SUBURBAN HOSPITAL INCORPORATED: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- SUBURBAN HOSPITAL INCORPORATED (EIN 52-0610545)
- Tax period
- 2014-07-01 to 2015-06-30
- Filed
- 2016-05-13
- IRS object ID
- 201641349349303234
- Schema version
- 2014v6.0
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-05-13T11:42:42-05:00 | ReturnTs |
| Tax Period End | 2015-06-30 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2014-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 520610545 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SUBURBAN HOSPITAL INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | SUBU | BusinessNameControlTxt |
| Phone | 3018963900 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8600 OLD GEORGETOWN ROAD | AddressLine1Txt |
| City | BETHESDA | CityNm |
| State Abbreviation | MD | StateAbbreviationCd |
| ZIP | 208141497 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MARTIN BASSO SR | PersonNm |
| Person Title | VICE PRESIDENT FINANCE | PersonTitleTxt |
| Phone | 3018963900 | PhoneNum |
| Signature | 2016-05-13 | SignatureDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-08-17 19:52:53Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | MARTIN BASSO SR | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8600 OLD GEORGETOWN ROAD | AddressLine1Txt |
| City | BETHESDA | CityNm |
| State Abbreviation | MD | StateAbbreviationCd |
| ZIP | 208141497 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $323,630,063 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.SUBURBANHOSPITAL.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1942 | FormationYr |
| Legal Domicile State | MD | LegalDomicileStateCd |
| Activity Or Mission | 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. | ActivityOrMissionDesc |
| Voting Members Governing Body | 24 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 20 | VotingMembersIndependentCnt |
| Total Employee | 2097 | TotalEmployeeCnt |
| Total Volunteers | 399 | TotalVolunteersCnt |
| Total Gross UBI | $1,323,750 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$695,643 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $7,050,079 | PYContributionsGrantsAmt |
| CY Contributions Grants | $7,515,285 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $243,272,744 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $250,848,860 | CYProgramServiceRevenueAmt |
| PY Investment Income | $4,232,092 | PYInvestmentIncomeAmt |
| CY Investment Income | $3,284,176 | CYInvestmentIncomeAmt |
| PY Other Revenue | $10,295,639 | PYOtherRevenueAmt |
| CY Other Revenue | $12,454,905 | CYOtherRevenueAmt |
| PY Total Revenue | $264,850,554 | PYTotalRevenueAmt |
| CY Total Revenue | $274,103,226 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $1,388,302 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $47,569 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $117,988,414 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $115,689,729 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $141,592,229 | PYOtherExpensesAmt |
| CY Other Expenses | $144,577,132 | CYOtherExpensesAmt |
| PY Total Expenses | $260,968,945 | PYTotalExpensesAmt |
| CY Total Expenses | $260,314,430 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $3,881,609 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $13,788,796 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $299,172,668 | TotalAssetsBOYAmt |
| Total Assets EOY | $309,412,407 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $119,767,901 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $112,898,431 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $179,404,767 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $196,513,976 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | SUBURBAN 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 Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $78,356,405 | ExpenseAmt |
| Revenue | $113,781,692 | RevenueAmt |
| Desc | 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 2014, SUBURBAN HOSPITAL ADMITTED 4,700 SURGICAL INPATIENTS. 10,000 OPERATING ROOM CASES WERE PERFORMED. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $42,627,781 | ExpenseAmt |
| Revenue | $71,313,558 | RevenueAmt |
| Desc | 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 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $29,725,616 | ExpenseAmt |
| Revenue | $42,516,003 | RevenueAmt |
| Desc | 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 2014 THERE WERE 1,800 ADMISSIONS AND 220 OPEN HEART SURGERY CASES. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $77,717,692 | ExpenseAmt |
| Grant | $47,569 | GrantAmt |
| Revenue | $36,205,925 | RevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $77,717,692 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $47,569 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $36,205,925 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $228,427,494 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 363 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 2097 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 24 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 20 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | MD | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARTIN BASSO SR VP FIN TREAS | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3018962333 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8600 OLD GEORGETOWN RD | AddressLine1Txt |
| City | BETHESDA | CityNm |
| State Abbreviation | MD | StateAbbreviationCd |
| ZIP | 208141497 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (38 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| SUE BAILEY MD | |||||||||
