SUBURBAN HOSPITAL FOUNDATION INC: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
SUBURBAN HOSPITAL FOUNDATION INC (EIN 52-2019696)
Tax period
2009-07-01 to 2010-06-30
Filed
2011-05-11
IRS object ID
201111319349302071
Schema version
2009v1.4
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)
Timestamp2011-05-11T13:46:01-05:00Timestamp
Tax Period End Date2010-06-30TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2009-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN522019696EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1SUBURBAN HOSPITAL FOUNDATION INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSUBUNameControl
Phone3018963971Phone

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NameMARTIN BASSOName
TitleSR VP FIN & TreasurerTitle
Phone3018963971Phone
Date Signed2011-05-11DateSigned
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonMARTIN BASSONameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line18600 OLD GEORGETOWN ROADAddressLine1
CityBETHESDACity
StateMDState
ZIP Code208141497ZIPCode
FieldValueIRS element (for citing)
Gross Receipts16795980GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteWWW.SUBURBANHOSPITAL/CHARITABLEGIVING.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1995YearFormation
State Legal DomicileMDStateLegalDomicile
Activity Or Mission DescriptionSUPPORTING ORGANIZATION FOR SUBURBAN HOSPITAL, INC.ActivityOrMissionDescription
Nbr Voting Members Governing Body21NbrVotingMembersGoverningBody
Nbr Independent Voting Members20NbrIndependentVotingMembers
Total Nbr Employees7TotalNbrEmployees
Total Nbr Volunteers75TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year12710595ContributionsGrantsPriorYear
Contributions Grants Current Year3221002ContributionsGrantsCurrentYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year-626106InvestmentIncomePriorYear
Investment Income Current Year482340InvestmentIncomeCurrentYear
Other Revenue Prior Year29238OtherRevenuePriorYear
Other Revenue Current Year-50664OtherRevenueCurrentYear
Total Revenue Prior Year12113727TotalRevenuePriorYear
Total Revenue Current Year3652678TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year6039547GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY2041598GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year614184SalariesEtcPriorYear
Salaries Etc Current Year756155SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year957840TotalFundrsngExpCurrentYear
Other Expense Prior Year415809OtherExpensePriorYear
Other Expenses Current Year586081OtherExpensesCurrentYear
Total Expenses Prior Year7069540TotalExpensesPriorYear
Total Expenses Current Year3383834TotalExpensesCurrentYear
Revenues Less Expenses Prior Year5044187RevenuesLessExpensesPriorYear
Revenues Less Expenses CY268844RevenuesLessExpensesCY
Total Assets BOY26380886TotalAssetsBOY
Total Assets EOY28504114TotalAssetsEOY
Total Liabilities BOY406801TotalLiabilitiesBOY
Total Liabilities EOY463079TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY25974085NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY28041035NetAssetsOrFundBalancesEOY
Mission DescriptionThe 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.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense499000Expense
DescriptionThe Suburban Hospital Foundation underwrote several initiatives within the Suburban Hospital Cancer Care Programs. These included several support groups and cancer education events attended by thousands of people, such as "Check It Out", Living After Cancer symposium, Prostate Cancer symposium, and Survivor Day. The Foundation also assisted in the provision of charity care by covering the costs of mammograms and ultrasound procedures for low-income women, and ancillary costs of treatment for several patients. The salaries and benefits of two nurse navigators are funded by the Foundation. These professionals are available to assist all patients with understanding their treatment options and coordinating care. They have a special role in identifying cancer patients in need of assistance with insurance, transportation, rent & utilities, and child care during treatment. Free screenings for community members for skin and prostate cancer were also providedDescription

