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SUBURBAN HOSPITAL INCORPORATED: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
SUBURBAN HOSPITAL INCORPORATED (EIN 52-0610545)
Tax period
2015-07-01 to 2016-06-30
Filed
2017-05-15
IRS object ID
201741359349304139
Schema version
2015v3.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2017-05-15T13:31:49-05:00ReturnTs
Tax Period End2016-06-30TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2015-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN520610545EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SUBURBAN HOSPITAL INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSUBUBusinessNameControlTxt
Phone3018963900PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line18600 OLD GEORGETOWN ROADAddressLine1Txt
CityBETHESDACityNm
State AbbreviationMDStateAbbreviationCd
ZIP208141497ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMARTIN BASSO SRPersonNm
Person TitleVICE PRESIDENT FINANCEPersonTitleTxt
Phone3018963900PhoneNum
Signature2017-05-15SignatureDt
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMARTIN BASSO SRPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line18600 OLD GEORGETOWN ROADAddressLine1Txt
CityBETHESDACityNm
State AbbreviationMDStateAbbreviationCd
ZIP208141497ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$401,298,169GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.SUBURBANHOSPITAL.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1942FormationYr
Legal Domicile StateMDLegalDomicileStateCd
Activity Or MissionSUBURBAN 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.ActivityOrMissionDesc
Voting Members Governing Body22VotingMembersGoverningBodyCnt
Voting Members Independent19VotingMembersIndependentCnt
Total Employee2126TotalEmployeeCnt
Total Volunteers475TotalVolunteersCnt
Total Gross UBI$918,721TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$885,767NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$7,515,285PYContributionsGrantsAmt
CY Contributions Grants$7,458,155CYContributionsGrantsAmt
PY Program Service Revenue$250,848,860PYProgramServiceRevenueAmt
CY Program Service Revenue$263,034,524CYProgramServiceRevenueAmt
PY Investment Income$3,284,176PYInvestmentIncomeAmt
CY Investment Income$1,923,128CYInvestmentIncomeAmt
PY Other Revenue$12,454,905PYOtherRevenueAmt
CY Other Revenue$12,990,377CYOtherRevenueAmt
PY Total Revenue$274,103,226PYTotalRevenueAmt
CY Total Revenue$285,406,184CYTotalRevenueAmt
PY Grants And Similar Paid$47,569PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$91,447CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$115,689,729PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$119,059,702CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$144,577,132PYOtherExpensesAmt
CY Other Expenses$149,373,240CYOtherExpensesAmt
PY Total Expenses$260,314,430PYTotalExpensesAmt
CY Total Expenses$268,524,389CYTotalExpensesAmt
PY Revenues Less Expenses$13,788,796PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$16,881,795CYRevenuesLessExpensesAmt
Total Assets BOY$309,412,407TotalAssetsBOYAmt
Total Assets EOY$427,202,548TotalAssetsEOYAmt
Total Liabilities BOY$112,898,431TotalLiabilitiesBOYAmt
Total Liabilities EOY$118,125,802TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$196,513,976NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$309,076,746NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionSUBURBAN HOSPITAL WILL DELIVER SUPERIOR HEALTHCARE ENHANCED BY TECHNOLOGY, WELLNESS EDUCATION, RESEARCH, ADN INNOVATIVE PARTNERSHIPS WITH PHYSICIANS, HOSPITALS, THE COMMUNITY, AND THE NATIONAL INSTITUTES OF HEALTH. MISSION: IMPROVING HEALTH WITH SKILL AND COMPASSION.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$83,441,110ExpenseAmt
Revenue$119,988,854RevenueAmt
DescSURGICAL 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 2016, SUBURBAN HOSPITAL ADMITTED 4,700 SURGICAL INPATIENTS. 10,921 OPERATING ROOM CASES WERE PERFORMED.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$41,152,437ExpenseAmt
Revenue$68,177,000RevenueAmt
DescMEDICAL 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 2014, SUBURBAN HOSPITAL ADMITTED APPROXIMATELY 9,000 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.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$28,246,894ExpenseAmt
Revenue$40,008,770RevenueAmt
DescCARDIOVASCULAR 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 2016 THERE WERE 1,800 ADMISSIONS AND 227 OPEN HEART SURGERY CASES.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$82,484,175ExpenseAmt
Grant$91,447GrantAmt
Revenue$47,207,689RevenueAmt
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$82,484,175TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$91,447TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$47,207,689TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$235,324,616TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document310IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee2126EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members22GoverningBodyVotingMembersCnt
Independent Voting Member19IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldMDStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MARTIN BASSO SR VP FIN TREASBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3018962333PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line18600 OLD GEORGETOWN RDAddressLine1Txt
CityBETHESDACityNm
State AbbreviationMDStateAbbreviationCd
ZIP208141497ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (35 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
