4A (Expenses $ 104272155 including grants of $ 0) (Revenue $ 112497534)
DEPARTMENT OF MEDICINE AND SURGERYPURPOSE: HOWARD COUNTY GENERAL HOSPITAL OFFERS A BROAD SPECTRUM OF INPATIENT AND OUTPATIENT SURGICAL SERVICES FOR ADULT AND PEDIATRIC PATIENTS. A LIST OF SOME OF THE MORE COMMON TYPES OF SURGERY PERFORMED AT HCGH INCLUDE: COLORECTAL SURGERY, ENDOSCOPY, GENERAL SURGERY, MINIMALLY INVASIVE SURGERY, NEUROSURGERY, OPHTHALMOLOGY, ORAL SURGERY AND DENTISTRY, ORTHOPEDIC SURGERY, OTOLARYNGOLOGY, PLASTIC SURGERY, PODIATRY, UROLOGY, VASCULAR SURGERY. HOWARD COUNTY GENERAL HOSPITAL'S INTENSIVE CARE UNIT IS A HIGHLY SPECIALIZED 16-BED UNIT DEDICATED TO THE NEEDS OF ADULT PATIENTS REQUIRING INTENSIVE MONITORING AND PATIENT CARE SERVICES INVOLVING CARDIAC, MEDICAL AND SURGICAL CARE. STAFFED 24 HOURS A DAY BY HIGHLY QUALIFIED PHYSICIANS, NURSES AND TECHNICIANS, THE UNIT FEATURES STATE-OF-THE-ART MEDICAL EQUIPMENT INCLUDING A COMPUTERIZED MONITORING SYSTEM. MEDICATIONS ARE ADMINISTERED USING A COMPUTERIZED MEDICATION ADMINISTRATION RECORD WITH BARCODE SCANNING FOR PATIENT SAFETY. THE UNIT IS DESIGNED SO THAT EVERY BED IS CLEARLY VISIBLE FROM THE NURSING STATION.HOWARD COUNTY GENERAL HOSPITAL HAS A PROGRAM FOR TOTAL KNEE AND HIP REPLACEMENT PATIENTS CALLED THE JOINT ACADEMY. IT APPROACHES THE JOINT REPLACEMENT SURGICAL EXPERIENCE IN A WHOLE NEW WAY, CREATING A PARTNERSHIP AMONG THE PATIENT, DOCTOR AND HOSPITAL. BECAUSE AN INFORMED PATIENT CAN MORE FULLY PARTICIPATE IN HIS OR HER OWN CARE AND RECOVERY, WE FOCUS ON ENGAGING AND EDUCATING OUR PATIENTS THROUGHOUT THE ENTIRE PROCESS FROM ADMISSION TO POST-DISCHARGE.THE HEALTH CARE AND SURGERY CENTER (HCSC) IS LOCATED ADJACENT TO THE HOSPITAL. THE HCSC IS THE PRIMARY LOCATION FOR OUTPATIENT PROCEDURES AND ADDITIONAL OUTPATIENT SERVICES, INCLUDING MAGNETIC RESONANCE IMAGING (MRI). THE HCSC OCCUPIES THE ENTIRE LOWER LEVEL OF THE ADJACENT BUILDING AND CONSISTS OF SIX OPERATING ROOMS, ONE MINOR PROCEDURE ROOM, A UROLOGY SUITE, AND A POST-ANESTHESIA CARE UNIT. SPACE AND PROGRAMS HAVE ALSO BEEN DESIGNED TO MEET THE NEEDS OF PEDIATRIC SURGERY PATIENTS AND THEIR FAMILIES.

4B (Expenses $ 43538525 including grants of $ 0) (Revenue $ 46767431)
EMERGENCY DEPARTMENTPURPOSE: OUR 36-BED EMERGENCY DEPARTMENT (ED) IS STAFFED 24-HOURS A DAY, SEVEN DAYS A WEEK BY BOARD-CERTIFIED JOHNS HOPKINS EMERGENCY MEDICINE PHYSICIANS. THE 24,000 SQUARE UNIT EXPANSION PROVIDES STATE-OF-THE-ART COMPREHENSIVE, INDIVIDUALIZED EMERGENCY MEDICAL CARE AND URGENT CARE TO THE CITIZENS OF HOWARD COUNTY AND THE SURROUNDING AREA. UPON ARRIVAL AT THE EMERGENCY DEPARTMENT, A REGISTERED NURSE ASSESSES EVERY PATIENT TO DETERMINE TREATMENT PRIORITY NEEDS. DEPENDING ON THE PATIENT'S NEEDS, TREATMENT WILL BE PROVIDED IN ONE OF THE FOLLOWING UNITS: MAIN EMERGENCY ROOM, URGENT CARE, PEDIATRIC ED/CHILDREN'S CARE CENTER, CHEST PAIN/SHORT STAY UNIT, OR PSYCHIATRIC UNIT.

