2018-05-14T16:04:24-05:00 2017-06-30 990 2016-07-01 522019696 SUBURBAN HOSPITAL FOUNDATION INC SUBU 3018963971 8600 OLD GEORGETOWN ROAD BETHESDA MD 208141497 MARTIN BASSO SR VP FIN. & TREASURER 3018963971 2018-05-14 2016 2022-09-23 18:48:47Z MARTIN BASSO 8600 OLD GEORGETOWN ROAD BETHESDA MD 208141497 5546393 0 X WWW.SUBURBANHOSPITAL/CHARITABLEGIVING.ORG X 1995 MD SUPPORTING ORGANIZATION FOR SUBURBAN HOSPITAL, INC. 29 29 9 0 0 0 3367727 5258989 0 0 348769 291223 -124698 -1706 3591798 5548506 1289496 1231633 0 0 645845 686042 0 0 1023309 1195584 881896 3130925 2799571 460873 2748935 25807416 29539957 95264 81083 25712152 29458874 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 149202 149202 0 SUBURBAN HOSPITAL FOUNDATION PROVIDES SUPPORT FOR SUBURBAN HOSPITAL'S CARDIOVASCULAR SURGERY RESEARCH PROGRAM. THIS SUPPORT INCLUDES COVERAGE OF SUPPLIES, MEDICAL AND SUPPORT PERSONNEL AND EDUCATIONAL PROGRAMS. 106298 106298 0 SUBURBAN HOSPITAL FOUNDATION PROVIDES TRADITIONAL MEDICINE SUPPORT FOR SUBURBAN HOSPITAL WITH MASSAGE THERAPY, STRESS MANAGEMENT, NUTRITIONAL COUNSELING, MEDITATION TECHNIQUES AND COMPLIMENTARY AREAS. 92913 92913 0 SUBURBAN HOSPITAL FOUNDATION PROVIDES SUPPORT FOR THE TRAINING AND ADVANCEMENT OF SUBURBAN HOSPITAL'S STAFF NURSES AND THEIR PROFESSIONAL PRACTICE OF THE ART AND SCIENCE OF NURSING. 883220 883220 0 883220 883220 1231633 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 0 1 0 0 0 0 1 0 0 0 1 X 10 0 1 9 1 0 0 0 0 0 0 0 0 X 29 29 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 MD X JUNE FALB VICE PRESIDENT DEVELOPMENT 3018963100 8600 OLD GEORGETOWN ROAD BETHESDA MD 20814 JACQUELINE BEALE MA TRUSTEE 4.00 X 0 0 0 KATHERINE ALLEY MD TRUSTEE 4.00 X 0 0 0 DALE MIDLAM TRUSTEE 4.00 X 0 0 0 LINDA V COURIE TRUSTEE 4.00 X 0 0 0 P BRIAN CONNOLLY TRUSTEE 4.00 X 0 0 0 LAWRENCE P FISHER II TRUSTEE 4.00 X 0 0 0 SCOTT A FRANKEL TRUSTEE 4.00 X 0 0 0 GEOFFREY J GONELLA TRUSTEE 4.00 X 0 0 0 HOWARD GLECKMAN TRUSTEE 4.00 X 0 0 0 NEIL KISHTER TRUSTEE 4.00 X 0 0 0 SUSAN KOEHN TRUSTEE 4.00 X 0 0 0 ELIZABETH O FLANAGAN TRUSTEE, CHAIRMAN 4.00 X 0 0 0 JULIE FUTROVSKY MOTTLER ESQ TRUSTEE, SECRETARY 4.00 X 0 0 0 DANIEL VALAIK MD TRUSTEE 4.00 X 0 0 0 RONNIE LAPINSKY SAX TRUSTEE 4.00 X 0 0 0 JOHN BOWIS TRUSTEE 4.00 X 0 0 0 JUAN LITVAK MD TRUSTEE 4.00 X 0 0 0 DEVON SEGAL TRUSTEE 4.00 X 0 0 0 LORRAINE ROGSTAD TRUSTEE 4.00 X 0 0 0 MICHELLE GLENNON ESQ TRUSTEE 4.00 X 0 0 0 LELAND WEINSTEIN TRUSTEE 4.00 X 0 0 0 MICHELE WILLIAMS TRUSTEE 4.00 X 0 0 0 DIANE L COLGAN MD TRUSTEE 4.00 X 0 0 0 DOUG FORMAN MD TRUSTEE 4.00 X 0 0 0 MICHAEL HIBLER TRUSTEE 4.00 X 0 0 0 STEVE RUM TRUSTEE 4.00 X 0 0 0 KATIE JAGGERS-LUDWICK TRUSTEE 4.00 X 0 0 0 DAVID RUBEN TRUSTEE 4.00 X 0 0 0 CHARLES POSTAL TRUSTEE 4.00 X 0 0 0 JOSEPH LINSTROM VICE PRESIDENT OF OPERATIONS 4.00 56.00 X 0 0 0 JUNE M FALB EXECUTIVE VICE PRESIDENT 60.00 X 204785 0 31361 JACKY SCHULTZ PRESIDENT 10.00 50.00 X 0 0 0 MARTY BASSO VICE PRESIDENT OF FINANCE, CFO 4.00 56.00 X 0 0 0 CYNTHIA MERZ DIRECTOR OF DEVELOPMENT 50.00 X 105510 0 27525 310295 0 58886 2 0 1 0 0 21832 5237157 20643 5258989 287404 287404 -3819 3819 3819 3819 0 21832 1706 -1706 -1706 5548506 3819 0 285698 1139633 1139633 92000 92000 236146 11807 224339 319764 15988 303776 130132 6507 123625 1000 1000 83533 83533 26782 1339 25443 91733 4587 87146 6070 6070 7794 7794 13400 670 12730 785 39 746 OTHER 609464 487571 121893 PURCHASED SERVICES 41335 16121 25214 2799571 1231633 544629 1023309 4153560 6431370 368359 266374 37947 36899 1834 1048 21283663 22841165 