2020-07-13T14:46:47-05:00 2019-06-30 205991824 SC&H TAX & ADVISORY SERVICES LLC 910 RIDGEBROOK ROAD SPARKS MD 21152 990 2018-07-01 521565870 CARROLL HOSPICE INC CARR 4108716695 292 STONER AVE WESTMINSTER MD 21157 MICHAEL MYERS CFO 4108716695 2020-07-06 1 LORI S BURGHAUSER P00370694 4104031500 2020-07-06 68.33.106.243 2020-07-06 19:56:48 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 D598169B7B70477E3779F4FD99F3BFF6A447919F 2018 2020-09-23 17:36:50Z REGINA BODNAR 292 STONER AVE WESTMINSTER MD 21157 14197645 0 X WWW.CARROLLHOSPICE.ORG X 1988 MD CARROLL HOSPICE, AN AFFILIATE OF CARROLL HOSPITAL CENTER, IS DEDICATED TO IMPROVING THE QUALITY OF 17 13 123 177 0 0 1485274 1771608 10514121 12346328 61064 6787 28289 57628 12088748 14182351 0 0 0 0 6022311 7115743 0 0 243722 2837021 3247537 8859332 10363280 3229416 3819071 12005204 15754034 950850 880609 11054354 14873425 CARROLL 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'S 0 0 7281871 10826785 HOME 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. 1800290 1520414 INPATIENT 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. 1851 BEREAVEMENT 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. 9084012 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 1 42 0 123 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 17 13 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 MD X AMY ENGLE 4108717114 200 MEMORIAL AVENUE WESTMINSTER MD 21157 DELEGATE SUSAN KREBS CHAIR 1.00 0.00 X X 0 0 0 ANN M BOLLINGER VICE CHAIR 1.00 0.00 X X 0 0 0 LAURA GILLEN SECRETARY 1.00 0.00 X X 0 0 0 JAMES R ANDERSEN ESQ BOARD MEMBER (PART YEAR) 1.00 0.00 X 0 0 0 R WAYNE BARNES CLU CLTC BOARD MEMBER 1.00 1.00 X 0 0 0 REGINA BODNAR BOARD MEMBER/EXECUTIVE DIRECTOR 40.00 0.00 X X 219492 0 23941 JANET BUCHANAN DD BOARD MEMBER 1.00 0.00 X 0 0 0 CAROLYN BURNS BOARD MEMBER 1.00 0.00 X 0 0 0 JAMES COVEY BOARD MEMBER 1.00 0.00 X 0 0 0 MARY DARRELL BOARD MEMBER 1.00 0.00 X 0 0 0 SHIRLYN EVANS-FORD BOARD MEMBER 1.00 0.00 X 0 0 0 ELLEN FINNERTY-MYERS BOARD MEMBER 1.00 40.00 X 0 320639 51499 TODD HERRING BOARD MEMBER 1.00 0.00 X 0 0 0 CHRISTINA K KANTHER BOARD MEMBER 1.00 0.00 X 0 0 0 GARY M MERRY BOARD MEMBER 1.00 0.00 X 0 0 0 JOHN W MIDDLETON MD BOARD MEMBER 1.00 40.00 X 0 99880 10332 JAMES MILLER PD BOARD MEMBER 1.00 0.00 X 0 0 0 TODD MITCHELL BOARD MEMBER 1.00 0.00 X 0 0 0 KEVIN KELBLY TREASURER/CFO 1.00 40.00 X 0 450031 36035 JILL ENGLAR DIRECTOR SUPPORT SERVICES 40.00 0.00 X 115053 0 1157 ROBIN ELZA HOSPICE NURSE 40.00 0.00 X 108706 0 10935 TRACEY BEYER HOSPICE NURSE 40.00 0.00 X 104059 0 24002 MICHELE SIPES