2025-05-14T11:50:40-05:00 2024-06-30 990 2023-07-01 521450142 SIBLEY SUBURBAN HOME HEALTH AGENCY INC POTOMAC HOME HEALTH CARE SIBL 4439975724 3910 KESWICK RD BALTIMORE MD 21211 JAMES VAN DANIKER CFO 4439975724 2025-05-12 0 2023 2025-03-06 01:10:19Z JAMES VAN DANIKER 3910 KESWICK RD BALTIMORE MD 21211 4966109 0 X WWW.PHHC.ORG X 1986 MD TO PROVIDE HOME HEALTH CARE SERVICES TO PATIENTS. 3 0 59 0 0 0 118667 303899 5660790 4655197 575 7013 0 0 5780032 4966109 0 0 0 0 4230092 3399283 0 0 0 1766980 1625763 5997072 5025046 -217040 -58937 983046 853499 710672 640062 272374 213437 THE MISSION OF POTOMAC HOME HEALTH CARE IS TO MEET THE NEEDS OF THE COMMUNITY BY PROVIDING COST EFFICIENT QUALITY HOME HEALTH CARE AND PATIENT EDUCATION SERVICES TO ASSIST PATIENTS IN ACHIEVING THEIR MAXIMUM INDEPENDENCE AND/OR ENHANCED QUALITY OF LIFE. 0 0 2517126 4655197 POTOMAC HOME HEALTH CARE IS A FULL SERVICE, MEDICARE-CERTIFIED HOME HEALTH AGENCY PROVIDING A COMPREHENSIVE RANGE OF HOME CARE SERVICES IN MARYLAND AND WASHINGTON D.C. WORKING WITHIN A TEAM APPROACH. WE MAKE EVERY ATTEMPT TO RECOGNIZE AND MEET THE NEEDS OF THE HOMEBOUND PATIENT. OUR PROGRAM STRESSES PERSONALIZED CARE, TAILORED TO THE INDIVIDUAL PATIENTS NEEDS. WE WORK CLOSELY WITH THE PHYSICIAN, THE PATIENT AND FAMILY MEMBERERS IN PLANNING, REVIEWING PROGRESS, AND MAKING ADJUSTMENTS TO THE PLAN OF CARE. THIS APPROACH RESULTS IN A BETTER TREATMENT PLAN AND GREATER UNDERSTANDING AND SUPPORT FOR THE PATIENT AND FAMILY. DURING THE YEAR, OUR MEDICARE PROGRAM PRODUCED 1,347 PATIENT EPISODES OF CARE TO INCLUDE 15,350 PATIENT VISITS. 2517126 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 0 0 59 1 0 0 0 0 0 0 0 0 0 0 0 0 X 3 0 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 0 0 X THE CORPORATION 4439975724 3910 KESWICK RD BALTIMORE MD 21211 KEVIN SOWERS TRUSTEE, CHAIR 1.00 59.00 X 0 2437606 34491 CAROLYN CARPENTER MHA FACHE TRUSTEE 1.00 59.00 X 0 990379 88043 ANU MULLICK TRUSTEE 1.00 59.00 X 0 341347 43704 MITRA GAVGANI PHARMD INTERIM PRESIDENT 1.00 59.00 X 0 339846 40665 VADIM SCHICK SECRETARY 1.00 59.00 X 0 358651 12241 JAMES VAN DANIKER VP, FINANCE & TREASURER 1.00 59.00 X 0 271273 44201 RUTH CELI PHYSICAL THERAPIST 40.00 0.00 X 134664 0 31242 ROSE OWARE CASE MANAGER 40.00 0.00 X 112648 0 32055 SIMONE ALPHONSO PHYSICAL THERAPIST 40.00 0.00 X 119316 0 21363 DAPHNA SZANTO PHYSICAL THERAPIST 40.00 0.00 X 116329 0 22791 FLORIAN OCAMPO PPV PHYSICAL THERAPIST 40.00 0.00 X 114850 0 2690 MARY MYERS MS MN FORMER OFFICER 0.00 0.00 X 0 528674 115930 597807 5267776 489416 10 1 1 0 