LUCY WEBB HAYNES NATIONAL TRAINING SCHOOL FOR DEACONESSES AND MISSION: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
LUCY WEBB HAYNES NATIONAL TRAINING SCHOOL FOR DEACONESSES AND MISSION (EIN 53-0196602)
Tax period
2018-07-01 to 2019-06-30
Filed
2020-07-13
IRS object ID
202011959349301701
Schema version
2018v3.2
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)
Return2020-07-13T10:20:44-05:00ReturnTs
Tax Period End2019-06-30TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2018-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN530196602EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1LUCY WEBB HAYES NATIONAL TRAINING SCHOOLBusinessNameLine1Txt
Business Name Line2FOR DEACONESSES & MISSIONARIESBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlLUCYBusinessNameControlTxt
Phone2025374000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line15255 LOUGHBORO RD NWAddressLine1Txt
CityWASHINGTONCityNm
State AbbreviationDCStateAbbreviationCd
ZIP20016ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMARTIN BASSOPersonNm
Person TitleSR VP FINANCE & CFOPersonTitleTxt
Phone2025374000PhoneNum
Signature2020-07-13SignatureDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address128.220.159.45IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-07-13IPDt
IP Tm10:20:39IPTm
IP TimezoneEDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDA39A3EE5E6B4B0D3255BFEF95601890AFD80709AtSubmissionCreationDeviceId
At Submission Filing Device IdAA414E185116BB862CEA1EFD9E057C93A361479BAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2020-09-22 18:59:49ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1SIBLEY MEMORIAL HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerMARTIN BASSOPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line15255 LOUGHBORO RD NWAddressLine1Txt
CityWASHINGTONCityNm
State AbbreviationDCStateAbbreviationCd
ZIP20016ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$471,708,601GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.SIBLEY.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1891FormationYr
Legal Domicile StateDCLegalDomicileStateCd
Activity Or MissionTHE LUCY WEBB HAYES NATIONAL TRAINING SCHOOL FOR DEACONESSES AND MISSIONARIES MISSION IS TO DELIVER EXCELENCE AND COMPASSIONATE CARE TO EVERY PERSON, EVERY TIME. SIBLEY WILL BE THE ROLE MODEL FOR INNOVATION IN HEALTH CARE AND WELLNESS FOR ALL. THEIR VALUES ARE EXCELLENCE AND DISCOVERY, DIVERSITY AND INCLUSION, LEADERSHIP AND INTEGRITY, RESPECT AND COLLEGIALITY.ActivityOrMissionDesc
Voting Members Governing Body25VotingMembersGoverningBodyCnt
Voting Members Independent23VotingMembersIndependentCnt
Total Employee2708TotalEmployeeCnt
Total Volunteers265TotalVolunteersCnt
Total Gross UBI$39,827TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$25,000,000CYContributionsGrantsAmt
PY Program Service Revenue$358,524,016PYProgramServiceRevenueAmt
CY Program Service Revenue$399,665,810CYProgramServiceRevenueAmt
PY Investment Income$30,216,483PYInvestmentIncomeAmt
CY Investment Income$30,704,064CYInvestmentIncomeAmt
PY Other Revenue$14,961,566PYOtherRevenueAmt
CY Other Revenue$15,780,950CYOtherRevenueAmt
PY Total Revenue$403,702,065PYTotalRevenueAmt
CY Total Revenue$471,150,824CYTotalRevenueAmt
PY Grants And Similar Paid$125,050PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$332,476CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$152,056,252PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$166,159,564CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$209,481,932PYOtherExpensesAmt
CY Other Expenses$227,299,358CYOtherExpensesAmt
PY Total Expenses$361,663,234PYTotalExpensesAmt
CY Total Expenses$393,791,398CYTotalExpensesAmt
PY Revenues Less Expenses$42,038,831PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$77,359,426CYRevenuesLessExpensesAmt
Total Assets BOY$1,109,157,438TotalAssetsBOYAmt
Total Assets EOY$1,231,329,341TotalAssetsEOYAmt
Total Liabilities BOY$385,664,048TotalLiabilitiesBOYAmt
Total Liabilities EOY$376,705,866TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$723,493,390NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$854,623,475NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE LUCY WEBB HAYES NATIONAL TRAINING SCHOOL FOR DEACONESSES AND MISSIONARIES CONDUCTING BUSINESS AS SIBLEY MEMORIAL HOSPITAL IS A GENERAL SHORT-TERM ACUTE CARE HOSPITAL LOCATED IN N.W. WASHINGTON,DC. THE HOSPITAL PROVIDES ALL SERVICES WITHOUT REGARD TO RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. ITS MISSION IS TO DELIVER EXCELLENCE AND COMPASSIONATE CARE TO EVERY PERSON, EVERY TIME. ITS VISION IS TO BE THE ROLE MODEL FOR INNOVATION IN HEALTH CARE AND WELLNESS FOR ALL. THE HOSPITAL VALUES EXCELLENCE AND DISCOVERY, DIVERSITY AND INCLUSION, LEADERSHIP AND INTEGRITY, RESPECT AND COLLEGIALITY.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$340,978,063ExpenseAmt
Grant$332,476GrantAmt
Revenue$418,803,443RevenueAmt
DescPROVIDE ACUTE CARE HEALTHCARE SERVICES TO PATIENTS IN THE NORTHWEST WASHINGTON, DC AREA. TO PROVIDE QUALITY HEALTH SERVICES AND FACILITIES TO THIS COMMUNITY, PROMOTING WELLNESS, RELIEVE SUFFERING, AND RESTORE HEALTH AS SWIFTLY, SAFELY AND HUMANELY AS IT CAN BE DONE CONSISTENT WITH THE BEST SERVICE GIVEN AT THE HIGHEST VALUE.SIBLEY HOSPITAL IS A GENERAL SHORT TERM ACUTE CARE FACILITY LOCATED IN NORTHWEST WASHINGTON, DC. THE HOSPITAL PROVIDES ALL SERVICES WITHOUT REGARD TO RACE, CREED, SEX, SEXUAL PREFERENCE, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. IN NOVEMBER, 2010, THE HOSPITAL BECAME INTEGRATED WITH THE JOHNS HOPKINS HEALTH SYSTEM (JHHS). ONE OF THE REQUIREMENTS OF THE INTEGRATION WAS TO ADOPT THE FISCAL YEAR ACCOUNTING PERIOD OF JULY 1 TO JUNE 30. CONSEQUENTLY, THIS RETURN IS FOR THE 12-MONTH ACCOUNTING PERIOD JULY 1, 2018 TO JUNE 30, 2019. INHERENT IN THE PURPOSE IS THE HOSPITALS WILLINGNESS TO PROVIDE HEALTHCARE SERVICES TO MEMBERS OF THE COMMUNITY WHO ARE NOT ABLE TO PAY FOR SERVICES. FOR FISCAL YEAR 2019, THE HOSPITAL PROVIDED CHARITY CARE TO MORE THAN 1,000 PATIENTS, INCURRING COSTS OF APPROXIMATELY $3.9 MILLION. TOTAL BENEFITS AND UNCOMPENSATED COST OF CARE PROVIDED TO THE COMMUNITY EXCEEDED $8.9 MILLION. SIBLEY PROVIDES CHARITY CARE TO THE CLIENTS OF THE CATHOLIC HEALTH CARE NETWORK, MARY'S CENTER FOR MATERNAL AND CHILD HEALTH, THE COMMUNITY OF HOPE, COLUMBIA ROAD CLINIC, UNITY HEALTHCARE, AND BREAD FOR THE CITY. THE HOSPITAL ADMITTED ABOUT 11,800 PATIENTS IN 2019, AND PROVIDED OVER 47,000 DAYS OF INPATIENT CARE. ADDITIONALLY, 4,200 NEW BABIES WERE DELIVERED AS WELL. ON THE OUTPATIENT SIDE, OVER 41,200 PATIENTS WERE TREATED IN OUR 24/7 EMERGENCY ROOM, APPROXIMATELY 11,650 SURGICAL CASES WERE PERFORMED AND APPROXIMATELY 98,000 VISITS WERE MADE FOR OTHER ANCILLARY OUTPATIENT TREATMENTS OR PROCEDURES.Desc
Total Program Service Expenses$340,978,063TotalProgramServiceExpensesAmt
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 CounselingYes (1)CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document336IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee2708EmployeeCnt
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 Members25GoverningBodyVotingMembersCnt
Independent Voting Member23IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
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 FldDCStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MARTIN BASSO SR VP FINANCE & CFOBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3018962333PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line15255 LOUGHBORO RD NWAddressLine1Txt
