2015-05-13T15:31:39-05:00 2014-06-30 990 2013-07-01 522019696 SUBURBAN HOSPITAL FOUNDATION INC SUBU 3018963971 8600 OLD GEORGETOWN ROAD BETHESDA MD 208141497 MARTIN BASSO SR VP FIN & TREASURER 3018963971 2015-05-13 2013 2016-02-25 16:41:14Z MARTIN BASSO 8600 OLD GEORGETOWN ROAD BETHESDA MD 208141497 32100661 0 X WWW.SUBURBANHOSPITAL/CHARITABLEGIVING.ORG X 1995 MD SUPPORTING ORGANIZATION FOR SUBURBAN HOSPITAL, INC. 30 29 6 0 0 0 5417040 2959201 0 0 1192465 985387 7046 -41709 6616551 3902879 1214474 1442295 0 0 602832 536764 0 0 1031443 642033 968586 2459339 2947645 4157212 955234 37817173 42075506 574681 521069 37242492 41554437 X THE SUBURBAN HOSPITAL FOUNDATION RAISES AND DISTRIBUTES PHILANTHROPIC GIFTS IN SUPPORT OF THE PROGRAMS AND PRIORITIES OF THE MEMBER (SUBURBAN HOSPITAL, INC. 52-0610545). THE CORPORATION SHALL HAVE SUCH OTHER OBJECTIVES AS ARE APPROVED BY THE BOARD OF TRUSTEES AND THE MEMBER. 0 0 192141 192141 SUBURBAN HOSPITAL FOUNDATION PROVIDES ADDITIONAL SUPPORT FOR THE TRAINING AND ADVANCMENT OF SUBURBAN HOSPITAL NURSES. THE ADDITIONAL SUPPORT INCLUDES ADVANCING THEIR PROFESSIONAL PRACTICE OF THE ART AND SCIENCE OF NURSING INCLUDING NURSING GOVERNANCE, QUALITY, PREPARATION AND ENGAGEMENT. THIS WOULD INCLUDE SALARY SUPPORT FOR AT LEAST TWO POSITIONS THAT WILL BE REQUIRED FOR CHAMPION NURSING EXCELLENCE THROUGHOUT THE HOSPITAL AND COORDINATES THE ACTIVITIES THAT WILL LEAD TO A MAGNET APPLICATION. THIS SERVICE ALSO PROVIDES ADVANCED TRAINING OPPORTUNITIES TO SUBURBAN HOSPITAL NURSES WHO WILL AGREE TO SEEK NATIONAL CERTIFICATIONS IN THEIR SPECIALTIES. 167990 167990 THROUGH SUBURBAN HOSPITAL'S SHOWCASE EVENT, FUNDS WERE RAISED THAT DIRECTLY BENEFIT SUBURBAN HOSPITAL'S LEADING EDGE NEUROSCIENCE PROGRAM. THIS PROGRAM ANNUALLY SERVICES MORE THAN 2,500 PATIENTS FROM THE GREATER WASHINGTON, DC REGION AND BEYOND. THE PROGRAM INCLUDES COMPREHENSIVE TREATMENT OF BRAIN AND NERVOUS SYSTEM DISORDERS, INCLUDING STROKE, ANEURYSMS, BRAIN TRAUMA AND MORE. 156024 156024 SUBURBAN HOSPITAL FOUNDATION PROVIDES SUPPORT FOR SUBURBAN HOSPITAL'S CARDIOVASCULAR SURGERY RESEARCH PROGRAM. THIS SUPPORT INCLUDES COVERAGE OF SUPPLIES, MEDICAL AND SUPPORT PERSONNEL AND EDUCATIONAL PROGRAMS. 