TY 2021 Form 990

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)
(1) KEVIN W SOWERS MSN RN FAA...................................................................... TRUSTEE, CORPORATE VICE CHAIRMAN	2.50 ................. 57.50	X	X	1,909,575	21,374
(2) CAROLYN CARPENTER MHA FACHE...................................................................... PRESIDENT OF NATIONAL CAP REGION FOR JHHS, TRUSTEE	30.00 ................. 30.00	X	X	889,950	133,973
(3) MARY MYERS MS RN...................................................................... TRUSTEE	1.00 ................. 59.00	X		781,017	169,363
(4) BARTON LEONARD MD...................................................................... TRUSTEE	2.50 ................. 0.00	X		0	0
(5) JANINE LOSSING...................................................................... TRUSTEE	2.50 ................. 0.00	X		0	0
(6) MARY ELLEN BELIVEAU...................................................................... TRUSTEE CHAIRMAN	2.50 ................. 2.50	X		0	0
(7) BRIAN COBB...................................................................... TRUSTEE	2.50 ................. 0.00	X		0	0
(8) LINDA COURIE...................................................................... TRUSTEE	2.50 ................. 0.00	X		0	0
(9) JONATHAN EFRON MD...................................................................... TRUSTEE	2.50 ................. 1.00	X		0	0
(10) MARIA GOMEZ...................................................................... TRUSTEE	2.50 ................. 0.00	X		0	0
(11) ELIZABETH FLANAGAN...................................................................... TRUSTEE	2.50 ................. 0.00	X		0	0
(12) DOUGLAS FORMAN MD...................................................................... TRUSTEE	2.50 ................. 2.50	X		0	0
(13) JON SLABAUGH...................................................................... TRUSTEE	2.50 ................. 0.00	X		0	0
(14) MARK FUTROVSKY...................................................................... TRUSTEE	2.50 ................. 0.00	X		0	0
(15) DAVID RUBEN...................................................................... TRUSTEE	2.50 ................. 0.00	X		0	0
(16) MICHAEL A SMITH MD...................................................................... TRUSTEE	2.50 ................. 0.00	X		0	0
(17) SUDEEP ANAND PHD...................................................................... TRUSTEE	2.50 ................. 0.00	X		0	0

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)
(18) LEE WEINSTEIN........................................................................ TRUSTEE	2.50 .......................0.00	X				0	0	0
(19) JOHN OTSUKI........................................................................ TRUSTEE VICE CHAIRMAN	2.50 .......................0.00	X				0	0	0
(20) MARTY BASSO........................................................................ SR VICE PRESIDENT FINANCE & TREASURER	30.00 .......................30.00		X			0	715,393	102,353
(21) PETER B MANCINO ESQ........................................................................ SECRETARY	1.00 .......................59.00		X			0	550,291	69,793
(22) ERIC DOBKIN MD........................................................................ VICE PRESIDENT MEDICAL AFFAIRS	57.00 .......................3.00		X			0	513,240	30,743
(23) JESSICA THOMPSON MELTON MHA........................................................................ PRESIDENT	58.00 .......................2.00		X			0	439,111	53,034
(24) LEIGHANN SIDONE RN........................................................................ VICE PRESIDENT NURSING & CNO	59.00 .......................1.00		X			0	373,885	102,005
(25) JOSEPH LINSTROM........................................................................ VICE PRESIDENT OPERATIONS	58.00 .......................2.00		X			0	328,102	87,503
(26) CINDY MERZ MS........................................................................ VICE PRESIDENT DEVELOPMENT	30.00 .......................30.00		X			0	299,858	36,492
(27) CHRISTOPHER GRANCAGNOLO........................................................................ SR DIRECTOR	50.00 .......................0.00			X		233,915	0	31,607
(28) JENNIFER RAYNOR........................................................................ DEPT DIR PHARMACY	50.00 .......................0.00			X		235,807	0	25,625
(29) THOMAS STEWART........................................................................ EXEC DIR NCR REGIONAL	50.00 .......................0.00			X		237,109	0	16,796
(30) LEIMING WANG........................................................................ PHYSICIAN ASSISTANT - SURGICAL	50.00 .......................0.00			X		240,087	0	13,691
(31) CHARLES HOOKS........................................................................ SR DIR MIS	50.00 .......................0.00			X		226,518	0	19,322
(32) RONALD PETERSON........................................................................ FORMER OFFICER	0.00 .......................0.00				X	0	1,275,825	0

(A) Name and business address	(B) Description of services	(C) Compensation
AYA HEALTHCARE INC 5930 CORNERSTONE CT STE 300 SAN DIEGO,CA92121	NURSING SERVICES	7,221,482
ELECTRICO INC 1300 RACQUET RD BALTIMORE,MD21209	ELECTRICAL SERVICES	1,366,336
MACKENZIE CONTRACTING CO LLC 2324 W JOPPA RD STE 600 LUTHERVILLE,MD21093	CONTRACTING SERVICES	1,284,407
ALLIANT STAFFING LLC 3 BETHESDA METRO CTR STE 460 BETHESDA,MD20814	NURSING SERVICES	1,141,092
FIRST COLONIES ANESTHESIA ASSOCIATES 12222 MERIT DR STE 700 DALLAS,TX75251	MEDICAL SERVICES	767,879
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 72

- TIN:

SCHEDULE A
(Form 990)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public
Inspection

Name of the organization

SUBURBAN HOSPITAL INC

Employer identification number

52-0610545

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990).)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 33 1/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 33 1/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box on lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990) 2021

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization failed to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2017	(b) 2018	(c) 2019	(d) 2020	(e) 2021	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) ..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2017	(b) 2018	(c) 2019	(d) 2020	(e) 2021	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support. Add lines 7 through 10

Gross receipts from related activities, etc. (see instructions) ..................

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here ........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2021 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2020 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2021. If the organization did not check the box on line 13, and line 14 is 33 1/3 % or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2020. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2021. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2020. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990) 2021

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2017	(b) 2018	(c) 2019	(d) 2020	(e) 2021	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose
3	Gross receipts from activities that are not an unrelated trade or business under section 513 .....
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge
6	Total. Add lines 1 through 5
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support. (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2017	(b) 2018	(c) 2019	(d) 2020	(e) 2021	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2021 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2020 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2021 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2020 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2021. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2020. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990) 2021

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked box 12a or 12b in Part I, answer lines 4b and 4c below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer lines 5b and 5c below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 7? If “Yes,” complete Part I of Schedule L (Form 990).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons, as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined on line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined on line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990) 2021

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described on lines 11b and 11c below, the governing body of a supported organization?

11a

A family member of a person described on 11a above?

11b

A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the officers, directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in line 2 above, did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer lines 2a and 2b below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described on line 2a, above constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer lines 3a and 3b below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations?If "Yes" or "No", provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990) 2021

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by 0.035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990) 2021

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes	1
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity	2
3 Administrative expenses paid to accomplish exempt purposes of supported organizations	3
4 Amounts paid to acquire exempt-use assets	4
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI)	5
6 Other distributions (describe in Part VI). See instructions	6
7Total annual distributions. Add lines 1 through 6.	7
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions	8
9 Distributable amount for 2021 from Section C, line 6	9
10 Line 8 amount divided by Line 9 amount	10

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2021	(iii) Distributable Amount for 2021
1 Distributable amount for 2021 from Section C, line 6
2 Underdistributions, if any, for years prior to 2021 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2021:
a From 2016.......
b From 2017.......
c From 2018.......
d From 2019.......
e From 2020.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2021 distributable amount
i Carryover from 2016 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2021 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2021 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2021, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2021. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2022. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2017.....
b Excess from 2018.....
c Excess from 2019.....
d Excess from 2020.....
e Excess from 2021.....

Schedule A (Form 990) (2021)

Schedule A (Form 990) 2021

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2021

Name of the organization

SUBURBAN HOSPITAL INC

Employer identification number

52-0610545

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990) (2021)

Schedule B (Form 990) (2021) Page 2

Name of organization SUBURBAN HOSPITAL INC

Part I Contributors	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990) (2021)

Schedule B (Form 990) (2021)

Page 3

Name of organization SUBURBAN HOSPITAL INC		Employer identification number 52-0610545

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
Schedule B (Form 990) (2021)

Schedule B (Form 990) (2021)

Page 4


Name of organization SUBURBAN HOSPITAL INC			Employer identification number 52-0610545
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990) (2021)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527

SchCMd Bullet

Complete if the organization is described below. SchCMd Bullet

Attach to Form 990 or Form 990-EZ.
SchCMd Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public
Inspection

If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

SUBURBAN HOSPITAL INC

Employer identification number

52-0610545

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV. See instructions for definition of “political campaign activities."

Political campaign activity expenditures. See instructions .................................................................... SchCMd Bullet

Volunteer hours for political campaign activities. See instructions ..................................................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ................................ SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................

Yes No

Was a correction made? ......................................................................................................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................ SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b........... SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ...................................................................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6

For Paperwork Reduction Act Notice, see the instructions for Form 990.

Cat. No. 50084S

Schedule C (Form 990) 2021

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check SchCMd Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......................
b	Total lobbying expenditures to influence a legislative body (direct lobbying) ........................
c	Total lobbying expenditures (add lines 1a and 1b) ............................................................
d	Other exempt purpose expenditures ...............................................................................
e	Total exempt purpose expenditures (add lines 1c and 1d) ..................................................
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................................................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................................................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................................................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ...................................................................................................................	Yes No

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2018	(b) 2019	(c) 2020	(d) 2021	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990) 2021

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes|No

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? ...........................................................................................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........

Media advertisements? ...................................................................................................

Mailings to members, legislators, or the public? .............................................................................

Publications, or published or broadcast statements? ...........................................................

Grants to other organizations for lobbying purposes? ..........................................................

Direct contact with legislators, their staffs, government officials, or a legislative body? .......................

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................

Other activities? ...................................................................................................................

Yes

72,809

Total. Add lines 1c through 1i ....................................................................................................

72,809

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 ...........................................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ...............................................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................

Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members ......................................................................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).

Current year .............................................................................................................................

Carryover from last year ............................................................................................................

Total ...........................................................................................................................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................

Taxable amount of lobbying and political expenditures. See Instructions .........................................

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
PART II-B, LINE 1:	SUBURBAN HOSPITAL PAID ITS PARENT CORPORATION, JOHNS HOPKINS HEALTH SYSTEM CORPORATION $68,929 DURING FISCAL YEAR ENDED JUNE 30, 2022 TO SUPPORT THEIR LOBBYING ACTIVITIES. JOHNS HOPKINS OFFICE OF GOVERNMENT AND COMMUNITY AFFAIRS (GCA) SERVES JOHNS HOPKINS UNIVERSITY AND MEDICINE, JOHNS HOPKINS HEALTH SYSTEM AND AFFILIATES. THE PRIMARY PURPOSE OF THIS DEPARTMENT IS TO MAINTAIN CONTACT WITH ELECTED AND APPOINTED STATE OFFICIALS, AND OCCASIONAL FEDERAL OFFICIALS, REGARDING ISSUES WHICH IMPACT JOHNS HOPKINS HEALTH SYSTEM AND ITS AFFILIATES AS WELL AS THE HEALTHCARE INDUSTRY IN GENERAL. THE ORGANIZATION ALSO PAID CERTAIN DUES OR MEMBERSHIP FEES TO VARIOUS PROFESSIONAL ASSOCIATIONS, STATE HOSPITAL ASSOCIATIONS, AND OTHER PROFESSIONAL MEDICAL SOCIETIES WHO ALLOCATE A PORTION OF THOSE DUES TOWARDS LOBBYING EXPENSES. FOR FY22, THE ORGANIZATION HAS CONFIRMED THAT $3,880 OF SUCH DUES WERE ALLOCATED TOWARDS LOBBYING ACTIVITIES.

Return Reference

Explanation

PART II-B, LINE 1:

SUBURBAN HOSPITAL PAID ITS PARENT CORPORATION, JOHNS HOPKINS HEALTH SYSTEM CORPORATION $68,929 DURING FISCAL YEAR ENDED JUNE 30, 2022 TO SUPPORT THEIR LOBBYING ACTIVITIES. JOHNS HOPKINS OFFICE OF GOVERNMENT AND COMMUNITY AFFAIRS (GCA) SERVES JOHNS HOPKINS UNIVERSITY AND MEDICINE, JOHNS HOPKINS HEALTH SYSTEM AND AFFILIATES. THE PRIMARY PURPOSE OF THIS DEPARTMENT IS TO MAINTAIN CONTACT WITH ELECTED AND APPOINTED STATE OFFICIALS, AND OCCASIONAL FEDERAL OFFICIALS, REGARDING ISSUES WHICH IMPACT JOHNS HOPKINS HEALTH SYSTEM AND ITS AFFILIATES AS WELL AS THE HEALTHCARE INDUSTRY IN GENERAL. THE ORGANIZATION ALSO PAID CERTAIN DUES OR MEMBERSHIP FEES TO VARIOUS PROFESSIONAL ASSOCIATIONS, STATE HOSPITAL ASSOCIATIONS, AND OTHER PROFESSIONAL MEDICAL SOCIETIES WHO ALLOCATE A PORTION OF THOSE DUES TOWARDS LOBBYING EXPENSES. FOR FY22, THE ORGANIZATION HAS CONFIRMED THAT $3,880 OF SUCH DUES WERE ALLOCATED TOWARDS LOBBYING ACTIVITIES.

Schedule C (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet

Attach to Form 990.
SchDMd Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public Inspection

Name of the organization

SUBURBAN HOSPITAL INC

Employer identification number

52-0610545

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 7/25/06, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... SchDMd Bullet

(ii)

Assets included in Form 990, Part X ............................... SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under FASB ASC 958 relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2021

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....

Part V

Endowment Funds.
Complete if the organization answered "Yes" on Form 990, Part IV, line 10.

		(a) Current year	(b) Prior year	(c) Two years back	(d) Three years back	(e) Four years back

1a	Beginning of year balance ....
b	Contributions ...
c	Net investment earnings, gains, and losses
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....
g	End of year balance ......

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

Term endowment SchDMd Bullet

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) Unrelated organizations .................

3a(i)

(ii) Related organizations .................

