BRIDGINGLIFE INC: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- BRIDGINGLIFE INC (EIN 52-1565870)
- Tax period
- 2021-07-01 to 2022-06-30
- Filed
- 2023-05-10
- IRS object ID
- 202331309349304013
- Schema version
- 2021v4.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule G
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-05-10T13:53:55-05:00 | ReturnTs |
| Tax Period End | 2022-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BDO USA LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8401 GREENSBORO DRIVE 800 | AddressLine1Txt |
| City | MCLEAN | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 22102 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 521565870 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BRIDGINGLIFE INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % AMY ENGLE | InCareOfNm |
| Business Name Control | BRID | BusinessNameControlTxt |
| Phone | 4108716695 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 292 STONER AVENUE | AddressLine1Txt |
| City | WESTMINSTER | CityNm |
| State Abbreviation | MD | StateAbbreviationCd |
| ZIP | 21157 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MICHAEL MYERS | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 4108716695 | PhoneNum |
| Signature | 2023-05-08 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | MICHAEL | PersonFirstNm |
| Person Last | MYERS | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Marc Berger | PreparerPersonNm |
| PTIN | P01871563 | PTIN |
| Phone | 7038930600 | PhoneNum |
| Preparation | 2023-05-07 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | REGINA BODNAR | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 292 STONER AVENUE | AddressLine1Txt |
| City | WESTMINSTER | CityNm |
| State Abbreviation | MD | StateAbbreviationCd |
| ZIP | 21157 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $19,955,777 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.CARROLLHOSPICE.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1988 | FormationYr |
| Legal Domicile State | MD | LegalDomicileStateCd |
| Activity Or Mission | BRIDGINGLIFE, INC., FORMERLY KNOWN AS CARROLL HOSPICE, AN AFFILIATE OF CARROLL HOSPITAL CENTER, IS DEDICATED TO IMPROVING THE QUALITY OF LIFE FOR PATIENTS (CONTINUTED ON SCH O) | ActivityOrMissionDesc |
| Voting Members Governing Body | 18 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 14 | VotingMembersIndependentCnt |
| Total Employee | 199 | TotalEmployeeCnt |
| Total Volunteers | 59 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,787,852 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,367,947 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $13,982,878 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $18,344,407 | CYProgramServiceRevenueAmt |
| PY Investment Income | $55,113 | PYInvestmentIncomeAmt |
| CY Investment Income | $77,582 | CYInvestmentIncomeAmt |
| PY Other Revenue | $80,948 | PYOtherRevenueAmt |
| CY Other Revenue | $146,771 | CYOtherRevenueAmt |
| PY Total Revenue | $15,906,791 | PYTotalRevenueAmt |
| CY Total Revenue | $19,936,707 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $10,470,087 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $14,145,706 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $458,188 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $3,827,543 | PYOtherExpensesAmt |
| CY Other Expenses | $4,564,608 | CYOtherExpensesAmt |
| PY Total Expenses | $14,297,630 | PYTotalExpensesAmt |
| CY Total Expenses | $18,710,314 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,609,161 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,226,393 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $22,529,897 | TotalAssetsBOYAmt |
| Total Assets EOY | $22,650,224 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,507,195 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $557,301 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $21,022,702 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $22,092,923 | NetAssetsOrFundBalancesEOYAmt |
| Mission | BRIDGINGLIFE, INC. PROVIDES HOSPICE CARE AND SERVICES TO ALL INDIVIDUALS IN NEED REGARDLESS OF INSURANCE OR FINANCIAL SITUATION. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $9,880,906 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $13,157,862 | RevenueAmt |
| Desc | HOME HOSPICE PROVIDES HOSPICE CARE IN THE PATIENT'S HOME, NURSING HOME OR ASSISTED LIVING FACILITY. NUMBER OF PATIENTS SERVICED IN FY2022 - 1263. DAYS OF CARE PROVIDED IN FY2022 - 78,242. PROGRAMS PROVIDED - HOSPICE EDUCATION TO NURSING FACILITIES, GENERAL HOSPICE PATIENT CARE, PALLIATIVE CARE. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $6,084,505 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $5,012,516 | RevenueAmt |
| Desc | INPATIENT HOSPICE PATIENTS IN THE INPATIENT FACILITIES (DOVE HOUSE, SINAI HOSPITAL, AND NORTHWEST HOSPITAL) RECEIVE CARE 24 HOURS A DAY FROM AN EXPERT MEDICAL TEAM DEDICATED TO HELPING THEM LIVE AS COMFORTABLE AND SUPPORTED AS POSSIBLE. NUMBER OF PATIENTS SERVED IN FY2022 - 1298. DAYS OF CARE PROVIDED FY2022 - 6604. PROGRAMS PROVIDED - GENERAL INPATIENT HOSPICE CARE, RESIDENTIAL CARE. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $723,003 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $270,229 | RevenueAmt |
