GBMC HEALTHCARE INC: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- GBMC HEALTHCARE INC (EIN 52-1484872)
- Tax period
- 2015-07-01 to 2016-06-30
- Filed
- 2017-05-15
- IRS object ID
- 201701359349303430
- Schema version
- 2015v3.0
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-05-15T10:21:50-05:00 | ReturnTs |
| Tax Period End | 2016-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 861065772 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DELOITTE TAX LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 191 PEACHTREE STREET NE STE 2000 | AddressLine1Txt |
| City | ATLANTA | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 30303 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 521484872 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GBMC HEALTHCARE INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | GBMC | BusinessNameControlTxt |
| Phone | 4438492000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6701 NORTH CHARLES STREET | AddressLine1Txt |
| City | BALTIMORE | CityNm |
| State Abbreviation | MD | StateAbbreviationCd |
| ZIP | 21204 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | LISA GOODLETT | PersonNm |
| Person Title | EVP & CFO | PersonTitleTxt |
| Phone | 4438492000 | PhoneNum |
| Signature | 2017-05-09 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JOHN W SADOFF JR | PreparerPersonNm |
| PTIN | P00540589 | PTIN |
| Phone | 4042201500 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JOHN B CHESSARE MD | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6701 NORTH CHARLES STREET | AddressLine1Txt |
| City | BALTIMORE | CityNm |
| State Abbreviation | MD | StateAbbreviationCd |
| ZIP | 21204 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $128,174 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.GBMC.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1975 | FormationYr |
| Legal Domicile State | MD | LegalDomicileStateCd |
| Activity Or Mission | TO ESTABLISH, MAINTAIN, SUPERVISE, COORDINATE, ASSIST AND PERFORM PLANNING & OTHER FUNCTIONS FOR THE ENTITIES TO PROVIDE HEALTH-RELATED SERVICES OF THE CORPORATION AND ITS AFFILIATED ENTITIES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 28 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 25 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 25 | TotalVolunteersCnt |
| Total Gross UBI | $78,174 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$4,144 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $50,000 | PYContributionsGrantsAmt |
| CY Contributions Grants | $50,000 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $0 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | $0 | PYInvestmentIncomeAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | $15,960,296 | PYOtherRevenueAmt |
| CY Other Revenue | $78,174 | CYOtherRevenueAmt |
| PY Total Revenue | $16,010,296 | PYTotalRevenueAmt |
| CY Total Revenue | $128,174 | 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 | $811,110 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $943,577 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,078,999 | PYOtherExpensesAmt |
| CY Other Expenses | $839,430 | CYOtherExpensesAmt |
| PY Total Expenses | $1,890,109 | PYTotalExpensesAmt |
