LUCY WEBB HAYNES NATIONAL TRAINING SCHOOL FOR DEACONESSES AND MISSION: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- LUCY WEBB HAYNES NATIONAL TRAINING SCHOOL FOR DEACONESSES AND MISSION (EIN 53-0196602)
- Tax period
- 2013-07-01 to 2014-06-30
- Filed
- 2015-05-13
- IRS object ID
- 201511339349301626
- Schema version
- 2013v4.0
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule G
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-05-13T09:34:53-05:00 | ReturnTs |
| Tax Period End | 2014-06-30 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 530196602 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LUCY WEBB HAYES NATIONAL TRAINING SCHOOL | BusinessNameLine1 |
| Business Name Line2 | FOR DEACONESSES & MISSIONARIES | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | LUCY | BusinessNameControlTxt |
| Phone | 2025374000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5255 LOUGHBORO RD NW | AddressLine1 |
| City | WASHINGTON | City |
| State | DC | State |
| ZIP Code | 20016 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MARTIN BASSO | PersonNm |
| Person Title | RVP FINANCE & CFO | PersonTitleTxt |
| Phone | 2025374000 | PhoneNum |
| Signature | 2015-05-13 | SignatureDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SIBLEY MEMORIAL HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | RICHARD O DAVIS | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5255 LOUGHBORO RD NW | AddressLine1 |
| City | WASHINGTON | City |
| State | DC | State |
| ZIP Code | 20016 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $777,309,602 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.SIBLEY.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1891 | FormationYr |
| Legal Domicile State | DC | LegalDomicileStateCd |
| Activity Or Mission | THE LUCY WEBB HAYES NATIONAL TRAINING SCHOOL FOR DEACONESSES AND MISSIONARIES PROVIDES ALL SERVICES WITHOUT REGARD TO RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 25 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 23 | VotingMembersIndependentCnt |
| Total Employee | 2275 | TotalEmployeeCnt |
| Total Volunteers | 339 | TotalVolunteersCnt |
| Total Gross UBI | $281,778 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$20,138 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $132,290 | PYContributionsGrantsAmt |
| CY Contributions Grants | $965,264 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $241,627,654 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $251,029,985 | CYProgramServiceRevenueAmt |
| PY Investment Income | $16,516,958 | PYInvestmentIncomeAmt |
| CY Investment Income | $18,342,076 | CYInvestmentIncomeAmt |
| PY Other Revenue | $4,897,871 | PYOtherRevenueAmt |
| CY Other Revenue | $8,633,212 | CYOtherRevenueAmt |
| PY Total Revenue | $263,174,773 | PYTotalRevenueAmt |
| CY Total Revenue | $278,970,537 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $1,277,993 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $126,500 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $135,621,710 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $139,236,439 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $113,802,643 | PYOtherExpensesAmt |
| CY Other Expenses | $129,193,870 | CYOtherExpensesAmt |
| PY Total Expenses | $250,702,346 | PYTotalExpensesAmt |
| CY Total Expenses | $268,556,809 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $12,472,427 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $10,413,728 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $996,154,414 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,257,181,497 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $146,230,274 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $325,771,692 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $849,924,140 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $931,409,805 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE LUCY WEBB HAYES NATIONAL TRAINING SCHOOL FOR DEACONESSES AND MISSIONARIES CONDUCTING SIBLEY MEMORIAL HOSPITAL IS A GENERAL SHORT-TERM ACUTE CARE HOSPITAL LOCATED IN N.W. WASHINGTON,DC. THE HOSPITAL PROVIDES ALL SVCS WITHOUT REGARD TO RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. ITS MISSION IS TO PROVIDE QUALITY HEALTH SVCS AND FACILITIES FOR THE COMMUNITY, TO PROMOTE WELLNESS, RELIEVE SUFFERING, AND RESTORE HEALTH AS SWIFTLY, SAFELY AND HUMANELY AS IT CAN BE DONE CONSISTENT WITH BEST SVC POSSIBLE AT THE HIGHEST VALUE FOR ALL CONCERNED. ITS VISION IS TO MAKE AVAILABLE SUPERIOR HEALTHCARE SVC AND VALUE, WITH THE GOAL OF IMPROVING HEALTH AND WELL-BEING OF THE COMMUNITY. THE HOSPITAL PLANS TO CONTINUE TO IMPROVE THAT SVC BY USING SCIENTIFIC METHODS, TEAMWORK, AND KNOWLEDGE OF BEST PRACTICES AND CUSTOMER EXPECTATIONS. THE HOSPITAL HAS VALUES WHICH PROVIDE GUIDELINES AND PARAMETERS FOR DECISIONS NECESSARY TO IMPROVE PROCESSES AND RESPOND TO NEEDS OF ITS PATIENTS. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $248,646,061 | ExpenseAmt |
| Grant | $126,500 | GrantAmt |
| Revenue | $262,688,165 | RevenueAmt |
| Desc | PROVIDE 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, 2013 TO JUNE 30, 2014. 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 2014, THE HOSPITAL PROVIDED CHARITY CARE TO MORE THAN 1,000 PATIENTS, INCURRING COSTS OVER $3.0 MILLION. TOTAL BENEFITS AND UNCOMPENSATED COST OF CARE PROVIDED TO THE COMMUNITY EXCEEDED $6.9 MILLION. SIBLEY PROVIDES CHARITY CARE TO THE CLIENTS OF THE CATHOLIC HEALTH CARE NETWORK, MARYS CENTER FOR MATERNAL AND CHILD HEALTH, THE COMMUNITY OF HOPE, COLUMBIA ROAD CLINIC, UNITY HEALTHCARE, AND BREAD FOR THE CITY. THE HOSPITAL ADMITTED OVER 11,000 PATIENTS IN 2014, AND PROVIDED OVER 56,000 DAYS OF INPATIENT CARE. ADDITIONALLY, 3,400 NEW BABIES WERE DELIVERED AS WELL. ON THE OUTPATIENT SIDE, OVER 29,000 PATIENTS WERE TREATED IN OUR 24/7 EMERGENCY ROOM, AND OVER 7,000 SURGICAL CASES WERE PERFORMED AND OVER 66,000 VISITS WERE MADE FOR OTHER ANCILLIARY OUTPATIENT TREATMENTS OR PROCEDURES. | Desc |
| Total Program Service Expenses | $248,646,061 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | Yes (1) | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | 0 | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 150 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 2275 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 25 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 23 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | DC | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARTIN BASSO RVP FINANCE & CFO | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3018962333 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5255 LOUGHBORO RD NW | AddressLine1 |