Activity2 Activity2

FieldValueIRS element (for citing)
Expense494000Expense
DescriptionThe Suburban Hospital Foundation underwrote the activities of Suburban Hospital's Casey Center for Diagnostic Cardiology and Diabetes Education, which includes the activities of the Hospital's popular Cardiac Rehabilitation program. "Cardiac rehab" enrolls 400 patients every week, in three levels of activity. Our multidisciplinary team of health professionals is dedicated to improving the quality of life for those recovering from a heart attack, heart surgery, or cardiovascular disease through cardiac rehabilitation through a structured program of education, exercise and peer support designed to guide lifestyle modification. The funds from the Foundation ensure that the Center and its equipment is maintained and that staff are available with the proper continuing education credentials. The Diabetes Education program is available to both inpatient and outpatient populations. Diabetes educators are available for more than 60 inpatient consults monthly. The educators, along with community physicians, also conduct monthly "Diabetes School" programs and individual consults for over 300 patients annually.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense186000Expense
DescriptionThe Suburban Hospital Foundation contributed to equipment purchases and upgrades for several programs in Suburban Hospital including the emergency and trauma service and emergency preparedness for a possible pandemic flu outbreak. The SHF also contributed funds for the renovation of the patient admitting area to improve efficiency of operations and patient privacy.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense862598Expense
Grants2041598Grants
Revenue3652678Revenue
FieldValueIRS element (for citing)
Total Of Other Program Service Exp862598TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt2041598TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev3652678TotalOfOtherProgramServiceRev
Total Program Service Expense2041598TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Balance Sheet Amounts Reported1BalanceSheetAmountsReported
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals1GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
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 Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees7NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions1NonDeductibleContributions
Non Deductible Disclosure1NonDeductibleDisclosure
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Nbr Voting Governing Body Members21NbrVotingGoverningBodyMembers
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 Line1LESLIE FORD WEBER EXEC VPBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number3018963971TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line18710 OLD GEORGETOWN ROADAddressLine1
CityBETHESDACity
StateMDState
ZIP Code20814ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (27 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
LARRY BANK
TRUSTEE4.00X000
Robert Easby-Smith
TRUSTEE4.00X000
STEPHEN CEASTHAM
TRUSTEE4.00X000
LARA EISENBERG MD
TRUSTEE4.00X000
RHONDA BFRIEDMAN
TRUSTEE4.00X000
DOUGLAS SINGRAM PHD
TRUSTEE4.00X000
Leslie Malawer Keenan
TRUSTEE4.00X000
Calvin Laroche
TRUSTEE4.00X000
CHARLES MALAMENT
TRUSTEE4.00X000
John J Jack McDonnell
TRUSTEE4.00X000
GRANT BOTTENSTEIN
TRUSTEE4.00X000
CURTIS POLK
TRUSTEE4.00X000
CHARLES POSTAL
TRUSTEE4.00X000
David A Ruben
TRUSTEE4.00X000
Sabrina Weger
TRUSTEE4.00X000
DAVID A WEXLER CLU CH
TRUSTEE4.00X000
Brian AGragnolati
TRUSTEE, eX OFFICIO10.00X01555800329737
BARRY ROGSTAD PHD
TRUSTEE, EX OFFICIO4.00X000
ERNEST HANOWELL MD
TRUSTEE, EX OFFICIO4.00X000
Phyllis Donoghue
TRUSTEE, EX OFFICIO4.00X000
Boi Carpenter-Mellady
TRUSTEE, EX OFFICIO4.00X000
Michael Hibler
trustee, eX OFFICIO4.00X000
Steven Rum
trustee/ ex officio4.00X000
Leslie Weber
Executive VP/COO32.00022634139965X
Marty Basso
Treasurer4.00043655776140X
SHIRA EOLER
SECRETARY40.00130622024571X
rebecca Bull
director of development40.00118583031270X
FieldValueIRS element (for citing)
Total Reportable Comp From Org249205TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs2218698TotalReportableCompFrmRltdOrgs
Total Other Compensation501683TotalOtherCompensation
Number Individuals GT100 K2NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Fundraising Events382318FundraisingEvents
Government Grants320803GovernmentGrants
All Other Contributions2517881AllOtherContributions
Noncash Contributions11525NoncashContributions
Total Contributions3221002TotalContributions

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column573639TotalRevenueColumn
Exclusion$573,639ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities12812000Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities12903299Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-91299Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-91299TotalRevenueColumn
Related Or Exempt Function Income-91299RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Gross Income Fundraising Events182465GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events382318CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses240003FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-57538TotalRevenueColumn
Exclusion-$57,538ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionOtherDescription
Business Code900099BusinessCode
Total Revenue Column6874TotalRevenueColumn
Exclusion$6,874ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue6874TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column3652678TotalRevenueColumn
Related Or Exempt Function Income-91299RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$522,975ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total2041598Total
Program Services2041598ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total155193Total
Management And General3104ManagementAndGeneral
Fundraising152089Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total430573Total
Management And General30321ManagementAndGeneral
Fundraising400252Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total141395Total
Management And General8068ManagementAndGeneral
Fundraising133327Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total28994Total
Management And General1654ManagementAndGeneral
Fundraising27340Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total28900Total
Management And General28900ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total49099Total
Management And General49099ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total84759Total
Fundraising84759Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total1019Total
Fundraising1019Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total5076Total
Fundraising5076Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total4328Total
Management And General247ManagementAndGeneral
Fundraising4081Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total1081Total
Management And General1081ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalManagement And GeneralManagementAndGeneralFundraisingFundraising
other21789111995197940
Purchased Services19157814197149607
Repairs & Maintenance23502350

