2018-05-14T16:00:07-05:00 2017-06-30 990 2016-07-01 520610545 SUBURBAN HOSPITAL INC SUBU 3018963900 8600 OLD GEORGETOWN ROAD BETHESDA MD 208141497 MARTIN BASSO SR SR VP FINANCE & TREASURER 3018963900 2018-05-14 2016 2022-09-23 18:48:47Z MARTIN BASSO SR 8600 OLD GEORGETOWN ROAD BETHESDA MD 208141497 293135744 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. 21 18 2174 444 1434273 -564106 7458155 5607892 263034524 267817415 1923128 4203287 12990377 15412396 285406184 293040990 91447 95051 0 0 119059702 125729903 0 0 0 149373240 154384341 268524389 280209295 16881795 12831695 427202548 552767271 118125802 203369929 309076746 349397342 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 81324758 116380573 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 2017, SUBURBAN HOSPITAL ADMITTED 4,447 SURGICAL INPATIENTS. 12,768 OPERATING ROOM CASES WERE PERFORMED. 36100745 59518965 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 2017, SUBURBAN HOSPITAL ADMITTED APPROXIMATELY 8,000 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. 26901421 37918976 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 2017 THERE WERE 1,442 ADMISSIONS AND 245 OPEN HEART SURGERY CASES. 106137829 95051 67962493 106137829 95051 67962493 250464753 1 1 0 1 0 0 0 0 0 0 1 1 0 1 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 1 299 0 1 2174 1 1 1 0 0 0 0 0 0 0 X 21 18 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 2263048 502388 PATRICIA MC BROWN ESQ TRUSTEE 2.50 57.50 X 0 806709 121194 SUE BAILEY MD TRUSTEE 2.50 X 0 0 0 WILLIAM A BAUMGARTNER MD 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 BELLE BROOKS O'BRIEN TRUSTEE 2.50 X 0 0 0 CURTIS POLK 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 684987 57677 MARTIN BASSO SR VP FINANCE & TREASURER 30.00 30.00 X 0 552136 59188 JUNE M FALB VP DEVELOPMENT 20.00 40.00 X 0 204785 31361 JOSEPH LINSTROM VP OPERATIONS 59.00 1.00 X 0 276683 48891 PETER B MANCINO ESQ SECRETARY 1.00 59.00 X 0 409104 41912 LEIGHANN SIDONE RN VP NURSING & CNO 59.00 1.00 X 0 205547 38300 PETER PUSHKAS MD INTERIM VP MEDICAL AFFAIRS 60.00 X 230968 0 4619 MUHAMMAD MOHIUDDIN CHIEF TECHNICIAN 50.00 X 206834 0 22679 BRADLEY FEILD CHIEF PERFUSIONIST 50.00 X 192761 0 3297 DAVID HERNANDEZ PHYSICIAN ASST. 50.00 X 181322 0 4675 JASON COLE SR DIRECTOR 50.00 X 203830 0 20146 STEVEN COHEN PHYSICIAN ASST. 50.00 X 250802 0 22605 ROBERT ROTHSTEIN MD FORMER OFFICER 1.00 X 0 674002 17489 1266517 6077001 996421 173 1 1 0 WHITING TURNER CONTRACTING CO PO BOX 17596 BALTIMORE MD 21297 GENERAL CONTRACTOR 18201601 SODEXO INC PO BOX 536922 ATLANTA GA 30353 MANAGEMENT SERVICES 2547075 WILMOT SANZ INC 18310 MONTGOMERY VILLAGE AVE STE 30 GAITHERSBURG MD 20879 ARCHITETURIAL SERVICES 2322545 EMJAY ENGINEERING AND CONSTRUCTION 1706 WHITEHEAD ROAD BALTIMORE MD 21207 GENERAL CONTRACTOR 1477574 ARAMARK CORPORATION 12483 COLLECTIONS CENTER DRIVE CHICAGO IL 60693 FOOD SERVICES 1403667 78 1138619 4454627 14646 5607892 NET PATIENT REVENUE 621990 266383142 266383142 LAB 541380 1434273 1434273 267817415 4217818 4217818 80223 44208 50546 36015 -50546 -14531 -14531 OTHER REVENUE 900099 13343583 13343583 PARKING 900099 963508 963508 CAFETERIA INCOME 900099 698168 698168 407137 407137 15412396 293040990 281781007 1434273 4217818 95051 95051 235587 205196 30391 103988959 90779579 13209380 2508000 2184468 323532 11246359 9795579 1450780 7750998 6751119 999879 335063 291840 43223 28566 24881 3685 