4C (Expenses $ 31525902 including grants of $ 0) (Revenue $ 38156568)
LABOR & DELIVERY/NURSERY/NICUPURPOSE: TO ACCOMMODATE THE MORE THAN 3,000 BABIES BORN IN THE HOSPITAL'S LABOR/DELIVERY/RECOVERY (LDR) UNIT EACH YEAR, HOWARD COUNTY GENERAL HOSPITAL OFFERS 12 ATTRACTIVELY DECORATED BIRTHING ROOMS. MOTHER AND BABY CAN REMAIN IN THIS PRIVATE, COMFORTABLE ROOM THROUGHOUT LABOR, DELIVERY AND RECOVERY WITH THE SECURITY OF THE HOSPITAL'S ADVANCED TECHNOLOGY. CERTAIN MEDICAL CONDITIONS MAY REQUIRE A TEMPORARY SEPARATION OF MOTHER AND BABY.WHILE THE MAJORITY OF NEWBORN INFANTS ARE BORN HEALTHY, MORE INTENSE MONITORING AND CARE ARE SOMETIMES NECESSARY. THE HOSPITAL'S 18-BED LEVEL III+ NICU FEATURES HIGHLY SOPHISTICATED EQUIPMENT SPECIALLY DESIGNED TO CARE FOR CRITICALLY-ILL NEWBORNS IN AN ENVIRONMENT THAT FOSTERS HEALTHY DEVELOPMENT. MOST IMPORTANTLY, NICU PATIENTS BENEFIT FROM THE CONTINUOUS CARE AND OBSERVATION OF JOHNS HOPKINS' NEONATOLOGISTS AND REGISTERED NURSES WHO ARE EXPERIENCED WITH THE SPECIAL NEEDS OF NEWBORN PREMATURE BABIES.THE CENTER FOR MATERNAL AND FETAL MEDICINE AT HOWARD COUNTY GENERAL HOSPITAL IS EQUIPPED TO MANAGE ANY HIGH-RISK SITUATION THAT MAY ARISE DURING YOUR PREGNANCY AND TO PROVIDE YOU WITH COMPREHENSIVE CARE. THE CENTER PROVIDES: COVERAGE BY BOARD-CERTIFIED MATERNAL FETAL SPECIALISTS CONSULTATIVE SERVICES FOR ALL MEDICAL COMPLICATIONS OF PREGNANCY CERTIFIED GENETIC COUNSELORS FIRST-TRIMESTER SCREENING TO BETTER DELINEATE THE RISKS OF DOWN SYNDROME, TRISOMY 13 AND TRISOMY 18 4D IMAGING TO STUDY YOUR BABY'S ANATOMICAL DEVELOPMENT AND FETAL GROWTH FETAL ASSESSMENT CENTER FOR ANTENATAL TESTING PROFILES TESTING FOR MATERNAL DIABETES AND HYPERTENSION FETAL ECHOCARDIOGRAM PROGRAM DIABETES IN PREGNANCY PROGRAMTHE CENTER FOR MATERNAL AND FETAL MEDICINE EMPLOYS SPECIALLY TRAINED AND CERTIFIED SONOGRAPHERS TO PERFORM ROUTINE FIRST-TRIMESTER SCREENINGS AND 20-WEEK FETAL ANATOMY SCREENINGS THAT ARE MORE DETAILED THAN THOSE TYPICALLY OFFERED BY OB/GYN OFFICES. HOWARD COUNTY GENERAL HOSPITAL ENCOURAGES ANY PATIENT, HIGH-RISK OR OTHERWISE, WHO IS INTERESTED IN HAVING THESE STATE-OF-THE-ART TESTS TO GET A REFERRAL FROM HER DOCTOR.THE CENTER FOR MATERNAL AND FETAL MEDICINE OFFERS A MULTIDISCIPLINARY TEAM APPROACH WORKING WITH THE MOTHER'S OWN OB/GYN, PERINATOLOGIST, NEONATOLOGIST, PEDIATRIC SUBSPECIALIST, GENETIC COUNSELORS AND PATIENT EDUCATIONS THROUGHOUT THE PREGNANCY AND, IF NEEDED, DURING YOUR DELIVERY AT HOWARD COUNTY GENERAL HOSPITAL. HOWARD COUNTY GENERAL HOSPITAL'S GOAL IS TO DEVELOP A HEALTH CARE PLAN THAT ADDRESSES THE NEEDS OF THE MOTHER AND BABY.