CityWASHINGTONCityNm
State AbbreviationDCStateAbbreviationCd
ZIP20016ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (39 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
RICHARD O DAVIS
PRESIDENT/CEO/TRUSTEE58.002.00Yes (X)Yes (X)$0$941,731$142,286
MARK ABBRUZZESE MD
TRUSTEE5.000.00Yes (X)$0$0$0
WILLIAM B BARTON ESQ
TRUSTEE/VICE CHAIRMAN5.0010.00Yes (X)$0$0$0
ROBERT BRANSON
TRUSTEE5.001.00Yes (X)$0$0$0
RICHARD E MORRIS
TRUSTEE/TREASURER5.0010.00Yes (X)Yes (X)$0$0$0
JOSHUA AMMERMAN MD
TRUSTEE5.00Yes (X)$0$0$0
REV A DAVID ARGO
TRUSTEE5.0010.00Yes (X)$0$0$0
GEOFFREY D BROWN
TRUSTEE5.001.00Yes (X)$0$0$0
J RENE CARTER
TRUSTEE/SECRETARY5.0020.00Yes (X)Yes (X)$0$0$0
DONNA CRYER
TRUSTEE5.00Yes (X)$0$0$0
MICHAEL K FARR
TRUSTEE5.0011.00Yes (X)$0$0$0
HARRY HERTZ PHD
TRUSTEE5.00Yes (X)$0$0$0
DALE H HOSCHEIT ESQ
TRUSTEE5.0010.00Yes (X)$0$0$0
JOHN CASTELLANI
TRUSTEE5.00Yes (X)$0$0$0
PRISCILLA I PAGANO
TRUSTEE5.00Yes (X)$0$0$0
CHARLES ROSS
TRUSTEE5.00Yes (X)$0$0$0
THOMAS J SCHAEFER
TRUSTEE5.00Yes (X)$0$0$0
MARTIN G PAUL MD
TRUSTEE5.00Yes (X)$0$0$0
ROBERT S SILBERMAN
TRUSTEE5.00Yes (X)$0$0$0
PAUL STERN PHD
TRUSTEE5.00Yes (X)$0$0$0
DEOBRAH TRAUTMAN PHD RN
TRUSTEE5.00Yes (X)$0$0$0
EDWARD J MILLER JR
TRUSTEE/CHAIRMAN5.0021.00Yes (X)$0$0$0
SHARON PERCY ROCKEFELLER
TRUSTEE5.00Yes (X)$0$0$0
KEVIN W SOWERS MSN RN FAA
TRUSTEE, CORP VICE CHAIRMAN5.0055.00Yes (X)Yes (X)$0$1,201,609$165,117
HASAN ZIA MD
INTERIM PRESDIENT, CMO, & TRUSTEE60.00Yes (X)Yes (X)$138,693$379,683$54,766
ALISON ARNOTT
VP SUPPORT SERVICES60.00Yes (X)$0$238,903$25,173
CAROLINE SHAFA
VP CLINICAL OPERATIONS60.00Yes (X)$0$289,008$30,627
MARTIN BASSO
VP FINANCE & CFO30.0030.00Yes (X)$0$634,937$151,136
LAURA HENDRICKS-JACKSON
VP PATIENT CARE & CNO60.00Yes (X)$126,050$80,123$70,270
JERRY L PRICE
SR VP REAL ESTATE & CONSTRU60.00Yes (X)$230,808$0$0
SANDRA POLIN
MAMMOGRAPHY PHYSICIAN40.00$444,977$0$8,006Yes (X)
POUNEH RAZAVI
PHYSICIAN DIR BREAST IMAGING40.00$521,651$0$34,683Yes (X)
SARA SHAYLOR
RADIOLOGIST40.00$457,491$0$33,653Yes (X)
ARMAN FIROUZI
PHYSICIAN SURGICAL40.00$405,844$0$30,441Yes (X)
COLETTE M MAGNANT
BREAST SURGEON40.00$634,662$0$31,575Yes (X)
RONALD PETERSON
FORMER TRUSTEE, OFFICER5.0055.00$0$3,223,521$19,840Yes (X)
QUEENIE PLATER
FORMER VP & CHIEF HR OFFICER30.0030.00$0$392,464$54,486Yes (X)
LAWRENCE RAMMUNO
FORMER OFFICER60.00$0$429,989$40,848Yes (X)
JOANNE MILLER
FORMER OFFICER60.00$0$126,253$37,825Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,960,176TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$7,938,221TotReportableCompRltdOrgAmt
Total Other Compensation$930,732TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K263IndivRcvdGreaterThan100KCnt
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
GILBANE BUILDING COMPANY TOTAL
7 JACKSON WALKWAYPROVIDENCERI02903CONSTRUCTION$27,344,393
BRASFIELD AND GORRIE LLC TOTAL
3021 7TH AVE SBIRMINGHAMAL35233CONSTRUCTION$13,461,565
AMN HEALTHCARE INC TOTAL
12400 HIGH BLUFFF DRSAN DIEGOCA92130STAFFING$1,558,837
RANDSTAD PROFESSIONALS US LP TOTAL
1711 YORK RDLUTHERVILLEMD21093EMPLOYEMENT AGENCY$885,204
GEORGE WASHINGTON UNIVERSITY TOTAL
1919 PENNSYLVANIA AVE STE 2WASHINGTONDC20599MEDICAL PROFESSIONALS$803,437
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K55CntrctRcvdGreaterThan100KCnt
Related Organizations$25,000,000RelatedOrganizationsAmt
Total Contributions$25,000,000TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT REVENUE621990$378,360,892$378,360,892
ASSISTED LIVING623000$21,265,091$21,265,091
LAB REVENUE621500$39,827$39,827
FieldValueIRS element (for citing)
Total Program Service Revenue$399,665,810TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$11,742,028TotalRevenueColumnAmt
Exclusion$11,742,028ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$19,335,594SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$373,558OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$19,335,594SecuritiesAmt
Other-$373,558OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$18,962,036TotalRevenueColumnAmt
Related Or Exempt Func Income$18,962,036RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$399,643GrossSalesOfInventoryAmt
Cost Of Goods Sold$184,219CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$215,424TotalRevenueColumnAmt
Related Or Exempt Func Income$215,424RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
OTHER INCOME900099$11,820,841$11,820,841
PARKING LOT812930$2,092,408$2,092,408
CAFETERIA/VENDING900099$1,154,123$1,154,123

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$498,154TotalRevenueColumnAmt
Exclusion$498,154ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$15,565,526OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$471,150,824TotalRevenueColumnAmt
Related Or Exempt Func Income$418,803,443RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$39,827UnrelatedBusinessRevenueAmt
Exclusion$27,307,554ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$332,476TotalAmt
Program Services$332,476ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$139,953,937TotalAmt
Program Services$128,449,738ProgramServicesAmt
Management And General$11,504,199ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$5,552,048TotalAmt
Program Services$5,095,670ProgramServicesAmt
Management And General$456,378ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$10,594,540TotalAmt
Program Services$9,723,670ProgramServicesAmt
Management And General$870,870ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$10,059,039TotalAmt
Program Services$9,232,187ProgramServicesAmt
Management And General$826,852ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$51,799TotalAmt
Management And General$51,799ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$320,454TotalAmt
Management And General$320,454ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$25,208TotalAmt
Management And General$25,208ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$1,590,163TotalAmt
Management And General$1,590,163ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$26,947,089TotalAmt
Program Services$24,757,694ProgramServicesAmt
Management And General$2,189,395ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,445,476TotalAmt
Program Services$160,489ProgramServicesAmt
Management And General$1,284,987ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$3,708,634TotalAmt
Program Services$2,179,554ProgramServicesAmt
Management And General$1,529,080ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$1,586,632TotalAmt
Program Services$1,456,211ProgramServicesAmt
Management And General$130,421ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$7,359,099TotalAmt
Program Services$6,754,182ProgramServicesAmt
Management And General$604,917ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$661,828TotalAmt
Program Services$6,675ProgramServicesAmt
Management And General$655,153ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$371,847TotalAmt
Program Services$341,281ProgramServicesAmt
Management And General$30,566ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$7,593,546TotalAmt
Program Services$7,593,546ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$31,990,288TotalAmt
Program Services$29,360,690ProgramServicesAmt
Management And General$2,629,598ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$2,997,208TotalAmt
Program Services$2,608,130ProgramServicesAmt
Management And General$389,078ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
DIRECT PATIENT SUPPLIES$97,153,133$96,622,161$530,972
