2020-07-13T11:53:14-05:00 2019-06-30 990 2018-07-01 520610545 SUBURBAN HOSPITAL INC SUBU 4439975771 8600 OLD GEORGETOWN ROAD BETHESDA MD 208141497 MARTIN BASSO SR SR VP FINANCE & TREASURER 3018963900 2020-07-13 128.220.159.45 2020-07-13 11:53:09 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 819AB38F4EE4C715E99C39D41F9DD1DAE66D04F4 2018 2020-09-22 18:59:49Z MARTIN BASSO 8600 OLD GEORGETOWN ROAD BETHESDA MD 208141497 331196329 0 X WWW.SUBURBANHOSPITAL.ORG X 1942 MD SUBURBAN HOSPITAL IS A COMMUNITY-BASED HOSPITAL SERVING MONTGOMERY COUNTY AND THE SURROUNDING AREA SINCE 1943. WE ARE A NOT-FOR-PROFIT HEALTHCARE PROVIDER GUIDED BY THE NEEDS OF OUR PATIENTS AND COMMUNITY. ON JUNE 30, 2009, SUBURBAN HOSPITAL BECAME A MEMBER OF JOHNS HOPKINS MEDICINE. THE DESIGNATED TRAUMA CENTER FOR MONTGOMERY COUNTY, SUBURBAN HOSPITAL IS AFFILIATED WITH MANY LOCAL HEALTHCARE ORGANIZATIONS, INCLUDING THE NATIONAL INSTITUTES OF HEALTH. IT IS COMMITTED TO CONTINUOUS IMPROVEMENT AND APPROPRIATE USE OF RESOURCES, AND CREATES AN ENVIRONMENT THAT ENCOURAGES THE SUCCESS AND FULFILLMENT OF OUR PHYSICIANS, STAFF, AND VOLUNTEERS.SUBURBAN HOSPITAL WILL SET THE STANDARD FOR EXCELLENCE IN HEALTHCARE IN THE WASHINGTON METROPOLITAN REGION. THROUGH OUR AFFILIATIONS, WE ASPIRE TO PROVIDE WORLD-CLASS PATIENT CARE, TECHNOLOGY, AND CLINICAL RESEARCH. 24 22 2222 530 1434273 -86799 4307281 3514459 281730369 289980427 10303870 22707990 15257251 14987211 311598771 331190087 80341 92511 0 0 131258256 134354264 0 0 0 160678360 163343243 292016957 297790018 19581814 33400069 585790591 611537964 204414552 210363136 381376039 401174828 X SUBURBAN HOSPITAL WILL DELIVER SUPERIOR HEALTHCARE ENHANCED BY TECHNOLOGY, WELLNESS EDUCATION, RESEARCH, AND INNOVATIVE PARTNERSHIPS WITH PHYSICIANS, HOSPITALS, THE COMMUNITY, AND THE NATIONAL INSTITUTES OF HEALTH. MISSION: IMPROVING HEALTH WITH SKILL AND COMPASSION. 0 0 60395134 85145679 SURGICAL PATIENT SERVICES:SUBURBAN HOSPITAL OFFERS COMPREHENSIVE INPATIENT AND OUTPATIENT SURGICAL SERVICES. THESE INCLUDE ORTHOPEDIC SERVICES, INCLUDING SPINE, NEUROSURGERY AND JOINT REPLACEMENT, WITH THE JOINT REPLACEMENT PROGRAM SERVING OVER 1,500 PATIENTS ANNUALLY. WITH THE DAVINCI SURGICAL SYSTEM, UROLOGIC, GYNECOLOGIC AND THORACIC PROCEDURES ARE PERFORMED WITH STATE-OF-THE-ART ROBOTIC TECHNOLOGY. SUBURBAN HOSPITAL IS THE ONLY CERTIFIED TRAUMA CENTER IN MONTGOMERY COUNTY. THE LEVEL II TRAUMA CENTER TREATS 1500 MAJOR TRAUMA CASES ANNUALLY AND HAS AN ORTHOPEDIC TRAUMATOLOGIST ON STAFF. THE FOLLOWING SPECIALISTS ARE ON CALL FOR EMERGENCIES: TRAUMA SURGEONS, NEUROSURGEONS, UROLOGISTS, ENT, OB/GYN, AND CARDIOLOGISTS. DURING 2018, SUBURBAN HOSPITAL ADMITTED 4,600 SURGICAL INPATIENTS. 9,028 OPERATING ROOM CASES WERE PERFORMED. 35222293 57208397 MEDICAL PATIENT SERVICES:SUBURBAN HOSPITAL PROVIDES ACUTE AND CRITICAL CARE FOR A COMPLETE RANGE OF MEDICAL DIAGNOSES. THE HOSPITAL IS A JOINT COMMISSION CERTIFIED PRIMARY STROKE CENTER FEATURING A DEDICATED NIH STROKE TEAM, WHICH PROVIDES RAPID DIAGNOSIS AND CUTTING-EDGE TREATMENT OF STROKES. SUBURBAN HOSPITAL ALSO OPERATES A CANCER CARE PROGRAM, WHICH IS ACCREDITED WITH COMMENDATION BY THE COMMISSION ON CANCER OF THE AMERICAN COLLEGE OF SURGEONS. THE COMPREHENSIVE PROGRAM SERVICES PATIENTS WITH ALL DIAGNOSES AND OFFERS CUTTING-EDGE TECHNOLOGY AND PERSONALIZED CARE. IN 2018, SUBURBAN HOSPITAL ADMITTED APPROXIMATELY 6,100 MEDICAL PATIENTS.SUBURBAN HOSPITAL'S OBJECTIVES ARE TO MEASURE AND ANALYZE VARIANCES AND IMPROVE CARE PROCESSES RELATED TO KEY TARGET ZERO QUALITY INITIATIVES: (1) FALLS WITH INJURY (2) CENTRAL-LINE ASSOCIATED BLOODSTREAM INFECTION (3) VENTILATOR ASSOCIATED PNEUMONIA (4) PRESSURE ULCER RATES. 