4D (Expenses $ 86639520 including grants of $ 286593) (Revenue $ 102492151)

HOWARD COUNTY GENERAL HOSPITAL
PART V, SECTION B, LINE 5: HOWARD COUNTY GENERAL HOSPITAL (HCGH) CONSIDERED INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL THROUGH VARIOUS WAYS LISTED BELOW:A. PRIMARY DATA WAS GATHERED FROM MORE THAN 2,000 PARTICIPANTS VIA A LANDLINE, CELL PHONE OR SELF-ADMINISTERED ONLINE/WEB ACCESS IN THE BIENNIAL HOWARD COUNTY HEALTH ASSESSMENT SURVEY (HCHAS) IN THE FALL OF 2021. THE SURVEY WAS JOINTLY COMMISSIONED BY THE HORIZON FOUNDATION, THE HOWARD COUNTY HEALTH DEPARTMENT (HCHD), HOWARD COUNTY GENERAL HOSPITAL (HCGH), AND THE COLUMBIA ASSOCIATION. THE SURVEY APPROACH, METHODOLOGY, AND QUESTIONS WERE MODELED AFTER THE CENTERS FOR DISEASE CONTROL AND PREVENTION'S BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS). RESPONDENT'S DEMOGRAPHICS AND ZIP CODES WERE EVALUATED MID-WAY THROUGH TO ENSURE APPROPRIATE REPRESENTATION OF THE ALL POPULATIONS AND MESSAGING WAS PUSHED TOWARDS THE UNDER-REPRESENTED POPULATIONS. ADDITIONALLY, STATISTICAL WEIGHTS WERE APPLIED TO THE SAMPLE TO ENSURE THAT IT WAS AS REFLECTIVE AS POSSIBLE OF THE COUNTY'S POPULATION. WEIGHTS WERE APPLIED TO THE FOLLOWING PARAMETERS: GENDER, AGE, RACE AND ETHNICITY, AND GEOGRAPHY. ADDITIONALLY, THE SURVEY RESULTS WERE BROKEN OUT FOR A VARIETY OF GEOGRAPHIC, DEMOGRAPHIC, AND LIFESTYLE INDICATORS SO THAT PROPENSITIES COULD BE ISOLATED WITHIN POPULATION SUBGROUPS LIKE INCOME, RACE AND EDUCATION. B. THE DATA FROM THE 2021 HCHAS WAS SHARED WITH THE LOCAL HEALTH IMPROVEMENT COALITION (LHIC) AS WELL AS OTHER COMMUNITY PARTNERS THAT ENGAGE AND WORK WITH THE UNDER-SERVED POPULATIONS TO ENSURED THAT THE PERSPECTIVES AND NEEDS OF THE UNDER-SERVED POPULATION WERE USED TO INFORM THE CHNA'S PRIORITIZATION AND IMPLEMENTATION PLANNING PROCESS. LHIC IS A PART OF THE STATE HEALTH IMPROVEMENT PLAN AND INCLUDES LEADERS OF LOCAL HEALTH AND HUMAN SERVICE ORGANIZATIONS, COUNTY GOVERNMENT LEADERSHIP, LOCAL BUSINESS LEADERS AND HOSPITAL LEADERS WHO PROVIDED INPUT THROUGH THEIR PARTICIPATION IN THIS PROCESS. C. THE 2021 HCHAS WAS ALSO SHARED WITH THREE COMMUNITY GROUPS TO GAIN THEIR INPUT THE FAITH HEALTH ADVISORY COUNCIL (FHAC), THE PATIENT AND FAMILY ADVISORY COUNCIL (PFAC) AND THE HCGH BOARD OF TRUSTEES. EACH GROUP PROVIDED REACTIONS TO THE SURVEY RESULTS AND VOICED ADDITIONAL AREAS OF CONCERN BASED ON THE CONSTITUENTS THEY REPRESENT.D. DATA WAS ALSO REVIEWED FROM TWO COMMUNITY FORUMS AND FOUR ROUNDTABLES DISCUSSION SPONSORED BY THE HOWARD COUNTY LHIC VIA SIX SESSIONS IN SEPTEMBER 2021. E. HCGH, HCHD AND LHIC ALSO POSTED A SHORT SURVEY TO THEIR WEBSITES AND SOCIAL MEDIA PAGES, INVITING ANY COMMUNITY MEMBER TO PROVIDE FEEDBACK ON THE PREVIOUS CHNA, IMPLEMENTATION STRATEGY, AND THE COMMUNITY HEALTH PRIORITIES IDENTIFIED THEREIN. THIS CHNA REVIEW AND FEEDBACK SURVEY RESULTED IN 116 RESPONDENTS PROVIDING COMMENTS AND FEEDBACK WHICH WERE COMPILED AND DISCUSSED DURING THE DEVELOPMENT OF THE CHNA PRIORITIES AND IMPLEMENTATION STRATEGY. F. SECONDARY DATA FROM LOCAL, STATE AND FEDERAL SOURCES PROVIDED ESSENTIAL INFORMATION, INSIGHT AND KNOWLEDGE ON A BROAD RANGE OF HEALTH AND SOCIAL ISSUES AND A RESOURCE INVENTORY WAS ALSO COMPILED TO ASSESS THE AVAILABILITY OF SERVICES TO RESIDENTS IN HOWARD COUNTY.

