2021-05-13T12:23:28-05:00 2020-06-30 990 2019-07-01 522019696 SUBURBAN HOSPITAL FOUNDATION INC SUBU 3018963971 8600 OLD GEORGETOWN ROAD BETHESDA MD 208141497 MARTIN BASSO SR VP FIN. & TREASURER 3018963971 2021-05-13 2019 2022-09-23 18:48:47Z MARTIN BASSO 8600 OLD GEORGETOWN ROAD BETHESDA MD 208141497 12497613 0 X WWW.SUBURBANHOSPITAL/CHARITABLEGIVING.ORG X 1995 MD SUPPORTING ORGANIZATION FOR SUBURBAN HOSPITAL, INC. 27 26 8 10 0 0 5276477 12031713 0 0 1222566 105606 -5686 -13745 6493357 12123574 1454777 1040245 0 0 887728 838679 0 0 1761786 1336416 1008567 3678921 2887491 2814436 9236083 34805851 43359285 410362 304288 34395489 43054997 X THE SUBURBAN HOSPITAL FOUNDATION RAISES AND DISTRIBUTES PHILANTHROPIC GIFTS IN SUPPORT OF THE PROGRAMS AND PRIORITIES OF THE MEMBER (SUBURBAN HOSPITAL, INC. 52-0610545). THE CORPORATION SHALL HAVE SUCH OTHER OBJECTIVES AS ARE APPROVED BY THE BOARD OF TRUSTEES AND THE MEMBER. 0 0 93323 93323 7802 SUBURBAN HOSPITAL FOUNDATION PROVIDES SUPPORT FOR SUBURBAN HOSPITAL'S STROKE CARE PROGRAM. RAPID RESPONSE TEAMS OF SPECIALLY -TRAINED CAREGIVERS (NEUROLOGISTS, NURSES, RADIOLOGY TECHNICIANS); A DEDICATED STROKE UNIT TO EDUCATION AND OUTREACH TO INCLUDE RISK ASSESSMENTS, INFORMATIONAL LECTURES AND EDUCATIONAL MATERIALS. 94500 94500 12959 SUBURBAN HOSPITAL FOUNDATION PROVIDES FUNDING FOR THE CASEY RN SCHOLARSHIP FOR NURSING EXCELLENCE PROGRAM. THE INTEREST EARNED FROM THE CORPUS OF THE EUGENE B. CASEY ENDOWMENT FUND SHALL BE USED TO PROVIDE SCHOLARSHIP GRANTS TO SUPPORT THE UNDERGRADUATE TUITION OF STUDENTS PURSUING DEGRESS IN NURSING; AND TO PROVIDE GRANTS TO SUPPORT THE TUITION OF EXISTING NURSES AND OTHER KEY CAREGIVERS SEEKING GRADUATE DEGREES IN NURSING, AND OTHER ADVANCED TRAINING DEEMED VITAL TO THE IMPROVEMENT OF PATIENT CARE AND THE RETENTION OF OUTSTANDING CAREGIVERS AT SUBURBAN HOSPITAL, INC. 85885 85885 61495 SUBURBAN HOSPITAL FOUNDATION PROVIDES SUPPORT THROUGH THE PATIENT NAVIGATOR PROGRAM. SUBURBAN'S PATIENT NAVIGATOR PROGRAM IS DESIGNED TO PROVIDE SUPPORT TO PATIENTS AND THEIR FAMILIES. WITH THE HELP OF AN EXPERIENCED AND PROFESSIONALLY TRAINED ONCOLOGY NURSE NAVIGATOR, PATIENTS CAN DEAL MORE EASILY WITH THE MANY QUESTIONS, DECISIONS AND CHALLENGES THAT ACCOMPANY A CANCER DIAGNOSIS.THE FOLLOWING IS PROVIDED - EDUCATION AND RESEARCH RELATED TO DIAGNOSIS AND/OR TREATMENT OPTIONS, INCLUDING CLINICAL TRIALS, TRANSLATING MEDICAL TERMINOLOGY, COMMUNICATING WITH PHYSICIANS AND