22360185 31049866 CARDIOVASCULAR PATIENT SERVICES:SUBURBAN HOSPITAL'S SPECIALIZED CENTER FOR CARDIAC CARE, ANCHORED BY THE NIH HEART CENTER, BRINGS THE CLINICAL AND SCIENTIFIC EXCELLENCE OF TWO RENOWNED MEDICAL INSTITUTIONS TO A COMMUNITY-BASED CARDIAC PROGRAM. THROUGH COLLABORATION WITH THE NATIONAL HEART, LUNG, AND BLOOD INSTITUTE (NHLBI) OF THE NATIONAL INSTITUTES OF HEALTH AND JOHNS HOPKINS MEDICINE, SUBURBAN HOSPITAL PROVIDES PATIENTS EASY ACCESS TO ADVANCED CARDIOVASCULAR TREATMENTS AVAILABLE IN VERY FEW MEDICAL CENTERS. IN ADDITION TO STATE-OF-THE-ART CARDIAC SURGERY AND ANGIOPLASTY, THE NIH HEART CENTER AT SUBURBAN HOSPITAL COMPLEMENTS A BROAD RANGE OF EXISITING CARDIAC PROGRAMS AT SUBURBAN HOSPITAL - FROM EMERGENCY CARE TO CARDIAC DIAGNOSTICS AND REHABILITATION. DURING 2018 THERE WERE 1,658 ADMISSIONS AND 214 OPEN HEART SURGERY CASES. 133812375 92511 148456135 133812375 92511 148456135 251789987 1 1 0 1 0 0 0 0 0 0 1 1 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 303 0 1 2222 1 0 0 0 0 0 0 0 0 0 0 X 24 22 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 MD X MARTIN BASSO SR VP FIN TREAS 3018962333 8600 OLD GEORGETOWN RD BETHESDA MD 208141497 BARTON LEONARD MD TRUSTEE 2.50 X 0 0 0 KEVIN W SOWERS MSN RN FAA CORPORATE VICE CHAIRMAN 2.50 57.50 X X 0 1201609 165117 JANINE LOSSING TRUSTEE 2.50 57.50 X 0 0 0 MARY ELLEN BELIVEAU TRUSTEE 2.50 X 0 0 0 MARY MYERS TRUSTEE 2.50 X 0 0 0 BRIAN COBB TRUSTEE 2.50 X 0 0 0 LINDA COURIE TRUSTEE 2.50 X 0 0 0 JONATHAN EFRON MD TRUSTEE 2.50 X 0 0 0 MARIA GOMEZ TRUSTEE 2.50 X 0 0 0 THE HON ANN S HARRINGTON TRUSTEE 2.50 X 0 0 0 NORMAN K JENKINS TRUSTEE 2.50 X 0 0 0 MARK FUTROVSKY TRUSTEE 2.50 X 0 0 0 JOHN C OTSUKI TRUSTEE 2.50 X 0 0 0 HOWARD GLECKMAN TRUSTEE, CHAIRMAN 2.50 X 0 0 0 LARA EISENBERG MD TRUSTEE 4.00 2.50 X 0 0 0 DAVID RUBEN TRUSTEE 2.50 X 0 0 0 LILY QI TRUSTEE 2.50 X 0 0 0 MICHAEL SMITH TRUSTEE 2.50 X 0 0 0 DAVID TRONE TRUSTEE 2.50 X 0 0 0 SUDEEP ANAND PHD TRUSTEE 2.50 X 0 0 0 WILLIAM SHAW TRUSTEE 2.50 X 0 0 0 ALAN SHEFF MD TRUSTEE 2.50 X 0 0 0 CHARLES ALLEN WIEBE TRUSTEE, VICE CHAIRMAN 2.50 X 0 0 0 JACKY SCHULTZ PRESIDENT, TRUSTEE 59.00 1.00 X X 0 740646 60591 MARTIN BASSO SR VP FINANCE & TREASURER 30.00 30.00 X 0 634937 151136 JUNE M FALB VP DEVELOPMENT 20.00 40.00 X 0 297616 57332 JOSEPH LINSTROM VP OPERATIONS 59.00 1.00 X 0 307830 87185 PETER B MANCINO ESQ SECRETARY 1.00 59.00 X 0 377940 72751 LEIGHANN SIDONE RN VP NURSING & CNO 59.00 1.00 X 0 267965 61615 ERIC DOBKIN VP MEDICAL AFFAIRS 60.00 X 0 451663 39869 ISRAEL CAMET PHYSICIAN ASSISTANT 50.00 X 193544 0 36668 BRADLEY FIELD CHIEF PERFUSIONIST 50.00 X 212070 0 16853 CHARLES HOOKS SR DIR INFORMATION SYSTEMS 50.00 X 202163 0 21341 THOMAS STEWART SR DIR AMBULATORY SERVICES 50.00 X 192421 0 23554 STEVEN COHEN PHYSICIAN ASST. 50.00 X 231666 0 33464 RONALD PETERSON FORMER CORPORATE VICE CHAIRMAN 0.00 0.00 X 0 3223521 19840 1031864 7503727 847316 220 1 1 0 CLARK CONSTRUCTION GROUP LLC 7500 OLD GEORGETOWN RD BETHESDA MD 20814 GENERAL CONTRACTOR 63646656 WHITING TURNER CONTRACTING CO PO BOX 17596 BALTIMORE MD 21297 GENERAL CONTRACTOR 11368440 SODEXO INC AND AFFILIATES PO BOX 536922 ATLANTA GA 30353 MANAGEMENT SERVICES 1789718 DEERFIELD CONSTRUCTION GROUP INC 610 PROFESSIONAL DR GAITHERSBURG MD 20879 GENERAL CONTRACTOR 1347084 ARAMARK CORPORATION 12483 COLLECTIONS CTR DR CHICAGO IL 60693 FOOD SERVICES 1027646 78 1310193 2197147 7119 3514459 NET PATIENT REVENUE 621990 288546154 288546154 LAB 541380 