HOWARD COUNTY GENERAL HOSPITAL
"PART V, SECTION B, LINE 11: COMMUNITY BENEFITS ACTIVITIES ARE INCLUDED EVERY YEAR IN THE JOHNS HOPKINS MEDICINE FIVE-YEAR STRATEGIC PLAN. IN FY2022, THESE ACTIVITIES WERE INCLUDED IN THE CATEGORY OF ""IMPROVES THE QUALITY AND AFFORDABILITY OF HEALTH CARE"" OF THE JHM PLAN, WHERE HCGH SET SPECIFIC GOALS RELATED TO OUR HEALTH PRIORITIES AS IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY. THESE HEALTH PRIORITIES ARE AS FOLLOWS: HEALTHY BEGINNINGS, HEALTHY LIVING, HEALTHY MINDS AND HEALTHY FOUNDATIONS. THESE PRIORITIES ARE INTEGRATED INTO HCGH'S ONGOING INITIATIVES. HOWARD COUNTY GENERAL HOSPITAL SET THE FOLLOWING STRATEGIC OBJECTIVES FOR FY2022 TO SUPPORT THESE PRIORITIES: A. HEALTHY LIVING - EXPANSION OF VIRTUAL ON DEMAND CARE - EXPAND THE USE OF REMOTE PATIENT MONITORING (RPM) FOR ELIGIBLE, DISCHARGED PATIENTSB. HEALTHY LIVING - DIABETES REGIONAL PARTNERSHIP IMPLEMENTATION - EXPAND PATIENT ENGAGEMENT IN MANAGING AND LIVING WITH DIABETES."

PART V, SECTION B, LINE 10A
HTTPS://WWW.HOPKINSMEDICINE.ORG/HOWARD_COUNTY_GENERAL_HOSPITAL/ABOUT/GIVING_BACK/CHNA.HTML

PART V, SECTION B, LINE 7A
HTTPS://WWW.HOPKINSMEDICINE.ORG/HOWARD_COUNTY_GENERAL_HOSPITAL/ABOUT/GIVING_BACK/CHNA.HTML

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 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:
HOWARD COUNTY GENERAL HOSPITAL, INC. DOES NOT HAVE ANY SUBSIDIZED HEALTH SERVICES.

PART II, COMMUNITY BUILDING ACTIVITIES:
HCGH'S COMMUNITY BUILDING ACTIVITIES PROMOTE THE HEALTH OF THE COMMUNITY IT SERVES THROUGH A NUMBER OF INITIATIVES THEY HAVE DEVELOPED. HCGH PROMOTES THE IMPROVEMENT OF HEALTHY LIVING THROUGH CONSTRUCTION AND IMPROVEMENT OF COMMUNITY-BASED INFRASTRUCTURES. FOR EXAMPLE, HCGH SUPPORTS THE NORTH LAUREL WALKING PROGRAM AS A WAY TO PROMOTE HEALTHY ACTIVE LIFESTYLES. IN ADDITION, HCGH HOLDS A NUMBER OF HEALTH EDUCATION AND HEALTH PROMOTION OFFERINGS FREE OF CHARGE TO ITS COMMUNITY, INCLUDING CHRONIC DISEASE SELF-MANAGEMENT COURSES, CHILDBIRTH CLASSES AND HEALTH SCREENINGS.

