BRIDGINGLIFE INC: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
BRIDGINGLIFE INC (EIN 52-1565870)
Tax period
2018-07-01 to 2019-06-30
Filed
2020-07-13
IRS object ID
202041959349303329
Schema version
2018v3.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2020-07-13T14:46:47-05:00ReturnTs
Tax Period End2019-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN205991824PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1SC&H TAX & ADVISORY SERVICES LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1910 RIDGEBROOK ROADAddressLine1Txt
CitySPARKSCityNm
State AbbreviationMDStateAbbreviationCd
ZIP21152ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2018-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN521565870EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CARROLL HOSPICE INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCARRBusinessNameControlTxt
Phone4108716695PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1292 STONER AVEAddressLine1Txt
CityWESTMINSTERCityNm
State AbbreviationMDStateAbbreviationCd
ZIP21157ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMICHAEL MYERSPersonNm
Person TitleCFOPersonTitleTxt
Phone4108716695PhoneNum
Signature2020-07-06SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonLORI S BURGHAUSERPreparerPersonNm
PTINP00370694PTIN
Phone4104031500PhoneNum
Preparation2020-07-06PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address68.33.106.243IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-07-06IPDt
IP Tm19:56:48IPTm
IP TimezoneEDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDA39A3EE5E6B4B0D3255BFEF95601890AFD80709AtSubmissionCreationDeviceId
At Submission Filing Device IdD598169B7B70477E3779F4FD99F3BFF6A447919FAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2020-09-23 17:36:50ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerREGINA BODNARPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1292 STONER AVEAddressLine1Txt
CityWESTMINSTERCityNm
State AbbreviationMDStateAbbreviationCd
ZIP21157ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$14,197,645GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.CARROLLHOSPICE.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1988FormationYr
Legal Domicile StateMDLegalDomicileStateCd
Activity Or MissionCARROLL HOSPICE, AN AFFILIATE OF CARROLL HOSPITAL CENTER, IS DEDICATED TO IMPROVING THE QUALITY OFActivityOrMissionDesc
Voting Members Governing Body17VotingMembersGoverningBodyCnt
Voting Members Independent13VotingMembersIndependentCnt
Total Employee123TotalEmployeeCnt
Total Volunteers177TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,485,274PYContributionsGrantsAmt
CY Contributions Grants$1,771,608CYContributionsGrantsAmt
PY Program Service Revenue$10,514,121PYProgramServiceRevenueAmt
CY Program Service Revenue$12,346,328CYProgramServiceRevenueAmt
PY Investment Income$61,064PYInvestmentIncomeAmt
CY Investment Income$6,787CYInvestmentIncomeAmt
PY Other Revenue$28,289PYOtherRevenueAmt
CY Other Revenue$57,628CYOtherRevenueAmt
PY Total Revenue$12,088,748PYTotalRevenueAmt
CY Total Revenue$14,182,351CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$6,022,311PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$7,115,743CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$243,722CYTotalFundraisingExpenseAmt
PY Other Expenses$2,837,021PYOtherExpensesAmt
CY Other Expenses$3,247,537CYOtherExpensesAmt
PY Total Expenses$8,859,332PYTotalExpensesAmt
CY Total Expenses$10,363,280CYTotalExpensesAmt
PY Revenues Less Expenses$3,229,416PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$3,819,071CYRevenuesLessExpensesAmt
Total Assets BOY$12,005,204TotalAssetsBOYAmt
Total Assets EOY$15,754,034TotalAssetsEOYAmt
Total Liabilities BOY$950,850TotalLiabilitiesBOYAmt
Total Liabilities EOY$880,609TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$11,054,354NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$14,873,425NetAssetsOrFundBalancesEOYAmt
MissionCARROLL HOSPICE, AN AFFILIATE OF CARROLL HOSPITAL CENTER, IS DEDICATED TO IMPROVING THE QUALITY OF LIFE FOR PATIENTS NEEDING END-OF-LIFE HOSPICE CARE. OUR COMPREHENSIVE AND COMPASSIONATE CARE IS CENTERED AROUND A HOLISTIC PHILOSOPHY OF TREATMENT THAT ADDRESSES THE PATIENT'SMissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$7,281,871ExpenseAmt