| City | WASHINGTON | City |
| State | DC | State |
| ZIP Code | 20016 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (40 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| REV DAVID A ARGO | |||||||||
| TRUSTEE | 5.00 | 10.00 | Yes (X) | $0 | $0 | $0 | |||
| WILLIAM B BARTON ESQ | |||||||||
| TRUSTEE/VICE CHAIRMAN | 5.00 | 10.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| GEOFFREY D BROWN | |||||||||
| TRUSTEE | 5.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| J RENE CARTER | |||||||||
| TRUSTEE | 5.00 | 10.00 | Yes (X) | $0 | $0 | $0 | |||
| CHARLES M COCHRAN JR | |||||||||
| TRUSTEE | 5.00 | Yes (X) | $0 | $0 | $0 | ||||
| PAUL R ERICKSON | |||||||||
| TRUSTEE | 5.00 | Yes (X) | $0 | $0 | $0 | ||||
| MICHAEL K FARR | |||||||||
| TRUSTEE | 5.00 | 11.00 | Yes (X) | $0 | $0 | $0 | |||
| SAMUAL P HARRINGTON MD | |||||||||
| TRUSTEE/SECRETARY | 5.00 | 10.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| BURKE F HAYES | |||||||||
| TRUSTEE | 5.00 | Yes (X) | $0 | $0 | $0 | ||||
| DALE H HOSCHEIT ESQ | |||||||||
| TRUSTEE | 5.00 | 10.00 | Yes (X) | $0 | $0 | $0 | |||
| JOHN O MAY | |||||||||
| TRUSTEE | 5.00 | Yes (X) | $0 | $0 | $0 | ||||
| EDWARD J MILLER JR | |||||||||
| TRUSTEE/CHAIRMAN | 5.00 | 21.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| RICHARD E MORRIS | |||||||||
| TRUSTEE/TREASURER | 5.00 | 10.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| PRISCILLA I PAGANO | |||||||||
| TRUSTEE | 5.00 | Yes (X) | $0 | $0 | $0 | ||||
| CHARLES H ROSS | |||||||||
| TRUSTEE | 5.00 | Yes (X) | $0 | $0 | $0 | ||||
| THOMAS J SCHAEFER | |||||||||
| TRUSTEE | 5.00 | Yes (X) | $0 | $0 | $0 | ||||
| RONALD R PETERSON | |||||||||
| TRUSTEE/CORP VICE CHAIRMAN | 5.00 | 55.00 | Yes (X) | $0 | $1,980,826 | $1,418,697 | Yes (X) | ||
| THOMAS H SULLIVAN | |||||||||
| TRUSTEE | 5.00 | Yes (X) | $0 | $0 | $0 | ||||
| CARL L SYLVESTER JR MD | |||||||||
| TRUSTEE | 5.00 | Yes (X) | $0 | $0 | $0 | ||||
| KIMBERLY H WALTON ESQ | |||||||||
| TRUSTEE | 5.00 | Yes (X) | $0 | $0 | $0 | ||||
| NILOOFAR RAZI HOWE | |||||||||
| TRUSTEE | 5.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| SHARON PERCY ROCKEFELLER | |||||||||
| TRUSTEE | 5.00 | Yes (X) | $0 | $0 | $0 | ||||
| RICHARD O DAVIS | |||||||||
| PRESIDENT/CEO/TRUSTEE | 58.00 | 2.00 | Yes (X) | $0 | $913,092 | $256,158 | Yes (X) | ||
| JOSHUA AMMERMAN MD | |||||||||
| TRUSTEE | 5.00 | Yes (X) | $0 | $0 | $0 | ||||
| RAMIN OSKOUI MD | |||||||||
| TRUSTEE | 5.00 | Yes (X) | $0 | $0 | $0 | ||||
| STEPHEN C MCDONNELL | |||||||||
| SR VP & CFO | 60.00 | $842,585 | $0 | $39,055 | Yes (X) | ||||
| JOAN VINCENT | |||||||||
| SR VP, PT. CARE SVCS & CNO | 60.00 | $339,550 | $0 | $50,125 | Yes (X) | ||||
| ALISON ARNOTT | |||||||||
| VP SUPPORT SERVICES | 60.00 | $187,142 | $0 | $18,753 | Yes (X) | ||||
| QUEENIE PLATER | |||||||||
| VP & CHIEF HR OFFICER | 60.00 | $486,092 | $0 | $33,512 | Yes (X) | ||||
| PETER PETRUCCI MD | |||||||||
| VP PT SAFETY, QUALITY & ME | 60.00 | $0 | $0 | $0 | Yes (X) | ||||
| CHRISTINE STUPPY | |||||||||
| VP BUS. DEVEL. & STRAT. PL | 60.00 | $224,216 | $0 | $17,554 | Yes (X) | ||||
| JERRY L PRICE | |||||||||
| VP REAL ESTATE & CONSTRUCT | 60.00 | $421,268 | $0 | $47,563 | Yes (X) | ||||
| CAROLINE LEGARDE | |||||||||
| VICE PRESIDENT, PROF SERVICES | 60.00 | $109,241 | $0 | $5,569 | Yes (X) | ||||
| JEFFREY L LIN | |||||||||
| PHYSICIAN DIR GYN ONCOLOGY | 40.00 | $771,518 | $0 | $36,167 | Yes (X) | ||||
| REBECCA ZUURBIER | |||||||||
| PHYSICIAN DIR. BREAST IMAG | 40.00 | $525,027 | $0 | $26,285 | Yes (X) | ||||
| HASAN ZIA | |||||||||
| PHYSICIAN DIR INTENSIVE/AC | 40.00 | $527,931 | $0 | $29,953 | Yes (X) | ||||
| COLETTE M MAGNANT | |||||||||
| BREAST SURGEON | 40.00 | $682,874 | $0 | $24,485 | Yes (X) | ||||
| THOMAS FLEURY | |||||||||
| CHIEF LAB SERVICES | 40.00 | $444,395 | $0 | $21,267 | Yes (X) | ||||
| ROBERT L SLOAN | |||||||||
| FORMER PRESIDENT & CEO/TRU | 0.00 | 10.00 | $12,636 | $107,625 | $0 | Yes (X) | |||
| KENDA TAVAKOLI | |||||||||
| FORMER VP, INFO RESOURCES & CIO | 60.00 | $219,637 | $0 | $15,111 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $5,794,112 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $3,001,543 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $2,040,254 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 195 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| SURGICAL ANESTHESIA ASSOCIATES | |||||
| 7833 WALKER DRIVE STE 520 | GREENBELT | MD | 20770 | ANESTHESIA | $295,379 |
| LANGEVIN LARSEN HAMM & COHEN | |||||
| 5530 WISCONSIN AVE 930 | CHEVY CHASE | MD | 20815 | HEALTH CARE | $289,288 |
| CRICK LLC | |||||
| 32750 E 140TH WAY | BRIGHTON | CO | 80603 | CONSTRUCTION | $207,619 |
| WASHINGTON NEUROSURGICAL | |||||
| 5215 LOUGHBORO RD NW STE 510 | WASHINGTON | DC | 20016 | NEUROSURGERY | $182,851 |
| WADDI M ATTIA MD | |||||
| 504 GRAND CYPRESS CT | SILVER SPRING | MD | 20905 | PSYCHOLOGIST | $152,993 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 10 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $545,264 | FundraisingAmt |
| All Other Contributions | $420,000 | AllOtherContributionsAmt |
| Total Contributions | $965,264 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| PATIENT REVENUE | 621990 | $222,705,639 | $222,705,639 | |
| ASSISTED LIVING | 623000 | $19,278,544 | $19,278,544 | |
| PHYSICIAN BILLING | 621990 | $6,222,376 | $6,222,376 | |
| MEDICAL OFFICE | 621990 | $2,541,648 | $2,541,648 | |
| LAB REVENUE | 621500 | $281,778 | $281,778 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $251,029,985 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $6,537,996 | TotalRevenueColumnAmt |
| Exclusion | $6,537,996 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $509,907,378 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $497,932,788 | SecuritiesAmt |
| Other | $170,510 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $11,974,590 | SecuritiesAmt |
| Other | -$170,510 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $11,804,080 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $11,804,080 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $545,264 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $0 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $371,645 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $235,767 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $135,878 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $135,878 | RelatedOrExemptFuncIncomeAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| OTHER INCOME | 900099 | $4,538,659 | $4,538,659 |