SUE BAILEY MD
TRUSTEE2.50Yes (X)$0$0$0
DIANE L COLGAN MD
TRUSTEE2.50Yes (X)$0$0$04.00
MARY D KANE
TRUSTEE2.50Yes (X)$0$0$0
BELLE BROOKS O'BRIEN
TRUSTEE2.50Yes (X)$0$0$0
JOHN C OTSUKI
TRUSTEE2.50Yes (X)$0$0$0
SUDEEP ANAND PHD
TRUSTEE2.50Yes (X)$0$0$0
LARA EISENBERG MD
TRUSTEE4.00Yes (X)$0$0$02.50
LILY QI
TRUSTEE2.50Yes (X)$0$0$0
ALAN SHEFF
TRUSTEE2.50Yes (X)$0$0$0
DAVID C SILVER
TRUSTEE, CHAIRMAN2.50Yes (X)$0$0$04.00Yes (X)
WILLIAM SHAW
TRUSTEE2.50Yes (X)$0$0$0
CHARLES ALLEN WIEBE
TRUSTEE2.50Yes (X)$0$0$0
WILLIAM A BAUMGARTNER MD
TRUSTEE2.50Yes (X)$0$0$0
PATRICIA MC BROWN ESQUIRE
TRUSTEE2.50Yes (X)$0$816,895$204,47857.50
HOWARD GLECKMAN
TRUSTEE, VICE CHAIRMAN2.50Yes (X)$0$0$0
THE HON ANN S HARRINGTON
TRUSTEE2.50Yes (X)$0$0$0
NORMAN K JENKINS
TRUSTEE2.50Yes (X)$0$0$0
RONALD R PETERSON
CORPORATE VICE CHAIRMAN &2.50Yes (X)$0$2,184,356$803,73757.50Yes (X)
GENE E GREEN MD
TRUSTEE, PRESIDENT30.00Yes (X)$0$608,232$64,04730.00Yes (X)
ALBERT K LEE MD
TRUSTEE2.50Yes (X)$0$0$0
CURTIS POLK
TRUSTEE2.50Yes (X)$0$0$0
HARRY TOTONIS
TRUSTEE2.50Yes (X)$0$0$0
MARTIN BASSO
SR VP FINANCE AND TREASURE55.00$0$593,902$60,9775.00Yes (X)
PETER B MANCINO ESQUIRE
CORPORATE SECRETARY2.50$0$313,644$61,20347.50Yes (X)
JACQUELINE SCHULTZ RN
EXECUTIVE V.P. & COO/INTERIM PRES59.00$0$537,794$55,0541.00Yes (X)
ROBERT ROTHSTEIN
VP MEDICAL AFFAIRS60.00$0$465,059$69,209Yes (X)
PETER PUSHKAS MD
INTERIM VICE PRESIDENT MEDICAL AFFIARS60.00$79,425$0$0Yes (X)
STEVEN COHEN
PHYSICIAN ASST.50.00$222,814$0$36,078Yes (X)
BARBARA STEWARD JACOBS
SR DIRECTOR50.00$186,861$0$8,376Yes (X)
MUHAMMAD MOHIUDDIN
CHIEF TECHNICIAN50.00$210,985$0$35,071Yes (X)
WAYNE STOCKBRIDGE
HUMAN RESOURCE ADMINISTRATOR50.00$206,511$0$23,641Yes (X)
JASON COLE
SR DIRECTOR50.00$205,945$0$32,858Yes (X)
BRIAN A GRAGNOLATI
FORMER TRUSTEE2.50$0$589,823$25,563Yes (X)
NANCY MILLER
FORMER OFFICER50.00$146,909$0$8,696Yes (X)
DENNIS PARNELL
FORMER SR VP HUMAN RESOURCES0.00$0$177,932$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,259,450TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$6,287,637TotReportableCompRltdOrgAmt
Total Other Compensation$1,488,988TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K172IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
WHITING TURNER CONTRACTING CO
PO BOX 17596BALTIMOREMD21297GENERAL CONTRACTOR$4,643,424
SODEXO INC
PO BOX 536922ATLANTAGA30353MANAGEMENT SERVICES$2,989,827
CROTHALL LAUNDRY SERVICES INC
13028 COLLECTIONS CENTER DRCHICAGOIL60693HOUSEKEEPING MANAGEMENT$1,375,398
WILMOT SANZ INC
18310 MONTGOMERY VILLAGE AVE STE 30GAITHERSBURGMD20879ARCHITETURIAL SERVICES$1,358,258
ARAMARK CORPORATION
12483 COLLECTIONS CENTER DRIVECHICAGOIL60693FOOD SERVICES$1,284,939
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K83CntrctRcvdGreaterThan100KCnt
Related Organizations$1,094,000RelatedOrganizationsAmt
Government Grants$6,170,073GovernmentGrantsAmt
All Other Contributions$194,082AllOtherContributionsAmt
Total Contributions$7,458,155TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT REVENUE621990$262,115,803$262,115,803
LAB541380$918,721$918,721
FieldValueIRS element (for citing)
Total Program Service Revenue$263,034,524TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,646,995TotalRevenueColumnAmt
Exclusion$1,646,995ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$116,168,118SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$115,879,000SecuritiesAmt
Other$12,985OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$289,118SecuritiesAmt
Other-$12,985OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$276,133TotalRevenueColumnAmt
Related Or Exempt Func Income$276,133RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
OTHER REVENUE900099$11,212,005$11,212,005
PARKING900099$726,355$726,355
CAFETERIA INCOME900099$668,295$668,295

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$383,722TotalRevenueColumnAmt
Related Or Exempt Func Income$383,722RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$12,990,377OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$285,406,184TotalRevenueColumnAmt
Related Or Exempt Func Income$275,382,313RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$918,721UnrelatedBusinessRevenueAmt
Exclusion$1,646,995ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$91,447TotalAmt
Program Services$91,447ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$79,425TotalAmt
Program Services$67,829ProgramServicesAmt
Management And General$11,596ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$99,633,917TotalAmt
Program Services$85,685,645ProgramServicesAmt
Management And General$13,948,272ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$2,181,100TotalAmt
Program Services$1,875,746ProgramServicesAmt
Management And General$305,354ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$9,873,747TotalAmt
Program Services$8,491,422ProgramServicesAmt
Management And General$1,382,325ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$7,291,513TotalAmt
Program Services$6,270,701ProgramServicesAmt
Management And General$1,020,812ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$118,367TotalAmt
Program Services$101,796ProgramServicesAmt
Management And General$16,571ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$25,456TotalAmt
Program Services$21,892ProgramServicesAmt
Management And General$3,564ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$48,864TotalAmt
Management And General$48,864ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$97,669,314TotalAmt
Program Services$88,738,529ProgramServicesAmt
