SUBURBAN HOSPITAL INCORPORATED: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
SUBURBAN HOSPITAL INCORPORATED (EIN 52-0610545)
Tax period
2020-07-01 to 2021-06-30
Filed
2022-05-11
IRS object ID
202241319349305624
Schema version
2020v4.2
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2022-05-11T16:29:59-05:00ReturnTs
Tax Period End2021-06-30TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2020-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN520610545EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SUBURBAN HOSPITAL INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSUBUBusinessNameControlTxt
Phone4439975771PhoneNum

US Address USAddress

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

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMARTIN BASSOPersonNm
Person TitleSR VP FINANCE & TREASURERPersonTitleTxt
Phone3018963900PhoneNum
Signature2022-05-11SignatureDt

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstMARTINPersonFirstNm
Person LastBASSOPersonLastNm
FieldValueIRS element (for citing)
SSNXXX-XX-XXXXSSN

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMARTIN BASSOPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line18600 OLD GEORGETOWN ROADAddressLine1Txt
CityBETHESDACityNm
State AbbreviationMDStateAbbreviationCd
ZIP208141497ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$360,187,672GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.SUBURBANHOSPITAL.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1942FormationYr
Legal Domicile StateMDLegalDomicileStateCd
Activity Or MissionSUBURBAN HOSPITAL IS A COMMUNITY-BASED HOSPITAL SERVING MONTGOMERY COUNTY AND THE SURROUNDING AREA SINCE 1943. WE ARE A NOT-FOR-PROFIT HEALTHCARE PROVIDER GUIDED BY THE NEEDS OF OUR PATIENTS AND COMMUNITY. ON JUNE 30, 2009, SUBURBAN HOSPITAL BECAME A MEMBER OF JOHNS HOPKINS MEDICINE. THE DESIGNATED TRAUMA CENTER FOR MONTGOMERY COUNTY, SUBURBAN HOSPITAL IS AFFILIATED WITH MANY LOCAL HEALTHCARE ORGANIZATIONS, INCLUDING THE NATIONAL INSTITUTES OF HEALTH. IT IS COMMITTED TO CONTINUOUS IMPROVEMENT AND APPROPRIATE USE OF RESOURCES, AND CREATES AN ENVIRONMENT THAT ENCOURAGES THE SUCCESS AND FULFILLMENT OF OUR PHYSICIANS, STAFF, AND VOLUNTEERS.SUBURBAN HOSPITAL WILL SET THE STANDARD FOR EXCELLENCE IN HEALTHCARE IN THE WASHINGTON METROPOLITAN REGION. THROUGH OUR AFFILIATIONS, WE ASPIRE TO PROVIDE WORLD-CLASS PATIENT CARE, TECHNOLOGY, AND CLINICAL RESEARCH.ActivityOrMissionDesc
Voting Members Governing Body21VotingMembersGoverningBodyCnt
Voting Members Independent17VotingMembersIndependentCnt
Total Employee2284TotalEmployeeCnt
Total Volunteers60TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$23,143,939PYContributionsGrantsAmt
CY Contributions Grants$18,258,468CYContributionsGrantsAmt
PY Program Service Revenue$275,201,864PYProgramServiceRevenueAmt
CY Program Service Revenue$319,073,516CYProgramServiceRevenueAmt
PY Investment Income$744,097PYInvestmentIncomeAmt
CY Investment Income$8,572,108CYInvestmentIncomeAmt
PY Other Revenue$14,338,083PYOtherRevenueAmt
CY Other Revenue$11,784,188CYOtherRevenueAmt
PY Total Revenue$313,427,983PYTotalRevenueAmt
CY Total Revenue$357,688,280CYTotalRevenueAmt
PY Grants And Similar Paid$67,504PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$40,609CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$143,872,642PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$148,011,904CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$164,863,080PYOtherExpensesAmt
CY Other Expenses$186,557,383CYOtherExpensesAmt
PY Total Expenses$308,803,226PYTotalExpensesAmt
CY Total Expenses$334,609,896CYTotalExpensesAmt
PY Revenues Less Expenses$4,624,757PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$23,078,384CYRevenuesLessExpensesAmt
Total Assets BOY$610,732,788TotalAssetsBOYAmt
Total Assets EOY$689,946,694TotalAssetsEOYAmt
Total Liabilities BOY$202,819,130TotalLiabilitiesBOYAmt
Total Liabilities EOY$186,423,992TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$407,913,658NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$503,522,702NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionSUBURBAN HOSPITAL WILL DELIVER SUPERIOR HEALTHCARE ENHANCED BY TECHNOLOGY, WELLNESS EDUCATION, RESEARCH, AND INNOVATIVE PARTNERSHIPS WITH PHYSICIANS, HOSPITALS, THE COMMUNITY, AND THE NATIONAL INSTITUTES OF HEALTH. MISSION: IMPROVING HEALTH WITH SKILL AND COMPASSION.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$54,168,608ExpenseAmt
Revenue$64,268,487RevenueAmt
DescSURGICAL PATIENT SERVICES:SUBURBAN HOSPITAL OFFERS COMPREHENSIVE INPATIENT AND OUTPATIENT SURGICAL SERVICES. THESE INCLUDE ORTHOPEDIC SERVICES, INCLUDING SPINE, NEUROSURGERY AND JOINT REPLACEMENT, WITH THE JOINT REPLACEMENT PROGRAM SERVING OVER 1,500 PATIENTS ANNUALLY. WITH THE DAVINCI SURGICAL SYSTEM, UROLOGIC, GYNECOLOGIC AND THORACIC PROCEDURES ARE PERFORMED WITH STATE-OF-THE-ART ROBOTIC TECHNOLOGY. SUBURBAN HOSPITAL IS THE ONLY CERTIFIED TRAUMA CENTER IN MONTGOMERY COUNTY. THE LEVEL II TRAUMA CENTER TREATS 1500 MAJOR TRAUMA CASES ANNUALLY AND HAS AN ORTHOPEDIC TRAUMATOLOGIST ON STAFF. THE FOLLOWING SPECIALISTS ARE ON CALL FOR EMERGENCIES: TRAUMA SURGEONS, NEUROSURGEONS, UROLOGISTS, ENT, OB/GYN, AND CARDIOLOGISTS. DURING 2021, SUBURBAN HOSPITAL ADMITTED 1,341 SURGICAL INPATIENTS. 2,023 OPERATING ROOM CASES WERE PERFORMED.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$118,563,407ExpenseAmt
Revenue$125,100,587RevenueAmt
DescMEDICAL PATIENT SERVICES:SUBURBAN HOSPITAL PROVIDES ACUTE AND CRITICAL CARE FOR A COMPLETE RANGE OF MEDICAL DIAGNOSES. THE HOSPITAL IS A JOINT COMMISSION CERTIFIED PRIMARY STROKE CENTER FEATURING A DEDICATED NIH STROKE TEAM, WHICH PROVIDES RAPID DIAGNOSIS AND CUTTING-EDGE TREATMENT OF STROKES. SUBURBAN HOSPITAL ALSO OPERATES A CANCER CARE PROGRAM, WHICH IS ACCREDITED WITH COMMENDATION BY THE COMMISSION ON CANCER OF THE AMERICAN COLLEGE OF SURGEONS. THE COMPREHENSIVE PROGRAM SERVICES PATIENTS WITH ALL DIAGNOSES AND OFFERS CUTTING-EDGE TECHNOLOGY AND PERSONALIZED CARE. IN 2021, SUBURBAN HOSPITAL ADMITTED APPROXIMATELY 6,900 MEDICAL PATIENTS.SUBURBAN HOSPITAL'S OBJECTIVES ARE TO MEASURE AND ANALYZE VARIANCES AND IMPROVE CARE PROCESSES RELATED TO KEY TARGET ZERO QUALITY INITIATIVES: (1) FALLS WITH INJURY (2) CENTRAL-LINE ASSOCIATED BLOODSTREAM INFECTION (3) VENTILATOR ASSOCIATED PNEUMONIA (4) PRESSURE ULCER RATES.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$31,236,714ExpenseAmt
Revenue$39,162,447RevenueAmt
DescCARDIOVASCULAR PATIENT SERVICES:SUBURBAN HOSPITAL'S SPECIALIZED CENTER FOR CARDIAC CARE, ANCHORED BY THE NIH HEART CENTER, BRINGS THE CLINICAL AND SCIENTIFIC EXCELLENCE OF TWO RENOWNED MEDICAL INSTITUTIONS TO A COMMUNITY-BASED CARDIAC PROGRAM. THROUGH COLLABORATION WITH THE NATIONAL HEART, LUNG, AND BLOOD INSTITUTE (NHLBI) OF THE NATIONAL INSTITUTES OF HEALTH AND JOHNS HOPKINS MEDICINE, SUBURBAN HOSPITAL PROVIDES PATIENTS EASY ACCESS TO ADVANCED CARDIOVASCULAR TREATMENTS AVAILABLE IN VERY FEW MEDICAL CENTERS. IN ADDITION TO STATE-OF-THE-ART CARDIAC SURGERY AND ANGIOPLASTY, THE NIH HEART CENTER AT SUBURBAN HOSPITAL COMPLEMENTS A BROAD RANGE OF EXISITING CARDIAC PROGRAMS AT SUBURBAN HOSPITAL - FROM EMERGENCY CARE TO CARDIAC DIAGNOSTICS AND REHABILITATION. DURING 2021 THERE WERE 537 ADMISSIONS.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$61,192,463ExpenseAmt
Grant$40,609GrantAmt
Revenue$102,326,183RevenueAmt
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$61,192,463TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$40,609TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$102,326,183TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$265,161,192TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntYes (1)BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document264IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee2284EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members21GoverningBodyVotingMembersCnt
Independent Voting Member17IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldMDStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

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

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (35 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
KEVIN W SOWERS MSN RN FAA
CORPORATE VICE CHAIRMAN2.5057.50Yes (X)Yes (X)$0$1,672,257$221,428
JACKY SCHULTZ
PRESIDENT, TRUSTEE59.001.00Yes (X)Yes (X)$0$758,262$8,529
LEO ROTELLO MD
TRUSTEE2.5037.50Yes (X)$0$608,038$101,151
CAROLYN CARPENTER MHA FACHE
PRESIDENT OF THE NATIONAL CAPITAL REGION30.0030.00Yes (X)Yes (X)$0$373,746$52,388
BARTON LEONARD MD
TRUSTEE2.502.50Yes (X)$0$0$0
JANINE LOSSING
TRUSTEE2.500.00Yes (X)$0$0$0
MARY ELLEN BELIVEAU
TRUSTEE, CHAIRMAN2.500.00Yes (X)$0$0$0
MARY MYERS MS RN
TRUSTEE2.500.00Yes (X)$0$0$0
BRIAN COBB
TRUSTEE2.500.00Yes (X)$0$0$0
LINDA COURIE
TRUSTEE2.500.00Yes (X)$0$0$0
JONATHAN EFRON MD
TRUSTEE2.502.50Yes (X)$0$0$0
MARIA GOMEZ
TRUSTEE2.500.00Yes (X)$0$0$0
ELIZABETH FLANAGAN
TRUSTEE2.500.00Yes (X)$0$0$0
JON SLABAUGH
TRUSTEE2.500.00Yes (X)$0$0$0
MARK FUTROVSKY
TRUSTEE2.500.00Yes (X)$0$0$0
LARA EISENBERG MD
TRUSTEE4.002.50Yes (X)$0$0$0
DAVID RUBEN
TRUSTEE2.502.50Yes (X)$0$0$0
MICHAEL A SMITH MD
TRUSTEE2.500.00Yes (X)$0$0$0
SUDEEP ANAND PHD
TRUSTEE2.500.00Yes (X)$0$0$0
WILLIAM SHAW
TRUSTEE2.500.00Yes (X)$0$0$0
JOHN OTSUKI
TRUSTEE, VICE CHAIRMAN2.502.50Yes (X)$0$0$0
LEE WEINSTEIN
TRUSTEE2.502.50Yes (X)$0$0$0
MARTIN BASSO
SR VP FINANCE & TREASURER30.0030.00Yes (X)$0$853,010$95,242
ERIC DOBKIN
VP MEDICAL AFFAIRS60.000.00Yes (X)$0$488,144$29,594
PETER B MANCINO ESQ
SECRETARY1.0059.00Yes (X)$0$385,786$96,077
LEIGHANN SIDONE RN
VP NURSING & CNO59.001.00Yes (X)$0$336,190$70,251
JOSEPH LINSTROM
VP OPERATIONS59.001.00Yes (X)$0$309,786$80,301
CINDY MERZ MS
VICE PRESIDENT, DEVELOPMENT30.0030.00Yes (X)$169,504$22,577$34,215
JESSICA MELTON MHA
PRESIDENT59.001.00Yes (X)$0$0$0
STEVEN COHEN
PHYSICIAN ASST.50.000.00$243,349$0$37,964Yes (X)
JENNIFER RAYNOR
DEPT DIR OF PHARMACY50.000.00$220,272$0$26,876Yes (X)
CHARLES HOOKS
SR DIR INFORMATION SYSTEMS50.000.00$222,234$0$21,003Yes (X)
BRADLEY FIELD
CHIEF PERFUSIONIST50.000.00$225,220$0$13,758Yes (X)
DEIDRE HILLIARD
PHYSICIAN ADVISOR50.000.00$207,857$0$17,050Yes (X)
RONALD PETERSON
FORMER CORPORATE VICE CHAIRMAN0.000.00$0$1,275,825$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,288,436TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$7,083,621TotReportableCompRltdOrgAmt
Total Other Compensation$905,827TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K270IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
CLARK CONSTRUCTION GROUP LLC
7500 OLD GEORGETOWN RDBETHESDAMD20814GENERAL CONTRACTOR$12,251,246
DEERFIELD CONSTRUCTION GROUP INC
610 PROFESSIONAL DR STE 210GAITHERSBURGMD20879GENERAL CONTRACTOR$1,092,052
FIRST COLONIES ANESTHESIA ASSOCIATES
12222 MERIT DR STE 700DALLASTX75251MEDICAL SERVICES$926,213
POTOMAC HOME SUPPORT
6001 MONTROSE RD STE 203ROCKVILLEMD20833MEDICAL SERVICES$896,598
P2 CLEANING SERVICES LLC
8750 CHERRY LANE C-17LAURELMD20707CLEANING SERVICES$789,505
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K76CntrctRcvdGreaterThan100KCnt
Related Organizations$1,578,341RelatedOrganizationsAmt
Government Grants$16,680,127GovernmentGrantsAmt
Total Contributions$18,258,468TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescNET PATIENT REVENUEDesc
Business621990BusinessCd
Total Revenue Column$319,073,516TotalRevenueColumnAmt
Related Or Exempt Func Income$319,073,516RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$319,073,516TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,906,065TotalRevenueColumnAmt
Exclusion$3,906,065ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$7,156,000SecuritiesAmt
Other$9,435OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$2,499,392SecuritiesAmt
Other$0OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$4,656,608SecuritiesAmt
Other$9,435OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,666,043TotalRevenueColumnAmt
Exclusion$4,666,043ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
OTHER REVENUE900099$10,503,122$10,503,122
CAFETERIA INCOME900099$669,241$669,241
TV AND PHONE900099$375,985$375,985