| Desc | PALLIATIVE CARE IS SPECIALIZED MEDICAL CARE FOR PEOPLE LIVING WITH SERIOUS ILLNESS. IT IS FOCUSED ON PROVIDING RELIEF FROM THE SYMPTOMS AND STRESS OF THE ILLNESS. OUR GOAL IS TO IMPROVE QUALITY OF LIFE FOR BOTH THE PATIENTS AND THEIR FAMILIES. WE HAVE INPATIENT PROGRAMS AT CARROLL, NORTHWEST, AND SINAI HOSPITAL AS WELL AS A COMMUNITY-BASED PROGRAM. FOR OUR COMMUNITY-BASED PROGRAM, WE HAVE AN AVERAGE DAILY CENSUS OF 148 PATIENTS, AND OUR INPATIENT PROGRAMS EACH SEE AN AVERAGE OF 80 CONSULTS PER MONTH. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $16,688,414 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (true) | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | Yes (true) | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 40 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 199 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (true) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (true) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 18 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 14 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | false | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | MD | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | AMY ENGLE | PersonNm |
| Phone | 4108717114 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 MEMORIAL AVENUE | AddressLine1Txt |
| City | WESTMINSTER | CityNm |
| State Abbreviation | MD | StateAbbreviationCd |
| ZIP | 21157 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| LESLIE SIMMONS | |||||||||
| Board Member, Pres(Thru 12/21) | 1.0 | 40.0 | Yes (X) | Yes (X) | $0 | $1,404,398 | $201,758 | ||
| Garrett Hoover | |||||||||
| Officer,President(As of 01/22) | 1.0 | 40.0 | Yes (X) | $0 | $555,722 | $32,575 | |||
| Michael Myers | |||||||||
| Treasurer/CFO CHC | 1.0 | 40.0 | Yes (X) | $0 | $399,430 | $80,252 | |||
| M Ellen Finnerty Myers | |||||||||
| Former Director | 0.0 | 0.0 | $0 | $279,584 | $22,597 | Yes (X) | |||
| REGINA BODNAR | |||||||||
| AVP Hospice & Palliative Care | 40.0 | 0.0 | Yes (X) | Yes (X) | $267,373 | $0 | $26,974 | ||
| John W Middleton MD | |||||||||
| Board Member/Medical Director | 40.0 | 1.0 | Yes (X) | $232,361 | $0 | $23,394 | |||
| Cynthia Wisniewski | |||||||||
| Director Operations Hospice | 40.0 | 0.0 | $134,153 | $0 | $31,070 | Yes (X) | |||
| Pamela J Naumann | |||||||||
| Hospice Nurse | 40.0 | 0.0 | $118,250 | $0 | $32,320 | Yes (X) | |||
| LAURA HOOPER | |||||||||
| Director Hospice Quality | 40.0 | 0.0 | $145,724 | $0 | $3,624 | Yes (X) | |||
| Jenifer Garner | |||||||||
| Director Palliative Care Pgrm | 40.0 | 0.0 | $138,756 | $0 | $1,614 | Yes (X) | |||
| Jill B Englar | |||||||||
| Director Support Services | 40.0 | 0.0 | $124,839 | $0 | $5,991 | Yes (X) | |||
| TODD HERRING | |||||||||
| CHAIR | 1.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| ANN M BOLLINGER | |||||||||
| Board Member (THRU 12/31/21) | 1.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| ROBERT WEINRIECH | |||||||||
| VICE CHAIR | 1.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| LAURA GILLEN | |||||||||
| Secretary | 1.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Jason A Blavatt Esq | |||||||||
| BOARD MEMBER | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| Jennifer Bubczyk | |||||||||
| BOARD MEMBER | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| Carolyn S Burns | |||||||||
| Board Member | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| JAMES B COVEY | |||||||||
| Board Member | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| SHIRLYN EVANS-FORD | |||||||||
| Board Member | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| BARBARA HARDEN | |||||||||
| Board Member | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| CHRISTINA K KANTHER | |||||||||
| Board Member | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| C DavID Kile | |||||||||
| Board Member | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| James A Miller PD | |||||||||
| Board Member | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| Todd Mitchell | |||||||||
| Board Member | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| Ann Patterson | |||||||||
| Board Member | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| LOUNA PRIMM | |||||||||
| Board Member | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,161,456 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,639,134 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $462,169 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 29 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| PC MSTR LSCO LLC | |||||
| 1234 WASHINGTON ROAD | WESTMINSTER | MD | 21157 | PASS THRU ROOM&BOARD | $721,919 |
| CARROLL LUTHERAN VILLAGE INC | |||||
| 300 SAINT LUKE CIRCLE | WESTMINSTER | MD | 211584174 | PASS THRU ROOM&BOARD | $394,748 |
| BIRCH MANOR HEALTHCARE CENTER | |||||
| 7309 SECOND AVENUE | SYKESVILLE | MD | 21784 | PASS THRU ROOM&BOARD | $336,176 |
| LONG VIEW HEALTHCARE CENTER LLC | |||||