| TRUSTEE | 2.50 | Yes (X) | $0 | $0 | $0 | ||||
| DIANE L COLGAN MD | |||||||||
| TRUSTEE | 2.50 | Yes (X) | $0 | $0 | $0 | 4.00 | |||
| MARY D KANE | |||||||||
| TRUSTEE | 2.50 | Yes (X) | $0 | $0 | $0 | ||||
| BELLE BROOKS O'BRIEN | |||||||||
| TRUSTEE | 2.50 | Yes (X) | $0 | $0 | $0 | ||||
| JOHN C OTSUKI | |||||||||
| TRUSTEE | 2.50 | Yes (X) | $0 | $0 | $0 | ||||
| SUDEEP ANAND PHD | |||||||||
| TRUSTEE | 2.50 | Yes (X) | $0 | $0 | $0 | ||||
| LARA EISENBERG MD | |||||||||
| TRUSTEE | 4.00 | Yes (X) | $0 | $0 | $0 | 2.50 | |||
| LILY QI | |||||||||
| TRUSTEE | 2.50 | Yes (X) | $0 | $0 | $0 | ||||
| ALAN SHEFF | |||||||||
| TRUSTEE | 2.50 | Yes (X) | $0 | $0 | $0 | ||||
| DAVID C SILVER | |||||||||
| TRUSTEE, CHAIRMAN | 2.50 | Yes (X) | $0 | $0 | $0 | 4.00 | Yes (X) | ||
| STANLEY H SNOW | |||||||||
| TRUSTEE, VICE CHAIRMAN | 2.50 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| WILLIAM SHAW | |||||||||
| TRUSTEE | 2.50 | Yes (X) | $0 | $0 | $0 | ||||
| CHARLES ALLEN WIEBE | |||||||||
| TRUSTEE | 2.50 | Yes (X) | $0 | $0 | $0 | ||||
| BRIAN A GRAGNOLATI | |||||||||
| TRUSTEE | 2.50 | Yes (X) | $0 | $1,242,705 | $58,871 | ||||
| WILLIAM A BAUMGARTNER MD | |||||||||
| TRUSTEE | 2.50 | Yes (X) | $0 | $0 | $0 | ||||
| PATRICIA MC BROWN ESQUIRE | |||||||||
| TRUSTEE | 2.50 | Yes (X) | $0 | $779,474 | $157,856 | 57.50 | |||
| HOWARD GLECKMAN | |||||||||
| TRUSTEE | 2.50 | Yes (X) | $0 | $0 | $0 | ||||
| THE HON ANN S HARRINGTON | |||||||||
| TRUSTEE | 2.50 | Yes (X) | $0 | $0 | $0 | ||||
| NORMAN K JENKINS | |||||||||
| TRUSTEE | 2.50 | Yes (X) | $0 | $0 | $0 | ||||
| RONALD R PETERSON | |||||||||
| CORPORATE VICE CHAIRMAN & | 2.50 | Yes (X) | $0 | $2,133,111 | $481,135 | 57.50 | Yes (X) | ||
| GENE E GREEN MD | |||||||||
| TRUSTEE, PRESIDENT | 30.00 | Yes (X) | $0 | $685,828 | $51,188 | 30.00 | Yes (X) | ||
| ALBERT K LEE MD | |||||||||
| TRUSTEE | 2.50 | Yes (X) | $0 | $0 | $0 | ||||
| CURTIS POLK | |||||||||
| TRUSTEE | 2.50 | Yes (X) | $0 | $0 | $0 | ||||
| HARRY TOTONIS | |||||||||
| TRUSTEE | 2.50 | Yes (X) | $0 | $0 | $0 | ||||
| MARTIN BASSO | |||||||||
| SR VP FINANCE AND TREASURE | 55.00 | $0 | $553,851 | $55,064 | 5.00 | Yes (X) | |||
| PETER B MANCINO ESQUIRE | |||||||||
| CORPORATE SECRETARY | 2.50 | $0 | $279,799 | $51,821 | 47.50 | Yes (X) | |||
| DENNIS PARNELL | |||||||||
| SR VP HUMAN RESOURCES | 59.00 | $0 | $403,140 | $27,615 | 1.00 | Yes (X) | |||
| JACQUELINE SCHULTZ RN | |||||||||
| EXECUTIVE V.P. & COO | 59.00 | $0 | $574,016 | $55,362 | 1.00 | Yes (X) | |||
| CHRISTOPHER TIMBERS | |||||||||
| VP & COO | 60.00 | $0 | $509,182 | $46,407 | Yes (X) | ||||
| ROBERT ROTHSTEIN | |||||||||
| VP MEDICAL AFFAIRS | 60.00 | $0 | $435,515 | $134,580 | Yes (X) | ||||
| JOSEPH LINSTROM | |||||||||
| SR DIRECTOR | 50.00 | $184,885 | $0 | $33,413 | Yes (X) | ||||
| STEVEN COHEN | |||||||||
| PHYSICIAN ASST. | 50.00 | $182,998 | $0 | $30,523 | Yes (X) | ||||
| BARBARA STEWARD JACOBS | |||||||||
| SR DIRECTOR | 50.00 | $206,703 | $0 | $24,444 | Yes (X) | ||||
| MUHAMMAD MOHIUDDIN | |||||||||
| CHIEF TECHNICIAN | 50.00 | $191,787 | $0 | $30,951 | Yes (X) | ||||
| JOAN HALL | |||||||||
| SR DIRECTOR | 50.00 | $182,346 | $0 | $22,657 | Yes (X) | ||||
| NANCY MILLER | |||||||||
| FORMER OFFICER | 50.00 | $145,008 | $0 | $7,190 | Yes (X) | ||||
| MATTHEW POFFENROTH MD | |||||||||
| FORMER SR. V.P. | 0.00 | $0 | $339,963 | $34,523 | 50.00 | Yes (X) | |||
| LESLIE FORD WEBER | |||||||||
| FORMER SR. VP, GOVT & COMMUNITY R | 49.00 | $212,108 | $0 | $9,897 | 1.00 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,305,835 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $7,936,584 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,313,497 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 148 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| SODEXO INC | |||||
| PO BOX 536922 | ATLANTA | GA | 30353 | MANAGEMENT SERVICES | $2,534,541 |
| SCOTT-LONG CONSTRUCTION | |||||
| 14170 NEWBROOK DRIVE | CHANTILLY | VA | 20151 | CONSTRUCTION SERVICES | $1,861,785 |
| CROTHALL LAUNDRY SERVICES INC | |||||
| 13028 COLLECTIONS CENTER DR | CHICAGO | IL | 60693 | HOUSEKEEPING MANAGEMENT | $1,824,483 |
| ARAMARK CORPORATION | |||||
| 601 LIGHT STREET | BALTIMORE | MD | 21230 | FOOD SERVICES | $1,474,078 |
| PREMIER HEALTHCARE SOLUTIONS | |||||
| 5882 COLLECTIONS CENTER DR | CHICAGO | IL | 60693 | CONSULTING SERVICES | $1,046,123 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 77 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $1,710,000 | RelatedOrganizationsAmt |
| Government Grants | $5,755,697 | GovernmentGrantsAmt |
| All Other Contributions | $49,588 | AllOtherContributionsAmt |
| Total Contributions | $7,515,285 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| NET PATIENT REVENUE | 621990 | $249,525,110 | $249,525,110 | |
| LAB | 541380 | $1,323,750 | $1,323,750 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $250,848,860 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,447,013 | TotalRevenueColumnAmt |
| Exclusion | $1,447,013 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $51,364,000 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $49,526,837 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,837,163 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,837,163 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,837,163 | RelatedOrExemptFuncIncomeAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| OTHER REVENUE | 900099 | $10,726,951 | $10,726,951 |
| PARKING | 900099 | $703,306 | $703,306 |
