0595110). THE JOHNS HOPKINS UNIVERSITY (JHU) IS A 501(C)(3) NOT DIRECTLY RELATED TO JHBMC. JHBMC REIMBURSES JOHNS HOPKINS UNIVERSITY FOR THE COMPENSATION AND THE AMOUNTS ARE REPORTED ON THE 990 AS PURCHASED SERVICES IN FUNCTIONAL EXPENSE. THE SERVICES PROVIDED TO THE FILING ORGANIZATION ARE PAID THROUGH A CHARGEBACK BETWEEN THE FILING ORGANIZATION AND JHU. RENEE BLANDING - BASE COMPENSATION $416,488.64, BONUS & INCENTIVE COMPENSATION $77,673.36 OTHER REPORTABLE COMPENSATION $43,706.56, DEFERRED COMPENSATION $50,382.77 AND NON TAXABLE BENEFITS $4,241.20. A MHHEFA - 2004B CP 520936091 57421V3AA 2004-02-09 101990000 REFUND PRIOR ISSUES (7/21/1993) 0 0 0 A 86635000 101990000 101990000 2004 1 0 1 1 A 0 0 1 0 1 0 0 0 1 A 1 SCHEDULE K, PART II, COLUMN A, LINE 11 THE OTHER SPENT PROCEEDS ARE THE REFUNDING PROCEEDS OF THE ISSUE THAT ARE NO LONGER IN ESCROW SCHEDULE K, PART III, COLUMN A THE SOLE PURPOSE OF THE 2004B COMMERCIAL PAPER WAS THE REFUNDING OF AN ISSUE DATED PRIOR TO 12/31/2002 AND THEREFORE IS NOT REQUIRED TO COMPLETE PART III OF SCHEDULE K SCHEDULE K, PART I, LINE A: MARYLAND HEALTH AND HIGHER EDUCATIONAL FACILITIES AUTHORITY DR JUDY HUANG TRUSTEE 138000 SEE PART V 0 SCH L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS (A) NAME OF PERSON: DR. JUDY HUANG(D) DESCRIPTION OF TRANSACTION:DR. HUANG HAS AN OWNERSHIP INTEREST IN LONGEVITI, A NEUROSURGERY IMPLANT DEVICE MANUFACTURER. HOPKINS AFFILIATES ENGAGED IN BUSINESS TRANSACTIONS WITH LONGEVITI DURING THE TAX YEAR. DR. HUANG HAS NO INPUT INTO THE NEGOTIATIONS BETWEEN ANY HOPKINS AFFILIATE AND LONGEVITI AND DR. HUANG IS SCREENED OFF FROM PARTICIPATING IN ANY NEGOTIATIONS OR POTENTIAL TRANSACTIONS WITH LONGEVITI. SCH L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS THE JOHNS HOPKINS HEALTH SYSTEM AND ALL AFFILIATES ARE SUBJECT TO POLICY HR934 (NEPOTISM AND PROFESSIONAL BOUNDARIES). PURSUANT TO THE POLICY, ALL FAMILIAL RELATIONSHIPS ARE DISCLOSED DURING THE HIRING PROCESS AND NO EMPLOYEES WITH A FAMILIAL RELATIONSHIP MAY PARTICIPATE IN THE HIRING PROCESS OF ONE ANOTHER OR HAVE MANAGERIAL AUTHORITY OVER ONE ANOTHER. ALL HIRING AND COMPENSATION DECISIONS ARE MADE IN ACCORDANCE WITH THE POLICY. FORM 990, PART I, LINE 8 PURSUANT TO THE CORONAVIRUS AID, RELIEF, AND ECONOMIC SECURITY (CARES) ACT, JOHNS HOPKINS BAYVIEW MEDICAL CENTER, INC. RECOGNIZED $523,973.00 OF FUNDING FROM THE EMPLOYEE RETENTION CREDIT (ERC) ADMINISTERED BY THE INTERNAL REVENUE SERVICE, A BUREAU OF THE U.S. TREASURY DEPARTMENT DURING FY24. THIS AMOUNT HAS BEEN RECOGNIZED AS GRANT REVENUE ON PART I, LINE 8 OF THE ORGANIZATION'S FORM 990. FORM 990, PART VI, SECTION A, LINE 4 THE ARTICLES OF INCORPORATION WERE AMENDED TO REPLACE AN OUTDATED PROVISION REGARDING THE NUMBER OF TRUSTEES ELECTED TO THE BOARD OF TRUSTEES OF JHBMC AND UPDATES THE CURRENT LISTING OF TRUSTEES. FORM 990, PART VI, SECTION A, LINE 6 JOHNS HOPKINS HEALTH SYSTEM CORPORATION, A IRC 501(C)(3) TAX EXEMPT ORGANIZATION, IS THE SOLE CORPORATE MEMBER OF JOHNS HOPKINS BAYVIEW MEDICAL CENTER, INC. FORM 990, PART VI, SECTION A, LINE 7A JOHNS HOPKINS HEALTH SYSTEM CORPORATION, A IRC 501C (3) TAX EXEMPT PARENT ORGANIZATION OF JOHNS HOPKINS BAYVIEW MEDICAL CENTER, INC. ELECTS THE BOARD OF TRUSTEES. FORM 990, PART VI, SECTION A, LINE 7B THE GOVERNING BODY OF JOHNS HOPKINS BAYVIEW MEDICAL CENTER, INC. 