| 3332 MAIN STREET | MANCHESTER | MD | 21102 | PASS THRU ROOM&BOARD | $326,845 |
| LORIEN TANEYTOWN | |||||
| 100 ANTRIM boulevard | TANEYTOWN | MD | 217872288 | PASS THRU ROOM&BOARD | $162,210 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 9 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $186,694 | FundraisingAmt |
| Related Organizations | $182,108 | RelatedOrganizationsAmt |
| All Other Contributions | $999,145 | AllOtherContributionsAmt |
| Total Contributions | $1,367,947 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | NET PATIENT SERVICE REVENUE | Desc |
| Business | 623000 | BusinessCd |
| Total Revenue Column | $18,344,407 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $18,344,407 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $18,344,407 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $77,582 | TotalRevenueColumnAmt |
| Exclusion | $77,582 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $69,641 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $186,694 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $19,070 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $50,571 | TotalRevenueColumnAmt |
| Exclusion | $50,571 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $0 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $0 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $0 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PALLIATIVE CARE STIPEND | 623000 | $95,833 | $95,833 |
| MEDICAL RECORDS COPY | 623000 | $367 | $367 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $96,200 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $19,936,707 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $18,440,607 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $128,153 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $450,929 | TotalAmt |
| Program Services | $260,014 | ProgramServicesAmt |
| Management And General | $190,915 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,186,526 | TotalAmt |
| Program Services | $10,852,523 | ProgramServicesAmt |
| Fundraising | $334,003 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,843,174 | TotalAmt |
| Program Services | $1,802,375 | ProgramServicesAmt |
| Fundraising | $40,799 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $665,077 | TotalAmt |
| Program Services | $639,064 | ProgramServicesAmt |
| Fundraising | $26,013 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $650,619 | TotalAmt |
| Program Services | $486,678 | ProgramServicesAmt |
| Management And General | $159,146 | ManagementAndGeneralAmt |
| Fundraising | $4,795 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $71,438 | TotalAmt |
| Program Services | $8,714 | ProgramServicesAmt |
| Management And General | $60,585 | ManagementAndGeneralAmt |
| Fundraising | $2,139 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $61,667 | TotalAmt |
| Program Services | $8,339 | ProgramServicesAmt |
| Management And General | $48,301 | ManagementAndGeneralAmt |
| Fundraising | $5,027 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $493,343 | TotalAmt |
| Program Services | $141,128 | ProgramServicesAmt |
| Management And General | $352,215 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $352,391 | TotalAmt |
| Program Services | $350,376 | ProgramServicesAmt |
| Fundraising | $2,015 | FundraisingAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $246,938 | TotalAmt |
| Management And General | $246,938 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $65,885 | TotalAmt |
| Management And General | $65,885 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| MEDICAL SUPPLIES | $1,491,157 | $1,491,157 | $0 | $0 |
| DME RENTAL FEES | $622,790 | $622,790 | $0 | $0 |
| HOSPICE ADMINISTRATIVE FEE | $385,000 | $0 | $385,000 | $0 |
| TELEPHONES | $71,801 | $16,956 | $54,727 | $118 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $51,579 | TotalAmt |
| Program Services | $8,300 | ProgramServicesAmt |
| Fundraising | $43,279 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,710,314 | TotalAmt |
| Program Services | $16,688,414 | ProgramServicesAmt |
| Management And General | $1,563,712 | ManagementAndGeneralAmt |
| Fundraising | $458,188 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,465,854 | BOYAmt |
| EOY | $12,978,575 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,443,083 | BOYAmt |
| EOY | $610,591 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,086,042 | BOYAmt |
| EOY | $1,677,828 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $46,322 | BOYAmt |
| EOY | $31,964 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $8,102,288 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $2,922,121 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,758,869 | BOYAmt |
| EOY | $5,180,167 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,729,727 | BOYAmt |
| EOY | $2,171,099 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,529,897 | BOYAmt |
| EOY | $22,650,224 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $326,697 | BOYAmt |
| EOY | $114,275 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,180,498 | BOYAmt |
| EOY | $443,026 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,507,195 | BOYAmt |
