2014-05-13T09:40:54-05:00 2013-06-30 990 2012-07-01 522019696 SUBURBAN HOSPITAL FOUNDATION INC SUBU 3018963971 8600 OLD GEORGETOWN ROAD BETHESDA MD 208141497 MARTIN BASSO 3018963971 2014-05-13 2012 2015-11-30 17:44:51Z MARTIN BASSO 8600 OLD GEORGETOWN ROAD BETHESDA MD 208141497 24784011 0 X WWW.SUBURBANHOSPITAL/CHARITABLEGIVING.ORG X 1995 MD SUPPORTING ORGANIZATION FOR SUBURBAN HOSPITAL, INC. 23 22 7 78 0 0 1640414 5417040 0 0 801332 1192465 3862 7046 2445608 6616551 1465842 1214474 0 0 702057 602832 0 0 890190 356666 642033 2524565 2459339 -78957 4157212 32184855 37817173 69907 574681 32114948 37242492 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 202237 202237 SUBURBAN HOSPITAL NURSES ARE IN THE PROCESS OF UTILIZING THE FRAMEWORK OF THE MAGNET RECOGNITION TO PROVIDE OUTSTANDING CARE SUPPORTED BY CLINICAL EXPERTISE AND RESEARCH. THEY WILL DELIVER ADAPTIVE, TECHNOLOGICALLY ADVANCED CARE WHILE MAINTAINING A PERSONALIZED AND COMFORTING TOUCH. THE ORGANIZATION'S SENIOR LEADERSHIP TEAM CREATES THE VISION FOR THE FUTURE, AND THE SYSTEMS AND ENVIRONMENT NECESSARY TO ACHIEVE THAT VISION. THESE FUNDS SUPPORT EDUCATIONAL SESSIONS FOR STAFF/LEADERSHIP, HARDWARE/SOFTWARE NEEDS (COMPUTER WORKSTATIONS), FUNDING FOR NATIONAL DATABASE OF NURSING QUALITY INDICATORS AND FUNDING FOR MATERIALS TO SUPPORT LEADERSHIP PEER EVALUATION. 111957 111957 INTEGRATIVE MEDICINE INCORPORATES THERAPIES FROM OUTSIDE THE MEDICAL WORLD, WHICH HAVE PROVIDED FAVORABLE OUTCOMES FROM THESE ALTERNATIVE MEDICINE INTERVENTIONS. SUBURBAN HOSPITAL HAS AUGMENTED THE CANCER CARE PROGRAM BY PROVIDING FITNESS CLASS, YOGA, MESSAGE THERAPY AND MINDFULNESS BASED STRESS REDUCTION CLASSES. SUBURBAN HAS ALSO PROVIDED DIABETES EDUCATION FOR COMMUNITY MEMBERS NEEDING THIS RESOURCE. 96057 96057 SUBURBAN HOSPITAL'S CENTER FOR COLORECTAL CARE FOCUSES ON IMPROVING THE LIVES OF OUR PATIENTS WITH COLON AND RECTAL DISORDERS AND IS CENTERED ON ONE MISSION - TO PROVIDE HIGH QUALITY CARE. OUR PATIENT NAVIGATOR WORKS WITH PATIENTS TO MANAGE PAYMENTS, PRESCRIPTIONS AND TO PROVIDE SUPPORTIVE CANCER CARE. 804223 804223 804223 804223 1214474 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 0 0 0 0 0 1 0 0 0 1 0 0 7 1 0 0 0 0 1 1 0 0 0 X 23 22 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 4.00 X X 0 0 0 STEPHEN CEASTHAM 4.00 X 0 0 0 LARA EISENBERG MD 4.00 2.50 X 0 0 0 GARY ROGGIN MD 4.00 X 0 0 0 JUDITH WALKER 4.00 X 0 0 0 CHRISTOPHER J DOHERTY 4.00 2.50 X 0 0 0 CALVIN LAROCHE 4.00 X 0 0 0 JOHN J JACK MCDONNELL 4.00 X 0 0 0 JUAN LITVAK MD 4.00 X 0 0 0 AMANDA POLK 4.00 X 0 0 0 CHARLES POSTAL 4.00 X X 0 0 0 DAVID A RUBEN 4.00 X X 0 0 0 SABRINA WEGER 4.00 X 0 0 0 BRIAN A GRAGNOLATI 10.00 50.00 X X 0 3326151 40805 PHYLLIS DONOGHUE 4.00 4.00 X 0 0 0 DAVE CARRERA 4.00 X 0 0 0 MICHAEL HIBLER 4.00 X 0 0 0 STEVEN RUM 4.00 X 0 0 0 LINDA V COURIE 4.00 X 0 0 0 KATHERINE L ALLEY MD 4.00 X 0 0 0 DIANE L COLGAN MD 4.00 2.50 X 0 0 0 SCOTT A FRANKEL 4.00 X 0 0 0 RONNIE LAPINSKY SAX 4.00 X 0 0 0 MARTY BASSO 4.00 56.00 X 0 587521 106542 JUNE