1434273 1434273 289980427 4381278 4381278 18332954 0 6242 18332954 -6242 18326712 18326712 OTHER REVENUE 900099 12846448 12846448 CAFETERIA INCOME 900099 887871 887871 PARKING 900099 864314 864314 388578 388578 14987211 331190087 321860077 1434273 4381278 92511 92511 109296654 92082431 17214223 3997394 3367804 629590 12880541 10851856 2028685 8179675 6891376 1288299 189111 159326 29785 6470 5451 1019 70833 70833 90283898 76064184 14219714 4547379 3831167 716212 134377 113213 21164 90849 76540 14309 2064432 1739284 325148 17726242 14934359 2791883 1799716 1516261 283455 CONTRACTED SERVICES 38083896 32085682 5998214 PROFESSIONAL FEES 5750144 5750144 0 OTHER 2333319 1965821 367498 INT EXP DERIVATIVES 262577 262577 0 297790018 251789987 46000031 0 9303 9906 10821900 10264361 36468329 39986539 10957789 11531798 3511967 3252727 440741881 168728041 189274617 272013840 324808873 265231798 9937813 9246995 585790591 611537964 45070839 45348743 159343713 165014393 204414552 210363136 X 381376039 401174828 381376039 401174828 585790591 611537964 X 33400069 -13077087 -524193 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 70833 0 0 70833 0 PART II-B, LINE 1: THE HOSPITAL RETAINS LEGAL COUNSEL TO PERFORM LOBBYING ACTIVITIES ON ITS BEHALF. THE LOBBYING ACTIVITIES RELATE TO PRESERVING AND PROTECTING THE HOSPITAL'S INTERESTS WITH REGARDS TO MATTERS AFFECTING HEALTH CARE AND HEALTH FACILITIES, INCLUDING STATE GRANTS AND UNCOMPENSATED CARE. 345094 345094 142889218 79427475 63461743 2213064 911724 1301340 116110312 79002094 37108218 179184193 9386748 169797445 272013840 LONG TERM INV 265231798 C 265231798 ADVANCES FROM THIRD PARTIES 7189933 HEDGE FAIR VALUE ADJUST 250304 CAPITAL ACCUMULATION ACCOUNT 471439 INTEREST PAYABLE 20314 ACCRUED PENSION LONG TERM 3488000 457B FOR DIRECTORS 24159 DUE TO AFFILIATES 148726013 WORKERS COMPENSATION INSURANCE LIABILITY 1368058 MALPRACTICE INSURANCE 1376372 L/T MAL LIAB 1886051 L/T FINANCING LEASE 213750 165014393 X PART X, LINE 2: FASB'S 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 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. THE HOSPITAL HAS ADOPTED THIS GUIDANCE, AND THERE WAS NO IMPACT ON ITS FINANCIAL STATEMENTS DURING THE YEARS ENDED JUNE 30, 2019 AND 2018. PART XI, LINE 4B - OTHER ADJUSTMENTS: REALIZED GAIN ON INVESTMENTS LOSS ON FIXED ASSET DISPOSAL ROUNDING PART XII, LINE 2D - OTHER ADJUSTMENTS: LOSS ON FIXED ASSET DISPOSAL PART XII, LINE 4B - OTHER ADJUSTMENTS: INT EXP DERIVATIVES 1 1 X 1 X 1 X 500.000000000000 1 1 1 0 1 1 5061361 5061361 0.01700 5061361 5061361 0.01700 18421575 1070845 17350730 0.05830 4991289 0 4991289 0.01680 1679434 1679434 215559 0 215559 0.00070 25307857 2750279 22557578 0.07580 30369218 2750279 27618939 0.09280 0 0 3311 0 3311 0.00000 172057 11307 160750 0.00050 128064 0 128064 0.00040 1740 0 1740 0.00000 119060 11307 107753 0.00040 0 0 262947 0 262947 0.00090 0 0 687179 22614 664565 0.00220 0 7630020 0 128041355 123651257 4390098 X 1 1 1 1 SUBURBAN HOSPITAL INC 8600 OLD GEORGETOWN RD BETHESDA MD 15332 WWW.HOPKINSMEDICINE.ORG/SUBURBAN_HOSPI 15-028 X SUBURBAN HOSPITAL INC 1 0 0 1 X X X X X X X X X 18 1 0 0 1 X WWW.HOPKINSMEDICINE.ORG/SUBURBAN_HOSPITAL/COMMUNITY_HEALTH/COMMUNITY_COMMIT X X 1 18 1 WWW.HOPKINSMEDICINE.ORG/SUBURBAN_HOSPITAL/COMMUNITY_HEALTH/COMMUNITY_COMMIT 0 1 X 200.000000000000 500.000000000000 X X X 1 1 X X X X 1 X WWW.HOPKINSMEDICINE.ORG/PATIENT_CARE/PAY_BILL/ASSISTANCE_POLICIES.HTML X WWW.HOPKINSMEDICINE.ORG/SUBURBAN_HOSPITAL/PLANNING_YOUR_VISIT/FINANCIAL_INF X WWW.HOPKINSMEDICINE.ORG/SUBURBAN_HOSPITAL/PLANNING_YOUR_VISIT/FINANCIAL_INF