| PARKING LOT | 900099 | $1,872,702 | $1,872,702 |
| CAFETERIA/VENDING | 900099 | $1,176,165 | $1,176,165 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $909,808 | TotalRevenueColumnAmt |
| Exclusion | $909,808 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $8,497,334 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $278,970,537 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $262,688,165 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $281,778 | UnrelatedBusinessRevenueAmt |
| Exclusion | $15,035,330 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $126,500 | TotalAmt |
| Program Services | $126,500 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $115,548,979 | TotalAmt |
| Program Services | $103,393,396 | ProgramServicesAmt |
| Management And General | $12,155,583 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,731,872 | TotalAmt |
| Program Services | $5,422,351 | ProgramServicesAmt |
| Management And General | $309,521 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,929,358 | TotalAmt |
| Program Services | $9,393,172 | ProgramServicesAmt |
| Management And General | $536,186 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,026,230 | TotalAmt |
| Program Services | $7,592,814 | ProgramServicesAmt |
| Management And General | $433,416 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $43,182 | TotalAmt |
| Program Services | $40,850 | ProgramServicesAmt |
| Management And General | $2,332 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $901,105 | TotalAmt |
| Program Services | $847,200 | ProgramServicesAmt |
| Management And General | $53,905 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,000 | TotalAmt |
| Management And General | $21,000 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $144,812 | TotalAmt |
| Management And General | $144,812 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,364,316 | TotalAmt |
| Management And General | $1,364,316 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,259,014 | TotalAmt |
| Program Services | $27,085,532 | ProgramServicesAmt |
| Management And General | $1,173,482 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,136,210 | TotalAmt |
| Program Services | $881,467 | ProgramServicesAmt |
| Management And General | $254,743 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,117,398 | TotalAmt |
| Program Services | $1,057,058 | ProgramServicesAmt |
| Management And General | $60,340 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,653,776 | TotalAmt |
| Program Services | $2,510,472 | ProgramServicesAmt |
| Management And General | $143,304 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,214,730 | TotalAmt |
| Program Services | $4,933,134 | ProgramServicesAmt |
| Management And General | $281,596 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $173,951 | TotalAmt |
| Program Services | $164,558 | ProgramServicesAmt |
| Management And General | $9,393 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $491,341 | TotalAmt |
| Program Services | $464,809 | ProgramServicesAmt |
| Management And General | $26,532 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,411,688 | TotalAmt |
| Program Services | $3,201,052 | ProgramServicesAmt |
| Management And General | $210,636 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,141,707 | TotalAmt |
| Program Services | $19,033,686 | ProgramServicesAmt |
| Management And General | $1,108,021 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,133,333 | TotalAmt |
| Program Services | $6,133,333 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| DIRECT PATIENT SUPPLIES | $37,643,436 | $37,643,436 | $0 |
| OTHER SUPPLIES | $10,069,323 | $9,682,058 | $387,265 |
| PURCHASED SERVICES | $7,448,873 | $6,253,120 | $1,195,753 |
| PROVIDER TAX | $2,310,546 | $2,310,546 | $0 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $514,129 | TotalAmt |
| Program Services | $475,517 | ProgramServicesAmt |
| Management And General | $38,612 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $268,556,809 | TotalAmt |
| Program Services | $248,646,061 | ProgramServicesAmt |
| Management And General | $19,910,748 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,861,438 | BOYAmt |
| EOY | $38,338,997 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,926,083 | BOYAmt |
| EOY | $32,305,260 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,531,896 | BOYAmt |
| EOY | $3,512,482 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,143,048 | BOYAmt |
| EOY | $6,260,669 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $383,428,569 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $61,890,753 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $278,608,625 | BOYAmt |
| EOY | $321,537,816 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $153,847,810 | BOYAmt |
| EOY | $171,088,185 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $498,235,514 | BOYAmt |
| EOY | $684,138,088 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $996,154,414 | BOYAmt |
| EOY | $1,257,181,497 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,387,984 | BOYAmt |
| EOY | $27,645,816 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $70,549,654 | BOYAmt |
| EOY | $69,031,564 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $365,945 | BOYAmt |
| EOY | $357,474 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $46,926,691 | BOYAmt |
| EOY | $228,736,838 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $146,230,274 | BOYAmt |
| EOY | $325,771,692 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $810,539,856 | BOYAmt |
| EOY | $887,998,398 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,430,638 | BOYAmt |
| EOY | $28,457,761 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,953,646 | BOYAmt |
| EOY | $14,953,646 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $849,924,140 | BOYAmt |
| EOY | $931,409,805 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $996,154,414 | BOYAmt |
| EOY | $1,257,181,497 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $10,413,728 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $31,860,572 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $39,211,365 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | Yes (1) | DirectContactLegislatorsInd |