Management And General$8,930,785ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$3,894,773TotalAmt
Program Services$3,349,505ProgramServicesAmt
Management And General$545,268ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$193,877TotalAmt
Program Services$166,734ProgramServicesAmt
Management And General$27,143ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$86,974TotalAmt
Program Services$74,798ProgramServicesAmt
Management And General$12,176ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$588,699TotalAmt
Program Services$506,281ProgramServicesAmt
Management And General$82,418ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$15,710,697TotalAmt
Program Services$13,511,199ProgramServicesAmt
Management And General$2,199,498ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$867,494TotalAmt
Program Services$816,657ProgramServicesAmt
Management And General$50,837ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
CONTRACTED SERVICES$21,744,029$19,155,530$2,588,499
PROFESSIONAL FEES$6,168,702$4,786,321$1,382,381
OTHER$1,333,466$690,056$643,410
INT EXP DERIVATIVES$922,528$922,528

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$268,524,389TotalAmt
Program Services$235,324,616ProgramServicesAmt
Management And General$33,199,773ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$8,701BOYAmt
EOY$8,701EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$17,657,272BOYAmt
EOY$18,293,865EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$34,588,611BOYAmt
EOY$28,331,472EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$9,755,307BOYAmt
EOY$10,235,735EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,364,089BOYAmt
EOY$963,687EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$262,017,097LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$152,400,566LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$101,436,933BOYAmt
EOY$109,616,531EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$132,545,597BOYAmt
EOY$248,534,993EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$12,055,897BOYAmt
EOY$11,217,564EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$309,412,407BOYAmt
EOY$427,202,548EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$40,113,778BOYAmt
EOY$45,337,609EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,355,469BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$69,429,184BOYAmt
EOY$72,788,193EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$112,898,431BOYAmt
EOY$118,125,802EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$196,513,976BOYAmt
EOY$309,076,746EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$196,513,976BOYAmt
EOY$309,076,746EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$309,412,407BOYAmt
EOY$427,202,548EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$16,881,795ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$95,680,975OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (1)DirectContactLegislatorsInd
Direct Contact Legislators$48,864DirectContactLegislatorsAmt
Rallies Demonstrations0RalliesDemonstrationsInd
Other Activities0OtherActivitiesInd
Total Lobbying Expenditures$48,864TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationTHE 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.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$345,094OtherCostOrOtherBasisAmt
Book Value$345,094BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$110,512,770OtherCostOrOtherBasisAmt
Depreciation$64,253,678DepreciationAmt
Book Value$46,259,092BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,213,064OtherCostOrOtherBasisAmt
Depreciation$609,024DepreciationAmt
Book Value$1,604,040BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$92,219,800OtherCostOrOtherBasisAmt
Depreciation$66,360,999DepreciationAmt
Book Value$25,858,801BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$56,726,369OtherCostOrOtherBasisAmt
Depreciation$21,176,865DepreciationAmt
Book Value$35,549,504BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$109,616,531TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

FieldValueIRS element (for citing)
DescLONG TERM INVDesc
Book Value$248,534,993BookValueAmt
Method ValuationCMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$248,534,993TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (11 entries)

DescDescAmtAmt
ADVANCES FROM THIRD PARTIES$9,828,190
HEDGE FAIR VALUE ADJUST$1,919,035
CAPITAL ACCUMULATION ACCOUNT$1,457,758
INTEREST PAYABLE$75,285
ACCRUED RENT$161,529
ACCRUED PENSION LONG TERM$5,644,000
457B FOR DIRECTORS$20,348
DUE TO AFFILIATES$49,683,769
WORKERS COMPENSATION INSURANCE LIABILITY$1,020,334
MALPRACTICE INSURANCE$1,068,619
L/T MAL LIAB$1,909,326
FieldValueIRS element (for citing)
Total Liability$72,788,193TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$285,130,050TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$285,130,050RevenueSubtotalAmt
Other Revenues Not Included$276,133OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$276,133RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$285,406,183TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$267,614,846TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$12,985OtherExpensesIncludedAmt
Expenses Not Reported$12,985ExpensesNotReportedAmt
Expenses Subtotal$267,601,861ExpensesSubtotalAmt
Other Expenses Not Included$922,528OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$922,528ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$268,524,389TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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, 2016 AND 2015.