X X X X X 1 X 0 X X X 1 X 0 0 SUBURBAN HOSPITAL, INC. PART V, SECTION B, LINE 5: SUBURBAN HOSPITAL, INC. (SHI) TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL THROUGH VARIOUS WAYS LISTED BELOW:A) SHI SURVEYED 427 MONTGOMERY COUNTY RESIDENTS IN THE SEVEN ZIP CODES THAT WERE DETERMINED TO BE PART OF ITS COMMUNITY BENEFIT SERVICE AREA HIGH-NEED ZIP CODES IN ORDER TO GAIN A MORE COMPREHENSIVE UNDERSTANDING OF THE COMMUNITY'S HEALTH NEEDS. THE SURVEY WAS DISTRIBUTED THROUGHOUT DIVERSE LOCATIONS, SUCH AS SHOPPING CENTERS, DAY LABORER SITES, PUBLIC LIBRARIES, TRAIN AND BUS STOPS, FOOD RESTAURANT CHAINS, SENIOR CENTERS, PATIENT WAITING ROOM AREAS AT SAFETY-NET CLINICS, AND LARGE COMMUNITY EVENTS. THE SURVEY DISTRIBUTION PERIOD STARTED IN MARCH 2015 AND REACHED COMPLETION IN JUNE OF 2015.B) ENGAGED COMMUNITY EXPERTS THROUGH THE COMMUNITY BENEFIT ADVISORY COUNCIL (CBAC) THAT ADVISES ON THE DIRECTION OF THE NEEDS ASSESSMENT. CHARTED BY THE HOSPITAL'S BOARD OF TRUSTEES AND CHAIRED BY A TRUSTEE, THE CBAC IS COMPRISED OF A DIVERSE GROUP OF LOCAL BUSINESS, NON-FOR-PROFIT EXECUTIVES AND COMMUNITY ADVOCACY LEADERS WHO REPRESENT THE PERSPECTIVE OF THE COUNTY'S MEDICALLY UNDERSERVED, LOW-INCOME AND RACIALLY/ETHNICALLY DIVERSE POPULATIONS. THE CBAC REPRESENTS DIVERSE SECTORS OF SHI'S SERVICE AREA AND ACTS AS A LIAISON WITH THE COMMUNITY AND THE HOSPITAL TO IDENTIFY HEALTH IMPROVEMENT OPPORTUNITIES AND NEEDS.C) SHI'S COMMUNITY HEALTH AND WELLNESS DEPARTMENT (CHW) SERVED AS A KEY PLAYER BY INTEGRATING PUBLIC HEALTH KNOWLEDGE, PRINCIPLES AND EXPERTISE. THE CHW DEPARTMENT ACTED AS A PUBLIC HEALTH RESOURCE AND GUIDE, DUE IN PART TO THE EDUCATIONAL BACKGROUND OF THE STAFF, AND THE STRONG RELATIONSHIPS BUILT IN THE COMMUNITY AND FIRSTHAND KNOWLEDGE OF THE MAJOR HEALTH CONCERNS, BARRIERS AND NEEDS.D) THE MONTGOMERY COUNTY UNITED WAY REGIONAL COUNCIL (MCUWRC) CONSISTS OF VOLUNTEERS FROM BUSINESS, PUBLIC, AND NONPROFIT SECTORS IN THE COUNTY. REGIONAL COUNCIL MEMBERS SERVE AS REPRESENTATIVES OF THEIR COMMUNITY BY PROVIDING ADVICE ABOUT UNIQUE SITUATIONS AND NEEDS.E) THE HEALTHY MONTGOMERY WEBSITE WAS UTILIZED AS THE MAIN DATA RESOURCE FOR GATHERING QUANTITATIVE DATA FOR MONTGOMERY COUNTY RESIDENTS.F) WITH THE ASSISTANCE OF MONTGOMERY COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES (DHHS), KEY CORE MEASURES WERE ANALYZED AND PROCESSED FOR ALL SIX MONTGOMERY COUNTY HOSPITALS' COMMUNITY BENEFIT SERVICE AREAS. THEREFORE, THESE INDICATORS AND THEIR AVAILABLE DATASETS WERE ADOPTED AS A SOURCE FOR SECONDARY DATA. SUBURBAN HOSPITAL, INC. PART V, SECTION B, LINE 7D: COMPONENTS OF SUBURBAN HOSPITAL'S COMMUNITY HEALTH NEEDS ASSESSMENT IS ALSO AVAILABLE IN PRINT THROUGH THE HOSPITAL'S QUARTERLY MAGAZINE. A SUPPLEMENTAL REPORT ON THE COMMUNITY WAS ALSO MADE AVAILABLE TO COMMUNITY STAKEHOLDERS AND LEGISLATORS IN BROCHURE FORM. SUBURBAN HOSPITAL, INC. PART V, SECTION B, LINE 11: - INTEGRATING BOTH THE HOSPITAL'S IMPLEMENTATION AND INTERNAL STRATEGIC GOALS, THE STRATEGIC PLAN IS ALIGNED WITH THE OBJECTIVE OF PROVIDING A GUIDED HEALTHCARE SYSTEM TO OUR MOST VULNERABLE PATIENTS AND COMMUNITIES. DELIBERATELY APPLYING A COLLECTIVE IMPACT APPROACH, COMMUNITY HEALTH AND WELLNESS AND CARE COORDINATION GUIDES AND SUPPORTS THE FOLLOWING POPULATION HEALTH OBJECTIVES: O THE HOSPITAL WILL SUPPORT ITS TRANSITION GUIDE NURSES WHOSE GOAL IS TO ENSURE A SEAMLESS TRANSITION AND BETTER MANAGE PATIENTS' COMPLEX NEEDS FROM HOSPITAL TO HOME THROUGH THE CARE PARTNER INITIATIVE.O THE HOSPITAL WILL INITIATE A RE-ADMISSIONS REDUCTION STRATEGY BY