3a(ii)

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....	1,336,784		1,336,784
b	Buildings ....	266,142,861	107,638,826	158,504,035
c	Leasehold improvements	140,637	8,790	131,847
d	Equipment ....	205,615,399	102,457,614	103,157,785
e	Other .....	22,748,593	6,560,286	16,188,307
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				279,318,758

Schedule D (Form 990) 2021

Page 3

Part VII

Investments - Other Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1) Financial derivatives.........
(2) Closely-held equity interests........
(3) Other (A) LONG TERM INV	261,831,562	C
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)	261,831,562

Part VIII

Investments - Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	146,076,994
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2021

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1..................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b....................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d....................		2e
3	Subtract line 2e from line 1...................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.....................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference

Explanation

PART X, LINE 2:

FASB'S GUIDANCE ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES CLARIFIES THE ACCOUNTING FOR UNCERTAINTY OF INCOME TAX POSITIONS. THIS GUIDANCE DEFINES THE THRESHOLD FOR RECOGNIZING TAX RETURN POSITIONS IN THE FINANCIAL STATEMENTS AS "MORE LIKELY THAN NOT" THAT THE POSITION IS SUSTAINABLE, BASED ON ITS TECHNICAL MERITS. THIS GUIDANCE ALSO PROVIDES GUIDANCE ON THE MEASUREMENT, CLASSIFICATION AND DISCLOSURE OF TAX RETURN POSITIONS IN THE FINANCIAL STATEMENTS. THE HOSPITAL HAS ADOPTED THIS GUIDANCE, AND THERE WAS NO IMPACT ON ITS FINANCIAL STATEMENTS DURING THE YEARS ENDED JUNE 30, 2022 AND 2021.

Schedule D (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public Inspection

Name of the organization

SUBURBAN HOSPITAL INC

Employer identification number

52-0610545

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .

Yes

If "Yes," was it a written policy? ......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: . . . . . . . .

Yes

200% 250% 300% 350% 400% Other 50000.0000000000 %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .

Yes

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .

Did the organization prepare a community benefit report during the tax year? . . . . . . . . .

Yes

If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .	7,069,940	0	7,069,940	1.980 %
b	Medicaid (from Worksheet 3, column a) . . . . .	0	0
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .	0	0
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	7,069,940		7,069,940	1.980 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	22,651,757	1,510,661	21,141,096	5.920 %
f	Health professions education (from Worksheet 5) . . .	5,153,141	0	5,153,141	1.440 %
g	Subsidized health services (from Worksheet 6) . . . .	0	0
h	Research (from Worksheet 7) .	798,475	798,475
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	191,624	0	191,624	0.050 %
j	Total. Other Benefits . .	28,794,997	2,309,136	26,485,861	7.410 %
k	Total. Add lines 7d and 7j .	35,864,937	2,309,136	33,555,801	9.390 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2021

Schedule H (Form 990) 2021

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing	0	0
2	Economic development	0	0
3	Community support	174,109	13,769	160,340	0.040 %
4	Environmental improvements	150,337	0	150,337	0.040 %
5	Leadership development and training for community members	0	0
6	Coalition building	438,268	34,422	403,846	0.110 %
7	Community health improvement advocacy	0	0
8	Workforce development	142,804	0	142,804	0.040 %
9	Other	0	0
10	Total	905,518	48,191	857,327	0.230 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

7,323,601

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

132,695,474

Enter Medicare allowable costs of care relating to payments on line 5.....

143,812,021

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-11,116,547

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2021

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?1Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
1	SUBURBAN HOSPITAL INC 8600 OLD GEORGETOWN RD BETHESDA,MD15332 WWW.HOPKINSMEDICINE.ORG/SUBURBAN_HOSPI 15-028	X

Schedule H (Form 990) 2021

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	SUBURBAN HOSPITAL INC
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 21

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): SEE SUPPLEMENTAL INFORMATION

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 21

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): SEE SUPPLEMENTAL INFORMATION

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2021

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	SUBURBAN HOSPITAL INC
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.000000000000%
and FPG family income limit for eligibility for discounted care of 500.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

WWW.HOPKINSMEDICINE.ORG/PATIENT_CARE/BILLING-INSURANCE/ASSISTANCE-SERVICES/

The FAP application form was widely available on a website (list url):

WWW.HOPKINSMEDICINE.ORG/PATIENT_CARE/BILLING-INSURANCE/ASSISTANCE-SERVICES/

A plain language summary of the FAP was widely available on a website (list url):
WWW.HOPKINSMEDICINE.ORG/PATIENT_CARE/BILLING-INSURANCE/ASSISTANCE-SERVICES/

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2021

Page 6

Part VFacility Information (continued)

Billing and Collections

	SUBURBAN HOSPITAL INC
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2021

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	SUBURBAN HOSPITAL INC
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ...............................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2021