PART XI, LINE 4B - OTHER ADJUSTMENTS:REALIZED GAIN ON INVESTMENTS 289,118. LOSS ON FIXED ASSET DISPOSAL -12,985.
PART XII, LINE 2D - OTHER ADJUSTMENTS:LOSS ON FIXED ASSET DISPOSAL 12,985.
PART XII, LINE 4B - OTHER ADJUSTMENTS:INT EXP DERIVATIVES 922,528.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Discounted Care Other500.000000000000DiscountedCareOtherPct
FieldValueIRS element (for citing)
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,910,996TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,910,996NetCommunityBenefitExpnsAmt
Total Expense0.01460TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,910,996TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$3,910,996NetCommunityBenefitExpnsAmt
Total Expense0.01460TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$12,660,678TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,091,644DirectOffsettingRevenueAmt
Net Community Benefit Expns$11,569,034NetCommunityBenefitExpnsAmt
Total Expense0.04310TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,594,064TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,594,064NetCommunityBenefitExpnsAmt
Total Expense0.01340TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,599,699TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$4,599,699DirectOffsettingRevenueAmt

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$921,022TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$921,022NetCommunityBenefitExpnsAmt
Total Expense0.00340TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$21,775,463TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$5,691,343DirectOffsettingRevenueAmt
Net Community Benefit Expns$16,084,120NetCommunityBenefitExpnsAmt
Total Expense0.05990TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$25,686,459TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$5,691,343DirectOffsettingRevenueAmt
Net Community Benefit Expns$19,995,116NetCommunityBenefitExpnsAmt
Total Expense0.07450TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,445TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$6,445NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$211,496TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$11,858DirectOffsettingRevenueAmt
Net Community Benefit Expns$199,638NetCommunityBenefitExpnsAmt
Total Expense0.00070TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$38,888TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$38,888NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$135,901TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$11,858DirectOffsettingRevenueAmt
Net Community Benefit Expns$124,043NetCommunityBenefitExpnsAmt
Total Expense0.00050TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$228,167TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$228,167NetCommunityBenefitExpnsAmt
Total Expense0.00080TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$620,897TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$23,716DirectOffsettingRevenueAmt
Net Community Benefit Expns$597,181NetCommunityBenefitExpnsAmt
Total Expense0.00210TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReportedInd
Bad Debt Expense$2,946,881BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$119,043,041ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$123,538,606CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$4,495,565MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SUBURBAN HOSPITAL INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line18600 OLD GEORGETOWN RDAddressLine1Txt
CityBETHESDACityNm
State AbbreviationMDStateAbbreviationCd
ZIP15332ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.HOPKINSMEDICINE.ORG/SUBURBAN_HOSPIWebsiteAddressTxt
State License15-028StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1SUBURBAN HOSPITAL INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Information GapsYes (X)InformationGapsInd
CHNA Conducted15CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLWWW.HOPKINSMEDICINE.ORG/SUBURBAN_HOSPITAL/COMMUNITY_HEALTH/COMMUNITY_COMMITOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt15ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLWWW.HOPKINSMEDICINE.ORG/SUBURBAN_HOSPITAL/COMMUNITY_HEALTH/COMMUNITY_COMMITStrategyWebsiteURLTxt
Strategy Attached0StrategyAttachedInd
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care500.000000000000FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLWWW.HOPKINSMEDICINE.ORG/PATIENT_CARE/PAY_BILL/ASSISTANCE_POLICIES.HTMLFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLWWW.HOPKINSMEDICINE.ORG/PATIENT_CARE/PAY_BILL/ASSISTANCE_POLICIES.HTMLFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLWWW.HOPKINSMEDICINE.ORG/PATIENT_CARE/PAY_BILL/PAYMENT_ASSISTANCE.HTMLFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
FAP Notice DisplayedYes (X)FAPNoticeDisplayedInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
FAP Notified Upon AdmissionYes (X)FAPNotifiedUponAdmissionInd
FAP Notified Before DischargeYes (X)FAPNotifiedBeforeDischargeInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Other Method UsedYes (X)OtherMethodUsedInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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.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: 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 THE MONTGOMERY COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES (MCDHHS). IN FY16, SHI DELIVERED $21,451,227.73 IN COMMUNITY BENEFIT CONTRIBUTIONS AND CONDUCTED 2,595 COMMUNITY HEALTH IMPROVEMENT PROGRAMS, SCREENINGS, CLASSES, SEMINARS AND ACTIVITIES SERVING 71,323 INDIVIDUALS; OF WHICH 43,787 ARE A HIGH-RISK POPULATION DEFINED AS BEING HOMELESS, EMPLOYMENT OR INSURANCE STATUS, FROM AN IMMIGRANT COMMUNITY, VULNERABLE CHILDREN OR THE ELDERLY. MINORITIES IN MONTGOMERY COUNTY ARE ONE OF THE FASTEST GROWING POPULATIONS REPRESENTING 52% OF SHI'S CBSA AND AS A RESULT THE HOSPITAL TARGETS PROGRAMS WITHIN THOSE GROUPS TO REDUCE HEALTH DISPARITIES. 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.