HOSPICE NURSE 40.00 0.00 X 103646 0 10254 KATHY MILLER HOSPICE NURSE 40.00 0.00 X 103168 0 22353 754124 870550 190508 10 0 1 0 PC MSTR LSCO LLC 1234 WASHINGTON ROAD WESTMINSTER MD 21157 PASS THROUGH ROOM & BOARD 552359 MM SYKESVILLE LLC 7309 SECOND AVE SYKESVILLE MD 21784 PASS THROUGH ROOM & BOARD 357612 CITIZENS CARE & REHABILITATION CENTER 1920 ROSEMONT AVE FREDERICK MD 21702 PASS THROUGH ROOM & BOARD 228816 CARROLL LUTHERAN VILLAGE 300 SAINT LUKE CIR WESTMINSTER MD 21158 PASS THROUGH ROOM & BOARD 166258 LORIEN TANEYTOWN 100 ANTRIM BLVD TANEYTOWN MD 21787 PASS THROUGH ROOM & BOARD 161120 7 175702 56000 650000 889906 18267 1771608 MEDICARE/MEDICAID 623000 11717792 11717792 PRIVATE 623000 411927 411927 PHYSICIAN SERVICE 623000 197384 197384 PROGRAM SERVICE RENTAL 623000 19225 19225 12346328 6787 6787 72051 175702 15294 56757 56757 MEDICAL RECORDS COPY 623000 871 871 871 14182351 12347199 0 63544 X 214432 42886 171546 5727996 5562094 165902 830977 810848 20129 342338 329287 13051 1583431 1053970 525929 3532 43148 43148 36122 32335 3787 115842 115842 228979 228956 23 24169 21942 2227 174909 104945 69964 30000 30000 MEDICAL SUPPLIES 929084 929084 TELEPHONES 46782 46782 FUNDRAISING EXPENSES 35071 35071 10363280 9084012 1035546 243722 4713508 7685920 214438 978342 1477066 1388256 22613 19248 6237499 2327485 3963918 3910014 1613661 1772254 12005204 15754034 173850 166295 777000 714314 950850 880609 X 9362985 12196011 1691369 2677414 11054354 14873425 12005204 15754034 3819071 0 X X 0 1 X 1 0 X 1315636 832006 966672 1485274 1771608 6371196 1315636 832006 966672 1485274 1771608 6371196 1064579 5306617 653 2011 5444 61064 6787 75959 49715 45935 46367 43183 72051 257251 6704406 42766849 0.79150 0.71170 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: FUNDRAISING GROSS INCOME RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 5624959 1862881 3762078 25879 9745 16134 586661 454859 131802 3910014 ASSETS LIMITED AS TO USE 1765073 DUE TO/FROM AFFILIATES 7181 1772254 DUE TO CARROLL AFFILIATES 714314 714314 TASTE OF CARROLL 230103 172792 57311 550 9142 475 900 4227 SEASON TO REMEMBER 17650 2910 14740 247753 175702 72051 550 9142 475 900 4227 15294 56757 0 1 0 0 0 0 0 0 0 REGINA BODNAR BOARD MEMBER/EXECUTIVE DIRECTOR 191980 0 26356 0 1156 0 1121 0 22820 0 243433 0 0 0 ELLEN FINNERTY-MYERS BOARD MEMBER 0 256863 0 63362 0 414 0 48868 0 2631 0 372138 0 0 KEVIN KELBLY TREASURER/CFO 0 363877 0 85380 0 774 0 12021 0 24014 0 486066 0 0 PART I, LINE 4B THE 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 3 CARROLL 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 ORGANIZATIONS MS. 