2018-02-12T14:40:38-06:00 2017-06-30 521197902 Mullen Sondberg Wimbish & Stone PA 2553 Housley Road Suite 200 Annapolis MD 21401 990 2016-07-01 521227747 TALBOT HOSPICE FOUNDATION INC TALB 4108226681 586 Cynwood Drive Easton MD 216013805 DIANE ROHMAN BOARD PRESIDENT 4108226681 2018-02-06 1 MICHELE L MOORE CPA P00740046 4102244920 2018-02-06 64.88.174.3 2018-02-06 14:25:04 ES P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 9725A8503BF536150562157384B656D3FE5FFBDF 2016 2021-01-29 14:40:06Z DIANE ROHMAN 586 Cynwood Drive Easton MD 216013805 3516534 0 X WWW.TALBOTHOSPICE.ORG X 1981 MD HOSPICE PROGRAM FOR TERMINALLY ILL. 22 22 68 250 0 0 926911 911265 1406819 1711965 204783 429785 9511 7793 2548024 3060808 0 0 0 0 1951355 2195728 0 0 230267 1218098 1220592 3169453 3416320 -621429 -355512 9929316 9489248 105077 110596 9824239 9378652 HOSPICE PROGRAM FOR TERMINALLY ILL. 0 0 2645403 1711965 Talbot Hospice Foundation, Inc., founded in 1981 as a 501(c)(3) non-profit organization, provides various services and support to terminally ill patients and their families in Talbot County, Maryland. With a clinical team and trained volunteers, Talbot Hospice serves patients in their homes, in nursing facilities, and in the Eleanor A. Koons Hospice House in Easton, Maryland. In addition, it offers bereavement counseling for anyone in the community who has suffered a loss, a volunteer program for members of the community who wish to support the hospice mission, and non-medical support for people with life-limiting illnesses. 2645403 1 1 0 0 0 0 0 0 0 1 1 1 0 0 0 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 7 0 1 68 1 0 0 0 0 0 0 0 0 X 22 22 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 MD X THE ORGANIZATION 4108226681 586 CYNWOOD DRIVE EASTON MD 21601 Diane Rohman PRESIDENT 20.00 X X 0 0 0 Steven A Burleson TREASURER 3.00 X X 0 0 0 patRICIA ROCHE SECRETARY 1.00 X X 0 0 0 emilIE JOSHI VICE PRESIDENT 2.00 X X 0 0 0 john T batty DIRECTOR 1.00 X 0 0 0 Childlene R Brooks DIRECTOR 1.00 X 0 0 0 Brenda Forbes-Butler DIRECTOR 1.00 X 0 0 0 Rev Kevin M Cross DIRECTOR 1.00 X 0 0 0 Hynda B Dalton DIRECTOR 1.00 X 0 0 0 Ludy Eglseder MD DIRECTOR 1.00 X 0 0 0 Kathy H Foster dIRECTOR 1.00 X 0 0 0 James Gieske MD DIRECTOR 1.50 X 0 0 0 Cecilia Koons DIRECTOR 1.00 X 0 0 0 Sheila B Monahan DIRECTOR 1.00 X 0 0 0 Anthony J Principi DIRECTOR 1.00 X 0 0 0 william C Rolle Jr DIRECTOR 1.00 X 0 0 0 Adrienne W rudge DIRECTOR 1.00 X 0 0 0 Lynn H Sanchez DIRECTOR 1.00 X 0 0 0 Tom D Seip DIRECTOR 1.00 X 0 0 0 Stephen C Slack DIRECTOR 1.00 X 0 0 0 ALBERT L SMITH DIRECTOR,EMERITUS 2.00 X 0 0 0 jack anthony DIRECTOR 1.00 X 0 0 0 Vivian Dodge EXECUTIVE DIRECTOR/CEO 40.00 X 83095 0 12030 83095 0 12030 0 0 0 0 0 25899 885366 64806 911265 MEDICAL FEES/REIMBURSE 623110 1481694 1481694 ROOM AND BOARD 623110 230271 230271 1711965 86384 86384 765231 421830 343401 343401 343401 41689 25899 33896 7793 7793 3060808 1711965 0 437578 145990 109493 21898 14599 1666311 1350560 218184 97567 29153 22350 4341 2462 223917 171428 33356 19133 130357 99723 19423 11211 25020 25020 33194 33194 240644 221198 16303 3143 10501 10247 226 28 54327 17380 24718 12229 18367 10891 5290 2186 30774 30774 806 431 375 194316 115230 55962 23124 36106 23607 8624 3875 MEDICAL SUPPLIES 142759 142759 BAD DEBT 117444 117444 EQUIPMENT 102204 79942 15753 6509 LICENSING CERTIFICATION 47745 20506 23123 4116 166385 101871 34804 29710 3416320 2645403 540650 230267 218057 117603 3476 225276 739280 481507 199237 306878 18380 15939 6236447 982613 5425322 5253834 3325564 3088211 9929316 9489248 95292 110596 9785 105077 110596 X 8732411 8520494 792211 561616 299617 296542 9824239 9378652 9929316 9489248 -355512 -90075 0 X X 0 1 X 1 0 X 