2019-05-15T13:00:43-05:00 2018-06-30 990 2017-07-01 520610545 SUBURBAN HOSPITAL INC SUBU 3018963900 8600 OLD GEORGETOWN ROAD BETHESDA MD 208141497 MARTIN BASSO SR SR VP FINANCE & TREASURER 3018963900 2019-05-10 128.220.159.45 2019-05-15 13:00:40 ED P C2B764D82FA023849B2FE4DA478290B2062C5C06 D4D089A7B1F63F88A93F678BE861A0858A86557E 2017 2019-02-21 02:37:17Z MARTIN BASSO SR 8600 OLD GEORGETOWN ROAD BETHESDA MD 208141497 383601760 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. 26 22 2192 520 689014 -467079 5607892 4307281 267817415 281730369 4203287 10303870 15412396 15257251 293040990 311598771 95051 80341 0 0 125729903 131258256 0 0 0 154384341 160678360 280209295 292016957 12831695 19581814 552767271 585790591 203369929 204414552 349397342 381376039 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 84771963 121902630 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. 32052729 53101566 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. 20350912 28824938 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. 117292789 80341 98117458 117292789 80341 98117458 254468393 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 1 322 0 1 2192 1 0 0 0 0 0 0 0 0 X 26 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 RONALD R PETERSON CORPORATE VICE CHAIRMAN 2.50 57.50 X X 0 3088921 65956 KEVIN W SOWERS MSN RN FAA CORPORATE VICE CHAIRMAN 2.50 57.50 X X 0 367110 0 PATRICIA MC BROWN ESQ TRUSTEE 2.50 57.50 X 0 775990 64965 MARY ELLEN BELIVEAU TRUSTEE 2.50 X 0 0 0 WILLIAM A BAUMGARTNER MD 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 DIANE L COLGAN MD TRUSTEE 2.50 4.00 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 HARRY TOTONIS 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 738775 60422 MARTIN BASSO SR VP FINANCE & TREASURER 30.00 30.00 X 0 634494 61822 JUNE M FALB VP DEVELOPMENT 20.00 40.00 X 0 212102 41440 JOSEPH LINSTROM VP OPERATIONS 59.00 1.00 X 0 281991 48159 PETER B MANCINO ESQ SECRETARY 1.00 59.00 X 0 342753 48180 LEIGHANN SIDONE RN VP NURSING & CNO 59.00 1.00 X 0 254426 47415 ERIC DOBKIN VP MEDICAL AFFAIRS 60.00 X 0 211460 8578 GABRIEL PUSHKAS PHYSICIAN ADVISOR 50.00 X 222200 0 13314 BRADLEY FIELD CHIEF PERFUSIONIST 50.00 X 208516 0 16766 CHARLES HOOKS SR DIR INFORMATION SYSTEMS 50.00 X 183897 0 19738 THOMAS STEWART SR DIR AMBULATORY SERVICES 50.00 X 180249 0 17096 STEVEN COHEN PHYSICIAN ASST. 50.00 X 235212 0 42135 BRIAN GRAGNOLATI FORMER OFFICER 0.00 X 0 220837 0 1030074 7128859 555986 205 1 1 0 WHITING TURNER CONTRACTING CO PO BOX 17596 BALTIMORE MD 21297 GENERAL CONTRACTOR 17500874 CLARK CONSTRUCTIONS LLC 7500 OLD GEORGETOWN ROAD BETHESDA MD 20814 GENERAL CONTRACTOR 6578476 SODEXO INC PO BOX 536922 ATLANTA GA 30353 MANAGEMENT SERVICES 2171695 TUCKMAN BARBEE CONSTRUCTION CO 16000 TRADE ZONE AVENUE UPPER MARLBORO MD 20774 GENERAL CONTRACTOR 2043394 CROTHALL SERVICES GROUP 13028 COLLECTIONS CENTER DRIVE CHICAGO IL 60693 SUPPORT SERVICES 1221215 81 1755000 2401985 150296 4307281 NET PATIENT REVENUE 621990 281051330 281051330 LAB 541380 679039 679039 281730369 4655884 4655884 77649000 1975 72002989 0 5646011 1975 