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$235,840TotalRevenueColumnAmt
Related Or Exempt Func Income$235,840RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$11,784,188OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$357,688,280TotalRevenueColumnAmt
Related Or Exempt Func Income$330,857,704RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$8,572,108ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$40,609TotalAmt
Program Services$40,609ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$122,222,475TotalAmt
Program Services$103,155,769ProgramServicesAmt
Management And General$19,066,706ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$2,754,636TotalAmt
Program Services$2,324,913ProgramServicesAmt
Management And General$429,723ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$12,888,177TotalAmt
Program Services$10,877,621ProgramServicesAmt
Management And General$2,010,556ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$10,146,616TotalAmt
Program Services$8,563,744ProgramServicesAmt
Management And General$1,582,872ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$94,488TotalAmt
Management And General$94,488ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$5,392TotalAmt
Management And General$5,392ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$70,426TotalAmt
Management And General$70,426ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$384,822TotalAmt
Program Services$324,790ProgramServicesAmt
Management And General$60,032ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$15,690,035TotalAmt
Program Services$13,983,927ProgramServicesAmt
Management And General$1,706,108ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$26,828,246TotalAmt
Program Services$22,939,445ProgramServicesAmt
Management And General$3,888,801ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$873,885TotalAmt
Program Services$737,559ProgramServicesAmt
Management And General$136,326ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$4,708,835TotalAmt
Program Services$3,974,257ProgramServicesAmt
Management And General$734,578ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$199,156TotalAmt
Management And General$199,156ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$79,219TotalAmt
Program Services$66,861ProgramServicesAmt
Management And General$12,358ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$4,015,275TotalAmt
Program Services$4,015,275ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$27,788,432TotalAmt
Program Services$23,453,437ProgramServicesAmt
Management And General$4,334,995ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$2,451,530TotalAmt
Program Services$2,029,206ProgramServicesAmt
Management And General$422,324ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$63,716,700$63,716,700
PURCHASED SERVICES - AF$33,810,370$0$33,810,370
PROFESSIONAL FEES$4,552,116$3,894,905$657,211
OTHER$1,199,833$973,551$226,282

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$88,623TotalAmt
Program Services$88,623ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$334,609,896TotalAmt
Program Services$265,161,192ProgramServicesAmt
Management And General$69,448,704ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$87,690BOYAmt
EOY$6,575EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$11,995,559BOYAmt
EOY$23,227,398EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$29,981,491BOYAmt
EOY$40,520,664EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$11,828,925BOYAmt
EOY$12,223,016EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$2,132,127BOYAmt
EOY$1,099,349EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$504,335,884LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$209,612,407LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$308,694,289BOYAmt
EOY$294,723,477EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$236,036,022BOYAmt
EOY$300,168,170EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$9,976,685BOYAmt
EOY$17,978,045EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$610,732,788BOYAmt
EOY$689,946,694EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$37,522,335BOYAmt
EOY$35,961,714EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$165,296,795BOYAmt
EOY$150,462,278EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$202,819,130BOYAmt
EOY$186,423,992EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$407,913,658BOYAmt
EOY$503,522,702EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$407,913,658BOYAmt
EOY$503,522,702EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$610,732,788BOYAmt
EOY$689,946,694EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$23,078,384ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$72,530,660OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$70,426OtherActivitiesAmt
Total Lobbying Expenditures$70,426TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationSUBURBAN HOSPITAL PAID ITS PARENT CORPORATION, JOHNS HOPKINS HEALTH SYSTEM CORPORATION $69,986 DURING FISCAL YEAR ENDED JUNE 30, 2021 TO SUPPORT THEIR LOBBYING ACTIVITIES. JOHNS HOPKINS OFFICE OF GOVERNMENT AND COMMUNITY AFFAIRS (GCA) SERVES JOHNS HOPKINS UNIVERSITY AND MEDICINE, JOHNS HOPKINS HEALTH SYSTEM AND AFFILIATES. THE PRIMARY PURPOSE OF THIS DEPARTMENT IS TO MAINTAIN CONTACT WITH ELECTED AND APPOINTED STATE OFFICIALS, AND OCCASIONAL FEDERAL OFFICIALS, REGARDING ISSUES WHICH IMPACT JOHNS HOPKINS HEALTH SYSTEM AND ITS AFFILIATES AS WELL AS THE HEALTHCARE INDUSTRY IN GENERAL. THE ORGANIZATION ALSO PAID CERTAIN DUES OR MEMBERSHIP FEES TO VARIOUS PROFESSIONAL ASSOCIATIONS, STATE HOSPITAL ASSOCIATIONS, AND OTHER PROFESSIONAL MEDICAL SOCIETIES WHO ALLOCATE A PORTION OF THOSE DUES TOWARDS LOBBYING EXPENSES. FOR FY21, THE ORGANIZATION HAS CONFIRMED THAT $440 OF SUCH DUES WERE ALLOCATED TOWARDS LOBBYING ACTIVITIES.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$735,434OtherCostOrOtherBasisAmt
Book Value$735,434BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$265,494,446OtherCostOrOtherBasisAmt
Depreciation$98,984,136DepreciationAmt
Book Value$166,510,310BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$89,950OtherCostOrOtherBasisAmt
Depreciation$89,950DepreciationAmt
Book Value$0BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$213,729,406OtherCostOrOtherBasisAmt
Depreciation$100,676,934DepreciationAmt
Book Value$113,052,472BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$24,286,648OtherCostOrOtherBasisAmt
Depreciation$9,861,387DepreciationAmt
Book Value$14,425,261BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$294,723,477TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

FieldValueIRS element (for citing)
DescLONG TERM INVDesc
Book Value$300,168,170BookValueAmt
Method ValuationCMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$300,168,170TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (12 entries)

DescDescAmtAmt
ADVANCES FROM THIRD PARTIES$7,065,849
CAPITAL ACCUMULATION ACCOUNT$423,821
INTEREST PAYABLE$7,444
457B FOR DIRECTORS$26,871
DUE TO AFFILIATES$134,451,564
WORKERS COMPENSATION INSURANCE LIABILITY$1,720,325
MALPRACTICE INSURANCE$1,508,488
L/T MAL LIAB$2,872,573
L/T FINANCING LEASE$110,471
S/T OPERATING LEASE LIABILITY$297,778
DEFERRED OPERATING EXPENSE$222,677
L/T MISC LIABILITY$1,754,417
FieldValueIRS element (for citing)
Total Liability$150,462,278TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationFASB'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, 2021 AND 2020.ExplanationTxt

Schedule H IRS990ScheduleH

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

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,445,858TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$6,445,858NetCommunityBenefitExpnsAmt
Total Expense0.01930TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,445,858TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$6,445,858NetCommunityBenefitExpnsAmt
Total Expense0.01930TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$22,783,829TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$743,416DirectOffsettingRevenueAmt
Net Community Benefit Expns$22,040,413NetCommunityBenefitExpnsAmt
Total Expense0.06590TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,809,829TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,809,829NetCommunityBenefitExpnsAmt
Total Expense0.00840TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,499,076TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,499,076DirectOffsettingRevenueAmt

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$338,319TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$338,319NetCommunityBenefitExpnsAmt
Total Expense0.00100TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$27,431,053TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,242,492DirectOffsettingRevenueAmt
Net Community Benefit Expns$25,188,561NetCommunityBenefitExpnsAmt
Total Expense0.07530TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$33,876,911TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,242,492DirectOffsettingRevenueAmt
Net Community Benefit Expns$31,634,419NetCommunityBenefitExpnsAmt
Total Expense0.09460TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

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

Economic Development EconomicDevelopmentGrp

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

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$223,489TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$13,613DirectOffsettingRevenueAmt
Net Community Benefit Expns$209,876NetCommunityBenefitExpnsAmt
Total Expense0.00060TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$166,582TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$166,582NetCommunityBenefitExpnsAmt
Total Expense0.00050TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

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

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$352,038TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$17,016DirectOffsettingRevenueAmt
Net Community Benefit Expns$335,022NetCommunityBenefitExpnsAmt
Total Expense0.00100TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

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

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$153,064TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$153,064NetCommunityBenefitExpnsAmt
Total Expense0.00050TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

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

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$895,173TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$30,629DirectOffsettingRevenueAmt
Net Community Benefit Expns$864,544NetCommunityBenefitExpnsAmt
Total Expense0.00260TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReportedInd
Bad Debt Expense$8,208,482BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$129,923,103ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$141,591,718CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$11,668,615MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SUBURBAN HOSPITAL INCBusinessNameLine1Txt