PURCHASED SERVICES$33,978,054$8,742,010$25,236,044
OTHER SUPPLIES$3,955,432$2,477,089$1,478,343
FOOD COSTS$3,633,574$3,334,895$298,679

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,929,894TotalAmt
Program Services$1,749,715ProgramServicesAmt
Management And General$180,179ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$393,791,398TotalAmt
Program Services$340,978,063ProgramServicesAmt
Management And General$52,813,335ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$28,691,711BOYAmt
EOY$79,466,150EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$39,363,461BOYAmt
EOY$44,184,171EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$7,078,152BOYAmt
EOY$8,941,284EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$4,241,460BOYAmt
EOY$4,353,749EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$716,081,620LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$165,996,923LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$530,374,126BOYAmt
EOY$550,084,697EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$410,087,940BOYAmt
EOY$444,618,426EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$89,320,588BOYAmt
EOY$99,680,864EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,109,157,438BOYAmt
EOY$1,231,329,341EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$40,455,496BOYAmt
EOY$44,358,444EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$1,890,625BOYAmt
EOY$1,890,625EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$343,317,927BOYAmt
EOY$330,456,797EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$385,664,048BOYAmt
EOY$376,705,866EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$719,792,882BOYAmt
EOY$850,893,422EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,856,491BOYAmt
EOY$1,886,036EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,844,017BOYAmt
EOY$1,844,017EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$723,493,390BOYAmt
EOY$854,623,475EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,109,157,438BOYAmt
EOY$1,231,329,341EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$77,359,426ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$21,873,206NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$31,897,453OtherChangesInNetAssetsAmt
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 Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (1)DirectContactLegislatorsInd
Direct Contact Legislators$1,708DirectContactLegislatorsAmt
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$23,500OtherActivitiesAmt
Total Lobbying Expenditures$25,208TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationDIRECT CONTACT: SIBLEY MEMORIAL HOSPITAL RETAINS LEGAL COUNSEL TO PERFORM LOBBYING ACTIVITIES ON ITS BEHALF. THE LOBBYING ACTIVITIES RELATE TO PRESERVING AND PROTECTING THE HOSPITAL'S INTERESTS WITH REGARDS TO MATTERS AFFECTING HEALTH CARE AND HEALTH FACILITIES. OTHER ACTIVITIES: SIBLEY MEMORIAL HOSPITAL PAID ITS PARENT CORPORATION, THE JOHNS HOPKINS HEALTH SYSTEM CORPORATION $23,500 DURING FISCAL YEAR ENDED JUNE 30, 2019 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.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtcInd
Incl Escrow Custodial Acct LiabYes (1)InclEscrowCustodialAcctLiabInd
Explanation ProvidedYes (X)ExplanationProvidedInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$50,833,065OtherCostOrOtherBasisAmt
Book Value$50,833,065BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$269,175,423OtherCostOrOtherBasisAmt
Depreciation$72,219,947DepreciationAmt
Book Value$196,955,476BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$108,713OtherCostOrOtherBasisAmt
Depreciation$55,894DepreciationAmt
Book Value$52,819BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$222,500,340OtherCostOrOtherBasisAmt
Depreciation$92,588,998DepreciationAmt
Book Value$129,911,342BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$173,464,079OtherCostOrOtherBasisAmt
Depreciation$1,132,084DepreciationAmt
Book Value$172,331,995BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$550,084,697TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (2 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
JOINT VENTURES$2,831,316F
OTHER SECURITIES$441,787,110F
FieldValueIRS element (for citing)
Total Book Value Securities$444,618,426TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDescBook ValueBookValueAmt
OTHER RECEIVABLES$2,957,739
INTEREST RECEIVABLE$2,371,390
OTHER ASSETS$15,581,087
LIMITED USE ASSETS$78,770,648
FieldValueIRS element (for citing)
Total Book Value Other Assets$99,680,864TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
ALLOW FOR MALPRACTICE CLAIMS$9,465,895
MISCELLANEOUS LIABILITIES$16,789,027
DUE TO AFFILIATES$304,160,503
CAPITAL LEASE LT DEBT$41,372
FieldValueIRS element (for citing)
Total Liability$330,456,797TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART IV, LINE 2B:THE HOSPITAL ACTS AS ADMINISTRATOR/TRUSTEE FOR A CHARITABLE GIFT ANNUITY (CGA) PROGRAM. THE ASSETS ARE CUSTODIED WITH THE FIDUCIARY TRUST COMPANY. DONORS MAKE ARRANGEMENTS WITH THE HOSPITAL AND THE CUSTODIAN TO MAKE A ONE-TIME CONTRIBUTION TO THE CGA. PERIODIC ANNUITY PAYMENTS ARE THEN MADE TO THE DONOR OVER THE LIFETIME OF THE DONOR. THE HOSPITAL INCLUDES ON ITS BALANCE SHEET THE MARKET VALUE OF THE ASSETS CONTRIBUTED BY ALL DONORS IN THE PROGRAM. THE HOSPITAL ALSO INCLUDES A LIABILITY FOR ESTIMATED PAYMENTS CALCULATED TO BE PAID TO ITS DONORS IN FUTURE YEARS. THE ASSETS ARE INVESTED IN FIXED INCOME AND EQUITY SECURITIES, MONITORED REGURARLY BY THE HOSPITAL'S INVESTMENT COMMITTEE. FOR FISCAL YEAR ENDING JUNE 30, 2019, THE MARKET VALUE OF THE ASSETS DECREASED BY $188,062.
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. THERE WAS NO IMPACT ON THE ORGANIZATION'S FINANCIAL STATEMENTS DURING THE YEARS ENDED JUNE 30, 2019 AND 2018.

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 BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
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$2,838,053TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,838,053NetCommunityBenefitExpnsAmt
Total Expense0.00720TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,950,257TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,280,782DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,669,475NetCommunityBenefitExpnsAmt
Total Expense0.00420TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$10,068,595TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$9,042,378DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,026,217NetCommunityBenefitExpnsAmt
Total Expense0.00260TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$17,856,905TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$12,323,160DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,533,745NetCommunityBenefitExpnsAmt
Total Expense0.01400TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,794,761TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$135,027DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,659,734NetCommunityBenefitExpnsAmt
Total Expense0.00680TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,444,694TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$233,254DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,211,440NetCommunityBenefitExpnsAmt
Total Expense0.00310TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$22,054,930TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$11,296,491DirectOffsettingRevenueAmt
Net Community Benefit Expns$10,758,439NetCommunityBenefitExpnsAmt