SUBURBAN HOSPITAL, INC.PART V, SECTION B, LINE 22D: 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).

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 15.
PART III, LINE 8:THE SHORTFALL IN MEDICARE ALLOWABLE COSTS IS NOT TREATED AS A COMMUNITY BENEFIT.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 644,327 OF WHICH 48.12% WERE MALES AND 51.88% WERE FEMALES, AVERAGE HOUSEHOLD INCOME WAS $138,655, 2.65% OF RESIDENTS ARE UNINSURED, 13.1% OF RESIDENTS ARE COVERED BY MEDICAID/MEDICARE, 4.5% OF HOUSEHOLDS WITH INCOMES BELOW THE FEDERAL POVERTY GUIDELINES.NUMBER OF OTHER HOSPITALS SERVING THE COMMUNITY OR COMMUNITIES: 5FEDERALLY-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 STATESMD

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
INSTITUTE FOR PUBLIC HEALTH INNOVATION
1301 CONNECTICUT AVENUE NWWASHINGTONDC20036830398572501(C)(3)$25,000LOCAL COMMUNITY ASSISTANCE
MARYLAND PATIENT SAFETY CENTER INC
6820 DEERPATH ROADELKRIDGEMD21075262188491501(C)(3)$5,000LOCAL COMMUNITY ASSISTANCE
MONTGOMERY COUNTY CHAMBER OF COMMERCE
51 MONROE STREET SUITE 1800ROCKVILLEMD20850520735621501(C)(6)$18,500LOCAL COMMUNITY ASSISTANCE
GIRLS ON THE RUN OF MONTGOMERY COUNTY
11821 PARKLAWN DRIVE SUITE 105ROCKVILLEMD20852205531978501(C)(3)$11,781LOCAL COMMUNITY ASSISTANCE
THE GREATER BETHESDA CHEVY CHASE CHAMBER OF COMMERCE
7910 WOODMONTH AVENUE SUITE 1204BETHESDAMD20814520545799501(C)(6)$6,000LOCAL COMMUNITY ASSISTANCE
WOMANS BOARD AMERICAN HEART ASSOCIATION
3810 NORTH TAZEWELL STREETARLINGTONVA22203135613787501(C)(3)$5,000LOCAL COMMUNITY ASSISTANCE
FieldValueIRS element (for citing)
Total501c3 Org4Total501c3OrgCnt
Total Other Org2TotalOtherOrgCnt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PmtsYes (X)IdemnificationGrossUpPmtsInd
Written Policy Ref T And E Expnss0WrittenPolicyRefTAndEExpnssInd
Substantiation Required0SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (15 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
PATRICIA MC BROWN ESQUIRE
TRUSTEE$0$486,153$0$170,295$0$160,447$0$179,987$0$24,491$0$1,021,373$0$138,301
RONALD R PETERSON
CORPORATE VICE CHAIRMAN &$0$1,424,788$0$612,155$0$147,413$0$778,546$0$25,191$0$2,988,093$0$0
GENE E GREEN MD
TRUSTEE, PRESIDENT$0$364,166$0$136,240$0$107,826$0$43,876$0$20,171$0$672,279$0$0
MARTIN BASSO
SR VP FINANCE AND TREASURE$0$384,973$0$85,605$0$123,324$0$38,880$0$22,097$0$654,879$0$0
PETER B MANCINO ESQUIRE
CORPORATE SECRETARY$0$261,585$0$51,145$0$914$0$39,694$0$21,509$0$374,847$0$0
JACQUELINE SCHULTZ RN
EXECUTIVE V.P. & COO/INTERIM PRES$0$341,239$0$85,562$0$110,993$0$44,970$0$10,084$0$592,848$0$61,851
ROBERT ROTHSTEIN
VP MEDICAL AFFAIRS$0$363,693$0$78,822$0$22,544$0$47,487$0$21,722$0$534,268$0$0
STEVEN COHEN
PHYSICIAN ASST.$149,038$0$2,232$0$71,544$0$11,283$0$24,795$0$258,892$0$0$0
BARBARA STEWARD JACOBS
SR DIRECTOR$108,354$0$8,112$0$70,395$0$0$0$8,376$0$195,237$0$0$0
MUHAMMAD MOHIUDDIN
CHIEF TECHNICIAN$187,053$0$0$0$23,932$0$12,250$0$22,821$0$246,056$0$0$0
WAYNE STOCKBRIDGE
HUMAN RESOURCE ADMINISTRATOR$148,910$0$57,325$0$276$0$0$0$23,641$0$230,152$0$0$0
JASON COLE
SR DIRECTOR$183,060$0$22,727$0$158$0$12,529$0$20,329$0$238,803$0$0$0
BRIAN A GRAGNOLATI
FORMER TRUSTEE$0$285,341$0$191,936$0$112,546$0$15,010$0$10,553$0$615,386$0$0
NANCY MILLER
FORMER OFFICER$141,224$0$5,000$0$685$0$8,696$0$0$0$155,605$0$0$0
DENNIS PARNELL
FORMER SR VP HUMAN RESOURCES$0$0$0$0$0$177,932$0$0$0$0$0$177,932$0$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 1ABONUSES WERE GROSSED UP FOR CERTAIN EMPLOYEES AND EXECUTIVES.