US Address USAddress

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

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1SUBURBAN HOSPITAL INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted18CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE SUPPLEMENTAL INFORMATIONOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Rpt Available Thru Other MethodYes (X)RptAvailableThruOtherMethodInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt18ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLSEE SUPPLEMENTAL INFORMATIONStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care500.000000000000FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLWWW.HOPKINSMEDICINE.ORG/PATIENT_CARE/BILLING-INSURANCE/ASSISTANCE-SERVICES/FAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLWWW.HOPKINSMEDICINE.ORG/PATIENT_CARE/BILLING-INSURANCE/ASSISTANCE-SERVICES/FAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLWWW.HOPKINSMEDICINE.ORG/PATIENT_CARE/BILLING-INSURANCE/ASSISTANCE-SERVICES/FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Prospective Medicare MedicaidYes (X)ProspectiveMedicareMedicaidInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SUBURBAN HOSPITAL, INC.PART V, SECTION B, LINE 5: - SUBURBAN HOSPITAL, INC. (SHI) TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL THROUGH VARIOUS WAYS LISTED BELOW:A) SHI IS A FOUNDING AND PERMANENT STEERING COMMITTEE MEMBER OF HEALTHY MONTGOMERY, THE MONTGOMERY COUNTY'S FORMAL LOCAL HEALTH IMPROVEMENT COALITION (CHIC). HEALTHY MONTGOMERY AIMS TO IMPROVE ACCESS TO HEALTH AND SOCIAL SERVICES, ACHIEVE HEALTH EQUITY, AND SUPPORT OPTIMAL HEALTH AND WELL-BEING THROUGH COMMUNITY HEALTH IMPROVEMENT PROCESS (CHIP), A DYNAMIC, ON-GOING PROCESS THAT ALLOWS STAKEHOLDERS TO MONITOR AND ACT ON CONDITIONS AFFECTING THE HEALTH AND WELL-BEING OF MONTGOMERY COUNTY RESIDENTS. HEALTHY MONTGOMERY IS GOVERNED BY A STEERING COMMITTEE (HMSC), COMPOSED OF LOCAL COMMUNITY STAKEHOLDERS, SUCH AS COUNTY GOVERNMENT AND PUBLIC HEALTH OFFICIALS, ADVOCACY GROUPS, ACADEMIC INSTITUTIONS, MINORITY HEALTH PROGRAMS/INITIATIVES, AND MEMBERS OF HEALTH CARE PROVIDER ORGANIZATIONS. HMSC PROVIDES RECOMMENDATIONS AND TECHNICAL EXPERTISE TO HELP ADVANCE PERIODIC COUNTY-WIDE NEEDS ASSESSMENTS, IDENTIFY AND PRIORITIZE HEALTH NEEDS, LEVERAGE POPULATION-BASED DATA AND INFORMATION, AND RESEARCH AND ADOPT BEST-PRACTICE STRATEGIES FOR HEALTH IMPROVEMENT. THROUGH A COMMUNITY AND CONSENSUS-DRIVEN APPROACH, THE MOST RECENT HEALTHY MONTGOMERY COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), COMPLETED IN 2016, IDENTIFIED THE FOLLOWING FIVE KEY HEALTH PRIORITY AREAS FOR MONTGOMERY COUNTY RESIDENTS: OBESITY AND RELATED HEALTH PROBLEMS, HEART HEALTH, DIABETES, MATERNAL AND INFANT HEALTH, MENTAL HEALTH AND SUBSTANCE ABUSE, WITH THE EMERGING ISSUE OF HEROIN AND OPIOID MISUSE. BY WORKING DIRECTLY WITH HEALTHY MONTGOMERY, SHI CAN (1) ALIGN COUNTY-WIDE HEALTH PRIORITIES AND STRATEGIES WITH THOSE IDENTIFIED FOR SHI'S COMMUNITY BENEFIT SERVICE AREA (CBSA) COMMUNITY AND (2) MONITOR PROGRESS AIMED TO ACHIEVE HEALTH EQUITY FOR ALL RESIDENTS. HMSC ADOPTED A SET OF CORE MEASURES THAT IS DESIGNED TO EVALUATE OUTCOMES FOR HEALTH AND WELL-BEING. THE HEALTHY MONTGOMERY WEBSITE HOSTS QUANTITATIVE DATA SETS FROM 2010-2018 FOR EACH OF THE CORE MEASURES AND IS ACCESSIBLE TO ALL. B) SHI PRIORITIZED THE IMPERATIVE TO UNDERSTAND THE UNMET HEALTH NEEDS OF OUR COMMUNITY. DURING THE CHNA PROCESS, DIRECT INPUT FROM INDIVIDUALS IS COLLECTED THROUGH THE DEVELOPMENT AND DISTRIBUTION OF A COMMUNITY HEALTH SURVEY TOOL. THE OBJECTIVE OF THE SURVEY IS TO GATHER COMMUNITY INPUT AND PERSPECTIVES ON THE FOLLOWING TOPICS: BIGGEST HEALTH ISSUES OR CONCERNS IN THE COMMUNITY; TRENDS RELATIVE TO DEMOGRAPHICS AND COMMUNITY HEALTH STATUS; PERCEIVED HEALTH RISKS AND BENEFITS; WELLNESS SERVICES LACKING IN THE COMMUNITY; BARRIERS AND SERVICES RELATED TO CHRONIC HEALTH CONDITIONS; AND, RECOMMENDATIONS FOR IMPROVING HEALTH PREVENTION PROGRAMS IN THE COMMUNITY. SHI AND POTOMAC PHYSICIAN ASSOCIATES, A COMMUNITY STAKEHOLDER, DISTRIBUTED THE SURVEY JOINTLY. ONE HUNDRED FIFTY-ONE SURVEYS WERE COLLECTED DURING A THREE-MONTH PERIOD IN THE SPRING OF 2018. WHILE THE HEALTHY MONTGOMERY CHNA PROVIDES A PICTURE OF THE HEALTH STATUS OF MONTGOMERY COUNTY RESIDENTS AT-LARGE, THE FINDINGS FROM THE SURVEY RESULTS SERVED AS AN ADDITIONAL PRIMARY SOURCE OF INFORMATION FOR BEHAVIORS, NEEDS, AND OPINIONS ABOUT VARIOUS HEALTH AND COMMUNITY ISSUES DIRECTLY AFFECTING SHI'S CBSA. THE AGE DISTRIBUTION OF SURVEY RESPONDENTS VARIED, BUT THE MAJORITY (81%) WERE OVER THE AGE OF 50 AND MOSTLY FEMALE (55%). SURVEY PARTICIPANTS REPORTED LIVING PRIMARILY IN BETHESDA (20817 & 20814), POTOMAC (20854), AND ROCKVILLE (20850, 20851, 20852 & 20853). UNDERREPRESENTED INDIVIDUALS, WHICH INCLUDE THE UNDERSERVED, UNDERINSURED, LOW-INCOME, UNDOCUMENTED, AND MINORITY POPULATIONS ARE AMONG THE DIVERSE DEMOGRAPHICS THAT COMPRISE THE FEEDBACK, GUIDANCE AND COMMENTS SOLICITED VIA COMMUNITY LEADERS, ADVOCACY GROUPS AND TRUSTED PARTNERS TO INFORM SUBURBAN HOSPITAL'S CHNA PATH.C) DATA COLLECTION INCLUDED INPATIENT, READMISSION AND EMERGENCY DEPARTMENT DATA FROM SHI AND CORE HEALTH INDICATORS FROM DATA SOURCES SUCH AS US CENSUS, BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BFFRS), HEALTHY MONTGOMERY AND COUNTY HEALTH RANKINGS. THESE DATA SETS WERE EXAMINED AND UTILIZED AS SECONDARY DATA FOR THE HOSPITAL'S CHNA. D) THE SHI 2019 CHNA ENGAGED COMMUNITY EXPERTS THROUGH THE COMMUNITY HEALTH IMPROVEMENT ADVISORY COUNCIL (CHIAC), WHICH ADVISES ON THE DIRECTION OF THE NEEDS ASSESSMENT AND PRIORITIZATION. THE COUNCIL MEETS ON TRIANNUAL BASIS THROUGHOUT THE YEAR. CHARTED BY THE HOSPITAL'S BOARD OF TRUSTEES AND CHAIRED BY A TRUSTEE, THE CHIAC 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 CHIAC 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. THE CHIAC INCLUDES REPRESENTATIVES FROM THE FOLLOWING: AMERICAN UNIVERSITY, AQUAS INCORPORATED, A WIDER CIRCLE, MONTGOMERY COUNTY GOVERNMENT, BRADLEY HILLS VILLAGE, ALPHA PHI ALPHA FRATERNITY, COMMUNITY HEALTHCARE PROVIDERS, GIRLS ON THE RUN MONTGOMERY COUNTY, HEALTHCARE INITIATIVE FOUNDATION, MONTGOMERY COUNTY POLICE DEPARTMENT, TOTAL WINE AND MORE, AND THE YMCA OF METROPOLITAN WASHINGTON. ON MARCH 28, 2019, THE CHIAC CONVENED TO REVIEW AND EVALUATE THE CHNA FINDINGS AS WELL AS ESTABLISH AN ACCEPTABLE PRIORITIZATION PROCESS. ON APRIL 6, 2019, SUBURBAN HOSPITAL BOARD OF TRUSTEES APPROVED THE CHNA AND COMMUNITY BENEFIT REPORTS. THE FINAL CHNA REPORT WAS FORMALIZED AND ADOPTED BY THE CHIAC AND SUBURBAN EXECUTIVE TEAM ON JUNE 17, 2019.E) SHI CONVENED A CHNA AD HOC COMMITTEE IN JANUARY 2019, COMPRISED OF KEY STAKEHOLDERS FROM SUBURBAN HOSPITAL'S CHIAC AND OTHER LOCAL STAKEHOLDERS INVESTED IN COMMUNITY HEALTH. REPRESENTATIVES FROM THE FOLLOWING ORGANIZATIONS AND BUSINESSES INCLUDED AMERICAN UNIVERSITY, MONTGOMERY COUNTY GOVERNMENT, CATHOLIC CHARITIES OF ARCHDIOCESE OF WASHINGTON, COLESVILLE UNITED METHODIST CHURCH, FAMILY AND NURSING CARE, GIRLS ON THE RUN MONTGOMERY COUNTY, SUBURBAN HOSPITAL CANCER PROGRAM AND SUBURBAN HOSPITAL PATIENT AND FAMILY ADVISORY COUNCIL. THE AD HOC COMMITTEE VOICED INSIGHT INTO THE NEEDS OF THE COMMUNITY AND ANALYZED NEEDS ASSESSMENT DATA GAPS. THE COMMITTEE ALSO PLAYED A CRITICAL ROLE IN THE DEVELOPMENT OF THE PRIORITIZATION PROCESS. IN ADDITION TO THE EXPERTISE CONTRIBUTED BY THE COMMITTEE, SHI INCLUDED QUALITY HEALTH EXPERTS FROM JOHNS HOPKINS HEALTH SYSTEM, DR. ERIC DOBKIN, VICE PRESIDENT OF MEDICAL AFFAIRS AND MS. EILEEN PUMMER, SENIOR DIRECTOR OF QUALITY & COMPLIANCY, IN CONVERSATIONS FOR THEIR FIRST-HAND KNOWLEDGE OF THE MAJOR HEALTH CONCERNS, BARRIERS AND NEEDS FOR SUBURBAN'S PATIENT POPULATION. F) THROUGHOUT THE YEAR, SHI'S COMMUNITY HEALTH AND WELLNESS (CHW) DIVISION, UTILIZING PUBLIC HEALTH KNOWLEDGE, PRINCIPLES AND EXPERTISE, SPEARHEADS THE HOSPITAL'S COMMUNITY HEALTH NEEDS ASSESSMENT, IMPLEMENTATION AND COMMUNITY BENEFIT PROCESSES. THE CHW DIVISION ACTS AS A PUBLIC HEALTH RESOURCE AND GUIDE, DUE IN PART TO THE EDUCATIONAL BACKGROUND OF THE STAFF, STRONG RELATIONSHIPS BUILT IN THE COMMUNITY, AND FIRSTHAND KNOWLEDGE OF THE MAJOR HEALTH CONCERNS, BARRIERS AND NEEDS. BY WORKING DIRECTLY WITH HEALTHY MONTGOMERY TO COMPLETE THE HOSPITAL'S CHNA, THE DIVISION ALSO ADMINISTERS SUPPLEMENTAL COMMUNITY SURVEYS, ANALYZES THEIR RESULTS, COMPOSES THE CHNA AND IMPLEMENTATION STRATEGY OVER EACH THREE-YEAR CYCLE, AND SUBMITS THE PLAN TO THE IRS. FURTHERMORE, THE DIVISION WORKS COLLABORATIVELY WITH THE MONTGOMERY COUNTY HEALTH AND HUMAN SERVICES DEPARTMENT (DHHS), OTHER MONTGOMERY COUNTY HOSPITALS, COALITIONS, COMMUNITY PARTNERS AND LEADERS TO ENSURE COMMON GOALS ARE ESTABLISHED IN ORDER TO BEST LEVERAGE AND PROVIDE RESOURCES TO OUR COUNTY'S MOST VULNERABLE RESIDENTS. G) THE MONTGOMERY COUNTY UNITED WAY REGIONAL COUNCIL (MCUWRC) CONSISTS OF VOLUNTEERS FROM BUSINESS, PUBLIC, AND NONPROFIT SECTORS IN THE COUNTY. REGIONAL COUNCIL MEMBERS SERVE AS REPRESENTATIVES OF THEIR COMMUNITY BY PROVIDING ADVICE ABOUT UNIQUE SITUATIONS AND NEEDS.H) WITH THE ASSISTANCE OF MONTGOMERY COUNTY DHHS, KEY CORE MEASURES FOR ALL SIX MONTGOMERY COUNTY HOSPITALS' CBSAS WERE ANALYZED, PROCESSED, AND ADOPTED AS A SOURCE OF SECONDARY DATA FOR THE COMPLETION OF THE CHNA IN 2019.
SUBURBAN HOSPITAL, INC.PART V, SECTION B, LINE 7D: A FULL COPY OF SHI'S CHNA IS AVAILABLE IN PRINT AT THE HOSPITAL AND ON THE HOSPITAL'S WEBSITE. IN ADDITION, COMPONENTS OF SHI'S CHNA ARE ALSO AVAILABLE THROUGH THE HOSPITAL'S ELECTRONIC MAGAZINE AND WELLNESS NEWSLETTER KNOWN AS WELLWORKS. A SUPPLEMENTAL REPORT KNOWN AS THE COMMUNITY HEALTH IMPROVEMENT REPORT (CHI), WHICH HIGHLIGHTS SHI'S CHNA, IMPLEMENTATION STRATEGY AND COMMUNITY BENEFIT IS MADE AVAILABLE TO COMMUNITY STAKEHOLDERS AND LEGISLATORS ANNUALLY. THE CHIAC DISSEMINATES THE CHI TO THEIR STAKEHOLDERS AND COMMUNITY.
SUBURBAN HOSPITAL, INC.PART V, SECTION B, LINE 11: -THE 2019 IMPLEMENTATION STRATEGY IS THE HOSPITAL'S FORMAL RESPONSE TO THE NEEDS ASSESSMENT. APPROVED AND ADOPTED BY SHI BOARD OF TRUSTEES IN SEPTEMBER 2019, IT OUTLINES THE HOSPITAL'S PLAN TO ADDRESS EACH OF THE SIX PRIORITIZED HEALTH NEEDS, SPECIFICALLY NOTING THE ACTIONS THE HOSPITAL INTENDS TO TAKE AND THE ANTICIPATED IMPACT OF THESE ACTIONS. THE REPORT LISTS THE RESOURCES COMMITTED TO ADDRESS EACH HEALTH NEED, AS WELL AS PLANNED COLLABORATION BETWEEN THE HOSPITAL AND OTHER ORGANIZATIONS. WHEN POSSIBLE, EFFORTS ARE TAKEN TO ALIGN INITIATIVES WITH THE SHARED MISSION OF IMPROVING HEALTH IN MONTGOMERY COUNTY. SHI CONTINUES TO BUILD UPON EXISTING PROGRAMS ADDRESSING THESE SIX HEALTH AREAS, WORKING THOUGHTFULLY AND DILIGENTLY WITH COMMUNITY PARTNERS AND LEVERAGING RESOURCES TO ENSURE THAT THE VALUABLE INFORMATION ATTAINED FROM THE CHNA PROCESS CONTINUES TO BE UTILIZED FOR MONITORING AND EVALUATING ESTABLISHED HEALTH TARGETS AND GOALS. - THE HSMC 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 INFANT HEALTH. THE SHI SERVICE LINES ARE NOT ALIGNED TO AFFECT ALL OF THE CHANGES REQUIRED TO ADDRESS THIS HEALTH PRIORITY GIVEN THAT THE HOSPITAL DOES NOT HAVE AN OBSTETRICS DESIGNATION NOR DELIVER BABIES. ONE REASON FOR NOT SEEKING THIS DESIGNATION IS TO AVOID A DUPLICATION OF SERVICES; THERE ARE SEVERAL OTHER COMMUNITY HOSPITALS WITHIN 5-10 MILES OF OUR BETHESDA LOCATION WITH REPUTABLE OBSTETRICS PROGRAMS. WHILE SHI MAY NOT BE ABLE TO DIRECTLY ADDRESS THIS HEALTH PRIORITY, THE HOSPITAL DOES INDIRECTLY SUPPORT MATERNAL AND INFANT HEALTH INITIATIVES THROUGH FUNDING AND PROGRAMMING OF SEVERAL OTHER ORGANIZATIONS THAT PROMOTE THE HEALTH AND WELL-BEING OF CHILDREN AND THEIR FAMILIES. NOTABLY, SHI PARTNERS WITH EVERYMIND AND THE OTHER MONTGOMERY COUNTY HOSPITALS TO DELIVER METAL HEALTH AWARENESS PROGRAMING TO THE COMMUNITY THROUGH WEBINARS ON SELF-CARE AND MENTAL AWARENESS. IN ADDITION, SUBURBAN HOSPITAL SUPPORTS PARENT ENCOURAGEMENT PROGRAM (PEP) IN THEIR EFFORTS TO BRING PARENTING EDUCATION TO UNDERSERVED PARENTS IN MONTGOMERY COUNTY THROUGH THEIR "CRITICAL TOPICS IN PARENTING" WEBINAR SERIES. VARIOUS TOPICS INCLUDE 'HELPING CHILDREN READJUST TO SCHOOL,' 'SUPPORTING THE MENTAL HEALTH OF TWEENS AND TEENS, AND 'TALKING WITH YOUNG CHILDREN ABOUT EQUITY.' FOR EXAMPLE, SHI COLLABORATED WITH OTHER MONTGOMERY COUNTY HOSPITALS AND MONTGOMERY COUNTY PUBLIC SCHOOLS TO ORGANIZE A PROGRAM FOR SPANISH-SPEAKING PARENTS TO DISCUSS THE CHALLENGES OF VIRTUAL LEARNING. FEATURED ON THE ZOOM AND FACEBOOK LIVE PLATFORMS, THE LIVE CHAT REACHED OVER 500 REGISTERED PARTICIPANTS, RECEIVING MORE THAN 2,000 VIEWS. A FOLLOW-UP SESSION WAS OFFERED SPECIFICALLY TO ADDRESS THE DOUBLE THREAT OF COVID-19 AND INFLUENZA, TO PROVIDE TIMELY INFORMATION ABOUT TESTING AND TO SHARE RECOMMENDATIONS FOR TREATMENT. IN ADDITION, SHI PROVIDES FINANCIAL SUPPORT TO SAFETY NET CLINICS IN MONTGOMERY COUNTY WHO TREAT SPECIFIC PATIENTS REQUIRING OBSTETRIC OR PEDIATRIC CARE. THE HOSPITAL IS ALSO THE OFFICIAL HEALTH SPONSOR OF GIRLS ON THE RUN MONTGOMERY COUNTY PROVIDING DISCOUNTED CPR AND FIRST AID TRAINING CLASSES TO THE COACHES, PURCHASING SHOES AND HEALTHY SNACKS FOR STUDENTS FROM TITLE I SCHOOLS AND PROVIDING HEALTH TIPS ON GIRLS ON THE RUN MONTGOMERY COUNTY WEBSITE.- INTEGRATING BOTH THE HOSPITAL'S IMPLEMENTATION AND INTERNAL STRATEGIC GOALS, THE STRATEGIC PLAN IS ALIGNED WITH THE OBJECTIVE OF PROVIDING A GUIDED HEALTHCARE SYSTEM TO OUR MOST VULNERABLE PATIENTS AND COMMUNITIES. DELIBERATELY APPLYING A COLLECTIVE IMPACT APPROACH, THE COMMUNITY HEALTH AND WELLNESS AND CARE COORDINATION DIVISIONS GUIDE AND SUPPORT THE FOLLOWING POPULATION HEALTH OBJECTIVES: O TRANSITION GUIDE NURSES, WHO ENSURE A SEAMLESS TRANSITION AND BETTER MANAGE PATIENTS' COMPLEX NEEDS FROM HOSPITAL TO HOME. O A RE-ADMISSIONS REDUCTION STRATEGY THAT SUPPORTS "AGING IN PLACE" VIA A VILLAGE ALLIANCE MODEL WITHIN SHI'S COMMUNITY BENEFIT SERVICE AREA (CBSA) ZIP CODES.O DATA ANALYTICS TO IDENTIFY VULNERABLE COMMUNITIES IN SUBURBAN CBSA ZIP CODES TO SUPPORT AND INTEGRATE POPULATION HEALTH-SPECIFIC INTERVENTIONS WITH THE GOAL OF REDUCING HEALTH INEQUITIES AS OUTLINED BY COMMUNITY HEALTH IMPROVEMENT REPORT. O INTEGRATION OF POPULATION HEALTH INTERVENTIONS AIMED AT REDUCING HEALTH INEQUITIES AND PARTNERING WITH SAFETY NET CLINICS IN MONTGOMERY COUNTY TO INCREASE ACCESS OF CARE TO UNDERSERVED POPULATIONS AND PROVIDE A CONTINUUM OF CARE IN CHRONIC DISEASE MANAGEMENT INTERVENTIONS. O LEVERAGE OF CURRENT STAKEHOLDER RESOURCES TO IDENTIFY AND ADDRESS GAPS WITHIN POPULATION-SPECIFIC BEHAVIORAL HEALTH DISPARITIES AND SEEK TO IMPROVE ACCESS TO URGENT CARE MENTAL HEALTH SERVICES THROUGH HEALTHY MONTGOMERY AND BY PARTNERING WITH SAFETY NET CLINICS.- FURTHERMORE, SHI IS A FOUNDING MEMBER OF NEXUSMONTGOMERY (LHIC), A UNIQUE AND FORMAL HEALTH TRANSFORMATION COLLABORATIVE OF ALL SIX HOSPITALS IN MONTGOMERY COUNTY, MARYLAND, FOCUSED ON ACHIEVING QUALITY COMMUNITY HEALTH IMPROVEMENT VIA ENHANCING PATIENT CARE, IMPROVING POPULATION HEALTH AND LOWERING TOTAL HEALTH CARE COSTS FOR SENIORS.
PART V, SECTION B, LINE 7AHTTPS://WWW.HOPKINSMEDICINE.ORG/SUBURBAN_HOSPITAL/COMMUNITY_HEALTH/
PART V, SECTION B, LINE 10AHTTPS://WWW.HOPKINSMEDICINE.ORG/SUBURBAN_HOSPITAL/COMMUNITY_HEALTH/
PART V, SECTION B, LINE 16AHTTPS://WWW.HOPKINSMEDICINE.ORG/PATIENT_CARE/BILLING-INSURANCE/ASSISTANCE-SERVICES/ASSISTANCE_POLICIES.HTML
PART V, SECTION B, LINE 16BHTTPS://WWW.HOPKINSMEDICINE.ORG/PATIENT_CARE/BILLING-INSURANCE/ASSISTANCE-SERVICES/ASSISTANCE_POLICIES.HTML
PART V, SECTION B, LINE 16CHTTPS://WWW.HOPKINSMEDICINE.ORG/PATIENT_CARE/BILLING-INSURANCE/ASSISTANCE-SERVICES/ASSISTANCE_POLICIES.HTML