5647986 5647986 OTHER REVENUE 900099 13291699 13291699 PARKING 900099 854409 844434 9975 CAFETERIA INCOME 900099 695540 695540 415603 415603 15257251 311598771 301946592 689014 4655884 80341 80341 106968017 90120554 16847463 2533001 2134053 398948 13740330 11576228 2164102 8016908 6754245 1262663 396203 333801 62402 7141 6016 1125 56991 56991 115002823 104363080 10639743 4293285 3617129 676156 165676 139582 26094 137868 116154 21714 4480009 3774408 705601 14812904 13817845 995059 1327509 1277547 49962 CONTRACTED SERVICES 13056360 11176154 1880206 PROFESSIONAL FEES 4086012 3230837 855175 OTHER 2408472 1503312 905160 INT EXP DERIVATIVES 447107 447107 292016957 254468393 37548564 0 8283 9303 11397678 10821900 30008106 36468329 10296699 10957789 2818966 3511967 346024726 156750109 137500590 189274617 311152657 324808873 49584292 9937813 552767271 585790591 40866276 45070839 162503653 159343713 203369929 204414552 X 349397342 381376039 349397342 381376039 552767271 585790591 X 19581814 12396883 X 0 1 X 1 1 1 X 0 0 0 0 0 0 1 56991 0 0 56991 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 111718304 72562333 39155971 2213064 814031 1399033 102917896 74543171 28374725 128830368 8830574 119999794 189274617 LONG TERM INV 324808873 C 324808873 ADVANCES FROM THIRD PARTIES 7073358 HEDGE FAIR VALUE ADJUST 430393 CAPITAL ACCUMULATION ACCOUNT 1457747 INTEREST PAYABLE 34083 ACCRUED PENSION LONG TERM 3121000 457B FOR DIRECTORS 20821 DUE TO AFFILIATES 142999626 WORKERS COMPENSATION INSURANCE LIABILITY 1493961 MALPRACTICE INSURANCE 939159 L/T MAL LIAB 1571719 STRAIGHT LINE RENT 201846 159343713 X 305952783 0 305952783 5645988 5645988 311598771 291569874 25 25 291569849 447108 447108 292016957 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, 2018 AND 2017. PART XI, LINE 4B - OTHER ADJUSTMENTS: REALIZED GAIN ON INVESTMENTS 5,646,011. LOSS ON FIXED ASSET DISPOSAL -25. ROUNDING 2. PART XII, LINE 2D - OTHER ADJUSTMENTS: LOSS ON FIXED ASSET DISPOSAL 25. PART XII, LINE 4B - OTHER ADJUSTMENTS: INT EXP DERIVATIVES 447,108. 1 1 X 1 X 1 X 500.000000000000 1 1 1 0 1 1 5176153 0 5176153 0.01770 5176153 5176153 0.01770 15539968 1086132 14453836 0.04950 4494326 0 4494326 0.01540 0 0 1566012 1566012 293941 0 293941 0.00100 21894247 2652144 19242103 0.06590 27070400 2652144 24418256 0.08360 0 0 9275 0 9275 0.00000 170960 15448 155512 0.00050 121831 0 121831 0.00040 0 0 123468 15448 108020 0.00040 1994 0 1994 0.00000 146116 0 146116 0.00050 0 0 573644 30896 542748 0.00180 0 6871964 0 131453381 124497656 6955725 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 15 1 0 0 1 X WWW.HOPKINSMEDICINE.ORG/SUBURBAN_HOSPITAL/COMMUNITY_HEALTH/COMMUNITY_COMMIT X X 1 15 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 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 15. 