Total Expense0.02730TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,646,219TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$745,992DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,900,227NetCommunityBenefitExpnsAmt
Total Expense0.00480TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,251,220TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,251,220NetCommunityBenefitExpnsAmt
Total Expense0.00320TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$30,191,824TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$12,410,764DirectOffsettingRevenueAmt
Net Community Benefit Expns$17,781,060NetCommunityBenefitExpnsAmt
Total Expense0.04520TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$48,048,729TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$24,733,924DirectOffsettingRevenueAmt
Net Community Benefit Expns$23,314,805NetCommunityBenefitExpnsAmt
Total Expense0.05920TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$7,824,433BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$88,905,962ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$124,955,517CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$36,049,555MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
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 Line1SIBLEY MEMORIAL HOSPITALBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line15255 LOUGHBORO RD NWAddressLine1Txt
CityWASHINGTONCityNm
State AbbreviationDCStateAbbreviationCd
ZIP20016ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.HOPKINSMEDICINE.ORG/SIBLEY-MEMORIAWebsiteAddressTxt
State LicenseHFD01-0213StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1SIBLEY MEMORIAL HOSPITALBusinessNameLine1Txt
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 FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLWWW.HOPKINSMEDICINE.ORG/SIBLEY-MEMORIAL-HOSPITAL/COMMUNITY-HEALTH/OwnWebsiteURLTxt
Other WebsiteYes (X)OtherWebsiteInd
Other Website URLWWW.DCHEALTHMATTERS.ORG/OtherWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt18ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLWWW.HOPKINSMEDICINE.ORG/SIBLEY-MEMORIAL-HOSPITAL/COMMUNITY-HEALTH/StrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care500.000000000000FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLWWW.HOPKINSMEDICINE.ORG/PATIENT_CARE/PAY_BILL/ASSISTANCE_POLICIES.HTMLFAPAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLWWW.HOPKINSMEDICINE.ORG/PATIENT_CARE/PAY_BILL/ASSISTANCE_POLICIES.HTMLFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SIBLEY MEMORIAL HOSPITALPART V, SECTION B, LINE 5: SIBLEY MEMORIAL HOSPITAL, AS A MEMBER OF THE DC HEALTH MATTERS COLLABORATIVE, COMPLETED A COMMUNITY HEALTH NEEDS ASSESSMENT. IN OUR QUALITATIVE WORK, WE ENGAGED WITH OVER 300 COMMUNITY STAKEHOLDERS ACROSS A DIVERSE CROSS-SECTION OF DC SPANNING HEALTH AND NON-HEALTH DISCIPLINES. USING SEMI-STRUCTURED DATA COLLECTION TOOLS, WE CONDUCTED INTERVIEWS, FOCUS GROUPS, AND A TOWN HALL TO PROBE COMMUNITY PARTNERS ON HOW POLICY AND SYSTEMS CHANGES CAN ADDRESS COMMUNITY NEEDS WITH A PARTICULAR FOCUS ON ELEVATING HEALTH EQUITY IN OUR CITY. WE USED THE RAPID IDENTIFICATION OF THEMES FROM AUDIO (RITA) METHOD TO ANALYZE THE INTERVIEW AND FOCUS GROUP DATA WITHIN THE DEDOOSE QUALITATIVE SOFTWARE. AS A SUPPLEMENT TO THE FORMAL QUALITATIVE DATA COLLECTION PROCESS, WE PILOTED A PHOTOVOICE PROJECT WITH A GROUP OF ADOLESCENTS TO SOLICIT THEIR PERSPECTIVES RELATED TO THE INFLUENCE OF SCHOOLS AND COMMUNITIES ON THEIR MENTAL HEALTH. THE FOLLOWING WERE INTERVIEWED OR PARTICIPATED IN A FOCUS GROUP FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT:ADVOCATES FOR JUSTICE AND EDUCATION, AMERIGROUP DC, MEDICAID ADVISORY NEIGHBORHOOD COMMISSIONS, APPLETREE EARLY LEARNING, BAINUM FAMILY FOUNDATION, BERNICE FONTENEAU SENIOR WELLNESS CENTER, BREAD FOR THE CITY, BRIDGEPORT HEALTHCARE, BRIYA PUBLIC CHARTER SCHOOL, CATHOLIC CHARITIES, CENTER FOR HEALTH AND HEALTH CARE IN SCHOOLS, CHILD AND FAMILY SERVICES AGENCY, CHILDREN'S NATIONAL HEALTH SYSTEM, CITY ARTS AND PREP PUBLIC CHARTER SCHOOL, CLEAN AIR PARTNERS (DC-MD-VA), COMMISSION ON FATHERS, MEN AND BOYS, COMMUNITY OF HOPE, DC COUNCILMEMBERS OR REPRESENTATIVES OF ANITA BONDS, BRIANNE NADEAU, CHARLES ALLEN, DAVID GROSSO, ELISSA SILVERMAN, JACK EVANS, MARY CHEH, ROBERT WHITE JR., VINCENT GRAY, DC AMERICAN ACADEMY OF PEDIATRICS CHAPTER, DC BEHAVIORAL HEALTH ASSOCIATION, DC BOARD OF MEDICINE, DC BOARD OF NURSING, DC BOARD OF PHARMACY, DC BOARD OF PSYCHOLOGY, DC CENTRAL KITCHEN, DC DENTAL SOCIETY, DC DEPARTMENT OF BEHAVIORAL HEALTH, DC DEPARTMENT OF CONSUMER AND REGULATORY AFFAIRS, DC DEPARTMENT OF FIRE AND EMERGENCY MEDICAL SERVICES, DC DEPARTMENT OF FORENSIC SERVICES, DC DEPARTMENT OF HEALTH CARE FINANCE, DC DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT, DC DEPARTMENT OF HUMAN RESOURCES, DC DEPARTMENT OF HUMAN SERVICES, DC DEPARTMENT OF INSURANCE, SECURITAS, AND BANKING, DC DEPARTMENT OF MOTOR VEHICLES, DC DEPARTMENT OF PARKS AND RECREATION, DC DEPARTMENT OF SMALL AND LOCAL BUSINESS DEVELOPMENT, DC DEPARTMENT OF TRANSPORTATION, DC DEPARTMENT OF YOUTH REHABILITATION SERVICES, DC DEPARTMENT ON DISABILITY SERVICES, DC DEPARTMENT OF PUBLIC WORKS, DC GREENS, DC HEALTH, DC HOSPITAL ASSOCIATION, DC OFFICE OF LATINO AFFAIRS, DC OFFICE OF THE DEPUTY MAYOR FOR EDUCATION, DC OFFICE OF THE DEPUTY MAYOR FOR HEALTH AND HUMAN SERVICES, DC OFFICE OF THE STATE SUPERINTENDENT FOR EDUCATION, DC OFFICE OF VETERANS AFFAIRS, DC OFFICE ON AGING, DC OFFICE ON WOMEN'S POLICY AND INITIATIVES, DC POLICE FOUNDATION, DC PREP PUBLIC CHARTER SCHOOL, DC PRIMARY CARE ASSOCIATION, DC PUBLIC LIBRARY, DC PUBLIC SCHOOLS, DC SENIOR WELLNESS CENTERS, DISTRICT OF LEARNING/FAIR CHANCE DC, ELIANA'S LIGHT, ES FITNESS LLC., FOOD & FRIENDS, INC., FORT LINCOLN FAMILY MEDICINE, GEORGE WASHINGTON UNIVERSITY, GEORGETOWN UNIVERSITY, GEORGETOWN UNIVERSITY MEDICAL CENTER, HATTIE HOLMES SENIOR WELLNESS CENTER, HEALTH SERVICES FOR CHILDREN WITH SPECIAL NEEDS, HOWARD UNIVERSITY HOSPITAL, HSC HEALTH CARE SYSTEM, KIPP SCHOOLS DC, KOZMIQUE LIGHT MEDITATIONS, LA CLINICA DEL PUEBLO, LATIN AMERICAN YOUTH CENTER, MARY'S CENTER, MEDSTAR GEORGE WASHINGTON UNIVERSITY HOSPITAL, MEDSTAR HEALTH, MEDSTAR WASHINGTON HOSPITAL CENTER, MERIDIAN PUBLIC CHARTER SCHOOL, METRO HEALTH, METROPOLITAN POLICE DEPARTMENT, MISSION PARTNERS, MODEL CITIES SENIOR WELLNESS CENTER, MONUMENT ACADEMY, NATIONAL ALLIANCE TO ADVANCE ADOLESCENT HEALTH, NATIONAL COUNCIL FOR BEHAVIORAL HEALTH, PERRY FAMILY HEALTH CENTER, PLANNED PARENTHOOD OF METROPOLITAN WASHINGTON, DC, PRINCE GEORGE'S COUNTY PUBLIC SCHOOLS, PROVIDENCE HEALTH CARE SYSTEM, RADICAL MINDFULNESS, REDSTONE CENTER, RESTORATIVE DC, SEABURY RESOURCES FOR AGING, SIBLEY MEMORIAL HOSPITAL, SO OTHERS MIGHT EAT, SOMERSET PREP DC, SPANISH CATHOLIC CENTER, STATE BOARD OF EDUCATION, THE SIBLEY GROUP, TOTAL FAMILY CARE COALITION, UNITED WAY OF THE NATIONAL CAPITAL AREA, UNITY HEALTH CARE, UNIVERSITY OF THE DISTRICT OF COLUMBIA, WENDT CENTER FOR LOSS AND HEALING, AND WHITMAN-WALKER CLINIC.
SIBLEY MEMORIAL HOSPITALPART V, SECTION B, LINE 6A: CHILDREN'S NATIONAL, PROVIDENCE HOSPITAL, HOWARD UNIVERSITY HOSPITAL, HSC HOSPITAL
SIBLEY MEMORIAL HOSPITALPART V, SECTION B, LINE 6B: MARY'S CENTER, UNITY HEALTH, COMMUNITY OF HOPE, BREAD FOR THE CITY, DC HOSPITAL ASSOCIATION, DC HEALTH, DC BEHAVIORAL HEALTH ASSOCIATION, AND DC PRIMARY CARE ASSOCIATION, ALONG WITH SOME OTHER ORGANIZATIONS THAT ADVISED US PERIODICALLY IN A COMMUNITY ADVISORY BOARD.