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3C:SEE DETAILS IN SCH H, PART V, SECTION B, LINE 13.
PART I, LINE 7:-A COST-TO-CHARGE RATIO (FROM WORKSHEET 2) IS USED TO CALCULATE THE AMOUNTS ON LINE 7A AND 7B (FINANCIAL ASSISTANCE AT COST AND UNREIMBURSED MEDICAID). THE AMOUNTS FOR LINES 7E-7I WOULD COME FROM OUR HSCRC COMMUNITY BENEFIT REPORT FILED WITH THE STATE OF MARYLAND AND WOULD NOT BE BASED ON A COST-TO CHARGE RATIO.- LINE 7B - MARYLAND'S REGULATORY SYSTEM CREATES A UNIQUE PROCESS FOR HOSPITAL PAYMENT THAT DIFFERS FROM THE REST OF THE NATION. THE HEALTH SERVICES COST REVIEW COMMISSION, (HSCRC) DETERMINES PAYMENT THROUGH A RATE-SETTING PROCESS AND ALL PAYORS, INCLUDING GOVERNMENTAL PAYORS, PAY THE SAME AMOUNT FOR THE SAME SERVICES DELIVERED AT THE SAME HOSPITAL. MARYLAND'S UNIQUE ALL-PAYOR SYSTEM INCLUDES A METHOD FOR REFERENCING UNCOMPENSATED CARE IN EACH PAYORS' RATES, WHICH DOES NOT ENABLE MARYLAND HOSPITALS TO BREAKOUT ANY DIRECTED OFFSETTING REVENUE RELATED TO UNCOMPENSATED CARE. COMMUNITY BENEFIT EXPENSES ARE EQUAL TO MEDICAID REVENUES IN MARYLAND, AS SUCH, THE NET EFFECT IS ZERO. THE EXCEPTION TO THIS IS THE IMPACT ON THE HOSPITAL OF ITS SHARE OF THE MEDICAID ASSESSMENT. IN RECENT YEARS, THE STATE OF MARYLAND HAS CLOSED FISCAL GAPS IN THE STATE MEDICAID BUDGET BY ASSESSING HOSPITALS THROUGH THE RATE-SETTING SYSTEM.- LINE 7F COLUMN (D) MARYLAND'S REGULATORY SYSTEM CREATES A UNIQUE PROCESS FOR HOSPITAL PAYMENT THAT DIFFERS FROM THE REST OF THE NATION. THE HEALTH SERVICES COST REVIEW COMMISSION, (HSCRC) DETERMINES PAYMENT THROUGH A RATE-SETTING PROCESS AND ALL PAYORS, INCLUDING GOVERNMENTAL PAYORS, PAY THE SAME AMOUNT FOR THE SAME SERVICES DELIVERED AT THE SAME HOSPITAL. MARYLAND'S UNIQUE ALL-PAYOR SYSTEM INCLUDES A METHOD FOR REFERENCING UNCOMPENSATED CARE IN EACH PAYORS' RATES, WHICH DOES NOT ENABLE MARYLAND HOSPITALS TO BREAKOUT ANY OFFSETTING REVENUE RELATED TO HEALTH PROFESSIONS EDUCATION.
PART I, LINE 7G:SUBURBAN HOSPITAL, INC. DOES NOT HAVE ANY SUBSIDIZED HEALTH SERVICES.
PART II, COMMUNITY BUILDING ACTIVITIES:- SHI RECOGNIZES THE COMMUNITY'S UNMET OR POTENTIAL HEALTH NEEDS BY LEVERAGING RESOURCES WITH LONG-STANDING COMMUNITY COALITIONS, PARTNERS, ADVISORY GROUPS, BOARDS, PANELS, COMMITTEES, AS WELL AS BY SERVING ON LOCAL COUNTY COMMISSIONS. IN ADDITION, SHI WORKS CLOSELY WITH MCDHHS PUBLIC HEALTH OFFICIALS AND LEADERS OF ALL SIX MONTGOMERY COUNTY HOSPITALS TO IDENTIFY POTENTIAL GAPS IN LOCAL SERVICES THAT CAN NEGATIVELY INFLUENCE ONE'S HEALTH AND WELL-BEING. - SHI'S COMMUNITY BUILDING ACTIVITIES SUPPORT AND PROMOTE THE HEALTH OF THE COMMUNITY IT SERVES THROUGH A NUMBER OF HEALTH IMPROVEMENT INITIATIVES THAT LEVERAGE AND HIGHLIGHT THE EXPERTISE AND INSIGHT OF LOCAL AND TRUSTED ORGANIZATIONS. THE GOAL IS TO AVOID DUPLICATION AND RESERVE RESOURCES FOR THOSE WHO NEED THEM THE MOST. A WIDER CIRCLE, AMERICAN RED CROSS, BETHESDA CHEVY CHASE ROTARY CLUB, BETHESDA CHEVY CHASE CHAMBER OF COMMERCE, BETHESDA CHEVY CHASE YMCA, AMERICAN LUNG ASSOCIATION, MONTGOMERY COUNTY CHAMBER OF COMMERCE, ARCHDIOCESES HEALTHCARE NETWORK/CATHOLIC CHARITIES OF WASHINGTON DC, MONTGOMERY COUNTY CANCER CRUSADE/TOBACCO COALITION, MONTGOMERY COUNTY CHAMBER OF COMMERCE, MONTGOMERY COUNTY SENIOR HEALTH AND WELLNESS ADVISORY COUNCIL, MONTGOMERY COUNTY FOOD COUNCIL, CHARLES E. SMITH LIFE COMMUNITIES, CATHOLIC CHARITIES CENTER, EVERYMIND, LATINO HEALTH INITIATIVE, MOBILE MEDICAL CARE, INC., NEXUS MONTGOMERY, PROYECTO SALUD CLINIC, PARENTING ENCOURAGEMENT PROGRAM (PEP), SAFE KIDS COALITION, SCOTLAND COMMUNITY PARTNERSHIP, THE UNITED WAY NATIONAL CAPITAL REGION, WASHINGTON METROPOLITAN OASIS AND AGING IN PLACE VILLAGE ALLIANCES ARE ALL VALUABLE ASSETS TO IDENTIFYING THE DIVERSITY OF COMMUNITY NEED AND ENGAGEMENT.SEVERAL EXAMPLES INCLUDE: COMMUNITY SUPPORT THROUGH THE AMERICAN RED CROSS BLOOD DRIVES, HELD QUARTERLY AT THE HOSPITAL; WORKFORCE DEVELOPMENT THROUGH THE MEDICAL EXPLORING PROGRAM WHICH ENABLES LOCAL HIGH SCHOOL STUDENTS TO LEARN IN MENTORSHIP WITH HOSPITAL STAFF WHILE ENHANCING THEIR KNOWLEDGE OF VARIOUS CAREERS IN MEDICINE AND HEALTHCARE; HOSPITAL SUPPORT AND CONTRIBUTIONS MADE BY SERVING ON LOCAL COMMUNITY HEALTH COALITIONS SUCH AS LATINO HEALTH INITIATIVE AND SAFE KIDS COALITION; PARTICIPATION IN LOCAL ECONOMIC DEVELOPMENT THROUGH THE BETHESDA CHEVY CHASE ROTARY CLUB, THE GREATER BETHESDA CHAMBER OF COMMERCE AND THE MONTGOMERY COUNTY CHAMBER OF COMMERCE; COLLABORATIVE PARTNERSHIPS WITH SAFETY NET CLINICS MOBILEMED, CATHOLIC CHARITIES AND CLINICA PROYECTO SALUD TO INCREASE ACCESS TO CARE FOR VULNERABLE POPULATIONS AT NO COST; HOSPITAL STAFF DEDICATE TIME TO SERVE ON VARIOUS NON-PROFIT BOARDS AND COUNCILS INCLUDING BETHESDA CHEVY CHASE YMCA, ARCHDIOCESES HEALTHCARE NETWORK/CATHOLIC CHARITIES OF WASHINGTON DC, MONTGOMERY COUNTY FOOD COUNCIL, MONTGOMERY COUNTY SENIOR HEALTH AND WELLNESS ADVISORY COUNCIL; EXPANDING POPULATION SPECIFIC PROGRAMMING BY PARTNERING WITH LOCAL VILLAGES NETWORKS, WASHINGTON METROPOLITAN OASIS, SCOTLAND COMMUNITY PARTNERSHIP AND CHARLES E. SMITH LIFE COMMUNITIES TO IMPROVE HEALTH AND MEET THE NEEDS OF THE UNDERSERVED, VULNERABLE YOUTH AND SENIOR POPULATIONS LIVING IN MONTGOMERY COUNTY.- SUBURBAN'S SWIFT AND AGILE RESPONSE TO THE PANDEMIC TO DATE:O ARRANGED A VOLUNTEER HOTLINE TO ADDRESS COMMUNITY QUESTIONS ON COVID-19 RESOURCES IN THE COMMUNITY;O ESTABLISHED AN ACTIVE COVID-19 TESTING SITE IN THE HOSPITAL PARKING GARAGE IN EARLY MARCH 2020 WITH CONTINUED OPERATIONS THROUGHOUT FY2021;O VACCINATED OVER 25,000 STAFF AND COMMUNITY MEMBERS FROM JANUARY TO JUNE 2021.O DONATED PERSONAL PROTECTIVE EQUIPMENT TO LOCAL SKILLED NURSING FACILITIES AND SAFETY NET CLINICS;O DISTRIBUTED OVER 1,000 COVID-19 CARE KITS TO COMMUNITY PARTNERS TO REACH UNDERSERVE COMMUNITIES IMPACTED BY THE PANDEMIC. O PROVIDED WRITTEN COMMUNICATION TO OUR COMMUNITY AND LOCAL VILLAGES ABOUT COVID TESTING OPTIONS, HEALTH AND WELLNESS EVENTS, FOOD ASSISTANCE PROGRAMS AND TRANSPORTATION RESOURCES FROM LOCAL PARTNERS. (MANNA FOOD, MONTGOMERY COUNTY RIDE ON BUS); O SUPPORTED BEHAVIORAL HEALTH SERVICES THROUGH PARTNERSHIP WITH EVERYMIND TO PROVIDE MENTAL HEALTH EDUCATION TO COMMUNITY; O COLLABORATED WITH AMERICAN RED CROSS, A LOCAL SCHOOL, STONE RIDGE OF THE SCARED HEART AND A LOCAL CAR DEALERSHIP, TO HOLD COMMUNITY BLOOD DRIVES.
PART III, LINE 2:THE PROVISION FOR BAD DEBTS IS BASED UPON A COMBINATION OF THE PAYOR SOURCE, THE AGING OF RECEIVABLES AND MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS, TRENDS IN HEALTH INSURANCE COVERAGE, AND OTHER COLLECTION INDICATORS.
PART III, LINE 3:MARYLAND HOSPITALS ARE RATE REGULATED UNDER THE HSCRC, WHICH INCLUDES BAD DEBT AS PART OF THE REIMBURSEMENT FORMULA FOR EACH HOSPITAL. DUE TO THE RATE REGULATION, SHI CANNOT DETERMINE THE AMOUNT THAT REASONABLE COULD BE ATTRIBUTABLE TO PATIENTS WHO LIKELY WOULD QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S CHARITY CARE POLICY.
PART III, LINE 4:THE JOHNS HOPKINS HEALTH SYSTEM CORPORATION AND AFFILIATES AUDITED FINANCIAL STATEMENTS PAGE 17.
PART III, LINE 8:THE TRIAL BALANCE EXPENSES ARE ADJUSTED TO ALLOWABLE EXPENSE IN ACCORDANCE WITH THE MEDICARE COST REPORTING RULES AND REGULATIONS.
PART III, LINE 9B:THE HOSPITAL CONFORMS TO THE PRINCIPLES AND STANDARDS OF THE MHA HOSPITAL BILLING AND DEBT COLLECTION PRACTICES PRINCIPLES AS WELL AS THE MHA MINIMUM STANDARDS FOR FINANCIAL ASSISTANCE IN MARYLAND HOSPITALS.
PART VI, LINE 2:SHI'S COMMUNITY BENEFIT STRATEGIC PLAN IS INTEGRATED INTO THE HOSPITAL'S STRATEGIC TARGETS TO ENSURE A COLLECTIVE APPROACH TO BUILDING QUALITY RELATIONSHIPS WITH COMMUNITY PARTNERS IN ADDRESSING THE HEALTH NEEDS OF THE COMMUNITY. SUBURBAN HOSPITAL'S COMMUNITY BENEFIT PLAN IS AN INTEGRAL COMPONENT OF THE HOSPITAL'S STRATEGIC APPROACH TO ADDRESSING THE COMMUNITY'S HEALTH NEEDS. USING A COLLABORATIVE APPROACH THAT BUILDS ON LONG-STANDING INTERNAL AND EXTERNAL PARTNERSHIPS, SUBURBAN CAN EFFECTIVELY PLAN FOR AND UTILIZE RESOURCES TO ADDRESS IDENTIFIED HEALTH NEEDS. THIS APPROACH STARTS AT THE TOP; THE ADMINISTRATIVE DIRECTOR OF COMMUNITY AFFAIRS & POPULATION HEALTH IN THE COMMUNITY HEALTH AND WELLNESS (CHW) DIVISION REPORTS DIRECTLY TO THE PRESIDENT OF SUBURBAN HOSPITAL, ENSURING THE TWO STRATEGIES REMAIN LINKED TO LEVERAGE RESOURCES EFFICIENTLY WHILE MEETING OBJECTIVES. CHW'S COMMITMENT TO THE STRATEGIC PLAN IS ONGOING; QUARTERLY, PROGRESS IS REVIEWED AND REPORTED AS PART OF THE HOSPITAL'S OVERALL OPERATION PERFORMANCE SCORECARD. WITH CONSTANT COMMUNICATION AND CONSIDERATION OF COMMUNITY BENEFIT PLANNING AND STRATEGY, CHW IS ABLE TO EFFECTIVELY ALIGN AND SUPPORT HOSPITAL OPERATIONS AND OVERALL SYSTEM GOALS, EVEN AS THEY CHANGE, AS EVIDENCED BY THE COVID-19 GLOBAL PANDEMIC. WHILE KEEPING PRIORITIZED HEALTH NEEDS AND STRATEGIES IN SIGHT, SUBURBAN HOSPITAL AND CHW FLEXED THEIR STRENGTHS AND LEVERAGED RELATIONSHIPS TO MEET THE POPULATION'S NEEDS AT THE GREATEST DISADVANTAGE. A PRIME EXAMPLE WAS THE DELIVERABLE SHIFTING OF CHW OPERATIONS TO ADDRESS ONGOING COVID-19 TESTING AND VACCINATION CLINIC OPERATIONS.