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 51 MONROE STREET SUITE 1800 ROCKVILLE MD 20850 520735621 501(C)(6) 24000 LOCAL COMMUNITY ASSISTANCE THE GREATER BETHESDA CHEVY CHASE CHAMBER OF COMMERCE 7910 WOODMONTH AVENUE SUITE 1204 BETHESDA MD 20814 520545799 501(C)(6) 7000 LOCAL COMMUNITY ASSISTANCE WOMANS BOARD AMERICAN HEART ASSOCIATION 3810 NORTH TAZEWELL STREET ARLINGTON VA 22203 135613787 501(C)(3) 5000 LOCAL COMMUNITY ASSISTANCE MARYS CENTER FOR MATERNAL AND CHILD CARE INC 2333 ONTARIO RD NW WASHINGTON DC 20009 521594116 501(C)(3) 5000 LOCAL COMMUNITY ASSISTANCE GIRLS ON THE RUN OF MONTGOMERY COUNTY 11821 PARKLAWN DRIVE ROCKVILLE MD 20852 205531978 501(C)(3) 5056 LOCAL COMMUNITY ASSISTANCE 6 X 1 0 X X X X X X 0 1 0 0 0 0 0 1 0 RONALD R PETERSON CORPORATE VICE CHAIRMAN 0 1454645 0 806842 0 827434 0 42910 0 23046 0 3154877 0 34000 KEVIN W SOWERS MSN RN FAA CORPORATE VICE CHAIRMAN 0 0 0 250000 0 117110 0 0 0 0 0 367110 0 0 PATRICIA MC BROWN ESQ TRUSTEE 0 499235 0 150556 0 126199 0 43734 0 21231 0 840955 0 103596 JACKY SCHULTZ PRESIDENT, TRUSTEE 0 460656 0 254283 0 23836 0 50758 0 9664 0 799197 0 0 MARTIN BASSO SR VP FINANCE & TREASURER 0 421753 0 91774 0 120967 0 41718 0 20104 0 696316 0 0 JUNE M FALB VP DEVELOPMENT 0 170270 0 36942 0 4890 0 37355 0 4085 0 253542 0 0 JOSEPH LINSTROM VP OPERATIONS 0 229347 0 47501 0 5143 0 37573 0 10586 0 330150 0 0 PETER B MANCINO ESQ SECRETARY 0 278180 0 52325 0 12248 0 26680 0 21500 0 390933 0 0 LEIGHANN SIDONE RN VP NURSING & CNO 0 200443 0 41942 0 12041 0 27378 0 20037 0 301841 0 0 ERIC DOBKIN VP MEDICAL AFFAIRS 0 162002 0 30000 0 19458 0 0 0 8578 0 220038 0 0 GABRIEL PUSHKAS PHYSICIAN ADVISOR 218100 0 0 0 4100 0 13314 0 0 0 235514 0 0 0 BRADLEY FIELD CHIEF PERFUSIONIST 174991 0 0 0 33525 0 12639 0 4127 0 225282 0 0 0 CHARLES HOOKS SR DIR INFORMATION SYSTEMS 165647 0 10000 0 8250 0 11133 0 8605 0 203635 0 0 0 THOMAS STEWART SR DIR AMBULATORY SERVICES 157482 0 22000 0 767 0 10850 0 6246 0 197345 0 0 0 STEVEN COHEN PHYSICIAN ASST. 153027 0 0 0 82185 0 14523 0 27612 0 277347 0 0 0 BRIAN GRAGNOLATI FORMER OFFICER 0 0 0 0 0 220837 0 0 0 0 0 220837 0 0 PART I, LINE 1A JHHS PAID A HOUSING ALLOWANCE TO AN OFFICER OF SHI FOR RECRUITMENT PURPOSES. PART I, LINE 4B THE JOHNS HOPKINS HEALTH SYSTEM CORPORATION'S MAKE WHOLE AND SERP I PLANS ARE FROZEN, NON-TAX QUALIFIED DEFINED BENEFIT PLANS. PARTICIPATION IN THE PLANS IS LIMITED TO THE EXISTING PLAN PARTICIPANTS. THE BENEFITS UNDER THE PLANS ARE BASED UPON THE PARTICIPANT'S LENGTH OF SERVICE AND COMPENSATION. THE MAKE WHOLE PLAN WAS DESIGNED TO REPLACE THE BENEFITS THE PARTICIPANTS LOST DUE TO THE COMPENSATION LIMITS IMPOSED BY LAW UPON OUR QUALIFIED DEFINED BENEFIT PLAN. IN THE MANNER REQUIRED BY APPLICABLE IRS RULES, THE DESIGN OF EACH OF THESE ARRANGEMENTS WAS APPROVED AS REASONABLE, 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. FURTHERMORE, IF A PARTICIPANT VOLUNTARILY TERMINATES EMPLOYMENT OR IS TERMINATED BY THE EMPLOYER FOR CAUSE PRIOR TO THE APPLICABLE VESTING DATE UNDER THE MAKE WHOLE PLAN, THE PARTICIPANT'S ENTIRE MAKE WHOLE PLAN BENEFIT IS FORFEITED. IF A PARTICIPANT TERMINATES EMPLOYMENT FOR ANY REASON PRIOR TO THE APPLICABLE VESTING DATE UNDER THE SERP I, THE PARTICIPANT'S ENTIRE SERP I BENEFIT IS FORFEITED. IN ADDITION, UNDER CURRENT LAW, INTERESTS UNDER THESE ARRANGEMENTS ARE REPORTABLE AS TAXABLE COMPENSATION WHEN THEY BECOME VESTED, EVEN IF THOSE AMOUNTS ARE