2023-05-12T08:48:47-05:00 2022-06-30 990 2021-07-01 522019696 SUBURBAN HOSPITAL FOUNDATION INC SUBU 3018963971 8600 OLD GEORGETOWN ROAD BETHESDA MD 208141497 KIMBERLY ELYANOW TREASURER 3018963971 2023-05-12 KIMBERLY ELYANOW XXX-XX-XXXX 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z KIMBERLY ELYANOW 8600 OLD GEORGETOWN ROAD BETHESDA MD 208141497 5872138 0 X WWW.SUBURBANHOSPITAL/CHARITABLEGIVING.ORG X 1995 MD SUPPORTING ORGANIZATION FOR SUBURBAN HOSPITAL, INC. 32 27 8 0 0 0 3308373 3421583 0 0 639334 2450555 43636 0 3991343 5872138 1805548 1959828 0 0 975629 698398 0 0 68160 288816 530397 3069993 3188623 921350 2683515 34020378 27975241 211974 229890 33808404 27745351 X THE SUBURBAN HOSPITAL FOUNDATION RAISES AND DISTRIBUTES PHILANTHROPIC GIFTS IN SUPPORT OF THE PROGRAMS AND PRIORITIES OF THE MEMBER (SUBURBAN HOSPITAL, INC. 52-0610545). THE CORPORATION SHALL HAVE SUCH OTHER OBJECTIVES AS ARE APPROVED BY THE BOARD OF TRUSTEES AND THE MEMBER. 0 0 191973 191973 SUBURBAN HOSPITAL FOUNDATION PROVIDES FUNDING AND SUPPORT FOR THE RESILIENCE IN STRESSFUL EVENTS (RISE) PROGRAM AT SUBURBAN HOSPITAL. THIS PROGRAM PROVIDES THE AVAILABILITY OF TRAINED DEDICATED PEER RESPONDERS TO PROVIDE 24/7 SUPPORT FOR STAFF EXPERIENCING WORK-RELATED STRESS. THE TRAINED RESPONDERS CARRY A CELL PHONE WHEN THEY ARE ON DUTY TO RESPOND TO CALLS AND TEXTS FROM THEIR CO-WORKERS. SUBURBAN HOSPITAL FOUNDATION ASSISTED WITH THE PURCHASE OF EQUIPMENT, MATERIALS, TRAINING, EDUCATION AND SUPPLIES. 178572 178572 SUBURBAN HOSPITAL FOUNDATION PROVIDED FUNDING TO PURCHASE CAPITAL EQUIPMENT AND RENOVATIONS FOR THE BEHAVIORAL HEALTH PROGRAM AT SUBURBAN HOSPITAL. SUBURBAN HOSPITAL PROVIDES AN ARRAY OF COMPREHENSIVE BEHAVIORAL HEALTH SERVICES FOR INDIVIDUALS WITH EMOTIONAL PROBLEMS, MENTAL ILLNESS AND ADDICTIVE DISEASES, AS WELL AS SERVICES DESIGNED TO FOSTER MENTAL HEALTH. 185089 185089 SUBURBAN HOSPITAL FOUNDATION PROVIDES FUNDING FOR THE NURSING EXCELLENCE FUND IN COLLABORATION WITH SUBURBAN HOSPITAL, INC. THIS PROGRAM IS USED TO PROMOTE EFFECTIVE NURSING INTERVENTIONS, EFFICIENT CARE, AND IMPROVED OUTCOMES FOR PATIENTS, AND TO PROVIDE THE BEST AVAILABLE EVIDENCE FOR CLINICAL, ADMINISTRATIVE, AND EDUCATIONAL DECISION MAKING. SUPPORT FOR THE TRAINING AND ADVANCEMENT OF OUR CURRENT NURSES AND THEIR PROFESSIONAL PRACTICE OF THE ART AND SCIENCE OF NURSING, INCLUDING NURSING GOVERNANCE, QUALITY, PREPARATION AND ENGAGEMENT. 