Revenue$10,826,785RevenueAmt
DescHOME HOSPICE CARROLL HOSPICE PROVIDES HOSPICE CARE IN THE PATIENTS HOME, NURSING HOME OR ASSISTED LIVING FACILITY. NUMBER OF PATIENTS SERVICED IN FY2019 - 896. DAYS OF CARE PROVIDED IN FY2019 - 67,764 PROGRAMS PROVIDED - GENERAL INPATIENT HOSPICE CARE, RESIDENTIAL.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$1,800,290ExpenseAmt
Revenue$1,520,414RevenueAmt
DescINPATIENT HOSPICE (DOVE HOUSE) PATIENTS IN THE DOVE HOUSE 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 FY2019 - 491. DAYS OF CARE PROVIDED FY2019 - 2,383. PROGRAMS PROVIDED - HOSPICE EDUCATION TO NURSING FACILITIES, GENERAL HOSPICE PATIENT CARE, PALLIATIVE CARE.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$1,851ExpenseAmt
DescBEREAVEMENT SERVICES CARROLL HOSPICE BEREAVEMENT PROGRAM HELPS FAMILIES TO BETTER UNDERSTAND AND COPE WITH THEIR GRIEF, WHILE RESPECTING THEIR UNIQUE GRIEVING STYLE. SERVED 1,603 FAMILY MEMBERS IN FY2019. SERVED 5,016 COMMUNITY MEMBERS IN VARIOUS BV SUPPORT GROUPS IN FY2019. PROGRAMS PROVIDED - PATHWAYS, BV LUNCHEON, WIDOW SUPPORT, WIDOWER SUPPORT, GRIEF SPEAKER AT HOSPICE, REMEMBRANCE SERVICE, PET LOSS SUPPORT, HEALING HEARTS DAY CAMP.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$9,084,012TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer EntYes (1)BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document42IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee123EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members17GoverningBodyVotingMembersCnt
Independent Voting Member13IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldMDStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1AMY ENGLEBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone4108717114PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1200 MEMORIAL AVENUEAddressLine1Txt
CityWESTMINSTERCityNm
State AbbreviationMDStateAbbreviationCd
ZIP21157ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
DELEGATE SUSAN KREBS
CHAIR1.000.00Yes (X)Yes (X)$0$0$0
ANN M BOLLINGER
VICE CHAIR1.000.00Yes (X)Yes (X)$0$0$0
LAURA GILLEN
SECRETARY1.000.00Yes (X)Yes (X)$0$0$0
JAMES R ANDERSEN ESQ
BOARD MEMBER (PART YEAR)1.000.00Yes (X)$0$0$0
R WAYNE BARNES CLU CLTC
BOARD MEMBER1.001.00Yes (X)$0$0$0
REGINA BODNAR
BOARD MEMBER/EXECUTIVE DIRECTOR40.000.00Yes (X)Yes (X)$219,492$0$23,941
JANET BUCHANAN DD
BOARD MEMBER1.000.00Yes (X)$0$0$0
CAROLYN BURNS
BOARD MEMBER1.000.00Yes (X)$0$0$0
JAMES COVEY
BOARD MEMBER1.000.00Yes (X)$0$0$0
MARY DARRELL
BOARD MEMBER1.000.00Yes (X)$0$0$0
SHIRLYN EVANS-FORD
BOARD MEMBER1.000.00Yes (X)$0$0$0
ELLEN FINNERTY-MYERS
BOARD MEMBER1.0040.00Yes (X)$0$320,639$51,499
TODD HERRING
BOARD MEMBER1.000.00Yes (X)$0$0$0
CHRISTINA K KANTHER
BOARD MEMBER1.000.00Yes (X)$0$0$0
GARY M MERRY
BOARD MEMBER1.000.00Yes (X)$0$0$0
JOHN W MIDDLETON MD
BOARD MEMBER1.0040.00Yes (X)$0$99,880$10,332
JAMES MILLER PD
BOARD MEMBER1.000.00Yes (X)$0$0$0
TODD MITCHELL
BOARD MEMBER1.000.00Yes (X)$0$0$0
KEVIN KELBLY
TREASURER/CFO1.0040.00Yes (X)$0$450,031$36,035
JILL ENGLAR
DIRECTOR SUPPORT SERVICES40.000.00$115,053$0$1,157Yes (X)
ROBIN ELZA
HOSPICE NURSE40.000.00$108,706$0$10,935Yes (X)
TRACEY BEYER
HOSPICE NURSE40.000.00$104,059$0$24,002Yes (X)
MICHELE SIPES
HOSPICE NURSE40.000.00$103,646$0$10,254Yes (X)
KATHY MILLER
HOSPICE NURSE40.000.00$103,168$0$22,353Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$754,124TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$870,550TotReportableCompRltdOrgAmt
Total Other Compensation$190,508TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K10IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
PC MSTR LSCO LLC
1234 WASHINGTON ROADWESTMINSTERMD21157PASS THROUGH ROOM & BOARD$552,359
MM SYKESVILLE LLC
7309 SECOND AVESYKESVILLEMD21784PASS THROUGH ROOM & BOARD$357,612
CITIZENS CARE & REHABILITATION CENTER
1920 ROSEMONT AVEFREDERICKMD21702PASS THROUGH ROOM & BOARD$228,816
CARROLL LUTHERAN VILLAGE
300 SAINT LUKE CIRWESTMINSTERMD21158PASS THROUGH ROOM & BOARD$166,258
LORIEN TANEYTOWN
100 ANTRIM BLVDTANEYTOWNMD21787PASS THROUGH ROOM & BOARD$161,120