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. CARROLL CARE PHARMACIES LLC INDIRECT BUSINESS 475267 CARROLL 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. 0 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 6 CARROLL HOSPITAL CENTER, INC., A 501(C)(3) CORPORATION, IS THE SOLE MEMBER OF 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. 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 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 IX, LINE 11G PURCHASED 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 2C THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. CARROLL HOSPITAL CENTER INC 200 MEMORIAL AVENUE WESTMINSTER MD 21157 521452024 HOSPITAL MD 501(C)3 LINE 3 CARROLL COUNTY HEALTH SERVICES CORPORATION 0 CARROLL HOSPITAL CENTER FOUNDATION INC 200 MEMORIAL AVENUE WESTMINSTER MD 21157 521115038 FOUNDATION MD 501(C)3 LINE 12A, I CARROLL HOSPITAL CENTER INC 0 CARROLL COUNTY HEALTH SERVICES INC 200 MEMORIAL AVENUE WESTMINSTER MD 21157 520691413 HEALTH SERVICE MD 501(C)3 LINE 12B, II LIFEBRIDGE HEALTH INC 0 PARTNERSHIP FOR A HEALTHIER CARROLL COUNTY 535 OLD WESTMINSTER PIKE SUITE 102 WESTMINSTER MD 21157 522156892 HEALTH SERVICE MD 501(C)3 LINE 7 CARROLL HOSPITAL CENTER INC 0 LIFEBRIDGE HEALTH INC 2401 WEST BELVEDERE AVENUE BALTIMORE MD 21215 521402373 TO SUPPORT THE CHARITABLE MISSION OF ITS SUBSIDARIES MD 501(C)3 LINE 12C, III-FI N/A 0 LEVINDALE HEBREW GERIATRIC CENTER AND HOSPITAL 2434 WEST BELVEDERE AVENUE BALTIMORE MD 21215 520607913 GERIATRIC HOSPITAL DEDICATED TO PROVIDING SERVICE TO THE AGED MD 501(C)3 LINE 3 LIFEBRIDGE HEALTH INC 0 SINAI HOSPITAL OF BALTIMORE INC 2401 WEST BELVEDERE AVENUE BALTIMORE MD 21215 520486540 PROVIDE MEDICAL CARE, EDUCATE STUDENTS, PERFORM MEDICAL RESEARCH MD 501(C)3 LINE 3 LIFEBRIDGE HEALTH INC 0 COURTLAND GARDENS NURSING AND REHABILITATION CENTER 2343 WEST BELVEDERE AVENUE BALTIMORE MD 21215 520607907 SKILLED NURSING CARE FOR THE ELDERLY AND DISABLED MD 501(C)3 LINE 10 LIFEBRIDGE HEALTH INC 0 NORTHWEST HOSPITAL CENTER INC 5401 OLD COURT ROAD RANDALLSTOWN MD 21133 521372665 A HOSPITAL ASPIRING TO IMPROVE THE WELLBEING OF THE COMMUNITY IT SERVES MD 501(C)3 LINE 3 LIFEBRIDGE HEALTH INC 0 CHILDREN'S HOSPITAL OF BALTIMORE CITY 2401 WEST BELVEDERE AVENUE BALTIMORE MD 21215 520591592 CHARITY SUPPORT FOR SINAI HOSPITAL OF BALTIMORE, INC. MD 501(C)3 LINE 12B, II LIFEBRIDGE HEALTH INC 0 CHILDREN'S HOSPITAL AT SINAI FOUNDATION 2401 WEST BELVEDERE AVENUE BALTIMORE MD 21215 522167587 CHARITY SUPPORT FOR SINAI HOSPITAL OF BALTIMORE, INC. MD 501(C)3 LINE 