SIBLEY MEMORIAL HOSPITALPART V, SECTION B, LINE 11: THE COMMUNITY HEALTH NEEDS ASSESSMENT REVEALED FOUR PRIMARY AREAS OF NEED: MENTAL HEALTH, CASE COORDINATION, PLACE-BASED CARE AND HEALTH LITERACY. THESE NEEDS WILL BE ADDRESSED OVER THE NEXT THREE YEARS WITH A COMMUNITY HEALTH IMPROVEMENT PLAN THAT WILL BE PUBLISHED BY NOVEMBER 2020.
FieldValueIRS element (for citing)
Facility1FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line11 - GRAND OAKSBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line15901 MACARTHUR BLVD NWAddressLine1Txt
CityWASHINGTONCityNm
State AbbreviationDCStateAbbreviationCd
ZIP20016ZIPCd
FieldValueIRS element (for citing)
FacilityASSISTED LIVING FACILITYFacilityTxt

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 7:A COST-TO-CHARGE RATIO (FROM WORKSHEET 2) IS USED TO CALCULATE THE AMOUNTS ON LINE 7A-7B (FINANCIAL ASSISTANCE AND UNREIMBURSED MEDICAID). THE AMOUNTS FOR LINES 7E-7I WOULD COME FROM THE BOOKS AND RECORDS OF SPECIFIC SEGMENTS OF THE ORGANIZATION AND WOULD NOT BE BASED ON A COST-TO CHARGE RATIO.
PART I, LINE 7G:THERE ARE NO COSTS REPORTED THAT ARE ATTRIBUTABLE TO A PHYSICIANS CLINIC.
PART II, COMMUNITY BUILDING ACTIVITIES:WARD INFINITYWARD INFINITY IS A COMMUNITY-FOCUSED INITIATIVE DEVELOPED BY SIBLEY MEMORIAL HOSPITAL TO STRENGTHEN LOCAL EFFORTS RELATED TO HEALTH AND WELLNESS IN WARDS 7 AND 8 IN THE DISTRICT OF COLUMBIA.WARD INFINITY IS A COMMUNITY-FOCUSED INITIATIVE DEVELOPED BY SIBLEY MEMORIAL HOSPITAL TO STRENGTHEN. AS PART OF ITS SECOND COHORT OF COMMUNITY HEALTH INNOVATORS IN RESIDENCE, RESIDENTS FROM EAST OF THE RIVER WORKED WITH SIBLEY EMPLOYEES AND THE WARD INFINITY ADVISORY COUNCIL A GROUP OF COMMUNITY AND GOVERNMENT LEADERS TO CONSTRUCT TARGETED, CREATIVE IDEAS TO ADDRESS HEALTH DISPARITIES IN THEIR NEIGHBORHOODS. EIGHT RESIDENTS PARTICIPATED AS INNOVATORS, EACH WITH PROJECTS ADDRESSING HEALTH ISSUES IN THE COMMUNITY RANGING FROM LACK OF ACCESS TO FRESH FOODS TO IMPROVING HOUSING OPTIONS TO USING TECHNOLOGY TO IMPROVE HEALTH LITERACY. THE SECOND COHORT CONCLUDED WITH A COMMUNITY TOWN HALL TO SHOWCASE INNOVATION PROGRAMS DEVELOPED BY THE COMMUNITY HEALTH INNOVATORS IN RESIDENCE. DURING THE TOWN HALL, TEAMS PRESENTED THEIR SOLUTIONS AND ENGAGED IN A COMMUNITY DISCUSSION TO HELP THEM TRANSITION FROM PROTOTYPING TO PROJECT IMPLEMENTATION. IN SUPPORT OF THE SECOND COHORT OF WARD INFINITY, SIBLEY MADE A $330,000 INVESTMENT AND PROVIDED 400 HOURS OF TECHNICAL ASSISTANCE AND COACHING FOR TEAMS, 800 HOURS OF DEDICATED STAFF SUPPORT, $124,000 IN DIRECT FUNDS TO INNOVATORS IN RESIDENCE, AND YEAR-ROUND ACCESS TO FREE INCUBATOR SPACE IN WARD 8. ON THE HEELS OF ADVANCING ITS SECOND COHORT OF INNOVATORS IN RESIDENCE THROUGH THE WARD INFINITY PROGRAM, SIBLEY HOSTED PROGRAM GRADUATES AND OTHER EARLY-STAGE ENTREPRENEURS OF COLOR FROM WARDS 7 AND 8 TO HEAR FROM AN EXPERT PANEL OF STARTUPS, ENTREPRENEURS AND MINORITY-OWNED BUSINESSES ON KEY PRINCIPLES TO DRIVE ENTREPRENEURIAL SUCCESS.DC ANCHOR PARTNERSHIPSIBLEY MEMORIAL HOSPITAL IS A FOUNDING MEMBER OF THE DC COMMUNITY ANCHOR PARTNERSHIP (DCAP), A COLLABORATIVE OF PROMINENT INSTITUTIONS COMMITTED TO EQUITABLE ECONOMIC DEVELOPMENT IN THE DISTRICT OF COLUMBIA. THE GROUP'S FOCUS IS PROCUREMENT WITH DC MINORITY-OWNED BUSINESS ENTERPRISES (MBES) TO CREATE JOBS, INCOME, AND WEALTH FOR RESIDENTS OF COLOR IN DC, WHILE SUPPORTING A STRONG LOCAL ECONOMY AND BUSINESS NEEDS OF INSTITUTIONS. SIBLEY MEDICAL EXPLORERS THE HEALTH CARE INDUSTRY IS ONE OF THE FASTEST GROWING INDUSTRIES IN THE COUNTRY. SIBLEY RECOGNIZES THE GROWING DEMAND FOR PEOPLE PREPARED TO FILL THESE POSITIONS. TO EXPOSE YOUNG PEOPLE TO FUTURE JOB OPPORTUNITIES, SIBLEY LAUNCHED ITS MEDICAL EXPLORERS PROGRAM IN 2016. IN FY19 ALONE, OVER 200 DC HIGH SCHOOL STUDENTS FROM WARDS 5, 7 AND 8 LEARNED FIRST-HAND ABOUT THE MEDICAL FIELD BY MEETING SIBLEY PHYSICIANS, CLINICIANS AND ADMINISTRATORS. STUDENTS ATTENDED PANELS WITH THESE PROFESSIONALS WHO DISCUSSED THEIR FIELDS AND THE WIDE RANGE OF CAREER OPTIONS WITHIN THE BROADER HEALTH CARE INDUSTRY. SINCE THE PROGRAM LAUNCH, SIBLEY EMPLOYEES AND MEDICAL STAFF HAVE BOTH VISITED AND HOSTED STUDENTS FROM EIGHT DC PUBLIC SCHOOLS AND PUBLIC CHARTER SCHOOLS ANACOSTIA, COOLIDGE, DUNBAR, WOODSON, FRIENDSHIP COLLEGIATE, BASIS, MCKINLEY TECH AND WILSON. STUDENTS HEAR PREDOMINANTLY FROM PHYSICIANS OF COLOR, REFLECTIVE OF THE STUDENT POPULATION PARTICIPATING IN THE PROGRAM, AS WELL AS AN OPPORTUNITY TO SHOW STUDENTS THE DIVERSITY AT SIBLEY AND ENCOURAGE UNDERREPRESENTED POPULATIONS TO EXPLORE THE HEALTH CARE INDUSTRY.
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:SMH DOES NOT REPORT AN ESTIMATE FOR THE PORTION OF BAD DEBT EXPENSE THAT MAY BE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. SMH TAKES THE POSITION THAT AMPLE OPPORTUNITY AND ASSISTANCE IS PROVIDED TO THE PATIENT TO QUALIFY UNDER THE FINANCIAL ASSISTANCE POLICY. IF SUFFICIENT INFORMATION IS NOT PROVIDED, THEN SMH MUST ASSUME THE PATIENT DOES NOT QUALIFY.