PART VI, LINE 3:SHI'S PATIENT ACCESS DEPARTMENT PROVIDES ALL PATIENTS REGISTERED FOR EMERGENCY, OUTPATIENT, OR INPATIENT CARE A COPY OF OUR FINANCIAL ASSISTANCE INFORMATION SHEET. SIGNS ARE POSTED IN ENGLISH AND SPANISH EXPLAINING THE AVAILABILITY OF FINANCIAL ASSISTANCE AND WHERE TO CALL FOR ASSISTANCE. THE SIGNS ARE LOCATED IN THE EMERGENCY, PEDIATRICS, CATH LAB, AND FINANCIAL COUNSELING DEPARTMENTS, AS WELL AS THE MAIN REGISTRATION DESK. A FINANCIAL ASSISTANCE APPLICATION IS GIVEN TO EVERY SELF-PAY PATIENT WITH INSTRUCTIONS ON HOW TO APPLY AND WHO TO CONTACT FOR ASSISTANCE. THE SAME INFORMATION IS PROVIDED TO ALL OTHER PATIENTS UPON REQUEST. THIS INFORMATION IS ALSO AVAILABLE IN SPANISH. NOTICE OF AVAILABILITY IS ALSO POSTED ON THE HOSPITALSS WEBSITE.SUBURBAN HOSPITAL'S FINANCIAL COUNSELORS AND SOCIAL WORKERS ARE TRAINED TO ANSWER PATIENTS' QUESTIONS ABOUT FINANCIAL ASSISTANCE AND PROVIDE LINKAGE TO OTHER COMMUNITY ASSISTANCE RESOURCES PRIOR TO DISCHARGE. REGISTRATION AND PATIENT ACCOUNTING STAFF IS TRAINED TO ANSWER QUESTIONS REGARDING FINANCIAL ASSISTANCE AND WHO TO CONTACT TO APPLY. THE PATIENT ACCESS DEPARTMENT ALSO HAS MEDICAID SPECIALISTS ONSITE TO ASSIST PATIENTS IN APPLYING FOR MARYLAND MEDICAL ASSISTANCE. ALL UNINSURED PATIENTS ARE SCREENED FOR MEDICAID UPON ADMISSION AND PROVIDED WITH INFORMATION AND REFERRAL FOR FINANCIAL ASSISTANCE. IN ADDITION, SINCE IMPLEMENTATION OF THE AFFORDABLE CARE ACT, SUBURBAN HOSPITAL NOW HAS STAFF MEMBERS WHO ARE CERTIFIED APPLICATION COUNSELORS AND AVAILABLE TO ASSIST PATIENTS WHO HAVE QUESTIONS ABOUT ELIGIBILITY REQUIREMENTS FOR THE MARYLAND HEALTH INSURANCE EXCHANGE. OUR CERTIFIED APPLICATION COUNSELORS PROVIDE INFORMATION AND ASSIST PATIENTS WITH INITIATION OF ONLINE HEALTH EXCHANGE PLAN ENROLLMENT WHEN REQUESTED.
PART VI, LINE 4:- SHI GEOGRAPHIC SERVICE AREA IS SUBURBAN.- THE HOSPITAL CONSIDERS ITS COMMUNITY BENEFIT SERVICE AREA (CBSA) AS SPECIFIC POPULATIONS OR COMMUNITIES OF NEED TO WHICH THE HOSPITAL ALLOCATES RESOURCES THROUGH ITS COMMUNITY BENEFIT PLAN AND DOES NOT LIMIT ITS COMMUNITY SERVICES TO THE PRIMARY SERVICE AREA. THE CBSA IS DEFINED BY THE GEOGRAPHIC AREA CONTAINED WITHIN THE FOLLOWING FOURTEEN ZIP CODES: 20814, 20815, 20816, 20817, 20850, 20851, 20852, 20853, 20854, 20895, 20902, 20904, 20906, AND 20910.- THE DATA FOR THE IDENTIFIED CBSA CAN BE SUMMARIZED AS FOLLOWS: TOTAL POPULATION WAS 557,600 OF WHICH 47.86% WERE MALES AND 52.14% WERE FEMALES; 68.7% OF THE POPULATION EARN OVER $75,000 OR MORE; 2.95% OF RESIDENTS ARE UNINSURED; 30.78% OF RESIDENTS ARE COVERED BY MEDICAID/MEDICARE AND 44.3% IDENTIFY AS A RACE OTHER THAN WHITE. - NUMBER OF OTHER HOSPITALS SERVING THE COMMUNITY OR COMMUNITIES: 5- FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREAS OR POPULATIONS ARE PRESENT IN THE COMMUNITY.
PART VI, LINE 5:- THROUGHOUT THE CALENDAR YEAR, HOSPITAL PHYSICIANS, NURSES AND OTHER ALLIED HEALTH STAFF VOLUNTEER THEIR TIME, EXPERTISE, AND PRESENT APPROPRIATE HEALTH AND WELLNESS TOPICS TO COMMUNITY GROUPS INCLUDING SENIOR LIVING COMMUNITIES, LOCAL VILLAGE NETWORKS AND LOCAL YOUTH GROUPS INCLUDING GIRL SCOUT AND CUB SCOUT TROOPS. BEYOND THE WALLS OF THE HOSPITAL, PHYSICIANS, NURSES, PHARMACISTS AND ALLIED HEALTH PROFESSIONALS DEDICATE THEIR TIME, KNOWLEDGE AND EXPERTISE, SERVING AS PRECEPTORS, BY MENTORING UNDERGRADUATE AND GRADUATE STUDENTS IN AN EFFORT TO EXPAND WORKFORCE DEVELOPMENT. - SHI HAS COLLABORATED WITH THE BOY SCOUTS OF AMERICA FOR OVER 20 YEARS TO DESIGN A UNIQUE CURRICULUM IN MEDICAL EXPLORING, A ONE-OF-A-KIND EDUCATIONAL INITIATIVE FOR HIGH SCHOOL STUDENTS SEEKING HANDS-ON ACCESS TO EXPLORING CAREERS IN MEDICINE. THROUGHOUT THE ACADEMIC YEAR, STUDENTS HAVE THE OPPORTUNITY TO PARTICIPATE IN UP TO 25 HANDS-ON LEARNING LABS THAT REPLICATE KEY FUNCTIONS OF THE HOSPITAL SYSTEM, LED BY THE REGION'S TOP PHYSICIANS, SURGEONS, AND HEALTHCARE PROFESSIONALS. ACTIVE LEARNING IS AN IMPERATIVE, MEDICAL EXPLORERS HAVE THE OPPORTUNITY TO LEARN AND PRACTICE SUTURING TECHNIQUES FROM THE HOSPITAL'S INTENSIVISTS, OBSERVE OPEN HEART SURGERY, EXPLORE CAREERS DENTISTRY, OTOLARYNGOLOGY, NEUROLOGY AND ALLIED HEALTH INCLUDING PHYSICAL THERAPY AND NURSING. DURING THE PANDEMIC, MEDICAL EXPLORING WAS DELIVERED OVER ZOOM. - SINCE 2007, THE MOBILEMED/NIH HEART CLINIC AT SUBURBAN HOSPITAL HAS PROVIDED EXPERT CARE TO NEARLY 4,000 PATIENTS AND HAS CONDUCTED MULTIPLE OPEN-HEART SURGERIES AT NO COST TO THOSE PATIENTS WHO ARE IN URGENT NEED OF THESE SPECIALTY CARE AND INPATIENT SERVICES. MOBILE MEDICAL CARE, INC., THE NATIONAL HEART, LUNG AND BLOOD INSTITUTE AND SUBURBAN HOSPITAL HAVE OPERATED A SPECIALTY CARDIAC CLINIC ON-SITE TO PROVIDE ACCESS TO CARE AND ALLEVIATE THE GAP IN SPECIALTY PROVIDERS FOR CARDIAC PATIENTS. REFERRED FROM SAFETY NET CLINICS IN THE COUNTY, CLINIC PATIENTS ARE EVALUATED BY A SUBURBAN CARDIOLOGIST AND CLINICAL STAFF FROM THE NIH. IN ADDITION TO COORDINATING THE CARDIOLOGISTS AND NURSES WHO VOLUNTEER AT THE CLINIC, SHI SUPPORTS THE COSTS ASSOCIATED WITH FREE CARDIOVASCULAR SPECIALTY DIAGNOSTIC SCREENINGS AND OPEN-HEART SURGERY FOR PATIENTS WHO REQUIRE ADVANCED CARDIAC CARE. A FEW YEARS LATER, AND BASED ON SIMILAR FRAMEWORK MODELED BY THE MOBILEMED/NIH HEART CLINIC AT SUBURBAN HOSPITAL, MOBILE MEDICAL CARE, INC. AND THE NATIONAL INSTITUTE OF DIABETES AND DIGESTIVE AND KIDNEY DISEASES (NIDDK) PARTNERED TO ESTABLISHED A FREE ENDOCRINE CLINIC PROVIDING LIFESTYLE AND CHRONIC DISEASE MANAGEMENT FOR PEOPLE WITH ENDOCRINE DISEASES IN JULY 2010. STAFF FROM THE THREE INSTITUTIONS VOLUNTEER THEIR TIME ONCE A WEEK BY PROVIDING DIAGNOSTIC TESTS, LABORATORY SERVICES AND FREE MEDICAL EXAMINATIONS, AND THAT TO DATE HAS TREATED NEARLY 2,500 PATIENTS. IN ADDITION, PATIENTS HAVE THE OPPORTUNITY TO MEET FOR ONE-ON-ONE CONSULTATIONS AND COACHING SESSIONS WITH SUBURBAN HOSPITAL REGISTERED DIETITIANS TO REVIEW INDIVIDUAL NUTRITION PLANS AND EXAMINE DIETARY CHALLENGES AT NO COST. - SHI'S BOARD OF TRUSTEES APPROVES COMMUNITY FINANCIAL CONTRIBUTIONS TO ELIGIBLE LOCAL NOT-FOR-PROFIT ORGANIZATIONS ON A YEARLY BASIS. THE CONTRIBUTIONS ARE ALLOCATED TO ORGANIZATIONS THAT ALIGN WITH THE HOSPITAL'S STRATEGIC OBJECTIVES AS WELL AS THE COMMUNITY HEALTH IMPROVEMENT PLAN, THEREBY DIRECTLY LINKING TO THE HOSPITAL'S CHNA AND CBR TO EXPAND HEALTH IMPROVEMENT INITIATIVES IN THE COMMUNITY BEYOND SHI'S LEVEL OF EXPERTISE OR CAPACITY. FOR EXAMPLE, SHI PROVIDES PROGRAMMING IN-KIND SUPPORT AND FINANCIAL CONTRIBUTIONS TO LOCAL ORGANIZATIONS SUCH AS A WIDER CIRCLE, BETHESDA CHEVY CHASE YMCA, EVERYMIND, AND GIRLS ON THE RUN MONTGOMERY COUNTY AS THE MISSIONS AND VALUES OF THOSE ORGANIZATIONS ALIGN WITH THE HEALTH PRIORITIES SET BY THE HOSPITAL'S CHNA. ANOTHER EXAMPLE INCLUDES THE SUPPORT OF THE BETHESDA CHEVY CHASE YMCA IS ANNUAL TURKEY CHASE, WHICH FOCUSES ON FREE EDUCATION SERVICES TO PARENTS TO BUILD STRONG FAMILIES IN THE COMMUNITY. THE ANNUAL TURKEY FUN RUNS DRAWS OVER 10,000 INDIVIDUALS ON THANKSGIVING MORNING AND HOSTS OTHER ENGAGING ACTIVITIES FOR CHILDREN THAT CONNECT COMMUNITY ENGAGEMENT AND PERSONAL WELLNESS. DURING THE PANDEMIC, THE ANNUAL TURKEY CHASE WAS HELD THROUGH A VIRTUAL PLATFORM, WHICH SHI SUPPORTED AND PROVIDED DISCOUNTED REGISTRATION TO ITS EMPLOYEES TO SUPPORT THE HEALTH IMPROVEMENT AND WELLBEING OF ITS WORKFORCE COMMUNITY. - PLEASE SEE FORM 990, SCHEDULE O FOR A DESCRIPTION OF SIGNIFICANT COVID-19 RESPONSE ACTIVITIES.- FOR THE LAST 30 YEARS, MARYLAND HOSPITALS HAVE MET THEIR COMMUNITY BENEFIT OBLIGATIONS IN A UNIQUE MANNER THAT BUILDS THE COSTS OF UNCOMPENSATED CARECHARITY CARE AND PATIENT BAD DEBTAND GRADUATE MEDICAL EDUCATION INTO THE RATES THAT HOSPITALS ARE REIMBURSED BY ALL PAYORS. THE SYSTEM IS BASED IN FEDERAL AND STATE LAW AND BENEFITS ALL MARYLAND RESIDENTS, INCLUDING THOSE IN NEED OF FINANCIAL ASSISTANCE TO PAY THEIR HOSPITAL BILLS. MARYLAND IS THE ONLY STATE IN WHICH ALL PAYORSGOVERNMENTALLY-INSURED, COMMERCIALLYINSURED, OR SELF-PAYARE CHARGED THE SAME PRICE FOR SERVICES AT ANY GIVEN HOSPITAL.UNDER THIS SYSTEM, MARYLAND HOSPITALS ARE REGULATED BY A STATE AGENCYTHE HEALTH SERVICES COST REVIEW COMMISSION (HSCRC)THAT IS REQUIRED TO: PUBLICLY DISCLOSE INFORMATION ON THE COST AND FINANCIAL POSITION OF HOSPITALS; REVIEW AND APPROVE HOSPITAL RATES; COLLECT INFORMATION DETAILING TRANSACTIONS BETWEEN HOSPITALS AND FIRMS WITH WHICH THEIR TRUSTEES HAVE A FINANCIAL INTEREST; AND, MAINTAIN THE SOLVENCY OF EFFICIENT AND EFFECTIVE HOSPITALS.SINCE 2000, THE RATE SETTING COMMISSION HAS HAD ITS OWN FRAMEWORK FOR REPORTING HOSPITALS' COMMUNITY BENEFITS AND ISSUING A REPORT ANNUALLY REGARDING HOSPITALS' COMMUNITY BENEFIT TOTALS. THAT REPORT IS AVAILABLE ON HTTPS://HSCRC.STATE.MD.US/PAGES/INIT_CB.ASPXBECAUSE OF THIS UNIQUE STRUCTURE MARYLAND HOSPITALS' COMMUNITY BENEFITS NUMBERS WILL NOT COMPARE WITH THE REST OF THE NATION'S HOSPITALS. HOWEVER, MARYLAND HOSPITALS MEET OR EXCEED THE COMMUNITY BENEFIT STANDARD ESTABLISHED BY THE IRS IN 1969. ADDITIONAL DETAIL ILLUSTRATING THIS CAN BE FOUND WITHIN THIS SCHEDULE H REPORT.
PART VI, LINE 6:THE JOHNS HOPKINS HEALTH SYSTEM CORPORATION (JHHSC) IS INCORPORATED IN THE STATE OF MARYLAND TO, AMONG OTHER THINGS, FORMULATE POLICY AMONG AND PROVIDE CENTRALIZED MANAGEMENT FOR JHHSC AND AFFILIATES (JHHS). JHHS IS ORGANIZED AND OPERATED FOR THE PURPOSE OF PROMOTING HEALTH BY FUNCTIONING AS A PARENT HOLDING COMPANY OF AFFILIATES WHOSE COMBINED MISSION IS TO PROVIDE PATIENT CARE IN THE TREATMENT AND PREVENTION OF HUMAN ILLNESS WHICH COMPARES FAVORABLY WITH THAT RENDERED BY ANY OTHER INSTITUTION IN THIS COUNTRY OR ABROAD.JHHSC IS THE SOLE MEMBER OF THE JOHNS HOPKINS HOSPITAL (JHH), AN ACADEMIC MEDICAL CENTER, JOHNS HOPKINS BAYVIEW MEDICAL CENTER, INC. (JHBMC), A COMMUNITY BASED TEACHING HOSPITAL AND LONG-TERM CARE FACILITY, HOWARD COUNTY GENERAL HOSPITAL, INC. (HCGH), A COMMUNITY BASED HOSPITAL, SUBURBAN HOSPITAL, INC. (SHI), A COMMUNITY BASED HOSPITAL, SIBLEY MEMORIAL HOSPITAL (SMH), A D.C. COMMUNITY BASED HOSPITAL, AND JOHNS HOPKINS ALL CHILDRENS HOSPITAL, INC (JHACH), A FL ACADEMIC CHILDRENS HOSPITAL.
PART VI, LINE 7, REPORTS FILED WITH STATESMD