NOT YET PAYABLE TO THE PARTICIPANT (AND EVEN IF THOSE AMOUNTS ARE NEVER PAID TO THE PARTICIPANT). NO ROLLOVER OR OTHER TAX-DEFERRAL OPTIONS ARE AVAILABLE TO PARTICIPANTS. NOTE THAT ANY MAKE WHOLE PLAN OR SERP I VESTED AMOUNT OR PAYMENT BEING REPORTED AS COMPENSATION MAY ALSO HAVE BEEN REPORTED IN PREVIOUS YEAR(S) WHEN THAT INTEREST ACCRUED UNDER THE PLAN. THE JOHNS HOPKINS HEALTH SYSTEM CORPORATION'S SERP II AND SRP PLANS ARE ACTIVE; NON-TAX QUALIFIED DEFINED CONTRIBUTION TARGET BENEFIT PLANS. THE PLANS ARE DESIGNED TO ACHIEVE A REASONABLE TARGETED RETIREMENT BENEFIT LEVEL FOR EACH PARTICIPANT (IN COMBINATION WITH THE OTHER RETIREMENT PROGRAMS OF THE EMPLOYER) BASED UPON CERTAIN CRITERIA, SUCH AS EACH PARTICIPANT'S LENGTH OF SERVICE AND COMPENSATION. IN THE MANNER REQUIRED BY APPLICABLE IRS RULES, THE DESIGN OF EACH OF THESE ARRANGEMENTS WAS APPROVED AS REASONABLE, 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. IF A PARTICIPANT VOLUNTARILY TERMINATES EMPLOYMENT OR IS TERMINATED BY THE EMPLOYER FOR CAUSE PRIOR TO THE APPLICABLE VESTING DATE UNDER EACH ARRANGEMENT, THE PARTICIPANT'S ACCOUNT IS FORFEITED. IN ADDITION, UNDER CURRENT LAW, INTERESTS UNDER THESE ARRANGEMENTS ARE REPORTABLE AS TAXABLE COMPENSATION WHEN THEY BECOME VESTED, EVEN IF THOSE AMOUNTS ARE NOT YET PAYABLE TO THE PARTICIPANT (AND EVEN IF THOSE AMOUNTS ARE NEVER PAID TO THE PARTICIPANT). NO ROLLOVER OR OTHER TAX-DEFERRAL OPTIONS ARE AVAILABLE TO PARTICIPANTS. NOTE THAT ANY SERP II OR SRP PLAN VESTED AMOUNT OR PAYMENT BEING REPORTED AS COMPENSATION MAY ALSO HAVE BEEN REPORTED IN PREVIOUS YEAR(S) WHEN THAT INTEREST ACCRUED UNDER THE PLAN. THE FOLLOWING INDIVIDUALS LISTED ON FORM 990, PART VII, SECTION A, LINE 1A PARTICIPATED IN A NONQUALIFIED RETIREMENT PLAN WITH THE RELATED ORGANIZATION JOHNS HOPKINS HEALTH SYSTEM CORPORATION AND RECEIVED ACCRUED DEFERRED COMPENSATION THAT IS REPORTED ON SCHEDULE J, PART II, COLUMN (C): JUNE FALB $10,260; PETER MANCINO $1,500 AND LEIGHANN SIDEONE $11,242. THE FOLLOWING INDIVIDUALS LISTED ON FORM 990, PART VII, SECTION A, LINE 1A PARTICIPATED IN A NON QUALIFIED RETIREMENT PLAN AND RECEIVED PAYMENT FROM THE PLAN, IT IS REPORTED ON SCHEDULE J, PART II, COLUMN (B)(III) AS WELL AS SCHEDULE J, PART II, COLUMN (F) IF THEY WERE REQUIRED TO BE DISCLOSED ON PRIOR YEAR'S FORMS 990: PATRICIA M.C. BROWN $103,596; MARTY BASSO $99,140; BRIAN GRAGNOLATI $220,837.24; RON PETERSON $34,000 AND PETER MANCINO $9,747. PART I, LINE 7 BONUSES: THE BONUSES ARE ISSUED ON A WEIGHTED FORMULA BASED ON THE ATTAINMENT OF QUANTIFIABLE ORGANIZATION OBJECTIVES SET BY THE TRUSTEE COMPENSATION COMMITTEE EACH YEAR. THEY ARE REVIEWED BY MANAGEMENT THAT USES DISCRETION TO DETERMINE PAYMENT. FORM 990, PART VI, SECTION A, LINE 6 JOHNS HOPKINS HEALTH SYSTEM, INC., A 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 DEFINED BENEFIT PLAN 733,000. CHANGE IN MARKET VALUE ON SWAP 569,437. NET ASSETS RELEASED FOR RESTRICTION 1,404,139. CHANGE IN PENSION 328,000. UNREALIZED LOSS ON ALTERNATIVE INVESTMENTS 9,357,931. PREMIER ALLOCATION 4,376. 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