25807416 29539957 73718 72717 21546 8366 95264 81083 X 1992627 1815962 12800399 16708836 10919126 10934076 25712152 29458874 25807416 29539957 X 2748935 997787 X 0 1 X 1 0 X X 1 SUBURBAN HOSPITAL INC 520610545 3 1 1131000 0 1 1131000 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 12942 11894 1048 25005 25005 0 1048 DUE TO AFFILIATES 8366 8366 X 5546000 1706 1706 5544294 3819 393 4212 5548506 2706000 0 2706000 93571 93571 2799571 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, 2017 AND 2016. PART XI, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSE 1,706. PART XI, LINE 4B - OTHER ADJUSTMENTS: ROUNDING 393. PART XII, LINE 4B - OTHER ADJUSTMENTS: MOVED FROM TEMP RESTRICTED 93,525. ROUNDING 46. KEY TO THE CURE 21832 21832 1706 21832 21832 1706 1706 -1706 1 SUBURBAN HOSPITAL INC 8600 OLD GEORGETOWN ROAD BETHESDA MD 208141497 520610545 501(C)(3) 1131000 SUPPORT FOR THE HOSPITAL 1 0 SCHOLARSHIPS 13 92000 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 EXECUTIVE VICE PRESIDENT 166296 0 33924 0 4565 0 29864 0 1497 0 236146 0 0 0 PART I, LINE 4B THE SERP PLANS IS A NON-TAX QUALIFIED DEFINED CONTRIBUTION PLANS. THE PLAN PROVIDES A FIXED PERCENTAGE OF SALARY AS SUPPLEMENTAL RETIREMENT BENEFIT FOR EACH PARTICIPANT. IN THE MANNER REQUIRED BY APPLICABLE IRS RULES, THE DESIGN OF EACH OF THESE ARRANGEMENTS WAS APPROVED AS REASONABLE, IN ADVANCE, BY AN INDEPENDENT COMPENSATION COMMITTEE, WHICH BASED ITS DECISION ON DATA PROVIDED BY AN INDEPENDENT COMPENSATION CONSULTANT. PARTICIPANTS INTERESTS UNDER THESE ARRANGEMENTS ARE NOT GUARANTEED OR SECURED AT ANY WAY AND AT ALL TIMES ARE SUBJECT TO CLAIMS OF EMPLOYER'S BANKRUPTCY/INSOLVENCY CREDITORS. IF A PARTICIPANT VOLUNTARILY TERMINATES EMPLOYMENT AND FAILS TO SATISFY CERTAIN NON-COMPETE PROVISIONS, THE PARTICIPANT'S ACCOUNT IS FORFEITED. IN ADDITION, UNDER CURRENT LAW, INTERESTS UNDER THESE ARRANGEMENTS ARE REPORTABLE AS TAXABLE COMPENSATION WHEN THEY BECOME VESTED, EVEN IF THOSE AMOUNTS ARE NOT YET PAYABLE TO THE PARTICIPANT (AND EVEN IF THOSE AMOUNTS ARE NEVER PAID TO THE PARTICIPANT). NO ROLLOVER OR OTHER TAX-DEFERRAL OPTIONS ARE AVAILABLE TO PARTICIPANTS. NOTE THAT ANY SERP PLAN VESTED AMOUNT OR PAYMENT BEING REPORTED AS COMPENSATION WAS ALSO REPORTED IN PREVIOUS YEAR(S) WHEN THAT INTEREST ACCRUED UNDER THE PLAN. THE FOLLOWING INDIVIDUALS LISTED ON FORM 990, PART VII, SECTION A, LINE 1A PARTICIPATED IN A NONQUALIFIED RETIREMENT PLAN WITH THE RELATED ORGANIZATION SUBURBAN HOSPITAL, INC. AND RECEIVED ACCRUED DEFERRED COMPENSATION THAT IS REPORTED ON SCHEDULE J, PART II, COLUMN (C): JUNE FALB $9,250.00 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. X 2 20643 FMV 0 0 0 FORM 990, PART V, LINES 2A & 2B THE 9 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 FINANCIAL AUDIT CONFIRMATION PROCESS PROVIDED ONLINE. ALL OFFICERS, DIRECTORS, TRUSTEES, AND KEY EMPLOYEES ARE REQUIRED TO COMPLY ON AN ANNUAL BASIS. FORM 990, PART VI, SECTION B, LINE 15 EVERY THREE YEARS AN INDEPENDENT STUDY IS CONDUCTED GATHERING INDUSTRY COMPENSATION AVERAGES FROM SELECT PEER INSTITUTIONS. EVERY YEAR THE JOHNS HOPKINS BOARD OF TRUSTEES COMPENSATION COMMITTEE REVIEWS COMPENSATION AMOUNTS FOR OFFICERS AND ALL EMPLOYEES AT THE DIRECTOR AND HIGHER LEVELS. FORM 990, PART VI, SECTION C, LINE 19 INTERNAL POLICIES, INCLUDING CONFLICT OF 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 1,525,912. CONTRIBUTIONS TO/FROM AFFILIATES -529,832. SPECIAL EVENTS 1,706. ROUNDING 1. 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