12B, II LIFEBRIDGE HEALTH INC 0 THE BALTIMORE JEWISH ELDERCARE FOUNDATION 2401 WEST BELVEDERE AVENUE BALTIMORE MD 21215 522337669 CHARITY SUPPORT FOR LEVINDALE HEBREW GERIATRIC CENTER HOSPITAL MD 501(C)3 LINE 12B, II LIFEBRIDGE HEALTH INC 0 THE BALTIMORE JEWISH HEALTH FOUNDATION INC 2401 WEST BELVEDERE AVENUE BALTIMORE MD 21215 522111541 CHARITY SUPPORT FOR SINAI HOSPITAL OF BALTIMORE, INC. MD 501(C)3 LINE 12B, II LIFEBRIDGE HEALTH INC 0 THE BALTIMORE CHILD ABUSE CENTER INC CHILD ADVOCACY NETWORK 2300 NORTH CHARLES STREET BALTIMORE MD 21218 521681279 CHILD ABUSE SUPPORT, TREATMENT, AND PREVENTION MD 501(C)3 LINE 7 LIFEBRIDGE HEALTH INC 0 LIFEBRIDGE NEUROSCIENCES LLC (FORMALLY ORTHOPEDIC SPECIALISTS LLC) 2401 WEST BELVEDERE AVENUE BALTIMORE MD 21215 450719598 MEDICAL SERVICES MD N/A LIFEBRIDGE GYNECOLOGY OF PIKESVILLE LLC 2401 WEST BELVEDERE AVENUE BALTIMORE MD 21215 462949092 MEDICAL SERVICES MD N/A LIFEBRIDGE MEDICAL ASSOCIATES LLC 2401 WEST BELVEDERE AVENUE BALTIMORE MD 21215 462941505 MEDICAL SERVICES MD N/A LIFEBRIDGE COMMUNITY PEDIATRICS LLC 2401 WEST BELVEDERE AVENUE BALTIMORE MD 21215 462842468 MEDICAL SERVICES MD N/A LIFEBRIDGE COMMUNITY PULMONOLOGY LLC 2401 WEST BELVEDERE AVENUE BALTIMORE MD 21215 461401312 MEDICAL SERVICES MD N/A LIFEBRIDGE COMMUNITY GASTROENTEROLOGY LLC 2401 WEST BELVEDERE AVENUE BALTIMORE MD 21215 462863298 MEDICAL SERVICES MD N/A LIFEBRIDGE CARDIOLOGY PARKVILLE LLC 2401 WEST BELVEDERE AVENUE BALTIMORE MD 21215 463742313 MEDICAL SERVICES MD N/A HOMECARE MARLYAND LLC 8028 RITCHIE HIGHWAY SUITE 210B PASADENA MD 21122 261378175 MEDICAL SERVICES MD N/A LIFEBRIDGE REHABILITATION SERVICES LLC 2401 WEST BELVEDERE AVENUE BALTIMORE MD 21215 811504380 MEDICAL SERVICES MD N/A CARDIOVASCULAR ASSOCIATES OF MARYLAND LLC 2401 WEST BELVEDERE AVENUE BALTIMORE MD 21215 462935110 MEDICAL SERVICES MD N/A CARROLL OCCUPATIONAL HEALTH LLC 7001 CORPORATE CENTER COURT WESTMINSTER MD 21157 202769332 OCCUPATIONAL MD N/A CARROLL COUNTY RADIOLOGY LLC 7253 AMBASSADOR ROAD BALTIMORE MD 21244 522190849 RADIOLOGY MD N/A LIFEBRIDGE PRIMARY CARE OF ELDERSBURG LLC 2401 WEST BELVEDERE AVENUE BALTIMORE MD 21215 383897702 MEDICAL SERVICES MD N/A LIFEBRIDGE PRIMARY CARE OF NORTH CARROLL LLC 2401 WEST BELVEDERE AVENUE BALTIMORE MD 21215 800883321 MEDICAL SERVICES MD N/A ELLICOTT CITY ASC MANAGEMENT LLC 2401 WEST BELVEDERE AVENUE BALTIMORE MD 21215 522331663 MEDICAL SERVICES MD N/A SURGICENTER OF BALTIMORE LLC 2401 WEST BELVEDERE AVENUE BALTIMORE MD 21215 521658841 MEDICAL SERVICES MD N/A MOUNT AIRY MED-SERVICES LLC 46-5632176 200 MEMORIAL AVENUE WESTMINSTER