| Direct Contact Legislators | $90,000 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $54,812 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $144,812 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | DIRECT 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 $28,490 DURING THE FISCAL YEAR ENDED JUNE 30, 2014 TO THE DISTRICT OF COLUMBIA HOSPITAL ASSOCIATION FOR LOBBYING PURPOSES AS PART OF THE ANNUAL DUES. SIBLEY MEMORIAL HOSPITAL PAID ITS PARENT CORPORATION, THE JOHNS HOPKINS HEALTH SYSTEM CORPORATION $26,322 DURING THE FISCAL YEAR ENDED JUNE 30, 2014 TO SUPPORT THEIR LOBBYING ACTIVITIES. THE JOHNS HOPKINS HEALTH SYSTEM MAINTAINS A DEPARTMENT OF GOVERNMENTAL RELATIONS. THE PRIMARY PURPOSE OF THIS DEPARTMENT IS TO MAINTAIN CONTACT WITH ELECTED AND APPOINTED STATE OFFICIALS, AND OCCASIONAL FEDERAL OFFICIALS, REGARDING ISSUES WHICH IMPACT THE JOHNS HOPKINS HEALTH SYSTEM OR ITS AFFILIATES AS WELL AS THE HEALTHCARE INDUSTRY IN GENERAL. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | 0 | AgentTrusteeEtcInd |
| Incl Escrow Custodial Acct Liab | Yes (1) | InclEscrowCustodialAcctLiabInd |
| Explanation Provided | Yes (X) | ExplanationProvidedInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $50,500,000 | OtherCostOrOtherBasisAmt |
| Book Value | $50,500,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $206,326,102 | OtherCostOrOtherBasisAmt |
| Depreciation | $29,175,492 | DepreciationAmt |
| Book Value | $177,150,610 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $349,044 | OtherCostOrOtherBasisAmt |
| Depreciation | $14,832 | DepreciationAmt |
| Book Value | $334,212 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $64,913,622 | OtherCostOrOtherBasisAmt |
| Depreciation | $32,600,681 | DepreciationAmt |
| Book Value | $32,312,941 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $61,339,801 | OtherCostOrOtherBasisAmt |
| Depreciation | $99,748 | DepreciationAmt |
| Book Value | $61,240,053 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $321,537,816 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp (2 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| JOINT VENTURES | $3,135,533 | F |
| OTHER SECURITIES | $167,952,652 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $171,088,185 | TotalBookValueSecuritiesAmt |
Other Assets Org OtherAssetsOrgGrp (6 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| OTHER RECEIVABLES | $6,548,023 |
| INTEREST RECEIVABLE | $897,578 |
| OTHER ASSETS | $8,508,017 |
| BENEFICIAL INTEREST IN SIBLEY MEMORIAL HOSPITAL FDN | $346,040,227 |
| DUE FROM AFFILIATES | $4,630,192 |
| LIMITED USE ASSETS | $317,514,051 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $684,138,088 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)
| DescDesc | AmtAmt |
|---|---|
| ALLOW FOR MALPRACTICE CLAIMS | $10,324,852 |
| ESTIMATED THIRD PARTY SETTLE | $6,663,896 |
| DEFERRED PENSION OBLIGATION | $6,103,000 |
| MISCELLANEOUS LIABILITIES | $15,484,999 |
| INTEREST PAYABLE | $972,640 |
| DEFERRED COMPENSATION | $770,470 |
| DUE TO AFFILIATES | $188,416,981 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $228,736,838 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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, 2014, THE MARKET VALUE OF THE ASSETS INCREASED BY $267,206. |
| 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, 2014 AND 2013. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | RIDE TO CONQUER CANCER | NameOfEvent1Amt |
| Gross Receipts Event1 | $545,264 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $545,264 | CharitableContriEvent1Amt |
| Gross Receipts Total | $545,264 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $545,264 | CharitableContributionsTotAmt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,019,687 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,019,687 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01120 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,949,145 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,076,964 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,872,181 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01070 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $8,968,832 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,076,964 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,891,868 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02190 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $791,034 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $40,593 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $750,441 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00280 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,469,365 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $250,735 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,218,630 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00450 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,880,306 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,880,306 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01820 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,365,735 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $199,475 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,166,260 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00430 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $431,177 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $431,177 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00160 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $8,937,617 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $490,803 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $8,446,814 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03140 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $17,906,449 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,567,767 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $14,338,682 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05330 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $187,762 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $187,762 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00070 | TotalExpensePct |
Environmental Improvements EnvironmentalImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $157,497 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $157,497 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00060 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $345,259 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $345,259 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00130 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $8,743,655 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $53,144,015 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $57,566,678 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$4,422,663 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SIBLEY MEMORIAL HOSPITAL | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5255 LOUGHBORO RD NW | AddressLine1 |