OTHER MEMBERS OF THE HEALTH CARE TEAM, OBTAINING REFERRALS TO COMMUNITY SERVICES FOR SUPPORT GROUPS, TRANSPORTATION, FINANCIAL ASSISTANCE AND OTHER CONCERNS AND ARRANGING PALLIATIVE CARE, HOSPICE AND HOME HEALTH CARE SERVICES 766537 766537 766537 766537 1040245 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 1 0 0 1 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 1 X 6 0 1 8 1 0 0 0 0 0 0 0 0 0 0 X 27 26 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 MD X CYNTHIA MERZ 3018963100 8600 OLD GEORGETOWN ROAD BETHESDA MD 20814 JUNE M FALB VP OF DEVELOPMENT 60.00 0.00 X 263923 0 108141 CYNTHIA MERZ DIRECTOR OF PHILANTHROPY 50.00 0.00 X 158783 0 34316 STACEY GOLDSAMT DIRECTOR OF DEVELOPMENT 50.00 0.00 X 119281 0 7987 JACQUELINE BEALE MA TRUSTEE 4.00 0.00 X 0 0 0 MATT BROWN TRUSTEE 4.00 0.00 X 0 0 0 MICHELLE GLENNON ESQ TRUSTEE, EX-OFFICIO 4.00 0.00 X 0 0 0 STACI CAPUANO TRUSTEE 4.00 0.00 X 0 0 0 CHRISTINA NICOLAIDES KEARNS TRUSTEE 4.00 0.00 X 0 0 0 EMILY KISHTER TRUSTEE 4.00 0.00 X 0 0 0 CHRISTOPHER DOHERTY TRUSTEE 4.00 0.00 X 0 0 0 KIM NATOVITZ TRUSTEE 4.00 0.00 X 0 0 0 WENDI SAGER TRUSTEE 4.00 0.00 X 0 0 0 DEVON SEGAL TRUSTEE 4.00 0.00 X 0 0 0 DANIEL VALAIK MD TRUSTEE 4.00 0.00 X 0 0 0 RYAN KUEHL TRUSTEE 4.00 0.00 X 0 0 0 JOHN BOWIS TRUSTEE 4.00 0.00 X 0 0 0 LISA SLATER TRUSTEE 4.00 0.00 X 0 0 0 BARTON LEONARD MD TRUSTEE, EX-OFFICIO 4.00 4.00 X 0 0 0 THOMAS D MURPHY TRUSTEE, VICE CHAIR 4.00 0.00 X 0 0 0 MIKE WARSAW TRUSTEE 4.00 0.00 X 0 0 0 LELAND WEINSTEIN TRUSTEE 4.00 0.00 X 0 0 0 CHUCK WIEBE TRUSTEE, EX-OFFICIO 4.00 4.00 X 0 0 0 DAVID RUBEN TRUSTEE, EX-OFFICIO 4.00 4.00 X 0 0 0 DIANE L COLGAN MD TRUSTEE 4.00 0.00 X 0 0 0 DOUGLAS L FORMAN MD TRUSTEE 4.00 0.00 X 0 0 0 MICHAEL HIBLER TRUSTEE, EX-OFFICIO 4.00 0.00 X 0 0 0 STEVE RUM TRUSTEE, EX-OFFICIO 4.00 0.00 X 0 0 0 KATIE JAGGERS-LUDWICK TRUSTEE, CHAIR 4.00 0.00 X 0 0 0 CHARLES B POSTAL TRUSTEE 4.00 0.00 X 0 0 0 JUDITH M WALKER TRUSTEE 4.00 0.00 X 0 0 0 JACKY SCHULTZ PRESIDENT 10.00 50.00 X 0 0 0 JOSEPH LINSTROM VP OPERATIONS 4.00 56.00 X 0 0 0 MARTY BASSO VP FINANCE & CFO 4.00 56.00 X 0 0 0 541987 0 150444 3 0 1 0 0 31950 94525 11905238 5023 12031713 383644 383644 278038 -278038 -278038 -278038 0 31950 96001 -96001 -96001 OTHER 900099 82256 82256 82256 12123574 82256 0 9605 918495 918495 121750 121750 172574 8629 163945 505834 25292 480542 160271 8014 152257 133439 133439 62938 3147 59791 1218 1218 3366 3366 OTHER 678123 33904 644219 AMORTIZATION