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total3383834Total
Program Services2041598ProgramServices
Management And General384396ManagementAndGeneral
Fundraising957840Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY5252BOY
EOY3605EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY4865076BOY
EOY1833737EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY595894BOY
EOY841600EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis51590LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec51590LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY3018BOY
EOY0EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY20911646BOY
EOY25825172EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY26380886BOY
EOY28504114EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY205385BOY
EOY220544EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY201416BOY
EOY242535EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY406801BOY
EOY463079EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY6675375BOY
EOY8473266EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY8607036BOY
EOY8875095EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY10691674BOY
EOY10692674EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY25974085BOY
EOY28041035EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY26380886BOY
EOY28504114EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement BothXFinancialStatementBoth
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type1XSupportingOrg509a3Type1
Certification CheckboxXCertificationCheckbox
Contrib By Controlling Individual0ContribByControllingIndividual
Contribution By Related Party0ContributionByRelatedParty
Contrib By35 Controlled Entity0ContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation

Name Name

FieldValueIRS element (for citing)
Business Name Line1Suburban hospital incBusinessNameLine1
FieldValueIRS element (for citing)
EIN520610545EIN
Type Of Organization3TypeOfOrganization
Listed In Governing Doc1ListedInGoverningDoc
Supported Organization Notified1SupportedOrganizationNotified
Organized In US1OrganizedInUS
Amount$1,894,882Amount
FieldValueIRS element (for citing)
Total Number Of Supported Orgs1TotalNumberOfSupportedOrgs
Sum Of Amounts1894882SumOfAmounts

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 D IRS990ScheduleD

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis51590OtherCostOrOtherBasis
Depreciation51590Depreciation
Book Value0BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings0TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionANNUITIES PAYABLEDescription
Amount$242,535Amount
FieldValueIRS element (for citing)
Total Of Amounts242535TotalOfAmounts
Total Revenue3652678TotalRevenue
Total Expenses3383834TotalExpenses
Excess Or Deficit For Year268844ExcessOrDeficitForYear
Net Unrealized GL On Investments2606543NetUnrealizedGLOnInvestments
Other-$808,437OtherAmount
Total Adjustments1798106TotalAdjustments
Excess Or Deficit Per FS2066950ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt3603579TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal3603579RevenueSubtotal
Other Revenues Not Included49099OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt49099RevenueNotRptdOnFinStmt
Total Revenue Per Form9903652678TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt3574738TotExpensesEtcAuditedFinclStmt
Other Expenses Included240003OtherExpensesIncluded
Expenses Not Rptd F990240003ExpensesNotRptdF990
Expenses Subtotal3334735ExpensesSubtotal
Other Expenses Not Included49099OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt49099ExpensesNotRptdOnFinStmt
Total Expenses Per Form9903383834TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)

IdentifierIdentifierExplanationExplanation
Part XI, Line 8 - Other Adjustments:Increase in the provision for uncollectible pledges: -568957. rounding: 523. Special Events: -240003.
Part XII, Line 4b - Other Adjustments:Investment fees: 49099.
Part XIII, Line 2d - Other Adjustments:Special events: 240003.
Part XIII, Line 4b - Other Adjustments:investment fees: 49099.

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1showcaseNameOfEvent1
Gross Receipts Event1224843GrossReceiptsEvent1
Charitable Contributions Event1206889CharitableContributionsEvent1
Gross Revenue Event117954GrossRevenueEvent1
Non Cash Prizes Event126218NonCashPrizesEvent1
Rent Facility Costs Event17897RentFacilityCostsEvent1
Food And Beverage Event140777FoodAndBeverageEvent1
Entertainment Event163950EntertainmentEvent1
Other Direct Expenses Event10OtherDirectExpensesEvent1
Name Of Event2golfNameOfEvent2
Gross Receipts Event2180642GrossReceiptsEvent2
Charitable Contributions Event2124953CharitableContributionsEvent2
Gross Revenue Event255689GrossRevenueEvent2
Non Cash Prizes Event28345NonCashPrizesEvent2
Rent Facility Costs Event215000RentFacilityCostsEvent2
Food And Beverage Event242103FoodAndBeverageEvent2
Entertainment Event20EntertainmentEvent2
Other Direct Expenses Event28200OtherDirectExpensesEvent2
Total Number Of Other Events3TotalNumberOfOtherEvents
Gross Receipts Other Events159298GrossReceiptsOtherEvents
Charitable Contrib Other Events50476CharitableContribOtherEvents
Gross Revenue Other Events108822GrossRevenueOtherEvents
Non Cash Prizes Other Events21139NonCashPrizesOtherEvents
Rent Facility Costs Other Events0RentFacilityCostsOtherEvents
Food And Beverage Other Events6074FoodAndBeverageOtherEvents
Entertainment Other Events0EntertainmentOtherEvents
Other Direct Expenses Other Events300OtherDirectExpensesOtherEvents
Gross Receipts Total564783GrossReceiptsTotal
Charitable Contributions Total382318CharitableContributionsTotal
Gross Revenue Total Events182465GrossRevenueTotalEvents
Non Cash Prizes Total Events55702NonCashPrizesTotalEvents
Rent Facility Costs Total Events22897RentFacilityCostsTotalEvents
Food And Beverage Total Events88954FoodAndBeverageTotalEvents
Entertainment Total Events63950EntertainmentTotalEvents
Other Direct Expenses Total Events8500OtherDirectExpensesTotalEvents
Direct Expense Summary Events240003DirectExpenseSummaryEvents
Net Income Summary-57538NetIncomeSummary