54352 54352 117803240 108909510 8893730 4544502 3958261 586241 172737 150454 22283 253828 221084 32744 2968219 2585319 382900 12041744 10488359 1553385 1290390 1123930 166460 CONTRACTED SERVICES 8382350 7765601 616749 PROFESSIONAL FEES 4412866 3662603 750263 OTHER 1417896 793331 624565 INT EXP DERIVATIVES 678588 678588 280209295 250464753 29744542 0 8701 8283 18293865 11397678 28331472 30008106 10235735 10296699 963687 2818966 284890984 147390394 109616531 137500590 248534993 311152657 11217564 49584292 427202548 552767271 45337609 40866276 72788193 162503653 118125802 203369929 X 309076746 349397342 309076746 349397342 427202548 552767271 X 12831695 27488901 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 54352 0 0 54352 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 109926922 67354843 42572079 2213064 711527 1501537 99286721 70083124 29203597 73119183 9240900 63878283 137500590 LONG TERM INV 311152657 C 311152657 FUNDS HELD BY BOND TRUSTEES -2972 EXEC RETIREMENT PLAN ASSTS 1478568 ANNUITIES HELD FOR DEF COMP 968572 DEPOSITS 449598 OTHER RECEIVABLE 2184222 DUE FROM OTHER ENTITIES 1871576 DUE FROM AFFILIATES 4901093 MED STAFF RES 540253 ASSETS LIMITED USED BY BOARD OF TRUSTEES 36905332 INVESTMENT ROCKVILLE 288050 49584292 ADVANCES FROM THIRD PARTIES 7657810 HEDGE FAIR VALUE ADJUST 999830 CAPITAL ACCUMULATION ACCOUNT 1457747 INTEREST PAYABLE 55116 ACCRUED RENT 165608 ACCRUED PENSION LONG TERM 4487000 457B FOR DIRECTORS 20821 DUE TO AFFILIATES 143799245 WORKERS COMPENSATION INSURANCE LIABILITY 977371 MALPRACTICE INSURANCE 949294 L/T MAL LIAB 1933811 162503653 X 293055520 0 293055520 -14531 -14531 293040989 279581253 50546 50546 279530707 678588 678588 280209295 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, 2017 AND 2016. PART XI, LINE 4B - OTHER ADJUSTMENTS: REALIZED GAIN ON INVESTMENTS 36,015. LOSS ON FIXED ASSET DISPOSAL -50,546. PART XII, LINE 2D - OTHER ADJUSTMENTS: LOSS ON FIXED ASSET DISPOSAL 50,546. PART XII, LINE 4B - OTHER ADJUSTMENTS: INT EXP DERIVATIVES 678,588. 1 1 X 1 X 1 X 500.000000000000 1 1 0 1 1 3830935 3830935 0.01370 3830935 3830935 0.01370 14217667 1021562 13196105 0.04710 2937027 0 2937027 0.01050 0 0 3472748 3472748 340969 12622 328347 0.00120 20968411 4506932 16461479 0.05880 24799346 4506932 20292414 0.07250 0 0 7237 0 7237 0.00000 107808 12622 95186 0.00030 147930 0 147930 0.00050 0 163708 12622 151086 0.00050 4 0 4 0.00000 177567 0 177567 0.00060 604254 25244 579010 0.00190 0 6072371 0 119859592 117147547 2712045 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 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 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 11: WHILE COMMUNITY HEALTH NEEDS ASSESSMENTS CAN POINT OUT UNDERLYING CAUSES OF GOOD OR POOR HEALTH STATUS, HEALTH PROVIDERS AND HEALTH RELATED ORGANIZATIONS ARE NOT USUALLY IN A POSITION TO AFFECT ALL OF THE CHANGES REQUIRED TO ADDRESS A HEALTH ISSUE. FOR EXAMPLE, THE ABILITY TO REDUCE POVERTY, IMPROVE EDUCATIONAL ATTAINMENT, OR AFFECT EMPLOYMENT CANNOT BE ACHIEVED BY A HEALTH SYSTEM ALONE. NOR CAN THEY AFFECT BASIC DEMOGRAPHICS LIKE AGE OR GENDER DISTRIBUTION PATTERNS. THE HEALTHY MONTGOMERY STEERING COMMITTEE ESTABLISHED SIX OFFICIAL HEALTH PRIORITIES TO BE TRACKED, MEASURED AND EVALUATED BASED ON HEALTH INEQUITIES, LACK OF ACCESS, AND UNHEALTHY BEHAVIORS. ONE OF THOSE HEALTH PRIORITIES INCLUDES MATERNAL AND CHILD HEALTH. SUBURBAN HOSPITAL MAY NOT BE IN A POSITION