| CY Total Expenses | $1,783,007 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $14,120,187 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$1,654,833 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $457,325,256 | TotalAssetsBOYAmt |
| Total Assets EOY | $435,252,168 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $3,949,319 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $5,069,565 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $453,375,937 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $430,182,603 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | SEE SCHEDULE O | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $1,410,866 | ExpenseAmt |
| Desc | ACCOUNTABLE CARE ORGANIZATION WHICH INTEGRATES COMMUNITY PRIMARY CARE WITH HOSPITAL AND MULTI-SPECIALTY CARE IN THE TOWSON AREA. | Desc |
| Total Program Service Expenses | $1,410,866 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | Yes (1) | ForeignFinancialAccountInd |
| Foreign Country | BD | ForeignCountryCd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Form8282 Filed | 0 | Form8282FiledCnt |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 28 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 25 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | MD | StatesWhereCopyOfReturnIsFldCd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LISA GOODLETT | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 4438492511 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6701 NORTH CHARLES STREET | AddressLine1Txt |
| City | BALTIMORE | CityNm |
| State Abbreviation | MD | StateAbbreviationCd |
| ZIP | 21204 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (45 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| MR DELBERT ADAMS | |||||||||
| DIRECTOR | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| MS SANDRA BERMAN | |||||||||
| DIRECTOR | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| MR HERBERT J BELGRAD | |||||||||
| DIRECTOR | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| MS KARA C KING BESS | |||||||||
| DIRECTOR | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| ROBERT K BROOKLAND MD | |||||||||
| DIRECTOR | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| MS JANA BURCH | |||||||||
| DIRECTOR | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| MR CHARLES C FENWICK JR | |||||||||
| DIRECTOR | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| MR JERRY FOCAS | |||||||||
| DIRECTOR | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| MR SAMUEL HEFFNER | |||||||||
| DIRECTOR | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| THEDA C KONTIS MD | |||||||||
| DIRECTOR | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| MR TIMOTHY L KRONGARD | |||||||||
| DIRECTOR | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| MR FRANKLIN M LEE | |||||||||
| DIRECTOR | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| MR THOMAS H MADDUX | |||||||||
| DIRECTOR | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| MS CATHERINE P MCDONNELL | |||||||||
| DIRECTOR | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| MR ANTHONY MILANDO | |||||||||
| DIRECTOR | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| MS JEANNETTE M MILLS | |||||||||
| DIRECTOR | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| MS PATRICA MITCHELL | |||||||||
| DIRECTOR | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| MR THOMAS J O'DONNELL JR | |||||||||
