FURP.ORG / PUBLIC DATA EXPLORER

SUBURBAN HOSPITAL INCORPORATED: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
SUBURBAN HOSPITAL INCORPORATED (EIN 52-0610545)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-05-14
IRS object ID
201311349349300946
Schema version
2011v1.2
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-05-14T10:24:53-05:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN520610545EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1SUBURBAN HOSPITAL INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSUBUNameControl
Phone3018963900Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line18600 OLD GEORGETOWN ROADAddressLine1
CityBETHESDACity
StateMDState
ZIP Code208141497ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMARTIN BASSO SRName
TitleVICE PRESIDENT FINANCETitle
Phone3018963900Phone
Date Signed2013-05-14DateSigned
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonMARTIN BASSO SRNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line18600 OLD GEORGETOWN ROADAddressLine1
CityBETHESDACity
StateMDState
ZIP Code208141497ZIPCode
FieldValueIRS element (for citing)
Gross Receipts303394088GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.SUBURBANHOSPITAL.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1942YearFormation
State Legal DomicileMDStateLegalDomicile
Activity Or Mission DescriptionSUBURBAN HOSPITAL IS A COMMUNITY-BASED HOSPITAL SERVING MONTGOMERY COUNTY AND THE SURROUNDING AREA SINCE 1943. WE ARE A NOT-FOR-PROFIT HEALTHCARE PROVIDER GUIDED BY THE NEEDS OF OUR PATIENTS AND COMMUNITY. ON JUNE 30, 2009, SUBURBAN HOSPITAL BECAME A MEMBER OF JOHNS HOPKINS MEDICINE. THE DESIGNATED TRAUMA CENTER FOR MONTGOMERY COUNTY, SUBURBAN HOSPITAL IS AFFILIATED WITH MANY LOCAL HEALTHCARE ORGANIZATIONS, INCLUDING THE NATIONAL INSTITUTES OF HEALTH. IT IS COMMITTED TO CONTINUOUS IMPROVEMENT AND APPROPRIATE USE OF RESOURCES, AND CREATES AN ENVIRONMENT THAT ENCOURAGES THE SUCCESS AND FULFILLMENT OF OUR PHYSICIANS, STAFF, AND VOLUNTEERS.SUBURBAN HOSPITAL WILL SET THE STANDARD FOR EXCELLENCE IN HEALTHCARE IN THE WASHINGTON METROPOLITAN REGION. THROUGH OUR AFFILIATIONS, WE ASPIRE TO PROVIDE WORLD-CLASS PATIENT CARE, TECHNOLOGY, AND CLINICAL RESEARCH.ActivityOrMissionDescription
Nbr Voting Members Governing Body23NbrVotingMembersGoverningBody
Nbr Independent Voting Members20NbrIndependentVotingMembers
Total Nbr Employees2076TotalNbrEmployees
Total Nbr Volunteers683TotalNbrVolunteers
Total Gross UBI4843051TotalGrossUBI
Net Unrelated Business Txbl Income-96899NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year6877323ContributionsGrantsPriorYear
Contributions Grants Current Year6075697ContributionsGrantsCurrentYear
Program Service Revenue Prior Year241455970ProgramServiceRevenuePriorYear
Program Service Revenue CY244736696ProgramServiceRevenueCY
Investment Income Prior Year4604228InvestmentIncomePriorYear
Investment Income Current Year1119041InvestmentIncomeCurrentYear
Other Revenue Prior Year6594515OtherRevenuePriorYear
Other Revenue Current Year10827093OtherRevenueCurrentYear
Total Revenue Prior Year259532036TotalRevenuePriorYear
Total Revenue Current Year262758527TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY4116928GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year118511986SalariesEtcPriorYear
Salaries Etc Current Year119710809SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year123820337OtherExpensePriorYear
Other Expenses Current Year132752552OtherExpensesCurrentYear
Total Expenses Prior Year242332323TotalExpensesPriorYear
Total Expenses Current Year256580289TotalExpensesCurrentYear
Revenues Less Expenses Prior Year17199713RevenuesLessExpensesPriorYear
Revenues Less Expenses CY6178238RevenuesLessExpensesCY
Total Assets BOY292356616TotalAssetsBOY
Total Assets EOY288814341TotalAssetsEOY
Total Liabilities BOY135181202TotalLiabilitiesBOY
Total Liabilities EOY134152554TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY157175414NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY154661787NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionSUBURBAN HOSPITAL WILL DELIVER SUPERIOR HEALTHCARE ENHANCED BY TECHNOLOGY, WELLNESS EDUCATION, RESEARCH, ADN INNOVATIVE PARTNERSHIPS WITH PHYSICIANS, HOSPITALS, THE COMMUNITY, AND THE NATIONAL INSTITUTES OF HEALTH. MISSION: IMPROVING HEALTH WITH SKILL AND COMPASSION.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense92262431Expense
Revenue97604072Revenue
DescriptionSURGICAL PATIENT SERVICES:SUBURBAN HOSPITAL OFFERS COMPREHENSIVE INPATIENT AND OUTPATIENT SURGICAL SERVICES. THESE INCLUDE ORTHOPEDIC SERVICES, INCLUDING SPINE, NEUROSURGERY AND JOINT REPLACEMENT, WITH THE JOINT REPLACEMENT PROGRAM SERVING OVER 1,100 PATIENTS ANNUALLY. WITH THE DAVINCI SURGICAL SYSTEM, UROLOGIC, GYNECOLOGIC AND THORACIC PROCEDURES ARE PERFORMED WITH STATE-OF-THE-ART ROBOTIC TECHNOLOGY. SUBURBAN HOSPITAL IS THE ONLY CERTIFIED TRAUMA CENTER IN MONTGOMERY COUNTY. THE LEVEL II TRAUMA CENTER TREATS 1600 MAJOR TRAUMA CASES ANNUALLY AND HAS AN ORTHOPEDIC TRAUMATOLOGIST ON STAFF. THE FOLLOWING SPECIALISTS ARE ON CALL FOR EMERGENCIES: TRAUMA SURGEONS, NEUROSURGEONS, UROLOGISTS, ENT, OB/GYN, AND CARDIOLOGISTS. DURING 2012, SUBURBAN HOSPITAL ADMITTED 4,447 SURGICAL INPATIENTS. 12,768 OPERATING ROOM CASES WERE PERFORMED.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense63149578Expense
Revenue69223597Revenue
DescriptionMEDICAL PATIENT SERVICES:SUBURBAN HOSPITAL PROVIDES ACUTE AND CRITICAL CARE FOR A COMPLETE RANGE OF MEDICAL DIAGNOSES. THE HOSPITAL IS A JOINT COMMISSION CERTIFIED PRIMARY STROKE CENTER FEATURING A DEDICATED NIH STROKE TEAM, WHICH PROVIDES RAPID DIAGNOSIS AND CUTTING-EDGE TREATMENT OF STROKES. SUBURBAN HOSPITAL ALSO OPERATES A CANCER CARE PROGRAM, WHICH IS ACCREDITED WITH COMMENDATION BY THE COMMISSION ON CANCER OF THE AMERICAN COLLEGE OF SURGEONS. THE COMPREHENSIVE PROGRAM SERVICES PATIENTS WITH ALL DIAGNOSES AND OFFERS CUTTING-EDGE TECHNOLOGY AND PERSONALIZED CARE. IN 2012, SUBURBAN HOSPITAL ADMITTED 8,024 MEDICAL PATIENTS.SUBURBAN HOSPITAL'S OBJECTIVES ARE TO MEASURE AND ANALYZE VARIANCES AND IMPROVE CARE PROCESSES RELATED TO KEY TARGET ZERO QUALITY INITIATIVES: (1) FALLS WITH INJURY (2) CENTRAL-LINE ASSOCIATED BLOODSTREAM INFECTION (3) VENTILATOR ASSOCIATED PNEUMONIA (4) PRESSURE ULCER RATES.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense33485626Expense
Revenue35150196Revenue
DescriptionCARDIOVASCULAR PATIENT SERVICES:SUBURBAN HOSPITAL'S SPECIALIZED CENTER FOR CARDIAC CARE, ANCHORED BY THE NIH HEART CENTER, BRINGS THE CLINICAL AND SCIENTIFIC EXCELLENCE OF TWO RENOWNED MEDICAL INSTITUTIONS TO A COMMUNITY-BASED CARDIAC PROGRAM. THROUGH COLLABORATION WITH THE NATIONAL HEART, LUNG, AND BLOOD INSTITUTE (NHLBI) OF THE NATIONAL INSTITUTES OF HEALTH AND JOHNS HOPKINS MEDICINE, SUBURBAN HOSPITAL PROVIDES PATIENTS EASY ACCESS TO ADVANCED CARDIOVASCULAR TREATMENTS AVAILABLE IN VERY FEW MEDICAL CENTERS. IN ADDITION TO STATE-OF-THE-ART CARDIAC SURGERY AND ANGIOPLASTY, THE NIH HEART CENTER AT SUBURBAN HOSPITAL COMPLEMENTS A BROAD RANGE OF EXISITING CARDIAC PROGRAMS AT SUBURBAN HOSPITAL - FROM EMERGENCY CARE TO CARDIAC DIAGNOSTICS AND REHABILITATION. DURING 2012 THERE WERE 1,442 ADMISSIONS AND 245 OPEN HEART SURGERY CASES.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense27478746Expense
Grants4116928Grants
Revenue47174981Revenue
FieldValueIRS element (for citing)
Total Of Other Program Service Exp27478746TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt4116928TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev47174981TotalOfOtherProgramServiceRev
Total Program Service Expense216376381TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP1LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity1DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096182NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees2076NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members23NbrVotingGoverningBodyMembers
Number Independent Voting Members20NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledMDStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1MARTIN BASSO SR VP FIN TREASBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number3018962333TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line18600 OLD GEORGETOWN RDAddressLine1
CityBETHESDACity
StateMDState
ZIP Code208141497ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (38 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
SUE BAILEY MD
TRUSTEE2.50X000
DIANE L COLGAN MD
TRUSTEE2.50X000
WILLIAM B DOCKSER
TRUSTEE2.50X000
CHRISTOPHER J DOHERTY
TRUSTEE, CHAIRMAN2.50X000
MARY D KANE
TRUSTEE2.50X000
BELLE BROOKS O'BRIEN
TRUSTEE2.50X000
JOHN C OTSUKI
TRUSTEE2.50X000
C ALAN PEYSER
TRUSTEE2.50X000
CURTIS POLK
TRUSTEE2.50X000
LILY QI
TRUSTEE2.50X000
ALAN SHEFF
TRUSTEE2.50X000
DAVID C SILVER
TRUSTEE2.50X000
STANLEY H SNOW
TRUSTEE2.50X000
PATRICIA STOCKER PHD
TRUSTEE2.50X000
CHARLES ALLEN WIEBE
TRUSTEE2.50X000
BRIAN A GRAGNOLATI
PRESIDENT & TRUSTEE18.00X10293470285562X
WILLIAM A BAUMGARTNER MD
TRUSTEE2.50X000
PATRICIA MC BROWN ESQUIRE
TRUSTEE2.50X0601570119414
HOWARD GLECKMAN
TRUSTEE2.50X000
THE HON ANN S HARRINGTON
TRUSTEE2.50X000
NORMAN K JENKINS
TRUSTEE2.50X000
ALBERT K LEE MD
TRUSTEE2.50X000
RONALD R PETERSON
CORPORATE VICE CHAIRMAN &2.50X017035551777977X
MARTIN BASSO
SR VP FINANCE AND TREASURE50.003598320110855X
PETER B MANCINO ESQUIRE
CORPORATE SECRETARY2.50021822127520X
DENNIS PARNELL
SR VP HUMAN RESOURCES50.00313001064714X
JACQUELINE SCHULTZ RN
EXECUTIVE V.P. & COO50.00396294082774X
LESLIE FORD WEBER
SR. VP, GOVT & COMMUNITY R50.00230476058246X
JOSEPH LINSTROM
SR DIRECTOR50.00177480037658X
RAUL GONZALES
CHIEF PHYSICIST50.00175474033901X
ROBERT ROTHSTEIN
VP MEDICAL AFFAIRS50.003733270100176X
STEVEN COHEN
PHYSICIAN ASST.50.00178303033954X
BARBARA STEWARD JACOBS
SR DIRECTOR50.00181741023677X
STEVEN THOMPSON
FORMER TRUSTEE1.000498192210958X
NANCY MILLER
FORMER OFFICER50.00191192015742X
MATTHEW POFFENROTH MD
FORMER SR. V.P.50.00037444540107X
EUGENE PASSAMANI MD
FORMER SR VP MEDICAL AFFAI50.00108690011410X
CHRISTOPHER TIMBERS
FORMER VP50.00236263082082X
FieldValueIRS element (for citing)
Total Reportable Comp From Org3951420TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs3395983TotalReportableCompFrmRltdOrgs
Total Other Compensation3116727TotalOtherCompensation
Number Individuals GT100 K135NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
SUBURBAN ROCK SPRING LLC
1013 CENTRE RDWILMINGTONDE19805RENT3680467
ARAMARK FACILITY SERVICES
1101 MARKET STREETPHILADELPHIAPA19107BIOMED ENGINEERING SRVS1581121
ADELMAN SHEFF AND SMITH
180 ADMIRAL COCHRANE DR SUITE 370ANNAPOLISMD21401LEGAL SERVICES897800
RCM&D
7735 OLD GEORGETOWN RD SUITE 800BETHESDAMD20814CONSULTING SERVICES893202
CROTHALL HEALTHCARE INC
955 CHESTERBROOK BLVDWAYNEPA19087HOUSEKEEPING MGT824271
FieldValueIRS element (for citing)
Number Of Contractors GT100 K73NumberOfContractorsGT100K
Related Organizations1314978RelatedOrganizations
Government Grants4759219GovernmentGrants
All Other Contributions1500AllOtherContributions
Total Contributions6075697TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
NET PATIENT REVENUE621990239901285239901285
LAB54138048354114835411
FieldValueIRS element (for citing)
Total Program Service Revenue244736696TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1272602TotalRevenueColumn
Exclusion$1,272,602ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities40482000Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities40287548Securities
Other348013Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities194452Securities
Other-348013Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-153561TotalRevenueColumn
Related Or Exempt Function Income-153561RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmount
OTHER REVENUE90009994051229405122
CAFETERIA INCOME900099603525$603,525
PARKING900099499981$499,981