PART III, LINE 4:THE JOHNS HOPKINS HEALTH SYSTEM CORPORATION AND AFFILIATES AUDITED FINANCIAL STATEMENTS PAGE 15 - 17
PART III, LINE 8:SIBLEY MEMORIAL HOSPITAL TREATS PATIENTS WITH MANY INSURANCE CARRIERS. HOWEVER, SMH'S MEDICARE INPATIENT VOLUME IS AMONG THE HIGHEST RATIO AMONG DISTRICT OF COLUMBIA HOSPITALS. ALTHOUGH PROVIDING THE BEST POSSIBLE CARE TO OUR MEDICARE PATIENTS CREATES A FINANCIAL LOSS, WE RELIEVE THE GOVERNMENT AND SURROUNDING OTHER HOSPITALS OF THE FINANCIAL BURDEN OF TREATING THESE PATIENTS INSURED BY THE MEDICARE PROGRAM. PART OF THE MISSION OF OUR HOSPITAL IS TO SERVE ITS ELDERLY PATIENTS WITHIN THE COMMUNITY THROUGH VARIOUS PROGRAMS THAT ARE DESIGNED TO EDUCATE AND IMPROVE THEIR HEALTH STATUS. THE HOSPITAL FEELS THAT PROVIDING THESE PROGRAMS HAS CONTRIBUTED TO THE IMPROVEMENT OF HEALTH OVERALL WITHIN THE COMMUNITY.
PART III, LINE 9B:WHEN A PATIENT ASKS FOR CHARITY CARE OR FINANCIAL ASSISTANCE, THE PATIENT MUST COMPLETE AN APPLICATION AND PROVIDE FINANCIAL INFORMATION THAT WOULD DEMONSTRATE FINANCIAL NEED. THE APPLICATION IS REVIEWED BY FINANCIAL COUNSELORS FOR ELIGIBILITY.
PART VI, LINE 3:SIBLEY PUBLISHED A NOTICE OF AVAILABILITY OF ITS UNCOMPENSATED CARE OBLIGATION IN A NEWSPAPER OF GENERAL CIRCULATION IN THE DISTRICT OF COLUMBIA. SIBLEY SUBMITTED A COPY OF SUCH NOTICE TO SHPDA. A NOTICE ANNOUNCING THE AVAILABILITY OF UNCOMPENSATED CARE WAS POSTED IN PLAIN VIEW IN THE PATIENT REGISTRATION SITES, ADMISSIONS DEPARTMENT, THE BUSINESS OFFICE AND THE EMERGENCY DEPARTMENT. THE NOTICE IS PUBLISHED IN ENGLISH AND SPANISH AND ANY OTHER LANGUAGE WHICH IS THE USUAL LANGUAGE OF HOUSEHOLDS OF TEN PERCENT OR MORE OF THE POPULATION OF THE DISTRICT OF COLUMBIA. SIBLEY COMMUNICATES THE CONTENTS OF THE POSTED NOTICE TO ANY PERSON WHO SIBLEY HAS REASON TO BELIEVE CANNOT READ THE NOTICE. NOTICE OF AVAILABILITY IS ALSO POSTED ON THE HOSPITALS WEBSITE.
PART VI, LINE 4:SIBLEY IS LOCATED IN WASHINGTON, D.C., AN URBAN AREA, AND CONSIDERS THE DISTRICT OF COLUMBIA ITS PRIMARY COMMUNITY BENEFIT SERVICE AREA. - POPULATION: 880, 197 (CLARITAS)- AVERAGE INCOME: $82,604 (AMERICAN COMMUNITY SURVEY)- PERCENTAGE RESIDENTS WHO ARE UNINSURED OR MEDICAID RECIPIENTS: 34.6%- NUMBER OF HOSPITALS SERVING THE DISTRICT OF COLUMBIA: 10 (SIBLEY, HOWARD, CHILDREN'S, HSC, GEORGE WASHINGTON, GEORGETOWN, NATIONAL REHAB, ST. ELIZABETHS)- NUMBER OF FEDERAL RECOGNIZED MEDICALLY UNDERSERVED AREAS/POPULATIONS: 7
PART VI, LINE 5:THE SIBLEY SENIOR ASSOCIATION PROMOTES HEALTH EDUCATION AND SUPPORT IN EVERY WARD OF THE DISTRICT OF COLUMBIA, INCLUDING THE FEDERALLY RECOGNIZED MEDICALLY UNDERSERVED AREAS/POPULATIONS. SERVICES ARE PROVIDED AT NO CHARGE. SERVICES INCLUDE SUPPORT GROUPS, CLINICAL SEMINARS, AND OUR CLUB MEMORY PROGRAM, WHICH IS A STIGMA-FREE SOCIAL ENGAGEMENT GROUP DESIGNED TO REDUCE ISOLATION AND BUILD COMMUNITY FOR BOTH PERSONS WITH ALZHEIMER'S DISEASE AND RELATED DEMENTIAS AND THEIR CARE PARTNERS, AMONG OTHER HEALTH LITERACY BUILDING PROGRAMS. SIBLEY'S BONE AND JOINT INSTITUTE PROVIDE BONE AND JOINT EDUCATION TO ALL PERSONS, REGARDLESS OF WHETHER OR NOT THEY SELECT SIBLEY AS THEIR HOSPITAL OF CHOICE. WHILE THE BONE AND JOINT INSTITUTE SERVES ANY AGE, MOST OF THE INDIVIDUALS TAKING ADVANTAGE OF THE EDUCATION ARE IN THE 65+ AGE RANGE.CANCER SURVIVORSHIP, SUPPORT, AND EDUCATION IS PROVIDED TO THE GENERAL PUBLIC, REGARDLESS OF WHETHER OR NOT THEY CHOOSE SIBLEY AS THEIR HEALTH CARE PROVIDER. YOGA, MEDITATION AND MINDFULNESS, SUPPORT GROUPS, AND CANCER EDUCATION ARE PROVIDED TO MEET THE NEEDS OF CARE COORDINATION AND HEALTH LITERACY.
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 STATESDC

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (12 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
MEDSTAR GEORGETOWN UNIVERSITY HOSPITAL
2115 WISCONSIN AVE NW STE 200WASHINGTONDC20007522218584501(C )(3)$50,000GENERAL SUPPORT
INSTITUTE FOR PUBLIC HEALTH INNOVATION
1301 CONNECTICUT AVE NWWASHINGTONDC20036463039129501(C )(3)$50,000GENERAL SUPPORT
CONGRESSIONAL BLACK CAUCUS FOUNDATION
1720 MASSACHUSETTS AVE NWWASHINGTONDC20036521160561501(C )(3)$30,000GENERAL SUPPORT
ALVIN AILEY DANCE FOUNDATION INC
405 WEST 55TH STNEW YORKNY10019132584273501(C )(3)$12,300GENERAL SUPPORT
LIGHTHOUSE DC
1850 WYOMING AVE NW UNIT 1WASHINGTONDC20009815313985501(C )(3)$10,000GENERAL SUPPORT
DISTRICT OF COLUMBIA HOSPITAL ASSOCIATION
1152 15TH ST NW STE 900WASHINGTONDC20005521135713501(C )(6)$10,000GENERAL SUPPORT
DC PROUD 2019 INAUGURAL COMMITTEE
7927 ORCHID ST NWWASHINGTONDC20012832501269$10,000GENERAL SUPPORT
DC CHAMBER OF COMMERCE
1133 21ST ST NW STE M200WASHINGTONDC20036237158230501(C )(6)$10,000GENERAL SUPPORT
BOYS & GIRLS CLUBS OF GREATER WASHINGTON
4103 BENNING RD NEWASHINGTONDC20019530236759501(C )(3)$10,000GENERAL SUPPORT
WESLEY THEOLOGICAL SEMINARY
4500 MASSACHUSETTS AVE NWWASHINGTONDC20016530245887501(C )(3)$8,000GENERAL SUPPORT
NATIONAL CAPITAL POISON CENTER
3201 NEW MEXICO AVE 310WASHINGTONDC20016521880478501(C )(3)$5,000GENERAL SUPPORT
KENNEDY KRIEGER INSTITUTE INC
2931 E BIDDLE STBALTIMOREMD21213520607971501(C )(3)$5,000GENERAL SUPPORT
FieldValueIRS element (for citing)
Total501c3 Org9Total501c3OrgCnt
Total Other Org3TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationTHE PROCEDURES IN PLACE TO MONITOR THE USE OF GRANT FUNDS GIVEN TO THE ORGANIZATIONS LISTED CONSIST OF ANNUAL STATUS REPORTS. THESE REPORTS WILL CONTAIN A) PROGRESS ON THE RESEARCH CONDUCTED, B) FULL ACCOUNTING OF FUNDS SPENT, C) ACHIEVEMENT OF MEASURABLE OUTCOMES AND ANY CHANGES FROM THE ORIGINAL PROPOSAL, D) DATA GATHERING AND THE METHODS OR STRATEGIES USED, AND E) FINDINGS AND CONCLUSIONS. IN ADDITION, THE GRANTEES ARE REQUIRED TO MAINTAIN ACCOUNTING RECORDS WITH PRUDENT RECORD-KEEPING PROCEDURES AS REQUIRED BY ANY APPLICABLE FEDERAL, STATE, OR LOCAL LAWS, RULES OR REGULATIONS. THE GRANTOR (SIBLEY HOSPITAL) RESERVES THE RIGHT TO HAVE ACCESS TO AND EXAMINE ALL BOOKS AND RECORDS TO ASCERTAIN IF GRANT FUNDS ARE BEING DISBURSED PURSUANT TO THE TERMS OF THE AGREEMENTS.ExplanationTxt