MINO M ADRIANO 19807 MADRIGAL DR GERMANTOWN MD 20876 PHYSICAL THERAPY SERVICES 129010 HUSSEIN HUSSEIN 5266 OFALY RD FAIRFAX VA 22030 PHYSICAL THERAPY SERVICES 113870 MARYLAND REHAB LLC 13500 GAMBREL CT LAUREL MD 20708 PHYSICAL THERAPY SERVICES 109160 3 300000 3899 303899 PATIENT SERVICE REVENU 621610 4646633 4646633 OTHER INCOME 621610 8564 8564 4655197 7013 7013 4966109 4655197 0 7013 X 2893360 1755055 1138305 43673 43673 264617 240527 24090 197633 197633 2827 2827 967439 424967 542472 1302 1302 21189 1339 19850 24198 24198 173720 173720 48702 47997 705 3690 3690 MISCELLANEOUS 325054 325054 MEDICAL SUPPLIES 47046 47046 NON-MEDICAL SUPPLIES 7838 7838 DUES, LICENSES & FEES 2758 195 2563 5025046 2517126 2507920 0 252155 144228 609911 577960 177711 177711 0 0 120980 131311 983046 853499 403262 347420 118042 90362 189368 202280 710672 640062 X 1600 1600 0 0 412814 195775 272374 213437 983046 853499 -58937 0 X 0 1 X 1 0 X 437631 129165 197171 118667 303899 1186533 6501006 6045814 5950246 5653424 4646633 28797123 6938637 6174979 6147417 5772091 4950532 29983656 0 0 0 29983656 25512 575 7013 33100 25512 575 7013 33100 6938637 6174979 6172929 5772666 4957545 30016756 0.99890 0.99920 0.00110 0.00080 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 177711 177711 0 0 OTHER ASSETS 131311 131311 DUE TO AFFILIATES 115694 OPERATING LEASE LIABILITY 86586 202280 X PART X, LINE 2: FASB 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. THERE WAS NO IMPACT ON SIBLEY SUBURBAN HOME HEALTH ANGENCY, INC. FINANCIAL STATEMENTS DURING THE YEARS ENDED JUNE 30, 2024, AND 2023 X X X X X 0 1 0 0 0 0 0 1 0 KEVIN SOWERS TRUSTEE, CHAIR 0 1542757 0 661230 0 233619 0 21498 0 12993 0 2472097 0 203752 CAROLYN CARPENTER MHA FACHE TRUSTEE 0 718007 0 222407 0 49965 0 55254 0 32789 0 1078422 0 38229 MARY MYERS MS MN FORMER OFFICER 0 248224 0 153739 0 126711 0 98312 0 17618 0 644604 0 0 ANU MULLICK TRUSTEE 0 285151 0 38992 0 17204 0 16208 0 27496 0 385051 0 0 MITRA GAVGANI PHARMD INTERIM PRESIDENT 0 280657 0 53581 0 5608 0 21498 0 19167 0 380511 0 0 VADIM SCHICK SECRETARY 0 283824 0 52925 0 21902 0 840 0 11401 0 370892 0 0 JAMES VAN DANIKER VP, FINANCE & TREASURER 0 222737 0 46312 0 2224 0 16822 0 27379 0 315474 0 0 RUTH CELI PHYSICAL THERAPIST 114177 0 0 0 20487 0 3822 0 27420 0 165906 0 0 0 PART I, LINE 4B 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 2023 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 2023. MARY MYERS $114,546.00; KEVIN SOWERS $203,752.20 AND CAROLYN CARPENTER $38,229.10 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. FORM 990, PART I, LINE 8 PURSUANT TO THE CORONAVIRUS AID, RELIEF, AND ECONOMIC SECURITY (CARES) ACT, SIBLEY SUBURBAN HOME HEALTH AGENCY, INC. RECOGNIZED $3,899 OF FUNDING FROM THE EMPLOYEE RETENTION CREDIT (ERC) ADMINISTERED BY THE INTERNAL REVENUE SERVICE, A BUREAU OF THE U.S. TREASURY DEPARTMENT DURING FY24. 