Page 8

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
SUBURBAN HOSPITAL, INC.	PART V, SECTION B, LINE 5: SUBURBAN HOSPITAL'S FOOTPRINT IS ROOTED IN COMMUNITY HEALTH. IN LIVING OUT ITS MISSION TO IMPROVE THE HEALTH AND WELLBEING OF THE COMMUNITY, THE SERVICES AND CARE PROVIDED BY OUR COLLEAGUES EXPAND BEYOND THE WALLS OF THE HOSPITAL TO NURTURE A HEALTHY, VIBRANT AND RESILIENT MONTGOMERY COUNTY. THE FOLLOWING, SPEARHEADED BY THE COMMUNITY HEALTH AND WELLNESS (CHW) DIVISION, DESCRIBES SUBURBAN'S PROCESS FOR COMMUNITY HEALTH IMPROVEMENT, WHICH GUIDES AND INFORMS OUR WORK TO REDUCE HEALTH DISPARITIES AND IMPROVE HEALTH EQUITY.THE CHW DIVISION IS A TEAM OF NURSES, PUBLIC HEALTH PROFESSIONALS AND EDUCATORS, ARMED WITH TRAINING, KNOWLEDGE AND EXPERIENCE IN PUBLIC HEALTH PRINCIPLES. THEY SERVE, INDIVIDUALLY AND COLLECTIVELY, AS PUBLIC HEALTH RESOURCES, COACHES AND GUIDES, DUE IN PART TO THEIR EDUCATIONAL BACKGROUND, TRUSTED RELATIONSHIPS BUILT IN THE COMMUNITY, AND FIRSTHAND KNOWLEDGE OF THE MAJOR HEALTH CONCERNS, BARRIERS AND NEEDS. IN SERVING THE SUBURBAN HOSPITAL MISSION OF IMPROVING HEALTH WITH SKILL AND COMPASSION, THE DIVISION LEVERAGES STRATEGIC PARTNERSHIPS WITH LOCAL GOVERNMENT, COALITIONS, COMMUNITY PARTNERS AND LEADERS TO ENSURE COMMON GOALS ARE ESTABLISHED TO PROVIDE RESOURCES TO THE COUNTY'S MOST VULNERABLE RESIDENTS. THE UTILIZATION OF RIGOROUS MEASUREMENT, EVALUATION AND ANALYSIS ENSURE THAT THE REPORTING OF HEALTH IMPROVEMENT OUTCOMES ACHIEVE THE TRI-ANNUAL COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND ANNUAL COMMUNITY BENEFIT REQUIREMENTS AND GOALS.AFTER YEARS OF PLANNING AND COLLECTIVE DESIGN, SUBURBAN HOSPITAL'S MOST RECENT CHNA, COMPLETED IN JUNE 2022, IS THE RESULT OF A UNIQUE COLLABORATIVE EFFORT WITH EACH OF THE FOUR HOSPITAL SYSTEMS IN MONTGOMERY COUNTY, MD. THE 2022 CHNA IS REFERRED TO AS THE MONTGOMERY COUNTY HOSPITAL COLLABORATIVE, OR MCHC. THE MCHC ADDRESSES 34 ZIP CODES SERVED BY ADVENTIST HEALTHCARE (ADVENTIST HEALTHCARE REHABILITATION, ADVENTIST HEALTHCARE SHADY GROVE MEDICAL CENTER, AND THE ADVENTIST HEALTHCARE WHITE OAK MEDICAL CENTER), HOLY CROSS HEALTH (HOLY CROSS HOSPITAL AND HOLY CROSS GERMANTOWN HOSPITAL), MEDSTAR HEALTH (MEDSTAR MONTGOMERY MEDICAL CENTER) AND SUBURBAN HOSPITAL. THE METHODOLOGY UTILIZED TO IDENTIFY THE GREATEST HEALTH NEEDS WAS THOUGHTFUL AND DELIBERATE. THE MCHC CHNA USED A SYSTEMATIC DATA COLLECTION AND ANALYSIS PROCESS TO IDENTIFY KEY HEALTH NEEDS AND ISSUES THAT PERSIST IN OUR COMMUNITY. IN ADDITION TO USING THE HIGHEST QUALITY DATA AVAILABLE FROM PRIVATE AND PUBLIC SOURCES, THE MCHC CHNA WAS PROACTIVE IN ENGAGING A BROAD AND DIVERSE LEVEL OF STAKEHOLDERS AT KEY STAGES OF THE ASSESSMENT VIA SURVEYS AND COMMUNITY CONVERSATIONS. DATA COLLECTION OCCURRED BETWEEN APRIL 2021 AND MARCH 2022. THE 2022 MCHC CHNA RELIED ON MULTIPLE TOOLS AND RESOURCES TO UNDERSTAND AND IDENTIFY THE UNMET HEALTH NEEDS OF THOSE SERVED. USING THE COUNTY HEALTH RANKINGS MODEL AS THE GUIDE, OVER 100 INDICATORS WERE IDENTIFIED AND INTEGRATED TO CREATE A HEALTH PROFILE OF MONTGOMERY AND PRINCE GEORGE'S COUNTIES. IN ADDITION TO GATHERING TIMELY, RELIABLE, AND VALID SECONDARY HEALTH DATA AND REPORTS, THE MCHC COLLECTED FIRST-HAND INFORMATION, FROM THE FOLLOWING:-HEALTHY MONTGOMERYSERVING AS THE LOCAL HEALTH IMPROVEMENT COALITION (LHIC), HEALTHY MONTGOMERY BRINGS TOGETHER MONTGOMERY COUNTY GOVERNMENT AGENCIES, HOSPITAL SYSTEMS, MINORITY HEALTH INITIATIVES/HEALTH PROGRAMS, ADVOCACY GROUPS, ACADEMIC INSTITUTIONS, COMMUNITY-BASED SERVICE PROVIDERS, THE HEALTH INSURANCE COMMUNITY, AND OTHER STAKEHOLDERS TO SET A HEALTH PRIORITY AGENDA AND AN ACTION PLAN FOR MONTGOMERY COUNTY'S PRIORITIZED NEEDS.-EXTERNAL ADVISORY GROUPSTHE MCHC CONVENED A GROUP OF EXTERNAL PARTICIPANTS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY. PARTICIPANTS INCLUDED MONTGOMERY COUNTY'S HEALTH OFFICER, THE DIRECTOR OF THE MONTGOMERY COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES (MCDHHS), VARIOUS INDIVIDUALS FROM LOCAL AND STATE GOVERNMENTAL AGENCIES, LEADERS FROM COMMUNITY-BASED ORGANIZATIONS, FOUNDATIONS, CHURCHES, COLLEGES, COALITIONS, AND ASSOCIATIONS. THESE PARTICIPANTS ARE EXPERTS IN A RANGE OF AREAS, INCLUDING PUBLIC HEALTH, HEALTH CARE, MINORITY POPULATIONS AND DISPARITIES IN HEALTH CARE, SOCIAL DETERMINANTS OF HEALTH (SDOH), AND SOCIAL SERVICES. THROUGH FEEDBACK AND ADVICE, THEY PROVIDED ONGOING INPUT TO ENSURE THE MCHC IDENTIFIED AND RESPONDED TO THE MOST PRESSING COMMUNITY HEALTH NEEDS. THROUGHOUT THE CHNA, ADVISORY GROUP MEMBERS WERE INVITED TO PARTICIPATE, PARTICULARLY IN THE PRIORITIZATION PROCESS, THOUGHT LEADERS' DISCUSSION, AND DATA EXPLORATION PROCESS.-COMMUNITY SURVEYS, CONVERSATIONS AND KEY INFORMANT INTERVIEWSIN 2021, THE MCHC WIDELY DISTRIBUTED A 19-QUESTION CHNA SURVEY CENTERED ON HEALTH STATUS, ACCESS TO CARE, AND PERCEIVED COMMUNITY HEALTH NEEDS AND STRENGTHS. THE SURVEY WAS AVAILABLE IN BOTH ENGLISH AND IN SPANISH. SURVEY DISSEMINATION INCLUDED COMMUNITY EVENTS, PROGRAMS, VIA EMAIL, LISTSERVS, SOCIAL MEDIA, COMMUNITY PARTNERS AND ORGANIZATIONS. COMMUNITY CONVERSATIONS AND KEY INFORMANT INTERVIEWS WERE CONDUCTED IN PARTNERSHIP WITH HEALTHY MONTGOMERY AND THE MCDHHS PROVIDED OVERSIGHT, PARTICIPATION, AND SUPPORT.SUBURBAN HOSPITAL CONVENED ITS OWN AD HOC COMMITTEE TO CONDUCT A PRIORITIZATION PROCESS FOR THE IDENTIFIED UNMET HEALTH NEEDS. THIS GROUP, COMPRISED OF STAKEHOLDERS BOTH INTERNAL AND EXTERNAL TO THE HOSPITAL WERE MEMBERS OF EITHER A DISEASE OR CONDITION-SPECIFIC ADVISORY GROUP REFERRED TO AS THOUGHT LEADERS, OR AS A MEMBER OF THE COMMUNITY HEALTH IMPROVEMENT ADVISORY COUNCIL (CHIAC). ON MAY 13, 2022, REPRESENTATIVES FROM THE FOLLOWING ORGANIZATIONS CONVENED TO REVIEW AND EVALUATE THE CHNA FINDINGS AS WELL AS ESTABLISH AN ACCEPTABLE PRIORITIZATION PROCESS. THOUGHT LEADERS:BETHESDA NEWTRITION & WELLNESS SOLUTIONSEVERYMINDFRIENDSHIP HEIGHTS NEIGHBOR NETWORKJOHNS HOPKINS COMMUNITY PHYSICIANS HEART CAREMONTGOMERY COUNTY PUBLIC SCHOOLS PHYSICIAN REPRESENTING PRIVATE PRACTICESUBURBAN HOSPITAL PATIENT AND FAMILY ADVISORY COUNCILSUBURBAN HOSPITALCOMMUNITY HEALTH IMPROVEMENT ADVISORY COUNCIL:ALPHA PHI ALPHA FRATERNITY BRADLEY HILLS VILLAGECATHOLIC CHARITIESEVERYMINDGIRLS ON THE RUN MONTGOMERY COUNTYMARY'S CENTERMERCY HEALTHMOBILE MEDICAL CARE, INC.MYFINANCIALPARENT ENCOURAGEMENT PROGRAMSUBURBAN HOSPITALNEEDS ASSESSMENTS AND REPORTS:AS AVAILABLE, THE MCHC USED A RANGE OF NEEDS ASSESSMENTS AND REPORTS TO IDENTIFY UNMET NEEDS, ESPECIALLY FOR UNDERSERVED MINORITIES, SENIORS, AND WOMEN AND CHILDREN, INCLUDING: AFRICAN AMERICAN HEALTH PROGRAM ANNUAL REPORT FY2020 AFRICAN AMERICAN HEALTH PROGRAM GEOGRAPHIC HOT SPOT REPORT 2019 ASIAN AMERICAN HEALTH INITIATIVE ANNUAL REPORT FY2021 BLUEPRINT FOR ASIAN AMERICAN HEALTH INITIATIVE 2020-2030 BLUEPRINT FOR LATINO HEALTH IN MONTGOMERY COUNTY 2017-2026 CDC NATIONAL DIABETES STATISTICS REPORT 2020 COMMUNITY ACTION PARTNERSHIP, COMMUNITY NEEDS ASSESSMENT 2019-2022 LATINO HEALTH INITIATIVE ANNUAL REPORT FY2019 MONTGOMERY COUNTY COLLABORATION COUNCIL, COMMUNITY NEEDS ASSESSMENT, 2020 MONTGOMERY COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES MCDHHS, HEALTH EQUITY IN MONTGOMERY COUNTY 2010-2018 MONTGOMERY COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES, STATUS OF HEALTH IN MONTGOMERY COUNTY FY2018 MONTGOMERY COUNTY FOOD COUNCIL ANNUAL REPORT 2020 PRINCE GEORGE'S COUNTY COMMUNITY HEALTH ASSESSMENT 2019 PRINCE GEORGE'S COUNTY FOOD SECURITY TASK FORCE REPORT 2021 PRINCE GEORGE'S COUNTY HEALTH DEPARTMENT, HEALTH REPORT 2018 STATE OF MARYLAND VITAL STATISTICS ANNUAL REPORT 2019 STATE OF MARYLAND, DIABETES IN MARYLAND ACTION PLAN SURVEILLANCE REPORT ON POPULATION HEALTH, HEALTH IN MONTGOMERY COUNTY 2010-2019 THRIVE MONTGOMERY 2050 (DRAFT) TRINITY HEALTH SYSTEM FULL ASSESSMENT REPORT 2021 TRUST FOR AMERICA'S HEALTH, THE STATE OF OBESITY REPORT 2021 P UNIVERSITY OF WISCONSIN POPULATION HEALTH INSTITUTE'S COUNTY HEALTH RANKINGS DATA P USDA ECONOMIC RESEARCH REPORT, HOUSEHOLD FOOD SECURITY IN THE US 2020OTHER AVAILABLE DATATHE MCHC ALSO REVIEWED INTERNAL PATIENT DATA, E.G. EMERGENCY ROOM UTILIZATION, PATIENT READMISSIONS, AND WHERE AVAILABLE, ACCESSED PUBLICLY AVAILABLE DATA ON MARKET ANALYSES, HEALTH INDICATORS, AND SOCIAL DETERMINANTS OF HEALTH. THESE SETS OF DATA PROVIDED A DETAILED LOOK AT THE COMMUNITY BY IDENTIFYING DISPARITIES THAT MIGHT NOT SURFACE WHEN LOOKING AT ONLY COUNTY OR STATE DATA. IN ADDITION, MEMBERS OF THE MCHC REGULARLY PARTICIPATE IN COALITIONS, COMMISSIONS, COMMITTEES, PARTNERSHIPS, AND PANELS, AFFORDING A DEEP UNDERSTANDING OF HEALTH OPPORTUNITIES AND CHALLENGES RESONATING WITHIN THE COMMUNITY.THE SUBURBAN HOSPITAL BOARD OF TRUSTEES APPROVED THE 2022 CHNA ON JUNE 2, 2022. IT WAS POSTED ON SUBURBAN'S WEBSITE ON JUNE 28, 2022.
SUBURBAN HOSPITAL, INC.	PART V, SECTION B, LINE 6A: THE COLLABORATIVE CHNA INCLUDED ALL HOSPITALS IN MONTGOMERY COUNTY:1. ADVENTIST HEALTHCARE SHADY GROVE MEDICAL CENTER2. ADVENTIST HEALTHCARE WHITE OAK MEDICAL CENTER3. HOLY CROSS HOSPITAL 4. HOLY CROSS GERMANTOWN HOSPITAL 5. MEDSTAR MONTGOMERY MEDICAL CENTER
SUBURBAN HOSPITAL, INC.	PART V, SECTION B, LINE 7D: A FULL COPY OF THE MCHC CHNA IS AVAILABLE IN PRINT AT SUBURBAN HOSPITAL AND ON THE HOSPITAL'S WEBSITE. IN ADDITION, COMPONENTS OF THE CHNA WERE MADE AVAILABLE THROUGH THE HOSPITAL'S ELECTRONIC HEALTH AND WELLNESS NEWSLETTER KNOWN AS WELLWORKS. A SUPPLEMENTAL REPORT KNOWN AS THE COMMUNITY HEALTH IMPROVEMENT REPORT (CHI), WHICH HIGHLIGHTS THE HOSPITAL'S CHNA, IMPLEMENTATION STRATEGY AND COMMUNITY BENEFIT WERE MADE AVAILABLE TO COMMUNITY STAKEHOLDERS AND LEGISLATORS ANNUALLY. THE CHIAC DISSEMINATES THE CHI TO THEIR STAKEHOLDERS AND COMMUNITY.
SUBURBAN HOSPITAL, INC.	PART V, SECTION B, LINE 11: THE 2022 IMPLEMENTATION STRATEGY IS THE HOSPITAL'S FORMAL RESPONSE TO THE NEEDS ASSESSMENT AND WAS DRAFTED COLLABORATIVELY AMONG ALL SIX COUNTY HOSPITALS. IT OUTLINES THE MCHC'S PLAN TO ADDRESS EACH OF THE NINE PRIORITIZED UNMET HEALTH NEEDS, SPECIFICALLY NOTING THE ACTIONS EACH HOSPITAL INTENDS TO TAKE AND THE ANTICIPATED IMPACT OF THESE ACTIONS. APPROVED AND ADOPTED BY SUBURBAN HOSPITAL'S BOARD OF TRUSTEES ON SEPTEMBER 22, 2022, THE MCHC IMPLEMENTATION STRATEGY REFLECTS AN OVERALL APPROACH TO IMPROVING COMMUNITY HEALTH BY TARGETING THE INTERSECTION BETWEEN THE IDENTIFIED NEEDS OF THE COMMUNITY AND THE KEY STRENGTHS AND MISSION COMMITMENTS OF EACH ORGANIZATION TO HELP BUILD A CONTINUUM OF CARE. TO ADDRESS THE UNMET NEEDS, THE MCHC WILL TACKLE DOWNSTREAM ISSUES THROUGH PREVENTION, EDUCATION, AND DISEASE MANAGEMENT INITIATIVES. UPSTREAM-IDENTIFIED NEEDS WILL BE ADDRESSED THROUGH POLICY, SYSTEM, AND ENVIRONMENTAL CHANGE STRATEGIES IN AN EFFORT TO OPTIMIZE WELLNESS AND EQUITY, THUS REDUCING DISPARITIES IN OUR COMMUNITY. THE COLLABORATIVE APPROACH OF THE 2022 IMPLEMENTATION STRATEGY POSITIONS SUBURBAN AND THE OTHER HOSPITALS TO ADDRESS ALL NINE UNMET NEEDS VIA A COLLECTIVE APPROACH THAT BUILDS ON STRENGTHENING AND EXPANDING EXISTING INFRASTRUCTURE AND SHARED MEASUREMENT SYSTEMS. TO ACHIEVE THIS GOAL, EACH HEALTH SYSTEM HAS ESTABLISHED LEAD COMMUNITY HEALTH IMPROVEMENT ACCOUNTABILITY LEVERS, WHICH INCLUDES AN ORGANIZATIONAL STRUCTURE TO PROVIDE OVERSIGHT OF ONGOING PLANNING, BUDGETING, STRATEGIC IMPLEMENTATION, AND MULTI-YEAR EVALUATION. INTEGRATING BOTH THE MCHC AND HOSPITAL'S IMPLEMENTATION AND INTERNAL STRATEGIC GOALS, THE STRATEGIC PLAN IS ALIGNED WITH THE OBJECTIVE OF PROVIDING A GUIDED HEALTHCARE SYSTEM TO OUR MOST VULNERABLE PATIENTS AND COMMUNITIES. DELIBERATELY APPLYING A COLLECTIVE IMPACT APPROACH, THE CHW DIVISION GUIDES AND SUPPORTS THE FOLLOWING POPULATION HEALTH OBJECTIVES: A SEAMLESS TRANSITION AND BETTER MANAGEMENT OF PATIENTS' COMPLEX NEEDS FROM HOSPITAL TO HOME THROUGH THE DEPLOYMENT OF FOUR TRANSITION GUIDE NURSES. A RE-ADMISSIONS REDUCTION STRATEGY THAT SUPPORTS "AGING IN PLACE" VIA A VILLAGE ALLIANCE MODEL WITHIN SUBURBAN HOSPITAL'S COMMUNITY BENEFIT SERVICE AREA (CBSA) ZIP CODES. DATA ANALYTICS TO IDENTIFY VULNERABLE COMMUNITIES IN SUBURBAN HOSPITAL'S CBSA ZIP CODES TO SUPPORT AND INTEGRATE POPULATION HEALTH-SPECIFIC INTERVENTIONS WITH THE GOAL OF REDUCING HEALTH INEQUITIES AS OUTLINED IN THE CHI REPORT INTEGRATION OF POPULATION HEALTH INTERVENTIONS AIMED AT REDUCING HEALTH INEQUITIES AND COLLABORATING WITH SAFETY NET CLINICS IN MONTGOMERY COUNTY TO INCREASE ACCESS OF CARE TO UNDERSERVED POPULATIONS AND PROVIDE A CONTINUUM OF CARE IN CHRONIC DISEASE MANAGEMENT INTERVENTIONS. LEVERAGING CURRENT STAKEHOLDER RESOURCES TO IDENTIFY AND ADDRESS GAPS WITHIN POPULATION-SPECIFIC BEHAVIORAL HEALTH DISPARITIES AND SEEK TO IMPROVE ACCESS TO URGENT CARE MENTAL HEALTH SERVICES THROUGH HEALTHY MONTGOMERY AND BY PARTNERING WITH SAFETY NET CLINICS. BRIDGING THE NEEDS OF PATIENTS THROUGH A COMMUNITY HEALTH WORKER MODEL THAT FOCUSES ON STRATEGIES THAT INFLUENCE HEALTH OUTCOMES, SUCH AS TRANSPORTATION, FOOD INSECURITY, TOBACCO USE, AND ACCESS TO PHYSICAL ACTIVITY OPPORTUNITIES. MONTGOMERY COUNTY'S 2016 CHNA IDENTIFIED SIX KEY HEALTH PRIORITIES AND ONE EMERGING ISSUE, RESPECTIVELY: CHRONIC CONDITIONS, CARDIOVASCULAR HEALTH, DIABETES, CANCERS, MATERNAL AND INFANT HEALTH, BEHAVIORAL HEALTH, AND HEROIN AND OPIOID MISUSE. AN IDENTIFIED NEED FOR WHICH SUBURBAN HOSPITAL IS NOT ALIGNED TO ADDRESS IS MATERNAL AND INFANT HEALTH. SUBURBAN HOSPITAL DOES NOT HAVE AN OBSTETRICS DESIGNATION NOR DELIVERS BABIES. ONE REASON FOR NOT SEEKING THIS DESIGNATION IS TO AVOID DUPLICATION OF SERVICES; THERE ARE SEVERAL OTHER COMMUNITY HOSPITALS WITHIN 5-10 MILES OF OUR BETHESDA LOCATION WITH REPUTABLE OBSTETRICS PROGRAMS. WHILE THE HOSPITAL MAY NOT BE ABLE TO ADDRESS THIS HEALTH PRIORITY DIRECTLY, SUBURBAN HOSPITAL DOES INDIRECTLY SUPPORT MATERNAL AND INFANT HEALTH INITIATIVES THROUGH FUNDING AND PROGRAMMING OF SEVERAL OTHER ORGANIZATIONS THAT PROMOTE THE HEALTH AND WELL-BEING OF CHILDREN AND THEIR FAMILIES. NOTABLY, SUBURBAN HOSPITAL SUPPORTS PARENT ENCOURAGEMENT PROGRAM (PEP) IN THEIR EFFORTS TO BRING PARENTING EDUCATION TO PARENTS IN MONTGOMERY COUNTY THROUGH THEIR "CRITICAL TOPICS IN PARENTING" WEBINAR SERIES AND THEIR FAMILY RESILIENCY PROGRAM. TOPICS COVERED IN THEIR "CRITICAL TOPICS IN PARENTING" WEBINAR SERIES INCLUDES: "TALKING WITH YOUNG CHILDREN ABOUT EQUITY," "TALKING WITH KIDS ABOUT SOCIAL MEDIA AND MENTAL HEALTH, AND "10 TIPS TO HELP STRESSED & ANXIOUS CHILDREN WHEN YOU CAN'T FIND THERAPY," TO NAME A FEW. THE FAMILY RESILIENCY PROGRAM IS A CULTURALLY COMPETENT, SUPPORT GROUP STYLE PROGRAM OFFERED IN ENGLISH AND SPANISH THAT PROVIDES PARENTS AND CAREGIVERS WITH TOOLS TO HELP THEM HELP THEIR CHILDREN COPE WITH STRESS AND ANXIETY. PARENTS ALSO LEARN HOW TO STRENGTHEN THEIR RELATIONSHIPS AND COMMUNICATIONS WITH THEIR CHILDREN; EFFECTIVE LIMIT SETTING; PROBLEM-SOLVING SKILLS; AND HOW TO MANAGE THEIR OWN ANGER. IN ADDITION, SUBURBAN HOSPITAL PROVIDES FINANCIAL SUPPORT TO SAFETY NET CLINICS IN MONTGOMERY COUNTY WHO TREAT SPECIFIC PATIENTS REQUIRING OBSTETRIC OR PEDIATRIC CARE. THE HOSPITAL IS ALSO THE OFFICIAL HEALTH SPONSOR OF GIRLS ON THE RUN MONTGOMERY COUNTY PROVIDING DISCOUNTED CPR TRAINING CLASSES TO THE COACHES, PURCHASING SHOES AND HEALTHY SNACKS FOR STUDENTS FROM TITLE I SCHOOLS AND PROVIDING HEALTH TIPS ON GIRLS ON THE RUN MONTGOMERY COUNTY WEBSITE.
PART V, SECTION B, LINE 7A	WWW.HOPKINSMEDICINE.ORG/ABOUT/COMMUNITY_HEALTH/SUBURBAN-HOSPITAL/NEEDS_ASSESSMENT
PART V, SECTION B, LINE 10A	WWW.HOPKINSMEDICINE.ORG/ABOUT/COMMUNITY_HEALTH/SUBURBAN-HOSPITAL/NEEDS_ASSESSMENT
PART V, SECTION B, LINE 16A	HTTPS://WWW.HOPKINSMEDICINE.ORG/PATIENT_CARE/BILLING-INSURANCE/ASSISTANCE-SERVICES/ASSISTANCE_POLICIES.HTML
PART V, SECTION B, LINE 16B	HTTPS://WWW.HOPKINSMEDICINE.ORG/PATIENT_CARE/BILLING-INSURANCE/ASSISTANCE-SERVICES/ASSISTANCE_POLICIES.HTML
PART V, SECTION B, LINE 16C	HTTPS://WWW.HOPKINSMEDICINE.ORG/PATIENT_CARE/BILLING-INSURANCE/ASSISTANCE-SERVICES/ASSISTANCE_POLICIES.HTML