| CAFETERIA INCOME | 900099 | $627,085 | $627,085 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $397,563 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $397,563 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $12,454,905 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $274,103,226 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $263,817,178 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $1,323,750 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,447,013 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $47,569 | TotalAmt |
| Program Services | $47,569 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $96,610,226 | TotalAmt |
| Program Services | $83,084,794 | ProgramServicesAmt |
| Management And General | $13,525,432 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,742,470 | TotalAmt |
| Program Services | $1,498,524 | ProgramServicesAmt |
| Management And General | $243,946 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,107,547 | TotalAmt |
| Program Services | $8,692,490 | ProgramServicesAmt |
| Management And General | $1,415,057 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,229,486 | TotalAmt |
| Program Services | $6,217,358 | ProgramServicesAmt |
| Management And General | $1,012,128 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $190,812 | TotalAmt |
| Program Services | $164,098 | ProgramServicesAmt |
| Management And General | $26,714 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,004 | TotalAmt |
| Program Services | $26,663 | ProgramServicesAmt |
| Management And General | $4,341 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $35,511 | TotalAmt |
| Management And General | $35,511 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $81,379,149 | TotalAmt |
| Program Services | $74,526,314 | ProgramServicesAmt |
| Management And General | $6,852,835 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,883,880 | TotalAmt |
| Program Services | $3,340,137 | ProgramServicesAmt |
| Management And General | $543,743 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $239,471 | TotalAmt |
| Program Services | $205,945 | ProgramServicesAmt |
| Management And General | $33,526 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $39,570 | TotalAmt |
| Program Services | $34,030 | ProgramServicesAmt |
| Management And General | $5,540 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $824,148 | TotalAmt |
| Program Services | $708,767 | ProgramServicesAmt |
| Management And General | $115,381 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,819,228 | TotalAmt |
| Program Services | $13,604,536 | ProgramServicesAmt |
| Management And General | $2,214,692 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,961,625 | TotalAmt |
| Program Services | $1,909,620 | ProgramServicesAmt |
| Management And General | $52,005 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| CONTRACTED SERVICES | $32,266,207 | $28,368,415 | $3,897,792 |
| PROFESSIONAL FEES | $5,406,469 | $4,164,253 | $1,242,216 |
| OTHER | $1,549,036 | $882,959 | $666,077 |
| INT EXP DERIVATIVES | $951,022 | $951,022 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $260,314,430 | TotalAmt |
| Program Services | $228,427,494 | ProgramServicesAmt |
| Management And General | $31,886,936 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,700 | BOYAmt |
| EOY | $8,701 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,710,614 | BOYAmt |
| EOY | $17,657,272 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $39,192,572 | BOYAmt |
| EOY | $34,588,611 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,485 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,529,414 | BOYAmt |
| EOY | $9,755,307 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,201,072 | BOYAmt |
| EOY | $1,364,089 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $244,487,399 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $143,050,466 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $100,047,897 | BOYAmt |
| EOY | $101,436,933 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $127,479,473 | BOYAmt |
| EOY | $132,545,597 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,997,441 | BOYAmt |
| EOY | $12,055,897 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $299,172,668 | BOYAmt |
| EOY | $309,412,407 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $38,140,768 | BOYAmt |
| EOY | $40,113,778 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,235,961 | BOYAmt |
| EOY | $3,355,469 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $73,391,172 | BOYAmt |
| EOY | $69,429,184 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $119,767,901 | BOYAmt |
| EOY | $112,898,431 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $179,404,767 | BOYAmt |
| EOY | $196,513,976 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $179,404,767 | BOYAmt |
| EOY | $196,513,976 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $299,172,668 | BOYAmt |
| EOY | $309,412,407 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $13,788,796 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $3,320,413 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | Yes (1) | DirectContactLegislatorsInd |
| Direct Contact Legislators | $35,511 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | 0 | OtherActivitiesInd |
| Total Lobbying Expenditures | $35,511 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | 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. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $345,094 | OtherCostOrOtherBasisAmt |
| Book Value | $345,094 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $115,181,392 | OtherCostOrOtherBasisAmt |
| Depreciation | $65,067,292 | DepreciationAmt |