PART I, LINES 4A-BTHE FOLLOWING INDIVIDUALS RECEIVED A CHANGE-OF-CONTROL PAYMENT FROM SUBURBAN HOSPITAL, INC.: DENNIS PARNELL $155,376.72 BARBARA STEWARD JACOBS $50,000.00 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 $686,643; PATRICIA BROWN $106,134; AND PETER MANCINO $12,848 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: BRIAN GRAGNOLATI $47,678; PATRICIA M.C. BROWN $138,301.21; MARTY BASSO $93,696; JACKY SCHULTZ $61,851 AND GENE GREEN $31,693.
PART I, LINE 7EXECUTIVES, CEO AND DIRECTORS PARTICIPATE IN AN ANNUAL INCENTIVE PLAN. THE ANNUAL INCENTIVE PLAN HAS THREE POTENTIAL PAYOUT LEVELS - THRESHOLD, TARGET AND MAXIMUM. EACH YEAR SPECIFIC TARGETS ARE ESTABLISHED IN THE AREAS OF QUALITY PATIENT SATISFACTION, FINANCE, HUMAN RESOURCES AND INDIVIDUAL PERFORMANCE. THE INCENTIVE AMOUNT DEPENDS ON THE LEVEL ACCOMPLISHED DURING THE YEAR. THERE IS A 3 YEAR EXECUTIVE LONG TERM INCENTIVE PLAN ONLY AVAILABLE TO CEO AND SENIOR VICE PRESIDENTS. PAYOUT LEVELS ARE THE SAME AS THE ANNUAL PLAN EXCEPT THAT THE PAYOUTS UNDER THE PLAN ARE MADE IN TWO PARTS - 50% OF THE PAYOUT IS MADE AT THE END OF THE 3 YEAR CYCLE AND THE REMAINING 50% IS PAID OUT THE FOLLOWING YEAR.
SCHEDULE J, PART II, OFFICERSTHE CURRENT OFFICERS OF SUBURBAN HOSPITAL, INC. WERE TRANSFERRED TO THE PAYROLL OF THE RELATED ORGANIZATION JOHNS HOPKINS HEALTH SYSTEM CORPORATION. JOHNS HOPKINS HEALTH SYSTEM CORPORATION IS THE PARENT ORGANIZATION OF SUBURBAN HOSPITAL. THE SALARY AND BENEFIT EXPENSE FOR THOSE EXECUTIVES IS PAID FROM SUBURBAN HOSPITAL TO JOHNS HOPKINS HEALTH SYSTEM THROUGH A MONTHLY CHARGEBACK. THE EXPENSE IS INCLUDED ON THIS RETURN IN PURCHASED SERVICES.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 7AJOHNS 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 7BTHE 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 11A 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 12CTHE 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 15EVERY 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 19INTERNAL 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 -4,590,000. CHANGE IN MARKET VALUE ON SWAP 457,280. NET ASSETS RELEASED FOR RESTRICTION 286,953. INVESTMENT CONTRIBUTION FROM SUBURBAN HOSPITAL FOUNDATION 100,000,000. CHANGE IN UNRELATED ENTITY TRANSFER 5,348,277. UNREALIZED LOSS ON ALTERNATIVE INVESTMENT -5,269,813. LOSS ON IMPAIRMENT -663,575. PRIMIER ALLOCATION 111,855. ROUNDING -2.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1SUBURBAN PHYSICIAN ASSISTANT ASSOCIATES LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line18600 OLD GEORGETOWN ROADAddressLine1Txt
CityBETHESDACityNm
State AbbreviationMDStateAbbreviationCd
ZIP20814ZIPCd
FieldValueIRS element (for citing)
EIN010642496EIN
Primary ActivitiesMEDICAL SERVICESPrimaryActivitiesTxt
Legal Domicile StateMDLegalDomicileStateCd
Total Income$668,386TotalIncomeAmt
End Of Year Assets$117,874EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1SUBURBAN HOSPITAL INCBusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (21 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