| EOY | $557,301 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,070,309 | BOYAmt |
| EOY | $19,514,966 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,952,393 | BOYAmt |
| EOY | $2,577,957 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,022,702 | BOYAmt |
| EOY | $22,092,923 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,529,897 | BOYAmt |
| EOY | $22,650,224 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $1,226,393 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$156,172 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,485,274 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,771,608 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,674,724 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,787,852 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,367,947 | CurrentTaxYearAmt |
| Total | $8,087,405 | TotalAmt |
Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,485,274 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,771,608 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,674,724 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,787,852 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,367,947 | CurrentTaxYearAmt |
| Total | $8,087,405 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $1,479,426 | SubstantialContributorsTotAmt |
| Public Support Total170 | $6,607,979 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $61,064 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $6,787 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $366 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $55,113 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $77,582 | CurrentTaxYearAmt |
| Total | $200,912 | TotalAmt |
Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $43,183 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $72,051 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $36,904 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $63,627 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $69,641 | CurrentTaxYearAmt |
| Total | $285,406 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $8,573,723 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $69,418,775 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.77072 | PublicSupportCY170Pct |
| Public Support PY170 | 0.85177 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp | |
| CY Minus3 Yr Endwmt Fund | CYMinus3YrEndwmtFundGrp | |
| CY Minus4 Yr Endwmt Fund | CYMinus4YrEndwmtFundGrp |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $53,193 | OtherCostOrOtherBasisAmt |
| Book Value | $53,193 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,110,987 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,402,682 | DepreciationAmt |
| Book Value | $4,708,305 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Leasehold Improvements | LeaseholdImprovementsGrp |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $218,465 | OtherCostOrOtherBasisAmt |
| Depreciation | $82,501 | DepreciationAmt |
| Book Value | $135,964 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $719,643 | OtherCostOrOtherBasisAmt |
| Depreciation | $436,938 | DepreciationAmt |
| Book Value | $282,705 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $5,180,167 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| ASSETS LIMITED AS TO USE | $2,123,349 |
| DUE FROM AFFILIATES | $47,750 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $2,171,099 | TotalBookValueOtherAssetsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO AFFILIATES - SINAI | $387,183 |
| DUE TO AFFILIATES - NORTHWEST | $34,841 |
| DUE TO AFFILIATE - LB ENTITIES | $19,347 |
| DUE TO AFFILIATES - CARROLL HOSP. | $1,655 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $443,026 | TotalLiabilityAmt |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | TASTE OF CARROL | Event1Nm |
| Gross Receipts Event1 | $244,025 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $186,694 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $57,331 | GrossRevenueEvent1Amt |
| Rent Facility Costs Event1 | $6,443 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $2,872 | FoodAndBeverageEvent1Amt |
| Other Direct Expenses Event1 | $6,393 | OtherDirectExpensesEvent1Amt |
| Event2 | SEASON TO RMBR | Event2Nm |
| Gross Receipts Event2 | $12,310 | GrossReceiptsEvent2Amt |
| Gross Revenue Event2 | $12,310 | GrossRevenueEvent2Amt |
| Other Direct Expenses Event2 | $3,362 | OtherDirectExpensesEvent2Amt |
| Other Events Total | 0 | OtherEventsTotalCnt |
| Gross Receipts Total | $256,335 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $186,694 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $69,641 | GrossRevenueTotalEventsAmt |
| Rent Fclty Costs Total Events | $6,443 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $2,872 | FoodAndBeverageTotalEventsAmt |
| Oth Direct Expnss Total Events | $9,755 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $19,070 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $50,571 | NetIncomeSummaryAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Cynthia Wisniewski | ||||||||||||||