| Book Value | $50,114,100 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,129,176 | OtherCostOrOtherBasisAmt |
| Depreciation | $509,170 | DepreciationAmt |
| Book Value | $1,620,006 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $86,709,745 | OtherCostOrOtherBasisAmt |
| Depreciation | $59,066,231 | DepreciationAmt |
| Book Value | $27,643,514 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $40,121,992 | OtherCostOrOtherBasisAmt |
| Depreciation | $18,407,773 | DepreciationAmt |
| Book Value | $21,714,219 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $101,436,933 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | LONG TERM INV | Desc |
| Book Value | $132,545,597 | BookValueAmt |
| Method Valuation | C | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $132,545,597 | TotalBookValueSecuritiesAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (11 entries)
| DescDesc | AmtAmt |
|---|---|
| ADVANCES FROM THIRD PARTIES | $8,281,556 |
| HEDGE FAIR VALUE ADJUST | $2,376,315 |
| CAPITAL ACCUMULATION ACCOUNT | $1,475,707 |
| INTEREST PAYABLE | $79,020 |
| ACCRUED RENT | $200,042 |
| ACCRUED PENSION LONG TERM | $2,180,000 |
| 457B FOR DIRECTORS | $20,690 |
| DUE TO AFFILIATES | $50,682,782 |
| WORKERS COMPENSATION INSURANCE LIABILITY | $1,088,287 |
| MALPRACTICE INSURANCE | $1,167,673 |
| L/T MAL LIAB | $1,877,112 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $69,429,184 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $272,266,063 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $272,266,063 | RevenueSubtotalAmt |
| Other Revenues Not Included | $1,837,163 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $1,837,163 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $274,103,226 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $259,363,409 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $259,363,409 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $951,022 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $951,022 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $260,314,431 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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, 2015 AND 2014. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | REALIZED GAIN ON INVESTMENTS 1,837,163. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | ROUNDING INT EXP DERIVATIVES 951,022. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
Discounted Care Oth Percentage DiscountedCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Discounted Care Other | 500.000000000000 | DiscountedCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,622,323 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,622,323 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01780 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,622,323 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $4,622,323 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01780 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $11,011,834 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $866,989 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $10,144,845 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03900 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,612,071 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,612,071 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01390 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,091,383 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,091,383 | DirectOffsettingRevenueAmt |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $818,816 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $818,816 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00310 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $19,534,104 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,958,372 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $14,575,732 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05600 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $24,156,427 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,958,372 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $19,198,055 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07380 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,261 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,261 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $410,895 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $12,548 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $398,347 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00150 | TotalExpensePct |
Environmental Improvements EnvironmentalImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $65,000 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $65,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $438 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $438 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $165,785 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $12,548 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $153,237 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00060 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,958 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,958 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $231,209 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $231,209 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00090 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $885,546 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $25,096 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $860,450 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00320 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReportedInd |
| Bad Debt Expense | $7,755,429 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $114,125,936 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $117,208,747 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$3,082,811 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SUBURBAN HOSPITAL INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8600 OLD GEORGETOWN RD | AddressLine1Txt |
| City | BETHESDA | CityNm |
| State Abbreviation | MD | StateAbbreviationCd |
| ZIP | 208141497 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.HOPKINSMEDICINE.ORG/SUBURBAN_HOSPI | WebsiteAddressTxt |
| State License | 15-028 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SUBURBAN HOSPITAL INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Information Gaps | Yes (X) | InformationGapsInd |
| CHNA Conducted | 12 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | HTTP://WWW.HOPKINSMEDICINE.ORG/SUBURBAN_HOSPITAL/COMMUNITY_HEALTH/ | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 12 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | HTTP://WWW.HOPKINSMEDICINE.ORG/SUBURBAN_HOSPITAL/COMMUNITY_HEALTH/ | StrategyWebsiteURLTxt |
| Strategy Attached | 0 | StrategyAttachedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 500.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | WWW.HOPKINSMEDICINE.ORG/SUBURBAN_HOSPITAL/PLANNING_YOUR_VISIT/ | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | WWW.HOPKINSMEDICINE.ORG/SUBURBAN_HOSPITAL/PLANNING_YOUR_VISIT/ | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | WWW.HOPKINSMEDICINE.ORG/SUBURBAN_HOSPITAL/PLANNING_YOUR_VISIT/ | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| FAP Notice Displayed | Yes (X) | FAPNoticeDisplayedInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SUBURBAN HOSPITAL, INC. | PART V, SECTION B, LINE 5: TO GATHER INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY SHI THE FOLLOWING WAS DONE:A)COLLABORATED WITH THE MONTGOMERY COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES AND FOUR OTHER COUNTY HOSPITALS TO CONDUCT A COUNTY-WIDE COMMUNITY HEALTH NEEDS ASSESSMENT CALLED "HEALTHY MONTGOMERY"B)ENGAGED COMMUNITY EXPERTS BY ESTABLISHING A COMMUNITY BENEFIT ADVISORY COUNCIL (CBAC) THAT ADVISES ON THE DIRECTION OF THE NEEDS ASSESSMENT. CHARTED BY THE HOSPITAL'S BOARD OF TRUSTEES AND CHARIED 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)CONDUCTED A COMMUNITY HEALTH SURVEY OF 997 MONTGOMERY COUNTY RESIDENTS TO ASSESS THE NEEDS AND INSIGHTS OF THE COMMUNITY MEMBERS BENEFITING FROM SUBURBAN'S PROGRAMS, SERVICES AND ACTIVITIES. |
| SUBURBAN HOSPITAL, INC. | PART V, SECTION B, LINE 7D: THE CHNA WAS DISTRIBUTED TO THE ADVISORY COUNCIL, BOARD OF TRUSTEES, SH CANCER COMMITTEE, VOLUNTEER DEPARTMENT, HOSPITAL INFORMATION DESK, AND COMMUNITY STAKEHOLDERS. |
| 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 MCDHHS. IN FY15, SHI CONDUCTED 2,761 COMMUNITY HEALTH IMPROVEMENT PROGRAMS, SCREENINGS, CLASSES, SEMINARS AND ACTIVITIES SERVING 80,273 INDIVIDUALS; OF WHICH 27,489 ARE FROM AN ETHNIC MINORITY GROUP. 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). |
| PART V, SECTION B, LINE 16 | FINANCIAL ASSISTANCE POLICY WEBSITE AVAILABILITY |
| SUBURBAN HOSPITAL, INC. PART V, SECTION B, LINE 16A WEBSITE: | WWW.HOPKINSMEDICINE.ORG/SUBURBAN_HOSPITAL/PLANNING_YOUR_VISIT/ |
| SUBURBAN HOSPITAL, INC. PART V, SECTION B, LINE 16B WEBSITE: | WWW.HOPKINSMEDICINE.ORG/SUBURBAN_HOSPITAL/PLANNING_YOUR_VISIT/ |
| SUBURBAN HOSPITAL, INC. PART V, SECTION B, LINE 16C WEBSITE: | WWW.HOPKINSMEDICINE.ORG/SUBURBAN_HOSPITAL/PLANNING_YOUR_VISIT/ |
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 PAGES 13 AND 14. |
| 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: | UTILIZING THE HEALTHY PEOPLE 2020 GUIDELINES AS VITAL INFORMATION SOURCES, SHI MAINTAINS A CLOSE RELATIONSHIP WITH THE MONTGOMERY COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES (MCDHHS) IN ORDER TO IDENTIFY COMMUNITY HEALTH NEEDS AND SET COMMUNITY BENEFIT STRATEGIC PROGRAMS AND ACTIVITIES. TO EFFECTIVELY IDENTIFY AND PRIORITIZE HEALTH NEEDS FOR MONTGOMERY COUNTY RESIDENTS, SHI HAS RELIED ON A THREE-TIERED APPROACH TO EXECUTE THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA): (1) ESTABLISHING THE HEALTHY MONTGOMERY NEEDS ASSESSMENT; (2) ENGAGING HEALTH EXPERTS AND KEY STAKEHOLDERS; AND (3) CONDUCTING A COMMUNITY SURVEY. THROUGH THIS METHODOLOGY, SHI ENSURED MAXIMIZED COLLABORATION AND LEVERAGE OF RESOURCES, REDUCED REDUNDANCIES AND SUPPORTED AN ONGOING HEALTH IMPROVEMENT PROCESS AND INFRASTRUCTURE. THE CHNA PROCESS PRESENTED AN OPPORTUNITY FOR SHI TO PARTNER WITH THE MCDHHS, ALONG WITH FOUR OTHER MONTGOMERY COUNTY HOSPITALS TO CONDUCT A COUNTY-WIDE CHNA AS PART OF THE HEALTHY MONTGOMERY-COMMUNITY HEALTH IMPROVEMENT PROCESS. THE NEEDS ASSESSMENT IS FINANCIALLY SUPPORTED BY THE FIVE LOCAL HOSPITALS, AND PRESENTS THE RESULTS OF QUANTITATIVE AND QUALITATIVE DATA COLLECTION ACTIVITIES ALONG WITH TOOLS USED IN PRIORITY SETTING TO IMPROVE THE HEALTH AND WELL-BEING OF MONTGOMERY COUNTY RESIDENTS. FURTHERMORE, SHI PRIORITIZED THE NEED TO SUPPLEMENT HEALTHY MONTGOMERY DATA AND FINDINGS TO UNDERSTAND WHAT THE UNMET HEALTH NEEDS ARE IN SPECIFIC GEOGRAPHIC LOCATIONS WITHIN THE COUNTY. THIS PROCESS INCLUDED CONSULTATION WITH COMMUNITY STAKEHOLDERS AND LEADERS, AND THE DEVELOPMENT OF A COMMUNITY HEALTH SURVEY TOOL THAT ALLOWED DIRECT INPUT FROM COMMUNITY MEMBERS THAT ALREADY BENEFIT FROM SHI'S COMMUNITY HEALTH IMPROVEMENT CLASSES, EVENTS, AND SCREENINGS.SHI WORKS DIRECTLY WITH SEVERAL COMMUNITY CENTERS, ORGANIZATIONS, INSTITUTES, AND CORPORATIONS, INCLUDING THE AARP, A WIDER CIRCLE, ALPHA PHI ALPHA FRATERNITY, AMERICAN HEART ASSOCIATION, AMERICAN RED CROSS, AND BETHESDA CARES TO NAME A FEW. FURTHERMORE, SHI REPRESENTATIVES SERVE ON NUMEROUS COMMUNITY COALITIONS, BOARDS, COMMITTEES, PANELS, ADVISORY GROUPS, AND LOCAL COUNTY COMMISSIONS. SHI'S ACTIVE ROLE IN THESE AND SIMILAR COMMUNITY ENGAGEMENT ACTIVITIES SERVES AS A CATALYST FOR IDENTIFICATION AND PRIORITIZATION OF UNMET OR POTENTIAL COMMUNITY HEALTH NEEDS. |