1404194 1404194 1404194 1404194 1959828 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 1 1 0 0 0 0 1 0 0 0 1 X 4 0 1 8 1 0 0 0 0 0 0 0 0 0 0 0 0 X 32 27 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 MD X KIMBERLY ELYANOW 2026607720 8600 OLD GEORGETOWN ROAD BETHESDA MD 20814 CAROLYN CARPENTER MHA FACHE TRUSTEE 2.00 58.00 X 0 889950 133973 MARTY BASSO TREASURER, TRUSTEE 2.00 58.00 X X 0 715393 102353 JESSICA THOMPSON MELTON MHA PRESIDENT AND CEO, TRUSTEE 2.00 58.00 X X 0 439111 53034 JOSEPH LINSTROM TRUSTEE 1.00 59.00 X 0 328102 87503 JULIE FUTROVSKY TRUSTEE, CHAIRMAN 4.00 0.00 X 0 0 0 JACQUELINE BEALE TRUSTEE 4.00 0.00 X 0 0 0 JASON BELINKIE TRUSTEE 4.00 0.00 X 0 0 0 MARY ELLEN BELIVEAU TRUSTEE 4.00 0.00 X 0 0 0 MATT BROWN TRUSTEE 4.00 0.00 X 0 0 0 STACI CAPUANO TRUSTEE 4.00 0.00 X 0 0 0 DIANE L COLGAN MD TRUSTEE 4.00 0.00 X 0 0 0 CHRIS DOHERTY TRUSTEE 4.00 0.00 X 0 0 0 DOUG FORMAN MD TRUSTEE 4.00 0.00 X 0 0 0 MICHELLE GLENNON TRUSTEE 4.00 0.00 X 0 0 0 MEGHAN GUDELSKY TRUSTEE 4.00 0.00 X 0 0 0 MICHAEL HIBLER TRUSTEE 4.00 0.00 X 0 0 0 SUNITA KAUL TRUSTEE 4.00 0.00 X 0 0 0 CHRISTINA KEARNS TRUSTEE 4.00 0.00 X 0 0 0 EMILY KISHTER TRUSTEE 4.00 0.00 X 0 0 0 RYAN KUEHL TRUSTEE 4.00 0.00 X 0 0 0 THOMAS MATTHEW MD TRUSTEE 4.00 0.00 X 0 0 0 CHARLES MITCHELL TRUSTEE 4.00 0.00 X 0 0 0 TOM MURPHY TRUSTEE 4.00 0.00 X 0 0 0 SONIA QASBA MD TRUSTEE 4.00 0.00 X 0 0 0 ANABEL QUINTERO TRUSTEE 4.00 0.00 X 0 0 0 STEVEN RUM TRUSTEE 4.00 0.00 X 0 0 0 WENDI SAGER TRUSTEE, VICE CHAIRMAN 4.00 0.00 X 0 0 0 MANPREET SINGH TRUSTEE 4.00 0.00 X 0 0 0 LISA SLATER TRUSTEE 4.00 0.00 X 0 0 0 DANIEL J VALAIK MD TRUSTEE 4.00 0.00 X 0 0 0 JUDITH M WALKER TRUSTEE 4.00 0.00 X 0 0 0 MICHAEL WARSAW TRUSTEE 4.00 0.00 X 0 0 0 CYNTHIA MERZ VICE PRESIDENT OF DEVELOPMENT 30.00 30.00 X 14755 285103 36492 VADIM SCHICK SECRETARY 1.00 59.00 X 0 232932 23232 STACEY GELDIN DIR DEVELOPMENT 50.00 0.00 X 140732 0 15511 JANINE WERKMAN ASSOC DIR DEVELOPMENT 50.00 0.00 X 126135 0 5836 KATHRYN SAUTER DIR OPERATIONS FOUNDATION 50.00 0.00 X 101453 0 14539 383075 2890591 472473 3 0 1 0 0 3421583 697250 3421583 328213 328213 2122342 0 2122342 2122342 2122342 5872138 0 0 2450555 1810266 1810266 149562 149562 568098 568098 130300 130300 31004 31004 34828 4236 30592 500 500 43053 22221 20832 40396 34988 5408 