926140 926140 926140 926140 1442295 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 1 0 0 1 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 0 0 6 1 0 0 0 0 0 0 0 0 X 30 29 0 0 0 0 0 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 MD X JUNE FALB VICE PRESIDENT DEVELOPMENT 3018963100 8600 OLD GEORGETOWN ROAD BETHESDA MD 20814 MARK FUTROVKSY TRUSTEE 4.00 X 0 0 0 GARY ROGGIN MD TRUSTEE 4.00 X 0 0 0 JUDITH WALKER TRUSTEE 4.00 X 0 0 0 JOHN J JACK MCDONNELL TRUSTEE 4.00 X 0 0 0 JUAN LITVAK MD TRUSTEE 4.00 X 0 0 0 AMANDA POLK TRUSTEE 4.00 X 0 0 0 CHARLES POSTAL TRUSTEE, CHAIRMAN 4.00 X X 0 0 0 DAVID A RUBEN TRUSTEE, CHAIRMAN 4.00 X X 0 0 0 PHYLLIS DONOGHUE TRUSTEE, EX OFFICIO 4.00 4.00 X 0 0 0 DAVE CARRERA TRUSTEE 4.00 X 0 0 0 MICHAEL HIBLER TRUSTEE, EX OFFICIO 4.00 X 0 0 0 STEVEN RUM TRUSTEE/ EX OFFICIO 4.00 X 0 0 0 LINDA V COURIE TRUSTEE 4.00 X 0 0 0 KATHERINE L ALLEY MD TRUSTEE 4.00 X 0 0 0 DIANE L COLGAN MD TRUSTEE 4.00 2.50 X 0 0 0 SCOTT A FRANKEL TRUSTEE 4.00 X 0 0 0 RONNIE LAPINSKY SAX TRUSTEE 4.00 X 0 0 0 BRIAN CONNOLLY TRUSTEE 4.00 X 0 0 0 LAWRENCE P FISHER II TRUSTEE 4.00 X 0 0 0 ELIZABETH O FLANAGAN TRUSTEE 4.00 X 0 0 0 GEOFFREY J GONELLA TRUSTEE 4.00 X 0 0 0 JONATHAN GRABEL TRUSTEE 4.00 X 0 0 0 GENE E GREEN MD TRUSTEE/ EX OFFICIO 4.00 56.00 X 0 485472 106217 JAY KHANNA MD TRUSTEE 4.00 X 0 0 0 CATHY O'DONNELL TRUSTEE 4.00 X 0 0 0 LORRAINE ROGSTAD TRUSTEE 4.00 X 0 0 0 DAVID C SILVER TRUSTEE/ EX OFFICIO 4.00 X 0 0 0 DANNY WESTERBAND MD TRUSTEE 4.00 X 0 0 0 ANDY WIMSATT TRUSTEE 4.00 X 0 0 0 JULIE FUTROVSKY TRUSTEE 4.00 X 0 0 0 MARTY BASSO TREASURER 4.00 56.00 X 0 811453 51060 JUNE FALB VICE PRESIDENT 60.00 X 182867 0 25523 JACKY SCHULTZ EXECUTIVE VICE PRESIDENT 10.00 50.00 X 0 781592 123765 CYNTHIA MERZ DIRECTOR DEVELOPMENT PROGRAMS 50.00 X 102598 0 33812 LESLIE WEBER FORMER OFFICER 0.00 50.00 X 0 176966 8913 285465 2255483 349290 2 1 1 0 0 277000 2682201 30020 2959201 456315 456315 28556000 28026928 529072 529072 529072 129145 277000 170854 -41709 -41709 3902879 529072 0 414606 1313795 1313795 128500 128500 182299 9115 173184 208389 10419 197970 146076 7304 138772 372 372 90840 90840 15453 773 14680 36541 1827 34714 7856 7856 2083 2083 72251 3613 68638 785 39 746 PURCHASED SERVICES 373436 145640 227796 OTHER 368969 295177 73792 2947645 1442295 473907 1031443 4428359 4510737 930004 905135 37947 34542 4191 3405 32454619 36656229 37817173 42075506 58477 130988 516204 390081 574681 521069 X 9880037 12091596 16503503 18543715 10858952 10919126 37242492 41554437 37817173 42075506 X 955234 3356711 X 0 1 X 1 0 X X X 0 0 0 SUBURBAN HOSPITAL INC 520610545 3 1 1 1 1208000 1 1208000 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 12942 9537 3405 25005 25005 0 3405 DUE TO AFFILIATES 9634 ANNUITIES PAYABLE 380447 390081 X 3374000 0 3374000 528879 528879 3902879 2875000 0 2875000 72645 72645 2947645 PART X, LINE 2: FASB'S GUIDANCE ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES CLARIFIES THE ACCOUNTING FOR UNCERTAINTY OF INCOME TAX POSITIONS. THIS GUIDANCE DEFINES THE THRESHOLD FOR RECOGNIZING TAX RETURN POSITIONS IN THE FINANCIAL STATEMENTS AS "MORE LIKELY THAN NOT" THAT THE POSITION IS SUSTAINABLE, BASED ON ITS TECHNICAL MERITS. THIS GUIDANCE ALSO PROVIDES GUIDANCE ON THE MEASUREMENT, CLASSIFICATION AND DISCLOSURE OF TAX RETURN POSITIONS IN THE FINANCIAL STATEMENTS. THE FOUNDATION HAS ADOPTED THIS GUIDANCE, AND THERE WAS NO IMPACT ON ITS FINANCIAL STATEMENTS DURING THE YEARS ENDED JUNE 30, 2014 AND 2013. PART XI, LINE 4B - OTHER ADJUSTMENTS: GAIN ON REALIZED SECURITIES 529,072. ROUNDING -193. PART XII, LINE 4B - OTHER ADJUSTMENTS: INTEREST 72,250. ROUNDING 395. KEY TO THE CURE 400290 277000 123290 170854 SHOWCASE 5855 0 5855 0 1 406145 277000 129145 170854 170854 -41709 1 SUBURBAN HOSPITAL INC 8600 OLD GEORGETOWN ROAD BETHESDA MD 208141497 520610545 501(C)(3) 1208000 SUPPORT FOR THE HOSPITAL SCHOLARSHIPS 19 128500 PART I, LINE 2: THE BOARD OF TRUSTEES HAS DELEGATED THE FACILITATION AND ACCOUNTING FOR ALL GRANT PROGRAMS ADMINISTERED BY SUBURBAN HOSPITAL FOUNDATION, INC. TO THE OFFICERS, DIRECTORS, AND KEY EMPLOYEES OF THE ORGANIZATION. X X X X X 0 1 0 0 0 0 0 1 0 GENE E GREEN MD TRUSTEE/ EX OFFICIO 0 377115 0 68765 0 39592 0 84817 0 21400 0 591689 0 0 MARTY BASSO TREASURER 0 298540 0 436288 0 76625 0 29114 0 21946 0 862513 0 0 JUNE FALB VICE PRESIDENT 150962 0 27675 0 4230 0 22108 0 3415 0 208390 0 0 0 JACKY SCHULTZ EXECUTIVE VICE PRESIDENT 0 309603 0 90416 0 381573 0 113867 0 9898 0 905357 0 0 LESLIE WEBER FORMER OFFICER 0 166726 0 0 0 10240 0 7102 0 1811 0 185879 0 0 PART I, LINE 4B THE SERP PLANS IS A NON-TAX QUALIFIED DEFINED CONTRIBUTION PLANS. THE PLAN PROVIDES A FIXED PERCENTAGE OF SALARY AS SUPPLEMENTAL RETIREMENT BENEFIT FOR EACH PARTICIPANT. IN THE MANNER REQUIRED BY APPLICABLE IRS RULES, THE DESIGN OF EACH OF THESE ARRANGEMENTS WAS APPROVED AS REASONABLE, IN ADVANCE, BY AN INDEPENDENT COMPENSATION COMMITTEE, WHICH BASED ITS DECISION ON DATA PROVIDED BY AN INDEPENDENT COMPENSATION CONSULTANT. PARTICIPANTS INTERESTS UNDER THESE ARRANGEMENTS ARE NOT GUARANTEED OR SECURED AT ANY WAY AND AT ALL TIMES ARE SUBJECT TO CLAIMS OF EMPLOYER'S BANKRUPTCY/INSOLVENCY CREDITORS. IF A PARTICIPANT VOLUNTARILY TERMINATES EMPLOYMENT AND FAILS TO SATISFY CERTAIN NON-COMPETE PROVISIONS, THE PARTICIPANT'S ACCOUNT IS FORFEITED. IN ADDITION, UNDER CURRENT LAW, INTERESTS UNDER THESE ARRANGEMENTS ARE REPORTABLE AS TAXABLE COMPENSATION WHEN THEY BECOME VESTED, EVEN IF THOSE AMOUNTS