RIGHT OF A 89658 4483 85175 PURCHASED SERVICES 39825 1991 37834 2887491 1040245 85460 1761786 6229682 11806263 372125 194480 32862 32862 0 0 28204044 31358542 34805851 43359285 78778 89105 331584 215183 410362 304288 X 546380 88370 33849109 42966627 34395489 43054997 34805851 43359285 X 9236083 -576575 X 0 1 X 1 0 X X 1 SUBURBAN HOSPITAL INC 520610545 3 1 915395 0 1 915395 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 7857 7857 0 25005 25005 0 0 DUE TO AFFILIATES 214504 DEFERRED L/T OPERATING EXPENSES 679 215183 X 2493000 96001 96001 2396999 9726575 9726575 12123574 2762000 0 2762000 125491 125491 2887491 PART X, LINE 2: FASB'S GUIDANCE ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES CLARIFIES THE ACCOUNTING FOR UNCERTAINTY OF INCOME TAX POSITIONS. THIS GUIDANCE DEFINES THE THRESHOLD FOR RECOGNIZING TAX RETURN POSITIONS IN THE FINANCIAL STATEMENTS AS "MORE LIKELY THAN NOT" THAT THE POSITION IS SUSTAINABLE, BASED ON ITS TECHNICAL MERITS. THIS GUIDANCE ALSO PROVIDES GUIDANCE ON THE MEASUREMENT, CLASSIFICATION AND DISCLOSURE OF TAX RETURN POSITIONS IN THE FINANCIAL STATEMENTS. THE FOUNDATION HAS ADOPTED THIS GUIDANCE, AND THERE WAS NO IMPACT ON ITS FINANCIAL STATEMENTS DURING THE YEARS ENDED JUNE 30, 2020 AND 2019. PART XI, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSE 96,001. PART XI, LINE 4B - OTHER ADJUSTMENTS: MOVED FROM TEMP RESTRICTED 9,726,575. PART XII, LINE 4B - OTHER ADJUSTMENTS: MOVED FROM TEMP RESTRICTED 124,850. ROUNDING 641. SAKS EVENT 31950 31950 2050 1200 STEWARDSHIP EVENT 0 0 36972 55779 31950 31950 2050 36972 56979 96001 -96001 1 SUBURBAN HOSPITAL INC 8600 OLD GEORGETOWN ROAD BETHESDA MD 208141497 520610545 501(C)(3) 915395 SUPPORT FOR THE HOSPITAL 1 SCHOLARSHIPS 19 121750 PART I, LINE 2: THE BOARD OF TRUSTEES HAS DELEGATED THE FACILITATION AND ACCOUNTING FOR ALL GRANT PROGRAMS ADMINISTERED BY SUBURBAN HOSPITAL FOUNDATION, INC. TO THE OFFICERS, DIRECTORS, AND KEY EMPLOYEES OF THE ORGANIZATION. X X X X X 0 1 0 0 0 0 0 1 0 JUNE M FALB VP OF DEVELOPMENT 201399 0 38489 0 24035 0 84761 0 23380 0 372064 0 0 0 CYNTHIA MERZ DIRECTOR OF PHILANTHROPY 136018 0 7500 0 15265 0 9100 0 25216 0 193099 0 0 0 PART I, LINE 4B A SELECT GROUP OF SENIOR LEADERS OF THE JOHNS HOPKINS HEALTH SYSTEM CORPORATION (JHHSC) PARTICIPATE IN SUPPLEMENTAL RETIREMENT/DEFERRED COMPENSATION PROGRAMS, INCLUDING SOME LEGACY ARRANGEMENTS THAT ARE NO LONGER AVAILABLE TO NEW HIRES. PRE-2011 PARTICIPANTS RECEIVE CASH