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (6 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
suburban hospital inc
8600 old georgetown roadbethesdaMD208141497520610545501(c)(3)1894882support for the hospital
St Jane Frances De Chantel Church
9701 Old Georgetown RdbethesdaMD20814520623158501(c)(3)8000Community Benefit
Jewish Chaplaincy Services
6123 Montrose RoadRockvilleMD20852530196598501(c)(3)8000Community Benefit
American Heart Association
4217 Park Place CourtGlen AllenVA23060530213318501(c)(3)15000Community Benefit
MHEI
6820 Deerpath RoadElkridgeMD21075520901664501(c)(3)6000Community Benefit
Big Train Community Baseball
PO Box 30306BethesdaMD20824522092719501(c)(3)5000community benefit

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantScholarshipsTypeOfGrant
Number Of Recipients14NumberOfRecipients
Amount Of Cash Grant96000AmountOfCashGrant

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierProcedure for Monitoring Grants in the U.S.:Identifier
Return ReferencePart I, Line 2:ReturnReference
ExplanationSchedule 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.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PaymentsXIdemnificationGrossUpPayments
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E Expenses0WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
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 (4 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 AGragnolati
06399910420456049535303039630257740188553700
Leslie Weber
017928803401001304303803401931026630600
Marty Basso
02551940142805038558053346022794051269700
SHIRA EOLER
96786011273022563078370167340155193000

Form990 Schedule J Part III Form990ScheduleJPartIII (5 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Part I, Line 1aSuburban Hospital Inc. provides a gross up on an auto lease and other certain benefits for a trusee of Suburban Hospital Foundation, Inc. Suburban Hospital Foundation is the supporting organization for Suburban Hospital Inc. The compensation committee of the board of directors approved the gross up. Proper business documentation was provided and the gross up was treated as taxable compensation to the employee. Suburban Hospital, INC. pays the dues for a country club membership for an officer, that serves as a trustee on Suburban Hospital Foundation, Inc. The amount of the dues paid is included in the employee's taxable compensation and is reported on Schedule J, Part II, Column B(iii).
Part I, Line 1bAn internal policy is used to award officers gross up payments.
Part I, Line 4aThe 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 $38,646.00; bRIAN gRAGNOLATI $289,263.00; AND LESLIE FORD WEBER $25,235.00
Part I, Line 7The 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.
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 O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
Form 990, Part VI, Section A, line 7aSuburban 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 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 parent organization 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 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 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 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 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 HOWARD COUNTY GENERAL HOSPITAL, INC.NUMBER OF EMPLOYEES REPORTED AND REQUIRED FEDERAL EMPLOYMENT TAX:
FORM 990, PART XI, LINES 3A & 3BTHE FEDERAL AWARDS ISSUED TO SUBURBAN HOSPITAL FOUNDATION, INC. WERE INCLUDED IN THE OMB CIRCULAR A-133 AUDIT OF SUBURBAN HOSPITAL, INC. AND AFFILIATES.AUDIT REPORTS ON FEDERAL AWARDS IN ACCORDANCE WITH OMB CIRCULAR A-122
FORM 990, SCHEDULE B, PART ITHE LIST OF CONTRIBUTORS ON SCHEDULE B INCLUDE PLEDGE PAYMENTS RECEIVED IN FISCAL YEAR 2010 THAT WERE REPORTED ON PRIOR FORM 990'S AS REVENUE ON PART VIII, LINES 1A-G BUT NOT REPORTED ON SCHEDULE B.CONTRIBUTORS

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1Suburban hospital incBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line18600 Old Georgetown RoadAddressLine1
CityBethesdaCity
StateMDState
ZIP Code208141497ZIPCode
FieldValueIRS element (for citing)
EIN520610545EIN
Primary ActivitieshospitalPrimaryActivities
Legal Domicile StateMDLegalDomicileState
Exempt Code Section501 (c)(3)ExemptCodeSection
Public Charity Statusline 3PublicCharityStatus

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1SUBURBAN HOSPITAL HEALTHCARE SYSTEM INCBusinessNameLine1
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
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 Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

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