FALB 60.00 X 137877 0 13571 JACKY SCHULTZ 10.00 50.00 X 0 513985 92271 REBECCA BULL 50.00 X 109104 0 34525 LESLIE WEBER 0.00 50.00 X 0 259275 26251 246981 4686932 313965 2 1 1 0 0 94175 11102 5311763 19699 5417040 499711 499711 18786000 18093246 692754 692754 692754 81260 94175 74214 7046 7046 6616551 692754 0 506757 1214474 1214474 418184 20909 397275 184648 9232 175416 13416 13416 897 897 97370 97370 34246 1712 32534 3165 3165 5179 5179 10318 516 9802 785 39 746 OTHER 299890 239912 59978 PURCHASED SERVICES 176767 68939 107828 2459339 1214474 354675 890190 8379 0 1314933 4428359 835620 930004 37947 33756 4976 4191 30020947 32454619 32184855 37817173 69907 58477 0 516204 69907 574681 X 9921786 9880037 11357149 16503503 10836013 10858952 32114948 37242492 32184855 37817173 X 4157212 970332 X 0 1 X 1 0 X X X 0 0 0 SUBURBAN HOSPITAL INC 520610545 3 1 1 1 1107000 1 1107000 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 12942 8751 4191 25005 25005 0 4191 DUE TO AFFILIATES 19398 ANNUITIES PAYABLE 496806 516204 X 5924000 0 5924000 692551 692551 6616551 2449000 0 2449000 10339 10339 2459339 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: 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, 2013 AND 2012. PART XI, LINE 4B - OTHER ADJUSTMENTS: GAIN ON REALIZED SECURITIES 692,754. ROUNDING -203. PART XII, LINE 4B - OTHER ADJUSTMENTS: INTEREST 10,318. ROUNDING 21. KEY TO THE CURE 164535 94175 70360 59566 PEDIATRICS FESTIVAL 650 0 650 3000 1 10250 10250 11648 175435 94175 81260 74214 74214 7046 1 SUBURBAN HOSPITAL INC 8600 OLD GEORGETOWN ROAD BETHESDA MD 208141497 520610545 501(C)(3) 1107000 SUPPORT FOR THE HOSPITAL JEWISH CHAPLINARY SERVICES 6123 MONTROSE ROAD ROCKVILLE MD 20852 530196598 501(C)(3) 8000 COMMUNITY BENEFIT 2 0 SCHOLARSHIPS 12 83800 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, 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 BRIAN A GRAGNOLATI 0 684453 0 282084 0 2359614 0 15000 0 25805 0 3366956 0 996374 MARTY BASSO 0 285533 0 277958 0 24030 0 86864 0 19678 0 694063 0 198787 JUNE FALB 133371 0 0 0 4506 0 12820 0 751 0 151448 0 0 0 JACKY SCHULTZ 0 294046 0 69906 0 150033 0 83446 0 8825 0 606256 0 136089 LESLIE WEBER 0 179720 0 69416 0 10139 0 24143 0 2108 0 285526 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): MARTIN BASSO $71,864; JACQUILINE SCHULTZ $68,446.00; LESLIE FORD WEBER $10,476.00; AND JUNE FALB $6,750.00. 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 $221,810.23; JACQUELINE SCHULTZ $136,088.59; AND BRIAN GRAGNOLATI $2,337,091.72 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. SUPPLEMENTAL INFORMATION PART III 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. 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. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 9: UNREALIZED GAIN ON INVESTMENT 1,363,246. CONTRIBUTIONS TO/FROM AFFILIATES -392,914. NUMBER OF EMPLOYEES REPORTED AND REQUIRED FEDERAL EMPLOYMENT TAX: FORM 990, PART V, LINES 2A & 2B: THE 7 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