PAYMENTS EACH YEAR DETERMINED WITH REFERENCE TO THEIR SERVICE WITH JHHSC AND THEIR FINAL AVERAGE COMPENSATION. AS OF JANUARY 2019, FUTURE CASH PAYMENTS ARE MADE ACCORDING TO A FIXED SCHEDULE FOR THESE PARTICIPANTS. POST-2011 PARTICIPANTS ACCRUE BENEFITS UNDER A DEFINED CONTRIBUTION FORMULA WHERE CONTRIBUTIONS ARE TIERED BY POSITION LEVEL. CONTRIBUTIONS MADE IN 2018 AND PRIOR YEARS GENERALLY VEST AFTER THE LATER OF FIVE YEARS OF SERVICE WITH JHHSC OR THREE YEARS OF PLAN PARTICIPATION; CONTRIBUTIONS MADE IN 2019 AND FUTURE YEARS VEST THREE YEARS AFTER EACH CONTRIBUTION IS MADE, WITH FULL VESTING ON THE LATER OF AGE 65 OR THREE YEARS OF PLAN PARTICIPATION. ALL CONTRIBUTIONS VEST ON DEATH, DISABILITY OR INVOLUNTARY TERMINATION WITHOUT CAUSE. IF A PARTICIPANT VOLUNTARILY TERMINATES EMPLOYMENT OR IS TERMINATED BY THE EMPLOYER FOR CAUSE PRIOR TO THE APPLICABLE VESTING DATE, THE PARTICIPANT'S ENTIRE NON-VESTED BENEFIT IS FORFEITED ALL OF THESE ARRANGEMENTS WERE APPROVED, IN ADVANCE, BY AN INDEPENDENT COMPENSATION COMMITTEE, WHICH BASED ITS DECISION ON DATA PROVIDED BY AN INDEPENDENT COMPENSATION CONSULTANT. PARTICIPANTS' INTERESTS UNDER THESE ARRANGEMENTS ARE NOT GUARANTEED OR SECURED AT ANY WAY AND AT ALL TIMES ARE SUBJECT TO CLAIMS OF EMPLOYER'S BANKRUPTCY/INSOLVENCY CREDITORS. THE FOLLOWING INDIVIDUALS LISTED ON FORM 990, PART VII, SECTION A, LINE 1A RECEIVED PAYMENT FROM ONE OR MORE SUPPLEMENTAL RETIREMENT/DEFERRED COMPENSATION PROGRAMS, WITH PAYMENTS REPORTED IN SCHEDULE J, PART II, COLUMN (B)(III); THE TOTAL OF AMOUNTS PAYABLE DURING 2019 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 2019. JUNE FALB $1,717 PART I, LINE 7 THE EXECUTIVES AND DIRECTORS ARE PAID BY THE JOHNS HOPKINS HEALTH SYSTEM, THE PARENT OF THE RELATED ORGANIZATION SUBURBAN HOSPITAL, INC. THEY PARTICIPATE IN AN ANNUAL INCENTIVE PLAN. THE ANNUAL INCENTIVE PLAN HAS THREE POTENTIAL PAYOUT LEVELS - THRESHOLD, TARGET AND MAXIMUM. EACH YEAR SPECIFIC TARGETS ARE ESTABLISHED IN THE AREAS OF QUALITY PATIENT SATISFACTION, FINANCE, HUMAN RESOURCES AND INDIVIDUAL PERFORMANCE. THE INCENTIVE AMOUNT DEPENDS ON THE LEVEL ACCOMPLISHED DURING THE YEAR. THE EMPLOYEES OF SUBURBAN FOUNDATION PARTICIPATE IN AN ANNUAL INCENTIVE PROGRAM THAT IS BASED ON BUSINESS ACTIVITY AND INDIVIDUAL PERFORMANCE. THE ANNUAL INCENTIVE PLAN HAS THREE POTENTIAL PAYOUT LEVELS - THRESHOLD, TARGET AND MAXIMUM. BARTON LEONARD TRUSTEE 288294 SEE PART V DR. LEONARD HOLDS AN OWNERSHIP INTEREST IN BETHESDA EMERGENCY ASSOCIATES "BEA". SUBURBAN HOSPITAL PAID BEA FOR PROGRAM SERVICES AND PHYSICIAN SUPPORT. 