| DIRECTOR | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| MELISSA SPARROW MD | |||||||||
| VICE CHIEF OF STAFF | 1.00 | 39.00 | Yes (X) | $0 | $242,075 | $51,292 | |||
| MR JAMES B STRADTNER | |||||||||
| DIRECTOR | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| MS FAITH E THOMAS | |||||||||
| DIRECTOR | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| MR STEVEN A THOMAS | |||||||||
| DIRECTOR | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| HAROLD TUCKER MD | |||||||||
| CHIEF OF STAFF/PHYSICIAN | 5.00 | 35.00 | Yes (X) | $0 | $317,193 | $26,423 | |||
| JOHN B CHESSARE MD | |||||||||
| PRESIDENT/CEO GBMC HEALTHCARE | 10.00 | 30.00 | Yes (X) | $0 | $2,060,766 | $46,455 | Yes (X) | ||
| MR FREDERICK M HUDSON | |||||||||
| VICE CHAIR | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| MR ERIC L MELCHIOR | |||||||||
| EVP & CFO (ENDED 7/15) | 0.50 | 1.00 | Yes (X) | $0 | $474,970 | $35,001 | Yes (X) | ||
| MR FRANK R PALMER | |||||||||
| TREASURER (ENDED 7/15) | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| MR STEPHEN T SCOTT | |||||||||
| TREASURER | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| MS BONNIE R STEIN | |||||||||
| CHAIR | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| MS MARION G THOMPSON | |||||||||
| SECRETARY | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| MR KEITH R POISSON | |||||||||
| EVP & COO GBMC HEATLHCARE | 10.00 | 30.00 | $0 | $614,913 | $49,958 | Yes (X) | |||
| JOHN R SAUNDERS MD | |||||||||
| EVP MEDICAL AFFAIRS & CMO | 5.00 | 28.00 | $0 | $515,359 | $77,990 | Yes (X) | |||
| MR ROBERT THORNTON | |||||||||
| EVP & CFO GBMC HEALTHCARE | 10.00 | 30.00 | $0 | $211,053 | $47,856 | Yes (X) | |||
| MR GEORGE E BAYLESS III | |||||||||
| VP FINANCE | 5.00 | 35.00 | $0 | $298,011 | $37,412 | Yes (X) | |||
| MR BENNETT J BERES | |||||||||
| VP & COO GBMA | 5.00 | 35.00 | $311,556 | $0 | $61,990 | Yes (X) | |||
| MS CAROLYN L CANDIELLO | |||||||||
| VP QUALITY & PT SAFETY | 1.00 | 39.00 | $0 | $247,987 | $56,960 | Yes (X) | |||
| MS JENNY COLDIRON | |||||||||
| PRESIDENT/VP DEV GBMC HEALTHCA | 5.00 | 35.00 | $0 | $264,653 | $76,904 | Yes (X) | |||
| MR JOHN W ELLIS | |||||||||
| SR. VP STRATEGY & BUS DEV | 10.00 | 30.00 | $0 | $554,526 | $40,518 | Yes (X) | |||
| MS CATHERINE HAMEL | |||||||||
| VP POST ACUTE SRVS & EXEC | 1.00 | 39.00 | $0 | $261,817 | $73,261 | Yes (X) | |||
| MR DAVID J HYNSON | |||||||||
| VP & CIO | 5.00 | 35.00 | $0 | $301,033 | $82,452 | Yes (X) | |||
| MS JOANNE PORTER | |||||||||
| VP MEDICAL AFFAIRS & CMO(ENDED 9/15) | 3.00 | 7.00 | $0 | $303,876 | $25,260 | Yes (X) | |||
| MS DELORIS S TUGGLE | |||||||||
| VP HUMAN RESOURCES | 5.00 | 35.00 | $0 | $320,858 | $54,398 | Yes (X) | |||
| MS SUSAN MARTIELLI | |||||||||
| VP LEGAL AFFAIRS/CHIEF COUNSEL | 10.00 | 30.00 | $0 | $287,067 | $36,095 | Yes (X) | |||
| MR MICHAEL A FORTHMAN | |||||||||
| FORMER VP FACILITIES & SUPPORT SE | 0.00 | 0.00 | $0 | $211,689 | $37,248 | Yes (X) | |||
| RONALD TUTRONE MD | |||||||||
| FORMER DIRECTOR/RESEARCH CHAIR | 0.00 | 29.00 | $0 | $300,000 | $0 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $311,556 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $7,787,846 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $917,473 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $50,000 | AllOtherContributionsAmt |