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column318465TotalRevenueColumn
Unrelated Business Revenue7640UnrelatedBusinessRevenue
Exclusion$310,825ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue10827093TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column262758527TotalRevenueColumn
Related Or Exempt Function Income249152846RelatedOrExemptFunctionIncome
Unrelated Business Revenue4843051UnrelatedBusinessRevenue
Exclusion$2,686,933ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total4116928Total
Program Services4116928ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total99772873Total
Program Services83857961ProgramServices
Management And General15914912ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total3114067Total
Program Services2615890ProgramServices
Management And General498177ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total9849651Total
Program Services8273939ProgramServices
Management And General1575712ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total6974218Total
Program Services5858507ProgramServices
Management And General1115711ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total328866Total
Program Services3203ProgramServices
Management And General325663ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total134763Total
Program Services8482ProgramServices
Management And General126281ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total8076045Total
Program Services5644316ProgramServices
Management And General2431729ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total70933528Total
Program Services64187823ProgramServices
Management And General6745705ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total3191627Total
Program Services2580712ProgramServices
Management And General610915ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total130859Total
Program Services98131ProgramServices
Management And General32728ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total110553Total
Program Services79784ProgramServices
Management And General30769ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total874489Total
Program Services734591ProgramServices
Management And General139898ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total15113688Total
Program Services12695853ProgramServices
Management And General2417835ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total544299Total
Management And General544299ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
CONTRACTED SERVICES19880783137460266134757
BAD DEBT99081929908192
OTHER258429310254761558817
INT EXP DERIVATIVES940567940567