TO AFFECT ALL OF THE CHANGES REQUIRED TO ADDRESS THIS HEALTH PRIORITY GIVEN THAT THE HOSPITAL DOES NOT HAVE AN OBSTETRICS DESIGNATION OR DELIVER BABIES. ONE REASON FOR NOT SEEKING THIS DESIGNATION IS DUE TO THE FACT THAT THERE ARE SEVERAL OTHER COMMUNITY HOSPITALS WITHIN 5-10 MILES OF OUR BETHESDA LOCATION THAT HAVE REPUTABLE OBSTETRICS PROGRAMS. WHILE SUBURBAN HOSPITAL MAY NOT BE ABLE TO DIRECTLY ADDRESS THIS HEALTH PRIORITY, THE HOSPITAL DOES INDIRECTLY SUPPORT MATERNAL AND CHILD HEALTH INITIATIVES THROUGH FUNDING AND PROGRAMMING OF SEVERAL OTHER ORGANIZATIONS WHICH PROMOTE THE HEALTH AND WELL-BEING OF CHILDREN AND THEIR FAMILIES.FURTHERMORE, THE SHAW FAMILY PEDIATRIC EMERGENCY CENTER AT SHI PROVIDES CHILDREN OF ALL AGES WITH QUALITY CARE IN A KID-FRIENDLY, FAMILY-CENTERED ENVIRONMENT ENSURING AROUND-THE-CLOCK PEDIATRIC EXPERTISE AND PROMOTES CONTINUITY OF CARE. PART V, SECTION B, LINE 22 MARYLAND IS THE ONLY STATE IN WHICH ALL PAYORS (GOVERNMENTALLY-INSURED, COMMERCIALLY INSURED, OR SELF-PAY) ARE CHARGED THE SAME PRICE FOR SERVICES AT ANY GIVEN HOSPITAL. UNDER THIS SYSTEM, MARYLAND HOSPITALS ARE REGULATED BY A STATE AGENCY: THE HEALTH SERVICES COST REVIEW COMMISSION (HSCRC). 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. 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 14. 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 2016 CHNA PROCESS INCLUDED A THREE-TIERED APPROACH: (1) REVIEWING AVAILABLE LOCAL, STATE, AND NATIONAL DATASETS FOR CORE HEALTH INDICATORS FOR MONTGOMERY COUNTY; (2) ENGAGING HEALTH EXPERTS AND KEY STAKEHOLDERS TO ADVISE ON THE DIRECTION OF THE NEEDS ASSESSMENT; AND (3) CONDUCTING A COMMUNITY HEALTH SURVEY TO ASSESS THE NEEDS AND INSIGHTS OF RESIDENTS IN HIGH PRIORITY ZIP CODES FROM SHI'S CBSA. RESULTS FROM PRIMARY AND SECONDARY DATA, SHI'S MEDICAL AREA OF EXPERTISE, COUNTY, STATE, AND NATIONAL HEALTH PRIORITIES WERE TAKEN INTO CONSIDERATION TO IDENTIFY THE TOP FIVE HEALTH NEEDS FOR SHI'S COMMUNITY. SHI WILL CONTINUE TO BUILD UPON EXISTING PROGRAMS ADDRESSING THE FIVE HEALTH AREAS AND WILL WORK DILIGENTLY WITH PARTNERS TO ENSURE THAT THE VALUABLE INFORMATION ATTAINED FROM THE CHNA PROCESS IS AN INTEGRAL TOOL FOR MONITORING AND EVALUATION OF ESTABLISHED HEALTH TARGETS AND GOALS. 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 651,984 OF WHICH 48.05% WERE MALES AND 51.95% WERE FEMALES, AVERAGE HOUSEHOLD INCOME WAS $142,940, 2.58% OF RESIDENTS ARE UNINSURED, 13.6% OF RESIDENTS ARE COVERED BY MEDICAID/MEDICARE, 4.6% OF HOUSEHOLDS WITH INCOMES BELOW THE FEDERAL POVERTY GUIDELINES.NUMBER OF OTHER HOSPITALS SERVING THE COMMUNITY OR COMMUNITIES: 3FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREAS OR POPULATIONS ARE PRESENT IN THE COMMUNITY . PART VI, LINE 5: FOR THE LAST 30 YEARS, MARYLAND HOSPITALS HAVE MET THEIR COMMUNITY BENEFIT OBLIGATIONS IN A UNIQUE MANNER THAT BUILDS THE COSTS OF UNCOMPENSATED CARE CHARITY CARE AND PATIENT BAD DEBT AND 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 PAYORS GOVERNMENTALLY INSURED, COMMERCIALLY INSURED, OR SELF PAY ARE CHARGED THE SAME PRICE FOR SERVICES AT ANY GIVEN HOSPITAL.UNDER THIS SYSTEM, MARYLAND HOSPITALS ARE REGULATED BY A STATE AGENCY THE HEALTH SERVICES COST REVIEW COMMISSION (HSCRC) THAT IS REQUIRED TO:1) PUBLICLY DISCLOSE INFORMATION ON THE COST AND FINANCIAL POSITION OF HOSPITALS;2) REVIEW AND APPROVE HOSPITAL RATES;3) COLLECT INFORMATION DETAILING TRANSACTIONS BETWEEN HOSPITALS