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K7CntrctRcvdGreaterThan100KCnt
Fundraising$175,702FundraisingAmt
Related Organizations$56,000RelatedOrganizationsAmt
Government Grants$650,000GovernmentGrantsAmt
All Other Contributions$889,906AllOtherContributionsAmt
Noncash Contributions$18,267NoncashContributionsAmt
Total Contributions$1,771,608TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MEDICARE/MEDICAID623000$11,717,792$11,717,792
PRIVATE623000$411,927$411,927
PHYSICIAN SERVICE623000$197,384$197,384
PROGRAM SERVICE RENTAL623000$19,225$19,225
FieldValueIRS element (for citing)
Total Program Service Revenue$12,346,328TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,787TotalRevenueColumnAmt
Exclusion$6,787ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$72,051FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$175,702ContriRptFundraisingEventAmt
Fundraising Direct Expenses$15,294FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$56,757TotalRevenueColumnAmt
Exclusion$56,757ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMEDICAL RECORDS COPYDesc
Business623000BusinessCd
Total Revenue Column$871TotalRevenueColumnAmt
Related Or Exempt Func Income$871RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$871OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$14,182,351TotalRevenueColumnAmt
Related Or Exempt Func Income$12,347,199RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$63,544ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$214,432TotalAmt
Program Services$42,886ProgramServicesAmt
Management And General$171,546ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$5,727,996TotalAmt
Program Services$5,562,094ProgramServicesAmt
Fundraising$165,902FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$830,977TotalAmt
Program Services$810,848ProgramServicesAmt
Fundraising$20,129FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$342,338TotalAmt
Program Services$329,287ProgramServicesAmt
Fundraising$13,051FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,583,431TotalAmt
Program Services$1,053,970ProgramServicesAmt
Management And General$525,929ManagementAndGeneralAmt
Fundraising$3,532FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$43,148TotalAmt
Management And General$43,148ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$36,122TotalAmt
Management And General$32,335ManagementAndGeneralAmt
Fundraising$3,787FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$115,842TotalAmt
Management And General$115,842ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$228,979TotalAmt
Program Services$228,956ProgramServicesAmt
Fundraising$23FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$24,169TotalAmt
Program Services$21,942ProgramServicesAmt
Fundraising$2,227FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$174,909TotalAmt
Program Services$104,945ProgramServicesAmt
Management And General$69,964ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$30,000TotalAmt
Management And General$30,000ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
MEDICAL SUPPLIES$929,084$929,084
TELEPHONES$46,782$46,782
FUNDRAISING EXPENSES$35,071$35,071

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$10,363,280TotalAmt
Program Services$9,084,012ProgramServicesAmt
Management And General$1,035,546ManagementAndGeneralAmt
Fundraising$243,722FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$4,713,508BOYAmt
EOY$7,685,920EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$214,438BOYAmt
EOY$978,342EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,477,066BOYAmt
EOY$1,388,256EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$22,613BOYAmt
EOY$19,248EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$6,237,499LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$2,327,485LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$3,963,918BOYAmt
EOY$3,910,014EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1,613,661BOYAmt
EOY$1,772,254EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$12,005,204BOYAmt
EOY$15,754,034EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$173,850BOYAmt
EOY$166,295EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$777,000BOYAmt