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
THE GREATER BETHESDA CHEVY CHASE CHAMBER OF COMMERCE
7910 WOODMONT AVE STE 1204BETHESDAMD20814520545799501(C)(6)$7,120LOCAL COMMUNITY ASSISTANCE
GIRLS ON THE RUN OF MONTGOMERY COUNTY
11821 PARKLAWN DRIVE STE 125ROCKVILLEMD20852205531978501(C)(3)$5,739LOCAL COMMUNITY ASSISTANCE
FieldValueIRS element (for citing)
Total501c3 Org4Total501c3OrgCnt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (16 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
KEVIN W SOWERS MSN RN FAA
CORPORATE VICE CHAIRMAN$0$1,159,544$0$501,563$0$11,150$0$208,657$0$12,771$0$1,893,685$0$0
RONALD PETERSON
FORMER CORPORATE VICE CHAIRMAN$0$0$0$0$0$1,275,825$0$0$0$0$0$1,275,825$0$0
MARTIN BASSO
SR VP FINANCE & TREASURER$0$460,150$0$264,906$0$127,954$0$75,868$0$19,374$0$948,252$0$0
JACKY SCHULTZ
PRESIDENT, TRUSTEE$0$376,945$0$242,335$0$138,982$0$0$0$8,529$0$766,791$0$0
LEO ROTELLO MD
TRUSTEE$0$472,901$0$132,637$0$2,500$0$72,929$0$28,222$0$709,189$0$0
ERIC DOBKIN
VP MEDICAL AFFAIRS$0$397,896$0$75,756$0$14,492$0$9,287$0$20,307$0$517,738$0$0
PETER B MANCINO ESQ
SECRETARY$0$317,075$0$61,679$0$7,032$0$74,381$0$21,696$0$481,863$0$0
CAROLYN CARPENTER MHA FACHE
PRESIDENT OF THE NATIONAL CAPITAL RE$0$215,138$0$157,399$0$1,209$0$38,342$0$14,046$0$426,134$0$0
LEIGHANN SIDONE RN
VP NURSING & CNO$0$254,133$0$48,977$0$33,080$0$37,760$0$32,491$0$406,441$0$0
JOSEPH LINSTROM
VP OPERATIONS$0$253,164$0$47,846$0$8,776$0$68,486$0$11,815$0$390,087$0$0
STEVEN COHEN
PHYSICIAN ASST.$241,864$0$0$0$1,485$0$12,761$0$25,203$0$281,313$0$0$0
JENNIFER RAYNOR
DEPT DIR OF PHARMACY$208,757$0$5,000$0$6,515$0$10,959$0$15,917$0$247,148$0$0$0
CHARLES HOOKS
SR DIR INFORMATION SYSTEMS$198,795$0$8,500$0$14,939$0$10,573$0$10,430$0$243,237$0$0$0
BRADLEY FIELD
CHIEF PERFUSIONIST$224,112$0$0$0$1,108$0$11,368$0$2,390$0$238,978$0$0$0
CINDY MERZ MS
VICE PRESIDENT, DEVELOPMENT$134,122$20,250$8,171$0$27,211$2,327$7,760$0$26,417$38$203,681$22,615$0$0
DEIDRE HILLIARD
PHYSICIAN ADVISOR$207,629$0$0$0$228$0$10,731$0$6,319$0$224,907$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 4BA 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 2020 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 2020. MARTY BASSO $112,508 AND JACKY SCHULTZ $120,403.56 IN ADDITION TO THOSE LISTED ABOVE, RONALD PETERSON RECEIVED PAYMENT FROM A SUPPLEMENTAL RETIREMENT PROGRAM THAT WAS IN PLACE PRIOR TO 1986 AND SUBJECT TO DIFFERENT TAX RULES. MR. PETERSON ACCRUED BENEFITS OVER A 40+ YEAR CAREER AT JOHNS HOPKINS HEALTH SYSTEM AND THE BENEFIT HAS BEEN REPORTED ON THE FORM 990 TWICE ALREADY: ONCE WHEN ACCRUED AND AGAIN WHEN INCLUDED AS TAXABLE INCOME FOR MEDICARE TAX PURPOSES. BENEFITS ARE PAID AS AN ANNUITY TO MR. PETERSON OVER HIS REMAINING LIFETIME AND TAXED FOR INCOME TAX PURPOSES AS PAID. UNDER FORM 990 REPORTING REQUIREMENTS, MR. PETERSON'S BENEFIT IS REQUIRED TO BE REPORTED A THIRD TIME WHEN PAID. DURING 2020, MR. PETERSON RECEIVED A PAYMENT OF $1,275,825; THIS AMOUNT IS REPORTED IN SCHEDULE J, PART II, COLUMN (B)(III).
PART I, LINE 7ANNUAL INCENTIVE PLAN: EXECUTIVES PARTICIPATE IN AN ANNUAL INCENTIVE PLAN THAT REWARDS PARTICIPANTS FOR THE ACHIEVEMENT OF ORGANIZATION OBJECTIVES APPROVED BY THE JOHNS HOPKINS MEDICINE COMPENSATION COMMITTEE EACH YEAR, INCLUDING FINANCIAL AND NON-FINANCIAL MEASURES. A PORTION OF THE OVERALL AWARD IS DETERMINED BASED ON INDIVIDUAL PERFORMANCE.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
BARTON LEONARD
TRUSTEE$288,294SEE PART VDR. LEONARD HOLDS AN OWNERSHIP INTEREST IN BETHESDA EMERGENCY ASSOCIATES "BEA". SUBURBAN HOSPITAL PAID BEA FOR PROGRAM SERVICES AND PHYSICIAN SUPPORT.0
MARK FUTROVSKY
TRUSTEE$409,154SEE PART VMR. FUTROVSKY IS PRESIDENT OF THE ROLYN COMPANIES, INC. ("ROLYN"). SHI RENTED EQUIPMENT AND PURCHASED LABOR FROM ROLYN FOR COVID-19 RESPONSE AND PREPAREDNESS.0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART I, LINE 8PURSUANT TO THE CORONAVIRUS AID, RELIEF, AND ECONOMIC SECURITY (CARES) ACT, SUBURBAN HOSPITAL, INC. RECOGNIZED $15,535,931 OF FUNDING FROM THE PROVIDER RELIEF FUND ADMINISTERED BY THE HEALTH RESOURCES AND SERVICES ADMINISTRATION, AN AGENCY OF THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES DURING FY21. THIS AMOUNT HAS BEEN RECOGNIZED AS GRANT REVENUE ON PART I, LINE 8 OF THE ORGANIZATION'S FORM 990.
FORM 990, PART VI, SECTION A, LINE 21. BILL SHAW IS A TRUSTEE OF SUBURBAN HOSPITAL. WILLIAM CONWAY, JR. IS A TRUSTEE OF JOHNS HOPKINS MEDICINE, JOHNS HOPKINS HEALTH SYSTEM CORPORATION, AND THE JOHNS HOPKINS HOSPITAL. DAVID M. RUBENSTEIN IS A TRUSTEE OF JOHNS HOPKINS MEDICINE. MESSRS. SHAW, CONWAY AND RUBENSTEIN HAVE A BUSINESS RELATIONSHIP. 2. MICHAEL HANKIN IS A TRUSTEE OF JOHNS HOPKINS MEDICINE. KENNETH STUZIN IS A TRUSTEE OF JOHNS HOPKINS BAYVIEW MEDICAL CENTER. ELIZABETH FLANAGAN IS A TRUSTEE OF SUBURBAN HOSPITAL. MESSRS. HANKIN AND STUZIN AND MRS. FLANAGAN HAVE A BUSINESS RELATIONSHIP.
FORM 990, PART VI, SECTION A, LINE 6JOHNS HOPKINS HEALTH SYSTEM CORPORATION AN IRC 501(C)(3) TAX EXEMPT ORGANIZATION, IS THE SOLE CORPORATE MEMBER OF SUBURBAN HOSPITAL, INC.
FORM 990, PART VI, SECTION A, LINE 7AJOHNS HOPKINS HEALTH SYSTEM CORPORATION, AN IRC 501C (3) TAX EXEMPT ORGANIZATION AND THE SOLE MEMBER OF SUBURBAN HOSPITAL, INC. ELECTS THE MAJORITY OF THE BOARD OF TRUSTEES.
FORM 990, PART VI, SECTION A, LINE 7BTHE GOVERNING BODY OF SUBURBAN HOSPITAL, INC. IS EMPOWERED BY ITS BY-LAWS TO MAKE CERTAIN DECISIONS; ALL OTHER DECISIONS ARE SUBJECT TO APPROVAL OF THE SOLE MEMBER JOHNS HOPKINS HEALTH SYSTEM CORPORATION.
FORM 990, PART VI, SECTION B, LINE 11BA COPY OF THE FORM 990 WAS PROVIDED TO THE BOARD OF TRUSTEES AND THE EXECUTIVE COMMITTEE BEFORE IT WAS FILED.
FORM 990, PART VI, SECTION B, LINE 12CTHE CONFLICT OF INTEREST POLICY IS 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 15EVERY THREE YEARS AN INDEPENDENT STUDY IS CONDUCTED GATHERING INDUSTRY COMPENSATION AVERAGES FROM SELECT PEER INSTITUTIONS. EVERY YEAR THE JOHNS HOPKINS BOARD OF TRUSTEES COMPENSATION COMMITTEE REVIEWS COMPENSATION AMOUNTS FOR OFFICERS AND ALL EMPLOYEES AT THE DIRECTOR AND HIGHER LEVELS.
FORM 990, PART VI, SECTION C, LINE 19INTERNAL POLICIES, INCLUDING CONFLICT OF INTEREST POLICY, ARE PROVIDED TO THE PUBLIC ON THE ORGANIZATIONS WEBSITE. FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST, THE GOVERNING DOCUMENTS HAVE BEEN MADE AVAILABLE IN OUR PUBLIC FILING WITH THE STATE OF MARYLAND AND THE INTERNAL REVENUE SERVICE.
FORM 990, PART XI, LINE 9:CHANGE IN MARKET VALUE OF INT SWAP AGREEMENT 88,367. CHANGE IN FUND STATUS OF DEFINED BENEFIT PLANS 8,153,000. NET ASSETS RELEASED FROM RESTRICTION 15,690,638. CHANGE IN PENSION 1,152,000. UNREALIZED GAIN ON INVESTMENT 49,357,381. CONTRIBUTION TO/FROM AFFILIATE -1,910,726.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