ARE NOT YET PAYABLE TO THE PARTICIPANT (AND EVEN IF THOSE AMOUNTS ARE NEVER PAID TO THE PARTICIPANT). NO ROLLOVER OR OTHER TAX-DEFERRAL OPTIONS ARE AVAILABLE TO PARTICIPANTS. NOTE THAT ANY SERP PLAN VESTED AMOUNT OR PAYMENT BEING REPORTED AS COMPENSATION WAS ALSO REPORTED IN PREVIOUS YEAR(S) WHEN THAT INTEREST ACCRUED UNDER THE PLAN. THE FOLLOWING INDIVIDUALS LISTED ON FORM 990, PART VII, SECTION A, LINE 1A PARTICIPATED IN A NONQUALIFIED RETIREMENT PLAN WITH THE RELATED ORGANIZATION SUBURBAN HOSPITAL, INC. AND RECEIVED ACCRUED DEFERRED COMPENSATION THAT IS REPORTED ON SCHEDULE J, PART II, COLUMN (C): JACQUILINE SCHULTZ $72,573.00; GENE GREEN, M.D. $43,846.00; AND JUNE FALB $8,672.00. THE FOLLOWING INDIVIDUALS LISTED ON FORM 990, PART VII, SECTION A, LINE 1A PARTICIPATED IN A NON QUALIFIED RETIREMENT PLAN WITH THE RELATED ORGANIZATION SUBURBAN HOSPITAL, INC AND RECEIVED PAYMENT FROM THE PLAN, 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: MARTY BASSO $372,636.37; AND JACQUELINE SCHULTZ $295,351.14 PART I, LINE 7 THE EXECUTIVES AND DIRECTORS THAT ARE PAID BY THE RELATED ORGANIZATION SUBURBAN HOSPITAL, INC. PARTICIPATE IN AN ANNUAL INCENTIVE PLAN. THE ANNUAL INCENTIVE PLAN HAS THREE POTENTIAL PAYOUT LEVELS - THRESHOLD, TARGET AND MAXIMUM. EACH YEAR SPECIFIC TARGETS ARE ESTABLISHED IN THE AREAS OF QUALITY PATIENT SATISFACTION, FINANCE, HUMAN RESOURCES AND INDIVIDUAL PERFORMANCE. THE INCENTIVE AMOUNT DEPENDS ON THE LEVEL ACCOMPLISHED DURING THE YEAR. THE EMPLOYEES OF SUBURBAN FOUNDATION PARTICIPATE IN AN ANNUAL INCENTIVE PROGRAM THAT IS BASED ON BUSINESS ACTIVITY AND INDIVIDUAL PERFORMANCE. THE ANNUAL INCENTIVE PLAN HAS THREE POTENTIAL PAYOUT LEVELS - THRESHOLD, TARGET AND MAXIMUM. FORM 990, SCHEDULE J, PART I, LINE 7 THE FLEXIBLE BENEFIT ALLOWANCE PLAN IS A NON-TAX QUALIFIED FLEXIBLE BENEFIT PLAN. THE PLAN IS DESIGNED TO PROVIDE A FIXED PERCENTAGE OF SALARY FOR SUPPLEMENTAL HEALTH WELFARE BENEFITS FOR EACH PARTICIPANT. IN THE MANNER REQUIRED BY APPLICABLE IRS RULES, THE DESIGN OF EACH OF THESE ARRANGEMENTS WAS APPROVED AS REASONABLE, IN ADVANCE, BY AN INDEPENDENT COMPENSATION COMMITTEE, WHICH BASED ITS DECISION ON DATA PROVIDED BY AN INDEPENDENT COMPENSATION CONSULTANT. PARTICIPANTS' INTERESTS UNDER THESE ARRANGEMENTS ARE NOT GUARANTEED OR SECURED AT ANY WAY AND AT ALL TIMES ARE SUBJECT TO CLAIMS OF EMPLOYER'S BANKRUPTCY/INSOLVENCY CREDITORS. IF A PARTICIPANT VOLUNTARILY TERMINATES EMPLOYMENT AND FAILS TO SATISFY CERTAIN NON-COMPETE PROVISIONS, THE PARTICIPANT'S ACCOUNT IS FORFEITED. IN ADDITION, UNDER CURRENT