Schedule H (Form 990) 2021

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Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?
Name and address		Type of Facility (describe)
1
2
3
4
5
6
7
8
9
10

Schedule H (Form 990) 2021

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Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Form and Line Reference	Explanation
PART I, LINE 3C:	SEE DETAILS IN SCH H, PART V, SECTION B, LINE 13.
PART I, LINE 7:	-A COST-TO-CHARGE RATIO (FROM WORKSHEET 2) IS USED TO CALCULATE THE AMOUNTS ON LINE 7A AND 7B (FINANCIAL ASSISTANCE AT COST 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.- LINE 7B - MARYLAND'S 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'S 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'S 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'S 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 I, LINE 7G:	SUBURBAN HOSPITAL, INC. DOES NOT HAVE ANY SUBSIDIZED HEALTH SERVICES.
PART II, COMMUNITY BUILDING ACTIVITIES:	SUBURBAN HOSPITAL RECOGNIZES THE COMMUNITY'S UNMET HEALTH NEEDS BY LEVERAGING RESOURCES WITH LONG-STANDING COMMUNITY COALITIONS, PARTNERS, ADVISORY GROUPS, BOARDS, PANELS, AND COMMITTEES, AS WELL AS BY SERVING ON LOCAL COUNTY COMMISSIONS. IN ADDITION, SUBURBAN HOSPITAL WORKS CLOSELY WITH MCDHHS, PUBLIC HEALTH OFFICIALS, AND LEADERS OF ALL SIX MONTGOMERY COUNTY HOSPITALS TO IDENTIFY POTENTIAL GAPS IN LOCAL SERVICES THAT CAN NEGATIVELY INFLUENCE ONE'S HEALTH AND WELL-BEING. SUBURBAN HOSPITAL'S COMMUNITY-BUILDING ACTIVITIES SUPPORT AND PROMOTE THE HEALTH OF THE COMMUNITY IT SERVES THROUGH A NUMBER OF HEALTH IMPROVEMENT INITIATIVES THAT LEVERAGE AND HIGHLIGHT THE EXPERTISE AND INSIGHT OF LOCAL AND TRUSTED ORGANIZATIONS. THE GOAL IS TO AVOID DUPLICATION AND RESERVE RESOURCES FOR THOSE WHO NEED THEM THE MOST. 4MONTGOMERYKIDS, A WIDER CIRCLE, AMERICAN HEART ASSOCIATION, AMERICAN LUNG ASSOCIATION, AMERICAN RED CROSS, ARCHDIOCESES HEALTHCARE NETWORK/CATHOLIC CHARITIES OF WASHINGTON DC, BETHESDA CHEVY CHASE ROTARY CLUB, BETHESDA CHEVY CHASE YMCA, CHARLES E. SMITH LIFE COMMUNITIES, CATHOLIC CHARITIES CENTER, EVERYMIND, GREATER BETHESDA CHAMBER OF COMMERCE, IDENTITY INC., LATINO HEALTH INITIATIVE, MONTGOMERY COUNTY CHAMBER OF COMMERCE, MONTGOMERY COUNTY CANCER CRUSADE/TOBACCO COALITION, MONTGOMERY COUNTY CHAMBER OF COMMERCE, MONTGOMERY COUNTY SENIOR HEALTH AND WELLNESS ADVISORY COUNCIL, MONTGOMERY COUNTY FOOD COUNCIL, MANNA FOOD, MOBILE MEDICAL CARE, INC., NOURISHING NOW, NEXUS MONTGOMERY, PROYECTO SALUD CLINIC, PARENT ENCOURAGEMENT PROGRAM (PEP), SAFE KIDS COALITION, SCOTLAND COMMUNITY PARTNERSHIP, THE UNITED WAY NATIONAL CAPITAL REGION, WASHINGTON METROPOLITAN OASIS AND AGING IN PLACE VILLAGE ALLIANCES ARE ALL VALUABLE ASSETS TO IDENTIFYING THE DIVERSITY OF COMMUNITY NEED AND ENGAGEMENT.EXAMPLES OF HOW SUBURBAN HOSPITAL DELIVERS PROGRAMS AND SERVICES TO MEET THE NEEDS OF THE UNDERSERVED, VULNERABLE YOUTH AND SENIOR POPULATIONS ACROSS THE THREE OVERARCHING HEALTH PRIORITY AREAS INCLUDE:ACCESS TO CARESUBURBAN HOSPITAL PROVIDES FREE DIAGNOSTIC, OUTPATIENT AND INPATIENT HEALTH SERVICES TO MOBILE MEDICAL CARE, INC., A LOCAL CLINIC THAT PROVIDES FREE AND LOW-COST MEDICAL CARE FOR THE UNINSURED. MOREOVER, SUBURBAN PROVIDES THESE SAME FREE SERVICES AND MORE TO ADDITIONAL MONTGOMERY CARE CLINICS LOCATED ACROSS MONTGOMERY COUNTY. MONTGOMERY CARES IS A PUBLIC-PRIVATE PARTNERSHIP COMPRISED OF 11 INDEPENDENT SAFETY-NET PRIMARY CARE CLINICS, SIX HOSPITALS, AND THE MCDHHS.IN MONTGOMERY COUNTY AND THROUGHOUT THE STATE OF MARYLAND, THE NEED FOR SPECIALTY CARE IS SUBSTANTIAL. SUBSIDIZED SPECIALTY CARE PROGRAMS IN THE AREA ARE SATURATED WITH LONG WAITING LISTS. AS A RESULT, MANY COUNTY RESIDENTS SUFFER COMPLICATIONS FROM THEIR DISEASES BECAUSE THEY ARE UNABLE TO ACCESS TIMELY SPECIALTY CARE. THIS INEQUALITY AND INEQUITY PROVIDED THE IMPETUS FOR THE MOBILEMED/NIH HEART CLINIC, WHICH STRIVES TO ADDRESS A LEADING CAUSE OF DEATH IN MONTGOMERY COUNTYCARDIOVASCULAR DISEASE. REFERRED FROM SAFETY NET CLINICS IN THE COUNTY, CLINIC PATIENTS ARE EVALUATED BY A SUBURBAN CARDIOLOGIST AND CLINICAL STAFF FROM THE NIH. SINCE 2007, THE CLINIC, IN COLLABORATION WITH MOBILE MEDICAL CARE, INC. THE NATIONAL HEART, LUNG AND BLOOD INSTITUTE, AND SUBURBAN HOSPITAL, HAS SERVED OVER 4,000 PATIENTS AND HAS CONDUCTED MULTIPLE OPEN-HEART SURGERIES AT NO COST TO THOSE PATIENTS WHO ARE IN URGENT NEED OF THESE SPECIALTY CARE AND INPATIENT SERVICES. THIS MODEL HAS SERVED AS A CATALYST FOR ADDRESSING OTHER HEALTH PRIORITIES IN SIMILAR MANNER. ALARMINGLY HIGH RATES OF DIABETES ALONG WITH DIFFICULTY ACCESSING SPECIALTY CARE LED TO THE CREATION OF THE MOBILE MED/NIH ENDOCRINE CLINIC AT SUBURBAN HOSPITAL IN 2010. THE ENDOCRINE CLINIC FOLLOWS THE MOBILEMED/NIH HEART CLINIC'S BEST-PRACTICE MODEL BY DRAWING UPON THE EXPERTISE AND RESOURCES OF MOBILE MEDICAL CARE, INC., THE NATIONAL INSTITUTE OF DIABETES AND DIGESTIVE AND KIDNEY DISEASES, AND SUBURBAN HOSPITAL TO OFFER ONE-OF-A-KIND, COMPREHENSIVE ENDOCRINE CARE SPECIALTY SERVICES TO LOW-INCOME, UNINSURED RESIDENTS OF MONTGOMERY COUNTY. STAFF FROM THE THREE INSTITUTIONS VOLUNTEER THEIR TIME ONCE A WEEK BY PROVIDING DIAGNOSTIC TESTS, LABORATORY SERVICES AND FREE MEDICAL EXAMINATIONS, AND THAT TO DATE HAS TREATED OVER 2,500 PATIENTS. IN ADDITION, PATIENTS HAVE THE OPPORTUNITY TO MEET FOR ONE-ON-ONE CONSULTATIONS AND COACHING SESSIONS WITH SUBURBAN HOSPITAL REGISTERED DIETITIANS TO REVIEW INDIVIDUAL NUTRITION PLANS AND EXAMINE DIETARY CHALLENGES AT NO COST. HEALTHY BEHAVIORSTO ADDRESS THE HIGH NUMBERS OF BOTH PHYSICAL INACTIVITY AND SOCIAL ISOLATION AMONG THE GROWING AGING POPULATION, SUBURBAN HOSPITAL OFFERS SENIOR SHAPE, AN EXERCISE PROGRAM FOR THE 55 AND GREATER POPULATION DESIGNED TO IMPROVE AND MAINTAIN BALANCE, MUSCLE STRENGTH, FLEXIBILITY, AND CARDIOVASCULAR STRENGTH THROUGH VARIOUS FITNESS CLASSES. THE PROGRAM INCLUDES WEIGHT TRAINING, AEROBICS/STRENGTH AND STRETCH, STABILITY BALL, FLEXIBLE STRENGTH, ADVANCED WEIGHT TRAINING, AND ADVANCED AEROBIC/STRENGTH AND STRETCH EXERCISES AND IS OFFERED VIRTUALLY AND IN PERSON IN BOTH MONTGOMERY AND PRINCE GEORGE'S COUNTIES. EDUCATION, INCOME, JOB & ENVIRONMENTTHE MEDICAL EXPLORING PROGRAM (MEP) IS A SIGNATURE, ONE-OF-A-KIND, INTERACTIVE, EDUCATIONAL, AND WORKFORCE DEVELOPMENT PROGRAM DESIGNED FOR HIGH SCHOOL STUDENTS INTERESTED IN PURSUING A CAREER PATH IN HEALTH, SCIENCE AND MEDICINE. OFFERED IN A COMMUNITY HOSPITAL SETTING, HIGH SCHOOL STUDENTS LEARN ABOUT CAREER OPTIONS FROM THE REGION'S TOP PHYSICIANS, SURGEONS, AND HEALTH CARE PROFESSIONALS AS WELL AS OBTAIN CRITICAL HANDS-ON EXPERIENCE AND TRAINING IN AREAS SUCH AS CPR AND BLEEDING CONTROL. THE ACADEMIC YEARLONG PROGRAM IS LED BY STUDENT OFFICERS, ELECTED BY THEIR PEERS, WHO HAVE FULL RESPONSIBILITY IN COORDINATING THE ATTENDANCE OF MORE THAN 90 REGISTERED STUDENTS IN EACH OF THE BI-MONTHLY INTERACTIVE SEMINARS.
PART III, LINE 2:	THE PROVISION FOR BAD DEBTS IS BASED UPON A COMBINATION OF THE PAYOR SOURCE, THE AGING OF RECEIVABLES AND MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS, TRENDS IN HEALTH INSURANCE COVERAGE, AND OTHER COLLECTION INDICATORS.
PART III, LINE 3:	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, SHI CANNOT DETERMINE THE AMOUNT THAT REASONABLE COULD BE ATTRIBUTABLE TO PATIENTS WHO LIKELY WOULD QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S CHARITY CARE POLICY.
PART III, LINE 4:	THE JOHNS HOPKINS HEALTH SYSTEM CORPORATION AND AFFILIATES AUDITED FINANCIAL STATEMENTS PAGE 18.
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 VI, LINE 2:	SUBURBAN HOSPITAL'S COMMUNITY BENEFIT PLAN IS AN INTEGRAL COMPONENT OF THE HOSPITAL'S STRATEGIC APPROACH TO ADDRESSING THE COMMUNITY'S HEALTH NEEDS. USING A COLLABORATIVE APPROACH THAT BUILDS ON LONG-STANDING INTERNAL AND EXTERNAL PARTNERSHIPS, SUBURBAN CAN EFFECTIVELY PLAN FOR AND UTILIZE RESOURCES TO ADDRESS IDENTIFIED HEALTH NEEDS. THIS APPROACH STARTS AT THE TOP; THE ADMINISTRATIVE DIRECTOR OF COMMUNITY AFFAIRS & POPULATION HEALTH OF THE CHW DIVISION REPORTS DIRECTLY TO THE PRESIDENT OF SUBURBAN HOSPITAL, ENSURING THE TWO STRATEGIES REMAIN LINKED TO LEVERAGE RESOURCES EFFICIENTLY WHILE MEETING OBJECTIVES. CHW'S COMMITMENT TO THE STRATEGIC PLAN IS ONGOING; QUARTERLY, PROGRESS IS REVIEWED AND REPORTED AS PART OF THE HOSPITAL'S OVERALL OPERATION PERFORMANCE SCORECARD. WITH CONSTANT COMMUNICATION AND CONSIDERATION OF COMMUNITY BENEFIT PLANNING AND STRATEGY, CHW DIVISION IS ABLE TO EFFECTIVELY ALIGN AND SUPPORT HOSPITAL OPERATIONS AND OVERALL SYSTEM GOALS.
PART VI, LINE 3:	SHI'S PATIENT ACCESS DEPARTMENT PROVIDES ALL PATIENTS REGISTERED FOR EMERGENCY, OUTPATIENT, OR INPATIENT CARE A COPY OF OUR FINANCIAL ASSISTANCE INFORMATION SHEET. SIGNS ARE POSTED IN ENGLISH AND SPANISH EXPLAINING THE AVAILABILITY OF FINANCIAL ASSISTANCE AND WHERE TO CALL FOR ASSISTANCE. THE SIGNS ARE LOCATED IN THE EMERGENCY, PEDIATRICS, CATH LAB, AND FINANCIAL COUNSELING DEPARTMENTS, AS WELL AS THE MAIN REGISTRATION DESK. A FINANCIAL ASSISTANCE APPLICATION IS GIVEN TO EVERY SELF-PAY PATIENT WITH INSTRUCTIONS ON HOW TO APPLY AND WHO TO CONTACT FOR ASSISTANCE. THE SAME INFORMATION IS PROVIDED TO ALL OTHER PATIENTS UPON REQUEST. THIS INFORMATION IS ALSO AVAILABLE IN SPANISH. NOTICE OF AVAILABILITY IS ALSO POSTED ON THE HOSPITALSS WEBSITE.SUBURBAN HOSPITAL'S FINANCIAL COUNSELORS AND SOCIAL WORKERS ARE TRAINED TO ANSWER PATIENTS' QUESTIONS ABOUT FINANCIAL ASSISTANCE AND PROVIDE LINKAGE TO OTHER COMMUNITY ASSISTANCE RESOURCES PRIOR TO DISCHARGE. REGISTRATION AND PATIENT ACCOUNTING STAFF IS TRAINED TO ANSWER QUESTIONS REGARDING FINANCIAL ASSISTANCE AND WHO TO CONTACT TO APPLY. THE PATIENT ACCESS DEPARTMENT ALSO HAS MEDICAID SPECIALISTS ONSITE TO ASSIST PATIENTS IN APPLYING FOR MARYLAND MEDICAL ASSISTANCE. ALL UNINSURED PATIENTS ARE SCREENED FOR MEDICAID UPON ADMISSION AND PROVIDED WITH INFORMATION AND REFERRAL FOR FINANCIAL ASSISTANCE. IN ADDITION, SINCE IMPLEMENTATION OF THE AFFORDABLE CARE ACT, SUBURBAN HOSPITAL NOW HAS STAFF MEMBERS WHO ARE CERTIFIED APPLICATION COUNSELORS AND AVAILABLE TO ASSIST PATIENTS WHO HAVE QUESTIONS ABOUT ELIGIBILITY REQUIREMENTS FOR THE MARYLAND HEALTH INSURANCE EXCHANGE. OUR CERTIFIED APPLICATION COUNSELORS PROVIDE INFORMATION AND ASSIST PATIENTS WITH INITIATION OF ONLINE HEALTH EXCHANGE PLAN ENROLLMENT WHEN REQUESTED.