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total256580289Total
Program Services216376381ProgramServices
Management And General40203908ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY337119BOY
EOY13192EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY19499928BOY
EOY13735433EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY33616233BOY
EOY30777234EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY619964BOY
EOY619964EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY1150453BOY
EOY266751EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY7501763BOY
EOY7776102EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1525776BOY
EOY1419523EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis312710100LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec200164487LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY116009981BOY
EOY112545613EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY63905218BOY
EOY72616866EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY420270BOY
EOY417866EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY320000BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY47449911BOY
EOY48625797EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY292356616BOY
EOY288814341EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY37191235BOY
EOY33646861EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY74505982BOY
EOY70783261EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY23483985BOY
EOY29722432EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY135181202BOY
EOY134152554EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY134290423BOY
EOY132468626EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY12094418BOY
EOY11357148EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY10790573BOY
EOY10836013EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY157175414BOY
EOY154661787EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY292356616BOY
EOY288814341EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses6178238ReconcilationRevenueExpenses
Reconcilation Other Changes-8691865ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators1DirectContactLegislators
Direct Contact Legislators$145,705DirectContactLegislatorsAmount
Rallies Demonstrations0RalliesDemonstrations
Other Activities0OtherActivities
Total Lobbying Expenditures IIB145705TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF LOBBYING ACTIVITIES:Identifier
Return ReferencePART II-B, LINE 1:ReturnReference
ExplanationTHE 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, INCLUDING STATE GRANTS AND UNCOMPENSATED CARE.Explanation

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis345094OtherCostOrOtherBasis
Book Value345094BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis151001668OtherCostOrOtherBasis
Depreciation87346351Depreciation
Book Value63655317BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis2129176OtherCostOrOtherBasis
Depreciation259974Depreciation
Book Value1869202BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis112165096OtherCostOrOtherBasis
Depreciation90829362Depreciation
Book Value21335734BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis47069066OtherCostOrOtherBasis
Depreciation21728800Depreciation
Book Value25340266BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings112545613TotalOfBookValueLandBuildings

Other Assets OtherAssets (9 entries)

DescriptionDescriptionBook ValueBookValue
FUNDS HELD BY BOND TRUSTEES4565751
UNAMORTIZED FINANCE COSTS642148
EXEC RETIREMENT PLAN ASSTS2219896
ANNUITIES HELD FOR DEF COMP1493399
DEPOSITS499383
OTHER RECEIVABLE3148168
DUE FROM OTHER ENTITIES3942100
ACCRUED INTEREST REC5
INTEREST IN FOUNDATION NET ASSETS32114947
FieldValueIRS element (for citing)
Total Book Value Other Assets48625797TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (11 entries)

DescriptionDescriptionAmountAmount
ADVANCES FROM THIRD PARTIES$10,727,972
EXC RETIREMENT PLAN LIABILITY$2,110,071
LEASES PAYABLE$754,390
HEDGE FAIR VALUE ADJUST$4,714,226
CAPITAL ACCUMULATION ACCOUNT$92,302
INTEREST PAYABLE$508,002
ACCRUED RENT$252,191
ACCRUED PENSION LONG TERM$8,564,005
457B FOR DIRECTORS$17,524
DUE TO AFFILIATES$665,012
WORKERS COMPENSATION INSURANCE LIABILITY$1,316,737
FieldValueIRS element (for citing)
Total Of Amounts29722432TotalOfAmounts
Total Revenue262758527TotalRevenue
Total Expenses256580289TotalExpenses
Excess Or Deficit For Year6178238ExcessOrDeficitForYear
Net Unrealized GL On Investments-1554884NetUnrealizedGLOnInvestments
Other-$7,136,981OtherAmount
Total Adjustments-8691865TotalAdjustments
Excess Or Deficit Per FS-2513627ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt262564000TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal262564000RevenueSubtotal
Other Revenues Not Included194527OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt194527RevenueNotRptdOnFinStmt
Total Revenue Per Form990262758527TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt251188000TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal251188000ExpensesSubtotal
Other Expenses Not Included5392289OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt5392289ExpensesNotRptdOnFinStmt
Total Expenses Per Form990256580289TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X: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 HOSPITAL HAS ADOPTED THIS GUIDANCE, AND THERE WAS NO IMPACT ON ITS FINANCIAL STATEMENTS DURING THE YEARS ENDED JUNE 30, 2012 AND 2011.
PART XI, LINE 8 - OTHER ADJUSTMENTS:CHANGE IN MINIMUM PENSION LIABILITY -4,910,720. FAIR VALUE ADJ ON DERIVATIVES -1,243,393. CHANGE INTEREST IN NET ASSETS OF FOUNDATION -982,865. ROUNDING -3. TOTAL TO SCHEDULE D, PART XI, LINE 8: -7,136,981.
PART XII, LINE 4B - OTHER ADJUSTMENTS:GAIN ON SALE OF SECURITIES 194,452. ROUNDING 75.
PART XIII, LINE 4B - OTHER ADJUSTMENTS:ROUNDING -497. INT EXP DERIVATIVES 940,567. CONTRIBUTIONS MOVED FROM NET ASSETS 4,116,928. EXPENSES TRANSFERRED 335,291.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free Care1FPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted Care1FPGReferenceDiscountedCare

Discounted Other DiscountedOther

FieldValueIRS element (for citing)
OtherXOther
Discounted Other Percentage270.000000000000DiscountedOtherPercentage
FieldValueIRS element (for citing)
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget1ExpensesExceededBudget
Unable To Provide Care0UnableToProvideCare
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense4699607TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense4699607NetCommunityBenefitExpense
Percent Of Total Expense0.01830PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense4699607TotalCommunityBenefitExpense
Net Community Benefit Expense4699607NetCommunityBenefitExpense
Percent Of Total Expense0.01830PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense8652224TotalCommunityBenefitExpense
Direct Offsetting Revenue890199DirectOffsettingRevenue
Net Community Benefit Expense7762025NetCommunityBenefitExpense
Percent Of Total Expense0.03030PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense4942629TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense4942629NetCommunityBenefitExpense
Percent Of Total Expense0.01930PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense1217870TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense1217870NetCommunityBenefitExpense
Percent Of Total Expense0.00470PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense14812723TotalCommunityBenefitExpense
Direct Offsetting Revenue890199DirectOffsettingRevenue
Net Community Benefit Expense13922524NetCommunityBenefitExpense
Percent Of Total Expense0.05430PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense19512330TotalCommunityBenefitExpense
Direct Offsetting Revenue890199DirectOffsettingRevenue
Net Community Benefit Expense18622131NetCommunityBenefitExpense
Percent Of Total Expense0.07260PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

FieldValueIRS element (for citing)
Total Community Building Expense54956TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense54956NetCommunityBuildingExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Economic Development EconomicDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense119992TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense119992NetCommunityBuildingExpense
Percent Of Total Expense0.00050PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Total Community Building Expense326630TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense326630NetCommunityBuildingExpense
Percent Of Total Expense0.00130PercentOfTotalExpense