0 FORM 990, PART V, LINES 2A & 2B THE 8 EMPLOYEES REPORTED ON LINE 2A ARE PAID AND REPORTED ON FORM W-3 BY THE SUPPORTED ORGANIZATION SUBURBAN HOSPITAL, INC.(52-0610545). ALL REQUIRED FEDERAL AND STATE EMPLOYMENT TAX RETURNS ARE FILED BY SUBURBAN HOSPITAL, INC. FORM 990, PART VI, SECTION A, LINE 6 SUBURBAN HOSPITAL, INC., A IRC 501(C)(3) TAX EXEMPT ORGANIZATION, IS THE SOLE CORPORATE MEMBER OF SUBURBAN HOSPITAL FOUNDATION, INC. FORM 990, PART VI, SECTION A, LINE 7A SUBURBAN HOSPITAL, INC., THE IRC 501C (3) TAX EXEMPT SUPPORTED ORGANIZATION OF SUBURBAN HOSPITAL FOUNDATION, INC. ELECTS THE MAJORITY OF THE BOARD OF TRUSTEES AT THE ANNUAL MEETING. FORM 990, PART VI, SECTION A, LINE 7B THE GOVERNING BODY OF SUBURBAN HOSPITAL, INC. IS EMPOWERED BY ITS BY-LAWS TO MAKE CERTAIN DECISIONS; ALL OTHER DECISIONS ARE SUBJECT TO APPROVAL OF THE PARENT ORGANIZATION JOHNS HOPKINS HEALTH SYSTEM CORPORATION. FORM 990, PART VI, SECTION B, LINE 11B A COPY OF THE FORM 990 WAS PROVIDED TO THE BOARD OF TRUSTEES AND THE EXECUTIVE COMMITTEE BEFORE IT WAS FILED. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY IS A PART OF THE ANNUAL DISCLOSURE STATEMENT PROCESS. ALL OFFICERS, DIRECTORS, TRUSTEES, AND KEY EMPLOYEES ARE REQUIRED TO REPORT ANY CONFLICTS OF INTEREST AND TO COMPLY WITH THE CONFLICT OF INTEREST POLICY ON AN ANNUAL BASIS. FORM 990, PART VI, SECTION B, LINE 15 EVERY THREE YEARS AN INDEPENDENT STUDY IS CONDUCTED GATHERING INDUSTRY COMPENSATION AVERAGES FROM SELECT PEER INSTITUTIONS. EVERY YEAR THE JOHNS HOPKINS BOARD OF TRUSTEES COMPENSATION COMMITTEE REVIEWS COMPENSATION AMOUNTS FOR OFFICERS AND ALL EMPLOYEES AT THE DIRECTOR AND HIGHER LEVELS. FORM 990, PART VI, SECTION C, LINE 19 INTERNAL POLICIES, INCLUDING CONFLICT OF INTERST POLICY, ARE PROVIDED TO THE PUBLIC ON THE ORGANIZATION'S WEBSITE. FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST, THE GOVERNING DOCUMENTS HAVE BEEN MADE AVAILABLE IN OUR PUBLIC FILING WITH THE STATE OF MARYLAND AND THE INTERNAL REVENUE SERVICE. FORM 990, PART XI, LINE 9: UNREALIZED GAIN ON INVESTMENT -229,564. SPECIAL EVENTS 96,001. NET ASSETS RELEASED FROM RESTRICTION -443,012. SUBURBAN HOSPITAL INC 8600 OLD GEORGETOWN ROAD BETHESDA MD 208141497 520610545 HOSPITAL MD 501 (C)(3) 3 JOHNS HOPKINS HEALTH SYSTEM CORPORATION 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0