EOY$714,314EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$950,850BOYAmt
EOY$880,609EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$9,362,985BOYAmt
EOY$12,196,011EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,691,369BOYAmt
EOY$2,677,414EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$11,054,354BOYAmt
EOY$14,873,425EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$12,005,204BOYAmt
EOY$15,754,034EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$3,819,071ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,315,636CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$832,006CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$966,672CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,485,274CurrentTaxYearMinus1YearAmt
Current Tax Year$1,771,608CurrentTaxYearAmt
Total$6,371,196TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,315,636CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$832,006CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$966,672CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,485,274CurrentTaxYearMinus1YearAmt
Current Tax Year$1,771,608CurrentTaxYearAmt
Total$6,371,196TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$1,064,579SubstantialContributorsTotAmt
Public Support Total170$5,306,617PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$653CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,011CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$5,444CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$61,064CurrentTaxYearMinus1YearAmt
Current Tax Year$6,787CurrentTaxYearAmt
Total$75,959TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$49,715CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$45,935CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$46,367CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$43,183CurrentTaxYearMinus1YearAmt
Current Tax Year$72,051CurrentTaxYearAmt
Total$257,251TotalAmt
FieldValueIRS element (for citing)
Total Support$6,704,406TotalSupportAmt
Gross Receipts Rltd Activities$42,766,849GrossReceiptsRltdActivitiesAmt
Public Support CY1700.79150PublicSupportCY170Pct
Public Support PY1700.71170PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME:FormAndLineReferenceDesc
ExplanationFUNDRAISING GROSS INCOMEExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,624,959OtherCostOrOtherBasisAmt
Depreciation$1,862,881DepreciationAmt
Book Value$3,762,078BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$25,879OtherCostOrOtherBasisAmt
Depreciation$9,745DepreciationAmt
Book Value$16,134BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$586,661OtherCostOrOtherBasisAmt
Depreciation$454,859DepreciationAmt
Book Value$131,802BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$3,910,014TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
ASSETS LIMITED AS TO USE$1,765,073
DUE TO/FROM AFFILIATES$7,181
FieldValueIRS element (for citing)
Total Book Value Other Assets$1,772,254TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescDUE TO CARROLL AFFILIATESDesc
Amt$714,314Amt
FieldValueIRS element (for citing)
Total Liability$714,314TotalLiabilityAmt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1TASTE OF CARROLLEvent1Nm
Gross Receipts Event1$230,103GrossReceiptsEvent1Amt
Charitable Contri Event1$172,792CharitableContriEvent1Amt
Gross Revenue Event1$57,311GrossRevenueEvent1Amt
Non Cash Prizes Event1$550NonCashPrizesEvent1Amt
Rent Facility Costs Event1$9,142RentFacilityCostsEvent1Amt
Food And Beverage Event1$475FoodAndBeverageEvent1Amt
Entertainment Event1$900EntertainmentEvent1Amt
Other Direct Expenses Event1$4,227OtherDirectExpensesEvent1Amt
Event2SEASON TO REMEMBEREvent2Nm
Gross Receipts Event2$17,650GrossReceiptsEvent2Amt
Charitable Contri Event2$2,910CharitableContriEvent2Amt
Gross Revenue Event2$14,740GrossRevenueEvent2Amt
Gross Receipts Total$247,753GrossReceiptsTotalAmt
Charitable Contributions Tot$175,702CharitableContributionsTotAmt
Gross Revenue Total Events$72,051GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events$550NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$9,142RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$475FoodAndBeverageTotalEventsAmt