PART VI, LINE 4:	SUBURBAN HOSPITAL IS ONE OF SIX HOSPITALS LOCATED IN MONTGOMERY COUNTY. THE GEOGRAPHIC SERVICE AREA OF SUBURBAN HOSPITAL IS SUBURBAN. THE HOSPITAL DEFINES 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 HOSPITAL DOES NOT LIMIT ITS COMMUNITY SERVICES TO THE PRIMARY SERVICE AREA. SUBURBAN HOSPITAL'S CBSA IS DEFINED BY THE GEOGRAPHIC AREA CONTAINED WITHIN THE FOLLOWING FOURTEEN ZIP CODES: 20814, 20815, 20816, 20817, 20850, 20851, 20852, 20853, 20854, 20895, 20902, 20904, 20906, AND 20910. THE HEALTH RESOURCES AND SERVICES ADMINISTRATION HAS IDENTIFIED TWO MEDICALLY UNDERSERVED AREAS (MUA) IN MONTGOMERY COUNTY (HEALTH RESOURCES & SERVICES ADMINISTRATION, N.D.). THE ZIP CODE 20906 REPRESENTS ONE OF THOSE MUAS.THE DATA FOR THE IDENTIFIED CBSA CAN BE SUMMARIZED AS FOLLOWS: TOTAL POPULATION WAS 570,299 OF WHICH 48% WERE MALES AND 52% WERE FEMALES; 33% ARE GREATER THAN 55 YEARS AND 19.9% ARE GREATER THAN 65 YEARS. 70.2% OF THE POPULATION EARN $75,000 OR MORE; 54.5% OF ADULTS 25 AND OLDER HAVE EARNED A BACHELOR DEGREE OR HIGHER; 6.26% OF RESIDENTS ARE UNINSURED; 33.38% OF RESIDENTS ARE COVERED BY MEDICAID OR MEDICARE AND 54.3% IDENTIFY AS A RACE OTHER THAN WHITE; 39.9% SPEAK A LANGUAGE OTHER THAN ENGLISH AT HOME.
PART VI, LINE 5:	THROUGHOUT THE CALENDAR YEAR AND BEYOND THE WALLS OF THE HOSPITAL, PHYSICIANS, NURSES, PHARMACISTS, AND OTHER ALLIED HEALTH STAFF VOLUNTEER THEIR TIME AND EXPERTISE TO PRESENT VALUABLE AND CUTTING-EDGE HEALTH AND WELLNESS TOPICS TO COMMUNITY GROUPS INCLUDING SENIOR COMMUNITIES, LOCAL VILLAGE NETWORKS AND LOCAL YOUTH GROUPS. OUR COLLEAGUES INVEST IN FUTURE GENERATIONS OF HEALTHCARE PROFESSIONALS BY SERVING AS PRECEPTORS OR MENTORING UNDERGRADUATE AND GRADUATE STUDENTS IN AN EFFORT TO EXPAND WORKFORCE DEVELOPMENT. SINCE 2007, THE MOBILEMED/NIH HEART CLINIC AT SUBURBAN HOSPITAL HAS PROVIDED EXPERT CARE TO OVER 4,000 PATIENTS AND HAS CONDUCTED MULTIPLE OPEN-HEART SURGERIES AT NO COST TO THOSE PATIENTS WHO ARE IN URGENT NEED OF THESE SPECIALTY CARE AND INPATIENT SERVICES. MOBILE MEDICAL CARE, INC., THE NATIONAL HEART, LUNG AND BLOOD INSTITUTE AND SUBURBAN HOSPITAL HAVE OPERATED A SPECIALTY CARDIAC CLINIC ON-SITE TO PROVIDE ACCESS TO CARE AND ALLEVIATE THE GAP IN SPECIALTY PROVIDERS FOR CARDIAC PATIENTS. REFERRED FROM SAFETY NET CLINICS IN THE COUNTY, CLINIC PATIENTS ARE EVALUATED BY A SUBURBAN CARDIOLOGIST AND CLINICAL STAFF FROM THE NIH. IN ADDITION TO COORDINATING THE CARDIOLOGISTS AND NURSES WHO VOLUNTEER AT THE CLINIC, SUBURBAN HOSPITAL SUPPORTS THE COSTS ASSOCIATED WITH FREE CARDIOVASCULAR SPECIALTY DIAGNOSTIC SCREENINGS AND OPEN-HEART SURGERY FOR PATIENTS WHO REQUIRE ADVANCED CARDIAC CARE. A FEW YEARS LATER, AND BASED ON A SIMILAR FRAMEWORK MODELED BY THE MOBILEMED/NIH HEART CLINIC AT SUBURBAN HOSPITAL, MOBILE MEDICAL CARE, INC. AND THE NATIONAL INSTITUTE OF DIABETES AND DIGESTIVE AND KIDNEY DISEASES (NIDDK) PARTNERED TO ESTABLISH A FREE ENDOCRINE CLINIC PROVIDING LIFESTYLE AND CHRONIC DISEASE MANAGEMENT FOR PEOPLE WITH ENDOCRINE DISEASES IN JULY 2010. STAFF FROM THE THREE INSTITUTIONS VOLUNTEER THEIR TIME ONCE A WEEK BY PROVIDING DIAGNOSTIC TESTS, LABORATORY SERVICES, AND FREE MEDICAL EXAMINATIONS, AND TO DATE HAS TREATED EXCEEDINGLY OVER 2,500 PATIENTS. IN ADDITION, PATIENTS HAVE THE OPPORTUNITY TO MEET FOR ONE-ON-ONE CONSULTATIONS AND COACHING SESSIONS WITH SUBURBAN HOSPITAL REGISTERED DIETITIANS TO REVIEW INDIVIDUAL NUTRITION PLANS AND EXAMINE DIETARY CHALLENGES AT NO COST.AS AN ORGANIZATION THAT ADVOCATES FOR BEHAVIORAL HEALTH PREVENTION, AWARENESS, AND TREATMENT, SUBURBAN HOSPITAL HAS COLLABORATED WITH EVERYMIND IN THE HOSPITAL BEHAVIORAL HEALTH WORKGROUP TO BRING POPULATION-SPECIFIC INITIATIVES TO OUR COMMUNITY SINCE 2016. INITIATIVES INCLUDE SCREENINGS OF MENTAL AWARENESS DOCUMENTARIES SUCH AS ANGST AND THE S WORD, EDUCATIONAL WEBINARS FOR SENIORS AND HEALTHCARE WORKERS ON SELF-CARE, ROUND-TABLE DISCUSSIONS WITH MENTAL HEALTH EXPERTS TO SUPPORT FAMILIES DEALING WITH THE MENTAL HEALTH EFFECTS OF THE PANDEMIC, AND HELPING THE MOST VULNERABLE NAVIGATE OUR EXISTING MENTAL HEALTH SYSTEM.IN DECEMBER 2021, SUBURBAN HOSPITAL LAUNCHED THE DIABETES SELF-MANAGEMENT TRAINING (DSMT) PROGRAM TO HELP PEOPLE LIVING WITH DIABETES BETTER MANAGE THEIR CONDITION. THIS AMERICAN DIABETES ASSOCIATION-ACCREDITED PROGRAM USES A COMBINATION OF IN-PERSON AND TELEMEDICINE APPOINTMENTS TO TEACH PEOPLE THE SKILLS NECESSARY FOR MANAGING THEIR DIABETES AND PREVENTING COMPLICATIONS. THE GOAL OF THE PROGRAM IS TO EMPOWER PARTICIPANTS TO MAKE INFORMED DECISIONS ON THE SELF-MANAGEMENT AND TREATMENT OF DIABETES, RESULTING IN IMPROVED A1C LEVELS, BLOOD PRESSURE CONTROL AND MEDICATION ADHERENCE. SUBURBAN'S DSMT PROGRAM IS TAUGHT BY A TEAM OF DEDICATED PROFESSIONALS, INCLUDING CERTIFIED DIABETES NURSE EDUCATORS, AND REGISTERED DIETICIANS. AS EACH PATIENT IN THE PROGRAM HAS THEIR OWN UNIQUE SET OF CHALLENGES, SUBURBAN'S DSMT TEAM WORKS TO DEVELOP A PERSONALIZED PLAN BASED UPON AN INDIVIDUAL'S NEEDS. SOCIAL DETERMINANTS OF HEALTH (SDOH), HEALTH SYSTEM BARRIERS, COMMUNITY LEVEL BARRIERS, AND INDIVIDUAL LEVEL BARRIERS STAND IN THE WAY OF PEOPLE BOTH PARTICIPATING IN DSMT AND CARRYING OUT THE LIFESTYLE CHANGE BEHAVIORS. THEREFORE, SUBURBAN'S DSMT MODEL INTEGRATES A TRANSITION GUIDE NURSE AND TWO COMMUNITY HEALTH WORKERS TO FOCUS ON ADDRESSING SOCIAL NEEDS THAT SERVE AS BARRIERS TO POSITIVE HEALTH OUTCOMES. THIS TEAM FACILITATES THE SUPPORT OF WRAP AROUND SERVICES, SUCH AS TRANSPORTATION, FOOD SUPPORT, INSURANCE TRANSITIONS, AND MEDICATION COSTS. THE WRAP AROUND SERVICES ARE DESIGNED TO MITIGATE KNOWN BARRIERS THAT STAND IN THE WAY OF PEOPLE WITH DIABETES: 1) ENROLLING IN, ATTENDING, PARTICIPATING IN, AND COMPLETING DSMT; AND 2) HAVING THE ABILITY TO CARRY OUT THE BEHAVIORAL AND LIFESTYLE CHANGE ACTIVITIES THAT ARE THE FOCUS OF DSMT. MOST DOCTORS ARE UNABLE TO SPEND THE TIME NECESSARY TO HELP A PATIENT FULLY UNDERSTAND AND MANAGE THEIR DIABETES. THE DSMT PROGRAM, HOWEVER, DOES EXACTLY THIS. PARTICIPANTS WHO FOLLOW ITS GUIDELINES SEE POSITIVE RESULTS NOT ONLY IN BLOOD SUGAR LEVELS BUT ALSO IN BLOOD PRESSURE AND CHOLESTEROL, BOTH OF WHICH ARE AFFECTED BY DIABETES. THE IMPROVEMENTS LEAD TO FEWER DIABETES-RELATED COMPLICATIONS AND HOSPITALIZATIONS. SINCE ITS INCEPTION, SUBURBAN HAS SERVED 884 PEOPLE AND HAS THE GOAL TO SERVE TWICE THIS MANY BY END OF YEAR TWO. SUBURBAN HOSPITAL'S BOARD OF TRUSTEES APPROVES COMMUNITY FINANCIAL CONTRIBUTIONS TO ELIGIBLE LOCAL NOT-FOR-PROFIT ORGANIZATIONS ON AN ANNUAL BASIS. THE CONTRIBUTIONS ARE ALLOCATED TO ORGANIZATIONS THAT ALIGN WITH THE HOSPITAL'S STRATEGIC OBJECTIVES AS WELL AS THE COMMUNITY HEALTH IMPROVEMENT PLAN, THEREBY DIRECTLY LINKING TO THE HOSPITAL'S CHNA AND CBR TO EXPAND HEALTH IMPROVEMENT INITIATIVES IN THE COMMUNITY BEYOND THE HOSPITAL'S LEVEL OF EXPERTISE OR CAPACITY. FOR EXAMPLE, SUBURBAN PROVIDES PROGRAMMING, IN-KIND SUPPORT, AND FINANCIAL CONTRIBUTIONS TO LOCAL ORGANIZATIONS SUCH AS A WIDER CIRCLE, BETHESDA CHEVY CHASE YMCA, PARENT ENCOURAGEMENT PROGRAM (PEP), EVERYMIND, AND GIRLS ON THE RUN MONTGOMERY COUNTY AS THE MISSIONS AND VALUES OF THOSE ORGANIZATIONS ALIGN WITH THE HEALTH PRIORITIES SET BY THE HOSPITAL'S CHNA. ANOTHER EXAMPLE INCLUDES THE SUPPORT OF THE BETHESDA CHEVY CHASE YMCA ANNUAL TURKEY CHASE, WHICH FOCUSES ON FREE EDUCATION SERVICES TO PARENTS TO BUILD STRONG FAMILIES IN THE COMMUNITY. THE ANNUAL TURKEY CHASE DRAWS OVER 10,000 INDIVIDUALS ON THANKSGIVING MORNING AND HOSTS OTHER ENGAGING ACTIVITIES FOR CHILDREN THAT CONNECT COMMUNITY ENGAGEMENT AND PERSONAL WELLNESS. SUBURBAN INVITES AND ENCOURAGES ITS EMPLOYEES TO CONNECT TO THE LOCAL COMMUNITY BY OFFERING DISCOUNTED ENTRY FEEDS TO PARTICIPATE IN THE WALK OR RUN. SINCE JUNE 2021, SUBURBAN HOSPITAL AND JOHNS HOPKINS COVID-19 VACCINATION TEAM, IN COLLABORATION WITH MCDHHS SALUD & BIENSTAR INITIATIVE, HAVE IDENTIFIED AND PROVIDED VACCINATION CLINICS TO HARD-TO-REACH COMMUNITIES. IN TOTAL, 1,297 RESIDENTS IN MONTGOMERY COUNTY RECEIVED THE COVID-19 VACCINE THROUGH 49 COMMUNITY-BASED CLINICS HELD AT LOCAL CHURCHES, AUTO DEALERSHIPS, APARTMENT BUILDINGS, LAUNDROMATS AND GROCERY STORES IN HOT SPOT ZIP CODES OF 20852, 20877, 20901, 20902, 20906, 20910, AND 20912. AT EACH CLINIC SITE, DESIGNATED TEAM MEMBERS REGISTER, VACCINATE AND OBSERVE PATIENTS. SINCE MOST PATIENTS AT THE CLINICS ARE THEIR RECEIVING FIRST DOSE, REMINDERS ARE SENT OUT VIA TEXT MESSAGE TO ENSURE THEY COME BACK AND RECEIVE THEIR SECOND DOSE IN THE GIVEN PERIOD. THE GOAL OF THE CLINICS WAS NOT ONLY TO VACCINATE COMMUNITY MEMBERS FROM COVID-19 BUT ALSO TO REDUCE VACCINE HESITANCY BY EDUCATING COMMUNITY MEMBERS WHO HAVE QUESTIONS ABOUT THE SAFETY OF VACCINES. IN SEPTEMBER 2021, THE RISE OF THE COVID-19 DELTA VARIANT AND CONTINUED VACCINE HESITANCY LEAD TO THE INTRODUCTION OF POP-UP VACCINATION CLINICS. WITH THE SUPPORT OF MOBILE MEDICAL CARE, INC. "MOBILEMED," THE VACCINATION CLINICS WERE ON THE ROAD VISITING LAUNDROMATS AND GROCERY STORES IN MONTGOMERY COUNTY- PROVIDING A SAFE AND COMFORTABLE VACCINATION ENVIRONMENT. THE UNIQUE MODEL AND PARTNERSHIPS ALLOWED THE VACCINATION TEAM TO REACH OVER 700 RESIDENTS FROM OCTOBER 2021 TO MAY 2022. IN ADDITION, RESIDENTS WITHOUT PRIMARY CARE SERVICES HAD AN OPPORTUNITY TO CONNECT TO A MEDICAL HOME THROUGH MOBILEMED. TO PROMOTE THE VACCINE CLINICS AND ADDRESS VACCINE HESITANCY IN THE LATINO COMMUNITY, SUBURBAN HOSPITAL RAN TWO LIVE "COVID-19 ASK A DOC" SESSIONS IN THE POPULAR RADIO STATION RADIO AMERICA 900 AM. FURTHERMORE, 194 BACKPACKS FILLED WITH SCHOOL SUPPLIES WERE DISTRIBUTED AT DESIGNATED VACCINATION CLINICS IN AN EFFORT TO SUPPORT LOCAL FAMILIES RETURNING TO SCHOOL AT THE END OF AUGUST 2021.
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 JOHNS HOPKINS ALL CHILDRENS HOSPITAL, INC (JHACH), A FL ACADEMIC CHILDRENS HOSPITAL.- MARYLAND HOSPITALS HAVE MET THEIR COMMUNITY BENEFIT OBLIGATIONS IN A UNIQUE MANNER THAT BUILDS THE COSTS OF UNCOMPENSATED CARECHARITY CARE AND PATIENT BAD DEBTAND 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 PAYORSGOVERNMENTALLY-INSURED, COMMERCIALLYINSURED, OR SELF-PAYARE CHARGED THE SAME PRICE FOR SERVICES AT ANY GIVEN HOSPITAL.UNDER THIS SYSTEM, MARYLAND HOSPITALS ARE REGULATED BY A STATE AGENCYTHE HEALTH SERVICES COST REVIEW COMMISSION (HSCRC)THAT IS REQUIRED TO: PUBLICLY DISCLOSE INFORMATION ON THE COST AND FINANCIAL POSITION OF HOSPITALS; REVIEW AND APPROVE HOSPITAL RATES; COLLECT INFORMATION DETAILING TRANSACTIONS BETWEEN HOSPITALS AND FIRMS WITH WHICH THEIR TRUSTEES HAVE A FINANCIAL INTEREST; AND, 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 HTTPS://HSCRC.STATE.MD.US/PAGES/INIT_CB.ASPXBECAUSE OF THIS UNIQUE STRUCTURE MARYLAND HOSPITALS' COMMUNITY BENEFITS NUMBERS WILL NOT COMPARE WITH THE REST OF THE NATION'S 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.
PART VI, LINE 7, REPORTS FILED WITH STATES	MD