| Director Operations Hospice | $116,340 | $0 | $17,611 | $0 | $202 | $0 | $620 | $0 | $30,450 | $0 | $165,223 | $0 | $0 | $0 |
| LESLIE SIMMONS | ||||||||||||||
| Board Member, Pres(Thru 12/21) | $0 | $681,592 | $0 | $459,362 | $0 | $263,444 | $0 | $176,752 | $0 | $25,006 | $0 | $1,606,156 | $0 | $172,791 |
| Garrett Hoover | ||||||||||||||
| Officer,President(As of 01/22) | $0 | $365,446 | $0 | $153,808 | $0 | $36,468 | $0 | $1,960 | $0 | $30,615 | $0 | $588,297 | $0 | $0 |
| Pamela J Naumann | ||||||||||||||
| Hospice Nurse | $118,213 | $0 | $0 | $0 | $37 | $0 | $905 | $0 | $31,415 | $0 | $150,570 | $0 | $0 | $0 |
| John W Middleton MD | ||||||||||||||
| Board Member/Medical Director | $202,704 | $0 | $27,392 | $0 | $2,265 | $0 | $711 | $0 | $22,683 | $0 | $255,755 | $0 | $0 | $0 |
| M Ellen Finnerty Myers | ||||||||||||||
| Former Director | $0 | $143,292 | $0 | $70,820 | $0 | $65,472 | $0 | $5,321 | $0 | $17,276 | $0 | $302,181 | $0 | $0 |
| Michael Myers | ||||||||||||||
| Treasurer/CFO CHC | $0 | $292,841 | $0 | $67,706 | $0 | $38,883 | $0 | $47,442 | $0 | $32,810 | $0 | $479,682 | $0 | $26,408 |
| REGINA BODNAR | ||||||||||||||
| AVP Hospice & Palliative Care | $228,686 | $0 | $36,445 | $0 | $2,242 | $0 | $1,460 | $0 | $25,514 | $0 | $294,347 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE J, PART I, LINE 4B: | FormAndLineReferenceDesc |
| Explanation | The following directors and officers participated in a LifeBridge Health sponsored supplemental nonqualified retirement plan during the year. The amounts reported below represent employer contributions to the Section 457(f) plan made during the year: LESLIE SIMMONS $ 145,191 MICHAEL MYERS $ 33,600 DURING THE YEAR, THE FOLLOWING DIRECTORS AND OFFICERS RECEIVED PAYMENTS AS A RESULT OF THEIR PARTICIPATION IN A LIFEBRIDGE HEALTH SPONSORED SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: LESLIE SIMMONS $ 239,743 ELLEN FINNERTY MYERS $ 57,691 MICHAEL MYERS $ 34,849 COMPENSATION PROVIDED BY ORGANIZATON: MS. FINNERTY MYERS RECEIVED COMPENSATION AS VP CORPORATE DEVELOPMENT OF CARROLL HOSPITAL CENTER, INC., NOT AS AN OFFICER. MR. MYERS RECEIVED COMPENSATION AS CFO/CARROLL HOSPITAL CENTER, INC., NOT AS AN OFFICER. MS. SIMMONS RECEIVED COMPENSATION AS CHIEF OPERATIONS OFFICER AND EXECUTIVE VICE PRESIDENT OF LIFEBRIDGE HEALTH, INC., NOT AS A DIRECTOR OR OFFICER. Mr. Hoover received compensation as President of Carroll Hospital Center, Inc., not as an officer. | ExplanationTxt |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CARROLL CARE PHARMACIES LLC | PersonNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | Indirect Business Expense | RelationshipDescriptionTxt |
| Transaction | $630,060 | TransactionAmt |
| Transaction | Pharmacuetical Supplies | TransactionDesc |
| Sharing Of Revenues | false | SharingOfRevenuesInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCH L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: | FormAndLineReferenceDesc |
| Explanation | (A) NAME OF PERSON: CARROLL CARE PHARMACIES, LLC (D) DESCRIPTION OF TRANSACTION: Bridginglife, Inc. PAID APPROXIMATELY $630,060 FOR DME SUPPLIES AND MEDICINE FROM CARROLL CARE PHARMACIES. ONE OF THE DIRECTORS OF BridgingLife, Inc., JAMES MILLER P.D., IS AN OWNER OF THE BUSINESS. ALL TRANSACTIONS WERE AT FAIR MARKET VALUE AND WERE NEGOTIATED AT ARM'S LENGTH. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART I, LINE 1, DESCRIPTION OF ORGANIZATION MISSION: | NEEDING END-OF-LIFE HOSPICE CARE. OUR COMPREHENSIVE AND COMPASSIONATE CARE IS CENTERED AROUND A HOLISTIC PHILOSOPHY OF TREATMENT THAT ADDRESSES THE PATIENT'S PHYSICAL, EMOTIONAL AND SPIRITUAL WELL-BEING, ALLOWING THEM TO LIVE AS FULLY AND COMFORTABLY AS POSSIBLE IN THEIR FINAL DAYS. OUR SERVICES INCLUDE A FULL SPECTRUM OF CARE: PAIN MANAGEMENT AND SYMPTOM CONTROL, COORDINATION OF HOME AND INPATIENT SERVICES, PALLIATIVE CARE SERVICES, AN INTERDISCIPLINARY TEAM INCLUDING PHYSICIANS, NURSES, SOCIAL WORKERS, CLERGY, PHARMACISTS, HOSPICE VOLUNTEERS, HOME HEALTH AIDES, AND BEREAVEMENT CARE FOR FAMILY MEMBERS FOR UP TO 13 MONTHS. Bridginglife PROVIDES HOSPICE CARE AND SERVICES TO ALL INDIVIDUALS IN NEED. REGARDLESS OF INSURANCE COVERAGE OR FINANCIAL SITUATION, NO ONE IS REFUSED OR DENIED HOSPICE CARE AND EVERY PATIENT RECEIVES THE SAME COMPREHENSIVE HIGH-QUALITY SERVICE. INITIALLY, Bridginglife ASSISTS FAMILIES IN DETERMINING IF THE PATIENT IS ELIGIBLE FOR ANY MEDICAL OR INSURANCE COVERAGE. HOSPICE COVERAGE IS WIDELY AVAILABLE AND IS COVERED BY MOST PRIVATE INSURANCE PLANS, MEDICARE, MEDICAID, AND THE VETERANS ADMINISTRATION. IF A PERSON IN NEED DOES NOT HAVE COVERAGE, Bridginglife WILL WORK WITH EACH FAMILY ON A CASE-BY-CASE BASIS. IN ADDITION, Bridginglife HANDLES ALL BILLING OF SERVICES AND SUPPLIES AS THEY RELATE TO THE TERMINAL DIAGNOSIS. |
| FORM 990, PART VI, SECTION A, LINE 6: | CARROLL HOSPITAL CENTER, INC., A 501(C)(3) CORPORATION, IS THE SOLE MEMBER OF BRIDGINGLIFE, INC. (FORMERLY KNOWN AS CARROLL HOSPICE, INC.) |