SUBURBAN HOSPITAL FOUNDATION INC
8600 OLD GEORGETOWN ROADBETHESDAMD20814522019696SUPPORTING ORGANIZATIONMD501(C)(3)LINE 11A, ISUBURBAN HOSPITAL INCYes (1)
JOHNS HOPKINS HEALTH SYSTEM CORPORATION
3910 KESWICK RD SOUTH BLDG 4TH FL SBALTIMOREMD21211521465301SUPPORTING ORGANIZATIONMD501(C)(3)LINE 11C, III-FIJOHNS HOPKINS HEALTH SYSTEM CORPORATION0
HOWARD COUNTY GENERAL HOSPITAL INC
3910 KESWICK RD SOUTH BLDG 4TH FL SBALTIMOREMD21211522093120HOSPITALMD501(C)(3)LINE 3JOHNS HOPKINS HEALTH SYSTEM CORPORATION0
HOWARD COUNTY LIQUIDATION CORPORATION
3910 KESWICK RD SOUTH BLDG 4TH FL SBALTIMOREMD21211520892284INACTIVE TAX-EXEMPT ORGANIZATIONMD501(C)(3)LINE 3JOHNS HOPKINS HEALTH SYSTEM CORPORATION0
JOHNS HOPKINS BAYVIEW MEDICAL CENTER INC
3910 KESWICK RD SOUTH BLDG 4TH FL SBALTIMOREMD21211521341890HOSPITALMD501(C)(3)LINE 3JOHNS HOPKINS HEALTH SYSTEM CORPORATION0
JOHNS HOPKINS COMMUNITY PHYSICIANS INC
3910 KESWICK RD SOUTH BLDG 4TH FL SBALTIMOREMD21211521467441HEALTHCARE SERVICESMD501(C)(3)LINE 11C, III-FIJOHNS HOPKINS HEALTH SYSTEM CORPORATION0
JOHNS HOPKINS MEDICAL SERVICES CORPORATION
3910 KESWICK RD SOUTH BLDG 4TH FL SBALTIMOREMD21211521232569HEALTHCARE SERVICESMD501(C)(3)LINE 3JOHNS HOPKINS HEALTH SYSTEM CORPORATION0
THE JOHNS HOPKINS HOSPITAL
3910 KESWICK RD SOUTH BLDG 4TH FL SBALTIMOREMD21211520591656HOSPITALMD501(C)(3)LINE 3JOHNS HOPKINS HEALTH SYSTEM CORPORATION0
SUBURBAN HOSPITAL HEALTHCARE SYSTEM INC
8600 OLD GEORGETOWN ROADBETHESDAMD20814522052354HEALTHCARE SERVICESMD501(C)(3)LINE 11C, III-FIJOHNS HOPKINS HEALTH SYSTEM CORPORATION0
HEALTHCARE INITIATIVE FOUNDATION
7910 WOODMONT AVENUEBETHESDAMD20814237324576SUPPORTING ORGANIZATIONMD501(C)(3)LINE 11D, III-OHEALTHCARE INITIATIVE FOUNDATION0
LUCY WEBB HAYES NATIONAL TRAINING SCHOOL FOR DEACONESSES &
5255 LOUGHBORO RD NWWASHINGTONDC20016530196602HOSPITALDC501(C)(3)LINE 3JOHNS HOPKINS HEALTH SYSTEM CORPORATION0
POTOMAC HOME SUPPORT INC
6001 MONTROSE ROAD NO 1020ROCKVILLEMD20852521750383HOME HEALTH CAREMD501(C)(3)LINE 90N/A
SIBLEY SUBURBAN HOME HEALTH AGENCY
6001 MONTROSE ROAD NO 307ROCKVILLEMD20852521450142HOME HEALTH CAREMD501(C)(3)LINE 90N/A
PEDIATRIC PHYSICIAN SERVICES INC
501 SIXTH AVENUE SOUTHST PETERSBURGFL33701593425191PEDIATRIC MEDICAL SERVICESFL501(C)(3)LINE 9ALL CHILDREN'S HEALTH SYSTEM INC0
ALL CHILDREN'S HOSPITAL FOUDNATION INC
501 SIXTH AVENUE SOUTHST PETERSBURGFL33701592481738FOUNDATIONFL501(C)(3)LINE 7ALL CHILDREN'S HEALTH SYSTEM INC0
ALL CHILDREN'S HOSPITAL INC
501 SIXTH AVENUE SOUTHST PETERSBURGFL33701590683252HOSPITALFL501(C)(3)LINE 3JOHNS HOPKINS HEALTH SYSTEM CORPORATION0
ALL CHILDREN'S RESEARCH INSTITUTE INC
501 SIXTH AVENUE SOUTHST PETERSBURGFL33701592481742RESEARCHFL501(C)(3)LINE 4ALL CHILDREN'S HEALTH SYSTEM INC0
SURGIKID OF FLORIDA INC
501 SIXTH AVENUE SOUTHST PETERSBURGFL33701593441883MEDICAL SERVICESFL501(C)(3)LINE 9ALL CHILDREN'S HEALTH SYSTEM INC0
KIDS HOME CARE INC