| Total Contributions | $50,000 | TotalContributionsAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MANAGEMENT FEE | Desc |
| Business | 561000 | BusinessCd |
| Total Revenue Column | $78,174 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $78,174 | UnrelatedBusinessRevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $78,174 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $128,174 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $78,174 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $883,190 | TotalAmt |
| Program Services | $876,638 | ProgramServicesAmt |
| Management And General | $6,552 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $60,387 | TotalAmt |
| Program Services | $60,387 | ProgramServicesAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,537 | TotalAmt |
| Program Services | $8,537 | ProgramServicesAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,100 | TotalAmt |
| Management And General | $32,100 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $70,326 | TotalAmt |
| Management And General | $70,326 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,113 | TotalAmt |
| Program Services | $9,248 | ProgramServicesAmt |
| Management And General | $865 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $156,062 | TotalAmt |
| Program Services | $156,062 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,729 | TotalAmt |
| Program Services | $12,229 | ProgramServicesAmt |
| Management And General | $1,500 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,766 | TotalAmt |
| Program Services | $7,766 | ProgramServicesAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,376 | TotalAmt |
| Program Services | $14,376 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $264,855 | TotalAmt |
| Program Services | $264,855 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Management And GeneralManagementAndGeneralAmt | Program ServicesProgramServicesAmt |
|---|---|---|---|
| OVERHEAD | $260,004 | $260,004 | |
| PROPERTY TAX | $794 | $794 | |
| OTHER EXPENSES | $768 | $768 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,783,007 | TotalAmt |
| Program Services | $1,410,866 | ProgramServicesAmt |
| Management And General | $372,141 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,006 | BOYAmt |
| EOY | $28,641 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $52,061 | BOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $942,937 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $849,772 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $358,019 | BOYAmt |
| EOY | $93,165 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $456,886,170 | BOYAmt |
| EOY | $435,130,362 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $457,325,256 | BOYAmt |
| EOY | $435,252,168 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,949,319 | BOYAmt |
| EOY | $5,069,565 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,949,319 | BOYAmt |
| EOY | $5,069,565 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $388,634,745 | BOYAmt |
| EOY | $362,248,144 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $36,178,961 | BOYAmt |
| EOY | $37,786,435 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,562,231 | BOYAmt |
| EOY | $30,148,024 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $453,375,937 | BOYAmt |
| EOY | $430,182,603 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $457,325,256 | BOYAmt |