Entertainment Total Events$900EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$4,227OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$15,294DirectExpenseSummaryEventsAmt
Net Income Summary$56,757NetIncomeSummaryAmt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
REGINA BODNAR
BOARD MEMBER/EXECUTIVE DIRECTOR$191,980$0$26,356$0$1,156$0$1,121$0$22,820$0$243,433$0$0$0
ELLEN FINNERTY-MYERS
BOARD MEMBER$0$256,863$0$63,362$0$414$0$48,868$0$2,631$0$372,138$0$0
KEVIN KELBLY
TREASURER/CFO$0$363,877$0$85,380$0$774$0$12,021$0$24,014$0$486,066$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 4BTHE FOLLOWING DIRECTORS AND OFFICERS PARTICIPATED IN A LIFEBRIDGE HEALTH SPONSORED SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN DURING THE YEAR: ELLEN FINNERTY-MYERS $ 43,009
PART 1, LINE 3CARROLL HOSPICE, INC. RELIED ON A RELATED ORGANIZATION THAT USED THE FOLLOWING METHODS TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION: 1. COMPENSATION COMMITTEE 2. INDEPENDENT COMPENSATION CONSULTANT 3. WRITTEN EMPLOYMENT CONTRACT 4. COMPENSATION SURVEY OR STUDY 5. APPROVAL BY BOARD/COMPENSATION COMMITTEE
COMPENSATION PROVIDED BY RELATED ORGANIZATIONSMS. FINNERTY-MYERS RECEIVED COMPENSATION AS CHIEF DEVELOPMENT OFFICER OF CARROLL HOSPITAL CENTER, INC., NOT AS A DIRECTOR. DR. MIDDLETON RECEIVED COMPENSATION AS A PHYSICIAN OF A SINGLE MEMBER LLC OWNED BY LIFEBRIDGE COMMUNITY PHYSICIANS, INC., NOT AS A DIRECTOR.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CARROLL CARE PHARMACIES LLCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Relationship DescriptionINDIRECT BUSINESSRelationshipDescriptionTxt
Transaction$475,267TransactionAmt
TransactionCARROLL HOSPICE PAID APPROXIMATELY $475,267 FOR PHARMACEUTICAL SUPPLIES AND MEDICINE FROM CARROLL CARE PHARMACIES. ONE OF THE DIRECTORS OF CARROLL HOSPICE, JAMES MILLER P.D., IS AN OWNER OF THE BUSINESS. ALL TRANSACTIONS WERE AT FAIR MARKET VALUE AND WERE NEGOTIATED AT ARM'S LENGTH.TransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART I, LINE 1, DESCRIPTION OF ORGANIZATION MISSION:LIFE FOR PATIENTS 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, 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. CARROLL HOSPICE 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, CARROLL HOSPICE 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, CARROLL HOSPICE WILL WORK WITH EACH FAMILY ON A CASE BY CASE BASIS. IN ADDITION, CARROLL HOSPICE HANDLES ALL BILLING OF SERVICES AND SUPPLIES AS THEY RELATE TO THE TERMINAL DIAGNOSIS.
FORM 990, PART III, LINE 1, DESCRIPTION OF ORGANIZATION MISSION: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, 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. CARROLL HOSPICE 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, CARROLL HOSPICE 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, CARROLL HOSPICE WILL WORK WITH EACH FAMILY ON A CASE BY CASE BASIS. IN ADDITION, CARROLL HOSPICE HANDLES ALL BILLING OF SERVICES AND SUPPLIES AS THEY RELATE TO THE TERMINAL DIAGNOSIS.
FORM 990, PART VI, SECTION A, LINE 6CARROLL HOSPITAL CENTER, INC., A 501(C)(3) CORPORATION, IS THE SOLE MEMBER OF CARROLL HOSPICE, INC.
FORM 990, PART VI, SECTION A, LINE 7ATHE 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 7BTHE 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 11BTHE 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 12CALL 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. MEMBERS OF THE MEDICAL STAFF SHOULD REPORT CONFLICTS TO THE CHIEF OF THEIR DEPARTMENT, AND MEMBERS OF THE BOARD SHOULD REPORT THEM TO THE CHIEF COMPLIANCE OFFICER. 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 (410-601-4832) OR CONFIDENTIAL COMPLIANCE HOTLINE (1-844-732-6233). 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 19IT 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 IX, LINE 11GPURCHASED SERVICES: PROGRAM SERVICE EXPENSES 537,718. MANAGEMENT AND GENERAL EXPENSES 140,929. FUNDRAISING EXPENSES 3,532. TOTAL EXPENSES 682,179. HOSPICE ADMINISTRATIVE FEE: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 385,000. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 385,000. DME RENTAL FEES: PROGRAM SERVICE EXPENSES 516,252. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 516,252.