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 6 THE MEMBERS OF SIBLEY SUBURBAN HOME HEALTH AGENCY, INC. ARE LUCY WEBB HAYES NATIONAL TRAINING SCHOOL FOR DEACONESSES & MISSIONARIES (AKA.SIBLEY MEMORIAL HOSPITAL) WITH 50% MEMBERSHIP INTEREST AND SUBURBAN HOSPITAL, INC. WITH 50% MEMBERSHIP INTEREST FORM 990, PART VI, SECTION A, LINE 7A LUCY WEBB HAYES NATIONAL TRAINING SCHOOL FOR DEACONESSES & MISSIONARIES (AKA.SIBLEY MEMORIAL HOSPITAL) AND SUBURBAN HOSPITAL, INC. THE IRC 501C(3) TAX EXEMPT MEMBERS OF SIBLEY SUBURBAN HOME HEALTH AGENCY, INC. ELECT THE BOARD OF TRUSTEES FORM 990, PART VI, SECTION A, LINE 7B THE GOVERNING BODY OF SIBLEY SUBURBAN HOME HEALTH AGENCY, INC. IS EMPOWERED BY ITS BY-LAWS TO MAKE CERTAIN DECISION; ALL OTHER DECISIONS ARE SUBJECT TO APPROVAL OF THE MEMBERS LUCY WEBB HAYES NATIONAL TRAINING SCHOOL FOR DEACONESSES & MISSIONARIES (AKA.SIBLEY MEMORIAL HOSPITAL) AND SUBURBAN HOSPITAL, INC. FORM 990, PART VI, SECTION B, LINE 11B A COPY OF THE FORM 990 IS PROVIDED ELECTRONICALLY TO THE ORGANIZATION'S GOVERNING BODY BEFORE IT IS FILED. THE FORM 990 IS PROVIDED TO THE ORGANIZATION'S TRUSTEES AND APPROPRIATE OFFICERS, WHO ARE GIVEN THE OPPORTUNITY TO ASK QUESTIONS AND PROVIDE FEEDBACK BEFORE THE FORM 990 IS 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. CONFLICTS OF INTEREST ARE DETERMINED AT A HEALTH SYSTEM LEVEL AND INCLUDE THE ORGANIZATION AND ALL OF ITS AFFILIATES. THE ORGANIZATION LEGAL DEPARTMENT IS RESPONSIBLE FOR REVIEWING ALL ACTUAL OR POTENTIAL CONFLICTS OF INTERESTS AND FOR DETERMINING APPROPRIATE ACTION TO ELIMINATE OR MANAGE THE CONFLICT OF INTEREST. IF A CONFLICT ARISES, THE AFFECTED MEMBER MUST (1) REFRAIN FROM ANY ATTEMPTS TO EITHER DIRECTLY OR INDIRECTLY INFLUENCE THE DECISION-MAKING PROCESS IN WHICH THERE EXISTS A POTENTIAL FOR CONFLICTS OF INTEREST; (2) REFRAIN FROM PARTICIPATING IN ANY DISCUSSIONS LEADING TO THE APPROVAL OR DISAPPROVAL OF THE TRANSACTION CREATING THE CONFLICT, EXCEPT TO DISCLOSE MATERIAL FACTS RELATING TO THE CONFLICT; AND (3) ABSTAIN FROM VOTING ON THE TRANSACTION CREATING THE CONFLICT OR TRANSMITTING ANY OTHER OPINION, INCLUDING NOT BEING PRESENT IN THE ROOM WHEN THE VOTE IS TAKEN, UNLESS THE VOTE IS BY SECRET BALLOT. FURTHERMORE, THE