Environmental Improvements EnvironmentalImprovements

FieldValueIRS element (for citing)
Total Community Building Expense20907TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense20907NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Leadership Development LeadershipDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense6740TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense6740NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Total Community Building Expense128651TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense128651NetCommunityBuildingExpense
Percent Of Total Expense0.00050PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Total Community Building Expense93175TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense93175NetCommunityBuildingExpense
Percent Of Total Expense0.00040PercentOfTotalExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense187311TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense187311NetCommunityBuildingExpense
Percent Of Total Expense0.00070PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense938362TotalCommunityBuildingExpense
Net Community Building Expense938362NetCommunityBuildingExpense
Percent Of Total Expense0.00370PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReported
Bad Debt Expense$9,908,192BadDebtExpenseAmount
Amount Attributable To0AmountAttributableTo
Amount Reimbursed By Medicare106608371AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare103645967CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall2962404MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1SUBURBAN HOSPITAL INCBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line18600 OLD GEORGETOWN RDAddressLine1
CityBETHESDACity
StateMDState
ZIP Code208141497ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1SUBURBAN HOSPITAL INCBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
CHNA Conducted0CHNAConducted
Eligibility Criteria Explained1EligibilityCriteriaExplained
Uses FPG Free1UsesFPGFree
FPG Free Percent200.000000000000FPGFreePercent
Uses FPG Discounted1UsesFPGDiscounted
FPG Discount Percent270.000000000000FPGDiscountPercent
Explains Basis1ExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Medical IndigencyXMedicalIndigency
State RegulationXStateRegulation
Explains Application Method1ExplainsApplicationMethod
Includes Publicity Measures1IncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Attached To InvoicesXAttachedToInvoices
Posted In Emergency RoomXPostedInEmergencyRoom
Posted In Admission OfficeXPostedInAdmissionOffice
Provided On AdmissionXProvidedOnAdmission
Available On RequestXAvailableOnRequest
Actions On Nonpayment1ActionsOnNonpayment
Collection Activities0CollectionActivities
Nondiscrim Emergency Care Policy1NondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally Billed0AmountsGenerallyBilled
Gross Charges0GrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (14 entries)