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. FORM 990, PART VI, SECTION B, LINE 11B A COPY OF THE FORM 990 IS PROVIDED ELECTRONICALLY TO THE ORGANIZATION'S GOVERNING BODY BEFORE IT IS FILED. THE FORM 990 IS PROVIDED TO THE ORGANIZATION'S TRUSTEES AND APPROPRIATE OFFICERS, WHO ARE GIVEN THE OPPORTUNITY TO ASK QUESTIONS AND PROVIDE FEEDBACK BEFORE THE FORM 990 IS FILED. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY IS A PART OF THE ANNUAL DISCLOSURE STATEMENT PROCESS. ALL OFFICERS, DIRECTORS, TRUSTEES, AND KEY EMPLOYEES ARE REQUIRED TO REPORT ANY CONFLICTS OF INTEREST AND TO COMPLY WITH THE CONFLICT OF INTEREST POLICY. CONFLICTS OF INTEREST ARE DETERMINED AT A HEALTH SYSTEM LEVEL AND INCLUDE THE ORGANIZATION AND ALL OF ITS AFFILIATES. THE ORGANIZATION LEGAL DEPARTMENT IS RESPONSIBLE FOR REVIEWING ALL ACTUAL OR POTENTIAL CONFLICTS OF INTERESTS AND FOR DETERMINING APPROPRIATE ACTION TO ELIMINATE OR MANAGE THE CONFLICT OF INTEREST. IF A CONFLICT ARISES, THE AFFECTED MEMBER MUST (1) REFRAIN FROM ANY ATTEMPTS TO EITHER DIRECTLY OR INDIRECTLY INFLUENCE THE DECISION-MAKING PROCESS IN WHICH THERE EXISTS A POTENTIAL FOR CONFLICTS OF INTEREST; (2) REFRAIN FROM PARTICIPATING IN ANY DISCUSSIONS LEADING TO THE APPROVAL OR DISAPPROVAL OF THE TRANSACTION CREATING THE CONFLICT, EXCEPT TO DISCLOSE MATERIAL FACTS RELATING TO THE CONFLICT; AND (3) ABSTAIN FROM VOTING ON THE TRANSACTION CREATING THE CONFLICT OR TRANSMITTING ANY OTHER OPINION, INCLUDING NOT BEING PRESENT IN THE ROOM WHEN THE VOTE IS TAKEN, UNLESS THE VOTE IS BY SECRET BALLOT. FURTHERMORE, THE ORGANIZATION'S INTERMEDIATE SANCTIONS TRANSACTION REVIEW COMMITTEE REVIEWS AND DETERMINES WHETHER A PROPOSED TRANSACTION BETWEEN A TRUSTEE, OFFICER, KEY EMPLOYEE, OR DISQUALIFIED PERSON AND THE ORGANIZATION WOULD CREATE AN EXCESS BENEFIT TO SUCH TRUSTEE, OFFICER, KEY EMPLOYEE OR A DISQUALIFIED PERSON, OR WHETHER SUCH PROPOSED TRANSACTION QUALIFIES FOR A REBUTTABLE PRESUMPTION AGAINST EXCESS BENEFIT. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION COMMITTEE OF THE BOARD OF JOHNS HOPKINS MEDICINE, ON BEHALF OF THE ORGANIZATION, REVIEWS THE PERFORMANCE AND APPROVES THE COMPENSATION OF THE OFFICERS AND KEY PERSONNEL OF THE ORGANIZATION. IN REVIEWING AND APPROVING COMPENSATION, THE COMMITTEE RELIES ON APPROPRIATE MARKET DATA FOR COMPARABLE JOBS IN ORGANIZATIONS, AND ENSURES THAT SUCH DATA INDICATES THE COMPENSATION ORDINARILY PROVIDED BY SIMILARLY SITUATED ORGANIZATIONS, UNDER LIKE CIRCUMSTANCES. DELIBERATIONS AND DECISIONS OF THE COMMITTEE REGARDING THE COMPENSATION ARRANGEMENTS ARE DOCUMENTED IN THE FORM OF MINUTES OF COMMITTEE MEETINGS, AND COPIES OF ALL COMPARABILITY DATA AND REPORTS ARE RETAINED. FORM 990, PART VI, SECTION C, LINE 19 INTERNAL POLICIES, INCLUDING CONFLICT OF INTERST 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 OUR PUBLIC FILING WITH THE STATE OF MARYLAND AND THE INTERNAL REVENUE SERVICE. FORM 990, PART XI, LINE 9: CHANGE IN MARKET VALUE OF SWAP AGREEMENT 20,642. INTEREST EXPENSE ON SWAP AGREEMENT 53,433. CHANGE IN FUND STATUS DEFINED BENEFIT PLANS 8,865,000. NET PERIODIC PENSION COST 5,400,000. NET ASSETS RELEASED FROM OPERATIONS -1,338,242. OTHER NON-OPERATING -10,795,221. CONTRIBUTION FROM AFFILIATE HEIC PREMIUM -1,668,514. ROUNDING -7. 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