MARY 200 MEMORIAL AVENUE WESTMINSTER MD 21157 465632176 MEDICAL SERVICES MD N/A SPRINGWELL PARTNERS LLC 2200 PINE HILL FARMS LANE HUNT VALLEY MD 21030 271971171 ASSISTED LIVING MD N/A LIFEBRIDGE SUBURBAN PHYSICIAN GROUP II LLC 5401 OLD COURT ROAD RANDALLSTOWN MD 21133 814209029 MEDICAL SERVICES MD N/A LIFEBRIDGE LAB MANAGEMENT LLC 2401 WEST BELVEDERE AVENUE BALTIMORE MD 21215 821113874 LABORATORY SERVICES MD N/A LIFEBRIDGE METROPOLITAN PHYSICIAN GROUP II LLC 2401 WEST BELVEDERE AVENUE BALTIMORE MD 21215 814223537 MEDICAL SERVICES MD N/A LIFEBRIDGE MULTI-SPECIALTY LLC 41 MAGNA WAY SUITE 100 WESTMINSTER MD 21157 463753120 MEDICAL SERVICES MD N/A BRINTON WOODS HEALTH CARE CENTER LLC 9515 DEERECO ROAD SUITE 407 TIMONIUM MD 21093 260107427 REHABILITATION CENTER MD N/A BRINTON WOODS SENIOR LIVING LLC 9515 DEERECO ROAD SUITE 407 TIMONIUM MD 21093 743137876 ASSISTED LIVING MD N/A ELLICOTT CITY AMBULATORY SURGERY CENTER LLLP 2850 NORTH RIDGE ROAD ELLICOTT CITY MD 21043 MEDICAL SERVICES MD N/A OAK FARM SOLUTIONS LLC 1122 KENILWORTH DRIVE SUITE 307 TOWSON MD 21204 474944865 HOME HEALTH SERVICES MD N/A CARROLL COUNTY MED SERVICES INC 200 MEMORIAL AVENUE WESTMINSTER MD 21157 521891102 MEDICAL SERVICE MD N/A C 0 LIFEBRIDGE INVESTMENTS INC 2401 WEST BELVEDERE AVENUE BALTIMORE MD 21215 521483166 INVESTMENTS MD N/A C 0 HEALTHSTAR MEDICAL SERVICES INC 2401 WEST BELVEDERE AVENUE BALTIMORE MD 21215 521829098 HEALTHCARE MD N/A C 0 PRACTICE DYNAMICS INC 124 BUSINESS CENTER DRIVE REISTERSTOWN MD 21136 521960319 MANAGEMENT MD N/A C 0 LIFEBRIDGE INSURANCE COMPANY LTD PO BOX 1109 GRAND CAYMAN CJ KY1-1102 980415396 INSURANCE CJ N/A C 0 LIFEBRIDGE COMMUNITY PHYSICIANS INC 2401 WEST BELVEDERE AVENUE BALTIMORE MD 21215 800719005 HEALTHCARE MD N/A C 0 CARROLL BILLING SERVICES INC 200 MEMORIAL AVENUE WESTMINSTER MD 21157 300026598 HEALTHCARE SERVICES MD N/A C 0 CARROLL COUNTY GENERAL HOSPITAL SOUTH CARROLL MEDICAL CENTER CONDOMINIUM 200 MEMORIAL AVENUE WESTMINSTER MD 21157 REAL ESTATE MD N/A C 0 MED-SERVICES HOLDINGS INC 200 MEMORIAL AVENUE WESTMINSTER MD 21157 MEDICAL SERVICE MD N/A C 0 CARROLL HEALTH GROUP LLC 200 MEMORIAL AVENUE WESTMINSTER MD 21157 271956453 HEALTHCARE MD N/A C 0 CARROLL URGENT CARE LLC 200 MEMORIAL AVENUE WESTMINSTER MD 21157 465739154 HEALTHCARE MD N/A C 0 LIFEBRIDGE HEALTH ISRAEL LTD 16 ABBA HILLEL ROAD RAMAT GAN IS 5250608 515804516 HEALTHCARE CALL CENTER IS N/A C 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0 1 CARROLL HOSPITAL CENTER FOUNDATION INC C 56000 FMV CARROLL HOSPITAL CENTER INC P 6234490 FMV BRINTON WOODS SENIOR LIVING LLC M 95778 FMV