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

US Address USAddress

FieldValueIRS element (for citing)
Address Line18600 OLD GEORGETOWN ROADAddressLine1Txt
CityBETHESDACityNm
State AbbreviationMDStateAbbreviationCd
ZIP20814ZIPCd
FieldValueIRS element (for citing)
EIN010642496EIN
Primary ActivitiesMEDICAL SERVICESPrimaryActivitiesTxt
Legal Domicile StateMDLegalDomicileStateCd
Total Income$909,531TotalIncomeAmt
End Of Year Assets$206,895EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1SUBURBAN HOSPITAL INCBusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (18 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
SUBURBAN HOSPITAL FOUNDATION INC
8600 OLD GEORGETOWN ROADBETHESDAMD20814522019696SUPPORTING ORGANIZATIONMD501(C)(3)LINE 12B, IISUBURBAN HOSPITAL INCYes (1)
JOHNS HOPKINS HEALTH SYSTEM CORPORATION
3910 KESWICK RD SOUTH BLDG 4TH FL SBALTIMOREMD21211521465301SUPPORTING ORGANIZATIONMD501(C)(3)LINE 12D, III-OJOHNS HOPKINS HEALTH SYSTEM CORPORATION0
HOWARD COUNTY GENERAL HOSPITAL INC
3910 KESWICK RD SOUTH BLDG 4TH FL SBALTIMOREMD21211522093120HOSPITALMD501(C)(3)LINE 3JOHNS HOPKINS HEALTH SYSTEM CORPORATION0
JOHNS HOPKINS BAYVIEW MEDICAL CENTER INC
3910 KESWICK RD SOUTH BLDG 4TH FL SBALTIMOREMD21211521341890HOSPITALMD501(C)(3)LINE 3JOHNS HOPKINS HEALTH SYSTEM CORPORATION0
JOHNS HOPKINS COMMUNITY PHYSICIANS INC
3910 KESWICK RD SOUTH BLDG 4TH FL SBALTIMOREMD21211521467441HEALTHCARE SERVICESMD501(C)(3)LINE 12D, III-OJOHNS HOPKINS HEALTH SYSTEM CORPORATION0
JOHNS HOPKINS MEDICAL SERVICES CORPORATION
3910 KESWICK RD SOUTH BLDG 4TH FL SBALTIMOREMD21211521232569HEALTHCARE SERVICESMD501(C)(3)LINE 3JOHNS HOPKINS HEALTH SYSTEM CORPORATION0
THE JOHNS HOPKINS HOSPITAL
3910 KESWICK RD SOUTH BLDG 4TH FL SBALTIMOREMD21211520591656HOSPITALMD501(C)(3)LINE 3JOHNS HOPKINS HEALTH SYSTEM CORPORATION0
SUBURBAN HOSPITAL HEALTHCARE SYSTEM INC
8600 OLD GEORGETOWN ROADBETHESDAMD20814522052354HEALTHCARE SERVICESMD501(C)(3)LINE 12D, III-OJOHNS HOPKINS HEALTH SYSTEM CORPORATION0
LUCY WEBB HAYES NATIONAL TRAINING SCHOOL FOR DEACONESSES &
5255 LOUGHBORO RD NWWASHINGTONDC20016530196602HOSPITALDC501(C)(3)LINE 3JOHNS HOPKINS HEALTH SYSTEM CORPORATION0
POTOMAC HOME SUPPORT INC
6001 MONTROSE ROAD NO 1020ROCKVILLEMD20852521750383HOME HEALTH CAREMD501(C)(3)LINE 12B, IISIBLEY SUBURBAN HOME HEALTH AGENCY0
SIBLEY SUBURBAN HOME HEALTH AGENCY
6001 MONTROSE ROAD NO 307ROCKVILLEMD20852521450142HOME HEALTH CAREMD501(C)(3)LINE 100N/A
PEDIATRIC PHYSICIAN SERVICES INC
501 SIXTH AVENUE SOUTHST PETERSBURGFL33701593425191PEDIATRIC MEDICAL SERVICESFL501(C)(3)LINE 11ALL CHILDREN'S HEALTH SYSTEM INC0
ALL CHILDREN'S HOSPITAL FOUDNATION INC
501 SIXTH AVENUE SOUTHST PETERSBURGFL33701592481738FOUNDATIONFL501(C)(3)LINE 7ALL CHILDREN'S HEALTH SYSTEM INC0
ALL CHILDREN'S HOSPITAL INC
501 SIXTH AVENUE SOUTHST PETERSBURGFL33701590683252HOSPITALFL501(C)(3)LINE 3JOHNS HOPKINS HEALTH SYSTEM CORPORATION0
ALL CHILDREN'S RESEARCH INSTITUTE INC
501 SIXTH AVENUE SOUTHST PETERSBURGFL33701592481742RESEARCHFL501(C)(3)LINE 4ALL CHILDREN'S HEALTH SYSTEM INC0
KIDS HOME CARE INC
501 SIXTH AVENUE SOUTHST PETERSBURGFL33701593476049HOME HEALTH CAREFL501(C)(3)LINE 11ALL CHILDREN'S HEALTH SYSTEM INC0
WEST COAST NEONATOLOGY INC
501 SIXTH AVENUE SOUTHST PETERSBURGFL33701593398308NEONATAL CAREFL501(C)(3)LINE 11ALL CHILDREN'S HEALTH SYSTEM INC0
ALL CHILDREN'S HEALTH SYSTEM INC
501 SIXTH AVENUE SOUTHST PETERSBURGFL33701592481740MANAGEMENT SERVICESFL501(C)(3)LINE 12D, III-OJOHNS HOPKINS HEALTH SYSTEM CORPORATION0

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (12 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerInd
HEALTHCARE SUPPLY CHAIN INNOVATIONS LLC
3910 KESWICK RD SOUTH BLDG 4TH FL SBALTIMOREMD21211472509307GROUP PURCHASINGMDN/A00
HOWARD COUNTY NEONATAL SERVICES SERIES
3910 KESWICK RD SOUTH BLDG 4TH FL SBALTIMOREMD21211522239401NEONATAL HEALTHMDN/A00
JHMI UTILITIES LLC
3910 KESWICK RD SOUTH BLDG 4TH FL SBALTIMOREMD21211202814243UTILITY FACILITIESMDN/A00
JOHNS HOPKINS HEALTH CARE AND SURGERY CENTER DEVELOPMENT LLC
3910 KESWICK RD SOUTH BLDG 4TH FL SBALTIMOREMD21211821388814LEASING REAL PROPERTYMDN/A00
JOHNS HOPKINS HEALTHCARE LLC
3910 KESWICK RD SOUTH BLDG 4TH FL SBALTIMOREMD21211521899357MEDICAL SVCSMDN/A00
JOHNS HOPKINS MEDICINE ALLIANCE FOR PATIENTS
3910 KESWICK RD SOUTH BLDG 4TH FL SBALTIMOREMD21211462866692HEALTHCARE SVCMDN/A00
JOHNS HOPKINS MEDICINE INTERNATIONAL LLC
3910 KESWICK RD SOUTH BLDG 4TH FL SBALTIMOREMD21211522144849MEDICAL SVCSMDN/A00
JOHNS HOPKINS REGIONAL SUPPLY CHAIN NETWORK LLC
3910 KESWICK RD SOUTH BLDG 4TH FL SBALTIMOREMD21211472912848GROUP PURCHASINGMDN/A00
JOHNS HOPKINS SURGERY CENTER SERIES
3910 KESWICK RD SOUTH BLDG 4TH FL SBALTIMOREMD21211208707724SURGERYMDN/A00
MARYLAND HEALTH ADVANTAGE LLC
3910 KESWICK RD SOUTH BLDG 4TH FL SBALTIMOREMD21211813898700HOLDING COMPANYDEN/A00
OPHTHALMOLOGY ASSOCIATES LLC
3910 KESWICK RD SOUTH BLDG 4TH FL SBALTIMOREMD21211521890957OPHTHALMOLOGY SVCSMDN/A00
WEST COUNTY MEDICAL LLC
3910 KESWICK RD SOUTH BLDG 4TH FL SBALTIMOREMD21211275234888REAL ESTATEMDN/A00

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (7 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPct
HOWARD COUNTY HEALTH SERVICES INC
3910 KESWICK RD SOUTH BLDG 4TH FL SBALTIMOREMD21211521434783HEALTHCARE MANANAGEMENTMDN/AC0
HSI MEDICAL SERVICES CORPORATION
3910 KESWICK RD SOUTH BLDG 4TH FL SBALTIMOREMD21211521847705HEALTHCARE SLEEP DIAGNOSTICSMDN/AC0
JOHNS HOPKINS MEDICAL MANANGEMENT CORPORATION
3910 KESWICK RD SOUTH BLDG 4TH FL SBALTIMOREMD21211521250028NURSING SERVICESMDN/AC0
JOHNS HOPKINS EMPLOYER HEALTH PROGRAMS INC
3910 KESWICK RD SOUTH BLDG 4TH FL SBALTIMOREMD21211521947678BENEFIT PLANSMDN/AC0
TCAS INC
3910 KESWICK RD SOUTH BLDG 4TH FL SBALTIMOREMD21211521979344NURSING SERVICESMDN/AC0
SUBURBAN HEALTH ENTERPRISES INC
8600 OLD GEORGETOWN RDBETHESDAMD20814522052352MEDICAL OFFICE LEASING AND RELEASINGMDN/AC0
VARIOUS CHARITABLE REMAINDER TRUSTS
3910 KESWICK RD SOUTH BLDG 4TH FL SBALTIMOREMD21211CHARITABLE REMAINDER TRUSTSMDN/AT0$51,3431.00000
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1SUBURBAN HOSPITAL FOUNDATION INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypeCTransactionTypeTxt
Involved$1,578,341InvolvedAmt
Method Of Amount DeterminationFMVMethodOfAmountDeterminationTxt

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.