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, HCGH 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 18.

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:
BEYOND THE CHNA ASSESSMENT WORK, HCGH CONTINUES TO ENGAGE WITH PARTNERS THROUGHOUT THE COMMUNITY TO CONTINUALLY UNDERSTAND THE NEEDS OF THE COMMUNITY. HCGH EMPLOYEES AND VOLUNTEERS PARTICIPATE IN COMMUNITY BOARDS, COALITIONS AND COLLABORATIVES AS WAYS TO LEARN ABOUT NEEDS AND WHERE OUR SERVICES COULD IMPACT THE HEALTH OF THE COMMUNITY. ADDITIONALLY, WE MONITOR NEW DATA PUBLISHED BY LOCAL, STATE AND NATIONAL ORGANIZATIONS THAT PERTAIN TO THE HEALTH OF THE COMMUNITY WE SERVE.

PART VI, LINE 3:
HCGH 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 HCGH. NOTICE OF AVAILABILITY WILL BE POSTED ON THEIR WEBSITE, WILL BE MENTIONED DURING ORAL COMMUNICATIONS, AND 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.HCGH HAS STAFF AVAILABLE TO DISCUSS AND ASSIST PATIENTS AND/OR THEIR FAMILIES WITH THE AVAILABILITY OF VARIOUS GOVERNMENT BENEFITS, SUCH AS MEDICAID OR STATE PROGRAMS, AND ASSISTS PATIENTS WITH QUALIFICATION FOR SUCH PROGRAMS, WHERE APPLICABLE.

PART VI, LINE 7, REPORTS FILED WITH STATES
MD

PART VI, LINE 4:
- HCGH GEOGRAPHIC SERVICE AREA IS SUBURBAN.- HCGH CONSIDERS ITS COMMUNITY BENEFIT SERVICE AREA (CBSA) AS SPECIFIC POPULATIONS OR COMMUNITIES OF NEED TO WHICH THE HOSPITAL ALLOCATES RESOURCES THROUGH ITS COMMUNITY BENEFIT PLANNING. THE HOSPITAL DEFINES ITS CBSA USING THE ZIP CODES CONTAINED WITHIN THE GEOGRAPHICAL BOUNDARIES OF THE HOWARD COUNTY JURISDICTION AS SET FORTH BY THE MARYLAND DEPARTMENT OF PLANNING AND ZONING.- THE GENERAL DATA FOR THIS PRIMARY SERVICE AREA ARE AS FOLLOWS: TOTAL POPULATION WAS 332,317 OF WHICH 49% WERE MALES AND 51% WERE FEMALES, AVERAGE HOUSEHOLD INCOME WAS $124,042, 3.8% OF RESIDENTS ARE UNINSURED, 18.3% OF RESIDENTS ARE COVERED BY MEDICAID/MEDICARE, AND 5.5% OF RESIDENTS HAVE INCOME BELOW THE FEDERAL POVERTY GUIDELINES.- NUMBER OF OTHER HOSPITALS SERVING THE COMMUNITY OR COMMUNITIES: 2- FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREAS OR POPULATIONS ARE NOT PRESENT IN THE COMMUNITY.