| EOY | $435,252,168 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$1,654,833 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$21,538,501 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | 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 (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | 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 | $50,000 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $50,000 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $50,000 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $50,000 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $50,000 | CurrentTaxYearAmt |
| Total | $250,000 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $50,000 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $50,000 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $50,000 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $50,000 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $50,000 | CurrentTaxYearAmt |
| Total | $250,000 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $250,000 | PublicSupportTotal170Amt |
Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $6,249 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $6,368 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $7,055 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,250 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $78,174 | CurrentTaxYearAmt |
| Total | $101,096 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $351,096 | TotalSupportAmt |
| Public Support CY170 | 0.71210 | PublicSupportCY170Pct |
| Public Support PY170 | 0.89370 | 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
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $942,937 | OtherCostOrOtherBasisAmt |
| Depreciation | $849,772 | DepreciationAmt |
| Book Value | $93,165 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $93,165 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | INVESTMENT IN SUBSIDIARIES | Desc |
| Book Value | $435,130,362 | BookValueAmt |
| Method Valuation | C | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $435,130,362 | TotalBookValueSecuritiesAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4: | THE BALANCE SHEET FOR GBMC HEALTHCARE SHOWS BOTH TEMPORARILY AND PERMANENTLY RESTRICTED NET ASSETS. THESE AMOUNTS REPRESENT GBMC HEALTHCARE, INC.'S INTEREST IN THE EQUITY OF ITS SUBSIDARIES AND NOT ENDOWMENTS OWNED BY GBMC HEALTHCARE, INC. INFORMATION ON THE ENDOWMENTS OF GBMC HEALTHCARE'S SUBSIDIARIES CAN BE FOUND ON EACH SUBSIDIARY'S SEPARATE FORM 990. |
| PART X, LINE 2: | THE FINANCIAL ACCOUNTING STANDARDS BOARD'S (FASB) GUIDANCE ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES CLARIFIES THE ACCOUNTING FOR UNCERTAINTY OF INCOME TAX POSITIONS. THIS GUIDANCE DEFINES THE THRESHOLD FOR RECOGNIZING TAX RETURN POSITIONS IN THE CONSOLIDATED FINANCIAL STATEMENTS AS "MORE LIKELY THAN NOT" THAT THE POSITION IS SUSTAINABLE, BASED ON ITS TECHNICAL MERITS. THIS STANDARD ALSO PROVIDES GUIDANCE ON THE MEASUREMENT, CLASSIFICATION AND DISCLOSURE OF TAX RETURN POSITIONS IN THE CONSOLIDATED FINANCIAL STATEMENTS. THE COMPANY HAS ADOPTED THIS GUIDANCE, AND THERE WERE NO AMOUNTS RECORDED IN THE CONSOLIDATED FINANCIAL STATEMENTS DURING THE YEARS ENDED JUNE 30, 2016 AND 2015 FOR UNCERTAIN TAX POSITIONS. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (19 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MELISSA SPARROW MD | ||||||||||||||