| City | WASHINGTON | City |
| State | DC | State |
| ZIP Code | 20016 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.SIBLEY.ORG | WebsiteAddressTxt |
| State License | HFD01-0213 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SIBLEY MEMORIAL HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Information Gaps | Yes (X) | InformationGapsInd |
| CHNA Conducted | 12 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | HTTP://WWW.SIBLEY.ORG/COMMUNITY/ | OwnWebsiteURLTxt |
| Rpt Available Upon Request | Yes (X) | RptAvailableUponRequestInd |
| Adopt Implementation Strategy | Yes (X) | AdoptImplementationStrategyInd |
| Exec Implementation Strategy | Yes (X) | ExecImplementationStrategyInd |
| Develop Community Wide Plan | Yes (X) | DevelopCommunityWidePlanInd |
| Exec Community Wide Plan | Yes (X) | ExecCommunityWidePlanInd |
| Include Operational Plan | Yes (X) | IncludeOperationalPlanInd |
| Adopt Budget | Yes (X) | AdoptBudgetInd |
| Prioritize Health Needs | Yes (X) | PrioritizeHealthNeedsInd |
| Prioritize Services | Yes (X) | PrioritizeServicesInd |
| All Needs Addressed | Yes (1) | AllNeedsAddressedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Used Deter Elig Free Care | Yes (1) | FPGUsedDeterEligFreeCareInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Used Determ Elig Dscnt Care | Yes (1) | FPGUsedDetermEligDscntCareInd |
| FPG Family Incm Lmt Dscnt Care | 400.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| Income Level | Yes (X) | IncomeLevelInd |
| Asset Level | Yes (X) | AssetLevelInd |
| Medical Indigency | Yes (X) | MedicalIndigencyInd |
| Insurance Status | Yes (X) | InsuranceStatusInd |
| State Regulation | Yes (X) | StateRegulationInd |
| Residency | Yes (X) | ResidencyInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| Posted On Website | Yes (X) | PostedOnWebsiteInd |
| Attached To Invoice | Yes (X) | AttachedToInvoiceInd |
| Posted In Emergency Room | Yes (X) | PostedInEmergencyRoomInd |
| Posted In Admission Office | Yes (X) | PostedInAdmissionOfficeInd |
| Provided On Admission | Yes (X) | ProvidedOnAdmissionInd |
| Available On Request | Yes (X) | AvailableOnRequestInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SIBLEY MEMORIAL HOSPITAL | PART V, SECTION B, LINE 3: TO GATHER INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY SMH THE FOLLOWING WAS DONE:A)FOUR FOCUS GROUPS WITH A TOTAL OF 30 PARTICIPANTS. PARTICIPANTS INCLUDED LEADERS FROM COMMUNITY-BASED ORGANIZATIONS, HEALTH AND SOCIAL SERVICE AGENCIES, AND FAITH-BASED GROUPS.B)SURVEYS TO RESIDENTSC)MACHELLE YINGLING FROM D.C. HOSPITAL ASSOCIATION PROVIDED CRITICAL HOSPITAL DATA. |
| SIBLEY MEMORIAL HOSPITAL | PART V, SECTION B, LINE 4: THE OTHER HOSPITAL FACILITIES WITH WHICH SMH CONDUCTED ITS CHNA ARE:A)CHILDREN'S NATIONAL MEDICAL CENTERB)HOWARD UNIVERSITY HOSPITALC)PROVIDENCE HOSPITALD)COMMUNITY OF HOPE, DCE)UNITY HEALTH CARE, INC.F)BREAD FOR THE CITY |
| SIBLEY MEMORIAL HOSPITAL | PART V, SECTION B, LINE 20D: WHEN SIBLEY HOSPITAL DETERMINES A PATIENT TO BE FAP-ELIGIBLE, BASED ON AN APPLICATION FILED BY THE PATIENT AND VERIFIED BY SIBLEY HOSPITAL, THEY ARE PROVIDED FREE CARE WHEN PATIENT INCOME IS 200% OF FPL OR LOWER. SINCE AN FAP-ELIGIBLE PATIENT IS NOT CHARGED FOR THEIR CARE THERE IS NO CALCULATION MADE FOR THE MAXIMUM AMOUNT THEY CAN BE CHARGED. FOR PATIENTS WITH INCOME AT 300% TO 400% OF FPL, THE AMOUNTS GENERALLY BILLED TO INDIVIDUALS WITH INSURANCE, THE AGB WILL BE CALCULATED USING THE LOOK BACK METHOD WHICH IS DEFINED AS ALL CLAIMS FOR EMERGENCY AND OTHER MEDICALLY NECESSARY CARE THAT HAVE BEEN PAID IN FULL TO THE HOSPITAL BY MEDICARE AND ALL PRIVATE HEALTH INSURERS TOGETHER AS THE PRIMARY PAYERS OF THESE CLAIMS, IN EACH CASE TAKING INTO ACCOUNT AMOUNTS PAID TO THE HOSPITAL IN THE FORM OF COINSURANCE OR DEDUCTIBLES. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GRAND OAKS | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5901 MACARTHUR BLVD NW | AddressLine1 |
| City | WASHINGTON | City |
| State | DC | State |
| ZIP Code | 20016 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | ASSISTED LIVING FACILITY | FacilityTxt |
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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: | SIBLEY MEMORIAL HOSPITAL'S (SMH) COMMUNITY BUILDING ACTIVITIES PROMOTE WORKFORCE DEVELOPMENT BY OFFERING CAREER MENTORING PROGRAMS OF IT AND PROFESSIONAL SERVICES.THE HOSPITAL ALSO INCURS COST FOR BEING IN A CONSTANT STATE OF READINESS FOR ANY EMERGENCIES, SUCH AS NATURAL DISASTERS, EPIDEMICS, CHEMICAL SPILLS OR TECHNICAL DISASTERS THAT MAY ARISE. THE HOSPITAL'S DISASTER TREATMENT TEAM WORKS ROUTINELY WITH THE DISTRICT OF COLUMBIA EMERGENCY HEALTHCARE COALITION, DC HOMELAND SECURITY ORGANIZATION, DC DEPARTMENT OF HEALTH AND OTHER SIMILAR ORGANIZATIONS IN PLANNING AND TRAINING FOR TREATMENT OF PATIENTS DURING ANY POTENTIAL DISASTERS. THE HOSPITAL MAKES AVAILABLE A 24/7 EMERGENCY CARE FACILITY, PROVIDES STATE-OF-THE-ART EQUIPMENT TO TREAT PATIENTS EFFICIENTLY AND QUICKLY, AND INCURS COSTS OF EDUCATING HOSPITAL STAFF TO ADMINISTER BETTER QUALITY CARE TO THE COMMUNITY. |
| PART III, LINE 2: | THE PROVISION FOR BAD DEBTS IS BASED UPON A COMBINATION OF THE PAYOR SOURCE, THE AGING OF RECEIVABLES AND MANAGEMENTS 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: | SMH AUDITED FINANCIAL STATEMENTS PAGES 13. |
| 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 2: | IN ORDER TO MAXIMIZE THE EFFECTIVENESS OF COMMUNITY WORK, SMH ELECTED TO COLLABORATE WITH FOUR OTHER DISTRICT OF COLUMBIA HOSPITALS AND TWO FEDERAL QUALIFIED HEALTH CLINICS. THE COLLABORATIVE, NAMED THE D.C. HEALTHY COMMUNITIES COLLABORATIVE (DHCC) CONTRACTED WITH RAND HEALTH TO PERFORM THE COMMUNITY HEALTH NEEDS ASSESSMENT.SECONDARY DATA WAS COLLECTED FROM A VARIETY OF LOCAL, COUNTY, AND STATE SOURCES TO PRESENT A COMMUNITY PROFILE, ACCESS TO HEALTH CARE, CHRONIC DISEASES, SOCIAL ISSUES, AND OTHER HEALTH INDICATORS. |