PART XII, LINE 2CTHIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (14 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
CARROLL HOSPITAL CENTER INC
200 MEMORIAL AVENUEWESTMINSTERMD21157521452024HOSPITALMD501(C)3LINE 3CARROLL COUNTY HEALTH SERVICES CORPORATION0
CARROLL HOSPITAL CENTER FOUNDATION INC
200 MEMORIAL AVENUEWESTMINSTERMD21157521115038FOUNDATIONMD501(C)3LINE 12A, ICARROLL HOSPITAL CENTER INC0
CARROLL COUNTY HEALTH SERVICES INC
200 MEMORIAL AVENUEWESTMINSTERMD21157520691413HEALTH SERVICEMD501(C)3LINE 12B, IILIFEBRIDGE HEALTH INC0
PARTNERSHIP FOR A HEALTHIER CARROLL COUNTY
535 OLD WESTMINSTER PIKE SUITE 102WESTMINSTERMD21157522156892HEALTH SERVICEMD501(C)3LINE 7CARROLL HOSPITAL CENTER INC0
LIFEBRIDGE HEALTH INC
2401 WEST BELVEDERE AVENUEBALTIMOREMD21215521402373TO SUPPORT THE CHARITABLE MISSION OF ITS SUBSIDARIESMD501(C)3LINE 12C, III-FI0N/A
LEVINDALE HEBREW GERIATRIC CENTER AND HOSPITAL
2434 WEST BELVEDERE AVENUEBALTIMOREMD21215520607913GERIATRIC HOSPITAL DEDICATED TO PROVIDING SERVICE TO THE AGEDMD501(C)3LINE 3LIFEBRIDGE HEALTH INC0
SINAI HOSPITAL OF BALTIMORE INC
2401 WEST BELVEDERE AVENUEBALTIMOREMD21215520486540PROVIDE MEDICAL CARE, EDUCATE STUDENTS, PERFORM MEDICAL RESEARCHMD501(C)3LINE 3LIFEBRIDGE HEALTH INC0
COURTLAND GARDENS NURSING AND REHABILITATION CENTER
2343 WEST BELVEDERE AVENUEBALTIMOREMD21215520607907SKILLED NURSING CARE FOR THE ELDERLY AND DISABLEDMD501(C)3LINE 10LIFEBRIDGE HEALTH INC0
NORTHWEST HOSPITAL CENTER INC
5401 OLD COURT ROADRANDALLSTOWNMD21133521372665A HOSPITAL ASPIRING TO IMPROVE THE WELLBEING OF THE COMMUNITY IT SERVESMD501(C)3LINE 3LIFEBRIDGE HEALTH INC0
CHILDREN'S HOSPITAL OF BALTIMORE CITY
2401 WEST BELVEDERE AVENUEBALTIMOREMD21215520591592CHARITY SUPPORT FOR SINAI HOSPITAL OF BALTIMORE, INC.MD501(C)3LINE 12B, IILIFEBRIDGE HEALTH INC0
CHILDREN'S HOSPITAL AT SINAI FOUNDATION
2401 WEST BELVEDERE AVENUEBALTIMOREMD21215522167587CHARITY SUPPORT FOR SINAI HOSPITAL OF BALTIMORE, INC.MD501(C)3LINE 12B, IILIFEBRIDGE HEALTH INC0
THE BALTIMORE JEWISH ELDERCARE FOUNDATION
2401 WEST BELVEDERE AVENUEBALTIMOREMD21215522337669CHARITY SUPPORT FOR LEVINDALE HEBREW GERIATRIC CENTER HOSPITALMD501(C)3LINE 12B, IILIFEBRIDGE HEALTH INC0
THE BALTIMORE JEWISH HEALTH FOUNDATION INC
2401 WEST BELVEDERE AVENUEBALTIMOREMD21215522111541CHARITY SUPPORT FOR SINAI HOSPITAL OF BALTIMORE, INC.MD501(C)3LINE 12B, IILIFEBRIDGE HEALTH INC0
THE BALTIMORE CHILD ABUSE CENTER INC CHILD ADVOCACY NETWORK