PART VI, LINE 5:
HOWARD COUNTY GENERAL HOSPITAL: A MEMBER OF JOHNS HOPKINS MEDICINE IS A PRIVATE, NOT-FOR-PROFIT, COMMUNITY HEALTH CARE PROVIDER, GOVERNED BY A COMMUNITY-BASED BOARD OF TRUSTEES. OPENED IN 1973, THE ORIGINAL 59-BED, SHORT-STAY HOSPITAL HAS GROWN INTO A COMPREHENSIVE ACUTE CARE MEDICAL CENTER WITH 225 LICENSED BEDS, SPECIALIZING IN WOMEN'S AND CHILDREN'S SERVICES, SURGERY, CARDIOLOGY, ONCOLOGY, ORTHOPEDICS, GERONTOLOGY, PSYCHIATRY, EMERGENCY SERVICES AND COMMUNITY HEALTH EDUCATION. IN JUNE 1998, HOWARD COUNTY GENERAL HOSPITAL JOINED JOHNS HOPKINS MEDICINE. HOWARD COUNTY GENERAL HOSPITAL CARES FOR ITS COMMUNITY THROUGH THE COLLABORATIVE EFFORTS OF A WIDE RANGE OF PEOPLE. HCGH STAFF INCLUDES MORE THAN 1,800 EMPLOYEES. IT IS THE SECOND LARGEST PRIVATE EMPLOYER IN HOWARD COUNTY AND EMPLOYS OVER 840 HOWARD COUNTY RESIDENTS. A DIVERSE WORKFORCE, 58 PERCENT OF HOSPITAL STAFF ARE MINORITIES. THE HOSPITAL'S PROFESSIONAL STAFF IS COMPRISED OF MORE THAN 1,000 PHYSICIANS AND ALLIED HEALTH PROFESSIONALS, REPRESENTING NEARLY 120 SPECIALTIES AND SUBSPECIALTIES. NINETY-TWO PERCENT OF THE PHYSICIANS ARE BOARD-CERTIFIED IN THEIR SPECIALTY. IN FY 2022, HCGH PROVIDED SERVICES TO 142,122 PEOPLE, INCLUDING EVALUATION AND TREATMENT OF 69,250 PATIENTS IN THE EMERGENCY DEPARTMENT. THERE WERE 19,948 PATIENTS ADMITTED TO OR OBSERVED IN THE HOSPITAL, 8,994 SURGERIES PERFORMED, AND 2,755 BABIES DELIVERED. IN ADDITION TO THE MANY HOSPITAL-BASED SERVICES, HCGH ALSO PROVIDED OUTPATIENT SERVICES TO 43,930 PATIENTS, AND REACHED 12,637 PEOPLE IN THE COMMUNITY THROUGH OUTREACH, HEALTH PROMOTION, AND WELLNESS PROGRAMS. IN OUR COMMITMENT TO BE HOWARD COUNTY'S TRUSTED SOURCE OF HEALTH AND WELLNESS, HCGH IS BUILDING PROGRAMS AND WORKING WITH COMMUNITY PARTNERS TO MEET THE HEALTH NEEDS OF OUR COMMUNITY. THESE PARTNERSHIPS ALLOW HCGH AND ITS PARTNERS TO REACH OUT TO HOWARD COUNTY'S MOST VULNERABLE, CHRONICALLY ILL, AND/OR HIGH UTILIZING COMMUNITY MEMBERS AND PROVIDE CONNECTIONS TO RESOURCES, HOME-BASED CARE, AND COMMUNITY SUPPORT. SUCH PROGRAMS INCLUDE PROVIDING PATIENT NAVIGATION SERVICES THROUGH THE CANCER RESOURCE CENTER, PARTNERING WITH FAITH-BASED ORGANIZATIONS TO PROMOTE SAFE SLEEP PRACTICES FOR INFANTS, AND HAVING BEHAVIORAL HEALTH NAVIGATORS IN THE EMERGENCY DEPARTMENT TO CONNECT TO COMMUNITY MENTAL HEALTH RESOURCES.- FOR THE LAST 30 YEARS, MARYLAND HOSPITALS HAVE MET THEIR COMMUNITY BENEFIT OBLIGATIONS IN A UNIQUE MANNER THAT BUILDS THE COSTS OF UNCOMPENSATED CARECHARITY CARE AND PATIENT BAD DEBTAND 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 PAYORSGOVERNMENTALLY-INSURED, COMMERCIALLYINSURED, OR SELF-PAYARE CHARGED THE SAME PRICE FOR SERVICES AT ANY GIVEN HOSPITAL.UNDER THIS SYSTEM, MARYLAND HOSPITALS ARE REGULATED BY A STATE AGENCYTHE 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:
JOHNS HOPKINS HEALTH SYSTEM CORPORATION (JHHS) IS INCORPORATED IN THE STATE OF MARYLAND TO, AMONG OTHER THINGS, FORMULATE POLICY AMONG AND PROVIDE CENTRALIZED MANAGEMENT FOR JHHS AND AFFILIATES. JHHS IS ORGANIZED AND OPERATED FOR THE PURPOSE OF PROMOTING HEALTH BY FUNCTIONING AS A PARENT HOLDING COMPANY OF AFFILIATES WHOSE COMBINED MISSION IS TO PROVIDE PATIENT CARE IN THE TREATMENT AND PREVENTION OF HUMAN ILLNESS WHICH COMPARES FAVORABLY WITH THAT RENDERED BY ANY OTHER INSTITUTION IN THIS COUNTRY OR ABROAD.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.