| 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.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.THIS PAST MARCH, SUBURBAN HOSPITAL HELD ITS ANNUAL "COVERING THE UNINSURED" EVENT. THE PROGRAM HELD AT SUBURBAN HOSPITAL WHERE FINANCIAL ASSISTANCE CONSULTATION WAS PROVIDED TO COMMUNITY MEMBERS INCLUDING DISSEMINATION OF INFORMATION ON OUR FINANCIAL ASSISTANCE ELIGIBILITY CRITERIA, MEDICAID AND OTHER COMMUNITY RESOURCES. |
| 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, 20817, 20852, 20854, 20815, 20850, 20895, 20906, 20902, 20878, 20853, 20910, 20851, 20877, AND 20874. THE GENERAL DATA FOR THIS COMMUNITY BENEFIT SERVICE AREA ARE AS FOLLOWS: TOTAL POPULATION WAS 638,821 OF WHICH 48.03% WERE MALES AND 51.97% WERE FEMALES, AVERAGE HOUSEHOLD INCOME WAS $138,765, 3.61% OF RESIDENTS ARE UNINSURED, 14.6% 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 ALL CHILDRENS HOSPITAL, INC (ACH), A FL ACADEMIC CHILDRENS HOSPITAL. |
| PART VI, LINE 7, REPORTS FILED WITH STATES | MD |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | INSTITUTE FOR PUBLIC HEALTH INNOVATION | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1301 CONNECTICUT AVENUE NW | AddressLine1Txt |
| City | WASHINGTON | CityNm |
| State Abbreviation | DC | StateAbbreviationCd |
| ZIP | 20036 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 830398572 | RecipientEIN |
| IRC Section | 501(C)(3) | IRCSectionDesc |
| Cash Grant | $25,000 | CashGrantAmt |
| Purpose Of Grant | LOCAL COMMUNITY ASSISTANCE | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (18 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BRIAN A GRAGNOLATI | ||||||||||||||
| TRUSTEE | $0 | $724,673 | $0 | $235,291 | $0 | $282,741 | $0 | $30,362 | $0 | $28,509 | $0 | $1,301,576 | $0 | $0 |
| PATRICIA MC BROWN ESQUIRE | ||||||||||||||
| TRUSTEE | $0 | $450,712 | $0 | $170,336 | $0 | $158,426 | $0 | $144,382 | $0 | $13,474 | $0 | $937,330 | $0 | $136,632 |
| RONALD R PETERSON | ||||||||||||||
| CORPORATE VICE CHAIRMAN & | $0 | $1,309,445 | $0 | $566,178 | $0 | $257,488 | $0 | $456,542 | $0 | $24,593 | $0 | $2,614,246 | $0 | $0 |
| GENE E GREEN MD | ||||||||||||||
| TRUSTEE, PRESIDENT | $0 | $398,988 | $0 | $118,080 | $0 | $168,760 | $0 | $28,374 | $0 | $22,814 | $0 | $737,016 | $0 | $0 |
| MARTIN BASSO | ||||||||||||||
| SR VP FINANCE AND TREASURE | $0 | $358,411 | $0 | $69,111 | $0 | $126,329 | $0 | $32,052 | $0 | $23,012 | $0 | $608,915 | $0 | $0 |
| PETER B MANCINO ESQUIRE | ||||||||||||||
| CORPORATE SECRETARY | $0 | $232,915 | $0 | $46,024 | $0 | $860 | $0 | $31,488 | $0 | $20,333 | $0 | $331,620 | $0 | $0 |
| DENNIS PARNELL | ||||||||||||||
| SR VP HUMAN RESOURCES | $0 | $152,557 | $0 | $45,916 | $0 | $204,667 | $0 | $23,688 | $0 | $3,927 | $0 | $430,755 | $0 | $0 |
| JACQUELINE SCHULTZ RN | ||||||||||||||
| EXECUTIVE V.P. & COO | $0 | $311,442 | $0 | $100,162 | $0 | $162,412 | $0 | $45,103 | $0 | $10,259 | $0 | $629,378 | $0 | $118,289 |
| CHRISTOPHER TIMBERS | ||||||||||||||
| VP & COO | $0 | $197,146 | $0 | $33,173 | $0 | $278,863 | $0 | $22,591 | $0 | $23,816 | $0 | $555,589 | $0 | $0 |
| ROBERT ROTHSTEIN | ||||||||||||||
| VP MEDICAL AFFAIRS | $0 | $342,027 | $0 | $66,580 | $0 | $26,908 | $0 | $111,919 | $0 | $22,661 | $0 | $570,095 | $0 | $0 |
| JOSEPH LINSTROM | ||||||||||||||
| SR DIRECTOR | $170,679 | $0 | $13,530 | $0 | $676 | $0 | $7,784 | $0 | $25,629 | $0 | $218,298 | $0 | $0 | $0 |
| STEVEN COHEN | ||||||||||||||
| PHYSICIAN ASST. | $143,103 | $0 | $3,870 | $0 | $36,025 | $0 | $7,620 | $0 | $22,903 | $0 | $213,521 | $0 | $0 | $0 |
| BARBARA STEWARD JACOBS | ||||||||||||||
| SR DIRECTOR | $190,834 | $0 | $14,845 | $0 | $1,024 | $0 | $8,552 | $0 | $15,892 | $0 | $231,147 | $0 | $0 | $0 |
| MUHAMMAD MOHIUDDIN | ||||||||||||||
| CHIEF TECHNICIAN | $191,164 | $0 | $0 | $0 | $623 | $0 | $7,972 | $0 | $22,979 | $0 | $222,738 | $0 | $0 | $0 |
| JOAN HALL | ||||||||||||||
| SR DIRECTOR | $165,067 | $0 | $16,400 | $0 | $879 | $0 | $7,491 | $0 | $15,166 | $0 | $205,003 | $0 | $0 | $0 |
| NANCY MILLER | ||||||||||||||
| FORMER OFFICER | $136,062 | $0 | $8,500 | $0 | $446 | $0 | $5,810 | $0 | $1,380 | $0 | $152,198 | $0 | $0 | $0 |
| MATTHEW POFFENROTH MD | ||||||||||||||
| FORMER SR. V.P. | $0 | $279,748 | $0 | $32,282 | $0 | $27,933 | $0 | $14,397 | $0 | $20,126 | $0 | $374,486 | $0 | $0 |
| LESLIE FORD WEBER | ||||||||||||||
| FORMER SR. VP, GOVT & COMMUNITY R | $110,519 | $0 | $73,093 | $0 | $28,496 | $0 | $8,186 | $0 | $1,711 | $0 | $222,005 | $0 | $7,946 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINES 4A-B | THE FOLLOWING INDIVIDUAL RECEIVED A CHANGE-OF-CONTROL PAYMENT FROM SUBURBAN HOSPITAL, INC.: DENNIS PARNELL $90,952.22 THE SUBURBAN HOSPITAL, INC. SERP PLAN IS A NON-TAX QUALIFIED DEFINED CONTRIBUTION PLANS. THE PLAN PROVIDES A FIXED PERCENTAGE OF SALARY AS SUPPLEMENTAL RETIREMENT BENEFIT FOR EACH PARTICIPANT. 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 AND FAILS TO SATISFY CERTAIN NON-COMPETE PROVISIONS, 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 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 NON QUALIFIED RETIREMENT PLAN WITH THE RELATED ORGANIZATION SUBURBAN HOSPITAL, INC 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: MARTY BASSO $72,985.21; JACQUELINE SCHULTZ $118,288.99; DENNIS PARNELL $43,673.88 AND BRIAN GRAGNOLATI $255,378.61 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 $450,612; PATRICIA BROWN $103,493.21; PETER MANCINO $13,072.00; AND ROBERT ROTHSTEIN $68,940.00 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 $136,631.76; GENE GREEN $125,209.51; LESLIE FORD-WEBER $7,945.55; AND CHRIS TIMBERS $246,086.03 |