22414 22414 1383 1383 3194 3194 CONTRACT SERVICES - AFF 339304 339304 OTHER 11660 832 10828 MEMBERSHIP DUES 2361 2361 LICENSES & REGISTRATION 300 300 3188623 1959828 1160635 68160 8160918 5169272 207790 205452 25651670 22099808 0 500709 34020378 27975241 74017 92284 137957 137606 211974 229890 X 2886955 1291633 30921449 26453718 33808404 27745351 34020378 27975241 X 2683515 -8746568 X 0 1 X 1 0 X X 1 SUBURBAN HOSPITAL INC 520610545 3 1 1810266 0 1 1810266 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 DUE TO AFFILIATES 137606 137606 X PART X, LINE 2: FASB'S GUIDANCE ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES CLARIFIES THE ACCOUNTING FOR UNCERTAINTY OF INCOME TAX POSITIONS. THIS GUIDANCE DEFINES THE THRESHOLD FOR RECOGNIZING TAX RETURN POSITIONS IN THE FINANCIAL STATEMENTS AS "MORE LIKELY THAN NOT" THAT THE POSITION IS SUSTAINABLE, BASED ON ITS TECHNICAL MERITS. THIS GUIDANCE ALSO PROVIDES GUIDANCE ON THE MEASUREMENT, CLASSIFICATION AND DISCLOSURE OF TAX RETURN POSITIONS IN THE FINANCIAL STATEMENTS. THE FOUNDATION HAS ADOPTED THIS GUIDANCE, AND THERE WAS NO IMPACT ON ITS FINANCIAL STATEMENTS DURING THE YEARS ENDED JUNE 30, 2022 AND 2021. 1 SUBURBAN HOSPITAL INC 8600 OLD GEORGETOWN ROAD BETHESDA MD 208141497 520610545 501(C)(3) 1810266 0 SUPPORT FOR THE HOSPITAL 1 SCHOLARSHIPS 18 140940 PART I, LINE 2: THE BOARD OF TRUSTEES HAS DELEGATED THE FACILITATION AND ACCOUNTING FOR ALL GRANT PROGRAMS ADMINISTERED BY SUBURBAN HOSPITAL FOUNDATION, INC. TO THE OFFICERS, DIRECTORS, AND KEY EMPLOYEES OF THE ORGANIZATION. X X X X X 0 1 0 0 0 0 0 1 0 CAROLYN CARPENTER MHA FACHE TRUSTEE 0 678539 0 202500 0 8911 0 78124 0 55849 0 1023923 0 0 MARTY BASSO TREASURER, TRUSTEE 0 471207 0 105248 0 138938 0 83379 0 18974 0 817746 0 0 JESSICA THOMPSON MELTON MHA PRESIDENT AND CEO, TRUSTEE 0 326961 0 65625 0 46525 0 42386 0 10648 0 492145 0 0 JOSEPH LINSTROM TRUSTEE 0 259206 0 57165 0 11731 0 75609 0 11894 0 415605 0 0 CYNTHIA MERZ VICE PRESIDENT OF DEVELOPMENT 14755 201063 0 10955 0 73085 0 5966 0 30526 14755 321595 0 0 VADIM SCHICK SECRETARY 0 196982 0 34748 0 1202 0 12060 0 11172 0 256164 0 0 STACEY GELDIN DIR DEVELOPMENT 121559 0 9869 0 9304 0 6646 0 8865 0 156243 0 0 0 PART I, LINE 4B A SELECT GROUP OF SENIOR LEADERS OF THE JOHNS HOPKINS HEALTH SYSTEM CORPORATION (JHHSC) PARTICIPATE IN SUPPLEMENTAL RETIREMENT/DEFERRED