ExplanationExplanationIdentifierIdentifierReturn ReferenceReturnReference
PART I, LINE 7: A COST-TO-CHARGE RATIO (FROM WORKSHEET 2) IS USED TO CALCULATE THE AMOUNTS ON LINE 7A AND 7B (CHARITY CARE AND UNREIMBURSED MEDICAID). THE AMOUNTS FOR LINES 7E-7I WOULD COME FROM OUR HSCRC COMMUNITY BENEFIT REPORT FILED WITH THE STATE OF MARYLAND AND WOULD NOT BE BASED ON A COST-TO CHARGE RATIO.
PART I, LINE 7G: SUBURBAN HOSPITAL, INC. DOES NOT HAVE ANY SUBSIDIZED HEALTH SERVICES.
PART I, L7 COL(F): THE AMOUNT OF BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $9,908,192.
PART II: SHI COMMUNITY BUILDING ACTIVITIES PROMOTE THE HEALTH OF THE COMMUNITY IT SERVES THROUGH A NUMBER OF INITIATIVES THEY HAVE DEVELOPED. FOR EXAMPLE, SHI YOUTH PROJECTS ENCOURAGE THE YOUNG LEADERS THROUGH A WIDE ARRAY OF PROGRAMS, INCLUDING MEDICAL VENTURING, WHICH INTRODUCES HIGH SCHOOL STUDENTS INTERESTED IN PURSUING MEDICAL CAREERS TO DIFFERENT FACETS OF THE MEDICAL PROFESSION. THIS ALSO GIVES THEM THE OPPORTUNITY TO PARTICIPATE IN GRASSROOTS COMMUNITY SERVICE PROJECTS.SHI COMMUNITY HEALTH AND WELLNESS DEPARTMENT ENGAGES THE SENIOR POPULATION BY ENCOURAGING ACTIVE AND HEALTHY LIFESTYLES THROUGH PROGRAMS DESIGNED TO HELP OLDER ADULTS GAIN OPTIMUM HEALTH.
PART III, LINE 4: BAD DEBT EXPENSE ENTERED COMES FROM THE HOSPITALS BOOKS AND RECORDS.DISCOUNTS AND ALLOWANCES ARE ACCOUNTED FOR SEPARATELY FROM BAD DEBT EXPENSE.MARYLAND HOSPITALS ARE RATE REGULATED UNDER THE HSCRC, WHICH INCLUDES BAD DEBT AS PART OF THE REIMBURSEMENT FORMULA FOR EACH HOSPITAL. DUE TO THE RATE REGULATION, SUBURBAN HOSPITAL, INC (SHI) CANNOT DETERMINE THE AMOUNT THAT REASONABLE COULD BE ATTRIBUTABLE TO PATIENTS WHO LIKELY WOULD QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE HOSPITALS CHARITY CARE POLICY.THE ORGANIZATIONS FINANCIAL STATEMENTS DO NOT INCLUDE A FOOTNOTE ON BAD DEBT EXPENSE. THE FINANCIAL STATEMENTS SHOW THE PROVISION FOR BAD DEBTS AS A SEPARATE LINE ITEM IN THE STATEMENTS OF OPERATIONS AND CHANGES IN NET ASSETS UNDER OPERATING EXPENSES.
PART III, LINE 8: THE TRIAL BALANCE EXPENSES ARE ADJUSTED TO ALLOWABLE EXPENSE IN ACCORDANCE WITH THE MEDICARE COST REPORTING RULES AND REGULATIONS.
PART III, LINE 9B: THE HOSPITAL CONFORMS TO THE PRINCIPLES AND STANDARDS OF THE MHA HOSPITAL BILLING AND DEBT COLLECTION PRACTICES PRINCIPLES AS WELL AS THE MHA MINIMUM STANDARDS FOR FINANCIAL ASSISTANCE IN MARYLAND HOSPITALS.
PART V, SECTION B, LINE 19D: MARYLAND IS THE ONLY STATE IN WHICH ALL PAYORS (GOVERNMENTALLY-INSURED, COMMERCIALLY INSURED, OR SELF-PAY) ARE CHARGED THE SAME PRICE FOR SERVICES AT ANY GIVEN HOSPITAL.UNDER THIS SYSTEM, MARYLAND HOSPITALS ARE REGULATED BY A STATE AGENCY: THE HEALTH SERVICES COST REVIEW COMMISSION (HSCRC).SUBURBAN HOSPITAL, INC.
PART VI, LINE 2: SHI RELIES ON A NUMBER OF RESOURCES TO IDENTIFY THE HEALTH NEEDS OF OUR COMMUNITY.UTILIZING THE HEALTHY PEOPLE 2020 GUIDELINES AS VITAL INFORMATION SOURCES, SHI MAINTAINS A CLOSE RELATIONSHIP WITH THE MONTGOMERY COUNTY HEALTH DEPARTMENT AND HUMAN SERVICES (MCDHHS) IN ORDER TO IDENTIFY COMMUNITY HEALTH NEEDS AND SET COMMUNITY BENEFIT STRATEGIC PROGRAMS AND ACTIVITIES. INITIATED BY THE MCDHHS AND THE URBAN INSTITUTE, HEALTHY MONTGOMERY IS A COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS AND IS ACCESSIBLE ONLINE TO THE PUBLIC. THIS FORMAL NEEDS ASSESSMENT SERVES AS A STANDARD SET OF POPULATION-BASED HEALTH AND SOCIAL SERVICES DATA. AGREED UPON BY LOCAL STAKEHOLDERS, ONE HUNDRED HEALTH INDICATORS AND SOCIAL DETERMINATES WERE IDENTIFIED AS ISSUES AT BOTH THE MACRO- AND MICRO-LEVELS OF THE COUNTY. THE FORMAL NEEDS ASSESSMENT WAS COMPLETED IN JUNE 2011.THE HEALTHY MONTGOMERY NEEDS ASSESSMENT SERVES AS A BAROMETER OF MONTGOMERY COUNTY RESIDENTS AND THEIR HEALTH. COLLABORATING WITH NON-PROFIT ORGANIZATIONS, CORPORATIONS, COMMUNITY COALITIONS, COUNTY GOVERNMENT AND PUBLIC HEALTH OFFICIALS, THIS NEEDS ASSESSMENT BUILDS ON ALL PAST AND CURRENT EFFORTS, INCLUDING ENVIRONMENTAL SCANS, COMPREHENSIVE NEEDS ASSESSMENTS, COMMUNITY HEALTH-RELATED WORK, AND PARTICIPATION FROM THE HEALTH-CARE PROVIDER ORGANIZATIONS IN THE COUNTY. IN DEVELOPING AND IMPLEMENTING IMPROVEMENT STAGES, HEALTHY MONTGOMERY WORKS WITH COMMUNITY GROUPS AND LOCAL EXPERTS AND USES BEST-PRACTICE STRATEGIES AND TECHNIQUES DEVELOPED BY OTHER RELATED NEEDS ASSESSMENTS, INCLUDING AN EXAMINATION OF THE COMMUNITY HEALTH IMPROVEMENT TOOLS AND TECHNIQUES THAT HAVE DEMONSTRATED SUCCESS IN OTHER PARTS OF THE COUNTRY. THE PROCESS GUARANTEES ACCOUNTABILITY BY IDENTIFYING AND USING PERFORMANCE INDICATORS THAT MEASURE PROGRESS TOWARD ACHIEVING ITS GOALS. HEALTHY MONTGOMERY IS AN ONGOING PROCESS THAT INCLUDES PERIODIC NEEDS ASSESSMENT, DEVELOPMENT AND IMPLEMENTATION OF IMPROVEMENT PLANS AND MONITORING OF THE RESULTING ACHIEVEMENTS. IN ADDITION TO WORKING CLOSELY WITH THE MCDHHS AND THE USE OF NEEDS ASSESSMENTS THAT IDENTIFY AND RESPOND TO LOCAL NEEDS, SHI IDENTIFIES COMMUNITY UNMET OR POTENTIAL HEALTH NEEDS BY COLLABORATING IN PARTNERSHIPS, TAKING AN ACTIVE AND LEADERSHIP ROLE IN COMMUNITY COALITIONS, BOARDS, COMMITTEES, PANELS, ADVISORY GROUPS, AND SERVING ON LOCAL COUNTY COMMISSIONS.SECONDARY DATA WAS COLLECTED FROM A VARIETY OF LOCAL, COUNTY, AND STATE SOURCES TO PRESENT AN INTEGRAL COMMUNITY PROFILE SUCH AS ACCESS TO HEALTH CARE, CHRONIC DISEASES, SOCIAL ISSUES, AND OTHER HEALTH INDICATORS.
PART VI, LINE 3: SHI PROVIDES EACH PATIENT REGISTERED FOR EMERGENCY CARE, SAME DAY CARE, OR INPATIENT CARE A COPY OF OUR FINANCIAL ASSISTANCE INFORMATION SHEET. SIGNS ARE ALSO POSTED IN ENGLISH AND SPANISH EXPLAINING THE AVAILABILITY OF FINANCIAL ASSISTANCE AND CONTACT INFORMATION; THEY ARE LOCATED IN THE EMERGENCY, PEDIATRICS, CATH LAB, AND FINANCIAL COUNSELING DEPARTMENTS, AS WELL AS THE MAIN REGISTRATION DESK. THE FINANCIAL ASSISTANCE APPLICATION IS GIVEN TO EVERY SELF PAY PATIENT WILL INSTRUCTIONS ON HOW TO APPLY AND CONTACT INFORMATION. THE SAME INFORMATION IS PROVIDED TO ALL OTHER PATIENTS UPON REQUEST. THIS INFORMATION IS ALSO AVAILABLE IN SPANISH.IN ADDITION, OUR FINANCIAL COUNSELORS AND SOCIAL WORKERS ARE TRAINED TO ANSWER PATIENTS QUESTIONS REGARDING FINANCIAL ASSISTANCE AND LINKAGE TO OTHER COMMUNITY ASSISTANCE RESOURCES PRIOR TO DISCHARGE. REGISTRATION STAFF IS TRAINED TO ANSWER QUESTIONS REGARDING FINANCIAL ASSISTANCE AND WHO TO CONTACT WITH BILLING QUESTIONS OR OTHER FINANCIAL QUESTIONS. PATIENT ACCOUNTING STAFF IS ALSO TRAINED TO ANSWER QUESTIONS AND PROVIDED INFORMATION TO PATIENTS REGARDING FINANCIAL ASSISTANCE AND BILLING. SUBURBAN HOSPITAL USES A CONTRACTOR FROM FINANCIAL HEALTH SERVICES WHO ASSISTS PATIENTS IN APPLYING FOR MARYLAND MEDICAL ASSISTANCE. THE FINANCIAL HEALTH SERVICES CONTRACTOR INTERVIEWS ALL SELF PAY PATIENTS UPON ADMISSION AND PROVIDES THEM WITH INFORMATION AND REFERRAL FOR FINANCIAL ASSISTANCE.THIS PAST MARCH, SUBURBAN HOSPITAL INVITED UNINSURED CITIZENS TO PARTICIPATE IN A TWO DAY FINANCIAL ASSISTANCE INFORMATION EVENT. THE TWO DAY PROGRAM WAS HELD AT SUBURBAN HOSPITAL WHERE FINANCIAL ASSISTANCE CONSULTATION WAS PROVIDED TO COMMUNITY MEMBERS INCLUDING DISSEMINATION INFORMATION ON OUR FINANCIAL ASSISTANCE ELIGIBILITY CRITERIA, MEDICAID AND OTHER COMMUNITY RESOURCES. THIS EVENT IS HELD ANNUALLY.
PART VI, LINE 4: SHI GEOGRAPHIC SERVICE AREA IS SUBURBAN.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 THIRTEEN ZIP CODES: 20814, 20817, 20852, 20854, 20815, 20850, 20895, 20906, 20902, 20878, 20853, 20910, AND 20851. THE GENERAL DATA FOR THIS COMMUNITY BENEFIT SERVICE AREA ARE AS FOLLOWS: TOTAL POPULATION WAS 514,137 OF WHICH 48.2% WERE MALES AND 51.8% WERE FEMALES, AVERAGE HOUSEHOLD INCOME WAS $126,017, 7.71% OF RESIDENTS ARE UNINSURED, 10.0% OF RESIDENTS ARE COVERED BY MEDICAID/MEDICARE, 6.0% OF HOUSEHOLDS WITH INCOMES BELOW THE FEDERAL POVERTY GUIDELINES.NUMBER OF OTHER HOSPITALS SERVING THE COMMUNITY OR COMMUNITIES: 5FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREAS OR POPULATIONS ARE PRESENT IN THE COMMUNITY .
PART VI, LINE 5: FOR THE LAST 30 YEARS, MARYLAND HOSPITALS HAVE MET THEIR COMMUNITY BENEFIT OBLIGATIONS IN A UNIQUE MANNER THAT BUILDS THE COSTS OF UNCOMPENSATED CARE CHARITY CARE AND PATIENT BAD DEBT AND GRADUATE MEDICAL EDUCATION INTO THE RATES THAT HOSPITALS ARE REIMBURSED BY ALL PAYORS. THE SYSTEM IS BASED IN FEDERAL AND STATE LAW AND BENEFITS ALL MARYLAND RESIDENTS, INCLUDING THOSE IN NEED OF FINANCIAL ASSISTANCE TO PAY THEIR HOSPITAL BILLS. MARYLAND IS THE ONLY STATE IN WHICH ALL PAYORS GOVERNMENTALLY INSURED, COMMERCIALLY INSURED, OR SELF PAY ARE CHARGED THE SAME PRICE FOR SERVICES AT ANY GIVEN HOSPITAL.UNDER THIS SYSTEM, MARYLAND HOSPITALS ARE REGULATED BY A STATE AGENCY THE HEALTH SERVICES COST REVIEW COMMISSION (HSCRC) THAT IS REQUIRED TO:1) PUBLICLY DISCLOSE INFORMATION ON THE COST AND FINANCIAL POSITION OF HOSPITALS;2) REVIEW AND APPROVE HOSPITAL RATES;3) COLLECT INFORMATION DETAILING TRANSACTIONS BETWEEN HOSPITALS AND FIRMS WITH WHICH THEIR TRUSTEES HAVE A FINANCIAL INTEREST; AND,4) MAINTAIN THE SOLVENCY OF EFFICIENT AND EFFECTIVE HOSPITALS.SINCE 2000, THE RATE SETTING COMMISSION HAS HAD ITS OWN FRAMEWORK FOR REPORTING HOSPITALS COMMUNITY BENEFITS AND ISSUING A REPORT ANNUALLY REGARDING HOSPITALS COMMUNITY BENEFIT TOTALS. THAT REPORT IS AVAILABLE ON HTTP://WWW.HSCRC.STATE.MD.US/COMMUNITY_BENEFITS/DOCUMENTS/ CBR_FY2007_FINAL_REPORT.PDF. BECAUSE OF THIS UNIQUE STRUCTURE MARYLAND HOSPITALS COMMUNITY BENEFITS NUMBERS WILL NOT COMPARE WITH THE REST OF THE NATIONS HOSPITALS. HOWEVER, MARYLAND HOSPITALS MEET OR EXCEED THE COMMUNITY BENEFIT STANDARD ESTABLISHED BY THE IRS IN 1969. ADDITIONAL DETAIL ILLUSTRATING THIS CAN BE FOUND WITHIN THIS SCHEDULE H REPORT.LINE 7B - MARYLAND REGULATORY SYSTEM CREATES A UNIQUE PROCESS FOR HOSPITAL PAYMENT THAT DIFFERS FROM THE REST OF THE NATION. THE HEALTH SERVICES COST REVIEW COMMISSION, (HSCRC) DETERMINES PAYMENT THROUGH A RATE-SETTING PROCESS AND ALL PAYORS, INCLUDING GOVERNMENTAL PAYORS, PAY THE SAME AMOUNT FOR THE SAME SERVICES DELIVERED AT THE SAME HOSPITAL. MARYLAND UNIQUE ALL-PAYOR SYSTEM INCLUDES A METHOD FOR REFERENCING UNCOMPENSATED CARE IN EACH PAYORS RATES, WHICH DOES NOT ENABLE MARYLAND HOSPITALS TO BREAKOUT ANY DIRECTED OFFSETTING REVENUE RELATED TO UNCOMPENSATED CARE. COMMUNITY BENEFIT EXPENSES ARE EQUAL TO MEDICAID REVENUES IN MARYLAND, AS SUCH, THE NET EFFECT IS ZERO. THE EXCEPTION TO THIS IS THE IMPACT ON THE HOSPITAL OF ITS SHARE OF THE MEDICAID ASSESSMENT. IN RECENT YEARS, THE STATE OF MARYLAND HAS CLOSED FISCAL GAPS IN THE STATE MEDICAID BUDGET BY ASSESSING HOSPITALS THROUGH THE RATE-SETTING SYSTEM.LINE 7F COLUMN (D) MARYLAND REGULATORY SYSTEM CREATES A UNIQUE PROCESS FOR HOSPITAL PAYMENT THAT DIFFERS FROM THE REST OF THE NATION. THE HEALTH SERVICES COST REVIEW COMMISSION, (HSCRC) DETERMINES PAYMENT THROUGH A RATE-SETTING PROCESS AND ALL PAYORS, INCLUDING GOVERNMENTAL PAYORS, PAY THE SAME AMOUNT FOR THE SAME SERVICES DELIVERED AT THE SAME HOSPITAL. MARYLAND UNIQUE ALL-PAYOR SYSTEM INCLUDES A METHOD FOR REFERENCING UNCOMPENSATED CARE IN EACH PAYORS RATES, WHICH DOES NOT ENABLE MARYLAND HOSPITALS TO BREAKOUT ANY OFFSETTING REVENUE RELATED TO HEALTH PROFESSIONS EDUCATION.
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.
MDREPORTS FILED WITH STATESPART VI, LINE 7