| VICE CHIEF OF STAFF | $0 | $241,674 | $0 | $0 | $0 | $401 | $0 | $14,411 | $0 | $36,881 | $0 | $293,367 | $0 | $0 |
| HAROLD TUCKER MD | ||||||||||||||
| CHIEF OF STAFF/PHYSICIAN | $0 | $316,789 | $0 | $0 | $0 | $404 | $0 | $8,445 | $0 | $17,978 | $0 | $343,616 | $0 | $0 |
| JOHN B CHESSARE MD | ||||||||||||||
| PRESIDENT/CEO GBMC HEALTHCARE | $0 | $710,540 | $0 | $1,328,677 | $0 | $21,549 | $0 | $14,200 | $0 | $32,255 | $0 | $2,107,221 | $0 | $952,545 |
| MR ERIC L MELCHIOR | ||||||||||||||
| EVP & CFO (ENDED 7/15) | $0 | $266,703 | $0 | $196,362 | $0 | $11,905 | $0 | $16,195 | $0 | $18,806 | $0 | $509,971 | $0 | $0 |
| MR KEITH R POISSON | ||||||||||||||
| EVP & COO GBMC HEATLHCARE | $0 | $414,974 | $0 | $176,286 | $0 | $23,653 | $0 | $14,200 | $0 | $35,758 | $0 | $664,871 | $0 | $0 |
| JOHN R SAUNDERS MD | ||||||||||||||
| EVP MEDICAL AFFAIRS & CMO | $0 | $389,610 | $0 | $101,875 | $0 | $23,874 | $0 | $16,800 | $0 | $61,190 | $0 | $593,349 | $0 | $0 |
| MR ROBERT THORNTON | ||||||||||||||
| EVP & CFO GBMC HEALTHCARE | $0 | $174,714 | $0 | $20,000 | $0 | $16,339 | $0 | $30,000 | $0 | $17,856 | $0 | $258,909 | $0 | $0 |
| MR GEORGE E BAYLESS III | ||||||||||||||
| VP FINANCE | $0 | $230,600 | $0 | $62,020 | $0 | $5,391 | $0 | $12,714 | $0 | $24,698 | $0 | $335,423 | $0 | $0 |
| MR BENNETT J BERES | ||||||||||||||
| VP & COO GBMA | $263,168 | $0 | $37,397 | $0 | $10,991 | $0 | $48,560 | $0 | $13,430 | $0 | $373,546 | $0 | $0 | $0 |
| MS CAROLYN L CANDIELLO | ||||||||||||||
| VP QUALITY & PT SAFETY | $0 | $204,870 | $0 | $34,445 | $0 | $8,672 | $0 | $32,762 | $0 | $24,198 | $0 | $304,947 | $0 | $0 |
| MS JENNY COLDIRON | ||||||||||||||
| PRESIDENT/VP DEV GBMC HEALTHCA | $0 | $211,397 | $0 | $47,755 | $0 | $5,501 | $0 | $37,941 | $0 | $38,963 | $0 | $341,557 | $0 | $0 |
| MR JOHN W ELLIS | ||||||||||||||
| SR. VP STRATEGY & BUS DEV | $0 | $368,645 | $0 | $164,065 | $0 | $21,816 | $0 | $14,200 | $0 | $26,318 | $0 | $595,044 | $0 | $0 |
| MS CATHERINE HAMEL | ||||||||||||||
| VP POST ACUTE SRVS & EXEC | $0 | $218,292 | $0 | $36,849 | $0 | $6,676 | $0 | $35,844 | $0 | $37,417 | $0 | $335,078 | $0 | $0 |
| MR DAVID J HYNSON | ||||||||||||||
| VP & CIO | $0 | $248,611 | $0 | $43,330 | $0 | $9,092 | $0 | $46,901 | $0 | $35,551 | $0 | $383,485 | $0 | $0 |
| MS JOANNE PORTER | ||||||||||||||
| VP MEDICAL AFFAIRS & CMO(ENDED 9/15) | $0 | $218,027 | $0 | $74,455 | $0 | $11,394 | $0 | $15,116 | $0 | $10,144 | $0 | $329,136 | $0 | $0 |
| MS DELORIS S TUGGLE | ||||||||||||||
| VP HUMAN RESOURCES | $0 | $267,123 | $0 | $42,159 | $0 | $11,576 | $0 | $40,855 | $0 | $13,543 | $0 | $375,256 | $0 | $0 |
| MS SUSAN MARTIELLI | ||||||||||||||
| VP LEGAL AFFAIRS/CHIEF COUNSEL | $0 | $277,211 | $0 | $3,820 | $0 | $6,036 | $0 | $24,523 | $0 | $11,572 | $0 | $323,162 | $0 | $0 |
| MR MICHAEL A FORTHMAN | ||||||||||||||
| FORMER VP FACILITIES & SUPPORT SE | $0 | $200,015 | $0 | $10,000 | $0 | $1,674 | $0 | $23,035 | $0 | $14,213 | $0 | $248,937 | $0 | $0 |
| RONALD TUTRONE MD | ||||||||||||||