SUPPORTING A VILLAGE ALLIANCE MODEL TO SUPPORT "AGING IN PLACE" WITHIN SHI'S COMMUNITY BENEFIT SERVICE AREA (CBSA) ZIP CODES.O THE HOSPITAL WILL UTILIZE DATA ANALYTICS TO IDENTIFY VULNERABLE COMMUNITIES IN SUBURBAN CBSA ZIP CODES TO SUPPORT AND INTEGRATE POPULATION HEALTH-SPECIFIC INTERVENTIONS WITH THE GOAL OF REDUCING HEALTH INEQUITIES AS OUTLINED BY COMMUNITY HEALTH IMPROVEMENT REPORT. O THE HOSPITAL WILL INTEGRATE POPULATION HEALTH INTERVENTIONS AIMED AT REDUCING HEALTH INEQUITIES AND PARTNER WITH SAFETY NET CLINICS IN MONTGOMERY COUNTY TO INCREASE ACCESS OF CARE TO UNDERSERVED POPULATIONS AND PROVIDE A CONTINUUM OF CARE IN CHRONIC DISEASE MANAGEMENT INTERVENTIONS. O THE HOSPITAL WILL LEVERAGE CURRENT STAKEHOLDER RESOURCES TO IDENTIFY AND ADDRESS GAPS WITHIN POPULATION-SPECIFIC BEHAVIORAL HEALTH DISPARITIES AND SEEK TO IMPROVE ACCESS TO URGENT CARE MENTAL HEALTH SERVICES THROUGH HEALTHY MONTGOMERY AND BY PARTNERING WITH SAFETY NET CLINICS.- FURTHERMORE, SHI IS A FOUNDING MEMBER OF NEXUSMONTGOMERY, A UNIQUE AND FORMAL HEALTH TRANSFORMATION COLLABORATIVE OF ALL SIX HOSPITALS IN MONTGOMERY COUNTY, MARYLAND, FOCUSED ON ACHIEVING QUALITY COMMUNITY HEALTH IMPROVEMENT VIA ENHANCING PATIENT CARE, IMPROVING POPULATION HEALTH AND LOWERING TOTAL HEALTH CARE COSTS FOR SENIORS. PART I, LINE 7: -A COST-TO-CHARGE RATIO (FROM WORKSHEET 2) IS USED TO CALCULATE THE AMOUNTS ON LINE 7A AND 7B (FINANCIAL ASSISTANCE AT COST AND UNREIMBURSED MEDICAID). THE AMOUNTS FOR LINES 7E-7I WOULD COME FROM OUR HSCRC COMMUNITY BENEFIT REPORT FILED WITH THE STATE OF MARYLAND AND WOULD NOT BE 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: SUBURBAN HOSPITAL, INC. DOES NOT HAVE ANY SUBSIDIZED HEALTH SERVICES. PART II, COMMUNITY BUILDING ACTIVITIES: SHI RECOGNIZES THE COMMUNITY'S UNMET OR POTENTIAL HEALTH NEEDS BY PARTICIPATING IN COMMUNITY COALITIONS, PARTNERSHIPS, ADVISORY GROUPS, BOARDS, PANELS, COMMITTEES, AND SERVING ON LOCAL COUNTY COMMISSIONS AND WORKING WITH PUBLIC HEALTH OFFICIALS AT MCDHHS. SHI'S COMMUNITY BUILDING ACTIVITIES PROMOTE THE HEALTH OF THE COMMUNITY IT SERVES THROUGH A NUMBER OF INITIATIVES THEY HAVE DEVELOPED. 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, SHI 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 16. 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: SHI'S COMMUNITY BENEFIT STRATEGIC PLAN IS INCORPORATED INTO THE HOSPITAL'S STRATEGIC PLAN TO ENSURE A COLLECTIVE APPROACH TO BUILDING QUALITY RELATIONSHIPS WITH COMMUNITY PARTNERS IN ADDRESSING THE HEALTH NEEDS OF THE COMMUNITY. THREE COMMUNITY HEALTH IMPROVEMENT GOALS WERE INCLUDED IN SHI'S FY18 STRATEGIC PLAN: 1.) INITIATE RE-ADMISSIONS REDUCTION STRATEGY BY SUPPORTING A VILLAGE ALLIANCE MODEL; 2.) LEVERAGE CURRENT STAKEHOLDER RESOURCES TO ADDRESS POPULATION-SPECIFIC BEHAVIORAL HEALTH DISPARITIES; AND, 3.) INTEGRATE POPULATION HEALTH-SPECIFIC INTERVENTIONS THAT SUPPORT THE REDUCTION OF HEALTH INEQUITIES. THESE GOALS WERE MEASURED AND REPORTED QUARTERLY AS PART OF THE HOSPITAL'S OVERALL OPERATION PERFORMANCE SCORECARD. BY THE END OF FY18, THE THREE GOALS WERE ACHIEVED. INCLUDED AMONG THE PERFORMANCE MEASURES USED TO EVALUATE GOAL ATTAINMENT WERE A COMMUNICATION PLAN TO EDUCATE HOSPITAL EMPLOYEES AND PATIENTS ABOUT VILLAGES IN OPERATION; DELIVERY OF INTERVENTIONS TARGETING AGE, LANGUAGE, AND POPULATION-SPECIFIC COMMUNITIES; AND, ENSURING THAT 15% OF INTERVENTIONS DELIVERED SUPPORT HEALTH INEQUITIES. PART VI, LINE 3: SHI'S PATIENT ACCESS DEPARTMENT PROVIDES ALL PATIENTS REGISTERED FOR EMERGENCY, OUTPATIENT, OR INPATIENT CARE A COPY OF OUR FINANCIAL