The johns hopkins hospital, founded in 1889, and the johns hopkins university school of medicine, created in 1893, form the nucleus of johns hopkins medicine, one of the world's premier, integrated health systems. As the teaching hospital affiliated with the johns hopkins university school of medicine, the johns hopkins hospital is a world-renowned academic medical center that provides a comprehensive range of state-of-the-art tertiary and quaternary care. The johns hopkins hospital provides quality medical health care regardless of race, creed, SEX, national origin, handicap, AGE, or ability to pay. In keeping with the hospital's commitment to serve ALL members of its community, free care and/or subsidized care, care provided to persons covered by governmental programs at below cost, and health activities and programs to support the community members will be considered where the need and/or an individual's inability to pay coexists. JHH provides care to persons covered by governmental programs at below cost. Recognizing its mission to the community, services are provided to both medicare and medicaid patients. To the extent reimbursement is below cost, JHH recognizes these amounts as charity care in meeting its mission to the entire community.