| FORM 990, PART VI, SECTION A, LINE 7A: | THE SOLE MEMBER OF THE CORPORATION HAS THE RIGHT TO ELECT AND REMOVE TRUSTEES OF THE CORPORATION. THE SOLE MEMBER MAY REMOVE ANY ELECTED TRUSTEE AT ANY TIME, WITH OR WITHOUT CAUSE. EX OFFICIO TRUSTEES SHALL BE DEEMED TO BE REMOVED AS OF THE TIME THEY CEASE TO HOLD THE OFFICE ON WHICH THEIR EX OFFICIO STATUS IS BASED. A VACANCY IN AN EX OFFICIO POSITION SHALL BE FILLED BY THE INDIVIDUAL APPOINTED TO THE UNDERLYING OFFICE. |
| FORM 990, PART VI, SECTION A, LINE 7B: | THE SOLE MEMBER OF THE CORPORATION HAS THE RIGHT TO ELECT AND REMOVE TRUSTEES OF THE CORPORATION, THE RIGHT TO APPROVE AMENDMENTS TO THE BYLAWS, AND SUCH OTHER RIGHTS AS MAY BE CONFERRED BY LAW ON THE MEMBERS OF A NON-STOCK CORPORATION ORGANIZED UNDER THE LAWS OF THE STATE OF MARYLAND. |
| FORM 990, PART VI, SECTION B, LINE 11B: | THE ORGANIZATION'S FORM 990 IS REVIEWED IN DETAIL BETWEEN THE PREPARER, AN OUTSIDE ACCOUNTING FIRM, AND THE FINANCE DEPARTMENT OF CARROLL HOSPITAL CENTER AND LIFEBRIDGE HEALTH. PRIOR TO FILING THE ORGANIZATION'S FORM 990, THE ORGANIZATION PROVIDES A COPY OF THE FORM 990 TO EACH MEMBER OF THE ORGANIZATION'S BOARD OF DIRECTORS FOR THEIR REVIEW. QUESTIONS, COMMENTS AND FEEDBACK ARE THEN INCORPORATED INTO THE FILED FORM 990. |
| FORM 990, PART VI, SECTION B, LINE 12C: | ALL DIRECTORS, OFFICERS, EMPLOYEES, MEDICAL STAFF MEMBERS, AND VOLUNTEERS ARE EXPECTED TO RECOGNIZE AND DISCLOSE AT THE EARLIEST POSSIBLE TIME ACTUAL AND POTENTIAL CONFLICTS OF INTEREST. AN INDIVIDUAL IS CONSIDERED TO HAVE A CONFLICT OF INTEREST WITH REGARD TO A MATTER OR TRANSACTION IF THE INDIVIDUAL OR A FAMILY MEMBER OF THE INDIVIDUAL HAS A PERSONAL OR FINANCIAL INTEREST THAT HAS THE POTENTIAL TO INFLUENCE THE ACTION TAKEN BY THE INDIVIDUAL ON BEHALF OF LIFEBRIDGE HEALTH. ADDITIONAL INFORMATION REGARDING WHAT CONSTITUTES A CONFLICT OF INTEREST AND HOW TO DISCLOSE A CONFLICT IS OUTLINED BELOW. LIFEBRIDGE AND ALL OF ITS SUBSIDIARIES SHALL REQUIRE ALL EMPLOYEES, MEDICAL STAFF, AND MEMBERS OF THE BOARD TO DISCLOSE ANY ACTIVITIES THAT COULD RESULT IN A POSSIBLE CONFLICT OF INTEREST. IF A CONFLICT IS IDENTIFIED, THE PERSON INVOLVED WOULD RECUSE HIM/HERSELF FROM DELIBERATIONS REGARDING THE TRANSACTIONS. AN INDIVIDUAL IS CONSIDERED TO HAVE A CONFLICT OF INTEREST WITH REGARD TO A MATTER OR TRANSACTION IF THE INDIVIDUAL HAS A PERSONAL OR FINANCIAL INTEREST THAT HAS THE POTENTIAL TO INFLUENCE THE ACTION TAKEN BY THE INDIVIDUAL ON BEHALF OF LIFEBRIDGE OR ANY OF ITS SUBSIDIARIES. AN INDIVIDUAL IS CONSIDERED TO HAVE A "PERSONAL INTEREST" IN A MATTER IF IT IS LIKELY TO HAVE A DIRECT AND MATERIAL IMPACT ON THE INDIVIDUAL'S RELATIONSHIP WITH LIFEBRIDGE OR ANY OF ITS SUBSIDIARIES (E.G., THE INDIVIDUAL'S CONTINUED MEMBERSHIP ON A SUBSIDIARY HOSPITAL'S MEDICAL STAFF), OR ON THE INDIVIDUAL'S OWN HEALTH CARE, OR THE INDIVIDUAL IS PERSONALLY INVOLVED IN A SUBSTANTIAL WAY (E.G., SERVES AS AN OFFICER, DIRECTOR, TRUSTEE, OR KEY EMPLOYEE) WITH ANOTHER ORGANIZATION THAT HAS A SIGNIFICANT INTEREST IN THE MATTER. AN INDIVIDUAL IS CONSIDERED TO HAVE A "FINANCIAL INTEREST" IN A TRANSACTION IF THE INDIVIDUAL, OR THEIR FAMILY MEMBER, (I) IS A PARTY TO THE TRANSACTION, (II) WILL BENEFIT PERSONALLY FROM THE TRANSACTION, OR (III) HAS, DIRECTLY OR INDIRECTLY, A CURRENT OR ANTICIPATED OWNERSHIP OR INVESTMENT IN, OR COMPENSATION ARRANGEMENT WITH, A PARTY TO THE TRANSACTION. AN OWNERSHIP INTEREST OF LESS THAN 5 IN AN ENTITY WILL NOT, IN AND OF ITSELF, GENERALLY BE CONSIDERED A FINANCIAL INTEREST; HOWEVER, TO THE EXTENT THE INDIVIDUAL'S COMPENSATION FROM THE ENTITY IS DIRECTLY LINKED TO THE ENTITY'S BUSINESS WITH LIFEBRIDGE HEALTH, SUCH COMPENSATION WILL CONSTITUTE A FINANCIAL INTEREST. FOR THE PURPOSES OF THIS POLICY, A "FAMILY MEMBER" INCLUDES SPOUSE OR DOMESTIC PARTNER, PARENTS, BROTHERS AND SISTERS, CHILDREN (WHETHER NATURAL OR ADOPTED), GRANDPARENTS, GRANDCHILDREN, GREAT-GRANDCHILDREN, AND IN-LAWS, SPOUSES OF BROTHERS, SISTERS, CHILDREN, GRANDCHILDREN, AND GREAT-GRANDCHILDREN, AND ANY OTHER MEMBER OF A HOUSEHOLD OF THE INDIVIDUAL. CONFLICTS OF INTEREST ARE TO BE REPORTED BY EMPLOYEES TO THEIR SUPERVISOR, WHO WILL BE RESPONSIBLE FOR DETERMINING WHETHER FURTHER DISSEMINATION IS NECESSARY. QUESTIONNAIRES ARE SENT OUT TO MEMBERS OF THE BOARD ON AN ANNUAL BASIS. IF QUESTIONS ARISE OR FURTHER GUIDANCE IS SOUGHT, INDIVIDUALS CAN CONTACT THE CHIEF COMPLIANCE OFFICER OR CONFIDENTIAL COMPLIANCE HOTLINE. NOTHING IN THIS DEFINITION IS INTENDED TO RELIEVE ANY PERSON OF ANY ADDITIONAL OBLIGATIONS THAT MAY BE IMPOSED BY STATE OR FEDERAL LAW. |
| FORM 990, PART VI, SECTION C, LINE 19: | IT IS THE POLICY OF LIFEBRIDGE HEALTH INC. AND ITS SUBSIDIARIES TO MAKE AVAILABLE UPON REQUEST THE AUDITED FINANCIAL STATEMENTS TO THE GENERAL PUBLIC. THE LIFEBRIDGE HEALTH INC. AND SUBSIDIARY GOVERNING DOCUMENTS ARE NOT MADE AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST OR VIA A WEBSITE. THE CONFLICT OF INTEREST POLICY IS INCLUDED ON SCHEDULE O. |
| FORM 990, PART XI, LINE 9, CHANGES IN NET ASSETS: | OTHER CHANGES IN NET ASSETS OR FUND BALANCES: OTHER CHANGE IN RESTRICTED ASSETS ($156,172) |
| FORM 990, PART XII, LINE 2C: | THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (17 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Carroll Hospital Center Inc | ||||||||||
| 200 Memorial Avenue | Westminster | MD | 21157 | 521452024 | Hospital | MD | 501(C)(3) | 3 | CCHS | false |