2300 NORTH CHARLES STREETBALTIMOREMD21218521681279CHILD ABUSE SUPPORT, TREATMENT, AND PREVENTIONMD501(C)3LINE 7LIFEBRIDGE HEALTH INC0

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (26 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACd
LIFEBRIDGE NEUROSCIENCES LLC (FORMALLY ORTHOPEDIC SPECIALISTS LLC)
2401 WEST BELVEDERE AVENUEBALTIMOREMD21215450719598MEDICAL SERVICESMDN/A
LIFEBRIDGE GYNECOLOGY OF PIKESVILLE LLC
2401 WEST BELVEDERE AVENUEBALTIMOREMD21215462949092MEDICAL SERVICESMDN/A
LIFEBRIDGE MEDICAL ASSOCIATES LLC
2401 WEST BELVEDERE AVENUEBALTIMOREMD21215462941505MEDICAL SERVICESMDN/A
LIFEBRIDGE COMMUNITY PEDIATRICS LLC
2401 WEST BELVEDERE AVENUEBALTIMOREMD21215462842468MEDICAL SERVICESMDN/A
LIFEBRIDGE COMMUNITY PULMONOLOGY LLC
2401 WEST BELVEDERE AVENUEBALTIMOREMD21215461401312MEDICAL SERVICESMDN/A
LIFEBRIDGE COMMUNITY GASTROENTEROLOGY LLC
2401 WEST BELVEDERE AVENUEBALTIMOREMD21215462863298MEDICAL SERVICESMDN/A
LIFEBRIDGE CARDIOLOGY PARKVILLE LLC
2401 WEST BELVEDERE AVENUEBALTIMOREMD21215463742313MEDICAL SERVICESMDN/A
HOMECARE MARLYAND LLC
8028 RITCHIE HIGHWAY SUITE 210BPASADENAMD21122261378175MEDICAL SERVICESMDN/A
LIFEBRIDGE REHABILITATION SERVICES LLC
2401 WEST BELVEDERE AVENUEBALTIMOREMD21215811504380MEDICAL SERVICESMDN/A
CARDIOVASCULAR ASSOCIATES OF MARYLAND LLC
2401 WEST BELVEDERE AVENUEBALTIMOREMD21215462935110MEDICAL SERVICESMDN/A
CARROLL OCCUPATIONAL HEALTH LLC
7001 CORPORATE CENTER COURTWESTMINSTERMD21157202769332OCCUPATIONALMDN/A
CARROLL COUNTY RADIOLOGY LLC
7253 AMBASSADOR ROADBALTIMOREMD21244522190849RADIOLOGYMDN/A
LIFEBRIDGE PRIMARY CARE OF ELDERSBURG LLC
2401 WEST BELVEDERE AVENUEBALTIMOREMD21215383897702MEDICAL SERVICESMDN/A
LIFEBRIDGE PRIMARY CARE OF NORTH CARROLL LLC
2401 WEST BELVEDERE AVENUEBALTIMOREMD21215800883321MEDICAL SERVICESMDN/A
ELLICOTT CITY ASC MANAGEMENT LLC
2401 WEST BELVEDERE AVENUEBALTIMOREMD21215522331663MEDICAL SERVICESMDN/A
SURGICENTER OF BALTIMORE LLC
2401 WEST BELVEDERE AVENUEBALTIMOREMD21215521658841MEDICAL SERVICESMDN/A
MOUNT AIRY MED-SERVICES LLC 46-5632176 200 MEMORIAL AVENUE WESTMINSTER MARY
200 MEMORIAL AVENUEWESTMINSTERMD21157465632176MEDICAL SERVICESMDN/A
SPRINGWELL PARTNERS LLC
2200 PINE HILL FARMS LANEHUNT VALLEYMD21030271971171ASSISTED LIVINGMDN/A
LIFEBRIDGE SUBURBAN PHYSICIAN GROUP II LLC
5401 OLD COURT ROADRANDALLSTOWNMD21133814209029MEDICAL SERVICESMDN/A
LIFEBRIDGE LAB MANAGEMENT LLC
2401 WEST BELVEDERE AVENUEBALTIMOREMD21215821113874LABORATORY SERVICESMDN/A