ASSISTANCE INFORMATION SHEET. SIGNS ARE POSTED IN ENGLISH AND SPANISH EXPLAINING THE AVAILABILITY OF FINANCIAL ASSISTANCE AND WHERE TO CALL FOR ASSISTANCE. THE SIGNS ARE LOCATED IN THE EMERGENCY, PEDIATRICS, CATH LAB, AND FINANCIAL COUNSELING DEPARTMENTS, AS WELL AS THE MAIN REGISTRATION DESK. A FINANCIAL ASSISTANCE APPLICATION IS GIVEN TO EVERY SELF-PAY PATIENT WITH INSTRUCTIONS ON HOW TO APPLY AND WHO TO CONTACT FOR ASSISTANCE. THE SAME INFORMATION IS PROVIDED TO ALL OTHER PATIENTS UPON REQUEST. THIS INFORMATION IS ALSO AVAILABLE IN SPANISH. NOTICE OF AVAILABILITY IS ALSO POSTED ON THE HOSPITALSS WEBSITE.SUBURBAN HOSPITAL'S FINANCIAL COUNSELORS AND SOCIAL WORKERS ARE TRAINED TO ANSWER PATIENTS' QUESTIONS ABOUT FINANCIAL ASSISTANCE AND PROVIDE LINKAGE TO OTHER COMMUNITY ASSISTANCE RESOURCES PRIOR TO DISCHARGE. REGISTRATION AND PATIENT ACCOUNTING STAFF IS TRAINED TO ANSWER QUESTIONS REGARDING FINANCIAL ASSISTANCE AND WHO TO CONTACT TO APPLY. THE PATIENT ACCESS DEPARTMENT ALSO HAS MEDICAID SPECIALISTS ONSITE TO ASSIST PATIENTS IN APPLYING FOR MARYLAND MEDICAL ASSISTANCE. ALL UNINSURED PATIENTS ARE SCREENED FOR MEDICAID UPON ADMISSION AND PROVIDED WITH INFORMATION AND REFERRAL FOR FINANCIAL ASSISTANCE. IN ADDITION, SINCE IMPLEMENTATION OF THE AFFORDABLE CARE ACT, SUBURBAN HOSPITAL NOW HAS STAFF MEMBERS WHO ARE CERTIFIED APPLICATION COUNSELORS AND AVAILABLE TO ASSIST PATIENTS WHO HAVE QUESTIONS ABOUT ELIGIBILITY REQUIREMENTS FOR THE MARYLAND HEALTH INSURANCE EXCHANGE. OUR CERTIFIED APPLICATION COUNSELORS PROVIDE INFORMATION AND ASSIST PATIENTS WITH INITIATION OF ONLINE HEALTH EXCHANGE PLAN ENROLLMENT WHEN REQUESTED. PART VI, LINE 4: - SHI GEOGRAPHIC SERVICE AREA IS SUBURBAN.- THE HOSPITAL CONSIDERS ITS COMMUNITY BENEFIT SERVICE AREA (CBSA) AS SPECIFIC POPULATIONS OR COMMUNITIES OF NEED TO WHICH THE HOSPITAL ALLOCATES RESOURCES THROUGH ITS COMMUNITY BENEFIT PLAN AND DOES NOT LIMIT ITS COMMUNITY SERVICES TO THE PRIMARY SERVICE AREA. THE CBSA IS DEFINED BY THE GEOGRAPHIC AREA CONTAINED WITHIN THE FOLLOWING FIFTEEN ZIP CODES: 20814, 20815, 20817, 20850, 20851, 20852, 20853, 20854, 20874, 20877, 20878, 20895, 20902, 20906, AND 20910.- THE GENERAL DATA FOR THIS COMMUNITY BENEFIT SERVICE AREA ARE AS FOLLOWS: TOTAL POPULATION WAS 616,364 OF WHICH 47.7% WERE MALES AND 52.3% WERE FEMALES, AVERAGE HOUSEHOLD INCOME WAS $155,636, 2.58% OF RESIDENTS ARE UNINSURED, 13.6% OF RESIDENTS ARE COVERED BY MEDICAID/MEDICARE, 5.2% OF HOUSEHOLDS WITH INCOMES BELOW THE FEDERAL POVERTY GUIDELINES.- NUMBER OF OTHER HOSPITALS SERVING THE COMMUNITY OR COMMUNITIES: 6- FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREAS OR POPULATIONS ARE PRESENT IN THE COMMUNITY . PART VI, LINE 5: - SHI IS A COMMUNITY-BASED, NOT-FOR-PROFIT HOSPITAL THAT HAS SERVED MONTGOMERY COUNTY AND THE SURROUNDING AREA SINCE 1943. THE HOSPITAL PROVIDES ALL MAJOR SERVICES EXCEPT OBSTETRICS. ONE OF NINE REGIONAL TRAUMA CENTERS IN MARYLAND, THE HOSPITAL IS THE STATE-DESIGNATED LEVEL II TRAUMA CENTER FOR MONTGOMERY COUNTY WITH A FULLY EQUIPPED, ELEVATED HELIPAD. EACH YEAR, MORE THAN 40,000 PATIENTS ARE TREATED AT SHI'S EMERGENCY/SHOCK TRAUMA CENTER. THE HOSPITAL'S MAJOR SERVICES INCLUDE A COMPREHENSIVE CANCER AND RADIATION ONCOLOGY CENTER ACCREDITED BY THE AMERICAN COLLEGE OF SURGEONS COMMISSION ON CANCER; A CARDIAC SURGERY PROGRAM, PROVIDING CARDIAC SURGERY, ELECTIVE AND EMERGENCY ANGIOPLASTY AS WELL AS INPATIENT DIAGNOSTIC AND REHABILITATION SERVICES; ORTHOPEDICS WITH JOINT REPLACEMENT AND PHYSICAL REHABILITATION; BEHAVIORAL HEALTH; NEUROSCIENCES, INCLUDING A DESIGNATION