| Carroll Hospital Center Foundation Inc | ||||||||||
| 200 Memorial Avenue | Westminster | MD | 21157 | 521115038 | Foundation | MD | 501(C)(3) | 12A, I | CHC | false |
| Partnership for a Healthier Carroll Cty | ||||||||||
| 535 Old Westminster Pike 102 | Westminster | MD | 21157 | 522156892 | Health Svcs | MD | 501(C)(3) | 7 | CHC | false |
| Levindale Hebrew Geriatric Center Hosp | ||||||||||
| 2434 West Belvedere Avenue | Baltimore | MD | 21215 | 520607913 | Hospital | MD | 501(C)(3) | 3 | LBH | false |
| Sinai Hospital of Baltimore Inc | ||||||||||
| 2401 West Belvedere Avenue | Baltimore | MD | 21215 | 520486540 | Hospital | MD | 501(C)(3) | 3 | LBH | false |
| Courtland Gardens Nursing and Rehab Ctr | ||||||||||
| 2434 West Belvedere Avenue | Baltimore | MD | 21215 | 520607907 | Nursing | MD | 501(C)(3) | 10 | LBH | false |
| Northwest Hospital Center Inc | ||||||||||
| 5401 Old Court Road | Randallstown | MD | 21133 | 521372665 | Hospital | MD | 501(C)(3) | 3 | LBH | false |
| Childrens Hospital of Baltimore City Inc | ||||||||||
| 2401 West Belvedere Avenue | Baltimore | MD | 21215 | 520591592 | Hospital supp | MD | 501(C)(3) | 12B, II | LBH | false |
| The Baltimore Jewish Health Fdn Inc | ||||||||||
| 2401 West Belvedere Avenue | Baltimore | MD | 21215 | 522111541 | Hospital supp | MD | 501(C)(3) | 12B, II | LBH | false |
| Childrens Hospital at Sinai Foundation | ||||||||||
| 2401 West Belvedere Avenue | Baltimore | MD | 21215 | 522167587 | Hospital supp | MD | 501(C)(3) | 12B, II | LBH | false |
| The Baltimore Jewish Eldercare Fdn | ||||||||||
| 2401 West Belvedere Avenue | Baltimore | MD | 21215 | 522337669 | Hospital supp | MD | 501(C)(3) | 12B, II | LBH | false |
| Center for Hope Inc | ||||||||||
| 2300 North Charles Street | Baltimore | MD | 21218 | 521681279 | Child Svcs | MD | 501(C)(3) | 7 | LBH | false |
| Grace Medical Center Inc | ||||||||||
| 2000 W Baltimore Street | Baltimore | MD | 21223 | 520591555 | Hospital | MD | 501(C)(3) | 3 | LBH | false |
| West Baltimore Renaissance Fdn Inc | ||||||||||
| 2401 West Belvedere Avenue | Baltimore | MD | 21215 | 843355332 | Community Ctr | MD | 501(C)(3) | 7 | LBH | false |
| Carroll County Health Services Corp | ||||||||||
| 200 Memorial Avenue | Westminster | MD | 21157 | 520691413 | Hospital supp | MD | 501(C)(3) | 12B, II | LBH | false |
| LifeBridge Center for Hope Inc | ||||||||||
| 2401 West Belvedere Avenue | Baltimore | MD | 21215 | 853920012 | Real Estate | MD | 501(C)(3) | 12A, I | SHB | false |
| LifeBridge Health Inc | ||||||||||
| 2401 West Belvedere Avenue | Baltimore | MD | 21215 | 521402373 | Support | MD | 501(C)(3) | 12C, III | NA | false |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (27 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Disproportionate AllocationsDisproportionateAllocationsInd | UBI Code VUBICodeVAmt | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Carroll County Radiology LLC | ||||||||||||||
| 7523 Ambassador Road | Baltimore | MD | 21244 | 522190849 | Radiology | MD | NA | N/A | $0 | $0 | false | $0 | false | 0.00000 |
| Carroll Occupational Health LLC | ||||||||||||||
| 7001 Corporate Center Court | Westminster | MD | 21157 | 202769332 | Medical Services | MD | NA | N/A | $0 | $0 | false | $0 | false | 0.00000 |
| Cardiovascular Associates of Maryland | ||||||||||||||
| 2401 West Belvedere Avenue | Baltimore | MD | 21215 | 462935110 | Medical Services | MD | NA | N/A | $0 | $0 | false | $0 | false | 0.00000 |
| LifeBridge Cardiology of Parkville LLC | ||||||||||||||
| 2401 West Belvedere Avenue | Baltimore | MD | 21215 | 463742313 | Medical Services | MD | NA | N/A | $0 | $0 | false | $0 | false | 0.00000 |
| LifeBridge Community Gastroenterology | ||||||||||||||
| 2401 West Belvedere Avenue | Baltimore | MD | 21215 | 462863298 | Medical Services | MD | NA | N/A | $0 | $0 | false | $0 | false | 0.00000 |
| LifeBridge Community Pediatrics LLC | ||||||||||||||
| 2401 West Belvedere Avenue | Baltimore | MD | 21215 | 462842468 | Medical Services | MD | NA | N/A | $0 | $0 | false | $0 | false | 0.00000 |
| LifeBridge Community Pulmonology LLC | ||||||||||||||
| 2401 West Belvedere Avenue | Baltimore | MD | 21215 | 461401312 | Medical Services | MD | NA | N/A | $0 | $0 | false | $0 | false | 0.00000 |
| LifeBridge Gynecology of Pikesville LLC | ||||||||||||||
| 2401 West Belvedere Avenue | Baltimore | MD | 21215 | 462949092 | Medical Services | MD | NA | N/A | $0 | $0 | false | $0 | false | 0.00000 |
| LifeBridge Medical Associates LLC | ||||||||||||||
| 2401 West Belvedere Avenue | Baltimore | MD | 21215 | 462941505 | Medical Services | MD | NA | N/A | $0 | $0 | false | $0 | false | 0.00000 |
| LifeBridge Neurosciences LLC | ||||||||||||||
| 2401 West Belvedere Avenue | Baltimore | MD | 21215 | 450719598 | Medical Services | MD | NA | N/A | $0 | $0 | false | $0 | false | 0.00000 |
| LifeBridge Primary Care of Eldersburg | ||||||||||||||
| 2401 West Belvedere Avenue | Baltimore | MD | 21215 | 383897702 | Medical Services | MD | NA | N/A | $0 | $0 | false | $0 | false | 0.00000 |
| LifeBridge Primary Care of North Carroll | ||||||||||||||