COMPENSATION PROGRAMS, INCLUDING SOME LEGACY ARRANGEMENTS THAT ARE NO LONGER AVAILABLE TO NEW HIRES. PRE-2011 PARTICIPANTS RECEIVE CASH PAYMENTS EACH YEAR DETERMINED WITH REFERENCE TO THEIR SERVICE WITH JHHSC AND THEIR FINAL AVERAGE COMPENSATION. AS OF JANUARY 2019, FUTURE CASH PAYMENTS ARE MADE ACCORDING TO A FIXED SCHEDULE FOR THESE PARTICIPANTS. POST-2011 PARTICIPANTS ACCRUE BENEFITS UNDER A DEFINED CONTRIBUTION FORMULA WHERE CONTRIBUTIONS ARE TIERED BY POSITION LEVEL. CONTRIBUTIONS MADE IN 2018 AND PRIOR YEARS GENERALLY VEST AFTER THE LATER OF FIVE YEARS OF SERVICE WITH JHHSC OR THREE YEARS OF PLAN PARTICIPATION; CONTRIBUTIONS MADE IN 2019 AND FUTURE YEARS VEST THREE YEARS AFTER EACH CONTRIBUTION IS MADE, WITH FULL VESTING ON THE LATER OF AGE 65 OR THREE YEARS OF PLAN PARTICIPATION. ALL CONTRIBUTIONS VEST ON DEATH, DISABILITY OR INVOLUNTARY TERMINATION WITHOUT CAUSE. IF A PARTICIPANT VOLUNTARILY TERMINATES EMPLOYMENT OR IS TERMINATED BY THE EMPLOYER FOR CAUSE PRIOR TO THE APPLICABLE VESTING DATE, THE PARTICIPANT'S ENTIRE NON-VESTED BENEFIT IS FORFEITED ALL OF THESE ARRANGEMENTS WERE APPROVED, IN ADVANCE, BY AN INDEPENDENT COMPENSATION COMMITTEE, WHICH BASED ITS DECISION ON DATA PROVIDED BY AN INDEPENDENT COMPENSATION CONSULTANT. PARTICIPANTS' INTERESTS UNDER THESE ARRANGEMENTS ARE NOT GUARANTEED OR SECURED AT ANY WAY AND AT ALL TIMES ARE SUBJECT TO CLAIMS OF EMPLOYER'S BANKRUPTCY/INSOLVENCY CREDITORS. THE FOLLOWING INDIVIDUALS LISTED ON FORM 990, PART VII, SECTION A, LINE 1A RECEIVED PAYMENT FROM ONE OR MORE SUPPLEMENTAL RETIREMENT/DEFERRED COMPENSATION PROGRAMS, WITH PAYMENTS REPORTED IN SCHEDULE J, PART II, COLUMN (B)(III); THE TOTAL OF AMOUNTS PAYABLE DURING 2021 BUT REPORTED AS DEFERRED COMPENSATION IN COLUMN (C) IN PREVIOUS YEARS IS REPORTED IN SCHEDULE J, PART II, COLUMN (F). THE AMOUNTS BELOW MAY REFLECT ANNUAL CASH PAYMENTS OR MULTIPLE YEARS OF ACCRUALS THAT VESTED IN 2021. MARTY BASSO $112,508 PART I, LINE 7 THE EXECUTIVES AND DIRECTORS ARE PAID BY THE JOHNS HOPKINS HEALTH SYSTEM, THE PARENT OF THE RELATED ORGANIZATION SUBURBAN HOSPITAL, INC. THEY 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. THE EMPLOYEES OF SUBURBAN FOUNDATION PARTICIPATE IN AN ANNUAL INCENTIVE PROGRAM THAT IS BASED ON BUSINESS ACTIVITY AND INDIVIDUAL PERFORMANCE. THE ANNUAL INCENTIVE PLAN HAS THREE POTENTIAL PAYOUT LEVELS - THRESHOLD, TARGET AND MAXIMUM. MARK FUTROVSKY TRUSTEE 62553 SEE PART V MR. FUTROVSKY IS PRESIDENT OF THE ROLYN COMPANIES, INC. ("ROLYN"). SUBURBAN HOSPITAL, INC. RENTED EQUIPMENT AND PURCHASED LABOR FROM ROLYN FOR COVID-19 RESPONSE AND PREPAREDNESS. 