AS A PRIMARY STROKE CENTER AND A 24/7 STROKE TEAM; AND SENIOR CARE PROGRAMS. IN ADDITION, SHI PROVIDES SERVICES INCLUDING THE NIH-SUBURBAN MRI CENTER; STATE-OF-THE-ART DIAGNOSTIC PATHOLOGY AND RADIOLOGY DEPARTMENTS; AN ADDICTION TREATMENT CENTER OFFERING DETOXIFICATION, INPATIENT AND OUTPATIENT PROGRAMS FOR ADOLESCENTS AND ADULTS; PREVENTION AND WELLNESS PROGRAMS; AND A FREE PHYSICIAN REFERRAL SERVICE (SUBURBAN ON-CALL). SHI IS ONE OF TWO HOSPITALS IN MONTGOMERY COUNTY TO ACHIEVE THE GOLD SEAL OF APPROVAL BY THE JOINT COMMISSION FOR ITS JOINT REPLACEMENT PROGRAM.- 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: 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 MARYLAND PATIENT SAFETY CENTER INC 6820 DEERPATH ROAD ELKRIDGE MD 21075 262188491 501(C)(3) 5000 LOCAL COMMUNITY ASSISTANCE MONTGOMERY COUNTY CHAMBER OF COMMERCE 3700 EASTERN AVE BALTIMORE MD 21224 520735621 501(C)(6) 18450 LOCAL COMMUNITY ASSISTANCE THE GREATER BETHESDA CHEVY CHASE CHAMBER OF COMMERCE 301 ELRINO STREET BALTIMORE MD 21224 520545799 501(C)(6) 7000 LOCAL COMMUNITY ASSISTANCE WOMANS BOARD AMERICA HEARTH ASSOCIATION 3134 EASTERN AVE BALTIMORE MD 21224 135613787 501(C)(3) 5000 LOCAL COMMUNITY ASSISTANCE MARYS CENTER FOR MATERNAL AND CHILD CARE INC 7200 SOLLERS POINT RD BALTIMORE MD 21222 521594116 501(C)(3) 5000 LOCAL COMMUNITY ASSISTANCE GIRLS ON THE RUN OF MONTGOMERY COUNTY PO BOX 8802 BALTIMORE MD 21224 205531978 501(C)(3) 5105 LOCAL COMMUNITY ASSISTANCE INSTITUTE FOR PUBLIC HEALTH INNOVATIONS 1301 CONNECTICUT AVE NW WASHINGTON DC 20036 463039129 501(C)(3) 25000 LOCAL COMMUNITY ASSISTANCE MELWOOD HORTICULTURAL TRAINING CENTER INC 5606 DOWER HOUSE RD UPPER MARLBORO MD 20772 520857690 501(C)(3) 5800 FMV FORD E450 BUS LOCAL COMMUNITY ASSISTANCE BETHESDA URBAN PARTNERSHIP 7700 OLD GEORGETOWN RD BETHESDA MD 20814 521861965 10000 LOCAL COMMUNITY ASSISTANCE 6 3 X X X X X X 0 1 0 0 0 0 0 1 0 KEVIN W SOWERS MSN RN FAA CORPORATE VICE CHAIRMAN 0 1016112 0 179392 0 6105 0 153370 0 11747 0 1366726 0 0 JACKY SCHULTZ PRESIDENT, TRUSTEE 0 583159 0 133352 0 24135 0 51279 0 9312 0 801237 0 0 MARTIN BASSO SR VP FINANCE & TREASURER 0 430541 0 87699 0 116697 0 131061 0 20075 0 786073 0 0 JUNE M FALB VP DEVELOPMENT 0 179630 0 34383 0 83603 0 40306 0 17026 0 354948 0 46460 JOSEPH LINSTROM VP OPERATIONS 0 240731 0 43581 0 23518 0 76244 0 10941 0 395015 0 4612 PETER B MANCINO ESQ SECRETARY 0 295046 0 79742 0 3152 0 50015 0 22736 0 450691 0 0 LEIGHANN SIDONE RN VP NURSING & CNO 0 213478 0 38479 0 16008 0 35961 0 25654 0 329580 0 0 ERIC DOBKIN VP MEDICAL AFFAIRS 0 376085 0 64571 0 11007 0 17966 0 21903 0 491532 0 0 ISRAEL CAMET PHYSICIAN ASSISTANT 187497 0 5075 0 972 0 12032 0 24636 0 230212 0 0 0 BRADLEY FIELD CHIEF PERFUSIONIST 211105 0 0 0 965 0 12849 0 4004 0 228923 0 0 0 CHARLES HOOKS SR DIR INFORMATION SYSTEMS 193022 0 8000 0 1141 0 12247 0 9094 0 223504 0 0 0 THOMAS STEWART SR DIR AMBULATORY SERVICES 183719 0 8000 0 702 0 21970 0 1584 0 215975 0 0 0 STEVEN COHEN PHYSICIAN ASST. 230293 0 0 0 1373 0 4761 0 28703 0 265130 0 0 0 RONALD PETERSON FORMER CORPORATE VICE CHAIRMAN 0 38162 0 286829 0 2898530 0 19446 0 394 0 3243361 0 2398868 PART I, LINE 4B 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 2018 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 2018. MARTY BASSO $94,656.00; JUNE FALB $81,031.26; AND JOSEPH LINSTROM $18,099.05 IN ADDITION TO THOSE LISTED ABOVE, RONALD PETERSON RECEIVED PAYMENT FROM A SUPPLEMENTAL RETIREMENT PROGRAM THAT WAS IN PLACE PRIOR TO 1986 AND SUBJECT TO DIFFERENT TAX RULES. MR. PETERSON ACCRUED BENEFITS OVER A 