| PART VI, LINE 3: | WHEN A PATIENT IS FIRST REGISTERED, HE/SHE MUST READ THE POSTED NOTICE ABOUT COMMUNITY/FINANCIAL ASSISTANCE. THE NOTICE IS POSTED NOTICEABLY IN THE ADMISSIONS DEPARTMENT, THE BUSINESS OFFICE, AND THE EMERGENCY DEPARTMENT. WHEN A PATIENT INQUIRES ABOUT COMMUNITY/FINANCIAL ASSISTANCE, HE/SHE IS GIVEN AN APPLICATION TO DETERMINE IF, IN FACT, HE/SHE IS ELIGIBLE FOR SUCH ASSISTANCE UNDER THE GUIDELINES ESTABLISHED BY THE DC MUNICIPAL REGULATION TITLE 22. PATIENT FINANCIAL COUNSELORS ARE ON STAFF TO ASSIST THE PATIENT WITH ANY QUESTIONS AND ULTIMATELY RECEIVE THE COMPLETED APPLICATION FOR FURTHER REVIEW. BEFORE THE BEGINNING OF ITS FISCAL YEAR, SIBLEY WILL PUBLISH A NOTICE OF AVAILABILITY OF ITS UNCOMPENSATED CARE OBLIGATION IN A NEWSPAPER OF GENERAL CIRCULATION IN THE DISTRICT OF COLUMBIA. SIBLEY WILL ALSO SUBMIT A COPY OF SUCH NOTICE TO SHPDA. 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 WILL COMMUNICATE THE CONTENTS OF THE POSTED NOTICE TO ANY PERSON WHO SIBLEY HAS REASON TO BELIEVE CANNOT READ THE NOTICE. |
| PART VI, LINE 4: | SMH GEOGRAPHIC SERVICE AREA IS URBAN.THE HOSPITAL CONSIDERS ITS COMMUNITY BENEFIT SERVICE AREA (CBSA) AS SPECIFIC POPULATIONS OR COMMUNITIES OF NEED TO WHICH THE HOSPITAL ALLOCATES RESOURCES THROUGH ITS COMMUNITY BENEFIT PLAN. THE CBSA IS DEFINED BY THE GEOGRAPHIC AREA CONTAINED WITHIN THE FOLLOWING ZIP CODES: 20016, 20815, 20008, 20015, 20816, 20007, 20009, 20817, 20002, 20854, 20011, 20814, 20003, 20852, 20001, 20010, 20910, 22101, 22207, AND 20895. THE GENERAL DATA FOR THIS COMMUNITY BENEFIT SERVICE AREA ARE AS FOLLOWS: TOTAL POPULATION WAS 646,449 OF WHICH 52.63% WERE MALES AND 47.37% WERE FEMALES, AVERAGE HOUSEHOLD INCOME WAS $67,750, 8.7% OF RESIDENTS ARE UNINSURED, 35.0% OF RESIDENTS ARE COVERED BY MEDICAID/MEDICARE, 15.11% OF HOUSEHOLDS WITH INCOMES BELOW THE FEDERAL POVERTY GUIDELINES.NUMBER OF OTHER HOSPITALS SERVING THE COMMUNITY OR COMMUNITIES: 4FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREAS OR POPULATIONS ARE PRESENT IN THE COMMUNITY . |
| PART VI, LINE 5: | SIBLEY HOSPITAL ENSURES THAT ITS BOARD MEMBERS ARE LEADERS WITHIN THE LOCAL BUSINESS COMMUNITY AND HAVE EXPERTISE IN MANY DIFFERENT AREAS. THE SKILLS, DEDICATION AND LEADERSHIP OF THE BOARD OF TRUSTEES FORM THE FOUNDATION OF THE HOSPITALS ABILITY TO PROVIDE NEEDED SERVICES TO THE COMMUNITY. BEFORE BEING APPOINTED TO THE BOARD, POTENTIAL MEMBERS EXPERIENCE A RIGOROUS SCREENING PROCESS, ENSURING THAT THEY ARE NEITHER FAMILY MEMBERS OF CURRENT BOARD MEMBERS NOR CONTRACTORS OF SIBLEY. TO FURTHER BENEFIT THE COMMUNITY, THE HOSPITAL PROVIDES, THROUGH ITS EXCESS FUNDS, MANY PROGRAMS FOR THE CITIZENS OF THE COMMUNITY THAT ARE OF LITTLE OR NO COST TO ATTENDEES. THESE PROGRAMS ARE DESIGNED TO EDUCATE, COMFORT, IMPROVE HEALTH AND PROVIDE SUPPORT TO THOSE WHO ATTEND. A NUMBER OF FREE HEALTH AND WELLNESS SEMINARS ARE PROVIDED REGULARLY TO MEMBERS OF THE COMMUNITY, SUCH AS DIABETES EDUCATION, HEART HEALTHY EATING AND ARTHRITIS. PHYSICIANS AND STAFF DONATE THEIR TIME TO EDUCATE ATTENDEES ON WAYS TO MAINTAIN OR IMPROVE INDIVIDUAL HEALTH. THERE ARE SEVERAL ONGOING SUPPORT GROUPS THAT MEET REGULARLY. EXISTING AND NEW MEMBERS ARE STRONGLY ENCOURAGED TO ATTEND. SUPPORT GROUPS FOR BOTH THE PERSON WITH THE ILLNESS AND THE CARE PARTNER ARE PROVIDED FOR PARKINSONS, OSTOMY, CARDIAC IMPLANT, AND STROKE. SUPPORT GROUPS FOR THE PERSON FACING A CHRONIC DISEASE ARE PROVIDED FOR ARTHRITIS, CARDIAC IMPLANT, LYME DISEASE, MACULAR DEGENERATION, AND MYOTONIC DYSTROPHY. THE SUPPORT GROUP, CLUB MEMORY PROVIDES SUPPORT GROUPS AND SOCIAL ENGAGEMENT FOR PERSONS WITH MEMORY IMPAIRING ILLNESSES AND THEIR CARE PARTNER, WHICH SERVES PERSONS BOTH IN AND OUTSIDE SIBLEYS PRIMARY SERVICE AREA. IN ADDITION TO HAVING A NATIONALLY-KNOWN BREAST CANCER TREATMENT CENTER, AT LEAST FIVE CANCER SUPPORT GROUPS MEET ON A REGULAR BASIS. MEMBERS OF THE HOSPITAL STAFF AND PHYSICIANS ALSO TRAVEL OFF CAMPUS TO CONDUCT OR BE PART OF COMMUNITY HEALTH EVENTS HELD AT LOCAL CHURCHES OR COMMUNITY SOCIAL GATHERINGS. FINALLY, THE HOSPITAL PROVIDES ADDITIONAL FREE BENEFITS TO MEMBERS OF ITS SIBLEY SENIOR ASSOCIATION, CURRENTLY HAVING MORE THAN 7,000 ACTIVE MEMBERS. BENEFITS INCLUDE FREE HEALTH SCREENING, EDUCATIONAL PROGRAMS, A WIDOWED PERSONS SERVICE, AND SEMINARS ON HEALTH RELATED SUBJECTS. |
| 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 ALL CHILDRENS HOSPITAL, INC (ACH), A FL ACADEMIC CHILDRENS HOSPITAL. |
| PART VI, LINE 7, REPORTS FILED WITH STATES | DC |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (4 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| THE WISTAR INSTITUTE OF ANATOMY AND BIOLOGY | |||||||
| 3601 SPRUCE STREET | PHILADELPHIA | PA | 19104 | 236434390 | 501(C)(3) | $100,000 | RESEARCH |
| JOHNS HOPKINS UNIVERSITY | |||||||
| 3910 KESWICK ROAD N-4327B | BALTIMORE | MD | 21211 | 520595110 | 501(C)(3) | $5,000 | GENERAL SUPPORT |
| IONA SENIOR SERVICES | |||||||
| 4125 ALBERMARLE STREET NW | WASHINGTON | DC | 20016 | 521039553 | 501(C)(3) | $5,000 | GENERAL SUPPORT |
| DC CHAMBER OF COMMERCE | |||||||
| 506 9TH STREET NW | WASHINGTON | DC | 20004 | 237158230 | 501(C)(6) | $15,000 | GENERAL SUPPORT |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 3 | Total501c3OrgCnt |
| Total Other Org | 1 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | Yes (X) | ClubDuesOrFeesInd |
| Written Policy Ref T And E Expnss | Yes (1) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (15 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| RONALD R PETERSON | ||||||||||||||
| TRUSTEE/CORP VICE CHAIRMAN | $0 | $1,296,286 | $0 | $504,543 | $0 | $179,997 | $0 | $1,394,743 | $0 | $23,954 | $0 | $3,399,523 | $0 | $0 |
| RICHARD O DAVIS | ||||||||||||||
| PRESIDENT/CEO/TRUSTEE | $0 | $452,662 | $0 | $189,169 | $0 | $271,261 | $0 | $235,648 | $0 | $20,510 | $0 | $1,169,250 | $0 | $0 |
| STEPHEN C MCDONNELL | ||||||||||||||
| SR VP & CFO | $441,936 | $0 | $399,959 | $0 | $690 | $0 | $21,597 | $0 | $17,458 | $0 | $881,640 | $0 | $0 | $0 |
| JOAN VINCENT | ||||||||||||||
| SR VP, PT. CARE SVCS & CNO | $278,757 | $0 | $48,423 | $0 | $12,370 | $0 | $33,500 | $0 | $16,625 | $0 | $389,675 | $0 | $0 | $0 |
| ALISON ARNOTT | ||||||||||||||
| VP SUPPORT SERVICES | $157,017 | $0 | $30,000 | $0 | $125 | $0 | $12,971 | $0 | $5,782 | $0 | $205,895 | $0 | $0 | $0 |
| QUEENIE PLATER | ||||||||||||||
| VP & CHIEF HR OFFICER | $250,064 | $0 | $42,559 | $0 | $193,469 | $0 | $24,940 | $0 | $8,572 | $0 | $519,604 | $0 | $0 | $0 |
| CHRISTINE STUPPY | ||||||||||||||
| VP BUS. DEVEL. & STRAT. PL | $188,234 | $0 | $35,721 | $0 | $261 | $0 | $8,383 | $0 | $9,171 | $0 | $241,770 | $0 | $0 | $0 |
| JERRY L PRICE | ||||||||||||||
| VP REAL ESTATE & CONSTRUCT | $349,179 | $0 | $70,109 | $0 | $1,980 | $0 | $39,142 | $0 | $8,421 | $0 | $468,831 | $0 | $0 | $0 |
| JEFFREY L LIN | ||||||||||||||
| PHYSICIAN DIR GYN ONCOLOGY | $631,873 | $0 | $137,557 | $0 | $2,088 | $0 | $25,993 | $0 | $10,174 | $0 | $807,685 | $0 | $0 | $0 |
| REBECCA ZUURBIER | ||||||||||||||
| PHYSICIAN DIR. BREAST IMAG | $451,298 | $0 | $69,193 | $0 | $4,536 | $0 | $13,735 | $0 | $12,550 | $0 | $551,312 | $0 | $0 | $0 |
