2017-05-15T13:35:11-05:00 2016-06-30 990 2015-07-01 522019696 SUBURBAN HOSPITAL FOUNDATION INC SUBU 3018963971 8600 OLD GEORGETOWN ROAD BETHESDA MD 208141497 MARTIN BASSO SR VP FIN. & TREASURER 3018963971 2017-05-15 2015 2021-01-29 14:40:06Z MARTIN BASSO 8600 OLD GEORGETOWN ROAD BETHESDA MD 208141497 7891967 0 X WWW.SUBURBANHOSPITAL/CHARITABLEGIVING.ORG X 1995 MD SUPPORTING ORGANIZATION FOR SUBURBAN HOSPITAL, INC. 31 31 8 50 0 0 2377466 3367727 0 0 735273 348769 0 -124698 3112739 3591798 1835620 1289496 0 0 627257 645845 0 0 1254595 1968521 1195584 4431398 3130925 -1318659 460873 31790859 25807416 100119 95264 31690740 25712152 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 222808 222808 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. 123134 123134 0 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. -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 -ARRANGING PALLIATIVE CARE, HOSPICE AND HOME HEALTH CARE SERVICES 179224 179224 0 SUBURBAN HOSPITAL FOUNDATION SHOWCASE EVENT RAISES MONEY FOR THE PURPOSE OF THE CAMPUS ENHANCEMENT PROJECT. 764330 764330 764330 764330 1289496 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 10 0 1 8 1 0 0 0 0 0 0 0 0 X 31 31 0 0 0 0 0 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 JUAN LITVAK MD TRUSTEE 4.00 X 0 0 0 DAVID A RUBEN TRUSTEE 4.00 X X 0 0 0 MICHAEL HIBLER TRUSTEE, EX OFFICIO 4.00 X 0 0 0 STEVEN RUM TRUSTEE/ EX OFFICIO 4.00 X 0 0 0 LINDA V COURIE TRUSTEE 4.00 X 0 0 0 KATHERINE L ALLEY MD TRUSTEE 4.00 X 0 0 0 SCOTT A FRANKEL TRUSTEE 4.00 X 0 0 0 RONNIE LAPINSKY SAX 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 GEOFFREY J GONELLA TRUSTEE 4.00 X 0 0 0 LORRAINE ROGSTAD TRUSTEE 4.00 X 0 0 0 JULIE FUTROVSKY MOTTLER ESQ TRUSTEE 4.00 X 0 0 0 ELIZABETH O FLANAGAN TRUSTEE 4.00 X 0 0 0 DALE MIDLAM TRUSTEE, EX OFFICIO 4.00 X 0 0 0 DEVON SEGAL TRUSTEE 4.00 X 0 0 0 DIANE COLGAN MD TRUSTEE, EX OFFICIO 4.00 X 0 0 0 MICHELLE GLENNON ESQ TRUSTEE, EX OFFICIO 4.00 X 0 0 0 DAVID SILVER TRUSTEE, EX OFFICIO 4.00 X 0 0 0 GARY ROGGIN MD TRUSTEE 4.00 X 0 0 0 JOHN BOWIS TRUSTEE 4.00 X 0 0 0 DOUGLAS L FORMAN MD TRUSTEE 4.00 X 0 0 0 KATIE JAGGERS-LUDWICK TRUSTEE 4.00 X 0 0 0 JUDITH WALKER TRUSTEE 4.00 X 0 0 0 DANY WESTERBAND MD TRUSTEE 4.00 X 0 0 0 CHARLES POSTAL CPA TRUSTEE 4.00 X 0 0 0 ANDY WIMSATT TRUSTEE 4.00 X 0 0 0 LELAND WEINSTEIN TRUSTEE 4.00 X 0 0 0 MARK FUTROVSKY TRUSTEE 4.00 X 0 0 0 AKHIL J KHANNA MD TRUSTEE 4.00 X 0 0 0 LARA EISENBERG MD TRUSTEE, EX OFFICIO 4.00 X 0 0 0 MARTY BASSO TREASURER 4.00 56.00 X 0 0 0 JUNE FALB VICE PRESIDENT 60.00 X 200567 0 41313 JACKY SCHULTZ PRESIDENT 10.00 50.00 X 0 0 0 JOSEPH LINSTROM VICE PRESIDENT OF OPERATIONS 5.00 55.00 X 0 0 0 CYNTHIA MERZ DIRECTOR DEVELOPMENT PROGR 50.00 X 106825 0 34742 307392 0 76055 2 0 1 0 0 422670 136600 2808457 43652 3367727 314588 314588 4169000 4134819 34181 34181 34181 40652 422670 165350 -124698 -124698 3591798 34181 0 189890 1161046 1161046 128450 128450 241880 12094 229786 271986 13599 258387 131979 6599 125380 88177 88177 28319 1416 26903 88176 4409 83767 8827 8827 10029 10029 286953 14348 272605 787 39 748 OTHER 652309 521847 130462 PURCHASED SERVICES 32007 12483 19524 3130925 1289496 586834 1254595 4582355 4153560 572059 368359 37947 36113 2619 1834 26633826 21283663 31790859 25807416 95859 73718 4260 21546 100119 95264 X 3366680 1992627 17404934 12800399 10919126 10919126 31690740 25712152 31790859 25807416 X 460873 -6439461 X 0 1 X 1 0 X X 1 SUBURBAN HOSPITAL INC 520610545 3 1 1094000 0 1 1094000 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 11108 1834 25005 25005 0 1834 DUE TO AFFILIATES 21546 21546 X 2500000 -1215269 123471 -1091798 3591798 0 3591798 2840000 0 2840000 290925 290925 3130925 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, 2016 AND 2015. PART XI, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSE 124,698. ROUNDING -1,227. PART XI, LINE 4B - OTHER ADJUSTMENTS: FUNDRAISING EXPENSE ROUNDING PART XII, LINE 4B - OTHER ADJUSTMENTS: MOVED FROM TEMP RESTRICTED 286,953. ROUNDING 3,972. SHOWCASE 463322 422670 40652 47529 16405 101416 463322 422670 40652 47529 16405 101416 165350 -124698 1 SUBURBAN HOSPITAL INC 8600 OLD GEORGETOWN ROAD BETHESDA MD 208141497 520610545 501(C)(3) 1094000 SUPPORT FOR THE HOSPITAL 1 0 SCHOLARSHIPS 21 128450 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 FALB VICE PRESIDENT 165076 0 30941 0 4550 0 38136 0 3177 0 241880 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 THAT ARE PAID BY THE JOHNS HOPKINS HEALTH SYSTE, 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 3 43652 FMV 0 0 0 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 11 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 -1,215,269. CONTRIBUTIONS TO/FROM AFFILIATES -5,348,278. SPECIAL EVENTS 124,698. ROUNDING -612. 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