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1JOHNS HOPKINS COMMUNITY PHYSICIANS INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line13910 KESWICK ROAD SOUTH BLDGAddressLine1
CityBALTIMORECity
StateMDState
ZIP Code21211ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient521467441EINOfRecipient
IRC Section501(C)(3)IRCSection
Amount Of Cash Grant4116928AmountOfCashGrant
Purpose Of GrantSERVICES TO UNINSURED PATIENTSPurposeOfGrant
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment1SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments1AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (18 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
BRIAN A GRAGNOLATI
6671740309917052256026040102516101314909000
PATRICIA MC BROWN ESQUIRE
038702401329140816320105551013863072098400
RONALD R PETERSON
0110119704511240151234017548850230920348153200
MARTIN BASSO
2818490645980133850895500213050470687000
PETER B MANCINO ESQUIRE
01856990241940832807640019880024574100
DENNIS PARNELL
2339750647370142890510530136610377715000
JACQUELINE SCHULTZ RN
283959068536043799074350084240479068000
LESLIE FORD WEBER
184144035135011197056613016330288722000
JOSEPH LINSTROM
16441401243006360137260239320215138000
RAUL GONZALES
1747850006890110510228500209375000
ROBERT ROTHSTEIN
3215880400210117180775100226660473503000
STEVEN COHEN
136646000416570126900212640212257000
BARBARA STEWARD JACOBS
16925001184606450111830124940205418000
STEVEN THOMPSON
032611501587550133220191304019654070915000
NANCY MILLER
1788600117170615014155015870206934000
MATTHEW POFFENROTH MD
03163430572820820018050022057041455200
EUGENE PASSAMANI MD
000010869006527048830120100000
CHRISTOPHER TIMBERS
1870870381830109930623320197500318345000

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
PART I, LINES 4A-BTHE FOLLOWING INDIVIDUAL RECEIVED A CHANGE-OF-CONTROL PAYMENT FROM SUBURBAN HOSPITAL, INC.: EUGENE PASSAMANI $108,211.80 THE SUBURBAN HOSPITAL, INC. SERP PLAN 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 AND RECEIVED ACCRUED DEFERRED COMPENSATION THAT IS REPORTED ON SCHEDULE J, PART II, COLUMN (C): MARTIN BASSO $71,864; BRIAN GRAGNOLATI $242,468; DENNIS PARNELL $35,108; JACQUELINE SCHULTZ $58,008; CHRISTOPHER TIMBERS $47,156; ROBERT ROTHSTEIN $62,810.00 AND LESLIE FORD WEBER $41,904 THE JOHNS HOPKINS HEALTH SYSTEM CORPORATION'S MAKE WHOLE AND SERP I PLANS ARE FROZEN, NON-TAX QUALIFIED DEFINED BENEFIT PLANS. PARTICIPATION IN THE PLANS IS LIMITED TO THE EXISTING PLAN PARTICIPANTS. THE BENEFITS UNDER THE PLANS ARE BASED UPON THE PARTICIPANT'S LENGTH OF SERVICE AND COMPENSATION. THE MAKE WHOLE PLAN WAS DESIGNED TO REPLACE THE BENEFITS THE PARTICIPANTS LOST DUE TO THE COMPENSATION LIMITS IMPOSED BY LAW UPON OUR QUALIFIED DEFINED BENEFIT PLAN. 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. FURTHERMORE, IF A PARTICIPANT VOLUNTARILY TERMINATES EMPLOYMENT OR IS TERMINATED BY THE EMPLOYER FOR CAUSE PRIOR TO THE APPLICABLE VESTING DATE UNDER THE MAKE WHOLE PLAN, THE PARTICIPANT'S ENTIRE MAKE WHOLE PLAN BENEFIT IS FORFEITED. IF A PARTICIPANT TERMINATES EMPLOYMENT FOR ANY REASON PRIOR TO THE APPLICABLE VESTING DATE UNDER THE SERP I, THE PARTICIPANT'S ENTIRE SERP I BENEFIT 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 MAKE WHOLE PLAN OR SERP I VESTED AMOUNT OR PAYMENT BEING REPORTED AS COMPENSATION WAS ALSO REPORTED IN PREVIOUS YEAR(S) WHEN THAT INTEREST ACCRUED UNDER THE PLAN. THE JOHNS HOPKINS HEALTH SYSTEM CORPORATION'S SERP II AND SRP PLANS ARE ACTIVE; NON-TAX QUALIFIED DEFINED CONTRIBUTION TARGET BENEFIT PLANS. THE PLANS ARE DESIGNED TO ACHIEVE A REASONABLE TARGETED RETIREMENT BENEFIT LEVEL FOR EACH PARTICIPANT (IN COMBINATION WITH THE OTHER RETIREMENT PROGRAMS OF THE EMPLOYER) BASED UPON CERTAIN CRITERIA, SUCH AS EACH PARTICIPANT'S LENGTH OF SERVICE AND COMPENSATION. 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 OR IS TERMINATED BY THE EMPLOYER FOR CAUSE PRIOR TO THE APPLICABLE VESTING DATE UNDER EACH ARRANGEMENT, 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 II OR SRP 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 JOHNS HOPKINS HEALTH SYSTEM CORPORATION AND RECEIVED ACCRUED DEFERRED COMPENSATION THAT IS REPORTED ON SCHEDULE J, PART II, COLUMN (C): RONALD PETERSON $1,626,957; PATRICIA BROWN $43,742.00; AND STEVEN THOMPSON $172,756.00 THE FOLLOWING INDIVIDUALS LISTED ON FORM 990, PART VII, SECTION A, LINE 1A PARTICIPATED IN A NON QUALIFIED RETIREMENT PLAN 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: PATRICIA M.C. BROWN $51,908.72
PART I, LINE 7EXECUTIVES, CEO AND DIRECTORS 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. THERE IS A 3 YEAR EXECUTIVE LONG TERM INCENTIVE PLAN ONLY AVAILABLE TO CEO AND SENIOR VICE PRESIDENTS. PAYOUT LEVELS ARE THE SAME AS THE ANNUAL PLAN EXCEPT THAT THE PAYOUTS UNDER THE PLAN ARE MADE IN TWO PARTS - 50% OF THE PAYOUT IS MADE AT THE END OF THE 3 YEAR CYCLE AND THE REMAINING 50% IS PAID OUT THE FOLLOWING YEAR.
PART IIITHE 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.SUPPLEMENTAL INFORMATION