| HASAN ZIA | ||||||||||||||
| PHYSICIAN DIR INTENSIVE/AC | $485,872 | $0 | $40,899 | $0 | $1,160 | $0 | $13,311 | $0 | $16,642 | $0 | $557,884 | $0 | $0 | $0 |
| COLETTE M MAGNANT | ||||||||||||||
| BREAST SURGEON | $561,864 | $0 | $119,720 | $0 | $1,290 | $0 | $22,883 | $0 | $1,602 | $0 | $707,359 | $0 | $0 | $0 |
| THOMAS FLEURY | ||||||||||||||
| CHIEF LAB SERVICES | $442,415 | $0 | $0 | $0 | $1,980 | $0 | $19,998 | $0 | $1,269 | $0 | $465,662 | $0 | $0 | $0 |
| ROBERT L SLOAN | ||||||||||||||
| FORMER PRESIDENT & CEO/TRU | $12,636 | $107,625 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $12,636 | $107,625 | $0 | $0 |
| KENDA TAVAKOLI | ||||||||||||||
| FORMER VP, INFO RESOURCES & CIO | $200,613 | $0 | $15,000 | $0 | $4,024 | $0 | $5,800 | $0 | $9,311 | $0 | $234,748 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 4B | FormAndLineReferenceDesc |
| Explanation | THE FOLLOWING INDIVIDUALS LISTED ON FORM 990, PART VII, SECTION A, LINE 1A PARTICIPATED IN A NONQUALIFIED RETIREMENT PLAN WITH THE RELATED ORGANIZATION JOHNS HOPKINS HEALTH SYSTEM CORPORATION AND RECEIVED ACCRUED DEFERRED COMPENSATION THAT IS REPORTED ON SCHEDULE J, PART II, COLUMN (C): RONALD PETERSON $1,349,219.00 AND RICHARD DAVIS $175,764.08 THE FOLLOWING INDIVIDUAL LISTED ON FORM 990, PART VII, SECTION A, LINE 1A PARTICIPATED IN A NON QUALIFIED RETIREMENT PLAN WITH THE RELATED ORGANIZATION JOHNS HOPKINS HEALTH SYSTEM CORPORATION AND RECEIVED PAYMENT, IT IS REPORTED ON SCHEDULE J, PART II, COLUMN (B)(III) AS WELL AS SCHEDULE J, PART II, COLUMN (F) IF THEY WERE REQUIRED TO BE DISCLOSED ON PRIOR YEAR'S FORMS 990: RICHARD DAVIS $177,680.58 THE FOLLOWING INDIVIDUAL LISTED ON FORM 990, PART VII, SECTION A, LINE 1A PARTICIPATED IN A NON QUALIFIED RETIREMENT PLAN WITH SIBLEY MEMORIAL HOSPITAL AND RECEIVED PAYMENT, IT IS REPORTED ON SCHEDULE J, PART II, COLUMN (B)(III) AS WELL AS SCHEDULE J, PART II, COLUMN (F) IF THEY WERE REQUIRED TO BE DISCLOSED ON PRIOR YEAR'S FORMS 990: STEPHEN MCDONNELL $298,727.40 AND QUEENIE PLATER $192,958.23 | ExplanationTxt |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DISTRICT OF COLUMBIA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 536001131 | BondIssuerEIN |
| CUSIP | 254764HX4 | CUSIPNum |
| Bond Issued | 2009-07-15 | BondIssuedDt |
| Issue Price | $62,798,209 | IssuePriceAmt |
| Purpose | CONSTRUCTION OF MEDICAL BLDG FOR OUTPATIENT SVCS AND OFFICES | PurposeDesc |
| Defeased | 0 | DefeasedInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Pool Financing | 0 | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Retired | $1,010,000 | RetiredAmt |
| Total Proceeds | $62,798,209 | TotalProceedsAmt |
| In Reserve Fund | $4,955,495 | InReserveFundAmt |
| Issuance Costs From Proceeds | $315,000 | IssuanceCostsFromProceedsAmt |
| Capital Expenditures | $57,542,090 | CapitalExpendituresAmt |
| Substantial Completion | 2011 | SubstantialCompletionYr |
| Current Refunding | 0 | CurrentRefundingInd |
| Advance Refunding | 0 | AdvanceRefundingInd |
| Final Allocation Made | 0 | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (1) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | Yes (1) | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | Yes (1) | MgmtContractBondFincdPropInd |
| Engage Bond Counsel Contracts | Yes (1) | EngageBondCounselContractsInd |
| Any Research Agreements | 0 | AnyResearchAgreementsInd |
| Private Bus Use By Others | 0.00310 | PrivateBusUseByOthersPct |
| Total Private Business Use | 0.00310 | TotalPrivateBusinessUsePct |
| Bond Iss Meet Prvt Sec Pymt Test | 0 | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | 0 | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiledInd |
| Rebate Not Due Yet | 0 | RebateNotDueYetInd |
| Exception To Rebate | 0 | ExceptionToRebateInd |
| No Rebate Due | 0 | NoRebateDueInd |
| Variable Rate Issue | 0 | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | 0 | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | 0 | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | 0 | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | Yes (1) | ProceduresCorrectiveActionInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE K, PART III LINES 7-9 | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION ANSWERED 'NO' BECAUSE IT HAS NO NONQUALIFIED BONDS. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 7A | DURING THE TRANSITION PERIOD JOHNS HOPKINS HEALTH SYSTEM CORPORTION, AN IRC 501C(3) TAX EXEMPT PARENT ORGANIZATION OF SIBLEY MEMORIAL HOSPITAL MAY ELECT ONE TRUSTEE. AFTER THE STATED TRANSITION PERIOD, JOHNS HOPKINS HEALTH SYSTEM CORPORATION ELECTS THE BOARD OF TRUSTEES. |
| FORM 990, PART VI, SECTION A, LINE 7B | THE 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 11 | A COPY OF THE FORM 990 WAS PROVIDED TO THE FINANCE COMMITTEE BEFORE IT WAS FILED. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE 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 15 | THE 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 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | OTHER FEES FOR SERVICE: PROGRAM SERVICE EXPENSES 27,085,532. MANAGEMENT AND GENERAL EXPENSES 1,173,482. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 28,259,014. |
| FORM 990, PART XI, LINE 9: | CHANGE IN BENEFICIAL INTEREST IN FOUNDATION 49,568,127. COLONIAL REGIONAL ALLIANCE K-1 -16,293. ROCKVILLE IMAGING K-1 31,170. CHEVY CHASE IMAGING K-1 118,675. CHANGE IN MINIMUM PENSION LIABILITY -3,278,137. NET ASSETS RELEASED 829,821. INTERCOMPANY TRANSFERS -8,041,998. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (22 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| JOHNS HOPKINS HEALTH SYSTEM CORPORATION | |||||||||||
| 3910 KESWICK RD SOUTH BLDG 4TH FL S | BALTIMORE | MD | 21211 | 521465301 | SUPPORTING ORGANIZATION | MD | 501(C)(3) | LINE 11C, III-FI | JOHNS HOPKINS HEALTH SYSTEM CORPORATION | 0 | |
| JOHNS HOPKINS BAYVIEW MEDICAL CENTER INC | |||||||||||
| 3910 KESWICK RD SOUTH BLDG 4TH FL S | BALTIMORE | MD | 21211 | 521341890 | HOSPITAL | MD | 501(C)(3) | LINE 3 | JOHNS HOPKINS HEALTH SYSTEM CORPORATION | 0 | |
| JOHNS HOPKINS COMMUNITY PHYSICIANS INC | |||||||||||
| 3910 KESWICK RD SOUTH BLDG 4TH FL S | BALTIMORE | MD | 21211 | 521467441 | HEALTHCARE SERVICES | MD | 501(C)(3) | LINE 11C, III-FI | JOHNS HOPKINS HEALTH SYSTEM CORPORATION | 0 | |
| JOHNS HOPKINS MEDICAL SERVICES CORPORATION | |||||||||||
| 3910 KESWICK RD SOUTH BLDG 4TH FL S | BALTIMORE | MD | 21211 | 521232569 | HEALTHCARE SERVICES | MD | 501(C)(3) | LINE 3 | JOHNS HOPKINS HEALTH SYSTEM CORPORATION | 0 | |