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (17 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
RICHARD O DAVIS
PRESIDENT/CEO/TRUSTEE$0$408,624$0$262,510$0$270,597$0$119,653$0$22,633$0$1,084,017$0$0
KEVIN W SOWERS MSN RN FAA
TRUSTEE, CORP VICE CHAIRMAN$0$1,016,112$0$179,392$0$6,105$0$153,370$0$11,747$0$1,366,726$0$0
HASAN ZIA MD
INTERIM PRESDIENT, CMO, & TRUSTEE$138,565$352,438$0$25,573$128$1,672$0$36,425$1,588$16,753$140,281$432,861$0$0
ALISON ARNOTT
VP SUPPORT SERVICES$0$194,604$0$39,694$0$4,605$0$21,401$0$3,772$0$264,076$0$0
CAROLINE SHAFA
VP CLINICAL OPERATIONS$0$224,898$0$47,020$0$17,090$0$22,563$0$8,064$0$319,635$0$3,952
MARTIN BASSO
VP FINANCE & CFO$0$430,541$0$87,699$0$116,697$0$131,061$0$20,075$0$786,073$0$0
LAURA HENDRICKS-JACKSON
VP PATIENT CARE & CNO$123,389$69,713$2,500$10,000$161$410$1,769$58,867$7,418$2,216$135,237$141,206$0$0
JERRY L PRICE
SR VP REAL ESTATE & CONSTRU$200,808$0$30,000$0$0$0$0$0$0$0$230,808$0$0$0
SANDRA POLIN
MAMMOGRAPHY PHYSICIAN$365,479$0$78,932$0$566$0$4,125$0$3,881$0$452,983$0$0$0
POUNEH RAZAVI
PHYSICIAN DIR BREAST IMAGING$388,442$0$132,059$0$1,150$0$5,500$0$29,183$0$556,334$0$0$0
SARA SHAYLOR
RADIOLOGIST$381,294$0$75,281$0$916$0$4,125$0$29,528$0$491,144$0$0$0
ARMAN FIROUZI
PHYSICIAN SURGICAL$404,552$0$0$0$1,292$0$16,500$0$13,941$0$436,285$0$0$0
COLETTE M MAGNANT
BREAST SURGEON$630,005$0$0$0$4,657$0$8,250$0$23,325$0$666,237$0$0$0
RONALD PETERSON
FORMER TRUSTEE, OFFICER$0$38,162$0$286,829$0$2,898,530$0$19,446$0$394$0$3,243,361$0$2,398,868
QUEENIE PLATER
FORMER VP & CHIEF HR OFFICER$0$310,229$0$53,766$0$28,469$0$48,085$0$6,401$0$446,950$0$0
LAWRENCE RAMMUNO
FORMER OFFICER$0$142,955$0$60,270$0$226,764$0$27,092$0$13,756$0$470,837$0$0
JOANNE MILLER
FORMER OFFICER$0$124,292$0$0$0$1,961$0$27,866$0$9,959$0$164,078$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINES 4A-BSEVERANCE PAYMENTS: LAWRENCE RAMUNNO $ 219,962.19 A SELECT GROUP OF SENIOR LEADERS OF THE JOHNS HOPKINS HEALTH SYSTEM CORPORATION (JHHSC) AND AFFILIATES 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 2018 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 2018. MARTIN BASSO $94,656.00; QUEENIE PLATER $23,441.28; RICHARD DAVIS $235,192.00; ALISON ARNOTT $3,952.08 AND CAROLINE SHAFA $15,627.72 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 2018, MR. PETERSON RECEIVED A PAYMENT OF $1,275,825; THIS AMOUNT IS REPORTED IN SCHEDULE J, PART II, COLUMN (B)(III) AND ALSO IN SCHEDULE J, PART II, COLUMN (F). MR. PETERSON ALSO PARTICIPATED IN A LEGACY PROGRAM, FUNDED WITH EMPLOYEE CONTRIBUTIONS, THAT RESULTED IN A TOTAL PAYOUT OF $1,621,905 DURING 2018; THIS AMOUNT IS REPORTED IN SCHEDULE J, PART II, COLUMN (B)(III) AND ALSO IN SCHEDULE J, PART II, COLUMN (F) TO THE EXTENT PREVIOUSLY REPORTED AS DEFERRED COMPENSATION ACCRUALS IN PRIOR YEARS.
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. DEPENDENT TUITION REIMBURSEMENT: DUE TO THEIR CLOSE COLLABORATION WITH THE JOHNS HOPKINS UNIVERSITY (JHU), JHHSC PROVIDES LEADERS WITH DEPENDENT TUITION REIMBURSEMENT ON A SIMILAR BASIS AS THEIR JHU COUNTERPARTS. DEPENDENT TUITION REIMBURSEMENT IS TAXABLE FOR JHHSC EMPLOYEES. THE DEPENDENT MUST BE ENROLLED FULL TIME AT AN APPROVED, ACCREDITED COLLEGE OR UNIVERSITY AND IN GOOD ACADEMIC STANDING. PAYMENT IS LIMITED TO FOUR YEARS OF FULL TIME, UNDERGRADUATE STUDY PER DEPENDENT CHILD. TUITION REIMBURSEMENT: TUITION REIMBURSEMENT IS AVAILABLE TO EMPLOYEES THAT WORK 20 HOURS OR MORE A WEEK FOR UP TO A MAXIMUM BENEFIT OF $10,000 PER ACADEMIC YEAR. TO RECEIVE REIMBURSEMENT, ELIGIBLE EMPLOYEES MUST PURSUE A COURSE OF STUDY AT AN ACCREDITED UNIVERSITY OR COLLEGE THAT LEADS TO A LICENSURE, DEGREE, OR MEETS THE NECESSITY RELATED TO CURRENT POSITION OR ANOTHER POSITION WITHIN THE ORGANIZATION.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6JOHNS HOPKINS HEALTH SYSTEM CORPORATION, A IRC 501(C)(3) TAX EXEMPT ORGANIZATION, IS THE SOLE CORPORATE MEMBER OF THE LUCY WEBB HAYES NATIONAL TRAINING SCHOOL FOR DEACONESSES & MISSIONARIES.
FORM 990, PART VI, SECTION A, LINE 7AJOHNS HOPKINS HEALTH SYSTEM CORPORATION, A IRC 501(C)(3) TAX EXEMPT PARENT ORGANIZATION OF LUCY WEBB HAYES NATIONAL TRAINING SCHOOL FOR DEACONESSES & MISSIONARIES ELECTS THE MAJORITY OF THE BOARD OF TRUSTEES.
FORM 990, PART VI, SECTION A, LINE 7BTHE GOVERNING BODY OF SIBLEY MEMORIAL HOSPITAL 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 11BA COPY OF THE FORM 990 WAS PROVIDED TO THE FINANCE COMMITTEE BEFORE IT WAS FILED.
FORM 990, PART VI, SECTION B, LINE 12CTHE HOSPITAL HAS AN EXISTING POLICY (#02-25-09) WHICH SPECIFICALLY ADDRESSES POTENTIAL CONFLICT(S) OF INTEREST FOR DECISION MAKERS AT ALL LEVELS WITHIN ITS BORDERS. THIS COVERAGE INCLUDES MEMBERS OF THE GOVERNING BOARD, ADMINISTRATION, MEDICAL STAFF, AND ALL OTHER EMPLOYEES. DISCLOSURE FORMS ASKING FOR POTENTIAL CONFLICTS OF INTEREST ARE DISTRIBUTED AT LEAST ANNUALLY SO THAT APPROPRIATE ACTION MAY BE TAKEN TO ENSURE THAT SUCH POTENTIAL CONFLICTS DO NOT INFLUENCE IMPORTANT DECISIONS. THE HOSPITAL'S BOARD MEMBERS ARE ASKED TO SUBMIT DISCLOSURE FORMS SEMI-ANNUALLY AND ON A CASE-BY-CASE BASIS. THE GOVERNING BOARD, SENIOR MANAGEMENT, AND THE EXECUTIVE COMMITTEE OF THE MEDCAL STAFF (AS APPROPRATE) BEAR RESPONSIBILITY FOR ADDRESSING AND REVIEWING ALL POTENTIAL CONFLICTS AND TAKING APPROPRIATE ACTION. WHEN CONFLICTS DO ARISE, THE MATTER IS BROUGHT BEFORE THE APPROPRIATE GOVERNING BODY AND DISCUSSED, AND THE CONFLICT IS ELIMINATED.