| 2401 West Belvedere Avenue | Baltimore | MD | 21215 | 800883321 | Medical Services | MD | NA | N/A | $0 | $0 | false | $0 | false | 0.00000 |
| Homecare Maryland LLC | ||||||||||||||
| 8028 Ritchie Highway | Pasadena | MD | 21122 | 261378175 | Home Health Srvc | MD | NA | N/A | $0 | $0 | false | $0 | false | 0.00000 |
| LifeBridge Rehabilitation Services LLC | ||||||||||||||
| 2401 West Belvedere Avenue | Baltimore | MD | 21215 | 811504380 | Rehab Services | MD | NA | N/A | $0 | $0 | false | $0 | false | 0.00000 |
| Ellicott City ASC Management LLC | ||||||||||||||
| 2401 West Belvedere Avenue | Baltimore | MD | 21215 | 522331663 | Medical Services | MD | NA | N/A | $0 | $0 | false | $0 | false | 0.00000 |
| Surgicenter of Baltimore LLC | ||||||||||||||
| 2401 West Belvedere Avenue | Baltimore | MD | 21215 | 521658841 | Medical Services | MD | NA | N/A | $0 | $0 | false | $0 | false | 0.00000 |
| Springwell Partners LLC | ||||||||||||||
| 2200 Pine Hill Farms Lane | Hunt Valley | MD | 21030 | 271971171 | Assisted Living | MD | NA | N/A | $0 | $0 | false | $0 | false | 0.00000 |
| LifeBridge Suburban Physician Group II | ||||||||||||||
| 5401 Old Court Road | Randallstown | MD | 21133 | 814209029 | Medical Services | MD | NA | N/A | $0 | $0 | false | $0 | false | 0.00000 |
| LifeBridge Lab Management LLC | ||||||||||||||
| 2401 West Belvedere Avenue | Baltimore | MD | 21215 | 821113874 | Lab Services | MD | NA | N/A | $0 | $0 | false | $0 | false | 0.00000 |
| LifeBridge Metropolitan Physician GrpII | ||||||||||||||
| 2401 West Belvedere Avenue | Baltimore | MD | 21215 | 814223537 | Medical Services | MD | NA | N/A | $0 | $0 | false | $0 | false | 0.00000 |
| LifeBridge Multi-Specialty LLC | ||||||||||||||
| 41 Magna Way Suite 100 | Westminster | MD | 21157 | 463753120 | Medical Services | MD | NA | N/A | $0 | $0 | false | $0 | false | 0.00000 |
| Ellicott City Ambulatory Surgery Center | ||||||||||||||
| 2850 N Ridge Road | Ellicott City | MD | 21043 | 522331663 | Medical Services | MD | NA | N/A | $0 | $0 | false | $0 | false | 0.00000 |
| Oak Farm Solutions LLC | ||||||||||||||
| 1122 Kenilworth Drive | Towson | MD | 21204 | 474944865 | Home Health Srvc | MD | NA | N/A | $0 | $0 | false | $0 | false | 0.00000 |
| MNR Industries LLC | ||||||||||||||
| 5 Bel Air South Parkway | Bel Air | MD | 21015 | 331095434 | Urgent Care Srvc | MD | NA | N/A | $0 | $0 | false | $0 | false | 0.00000 |
| MNR of Frederick County LLC | ||||||||||||||
| 5 Bel Air South Parkway | Bel Air | MD | 21015 | 813781457 | Urgent Care Srvc | MD | NA | N/A | $0 | $0 | false | $0 | false | 0.00000 |
| Baker Rehab Group LLC | ||||||||||||||
| 197 Thomas Johnson Drive | Frederick | MD | 21702 | 880864449 | Rehab Services | MD | NA | N/A | $0 | $0 | false | $0 | false | 0.00000 |
| Advanced Endo Ctr of Howard Cty LLC | ||||||||||||||
| 8875 Centre Park Drive | Columbia | MD | 21045 | 522210078 | Medical Services | MD | NA | N/A | $0 | $0 | false | $0 | false | 0.00000 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (10 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | Foreign PostalForeignAddress/ForeignPostalCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Carroll County Med-Services Inc | |||||||||||||||||
| 200 Memorial Avenue | Westminster | MD | 21157 | 521891102 | Medical Services | MD | CCHSC | C Corp | $0 | $0 | 0.00000 | false | |||||
| LifeBridge Investments Inc | |||||||||||||||||
| 2401 West Belvedere Avenue | Baltimore | MD | 21215 | 521483166 | Investment | MD | LBH | C Corp | $0 | $0 | 0.00000 | false | |||||
| Healthstar Medical Services Inc | |||||||||||||||||
| 2401 West Belvedere Avenue | Baltimore | MD | 21215 | 521829098 | Healthcare | MD | LB INV INC | C Corp | $0 | $0 | 0.00000 | false | |||||
| Practice Dynamics Inc | |||||||||||||||||
| 124 Business Center Drive | Reisterstown | MD | 21136 | 521960319 | Management | MD | LB INV INC | C Corp | $0 | $0 | 0.00000 | false | |||||
| LifeBridge Insurance Company Ltd | |||||||||||||||||
| 980415396 | Insurance | LBH | C Corp | $0 | $0 | 0.00000 | false | PO Box 1109 | Grand Cayman | CJ | KY1-1102 | CJ | |||||
| LifeBridge Community Physicians Inc | |||||||||||||||||
| 2401 West Belvedere Avenue | Baltimore | MD | 21215 | 800719005 | Healthcare | MD | LB INV INC | C Corp | $0 | $0 | 0.00000 | false | |||||
| Carroll Billing Services Inc | |||||||||||||||||
| 2401 West Belvedere Avenue | Baltimore | MD | 21215 | 300026598 | Billing Services | MD | CHC INC | C Corp | $0 | $0 | 0.00000 | false | |||||
| Carroll County Gen Hosp South Carroll | |||||||||||||||||
| 200 Memorial Avenue | Westminster | MD | 21157 | Real Estate | MD | NA | C Corp | $0 | $0 | 0.00000 | false | ||||||
| Med-Services Holdings Inc | |||||||||||||||||
| 200 Memorial Avenue | Westminster | MD | 21157 | Medical Services | MD | CCMS INC | C Corp | $0 | $0 | 0.00000 | false | ||||||
| LifeBridge Health Israel Ltd | |||||||||||||||||
| 515804516 | Insurance | LB INV INC | C Corp | $0 | $0 | 0.00000 | false | 16 Abba Hillel Road | Rahmat Gan | IS | 5250608 | IS | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |
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