| PART I, LINE 7 | EXECUTIVES, 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, OFFICERS | THE 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 K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARYLAND HEALTH AND HIGHER EDUCATIONAL FACILITIES AUTHORITY | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 520936091 | BondIssuerEIN |
| CUSIP | 574217SB2 | CUSIPNum |
| Bond Issued | 2004-06-30 | BondIssuedDt |
| Issue Price | $32,445,000 | IssuePriceAmt |
| Purpose | REFUND PRIOR ISSUE 10/14/1993 | PurposeDesc |
| Defeased | 0 | DefeasedInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Pool Financing | 0 | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Retired | $29,135,000 | RetiredAmt |
| Total Proceeds | $32,445,000 | TotalProceedsAmt |
| Issuance Costs From Proceeds | $351,215 | IssuanceCostsFromProceedsAmt |
| Current Refunding | Yes (1) | CurrentRefundingInd |
| Advance Refunding | 0 | AdvanceRefundingInd |
| Final Allocation Made | Yes (1) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (1) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | 0 | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | 0 | MgmtContractBondFincdPropInd |
| Any Research Agreements | 0 | AnyResearchAgreementsInd |
| Bond Iss Meet Prvt Sec Pymt Test | 0 | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | 0 | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiledInd |
| Rebate Not Due Yet | 0 | RebateNotDueYetInd |
| Exception To Rebate | 0 | ExceptionToRebateInd |
| No Rebate Due | 0 | NoRebateDueInd |
| Variable Rate Issue | 0 | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | 0 | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | Yes (1) | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | 0 | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | Yes (1) | ProceduresCorrectiveActionInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE K, PART III, LINES 7-9 NONQUALIFIED BONDS | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION ANSWERED 'NO' BECAUSE IT HAS NO NONQUALIFIED BONDS. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 11 | 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 -2,267,000. CHANGE IN MARKET VALUE ON SWAP 614,361. NET ASSETS RELEASED FOR RESTRICTION 912,745. CONTRIBUTIONS TO/FROM AFFILIATES -75,000. CHANGE IN UNRELATED ENTITY TRANSFER 7,799,039. UNREALIZED LOSS ON ALTERNATIVE INVESTMENT -3,663,732. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SUBURBAN PHYSICIAN ASSISTANT ASSOCIATES LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8600 OLD GEORGETOWN ROAD | AddressLine1Txt |
| City | BETHESDA | CityNm |
| State Abbreviation | MD | StateAbbreviationCd |
| ZIP | 20814 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 010642496 | EIN |
| Primary Activities | MEDICAL SERVICES | PrimaryActivitiesTxt |
| Legal Domicile State | MD | LegalDomicileStateCd |
| Total Income | $667,605 | TotalIncomeAmt |
| End Of Year Assets | $88,009 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SUBURBAN HOSPITAL INC | BusinessNameLine1Txt |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (21 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| SUBURBAN HOSPITAL FOUNDATION INC | |||||||||||
| 8600 OLD GEORGETOWN ROAD | BETHESDA | MD | 20814 | 522019696 | SUPPORTING ORGANIZATION | MD | 501(C)(3) | LINE 11A, I | SUBURBAN HOSPITAL INC | Yes (1) | |
| JOHNS HOPKINS HEALTH SYSTEM CORPORATION | |||||||||||
| 3910 KESWICK RD SOUTH BLDG 4TH FL S | BALTIMORE | MD | 21211 | 521465301 | SUPPORTING ORGANIZATION | MD | 501(C)(3) | LINE 11C, III-FI | JOHNS HOPKINS HEALTH SYSTEM CORPORATION | 0 | |
| HOWARD COUNTY GENERAL HOSPITAL INC | |||||||||||
| 3910 KESWICK RD SOUTH BLDG 4TH FL S | BALTIMORE | MD | 21211 | 522093120 | HOSPITAL | MD | 501(C)(3) | LINE 3 | JOHNS HOPKINS HEALTH SYSTEM CORPORATION | 0 | |
| HOWARD COUNTY LIQUIDATION CORPORATION | |||||||||||
| 3910 KESWICK RD SOUTH BLDG 4TH FL S | BALTIMORE | MD | 21211 | 520892284 | INACTIVE TAX-EXEMPT ORGANIZATION | MD | 501(C)(3) | LINE 3 | JOHNS HOPKINS HEALTH SYSTEM CORPORATION | 0 | |
| JOHNS HOPKINS BAYVIEW MEDICAL CENTER INC | |||||||||||
| 3910 KESWICK RD SOUTH BLDG 4TH FL S | BALTIMORE | MD | 21211 | 521341890 | HOSPITAL | MD | 501(C)(3) | LINE 3 | JOHNS HOPKINS HEALTH SYSTEM CORPORATION | 0 | |
| JOHNS HOPKINS COMMUNITY PHYSICIANS INC | |||||||||||
| 3910 KESWICK RD SOUTH BLDG 4TH FL S | BALTIMORE | MD | 21211 | 521467441 | HEALTHCARE SERVICES | MD | 501(C)(3) | LINE 11C, III-FI | JOHNS HOPKINS HEALTH SYSTEM CORPORATION | 0 | |
| JOHNS HOPKINS MEDICAL SERVICES CORPORATION | |||||||||||
| 3910 KESWICK RD SOUTH BLDG 4TH FL S | BALTIMORE | MD | 21211 | 521232569 | HEALTHCARE SERVICES | MD | 501(C)(3) | LINE 3 | JOHNS HOPKINS HEALTH SYSTEM CORPORATION | 0 | |
| THE JOHNS HOPKINS HOSPITAL | |||||||||||
| 3910 KESWICK RD SOUTH BLDG 4TH FL S | BALTIMORE | MD | 21211 | 520591656 | HOSPITAL | MD | 501(C)(3) | LINE 3 | JOHNS HOPKINS HEALTH SYSTEM CORPORATION | 0 | |
| SUBURBAN HOSPITAL HEALTHCARE SYSTEM INC | |||||||||||
| 8600 OLD GEORGETOWN ROAD | BETHESDA | MD | 20814 | 522052354 | HEALTHCARE SERVICES | MD | 501(C)(3) | LINE 11C, III-FI | JOHNS HOPKINS HEALTH SYSTEM CORPORATION | 0 | |
| HEALTHCARE INITIATIVE FOUNDATION | |||||||||||