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
MARYLAND HEALTH AND HIGHER EDUCATIONAL FACILITIES AUTHORITY
5209360915742173L72008-11-1958515000ACQUISITION, CONSTRUCTION, RENOVATION AND EQUIPPING OF HEALTHCARE FACILITIES000
MARYLAND HEALTH AND HIGHER EDUCATIONAL FACILITIES AUTHORITY
520936091574217SB22004-06-3032445000REFUND PRIOR ISSUE 10/14/1993000

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Amount RetiredAmountRetiredTotal ProceedsTotalProceedsIssuance Costs From ProceedsIssuanceCostsFromProceedsCredit EnhancementCreditEnhancementCapital ExpendituresCapitalExpendituresYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
366000058515000485323296771800000020101011
16517000324450003512151011

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyEngage Bond Counsel ContractsEngageBondCounselContractsAny Research AgreementsAnyResearchAgreementsEngage Bond Counsel ResearchEngageBondCounselResearchPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUsePost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
0111110.028600.011800.040401
00001

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsTerm Of HedgeTermOfHedgeSuperintegrated HedgeSuperintegratedHedgeHedge TerminatedHedgeTerminatedGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
JP MORGAN
01113.00000000000000000
(no name)
000010
FieldValueIRS element (for citing)
Fed Tax Requirements ComplianceXFedTaxRequirementsCompliance

Form990 Schedule K Part VI Form990ScheduleKPartVI

FieldValueIRS element (for citing)
IdentifierSCHEDULE K, PART III, LINE 4Identifier
Return ReferencePRIVATE BUSINESS USE PERCENTAGEReturnReference
ExplanationON THE ADVICE OF BOND COUNSEL SUBURBAN HOSPITAL, INC. HAS ADDED COST OF ISSUANCE REPORTED IN PART II TO THE PRIVATE BUSINESS USE PERCENTAGE.Explanation

Schedule L IRS990ScheduleL

Loan Table LoanTable (6 entries)

Purpose Of LoanPurposeOfLoanLoan From OrganizationLoanFromOrganizationOriginal PrincipalOriginalPrincipalAmountBalance DueBalanceDueDefaultDefaultApproved By BoardApprovedByBoardWritten AgreementWrittenAgreement
WEBER
INSURANCE POLICIESX$8,43742185011
BASSO
INSURANCE POLICIESX$14,465104725011
GRAGNOLATI
INSURANCE POLICIESX$50,177250885011
PARNELL
INSURANCE POLICIESX$32,655121362011
SCHULTZ
INSURANCE POLICIESX$18,21372852011
TIMBERS
INSURANCE POLICIESX$27,95527955011
FieldValueIRS element (for citing)
Total Balance Due619964TotalBalanceDue

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 7AJOHNS HOPKINS HEALTH SYSTEM CORPORATION, AN IRC 501C (3) TAX EXEMPT ORGANIZATION AND THE SOLE MEMBER OF SUBURBAN HOSPITAL, INC. ELECTS THE MAJORITY OF THE BOARD OF TRUSTEES.
FORM 990, PART VI, SECTION A, LINE 7BTHE 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 SOLE MEMBER JOHNS HOPKINS HEALTH SYSTEM CORPORATION.
FORM 990, PART VI, SECTION B, LINE 11A COPY OF THE FORM 990 WAS PROVIDED TO THE EXECUTIVE COMMITTEE BEFORE IT WAS FILED.
FORM 990, PART VI, SECTION B, LINE 12CTHE CONFLICT OF INTEREST POLICY IS 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 15EVERY 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 19INTERNAL POLICIES, INCLUDING CONFLICT OF INTEREST POLICY, ARE PROVIDED TO THE PUBLIC ON THE ORGANIZATIONS 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 5:NET UNREALIZED LOSSES ON INVESTMENTS: -1,554,884. CHANGE IN MINIMUM PENSION LIABILITY -4,910,720. FAIR VALUE ADJ ON DERIVATIVES -1,243,393. CHANGE INTEREST IN NET ASSETS OF FOUNDATION -982,865. ROUNDING -3. TOTAL TO FORM 990, PART XI, LINE 5: -8,691,865.CHANGES IN NET ASSETS OR FUND BALANCES:

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1SUBURBAN PHYSICIAN ASSISTANT ASSOCIATES LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line18600 OLD GEORGETOWN ROADAddressLine1
CityBETHESDACity
StateMDState
ZIP Code20814ZIPCode
FieldValueIRS element (for citing)
EIN010642496EIN
Primary ActivitiesMEDICAL SERVICESPrimaryActivities
Legal Domicile StateMDLegalDomicileState
Total Income209218TotalIncome
EOY Assets47448EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1SUBURBAN HOSPITAL INCBusinessNameLine1