| FORMER DIRECTOR/RESEARCH CHAIR | $0 | $300,000 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $300,000 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINES 4A-B | PART I, LINE 4A: TANYA TOWNSEND, CIO FOR GBMC HEALTHCARE, RECEIVED SEVERANCE PAYMENTS OF $8,769.23 AND MICHAEL A. FORTHMAN, VICE PRESIDENT OF FACILITIES, RECEIVED SEVERANCE PAYMENTS OF $101,671. PART I, LINE 4B: GBMC HEALTHCARE HAS A NON-QUALIFIED SUPPLEMENTAL RETIREMENT PLAN. THIS PLAN WAS APPROVED BY THE COMPENSATION COMMITTEE OF THE GBMC HEALTHCARE BOARD OF DIRECTORS TO SUPPLEMENT THE EXECUTIVE'S RETIREMENT INCOME. THE SUPPLEMENTAL RETIREMENT PLAN WAS DEVELOPED BASED ON AN INDEPENDENT CONSULTANT REPORT ON MARKET-BASED PRACTICES FOR SUPPLEMENTAL RETIREMENT PLANS. THE PERCENTAGE OF FINAL AVERAGE PAY, THE REQUIREMENTS FOR VESTING, PARTICIPANTS, AND PAY-OUT PROVISIONS WERE ESTABLISHED, REVIEWED, AND APPROVED BY THE COMPENSATION COMMITTEE. THE CONTRIBUTIONS TO THE SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN ARE INCLUDED IN SCHEDULE J, PART II, COLUMN C OR IN SCHEDULE J, PART I,COLUMN B(III) AS PART OF DEFERRED COMPENSATION. THE FOLLOWING INDIVIDUALS PARTICIPATED IN THIS SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN: |
| PART I, LINES 4A-B | MR. BENNETT BERES $35,245, $0 PAID MS. CAROLYN L. CANDIELLO $21,065 EARNED, $0 PAID MS. JENNY COLDIRON $24,882 EARNED, $0 PAID MR. MICHAEL A. FORTHMAN $20,119 EARNED, $0 PAID MS. CATHERINE HAMEL $22,534 EARNED, $0 PAID MR. DAVID J. HYNSON $33,915 EARNED, $0 PAID MS. DELORIS TUGGLE $27,109 EARNED, $0 PAID MS. JOANN Z. IOANNOU $10,993 EARNED, $0 PAID MS. SUSAN F. MARTIELLI $12,735 EARNED, $0 PAID MR. ROBERT W. THORNTON $30,000 EARNED, $0 PAID MR. JOHN B. CHESSARE M.D. $0 EARNED, $952,545 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART III, LINE 1, DESCRIPTION OF ORGANIZATION MISSION: | GBMC HEALTHCARE, INC. IS ORGANIZED AND OPERATED EXCLUSIVELY AS A NONPROFIT CHARITABLE ORGANIZATION WITHIN THE MEANING OF SECTION 501(C)(3) OF THE CODE FOR THE FOLLOWING PURPOSES: (1) TO ESTABLISH, MAINTAIN, SUPERVISE, COORDINATE, ASSIST AND PERFORM PLANNING AND OTHER FUNCTIONS FOR ENTITIES TO PROVIDE HEALTH-RELATED SERVICES OR TO CARRY OUT THE CHARITABLE, EDUCATIONAL, HEALTH CARE, AND SCIENTIFIC PURPOSES OF THE CORPORATION AND ITS AFFILIATED ENTITIES INCLUDING BUT NOT LIMITED TO GREATER BALTIMORE MEDICAL CENTER, INC., A HOSPITAL CORPORATION DESCRIBED UNDER SECTION 501(C)(3) AND EXEMPT FROM TAX UNDER SECTION 501(A) OF THE CODE, AND OTHER ENTITIES WHICH MAY FURTHER THE CHARITABLE, EDUCATIONAL, HEALTH CARE, AND OTHER PURPOSES OF THE CORPORATION. (2) TO PROVIDE SUPERVISION AND COORDINATION OF THE ACTIVITIES OF AFFILIATED ENTITIES, INCLUDING BUT NOT LIMITED TO GREATER BALTIMORE MEDICAL CENTER, INC.; GBMC INVESTMENTS, INC.; GBMC FOUNDATION, INC.; RUXTON INSURANCE COMPANY, LTD.; GBMC LAND CORPORATION; AND GILCHRIST HOSPICE CARE, INC. (3) TO CONSIDER AND ESTABLISH LONG AND SHORT RANGE PLANNING ACTIVITIES FOR THE CORPORATION AND ITS AFFILIATED ENTITIES. (4) TO RAISE FUNDS FOR THE BENEFIT OF CHARITABLE, SCIENTIFIC, HEALTH CARE, AND EDUCATIONAL ACTIVITIES AND FUNCTIONS OF THE CORPORATION AND ITS AFFILIATED ENTITIES. (5) TO CONSULT WITH THE APPROPRIATE OFFICERS OF THE AFFILIATED ENTITIES TO PROMOTE COOPERATION AMONG THEM IN ORDER TO FURTHER THE CHARITABLE, EDUCATIONAL, AND SCIENTIFIC ACTIVITIES AND FUNCTIONS OF THOSE ENTITIES. (6) TO HAVE AND TO EXERCISE TO THE EXTENT NECESSARY OR DESIRABLE FOR THE ACCOMPLISHMENT OF ANY OF THE AFORESAID PURPOSES, AND TO THE EXTENT THAT THEY ARE NOT INCONSISTENT WITH THE CHARITABLE PURPOSES OF THE CORPORATION AND THE LIMITATIONS IMPOSED BY SECTION 501(C)(3) OF THE CODE, ANY AND ALL POWERS CONFERRED UPON CORPORATION BY THE MARYLAND GENERAL CORPORATION LAW. |