AND FIRMS WITH WHICH THEIR TRUSTEES HAVE A FINANCIAL INTEREST; AND,4) 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 HTTP://WWW.HSCRC.STATE.MD.US/COMMUNITY_BENEFITS/DOCUMENTS/ CBR_FY2007_FINAL_REPORT.PDF. BECAUSE OF THIS UNIQUE STRUCTURE MARYLAND HOSPITALS COMMUNITY BENEFITS NUMBERS WILL NOT COMPARE WITH THE REST OF THE NATIONS 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.LINE 7B - MARYLAND 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 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 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 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 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 INSTITUTE FOR PUBLIC HEALTH INNOVATION 1301 CONNECTICUT AVENUE NW WASHINGTON DC 20036 830398572 501(C)(3) 25000 LOCAL COMMUNITY ASSISTANCE 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) 18500 LOCAL COMMUNITY ASSISTANCE THE GREATER BETHESDA CHEVY CHASE CHAMBER OF COMMERCE 7910 WOODMONTH AVENUE SUITE 1204 BETHESDA MD 20814 520545799 501(C)(6) 6000 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 4 2 X X X X X 0 1 0 0 0 0 0 1 0 RONALD R PETERSON CORPORATE VICE CHAIRMAN 0 1409062 0 705810 0 148176 0 477286 0 25102 0 2765436 0 0 PATRICIA MC BROWN ESQ TRUSTEE 0 487438 0 156227 0 163044 0 97618 0 23576 0 927903 0 143218 JACKY SCHULTZ PRESIDENT, TRUSTEE 0 408615 0 127234 0 149138 0 47445 0 10232 0 742664 0 0 MARTIN BASSO SR VP FINANCE & TREASURER 0 384450 0 89070 0 78616 0 36896 0 22292 0 611324 0 0 JUNE M FALB VP DEVELOPMENT 0 166296 0 33924 0 4565 0 29864 0 1497 0 236146 0 0 JOSEPH LINSTROM VP OPERATIONS 0 217580 0 54216 0 4887 0 30747 0 18144 0 325574 0 0 PETER B MANCINO ESQ SECRETARY 0 265642 0 51625 0 91837 0 19521 0 22391 0 451016 0 38992 LEIGHANN SIDONE RN VP NURSING & CNO 0 180629 0 20333 0 4585 0 18009 0 20291 0 243847 0 0 PETER PUSHKAS MD INTERIM VP MEDICAL AFFAIRS 230580 0 0 0 388 0 4619 0 0 0 235587 0 0 0 MUHAMMAD MOHIUDDIN CHIEF TECHNICIAN 206185 0 0 0 649 0 0 0 22679 0 229513 0 0 0 BRADLEY FEILD CHIEF PERFUSIONIST 169428 0 0 0 23333 0 0 0 3297 0 196058 0 0 0 DAVID HERNANDEZ PHYSICIAN ASST. 178926 0 2144 0 252 0 0 0 4675 0 185997 0 0 0 JASON COLE SR DIRECTOR 180939 0 22727 0 164 0 0 0 20146 0 223976 0 0 0 STEVEN COHEN PHYSICIAN ASST. 247316 0 2680 0 806 0 0 0 22605 0 273407 0 0 0 ROBERT ROTHSTEIN MD FORMER OFFICER 0 121318 0 90333 0 462351 0 10006 0 7483 0 691491 0 265911 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 WAS ALSO 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 WAS ALSO 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): RONALD PETERSON $473,624; PATRICIA BROWN $66,704; JUNE FALB $9,862 AND LEIGHANN SIDEONE $6,667 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 $143,218; MARTY BASSO $58,244; JACKY SCHULTZ $122,589; ROBERT ROTHSTEIN $385,120 AND PETER MANCINO $43,971. 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 PART OF THE ANNUAL FINANCIAL AUDIT CONFIRMATION PROCESS PROVIDED ONLINE. ALL OFFICERS, DIRECTORS, TRUSTEES, AND KEY EMPLOYEES ARE REQUIRED TO COMPLY 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 2,652,000. CHANGE IN MARKET VALUE ON SWAP 919,205. NET ASSETS RELEASED FOR RESTRICTION 623,357. INVESTMENT CONTRIBUTION FROM SUBURBAN HOSPITAL FOUNDATION 1,300,000. CHANGE IN PENSION -383,000. UNREALIZED LOSS ON ALTERNATIVE INVESTMENTS 22,318,849. PREMIER ALLOCATION 58,491. ROUNDING -1. 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