Form990 Schedule R Part II Form990ScheduleRPartII (21 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrgDirect Controlling Entity NADirectControllingEntityNA
SUBURBAN HOSPITAL FOUNDATION INC
8600 OLD GEORGETOWN ROADBETHESDAMD20814522019696SUPPORTING ORGANIZATIONMD501(C)(3)LINE 11A, ISUBURBAN HOSPITAL INC1
JOHNS HOPKINS HEALTH SYSTEM CORPORATION
3910 KESWICK RD SOUTH BLDG 4TH FL SBALTIMOREMD21211521465301SUPPORTING ORGANIZATIONMD501(C)(3)LINE 11C, III-FIJOHNS HOPKINS HEALTH SYSTEM CORPORATION0
HOWARD COUNTY GENERAL HOSPITAL INC
3910 KESWICK RD SOUTH BLDG 4TH FL SBALTIMOREMD21211522093120HOSPITALMD501(C)(3)LINE 3JOHNS HOPKINS HEALTH SYSTEM CORPORATION0
HOWARD COUNTY LIQUIDATION CORPORATION
3910 KESWICK RD SOUTH BLDG 4TH FL SBALTIMOREMD21211520892284INACTIVE TAX-EXEMPT ORGANIZATIONMD501(C)(3)LINE 3JOHNS HOPKINS HEALTH SYSTEM CORPORATION0
JOHNS HOPKINS BAYVIEW MEDICAL CENTER INC
3910 KESWICK RD SOUTH BLDG 4TH FL SBALTIMOREMD21211521341890HOSPITALMD501(C)(3)LINE 3JOHNS HOPKINS HEALTH SYSTEM CORPORATION0
JOHNS HOPKINS COMMUNITY PHYSICIANS INC
3910 KESWICK RD SOUTH BLDG 4TH FL SBALTIMOREMD21211521467441HEALTHCARE SERVICESMD501(C)(3)LINE 11C, III-FIJOHNS HOPKINS HEALTH SYSTEM CORPORATION0
JOHNS HOPKINS MEDICAL SERVICES CORPORATION
3910 KESWICK RD SOUTH BLDG 4TH FL SBALTIMOREMD21211521232569HEALTHCARE SERVICESMD501(C)(3)LINE 3JOHNS HOPKINS HEALTH SYSTEM CORPORATION0
THE JOHNS HOPKINS HOSPITAL
3910 KESWICK RD SOUTH BLDG 4TH FL SBALTIMOREMD21211520591656HOSPITALMD501(C)(3)LINE 3JOHNS HOPKINS HEALTH SYSTEM CORPORATION0
SUBURBAN HOSPITAL HEALTHCARE SYSTEM INC
8600 OLD GEORGETOWN ROADBETHESDAMD20814522052354HEALTHCARE SERVICESMD501(C)(3)LINE 11C, III-FIJOHNS HOPKINS HEALTH SYSTEM CORPORATION0
HEALTHCARE INITIATIVE FOUNDATION
7910 WOODMONT AVENUEBETHESDAMD20814237324576SUPPORTING ORGANIZATIONMD501(C)(3)LINE 11D, III-OHEALTHCARE INITIATIVE FOUNDATION0
LUCY WEBB HAYES NATIONAL TRAINING SCHOOL FOR DEACONESSES &
5255 LOUGHBORO RD NWWASHINGTONDC20016530196602HOSPITALDC501(C)(3)LINE 3JOHNS HOPKINS HEALTH SYSTEM CORPORATION0
POTOMAC HOME SUPPORT INC
6001 MONTROSE ROAD NO 1020ROCKVILLEMD20852521750383HOME HEALTH CAREMD501(C)(3)LINE 90N/A
SIBLEY SUBURBAN HOME HEALTH AGENCY
6001 MONTROSE ROAD NO 307ROCKVILLEMD20852521450142HOME HEALTH CAREMD501(C)(3)LINE 90N/A
PEDIATRIC PHYSICIAN SERVICES INC
501 SIXTH AVENUE SOUTHST PETERSBURGFL33701593425191PEDIATRIC MEDICAL SERVICESFL501(C)(3)LINE 9ALL CHILDREN'S HEALTH SYSTEM INC0
ALL CHILDREN'S HOSPITAL FOUDNATION INC
501 SIXTH AVENUE SOUTHST PETERSBURGFL33701592481738FOUNDATIONFL501(C)(3)LINE 7ALL CHILDREN'S HEALTH SYSTEM INC0
ALL CHILDREN'S HOSPITAL INC
501 SIXTH AVENUE SOUTHST PETERSBURGFL33701590683252HOSPITALFL501(C)(3)LINE 3JOHNS HOPKINS HEALTH SYSTEM CORPORATION0
ALL CHILDREN'S RESEARCH INSTITUTE INC
501 SIXTH AVENUE SOUTHST PETERSBURGFL33701592481742RESEARCHFL501(C)(3)LINE 4ALL CHILDREN'S HEALTH SYSTEM INC0
SURGIKID OF FLORIDA INC
501 SIXTH AVENUE SOUTHST PETERSBURGFL33701593441883MEDICAL SERVICESFL501(C)(3)LINE 9ALL CHILDREN'S HEALTH SYSTEM INC0
KIDS HOME CARE INC
501 SIXTH AVENUE SOUTHST PETERSBURGFL33701593476049HOME HEALTH CAREFL501(C)(3)LINE 9ALL CHILDREN'S HEALTH SYSTEM INC0
WEST COAST NEONATOLOGY INC
501 SIXTH AVENUE SOUTHST PETERSBURGFL33701593398308NEONATAL CAREFL501(C)(3)LINE 9ALL CHILDREN'S HEALTH SYSTEM INC0
ALL CHILDREN'S HEALTH SYSTEM INC
501 SIXTH AVENUE SOUTHST PETERSBURGFL33701592481740MANAGEMENT SERVICESFL501(C)(3)LINE 11C, III-FIJOHNS HOPKINS HEALTH SYSTEM CORPORATION0

Form990 Schedule R Part III Form990ScheduleRPartIII (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNA
OPHTHALMOLOGY ASSOCIATES LLC
3910 KESWICK RD SOUTH BLDG 4TH FL SBALTIMOREMD21211521890957OPHTHALMOLOGY SERVICESMDN/A
SUBURBAN WELLNESS CENTER LLC
20500 GOLDENROD LANEGERMANTOWNMD20874562296930REAL ESTATEMDN/A
GCM SUBURBAN IMAGING LLC
1201 SEVEN LOCKS ROAD STE 200ROCKVILLEMD20854522326237OUTPATIENT RADIOLOGYMDN/A
ROCKVILLE IMAGING LLC
1201 SEVEN LOCKS ROAD STE 200ROCKVILLEMD20854141944128OUTPATIENT RADIOLOGYMDN/A
CHEVY CHASE IMAGING LLC
1201 SEVEN LOCKS ROAD STE 200ROCKVILLEMD20854141944126RADIOLOGY SERVICESMDN/A

Form990 Schedule R Part IV Form990ScheduleRPartIV (10 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntity
HOWARD COUNTY HEALTH SERVICES INC
3910 KESWICK RD SOUTH BLDG 4TH FL SBALTIMOREMD21211521434783HEALTHCARE MANANAGEMENTMDN/AC
HSI MEDICAL SERVICES CORPORATION
3910 KESWICK RD SOUTH BLDG 4TH FL SBALTIMOREMD21211521847705HEALTHCARE SLEEP DIAGNOSTICSMDN/AC
JOHNS HOPKINS MEDICAL MANANGEMENT CORPORATION
3910 KESWICK RD SOUTH BLDG 4TH FL SBALTIMOREMD21211521250028NURSING SERVICESMDN/AC
JOHNS HOPKINS EMPLOYER HEALTH PROGRAMS INC
3910 KESWICK RD SOUTH BLDG 4TH FL SBALTIMOREMD21211521947678BENEFIT PLANSMDN/AC
TCAS INC
3910 KESWICK RD SOUTH BLDG 4TH FL SBALTIMOREMD21211521979344NURSING SERVICESMDN/AC
SUBURBAN CONTRACTING CORP INC
8600 OLD GEORGETOWN RDBETHESDAMD20814522188022MEDICARE CONTRACTINGMDN/AC
SUBURBAN HEALTH ENTERPRISES INC
8600 OLD GEORGETOWN RDBETHESDAMD20814522052352MEDICAL OFFICE LEASING AND RELEASINGMDN/AC
SUBURBAN SPECIALTY CARE PHYSICIANS PC
8600 OLD GEORGETOWN RDBALTIMOREMD20814522116011MULTI SPECIALTY MEDICAL PRACTICEMDN/AC
HCP VENTURE ONE CORPORATION
3910 KESWICK RD SOUTH BLDG 4TH FL SBALTIMOREMD21211521558858MEDICAL SERIVCESMDN/AC
ACHPOB INC
501 SIXTH AVENUE SOUTHST PETERSBURGFL33701592427749MEDICAL OFFICE BUILDING MANAGEMENTFLN/AC
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs1RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1SUBURBAN HOSPITAL FOUNDATION INCBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeCTransactionType
Amount Involved1314978AmountInvolved
Method Of Amt DeterminationFMVMethodOfAmtDetermination