| 7910 WOODMONT AVENUE | BETHESDA | MD | 20814 | 237324576 | SUPPORTING ORGANIZATION | MD | 501(C)(3) | LINE 11D, III-O | HEALTHCARE INITIATIVE FOUNDATION | 0 | |
| LUCY WEBB HAYES NATIONAL TRAINING SCHOOL FOR DEACONESSES & | |||||||||||
| 5255 LOUGHBORO RD NW | WASHINGTON | DC | 20016 | 530196602 | HOSPITAL | DC | 501(C)(3) | LINE 3 | JOHNS HOPKINS HEALTH SYSTEM CORPORATION | 0 | |
| POTOMAC HOME SUPPORT INC | |||||||||||
| 6001 MONTROSE ROAD NO 1020 | ROCKVILLE | MD | 20852 | 521750383 | HOME HEALTH CARE | MD | 501(C)(3) | LINE 9 | 0 | N/A | |
| SIBLEY SUBURBAN HOME HEALTH AGENCY | |||||||||||
| 6001 MONTROSE ROAD NO 307 | ROCKVILLE | MD | 20852 | 521450142 | HOME HEALTH CARE | MD | 501(C)(3) | LINE 9 | 0 | N/A | |
| PEDIATRIC PHYSICIAN SERVICES INC | |||||||||||
| 501 SIXTH AVENUE SOUTH | ST PETERSBURG | FL | 33701 | 593425191 | PEDIATRIC MEDICAL SERVICES | FL | 501(C)(3) | LINE 9 | ALL CHILDREN'S HEALTH SYSTEM INC | 0 | |
| ALL CHILDREN'S HOSPITAL FOUDNATION INC | |||||||||||
| 501 SIXTH AVENUE SOUTH | ST PETERSBURG | FL | 33701 | 592481738 | FOUNDATION | FL | 501(C)(3) | LINE 7 | ALL CHILDREN'S HEALTH SYSTEM INC | 0 | |
| ALL CHILDREN'S HOSPITAL INC | |||||||||||
| 501 SIXTH AVENUE SOUTH | ST PETERSBURG | FL | 33701 | 590683252 | HOSPITAL | FL | 501(C)(3) | LINE 3 | JOHNS HOPKINS HEALTH SYSTEM CORPORATION | 0 | |
| ALL CHILDREN'S RESEARCH INSTITUTE INC | |||||||||||
| 501 SIXTH AVENUE SOUTH | ST PETERSBURG | FL | 33701 | 592481742 | RESEARCH | FL | 501(C)(3) | LINE 4 | ALL CHILDREN'S HEALTH SYSTEM INC | 0 | |
| SURGIKID OF FLORIDA INC | |||||||||||
| 501 SIXTH AVENUE SOUTH | ST PETERSBURG | FL | 33701 | 593441883 | MEDICAL SERVICES | FL | 501(C)(3) | LINE 9 | ALL CHILDREN'S HEALTH SYSTEM INC | 0 | |
| KIDS HOME CARE INC | |||||||||||
| 501 SIXTH AVENUE SOUTH | ST PETERSBURG | FL | 33701 | 593476049 | HOME HEALTH CARE | FL | 501(C)(3) | LINE 9 | ALL CHILDREN'S HEALTH SYSTEM INC | 0 | |
| WEST COAST NEONATOLOGY INC | |||||||||||
| 501 SIXTH AVENUE SOUTH | ST PETERSBURG | FL | 33701 | 593398308 | NEONATAL CARE | FL | 501(C)(3) | LINE 9 | ALL CHILDREN'S HEALTH SYSTEM INC | 0 | |
| ALL CHILDREN'S HEALTH SYSTEM INC | |||||||||||
| 501 SIXTH AVENUE SOUTH | ST PETERSBURG | FL | 33701 | 592481740 | MANAGEMENT SERVICES | FL | 501(C)(3) | LINE 11C, III-FI | JOHNS HOPKINS HEALTH SYSTEM CORPORATION | 0 | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (7 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|
| OPHTHALMOLOGY ASSOCIATES LLC | |||||||
| 3910 KESWICK RD SOUTH BLDG 4TH FL S | BALTIMORE | MD | 21211 | 521890957 | OPHTHALMOLOGY SERVICES | MD | N/A |
| SUBURBAN WELLNESS CENTER LLC | |||||||
| 20500 GOLDENROD LANE | GERMANTOWN | MD | 20874 | 562296930 | REAL ESTATE | MD | N/A |
| GCM SUBURBAN IMAGING LLC | |||||||
| 1201 SEVEN LOCKS ROAD STE 200 | ROCKVILLE | MD | 20854 | 522326237 | OUTPATIENT RADIOLOGY | MD | N/A |
| ROCKVILLE IMAGING LLC | |||||||
| 1201 SEVEN LOCKS ROAD STE 200 | ROCKVILLE | MD | 20854 | 141944128 | OUTPATIENT RADIOLOGY | MD | N/A |
| CHEVY CHASE IMAGING LLC | |||||||
| 1201 SEVEN LOCKS ROAD STE 200 | ROCKVILLE | MD | 20854 | 141944126 | RADIOLOGY SERVICES | MD | N/A |
| HEALTHCARE SUPPLY CHAIN INNOVATIONS LLC | |||||||
| 3910 KESWICK RD SOUTH BLDG 4TH FL S | BALTIMORE | MD | 21211 | 472509307 | GROUP PURCHASING | MD | N/A |
| JOHNS HOPKINS REGIONAL SUPPLY CHAIN NETWORK LLC | |||||||
| 3910 KESWICK RD SOUTH BLDG 4TH FL S | BALTIMORE | MD | 21211 | 472912848 | GROUP PURCHASING | MD | N/A |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (11 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|
| HOWARD COUNTY HEALTH SERVICES INC | |||||||||||
| 3910 KESWICK RD SOUTH BLDG 4TH FL S | BALTIMORE | MD | 21211 | 521434783 | HEALTHCARE MANANAGEMENT | MD | N/A | C | 0 | ||
| HSI MEDICAL SERVICES CORPORATION | |||||||||||
| 3910 KESWICK RD SOUTH BLDG 4TH FL S | BALTIMORE | MD | 21211 | 521847705 | HEALTHCARE SLEEP DIAGNOSTICS | MD | N/A | C | 0 | ||
| JOHNS HOPKINS MEDICAL MANANGEMENT CORPORATION | |||||||||||
| 3910 KESWICK RD SOUTH BLDG 4TH FL S | BALTIMORE | MD | 21211 | 521250028 | NURSING SERVICES | MD | N/A | C | 0 | ||
| JOHNS HOPKINS EMPLOYER HEALTH PROGRAMS INC | |||||||||||
| 3910 KESWICK RD SOUTH BLDG 4TH FL S | BALTIMORE | MD | 21211 | 521947678 | BENEFIT PLANS | MD | N/A | C | 0 | ||
| TCAS INC | |||||||||||
| 3910 KESWICK RD SOUTH BLDG 4TH FL S | BALTIMORE | MD | 21211 | 521979344 | NURSING SERVICES | MD | N/A | C | 0 | ||
| SUBURBAN CONTRACTING CORP INC | |||||||||||
| 8600 OLD GEORGETOWN RD | BETHESDA | MD | 20814 | 522188022 | MEDICARE CONTRACTING | MD | N/A | C | 0 | ||
| SUBURBAN HEALTH ENTERPRISES INC | |||||||||||
| 8600 OLD GEORGETOWN RD | BETHESDA | MD | 20814 | 522052352 | MEDICAL OFFICE LEASING AND RELEASING | MD | N/A | C | 0 | ||
| SUBURBAN SPECIALTY CARE PHYSICIANS PC | |||||||||||
| 8600 OLD GEORGETOWN RD | BALTIMORE | MD | 20814 | 522116011 | MULTI SPECIALTY MEDICAL PRACTICE | MD | N/A | C | 0 | ||
| HCP VENTURE ONE CORPORATION | |||||||||||
| 3910 KESWICK RD SOUTH BLDG 4TH FL S | BALTIMORE | MD | 21211 | 521558858 | MEDICAL SERIVCES | MD | N/A | C | 0 | ||
| ACHPOB INC | |||||||||||
| 501 SIXTH AVENUE SOUTH | ST PETERSBURG | FL | 33701 | 592427749 | MEDICAL OFFICE BUILDING MANAGEMENT | FL | N/A | C | 0 | ||
| VARIOUS CHARITABLE REMAINDER TRUSTS | |||||||||||
| 3910 KESWICK RD SOUTH BLDG 4TH FL S | BALTIMORE | MD | 21211 | CHARITABLE REMAINDER TRUSTS | MD | N/A | T | 0 | $37,417 | 1.00000 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SUBURBAN HOSPITAL FOUNDATION INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | C | TransactionTypeTxt |
| Involved | $1,710,000 | InvolvedAmt |
| Method Of Amount Determination | FMV | MethodOfAmountDeterminationTxt |