Schedule H (Form 990) 2021

Additional Data

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Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2021

Open to Public
Inspection

Name of the organization
SUBURBAN HOSPITAL INC

Employer identification number
52-0610545

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient

that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC section (if applicable)	(d) Amount of cash grant	(h) Purpose of grant or assistance
(1) THE GREATER BETHESDA CHEVY CHASE CHAMBER OF COMMERCE 7910 WOODMONT AVE STE 1204 BETHESDA,MD20814	52-0545799	501(C)(6)	6,000	LOCAL COMMUNITY ASSISTANCE
(2) MONTGOMERY COUNTY CHAMBER 51 MONROE ST STE 1800 ROCKVILLE,MD20850	52-0735621	501(C)(6)	20,000	LOCAL COMMUNITY ASSISTANCE
(3) THE NATIONAL CAPITAL POISON CENTER 3201 NEW MEXICO AVE STE 310 WASHINGTON,DC20016	52-1880478	501(C)(3)	10,000	LOCAL COMMUNITY ASSISTANCE

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2021

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance	(b) Number of recipients	(c) Amount of cash grant	(d) Amount of noncash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of noncash assistance

(1)
(2)
(3)
(4)
(5)
(6)
(7)

Part IV

Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.

Return Reference

Explanation

PART I, LINE 2:

AS PART OF THE COMMUNITY BENEFIT REVIEW PROCESS, SUBURBAN HOSPITAL MONITORS AND REVIEWS SELECTED GRANTS MADE BY THE ORGANIZATION. THIS MONITORING INCLUDES VERIFICATION OF THE NATURE OF THE AWARD AND THE BENEFITING ORGANIZATION. FURTHER, AS A PRECONDITION FOR MAKING ANY DONATIONS, THE JOHNS HOPKINS HOSPITAL REQUIRES THE USE OF FUNDS FOR EACH AWARD TO BE USED ONLY FOR THEIR INTENDED CHARITABLE RECIPIENT.

Schedule I (Form 990) 2021

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Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public Inspection

Name of the organization

SUBURBAN HOSPITAL INC

Employer identification number

52-0610545

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .....

Yes

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? ....

Yes

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? .............

Yes

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ....................

Any related organization? .......................

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ..................

Any related organization? ......................

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Yes

Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2021

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2, 1099-MISC compensation, and/or 1099-NEC			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column (B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1KEVIN W SOWERS MSN RN FAA TRUSTEE, CORPORATE VICE CHAIRMAN	(i) (ii)	0 ------------- 1,201,889	0 ------------- 690,648	0 ------------- 17,038	0 ------------- 9,436	0 ------------- 11,938	0 ------------- 1,930,949	0 ------------- 0
2RONALD PETERSON FORMER OFFICER	(i) (ii)	0 ------------- 0	0 ------------- 0	0 ------------- 1,275,825	0 ------------- 0	0 ------------- 0	0 ------------- 1,275,825	0 ------------- 0
3CAROLYN CARPENTER MHA FACHE PRESIDENT OF NATIONAL CAP REGION FOR	(i) (ii)	0 ------------- 678,539	0 ------------- 202,500	0 ------------- 8,911	0 ------------- 78,124	0 ------------- 55,849	0 ------------- 1,023,923	0 ------------- 0
4MARY MYERS MS RN TRUSTEE	(i) (ii)	0 ------------- 413,371	0 ------------- 193,500	0 ------------- 174,146	0 ------------- 142,471	0 ------------- 26,892	0 ------------- 950,380	0 ------------- 0
5MARTY BASSO SR VICE PRESIDENT FINANCE & TREASURE	(i) (ii)	0 ------------- 471,207	0 ------------- 105,248	0 ------------- 138,938	0 ------------- 83,379	0 ------------- 18,974	0 ------------- 817,746	0 ------------- 0
6PETER B MANCINO ESQ SECRETARY	(i) (ii)	0 ------------- 342,161	0 ------------- 112,403	0 ------------- 95,727	0 ------------- 47,005	0 ------------- 22,788	0 ------------- 620,084	0 ------------- 72,544
7ERIC DOBKIN MD VICE PRESIDENT MEDICAL AFFAIRS	(i) (ii)	0 ------------- 407,548	0 ------------- 82,157	0 ------------- 23,535	0 ------------- 9,436	0 ------------- 21,307	0 ------------- 543,983	0 ------------- 0
8JESSICA THOMPSON MELTON MHA PRESIDENT	(i) (ii)	0 ------------- 326,961	0 ------------- 65,625	0 ------------- 46,525	0 ------------- 42,386	0 ------------- 10,648	0 ------------- 492,145	0 ------------- 0
9LEIGHANN SIDONE RN VICE PRESIDENT NURSING & CNO	(i) (ii)	0 ------------- 293,024	0 ------------- 61,217	0 ------------- 19,644	0 ------------- 71,559	0 ------------- 30,446	0 ------------- 475,890	0 ------------- 0
10JOSEPH LINSTROM VICE PRESIDENT OPERATIONS	(i) (ii)	0 ------------- 259,206	0 ------------- 57,165	0 ------------- 11,731	0 ------------- 75,609	0 ------------- 11,894	0 ------------- 415,605	0 ------------- 0
11CINDY MERZ MS VICE PRESIDENT DEVELOPMENT	(i) (ii)	0 ------------- 215,818	0 ------------- 10,955	0 ------------- 73,085	0 ------------- 5,966	0 ------------- 30,526	0 ------------- 336,350	0 ------------- 0
12CHRISTOPHER GRANCAGNOLO SR DIRECTOR	(i) (ii)	132,811 ------------- 0	7,899 ------------- 0	93,205 ------------- 0	9,413 ------------- 0	22,194 ------------- 0	265,522 ------------- 0	0 ------------- 0
13JENNIFER RAYNOR DEPT DIR PHARMACY	(i) (ii)	213,778 ------------- 0	15,478 ------------- 0	6,551 ------------- 0	9,298 ------------- 0	16,327 ------------- 0	261,432 ------------- 0	0 ------------- 0
14THOMAS STEWART EXEC DIR NCR REGIONAL	(i) (ii)	167,487 ------------- 0	26,698 ------------- 0	42,924 ------------- 0	11,623 ------------- 0	5,173 ------------- 0	253,905 ------------- 0	0 ------------- 0
15LEIMING WANG PHYSICIAN ASSISTANT - SURGICAL	(i) (ii)	239,850 ------------- 0	0 ------------- 0	237 ------------- 0	11,541 ------------- 0	2,150 ------------- 0	253,778 ------------- 0	0 ------------- 0
16CHARLES HOOKS SR DIR MIS	(i) (ii)	159,883 ------------- 0	0 ------------- 0	66,635 ------------- 0	10,141 ------------- 0	9,181 ------------- 0	245,840 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2021