ORGANIZATION'S INTERMEDIATE SANCTIONS TRANSACTION REVIEW COMMITTEE REVIEWS AND DETERMINES WHETHER A PROPOSED TRANSACTION BETWEEN A TRUSTEE, OFFICER, KEY EMPLOYEE, OR DISQUALIFIED PERSON AND THE ORGANIZATION WOULD CREATE AN EXCESS BENEFIT TO SUCH TRUSTEE, OFFICER, KEY EMPLOYEE OR A DISQUALIFIED PERSON, OR WHETHER SUCH PROPOSED TRANSACTION QUALIFIES FOR A REBUTTABLE PRESUMPTION AGAINST EXCESS BENEFIT. FORM 990, PART VI, SECTION B, LINE 15A THE COMPENSATION COMMITTEE OF THE BOARD OF JOHNS HOPKINS MEDICINE, ON BEHALF OF THE ORGANIZATION, REVIEWS THE PERFORMANCE AND APPROVES THE COMPENSATION OF THE OFFICERS AND KEY PERSONNEL OF THE ORGANIZATION. IN REVIEWING AND APPROVING COMPENSATION, THE COMMITTEE RELIES ON APPROPRIATE MARKET DATA FOR COMPARABLE JOBS IN ORGANIZATIONS, AND ENSURES THAT SUCH DATA INDICATES THE COMPENSATION ORDINARILY PROVIDED BY SIMILARLY SITUATED ORGANIZATIONS, UNDER LIKE CIRCUMSTANCES. DELIBERATIONS AND DECISIONS OF THE COMMITTEE REGARDING THE COMPENSATION ARRANGEMENTS ARE DOCUMENTED IN THE FORM OF MINUTES OF COMMITTEE MEETINGS, AND COPIES OF ALL COMPARABILITY DATA AND REPORTS RETAINED. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G OTHER FEES FOR SERVICES: PROGRAM SERVICE EXPENSES 10,334. MANAGEMENT AND GENERAL EXPENSES 436,319. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 446,653. THERAPY CONTRACT SERIVCES: PROGRAM SERVICE EXPENSES 414,633. MANAGEMENT AND GENERAL EXPENSES 106,153. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 520,786. ALL CHILDREN'S HEALTH SYSTEM INC 3910 KESWICK RD SOUTH BLDG 4TH FL S BALTIMORE MD 21211 592481740 MANAGEMENT SERVICES FL 501(C)(3) LINE 12C, III-FI JOHNS HOPKINS HEALTH SYSTEM CORP 0 ALL CHILDREN'S RESEARCH INSTITUTE INC 3910 KESWICK RD SOUTH BLDG 4TH FL S BALTIMORE MD 21211 592481742 RESEARCH FL 501(C)(3) LINE 4 ALL CHILDREN'S HEALTH SYSTEM INC 0 HOWARD COUNTY FOUNDATION INC 3910 KESWICK RD SOUTH BLDG 4TH FL S BALTIMORE MD 21211 521072778 FUNDRAISING/SUPPORTING ORGANIZATION MD 501(C)(3) LINE 12C, III-FI N/A 0 HOWARD COUNTY GENERAL HOSPITAL INC 3910 KESWICK RD SOUTH BLDG 4TH FL S BALTIMORE MD 21211 522093120 HOSPITAL MD 501(C)(3) LINE 3 JOHNS HOPKINS HEALTH SYSTEM CORP 0 JOHN HOPKINS ALL CHILDREN'S FOUNDATION INC 3910 KESWICK RD SOUTH BLDG 4TH FL S BALTIMORE MD 21211 592481738 FOUNDATION FL 501(C)(3) LINE 7 ALL CHILDREN'S HEALTH SYSTEM INC 0 JOHNS HOPKINS ALL CHILDREN'S HOSPITAL INC 3910 KESWICK RD SOUTH BLDG 4TH FL S BALTIMORE MD 21211 590683252 HOSPITAL FL 501(C)(3) LINE 3 JOHNS 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