0 X 7 697250 FMV 0 1 0 FORM 990, PART V, LINES 2A & 2B THE 8 EMPLOYEES REPORTED ON LINE 2A ARE PAID AND REPORTED ON FORM W-3 BY THE SUPPORTED ORGANIZATION SUBURBAN HOSPITAL, INC.(52-0610545). ALL REQUIRED FEDERAL AND STATE EMPLOYMENT TAX RETURNS ARE FILED BY SUBURBAN HOSPITAL, INC. FORM 990, PART VI, SECTION A, LINE 2 A. MARK FUTROVSKY IS A TRUSTEE OF SUBURBAN HOSPITAL. JULIE FUTROVSKY IS A TRUSTEE OF SUBURBAN HOSPITAL FOUNDATION. MR. FUTROVSKY AND MS. FUTROVSKY HAVE A FAMILY RELATIONSHIP. FORM 990, PART VI, SECTION A, LINE 6 SUBURBAN HOSPITAL, INC., A IRC 501(C)(3) TAX EXEMPT ORGANIZATION, IS THE SOLE CORPORATE MEMBER OF SUBURBAN HOSPITAL FOUNDATION, INC. FORM 990, PART VI, SECTION A, LINE 7A SUBURBAN HOSPITAL, INC., THE IRC 501C (3) TAX EXEMPT SUPPORTED ORGANIZATION OF SUBURBAN HOSPITAL FOUNDATION, INC. ELECTS THE MAJORITY OF THE BOARD OF TRUSTEES AT THE ANNUAL MEETING. 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 PARENT ORGANIZATION JOHNS HOPKINS HEALTH SYSTEM CORPORATION. FORM 990, PART VI, SECTION B, LINE 11B A COPY OF THE FORM 990 WAS PROVIDED TO THE BOARD OF TRUSTEES AND THE EXECUTIVE COMMITTEE BEFORE IT WAS FILED. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY IS A PART OF THE ANNUAL DISCLOSURE STATEMENT PROCESS. ALL OFFICERS, DIRECTORS, TRUSTEES, AND KEY EMPLOYEES ARE REQUIRED TO REPORT ANY CONFLICTS OF INTEREST AND TO COMPLY WITH THE CONFLICT OF INTEREST POLICY ON AN ANNUAL BASIS. FORM 990, PART VI, SECTION B, LINE 15 EVERY THREE YEARS AN INDEPENDENT STUDY IS CONDUCTED GATHERING INDUSTRY COMPENSATION AVERAGES FROM SELECT PEER INSTITUTIONS. EVERY YEAR THE JOHNS HOPKINS BOARD OF TRUSTEES COMPENSATION COMMITTEE REVIEWS COMPENSATION AMOUNTS FOR OFFICERS AND ALL EMPLOYEES AT THE DIRECTOR AND HIGHER LEVELS. FORM 990, PART VI, SECTION C, LINE 19 INTERNAL POLICIES, INCLUDING CONFLICT OF INTERST POLICY, ARE PROVIDED TO THE PUBLIC ON THE ORGANIZATION'S 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: UNREALIZED GAIN ON INVESTMENT -6,112,047. NET ASSETS RELEASED FROM RESTRICTION -2,634,520. ROUNDING -1. 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