LAW, INTERESTS UNDER THESE ARRANGEMENTS ARE REPORTABLE AS TAXABLE COMPENSATION WHEN THEY BECOME VESTED, EVEN IF THOSE AMOUNTS ARE NOT YET PAYABLE TO THE PARTICIPANT (AND EVEN IF THOSE AMOUNTS ARE NEVER PAID TO THE PARTICIPANT). NO ROLLOVER OR OTHER TAX-DEFERRAL OPTIONS ARE AVAILABLE TO PARTICIPANTS. NOTE THAT ANY FLEXIBLE BENEFIT ALLOWANCE PLAN VESTED AMOUNT OR PAYMENT BEING REPORTED AS COMPENSATION WAS ALSO REPORTED IN PREVIOUS YEAR(S) WHEN THAT INTEREST ACCRUED UNDER THE PLAN. X 3 30020 FMV 0 0 0 FORM 990, PART VI, SECTION A, LINE 7A SUBURBAN HOSPITAL, INC., THE IRC 501C (3) TAX EXEMPT SUPPORTED ORGANIZATION OF SUBURBAN HOSPITAL FOUNDATION, INC. ELECTS THE MAJORITY OF THE BOARD OF TRUSTEES AT THE ANNUAL MEETING. FORM 990, PART VI, SECTION A, LINE 7B THE GOVERNING BODY OF SUBURBAN HOSPITAL, INC. IS EMPOWERED BY ITS BY-LAWS TO MAKE CERTAIN DECISIONS; ALL OTHER DECISIONS ARE SUBJECT TO APPROVAL OF THE PARENT ORGANIZATION JOHNS HOPKINS HEALTH SYSTEM CORPORATION. FORM 990, PART VI, SECTION B, LINE 11 A COPY OF THE FORM 990 WAS PROVIDED TO THE EXECUTIVE COMMITTEE BEFORE IT WAS FILED. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY IS A PART OF THE ANNUAL FINANCIAL AUDIT CONFIRMATION PROCESS PROVIDED ONLINE. ALL OFFICERS, DIRECTORS, TRUSTEES, AND KEY EMPLOYEES ARE REQUIRED TO COMPLY ON AN ANNUAL BASIS. FORM 990, PART VI, SECTION B, LINE 15 EVERY THREE YEARS AN INDEPENDENT STUDY IS CONDUCTED GATHERING INDUSTRY COMPENSATION AVERAGES FROM SELECT PEER INSTITUTIONS. EVERY YEAR THE JOHNS HOPKINS BOARD OF TRUSTEES COMPENSATION COMMITTEE REVIEWS COMPENSATION AMOUNTS FOR OFFICERS AND ALL EMPLOYEES AT THE DIRECTOR AND HIGHER LEVELS. FORM 990, PART VI, SECTION C, LINE 19 INTERNAL POLICIES, INCLUDING CONFLICT OF INTERST POLICY, ARE PROVIDED TO THE PUBLIC ON THE ORGANIZATION'S WEBSITE. FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST, THE GOVERNING DOCUMENTS HAVE BEEN MADE AVAILABLE IN OUR PUBLIC FILING WITH THE STATE OF MARYLAND AND THE INTERNAL REVENUE SERVICE. FORM 990, PART XI, LINE 9: UNREALIZED GAIN ON INVESTMENT 2,963,797. CONTRIBUTIONS TO/FROM AFFILIATES 392,914. FORM 990, PART V, LINES 2A & 2B: THE 6 EMPLOYEES REPORTED ON LINE 2A ARE PAID AND REPORTED ON FORM W-3 BY THE SUPPORTED ORGANIZATION SUBURBAN HOSPITAL, INC. (52-0610545). ALL REQUIRED FEDERAL AND STATE EMPLOYMENT TAX RETURNS ARE FILED BY SUBURBAN HOSPITAL, INC. SUBURBAN HOSPITAL INC 8600 OLD GEORGETOWN ROAD BETHESDA MD 208141497 520610545 HOSPITAL MD 501 (C)(3) 3 JOHNS HOPKINS HEALTH SYSTEM CORPORATION 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0