LIFEBRIDGE METROPOLITAN PHYSICIAN GROUP II LLC
2401 WEST BELVEDERE AVENUEBALTIMOREMD21215814223537MEDICAL SERVICESMDN/A
LIFEBRIDGE MULTI-SPECIALTY LLC
41 MAGNA WAY SUITE 100WESTMINSTERMD21157463753120MEDICAL SERVICESMDN/A
BRINTON WOODS HEALTH CARE CENTER LLC
9515 DEERECO ROAD SUITE 407TIMONIUMMD21093260107427REHABILITATION CENTERMDN/A
BRINTON WOODS SENIOR LIVING LLC
9515 DEERECO ROAD SUITE 407TIMONIUMMD21093743137876ASSISTED LIVINGMDN/A
ELLICOTT CITY AMBULATORY SURGERY CENTER LLLP
2850 NORTH RIDGE ROADELLICOTT CITYMD21043MEDICAL SERVICESMDN/A
OAK FARM SOLUTIONS LLC
1122 KENILWORTH DRIVE SUITE 307TOWSONMD21204474944865HOME HEALTH SERVICESMDN/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (12 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndAddress Line1ForeignAddress/AddressLine1TxtProvince Or StateForeignAddress/ProvinceOrStateNmCountryForeignAddress/CountryCdForeign PostalForeignAddress/ForeignPostalCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCdCityForeignAddress/CityNm
CARROLL COUNTY MED SERVICES INC
200 MEMORIAL AVENUEWESTMINSTERMD21157521891102MEDICAL SERVICEMDN/AC0
LIFEBRIDGE INVESTMENTS INC
2401 WEST BELVEDERE AVENUEBALTIMOREMD21215521483166INVESTMENTSMDN/AC0
HEALTHSTAR MEDICAL SERVICES INC
2401 WEST BELVEDERE AVENUEBALTIMOREMD21215521829098HEALTHCAREMDN/AC0
PRACTICE DYNAMICS INC
124 BUSINESS CENTER DRIVEREISTERSTOWNMD21136521960319MANAGEMENTMDN/AC0
LIFEBRIDGE INSURANCE COMPANY LTD
980415396INSURANCEN/AC0PO BOX 1109GRAND CAYMANCJKY1-1102CJ
LIFEBRIDGE COMMUNITY PHYSICIANS INC
2401 WEST BELVEDERE AVENUEBALTIMOREMD21215800719005HEALTHCAREMDN/AC0
CARROLL BILLING SERVICES INC
200 MEMORIAL AVENUEWESTMINSTERMD21157300026598HEALTHCARE SERVICESMDN/AC0
CARROLL COUNTY GENERAL HOSPITAL SOUTH CARROLL MEDICAL CENTER CONDOMINIUM
200 MEMORIAL AVENUEWESTMINSTERMD21157REAL ESTATEMDN/AC0
MED-SERVICES HOLDINGS INC
200 MEMORIAL AVENUEWESTMINSTERMD21157MEDICAL SERVICEMDN/AC0
CARROLL HEALTH GROUP LLC
200 MEMORIAL AVENUEWESTMINSTERMD21157271956453HEALTHCAREMDN/AC0
CARROLL URGENT CARE LLC
200 MEMORIAL AVENUEWESTMINSTERMD21157465739154HEALTHCAREMDN/AC0
LIFEBRIDGE HEALTH ISRAEL LTD
515804516HEALTHCARE CALL CENTERN/AC016 ABBA HILLEL ROADIS5250608ISRAMAT GAN
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
CARROLL HOSPITAL CENTER FOUNDATION INC
C$56,000FMV
CARROLL HOSPITAL CENTER INC
P$6,234,490FMV
BRINTON WOODS SENIOR LIVING LLC
M$95,778FMV

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