501 SIXTH AVENUE SOUTHST PETERSBURGFL33701593476049HOME HEALTH CAREFL501(C)(3)LINE 9ALL CHILDREN'S HEALTH SYSTEM INC0
WEST COAST NEONATOLOGY INC
501 SIXTH AVENUE SOUTHST PETERSBURGFL33701593398308NEONATAL CAREFL501(C)(3)LINE 9ALL CHILDREN'S HEALTH SYSTEM INC0
ALL CHILDREN'S HEALTH SYSTEM INC
501 SIXTH AVENUE SOUTHST PETERSBURGFL33701592481740MANAGEMENT SERVICESFL501(C)(3)LINE 11C, III-FIJOHNS HOPKINS HEALTH SYSTEM CORPORATION0

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (7 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACd
OPHTHALMOLOGY ASSOCIATES LLC
3910 KESWICK RD SOUTH BLDG 4TH FL SBALTIMOREMD21211521890957OPHTHALMOLOGY SERVICESMDN/A
SUBURBAN WELLNESS CENTER LLC
20500 GOLDENROD LANEGERMANTOWNMD20874562296930REAL ESTATEMDN/A
GCM SUBURBAN IMAGING LLC
1201 SEVEN LOCKS ROAD STE 200ROCKVILLEMD20854522326237OUTPATIENT RADIOLOGYMDN/A
ROCKVILLE IMAGING LLC
1201 SEVEN LOCKS ROAD STE 200ROCKVILLEMD20854141944128OUTPATIENT RADIOLOGYMDN/A
CHEVY CHASE IMAGING LLC
1201 SEVEN LOCKS ROAD STE 200ROCKVILLEMD20854141944126RADIOLOGY SERVICESMDN/A
HEALTHCARE SUPPLY CHAIN INNOVATIONS LLC
3910 KESWICK RD SOUTH BLDG 4TH FL SBALTIMOREMD21211472509307GROUP PURCHASINGMDN/A
JOHNS HOPKINS REGIONAL SUPPLY CHAIN NETWORK LLC
3910 KESWICK RD SOUTH BLDG 4TH FL SBALTIMOREMD21211472912848GROUP PURCHASINGMDN/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (11 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPct
HOWARD COUNTY HEALTH SERVICES INC
3910 KESWICK RD SOUTH BLDG 4TH FL SBALTIMOREMD21211521434783HEALTHCARE MANANAGEMENTMDN/AC0
HSI MEDICAL SERVICES CORPORATION
3910 KESWICK RD SOUTH BLDG 4TH FL SBALTIMOREMD21211521847705HEALTHCARE SLEEP DIAGNOSTICSMDN/AC0
JOHNS HOPKINS MEDICAL MANANGEMENT CORPORATION
3910 KESWICK RD SOUTH BLDG 4TH FL SBALTIMOREMD21211521250028NURSING SERVICESMDN/AC0
JOHNS HOPKINS EMPLOYER HEALTH PROGRAMS INC
3910 KESWICK RD SOUTH BLDG 4TH FL SBALTIMOREMD21211521947678BENEFIT PLANSMDN/AC0
TCAS INC
3910 KESWICK RD SOUTH BLDG 4TH FL SBALTIMOREMD21211521979344NURSING SERVICESMDN/AC0
SUBURBAN CONTRACTING CORP INC
8600 OLD GEORGETOWN RDBETHESDAMD20814522188022MEDICARE CONTRACTINGMDN/AC0
SUBURBAN HEALTH ENTERPRISES INC
8600 OLD GEORGETOWN RDBETHESDAMD20814522052352MEDICAL OFFICE LEASING AND RELEASINGMDN/AC0
SUBURBAN SPECIALTY CARE PHYSICIANS PC
8600 OLD GEORGETOWN RDBALTIMOREMD20814522116011MULTI SPECIALTY MEDICAL PRACTICEMDN/AC0
HCP VENTURE ONE CORPORATION
3910 KESWICK RD SOUTH BLDG 4TH FL SBALTIMOREMD21211521558858MEDICAL SERIVCESMDN/AC0
ACHPOB INC
501 SIXTH AVENUE SOUTHST PETERSBURGFL33701592427749MEDICAL OFFICE BUILDING MANAGEMENTFLN/AC0
VARIOUS CHARITABLE REMAINDER TRUSTS
3910 KESWICK RD SOUTH BLDG 4TH FL SBALTIMOREMD21211CHARITABLE REMAINDER TRUSTSMDN/AT0$36,2951.00000
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1SUBURBAN HOSPITAL FOUNDATION INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypeCTransactionTypeTxt
Involved$1,094,000InvolvedAmt
Method Of Amount DeterminationFMVMethodOfAmountDeterminationTxt