1. Welcome from the GWAFP and MAAFP

2. Thank you to our Speaker
Greg Miller, Senior Director of Treasury Services and Assistant Treasurer, John Hopkins Health System.
Manages defined benefit plan investment pools, system-wide capital financing initiatives and debt compliance, corporate banking activities, and the property and casualty insurance program.
Before transitioning into healthcare in 2004, Miller structured loans for high net worth individuals and small businesses for large banks.
Miller holds a bachelor’s degree from Clemson University and an M.B.A. from Loyola University Maryland. He is a CFA charter holder and a member of the CFA Society of Baltimore.

3. Strategic Responsibilities in a World Class Treasury Services Organization JHHS Office of Treasury Services: Overview of Services Provided FY 2017

4. Johns Hopkins Health System Overview
Johns Hopkins Community Physicians
JHHS Academic Hospitals
JHHS Community Hospitals
School of Medicine
Johns Hopkins Home Care Group
Johns Hopkins HealthCare
Johns Hopkins International
The entities in dark blue represent the JHHS Obligated Group
Entities in the bottom row are jointly owned with JHU

5. Patient Service Reach & Philanthropic Support
JHHS by the Numbers
Acute Care Hospitals
115,600
Admissions
20,500
FTEs 6
Global
Patient Service Reach & Philanthropic Support
Covered Lives through JHHC
Beds
2,477
405,000
Unrestricted Cash & Investments
$3.8 billion $
15,000
$8.3 Billion
Total Assets
$6.2 Billion
Operating Revenue
Community Physician practices
364,000 58

6. Centralized Treasury Services
Banking
Investment Management
Operating & Capital Planning
Capital Financing
Insurance

7. Oversight of Corporate Banking Structure:
Manage corporate banking relationships
Structure treasury systems and reporting
Content and security administration of web-based banking platforms
Cash planning
Administer merchant service relationships
Oversight of JHHC insurance companies’ premium collection and
claims payment processing
Treasury

8. Oversight of Operating and Capital Plan:
Identify key financial metrics
Integration of individual plans into JHHS consolidated plan
Coordinate and develop formal trustee Plan presentation

9. Oversight of Debt Planning and Debt Management
Identify appropriate sources of financing for all JHHS capital projects
Administer JHHS centralized debt program
Plan, coordinate, and execute all JHHS corporate debt issuances
Public and private
Tax-exempt and taxable
Develop and monitor risk models
Ensure compliance with all bond and bank debt covenants.

10. Oversight of Debt Planning and Debt Management (continued):
Manage all external relationships:
National bond rating agencies (Moody’s, S&P, Fitch)
Maryland Health and Higher Educational Facilities Authority
Banks and Investment Banking Firms
Bond and Tax Counsel, Underwriters, Advisors
Staff to the Subcommittee on Debt
Financing and Debt Capacity
Coordinate meetings
Present recommendations for action

11. JHHS Debt Strategy Cost of Capital
Deliver a low cost of capital, while minimizing macro-level risks that cannot be directly controlled by JHHS management
Managing the balance between risk and cost-effectiveness is continually reviewed
Risks
Cost of Capital

12. JHHS Debt Portfolio

13. Oversight of Investment Management Programs:
Oversight of defined benefit and defined contribution Pension Investment Programs (approximately $2.7B combined) and the JHHS Balance Sheet Investment Program ($3.8B)
Staff to the JHHS Pension Investment Review Committee (PIRC) and the Investment Subcommittee of the JHM Finance Committee
Participate in setting key pension assumptions that drive contribution and expense levels
Review and execute all investment manager contracts and direct actions of investment managers, investment consultants, and custodian banks

14. Oversight of Investment Management Programs (continued):
Meet with investment managers
Monitor and report on investment performance
Administration of custodian platform for JHHS
Conduct necessary, audit-related due diligence for all investments, particularly non-marketable investments
Provide daily and monthly accounting for Pension Master Trust and JHHS Balance Sheet investment pool as well as sub-fund accounting

15. Oversight of Risk Management Program:
Assessment of property and casualty risk exposures Coverages include:
Commercial Property
Fiduciary Liability
Auto Liability
Directors & Officers
Commercial Crime
Various other liability coverages
Develop and monitor risk mitigation programs
Compile, review and submit underwriting data to carriers
Coordinate competitive bid process
Coordinate annual service plan agreements and mandated inspections by the loss control teams of our insurers

16. The Look of a World-Class Treasury Team

17. Thank you!
Approved for up to 1.2 FP&A recertification credits by the Association for Financial Professionals at the rate of one credit for each 50 minutes of attendance.
Approved for up to 1.2 CTP recertification credits by the Association for Financial Professionals at the rate of one credit for each 50 minutes of attendance.