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference	Explanation
PART I, LINE 1A	THE ORGANIZATION WILL PROVIDE TAX GROSS UP PAYMENTS IN CERTAIN CIRCUMSTANCES WITH APPROPRIATE LEVELS OF REVIEW AND APPROVAL. DURING THE TAX YEAR, AN EMPLOYEE OF THE ORGANIZATION RECEIVED A GROSS UP PAYMENT. THIS BENEFIT WAS TREATED AS TAXABLE COMPENSATION TO THE LISTED INDIVIDUAL.
PART I, LINES 4A-B	SEVERANCE: CHRISTOPHER GRANCAGNOLO $56,964 A SELECT GROUP OF SENIOR LEADERS OF THE JOHNS HOPKINS HEALTH SYSTEM CORPORATION (JHHSC) PARTICIPATE IN SUPPLEMENTAL RETIREMENT/DEFERRED COMPENSATION PROGRAMS, INCLUDING SOME LEGACY ARRANGEMENTS THAT ARE NO LONGER AVAILABLE TO NEW HIRES. PRE-2011 PARTICIPANTS RECEIVE CASH PAYMENTS EACH YEAR DETERMINED WITH REFERENCE TO THEIR SERVICE WITH JHHSC AND THEIR FINAL AVERAGE COMPENSATION. AS OF JANUARY 2019, FUTURE CASH PAYMENTS ARE MADE ACCORDING TO A FIXED SCHEDULE FOR THESE PARTICIPANTS. POST-2011 PARTICIPANTS ACCRUE BENEFITS UNDER A DEFINED CONTRIBUTION FORMULA WHERE CONTRIBUTIONS ARE TIERED BY POSITION LEVEL. CONTRIBUTIONS MADE IN 2018 AND PRIOR YEARS GENERALLY VEST AFTER THE LATER OF FIVE YEARS OF SERVICE WITH JHHSC OR THREE YEARS OF PLAN PARTICIPATION; CONTRIBUTIONS MADE IN 2019 AND FUTURE YEARS VEST THREE YEARS AFTER EACH CONTRIBUTION IS MADE, WITH FULL VESTING ON THE LATER OF AGE 65 OR THREE YEARS OF PLAN PARTICIPATION. ALL CONTRIBUTIONS VEST ON DEATH, DISABILITY OR INVOLUNTARY TERMINATION WITHOUT CAUSE. IF A PARTICIPANT VOLUNTARILY TERMINATES EMPLOYMENT OR IS TERMINATED BY THE EMPLOYER FOR CAUSE PRIOR TO THE APPLICABLE VESTING DATE, THE PARTICIPANT'S ENTIRE NON-VESTED BENEFIT IS FORFEITED ALL OF THESE ARRANGEMENTS WERE APPROVED, 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. THE FOLLOWING INDIVIDUALS LISTED ON FORM 990, PART VII, SECTION A, LINE 1A RECEIVED PAYMENT FROM ONE OR MORE SUPPLEMENTAL RETIREMENT/DEFERRED COMPENSATION PROGRAMS, WITH PAYMENTS REPORTED IN SCHEDULE J, PART II, COLUMN (B)(III); THE TOTAL OF AMOUNTS PAYABLE DURING 2021 BUT REPORTED AS DEFERRED COMPENSATION IN COLUMN (C) IN PREVIOUS YEARS IS REPORTED IN SCHEDULE J, PART II, COLUMN (F). THE AMOUNTS BELOW MAY REFLECT ANNUAL CASH PAYMENTS OR MULTIPLE YEARS OF ACCRUALS THAT VESTED IN 2021. MARTY BASSO $112,508, MARY MYERS $152,728 AND PETER MANCINO $87,748.77 IN ADDITION TO THOSE LISTED ABOVE, RONALD PETERSON RECEIVED PAYMENT FROM A SUPPLEMENTAL RETIREMENT PROGRAM THAT WAS IN PLACE PRIOR TO 1986 AND SUBJECT TO DIFFERENT TAX RULES. MR. PETERSON ACCRUED BENEFITS OVER A 40+ YEAR CAREER AT JOHNS HOPKINS HEALTH SYSTEM AND THE BENEFIT HAS BEEN REPORTED ON THE FORM 990 TWICE ALREADY: ONCE WHEN ACCRUED AND AGAIN WHEN INCLUDED AS TAXABLE INCOME FOR MEDICARE TAX PURPOSES. BENEFITS ARE PAID AS AN ANNUITY TO MR. PETERSON OVER HIS REMAINING LIFETIME AND TAXED FOR INCOME TAX PURPOSES AS PAID. UNDER FORM 990 REPORTING REQUIREMENTS, MR. PETERSON'S BENEFIT IS REQUIRED TO BE REPORTED A THIRD TIME WHEN PAID. DURING 2021, MR. PETERSON RECEIVED A PAYMENT OF $1,275,825; THIS AMOUNT IS REPORTED IN SCHEDULE J, PART II, COLUMN (B)(III).
PART I, LINE 7	ANNUAL INCENTIVE PLAN: EXECUTIVES PARTICIPATE IN AN ANNUAL INCENTIVE PLAN THAT REWARDS PARTICIPANTS FOR THE ACHIEVEMENT OF ORGANIZATION OBJECTIVES APPROVED BY THE JOHNS HOPKINS MEDICINE COMPENSATION COMMITTEE EACH YEAR, INCLUDING FINANCIAL AND NON-FINANCIAL MEASURES. A PORTION OF THE OVERALL AWARD IS DETERMINED BASED ON INDIVIDUAL PERFORMANCE.

Schedule J (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered "Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c, or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public Inspection

Name of the organization

SUBURBAN HOSPITAL INC

Employer identification number

52-0610545

Part I

Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and section 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by the organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ........ Bullet Image

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	(d) Loan to or from the organization?		(e) Original principal amount	(f) Balance due	(g) In default?		(h) Approved by board or committee?		(i) Written agreement?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e) Original principal amount	(f) Balance due	Yes	No	Yes	No	Yes	No






Total ............... $

Part III

Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of assistance	(d) Type of assistance	(e) Purpose of assistance

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 50056A

Schedule L (Form 990) 2021

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) BARTON LEONARD	TRUSTEE	341,540	SEE PART VDR. LEONARD HOLDS AN OWNERSHIP INTEREST IN BETHESDA EMERGENCY ASSOCIATES "BEA". SUBURBAN HOSPITAL PAID BEA FOR PROGRAM SERVICES AND PHYSICIAN SUPPORT.		No
(2) MARK FUTROVSKY	TRUSTEE	62,553	SEE PART VMR. FUTROVSKY IS PRESIDENT OF THE ROLYN COMPANIES, INC. ("ROLYN"). SHI RENTED EQUIPMENT AND PURCHASED LABOR FROM ROLYN FOR COVID-19 RESPONSE AND PREPAREDNESS.		No

Part V

Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).

Return Reference	Explanation

Schedule L (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2021

Open to Public
Inspection

Name of the organization

SUBURBAN HOSPITAL INC

Employer identification number

52-0610545

Return Reference	Explanation
FORM 990, PART I, LINE 8	PURSUANT TO THE CORONAVIRUS AID, RELIEF, AND ECONOMIC SECURITY (CARES) ACT, SUBURBAN HOSPITAL, INC. RECOGNIZED $802,569 OF FUNDING FROM THE PROVIDER RELIEF FUND ADMINISTERED BY THE HEALTH RESOURCES AND SERVICES ADMINISTRATION, AN AGENCY OF THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES DURING FY22. THIS AMOUNT HAS BEEN RECOGNIZED AS GRANT REVENUE ON PART I, LINE 8 OF THE ORGANIZATION'S FORM 990.
FORM 990, PART VI, SECTION A, LINE 2	1. BILL SHAW IS A TRUSTEE OF SUBURBAN HOSPITAL. WILLIAM CONWAY, JR. IS A TRUSTEE OF JOHNS HOPKINS MEDICINE, JOHNS HOPKINS HEALTH SYSTEM CORPORATION, AND THE JOHNS HOPKINS HOSPITAL. DAVID M. RUBENSTEIN IS A TRUSTEE OF JOHNS HOPKINS MEDICINE. MESSRS. SHAW, CONWAY AND RUBENSTEIN HAVE A BUSINESS RELATIONSHIP. 2. MICHAEL HANKIN IS A TRUSTEE OF JOHNS HOPKINS MEDICINE. KENNETH STUZIN IS A TRUSTEE OF JOHNS HOPKINS BAYVIEW MEDICAL CENTER. ELIZABETH FLANAGAN IS A TRUSTEE OF SUBURBAN HOSPITAL. MESSRS. HANKIN AND STUZIN AND MRS. FLANAGAN HAVE A BUSINESS RELATIONSHIP. 3. MARK FUTROVSKY IS A TRUSTEE OF SUBURBAN HOSPITAL. JULIE FUTROVSKY IS A TRUSTEE OF SUBURBAN HOSPITAL FOUNDATION. MR. FUTROVSKY AND MS. FUTROVSKY HAVE A FAMILY RELATIONSHIP.
FORM 990, PART VI, SECTION A, LINE 6	JOHNS HOPKINS HEALTH SYSTEM CORPORATION AN IRC 501(C)(3) TAX EXEMPT ORGANIZATION, IS THE SOLE CORPORATE MEMBER OF SUBURBAN HOSPITAL, INC.
FORM 990, PART VI, SECTION A, LINE 7A	JOHNS 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 7B	THE GOVERNING BODY OF SUBURBAN HOSPITAL, INC. IS EMPOWERED BY ITS BY-LAWS TO MAKE CERTAIN DECISIONS; ALL OTHER DECISIONS ARE SUBJECT TO APPROVAL OF THE SOLE MEMBER JOHNS HOPKINS HEALTH SYSTEM CORPORATION.
FORM 990, PART VI, SECTION B, LINE 11B	A COPY OF THE FORM 990 WAS PROVIDED TO THE BOARD OF TRUSTEES AND THE EXECUTIVE COMMITTEE BEFORE IT WAS FILED.
FORM 990, PART VI, SECTION B, LINE 12C	THE CONFLICT OF INTEREST POLICY IS A PART OF THE ANNUAL DISCLOSURE STATEMENT PROCESS. ALL OFFICERS, DIRECTORS, TRUSTEES, AND KEY EMPLOYEES ARE REQUIRED TO REPORT ANY CONFLICTS OF INTEREST AND TO COMPLY WITH THE CONFLICT OF INTEREST POLICY ON AN ANNUAL BASIS.
FORM 990, PART VI, SECTION B, LINE 15	EVERY THREE YEARS AN INDEPENDENT STUDY IS CONDUCTED GATHERING INDUSTRY COMPENSATION AVERAGES FROM SELECT PEER INSTITUTIONS. EVERY YEAR THE JOHNS HOPKINS BOARD OF TRUSTEES COMPENSATION COMMITTEE REVIEWS COMPENSATION AMOUNTS FOR OFFICERS AND ALL EMPLOYEES AT THE DIRECTOR AND HIGHER LEVELS.
FORM 990, PART VI, SECTION C, LINE 19	INTERNAL POLICIES, INCLUDING CONFLICT OF 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 9:	CHANGE IN FUND STATUS OF DEFINED BENEFIT PLANS -3,883,000. NET ASSETS RELEASED FROM RESTRICTION 2,784,084. CHANGE IN PENSION 2,544,996. UNREALIZED GAIN ON INVESTMENT -102,495,105.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public Inspection

Name of the organization

SUBURBAN HOSPITAL INC

Employer identification number

52-0610545

Part I

Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity
(1) SUBURBAN PHYSICIAN ASSISTANT ASSOCIATES LLC 8600 OLD GEORGETOWN ROAD BETHESDA,MD20814 01-0642496	MEDICAL SERVICES	MD	713,035	130,512	SUBURBAN HOSPITAL INC

Part II

Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)SUBURBAN HOSPITAL FOUNDATION INC 8600 OLD GEORGETOWN ROAD BETHESDA,MD20814 52-2019696	SUPPORTING ORGANIZATION	MD	501(C)(3)	LINE 12B, II	SUBURBAN HOSPITAL INC	Yes
(2)JOHNS HOPKINS HEALTH SYSTEM CORPORATION 3910 KESWICK RD SOUTH BLDG 4TH FL S BALTIMORE,MD21211 52-1465301	SUPPORTING ORGANIZATION	MD	501(C)(3)	LINE 12D, III-O	JOHNS HOPKINS HEALTH SYSTEM CORPORATION		No
(3)HOWARD COUNTY GENERAL HOSPITAL INC 3910 KESWICK RD SOUTH BLDG 4TH FL S BALTIMORE,MD21211 52-2093120	HOSPITAL	MD	501(C)(3)	LINE 3	JOHNS HOPKINS HEALTH SYSTEM CORPORATION		No
(4)JOHNS HOPKINS BAYVIEW MEDICAL CENTER INC 3910 KESWICK RD SOUTH BLDG 4TH FL S BALTIMORE,MD21211 52-1341890	HOSPITAL	MD	501(C)(3)	LINE 3	JOHNS HOPKINS HEALTH SYSTEM CORPORATION		No
(5)JOHNS HOPKINS COMMUNITY PHYSICIANS INC 3910 KESWICK RD SOUTH BLDG 4TH FL S BALTIMORE,MD21211 52-1467441	HEALTHCARE SERVICES	MD	501(C)(3)	LINE 12D, III-O	JOHNS HOPKINS HEALTH SYSTEM CORPORATION		No
(6)JOHNS HOPKINS MEDICAL SERVICES CORPORATION 3910 KESWICK RD SOUTH BLDG 4TH FL S BALTIMORE,MD21211 52-1232569	HEALTHCARE SERVICES	MD	501(C)(3)	LINE 3	JOHNS HOPKINS HEALTH SYSTEM CORPORATION		No
(7)THE JOHNS HOPKINS HOSPITAL 3910 KESWICK RD SOUTH BLDG 4TH FL S BALTIMORE,MD21211 52-0591656	HOSPITAL	MD	501(C)(3)	LINE 3	JOHNS HOPKINS HEALTH SYSTEM CORPORATION		No
(8)SUBURBAN HOSPITAL HEALTHCARE SYSTEM INC 8600 OLD GEORGETOWN ROAD BETHESDA,MD20814 52-2052354	HEALTHCARE SERVICES	MD	501(C)(3)	LINE 12D, III-O	JOHNS HOPKINS HEALTH SYSTEM CORPORATION		No
(9)LUCY WEBB HAYES NATIONAL TRAINING SCHOOL FOR DEACONESSES & 5255 LOUGHBORO RD NW WASHINGTON,DC20016 53-0196602	HOSPITAL	DC	501(C)(3)	LINE 3	JOHNS HOPKINS HEALTH SYSTEM CORPORATION		No
(10)POTOMAC HOME SUPPORT INC 6001 MONTROSE ROAD NO 1020 ROCKVILLE,MD20852 52-1750383	HOME HEALTH CARE	MD	501(C)(3)	LINE 12B, II	N/A		No
(11)SIBLEY SUBURBAN HOME HEALTH AGENCY 6001 MONTROSE ROAD NO 307 ROCKVILLE,MD20852 52-1450142	HOME HEALTH CARE	MD	501(C)(3)	LINE 10	POTOMAC HOME SUPPORT INC		No
(12)PEDIATRIC PHYSICIAN SERVICES INC 501 SIXTH AVENUE SOUTH ST PETERSBURG,FL33701 59-3425191	PEDIATRIC MEDICAL SERVICES	FL	501(C)(3)	LINE 11	ALL CHILDREN'S HEALTH SYSTEM INC		No
(13)JOHNS HOPKINS ALL CHILDREN'S HOSPITAL FOUDNATION INC 501 SIXTH AVENUE SOUTH ST PETERSBURG,FL33701 59-2481738	FOUNDATION	FL	501(C)(3)	LINE 7	ALL CHILDREN'S HEALTH SYSTEM INC		No
(14)JOHNS HOPKNIS ALL CHILDREN'S HOSPITAL INC 501 SIXTH AVENUE SOUTH ST PETERSBURG,FL33701 59-0683252	HOSPITAL	FL	501(C)(3)	LINE 3	JOHNS HOPKINS HEALTH SYSTEM CORPORATION		No
(15)ALL CHILDREN'S RESEARCH INSTITUTE INC 501 SIXTH AVENUE SOUTH ST PETERSBURG,FL33701 59-2481742	RESEARCH	FL	501(C)(3)	LINE 4	ALL CHILDREN'S HEALTH SYSTEM INC		No
(16)KIDS HOME CARE INC 501 SIXTH AVENUE SOUTH ST PETERSBURG,FL33701 59-3476049	HOME HEALTH CARE	FL	501(C)(3)	LINE 11	ALL CHILDREN'S HEALTH SYSTEM INC		No
(17)WEST COAST NEONATOLOGY INC 501 SIXTH AVENUE SOUTH ST PETERSBURG,FL33701 59-3398308	NEONATAL CARE	FL	501(C)(3)	LINE 11	ALL CHILDREN'S HEALTH SYSTEM INC		No
(18)ALL CHILDREN'S HEALTH SYSTEM INC 501 SIXTH AVENUE SOUTH ST PETERSBURG,FL33701 59-2481740	MANAGEMENT SERVICES	FL	501(C)(3)	LINE 12C, III-FI	JOHNS HOPKINS HEALTH SYSTEM CORPORATION		No
(19)HOWARD HOSPITAL FOUNDATION INC 3910 KESWICK RD SOUTH BLDG 4TH FL S BALTIMORE,MD21211 52-1072778	FUNDRAISING SUPPORTING ORGANIZATION	MD	501(C)(3)	LINE 12C, III-FI	N/A		No
(20)JOHNS HOPKINS HOSPITAL ENDOWMENT FUND INC 3910 KESWICK RD SOUTH BLDG 4TH FL S BALTIMORE,MD21211 23-7252596	MANAGEMENT OF ENDOWMETN	MD	501(C)(3)	LINE 12C, III-FI	N/A		No
(21)SIBLEY MEMORIAL HOSPITAL FOUNDATION INC 5255 LOUGHBORO RD NW WASHINGTON,DC20016 45-0562642	FINANCIAL SUPPORT	DC	501(C)(3)	LINE 7	LUCY WEBB HAYES NATIONAL TRAINING SCHOOL FOR		No