40+ YEAR CAREER AT JOHNS HOPKINS HEALTH SYSTEM AND THE BENEFIT HAS BEEN REPORTED ON THE FORM 990 TWICE ALREADY: ONCE WHEN ACCRUED AND AGAIN WHEN INCLUDED AS TAXABLE INCOME FOR MEDICARE TAX PURPOSES. BENEFITS ARE PAID AS AN ANNUITY TO MR. PETERSON OVER HIS REMAINING LIFETIME AND TAXED FOR INCOME TAX PURPOSES AS PAID. UNDER FORM 990 REPORTING REQUIREMENTS, MR. PETERSON'S BENEFIT IS REQUIRED TO BE REPORTED A THIRD TIME WHEN PAID. DURING 2018, MR. PETERSON RECEIVED A PAYMENT OF $1,275,825; THIS AMOUNT IS REPORTED IN SCHEDULE J, PART II, COLUMN (B)(III) AND ALSO IN SCHEDULE J, PART II, COLUMN (F). MR. PETERSON ALSO PARTICIPATED IN A LEGACY PROGRAM, FUNDED WITH EMPLOYEE CONTRIBUTIONS, THAT RESULTED IN A TOTAL PAYOUT OF $1,621,905 DURING 2018; THIS AMOUNT IS REPORTED IN SCHEDULE J, PART II, COLUMN (B)(III) AND ALSO IN SCHEDULE J, PART II, COLUMN (F) TO THE EXTENT PREVIOUSLY REPORTED AS DEFERRED COMPENSATION ACCRUALS IN PRIOR YEARS. 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. FORM 990, PART VI, SECTION A, LINE 6 JOHNS HOPKINS HEALTH SYSTEM CORPORATION AN IRC 501(C)(3) TAX EXEMPT ORGANIZATION, IS THE SOLE CORPORATE MEMBER OF SUBURBAN HOSPITAL, INC. FORM 990, PART VI, SECTION A, LINE 7A JOHNS HOPKINS HEALTH SYSTEM CORPORATION, AN IRC 501C (3) TAX EXEMPT ORGANIZATION AND THE SOLE MEMBER OF SUBURBAN HOSPITAL, INC. ELECTS THE MAJORITY OF THE BOARD OF TRUSTEES. FORM 990, PART VI, SECTION A, LINE 7B THE GOVERNING BODY OF SUBURBAN HOSPITAL, INC. IS EMPOWERED BY ITS BY-LAWS TO MAKE CERTAIN DECISIONS; ALL OTHER DECISIONS ARE SUBJECT TO APPROVAL OF THE SOLE MEMBER JOHNS HOPKINS HEALTH SYSTEM CORPORATION. FORM 990, PART VI, SECTION B, LINE 11B A COPY OF THE FORM 990 WAS PROVIDED TO THE BOARD OF TRUSTEES AND THE EXECUTIVE COMMITTEE BEFORE IT WAS 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 ON AN ANNUAL BASIS. FORM 990, PART VI, SECTION B, LINE 15 EVERY THREE YEARS AN INDEPENDENT STUDY IS CONDUCTED GATHERING INDUSTRY COMPENSATION AVERAGES FROM SELECT PEER INSTITUTIONS. EVERY YEAR THE JOHNS HOPKINS BOARD OF TRUSTEES COMPENSATION COMMITTEE REVIEWS COMPENSATION AMOUNTS FOR OFFICERS AND ALL EMPLOYEES AT THE DIRECTOR AND HIGHER LEVELS. FORM 990, PART VI, SECTION C, LINE 19 INTERNAL POLICIES, INCLUDING CONFLICT OF INTEREST POLICY, ARE PROVIDED TO THE PUBLIC ON THE ORGANIZATIONS 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 INT SWAP AGREEMENT 180,087. CHANGE IN FUND STATUS OF DEFINED BENEFIT PLANS -1,721,000. NET ASSETS RELEASED FROM RESTRICTION 707,720. CHANGE IN PENSION 309,000. SUBURBAN PHYSICIAN ASSISTANT ASSOCIATES LLC 8600 OLD GEORGETOWN ROAD BETHESDA MD 20814 010642496 MEDICAL SERVICES MD 738113 132743 SUBURBAN HOSPITAL INC SUBURBAN HOSPITAL FOUNDATION INC 8600 OLD GEORGETOWN ROAD BETHESDA MD 20814 522019696 SUPPORTING ORGANIZATION MD 501(C)(3) LINE 12B, II SUBURBAN HOSPITAL INC 1 JOHNS HOPKINS HEALTH SYSTEM CORPORATION 3910 KESWICK RD SOUTH BLDG 4TH FL S BALTIMORE MD 21211 521465301 SUPPORTING ORGANIZATION MD 501(C)(3) LINE 12D, III-O JOHNS HOPKINS HEALTH SYSTEM CORPORATION 0 HOWARD COUNTY GENERAL HOSPITAL INC 3910 KESWICK RD SOUTH BLDG 4TH FL S BALTIMORE MD 21211 522093120 HOSPITAL MD 501(C)(3) LINE 3 JOHNS HOPKINS HEALTH SYSTEM CORPORATION 0 HOWARD COUNTY LIQUIDATION CORPORATION 3910 KESWICK RD SOUTH BLDG 4TH FL S BALTIMORE MD 21211 520892284 INACTIVE TAX-EXEMPT ORGANIZATION MD 501(C)(3) LINE 3 JOHNS HOPKINS HEALTH SYSTEM CORPORATION 0 JOHNS HOPKINS BAYVIEW MEDICAL CENTER INC 3910 KESWICK RD SOUTH BLDG 4TH FL S BALTIMORE MD 21211 521341890 HOSPITAL MD 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