FORM 990, PART VI, SECTION B, LINE 15THE ORGANIZATION USES AN INDEPENDENT COMPENSATION COMMITTEE, AN INDEPENDENT COMPENSATION CONSULTANT, A WRITTEN EMPLOYMENT CONTRACT, A COMPENSATION SURVEY OR STUDY, APPROVAL BY THE BOARD AND CONTEMPORANEOUS WRITTEN SUBSTANTIATION OF THE DECISION-MAKING PROCESS WHEN DETERMINING COMPENSATION FOR THE CEO AND OTHER OFFICERS OF THE ORGANIZATION.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XI, LINE 9:CHANGE IN MINIMUM PENSION LIABILITY 23,214,000. NET ASSETS RELEASED 10,161,673. INTERCOMPANY TRANSFERS 16,463,005. NON-OPERATING SERVICES -134,225. OTHER COMPONENTS OF NET PERIODIC PENSION COST -17,807,000.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (22 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
JOHNS HOPKINS HEALTH SYSTEM CORPORATION
3910 KESWICK RD SOUTH BLDG 4TH FL SBALTIMOREMD21211521465301SUPPORTING ORGANIZATIONMD501(C)(3)LINE 12C, III-FIJOHNS 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 12C, III-FIJOHNS HOPKINS HEALTH SYSTEM CORPORATION0
JOHNS HOPKINS MEDICAL SERVICES CORPORATION
3910 KESWICK RD SOUTH BLDG 4TH FL SBALTIMOREMD21211521232569HEALTHCARE SERVICESMD501(C)(3)LINE 3JOHNS HOPKINS HEALTH SYSTEM CORPORATION0
THE JOHNS HOPKINS HOSPITAL
3910 KESWICK RD SOUTH BLDG 4TH FL SBALTIMOREMD21211520591656HOSPITALMD501(C)(3)LINE 3JOHNS HOPKINS HEALTH SYSTEM CORPORATION0
SUBURBAN HOSPITAL HEALTHCARE SYSTEM INC
8600 OLD GEORGETOWN ROADBETHESDAMD20814522052354HEALTHCARE SERVICESMD501(C)(3)LINE 12C, III-FIJOHNS HOPKINS HEALTH SYSTEM CORPORATION0
HOWARD COUNTY LIQUIDATION CORPORATION
3910 KESWICK RD SOUTH BLDG 4TH FL SBALTIMOREMD21211520892284INACTIVE TAX-EXEMPT ORGANIZATIONMD501(C)(3)LINE 3JOHNS HOPKINS HEALTH SYSTEM CORPORATION0
SUBURBAN HOSPITAL INC
8600 OLD GEORGETOWN ROADBETHESDAMD20814520610545HOSPITALMD501(C)(3)LINE 3JOHNS 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
THE STACY MARK REED FOUNDATION
5255 LOUGHBORO ROAD NWWASHINGTONDC20016273818765FINANCIAL SUPPORTDC501(C)(3)LINE 12B, IILUCY WEBB HAYES NATIONAL TRAINING SCHOOL FOR DEACONESSES & MISSIONARIESYes (1)
SIBLEY MEMORIAL HOSPITAL FOUNDATION
5255 LOUGHBORO ROAD NWWASHINGTONDC20016450562642FINANCIAL SUPPORTDC501(C)(3)LINE 7LUCY WEBB HAYES NATIONAL TRAINING SCHOOL FOR DEACONESSES & MISSIONARIESYes (1)
THE JANE BANCROFT ROBINSON FOUNDATION
5255 LOUGHBORO ROAD NWWASHINGTONDC20016273818431FINANCIAL SUPPORTDC501(C)(3)LINE 12C, III-FILUCY WEBB HAYES NATIONAL TRAINING SCHOOL FOR DEACONESSES & MISSIONARIESYes (1)
POTOMAC HOME SUPPORT INC
6001 MONTROSE ROAD NO 1020ROCKVILLEMD20852521750383HOME HEALTH CAREMD501(C)(3)LINE 100N/A
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 10ALL CHILDREN'S HEALTH SYSTEM INC0
ALL CHILDREN'S HOSPITAL FOUNDATION INC
501 SIXTH AVENUE SOUTHST PETERSBURGFL33701592481738FOUNDATIONFL501(C)(3)LINE 7ALL CHILDREN'S HEALTH SYSTEM INC0
ALL CHILDREN'S HOSPITAL INC
501 SIXTH AVENUE SOUTHST PETERSBURGFL33701590683252HOSPITALFL501(C)(3)LINE 3JOHNS HOPKINS HEALTH SYSTEM CORPORATION0
ALL CHILDREN'S RESEARCH INSTITUTE INC
501 SIXTH AVENUE SOUTHST PETERSBURGFL33701592481742RESEARCHFL501(C)(3)LINE 4ALL CHILDREN'S HEALTH SYSTEM INC0
SURGIKID OF FLORIDA INC
501 SIXTH AVENUE SOUTHST PETERSBURGFL33701593441883MEDICAL SERVICESFL501(C)(3)LINE 10ALL CHILDREN'S HEALTH SYSTEM INC0
KIDS HOME CARE INC
501 SIXTH AVENUE SOUTHST PETERSBURGFL33701593476049HOME HEALTH CAREFL501(C)(3)LINE 10ALL CHILDREN'S HEALTH SYSTEM INC0
WEST COAST NEONATOLOGY INC
501 SIXTH AVENUE SOUTHST PETERSBURGFL33701593398308HEALTHCARE SERVICESFL501(C)(3)LINE 10ALL CHILDREN'S HEALTH SYSTEM INC0
ALL CHILDREN'S HEALTH SYSTEM INC
501 SIXTH AVENUE SOUTHST PETERSBURGFL33701592481740MANAGEMENT SERVICESFL501(C)(3)LINE 12C, III-FIJOHNS HOPKINS HEALTH SYSTEM CORPORATION0

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerInd
OPHTHALMOLOGY ASSOCIATES LLC
3910 KESWICK RD SOUTH BLDG 4TH FL SBALTIMOREMD21211521890957OPHTHALMOLOGY SERVICESMDN/A
JOHNS HOPKINS HEALTHCARE LLC
3910 KESWICK RD SOUTH BLDG 4TH FL SBALTIMOREMD21211521899357MEDICAL SERVICESMDJOHNS HOPKINS HEALTH SYSTEM CORPORATION00

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
HSI MEDICAL SERVICES CORPORATION
3910 KESWICK RD SOUTH BLDG 4TH FL SBALTIMOREMD21211521847705HEALTHCARE-SLEEP DIAGNOSTICSMDN/AC0
HOWARD COUNTY HEALTH SERVICES INC
3910 KESWICK RD SOUTH BLDG 4TH FL SBALTIMOREMD21211521434783HEALTHCARE MANAGEMENTMDN/AC0
JOHNS HOPKINS MEDICAL MANAGEMENT CORPORATION
3910 KESWICK RD SOUTH BLDG 4TH FL SBALTIMOREMD21211521250028NURSING SERVICESMDN/AC0
JOHNS HOPKINS EMPLOYER HEALTH PROGRAM
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 ROADBETHESDAMD20814522052352MEDICAL OFFICE LEASING AND RELEASINGMDN/AC0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (1)LoansOrGuaranteesFromOthOrgInd
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 Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (7 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
THE JANE BANCROFT ROBINSON FOUNDATION
B$686,250FMV
THE JANE BANCROFT ROBINSON FOUNDATION
C$219,625FMV
THE JANE BANCROFT ROBINSON FOUNDATION
O$135,778FMV
THE JANE BANCROFT ROBINSON FOUNDATION
R$6,023,697FMV
THE JANE BANCROFT ROBINSON FOUNDATION
S$1,218,781FMV
SIBLEY MEMORIAL HOSPITAL FOUNDATION
S$11,752,000FMV
STACY MARK REED FOUNDATION
S$22,486,702FMV

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