1159813 922775 1520911 926911 911265 5441675 1159813 922775 1520911 926911 911265 5441675 5441675 167429 171997 157221 144264 86384 727295 2524 44421 46945 6215915 4048966 0.87540 0.73720 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3416956 353848 307486 765230 3313060 5672632 522484 34648 2812808 3416956 6080811 656493 103387 1168059 5672632 5554991 2750 785519 262449 6080811 5130615 63072 610619 249315 5554991 0.88860 0.08950 0.02190 1 0 280517 280517 5293318 643218 4650100 143905 69378 74527 518707 270017 248690 5253834 COMMON TRUST FUNDS 3088211 F 3088211 X 2937539 -90075 -90075 3027614 33194 33194 3060808 3383126 0 3383126 33194 33194 3416320 Part V, Line 4: ENDOWMENT FUNDS ARE INTENDED TO PROVIDE AN OPERATING CONTRIBUTION ANNUALLY TO THE BUDGET AND ENSURE LONG TERM GROWTH. Part X, Line 2: The Foundation follows the guidance of ASC 740-10, "Accounting for Uncertainty in Income Taxes" which clarifies the accounting for the recognition and measurement of the benefits of individual tax positions in the financial statements, including those of non-profit organizations. Tax positions must meet a recognition threshold of more-likely-than-not in order for the benefit of those tax positions to be recognized in the Foundation's financial statements. The Foundation analyzes tax positions taken, including those related to the requirements set forth in IRC Sec. 501(c) to qualify as a tax exempt organization, activities performed by volunteers and board members, the reporting of unrelated business income, and its status as a tax-exempt organization under Maryland state statute. The Foundation does not know of any tax benefits arising from uncertain tax positions and there was no effect on the Foundation's financial position or changes in net assets as a result of analyzing its tax positions. Fiscal years ending on or after June 30, 2014 remain subject to examination by federal and state authorities. Magic Show 20725 10125 10600 10585 ROCK THE BLOCK 20121 3706 16415 7205 3000 1507 4 26742 12068 14674 11599 67588 25899 41689 7205 3000 23691 33896 7793 X 8 64806 FAIR MARKET VALUE 0 1 0 Form 990, Part VI, Section B, line 11b A DRAFT OF THE FORM 990 IS PROVIDED TO MANAGEMENT, WHO PERFORM A DETAILED REVIEW. THE DRAFT FORM 990 IS THEN FORWARDED TO THE BOARD FOR THEIR REVIEW AND APPROVAL. MANAGEMENT PRESENTs THE FORM 990 TO THE BOARD AND ANSWER ANY QUESTIONS FROM BOARD MEMBERS prior to the boards approval. Form 990, Part VI, Section B, line 12c BOARD MEMBERS SERVE THREE YEAR TERMS AND ARE REQUIRED TO DISCLOSE CONFLICTS OF INTEREST ANNUALLY. THE ORGANIZATION REVIEWS FOR CONFLICTS OF INTEREST WHEN CONSIDERING A NEW VENDOR OR SERVICE PROVIDER. TALBOT HOSPICE FOUNDATION WILL NOT ALLOW BOARD MEMBERS TO BENEFIT FINANCIALLY FROM THEIR MEMBERSHIP ON THE BOARD OF DIRECTORS. Form 990, Part VI, Section B, line 15 TALBOT HOSPICE FOUNDATION UTILIZES SALARY DATA FROM THE MARYLAND ASSOCIATION OF NON-PROFIT ORGANIZATION TO DETERMINE SALARIES. THE DATA IS EXTENSIVE AND PROVIDES INFORMATION FOR BOTH URBAN AND RURAL AREAS. FOR CAREGIVING STAFF, THE ORGANIZATION CONSULTS WITH THE MARYLAND BOARD OF NURSING. THE EXECUTIVE DIRECTOR WILL CONTACT OTHER HOSPICE ORGANIZATIONS TO ARRIVE AT FAIR AND COMPARABLE PAY RATES FOR EMPLOYEES. Form 990, Part VI, Section C, line 19 INFORMATION IS MADE AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST. FORM 990, PART XII, LINE 2C THE AUDIT COMMITTEE OF THE BOARD OF DIRECTORS REVIEWS THE AUDIT ANNUALLY. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. FRIENDS OF HOSPICE INC PO BOX 2052 EASTON MD 21601 521726045 FUNDRAISING MD 501(C)(3) Line 12d, III-O 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 FRIENDS OF HOSPICE INC C 104000 CASH