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2021

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership
(1) HEALTHCARE SUPPLY CHAIN INNOVATIONS LLC 3910 KESWICK RD SOUTH BLDG 4TH FL S BALTIMORE,MD21211 47-2509307	GROUP PURCHASING	MD	N/A				No			No
(2) HOWARD COUNTY NEONATAL SERVICES SERIES 3910 KESWICK RD SOUTH BLDG 4TH FL S BALTIMORE,MD21211 52-2239401	NEONATAL HEALTH	MD	N/A				No			No
(3) JHMI UTILITIES LLC 3910 KESWICK RD SOUTH BLDG 4TH FL S BALTIMORE,MD21211 20-2814243	UTILITY FACILITIES	MD	N/A				No			No
(4) JOHNS HOPKINS HEALTH CARE AND SURGERY CENTER DEVELOPMENT LLC 3910 KESWICK RD SOUTH BLDG 4TH FL S BALTIMORE,MD21211 82-1388814	LEASING REAL PROPERTY	MD	N/A				No			No
(5) JOHNS HOPKINS HEALTHCARE LLC 3910 KESWICK RD SOUTH BLDG 4TH FL S BALTIMORE,MD21211 52-1899357	MEDICAL SVCS	MD	N/A				No			No
(6) JOHNS HOPKINS MEDICINE ALLIANCE FOR PATIENTS 3910 KESWICK RD SOUTH BLDG 4TH FL S BALTIMORE,MD21211 46-2866692	HEALTHCARE SVC	MD	N/A				No			No
(7) JOHNS HOPKINS MEDICINE INTERNATIONAL LLC 3910 KESWICK RD SOUTH BLDG 4TH FL S BALTIMORE,MD21211 52-2144849	MEDICAL SVCS	MD	N/A				No			No
(8) JOHNS HOPKINS SURGERY CENTER SERIES 3910 KESWICK RD SOUTH BLDG 4TH FL S BALTIMORE,MD21211 20-8707724	SURGERY	MD	N/A				No			No
(9) MARYLAND HEALTH ADVANTAGE LLC 3910 KESWICK RD SOUTH BLDG 4TH FL S BALTIMORE,MD21211 81-3898700	HOLDING COMPANY	DE	N/A				No			No
(10) OPHTHALMOLOGY ASSOCIATES LLC 3910 KESWICK RD SOUTH BLDG 4TH FL S BALTIMORE,MD21211 52-1890957	OPHTHALMOLOGY SVCS	MD	N/A				No			No
(11) WEST COUNTY MEDICAL LLC 3910 KESWICK RD SOUTH BLDG 4TH FL S BALTIMORE,MD21211 27-5234888	REAL ESTATE	MD	N/A				No			No

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	Yes	No
(1) HOWARD COUNTY HEALTH SERVICES INC 3910 KESWICK RD SOUTH BLDG 4TH FL S BALTIMORE,MD21211 52-1434783	HEALTHCARE MANANAGEMENT	MD	N/A	C					No
(2) HSI MEDICAL SERVICES CORPORATION 3910 KESWICK RD SOUTH BLDG 4TH FL S BALTIMORE,MD21211 52-1847705	HEALTHCARE SLEEP DIAGNOSTICS	MD	N/A	C					No
(3) JOHNS HOPKINS MEDICAL MANANGEMENT CORPORATION 3910 KESWICK RD SOUTH BLDG 4TH FL S BALTIMORE,MD21211 52-1250028	NURSING SERVICES	MD	N/A	C					No
(4) JOHNS HOPKINS EMPLOYER HEALTH PROGRAMS INC 3910 KESWICK RD SOUTH BLDG 4TH FL S BALTIMORE,MD21211 52-1947678	BENEFIT PLANS	MD	N/A	C					No
(5) TCAS INC 3910 KESWICK RD SOUTH BLDG 4TH FL S BALTIMORE,MD21211 52-1979344	NURSING SERVICES	MD	N/A	C					No
(6) SUBURBAN HEALTH ENTERPRISES INC 8600 OLD GEORGETOWN RD BETHESDA,MD20814 52-2052352	MEDICAL OFFICE LEASING AND RELEASING	MD	N/A	C					No
(7) VARIOUS CHARITABLE REMAINDER TRUSTS 3910 KESWICK RD SOUTH BLDG 4TH FL S BALTIMORE,MD21211	CHARITABLE REMAINDER TRUSTS	MD	N/A	T		58,282	100.000 %		No
(8) SSA HOLDCO INC 3910 KESWICK RD SOUTH BLDG 4TH FL S BALTIMORE,MD21211 81-1040476	INVESTMENT	MD	N/A	C					No

Schedule R (Form 990) 2021

Page 3

Part V

Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................

b Gift, grant, or capital contribution to related organization(s) ............................

c Gift, grant, or capital contribution from related organization(s) ............................

Yes

d Loans or loan guarantees to or for related organization(s) ............................

Yes

e Loans or loan guarantees by related organization(s) ............................

Yes

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

j Lease of facilities, equipment, or other assets to related organization(s) .......................

Yes

k Lease of facilities, equipment, or other assets from related organization(s) ......................

Yes

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

Yes

m Performance of services or membership or fundraising solicitations by related organization(s) .................

Yes

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

Yes

o Sharing of paid employees with related organization(s) ............................

Yes

p Reimbursement paid to related organization(s) for expenses ............................

Yes

q Reimbursement paid by related organization(s) for expenses ............................

r Other transfer of cash or property to related organization(s) ............................

Yes

s Other transfer of cash or property from related organization(s) ............................

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) SUBURBAN HOSPITAL FOUNDATION INC	C	1,810,266	FMV

Schedule R (Form 990) 2021

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership

Schedule R (Form 990) 2021

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R. See instructions.

Return Reference	Explanation

Schedule R (Form 990) 2021

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: SUBURBAN 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.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	19
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	14
5	Total number of individuals employed in calendar year 2021 (Part V, line 2a) ......	5	2,356
6	Total number of volunteers (estimate if necessary) .............	6	35
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	364,889
b	Net unrelated business taxable income from Form 990-T, Part I, line 11 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	18,258,468	4,334,051
9	Program service revenue (Part VIII, line 2g) .........	319,073,516	337,748,407
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	8,572,108	61,822,081
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	11,784,188	12,732,830
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	357,688,280	416,637,369
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	40,609	62,581
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	148,011,904	152,447,487
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	186,557,383	204,634,627
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	334,609,896	357,144,695
19	Revenue less expenses. Subtract line 18 from line 12.......	23,078,384	59,492,674
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	689,946,694	642,957,547
21	Total liabilities (Part X, line 26).............	186,423,992	180,991,196
22	Net assets or fund balances. Subtract line 21 from line 20.....	503,522,702	461,966,351

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 62,264,212 including grants of $ ) (Revenue $ 64,415,523 )
	SURGICAL 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 1,500 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 1500 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 2022, SUBURBAN HOSPITAL ADMITTED 906 SURGICAL INPATIENTS. 2,011 OPERATING ROOM CASES WERE PERFORMED.

4b	(Code: ) (Expenses $ 140,953,958 including grants of $ ) (Revenue $ 138,907,528 )
	MEDICAL 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 2022, SUBURBAN HOSPITAL ADMITTED APPROXIMATELY 7,700 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.

4c	(Code: ) (Expenses $ 38,172,931 including grants of $ ) (Revenue $ 39,814,174 )
	CARDIOVASCULAR 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 2022 THERE WERE 501 ADMISSIONS.

	(Code: ) (Expenses $ 44,631,912 including grants of $ 62,581 ) (Revenue $ 106,979,123 )


4d	Other program services (Describe in Schedule O.)
	(Expenses $ 44,631,912 including grants of $ 62,581 ) (Revenue $ 106,979,123 )
4e	Total program service expenses286,023,013

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	1,173,436	8,076,247	913,674

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	1,810,266
e	Government grants (contributions)		1e	2,523,785

f	All other contributions, gifts, grants, and similar amounts not included above		1f

g	Noncash contributions included in lines 1a - 1f:$		1g

h Total. Add lines 1a-1f.......		4,334,051

		Business Code
2a	NET PATIENT REVENUE	621990	337,383,518	337,383,518
b	LAB	541380	364,889		364,889
c
d
e
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		337,748,407

3 Investment income (including dividends, interest, and othersimilar amounts) ......			3,930,815			3,930,815
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents			6a
b	Less: rental expenses			6b
c	Rental income or (loss)			6c
d	Net rental income or (loss).......
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory		58,242,495	7a
b	Less: cost or other basis and sales expenses	351,229	0	7b
c	Gain or (loss)	-351,229	58,242,495	7c
d	Net gain or (loss).........			57,891,266			57,891,266
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a
b	Less: direct expenses ...		8b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a
b	Less: cost of goods sold ..		10b
c	Net income or (loss) from sales of inventory..
Business Code			Miscellaneous Revenue
11a	OTHER REVENUE		621990	10,977,074	10,977,074
b	CAFETERIA INCOME		722514	827,145	827,145
c	PARKING		812930	539,529	539,529
d	All other revenue ....			389,082	389,082
e	Total. Add lines 11a–11d ......			12,732,830
12	Total revenue. See instructions.....			416,637,369	350,116,348	364,889	61,822,081

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	62,581	62,581
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............
4	Benefits paid to or for members .......
5	Compensation of current officers, directors, trustees, and key employees ...........
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........
7	Other salaries and wages........	125,208,602	108,180,232	17,028,370
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	4,462,496	3,855,596	606,900
9	Other employee benefits .......	12,319,185	10,643,776	1,675,409
10	Payroll taxes ...........	10,457,204	9,035,024	1,422,180
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	168,533		168,533
c	Accounting ...........	34,539		34,539
d	Lobbying ...........	72,809		72,809
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	356,223	307,777	48,446
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	22,292,925	21,297,366	995,559
12	Advertising and promotion ....
13	Office expenses .......	31,978,028	26,619,518	5,358,510
14	Information technology ......	866,610	748,751	117,859
15	Royalties ..
16	Occupancy ...........	4,776,897	4,127,239	649,658
17	Travel ............	52,239		52,239
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	78,338	67,715	10,623
20	Interest ...........	4,035,349	4,035,349
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	26,802,246	23,157,141	3,645,105
23	Insurance ...	2,305,504	1,969,221	336,283
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	MEDICAL SUPPLIES	61,662,769	61,662,769
b	PURCHASED SERVICES - AF	42,573,649	4,553,799	38,019,850
c	PROFESSIONAL FEES	4,525,893	3,941,453	584,440
d	OTHER	2,052,076	1,757,706	294,370
e	All other expenses
25	Total functional expenses. Add lines 1 through 24e	357,144,695	286,023,013	71,121,682	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			6,575	1	6,574
2	Savings and temporary cash investments .........			23,227,398	2	33,607,215
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			40,520,664	4	43,379,873
5	Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
					6
7	Notes and loans receivable, net ...........				7
8	Inventories for sale or use ............			12,223,016	8	12,126,743
9	Prepaid expenses and deferred charges ......			1,099,349	9	1,645,117
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	495,984,274
b	Less: accumulated depreciation	10b	216,665,516	294,723,477	10c	279,318,758
11	Investments—publicly traded securities .				11
12	Investments—other securities. See Part IV, line 11 .....			300,168,170	12	261,831,562
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			17,978,045	15	11,041,705
16	Total assets. Add lines 1 through 15 (must equal line 33)...			689,946,694	16	642,957,547

17	Accounts payable and accrued expenses .....	35,961,714	17	34,914,202
18	Grants payable ...		18
19	Deferred revenue .........		19
20	Tax-exempt bond liabilities .........		20
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
			22
23	Secured mortgages and notes payable to unrelated third parties ..		23
24	Unsecured notes and loans payable to unrelated third parties ..		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D	150,462,278	25	146,076,994
26	Total liabilities. Add lines 17 through 25..	186,423,992	26	180,991,196

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	503,522,702	27	461,966,351
28	Net assets with donor restrictions ...........		28
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	503,522,702	32	461,966,351
33	Total liabilities and net assets/fund balances ........	689,946,694	33	642,957,547