| THE JOHNS HOPKINS HOSPITAL | |||||||||||
| 3910 KESWICK RD SOUTH BLDG 4TH FL S | BALTIMORE | MD | 21211 | 520591656 | HOSPITAL | MD | 501(C)(3) | LINE 3 | JOHNS HOPKINS HEALTH SYSTEM CORPORATION | 0 | |
| SUBURBAN HOSPITAL HEALTHCARE SYSTEM INC | |||||||||||
| 8600 OLD GEORGETOWN ROAD | BETHESDA | MD | 20814 | 522052354 | HEALTHCARE SERVICES | MD | 501(C)(3) | LINE 11C, III-FI | JOHNS HOPKINS HEALTH SYSTEM CORPORATION | 0 | |
| HOWARD COUNTY LIQUIDATION CORPORATION | |||||||||||
| 3910 KESWICK RD SOUTH BLDG 4TH FL S | BALTIMORE | MD | 21211 | 520892284 | INACTIVE TAX-EXEMPT ORGANIZATION | MD | 501(C)(3) | LINE 3 | JOHNS HOPKINS HEALTH SYSTEM CORPORATION | 0 | |
| SUBURBAN HOSPITAL INC | |||||||||||
| 8600 OLD GEORGETOWN ROAD | BETHESDA | MD | 20814 | 520610545 | HOSPITAL | MD | 501(C)(3) | LINE 3 | JOHNS HOPKINS HEALTH SYSTEM CORPORATION | 0 | |
| HOWARD COUNTY GENERAL HOSPITAL INC | |||||||||||
| 3910 KESWICK RD SOUTH BLDG 4TH FL S | BALTIMORE | MD | 21211 | 522093120 | HOSPITAL | MD | 501(C)(3) | LINE 3 | JOHNS HOPKINS HEALTH SYSTEM CORPORATION | 0 | |
| THE STACY MARK REED FOUNDATION | |||||||||||
| 5255 LOUGHBORO ROAD NW | WASHINGTON | DC | 20016 | 273818765 | FINANCIAL SUPPORT | DC | 501(C)(3) | LINE 11A, I | LUCY WEBB HAYES NATIONAL TRAINING SCHOOL FOR DEACONESSES & MISSIONARIES | Yes (1) | |
| SIBLEY MEMORIAL HOSPITAL FOUNDATION | |||||||||||
| 5255 LOUGHBORO ROAD NW | WASHINGTON | DC | 20016 | 450562642 | FINANCIAL SUPPORT | DC | 501(C)(3) | LINE 7 | LUCY WEBB HAYES NATIONAL TRAINING SCHOOL FOR DEACONESSES & MISSIONARIES | Yes (1) | |
| THE JANE BANCROFT ROBINSON FOUNDATION | |||||||||||
| 5255 LOUGHBORO ROAD NW | WASHINGTON | DC | 20016 | 273818431 | FINANCIAL SUPPORT | DC | 501(C)(3) | LINE 11C, III-FI | LUCY WEBB HAYES NATIONAL TRAINING SCHOOL FOR DEACONESSES & MISSIONARIES | Yes (1) | |
| POTOMAC HOME SUPPORT INC | |||||||||||
| 6001 MONTROSE ROAD NO 1020 | ROCKVILLE | MD | 20852 | 521750383 | HOME HEALTH CARE | MD | 501(C)(3) | LINE 9 | 0 | N/A | |
| SIBLEY SUBURBAN HOME HEALTH AGENCY | |||||||||||
| 6001 MONTROSE ROAD NO 307 | ROCKVILLE | MD | 20852 | 521450142 | HOME HEALTH CARE | MD | 501(C)(3) | LINE 9 | 0 | N/A | |
| PEDIATRIC PHYSICIAN SERVICES INC | |||||||||||
| 501 SIXTH AVENUE SOUTH | ST PETERSBURG | FL | 33701 | 593425191 | PEDIATRIC MEDICAL SERVICES | FL | 501(C)(3) | LINE 9 | ALL CHILDREN'S HEALTH SYSTEM INC | 0 | |
| ALL CHILDREN'S HOSPITAL FOUNDATION INC | |||||||||||
| 501 SIXTH AVENUE SOUTH | ST PETERSBURG | FL | 33701 | 592481738 | FOUNDATION | FL | 501(C)(3) | LINE 7 | ALL CHILDREN'S HEALTH SYSTEM INC | 0 | |
| ALL CHILDREN'S HOSPITAL INC | |||||||||||
| 501 SIXTH AVENUE SOUTH | ST PETERSBURG | FL | 33701 | 590683252 | HOSPITAL | FL | 501(C)(3) | LINE 3 | JOHNS HOPKINS HEALTH SYSTEM CORPORATION | 0 | |
| ALL CHILDREN'S RESEARCH INSTITUTE INC | |||||||||||
| 501 SIXTH AVENUE SOUTH | ST PETERSBURG | FL | 33701 | 592481742 | RESEARCH | FL | 501(C)(3) | LINE 4 | ALL CHILDREN'S HEALTH SYSTEM INC | 0 | |
| SURGIKID OF FLORIDA INC | |||||||||||
| 501 SIXTH AVENUE SOUTH | ST PETERSBURG | FL | 33701 | 593441883 | MEDICAL SERVICES | FL | 501(C)(3) | LINE 9 | ALL CHILDREN'S HEALTH SYSTEM INC | 0 | |
| KIDS HOME CARE INC | |||||||||||
| 501 SIXTH AVENUE SOUTH | ST PETERSBURG | FL | 33701 | 593476049 | HOME HEALTH CARE | FL | 501(C)(3) | LINE 9 | ALL CHILDREN'S HEALTH SYSTEM INC | 0 | |
| WEST COAST NEONATOLOGY INC | |||||||||||
| 501 SIXTH AVENUE SOUTH | ST PETERSBURG | FL | 33701 | 593398308 | HEALTHCARE SERVICES | FL | 501(C)(3) | LINE 11C, III-FI | ALL CHILDREN'S HEALTH SYSTEM INC | 0 | |
| ALL CHILDREN'S HEALTH SYSTEM INC | |||||||||||
| 501 SIXTH AVENUE SOUTH | ST PETERSBURG | FL | 33701 | 592481740 | MANAGEMENT SERVICES | FL | 501(C)(3) | LINE 11C, III-FI | JOHNS HOPKINS HEALTH SYSTEM CORPORATION | 0 | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (5 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|
| OPHTHALMOLOGY ASSOCIATES LLC | |||||||
| 3910 KESWICK RD SOUTH BLDG 4TH FL S | BALTIMORE | MD | 21211 | 521890957 | OPHTHALMOLOGY SERVICES | MD | N/A |
| SUBURBAN WELLNESS CENTER LLC | |||||||
| 20500 GOLDENROD LANE | GERMANTOWN | MD | 20874 | 562296930 | REAL ESTATE | MD | N/A |
| GCM SURBURBAN IMAGING LLC | |||||||
| 1201 SEVEN LOCKS ROAD STE 200 | ROCKVILLE | MD | 20854 | 522326237 | OUTPATIENT RADIOLOGY | MD | N/A |
| ROCKVILLE IMAGING LLC | |||||||
| 1201 SEVEN LOCKS ROAD STE 200 | ROCKVILLE | MD | 20854 | 141944128 | OUTPATIENT RADIOLOGY | MD | N/A |
| CHEVY CHASE IMAGING LLC | |||||||
| 1201 SEVEN LOCKS ROAD STE 200 | ROCKVILLE | MD | 20854 | 141944126 | RADIOLOGY SERVICES | MD | N/A |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (8 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| HCP VENTURE ONE CORPORATION | |||||||||
| 3910 KESWICK RD SOUTH BLDG 4TH FL S | BALTIMORE | MD | 21211 | 521558858 | MEDICAL SERVICES | MD | N/A | C | 0 |
| HSI MEDICAL SERVICES CORPORATION | |||||||||
| 3910 KESWICK RD SOUTH BLDG 4TH FL S | BALTIMORE | MD | 21211 | 521847705 | HEALTHCARE-SLEEP DIAGNOSTICS | MD | N/A | C | 0 |
| HOWARD COUNTY HEALTH SERVICES INC | |||||||||
| 3910 KESWICK RD SOUTH BLDG 4TH FL S | BALTIMORE | MD | 21211 | 521434783 | HEALTHCARE MANAGEMENT | MD | N/A | C | 0 |
| JOHNS HOPKINS MEDICAL MANAGEMENT CORPORATION | |||||||||
| 3910 KESWICK RD SOUTH BLDG 4TH FL S | BALTIMORE | MD | 21211 | 521250028 | NURSING SERVICES | MD | N/A | C | 0 |
| JOHNS HOPKINS EMPLOYER HEALTH PROGRAM | |||||||||
| 3910 KESWICK RD SOUTH BLDG 4TH FL S | BALTIMORE | MD | 21211 | 521947678 | BENEFIT PLANS | MD | N/A | C | 0 |
| TCAS INC | |||||||||
| 3910 KESWICK RD SOUTH BLDG 4TH FL S | BALTIMORE | MD | 21211 | 521979344 | NURSING SERVICES | MD | N/A | C | 0 |
| SUBURBAN HEALTH ENTERPRISES INC | |||||||||
| 8600 OLD GEORGETOWN ROAD | BETHESDA | MD | 20814 | 522052352 | MEDICAL OFFICE LEASING AND RELEASING | MD | N/A | C | 0 |
| SLEEP SERVICES OF AMERICA INC | |||||||||
| 3910 KESWICK RD SOUTH BLDG 4TH FL S | BALTIMORE | MD | 21211 | 232833187 | SLEEP SERVICES | PA | N/A | C | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (7 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| THE JANE BANCROFT ROBINSON FOUNDATION | ||
| B | $8,581,163 | FMV |
| THE JANE BANCROFT ROBINSON FOUNDATION | ||
| C | $100,000 | FMV |
| THE JANE BANCROFT ROBINSON FOUNDATION | ||
| O | $32,541 | FMV |
| THE STACY MARK REED FOUNDATION | ||
| C | $17,605,755 | FMV |
| SIBLEY MEMORIAL HOSPITAL FOUNDATION | ||
| M | $4,865,389 | FMV |
| SIBLEY MEMORIAL HOSPITAL FOUNDATION | ||
| R | $25,469 | FMV |
| SIBLEY MEMORIAL HOSPITAL FOUNDATION | ||
| S | $1,667,297 | FMV |
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