| FORM 990, PART VI, SECTION B, LINE 11 | THE AUDIT COMMITTEE OF GBMC HEALTHCARE, INC. REVIEWS THIS FORM 990. A COPY OF THE FORM 990 IS PROVIDED TO THE FULL BOARD OF DIRECTORS OF GBMC HEALTHCARE, INC. FOR REVIEW PRIOR TO FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | ANNUALLY, EVERY BOARD MEMBER, EMPLOYED AND CONTRACTED PHYSICIAN, ADVANCED PRACTITIONER AND MANAGER (WHICH INCLUDES KEY EMPLOYEES) MUST COMPLETE A COMPREHENSIVE QUESTIONNAIRE THAT PROVIDES FOR THE DISCLOSURE OF POTENTIAL CONFLICTS. ALL DISCLOSURES ARE REVIEWED BY THE COMPLIANCE OFFICER. THOSE DISCLOSURES THAT ARE QUESTIONABLE OR MAY RISE TO THE LEVEL OF A CONFLICT ARE DISCUSSED WITH GENERAL IN-HOUSE COUNSEL AND APPROPRIATE ACTION IS TAKEN, IF NECESSARY. A SUMMARY OF DISCLOSURES IS PROVIDED TO THE AUDIT AND COMPLIANCE COMMITTEE (FOR MANAGEMENT) AND TO THE GOVERNANCE COMMITTEE (FOR BOARD MEMBERS) ANNUALLY. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE COMPENSATION COMMITTEE ("COMMITTEE") OF THE BOARD OF DIRECTORS OF GBMC HEALTHCARE, INC., WHICH IS COMPRISED OF DIRECTORS THAT ARE "DISINTERESTED" AS DEFINED BY IRS REGULATIONS, IS AUTHORIZED TO OVERSEE THE ORGANIZATION'S EXECUTIVE COMPENSATION PROGRAM. THE COMMITTEE REVIEWS AND APPROVES THE COMPENSATION PROVIDED TO THE ORGANIZATION'S PRESIDENT AND CHIEF EXECUTIVE OFFICER AND EACH OFFICER, KEY EMPLOYEE AND SENIOR LEADER, WHETHER OR NOT THESE INDIVIDUALS WOULD BE CONSIDERED "DISQUALIFIED PERSONS" UNDER THE INTERMEDIATE SANCTIONS REGULATIONS OF FEDERAL INCOME TAX LAW. THE COMMITTEE HAS ADOPTED A WRITTEN PHILOSOPHY SETTING FORTH THE GUIDING PRINCIPLES GOVERNING THE COMPENSATION PROVIDED TO THE ORGANIZATION'S EXECUTIVES. THE COMMITTEE'S REVIEW AND APPROVAL PROCESS WAS ESTABLISHED AND IS CONDUCTED IN A MANNER SO AS TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE INTERMEDIATE SANCTIONS REGULATIONS OF FEDERAL INCOME TAX LAW. ALL FORMS OF COMPENSATION AND BENEFITS PROVIDED TO MEMBERS OF THE SENIOR LEADERSHIP TEAM ARE REVIEWED, WHICH INCLUDES CURRENT AND DEFERRED COMPENSATION AND ALL EMPLOYEE BENEFITS, BOTH QUALIFIED AND NON-QUALIFIED TO ENSURE THAT THE "TOTAL COMPENSATION" IS REASONABLE. THE COMMITTEE ENGAGED AN INDEPENDENT EXECUTIVE COMPENSATION CONSULTANT THAT SPECIALIZES IN THE REVIEW OF HOSPITAL AND HEALTH SYSTEM EXECUTIVE COMPENSATION AND BENEFITS TO COMPILE MARKET COMPENSATION DATA OF SIMILARLY SIZED HEALTH CARE ORGANIZATIONS THROUGHOUT THE COUNTRY AS WELL AS THE SAME GEOGRAPHIC REGION. NO DATA FROM ANY FOR-PROFIT ENTITIES WERE USED. THE DATA WERE CATEGORIZED BY EXECUTIVE POSITION, AND A SALARY RANGE WAS DEVELOPED WITH THE ASSISTANCE OF THE INDEPENDENT COMPENSATION CONSULTANT. THE COMMITTEE RELIED UPON THIS DATA, RELEVANT BUSINESS JUDGMENT FACTORS (E.G., EXPERIENCE, PERFORMANCE, RECRUITMENT AND RETENTION FACTORS AND THE UNIQUE DEMANDS OF THE POSITION), THE GUIDANCE PROVIDED BY THE STATED COMPENSATION PHILOSOPHY AND THE WRITTEN OPINION OF THE INDEPENDENT EXECUTIVE COMPENSATION CONSULTANT AS TO THE REASONABLENESS OF THE COMPENSATION IN RELATION TO MARKET DATA IN MAKING ITS EXECUTIVE COMPENSATION DECISIONS. THE COMMITTEE ALSO CONSIDERS ITS BUSINESS JUDGMENT. THE COMMITTEE DOCUMENTS THE BASIS FOR ITS DECISIONS THROUGH THE TIMELY PREPARATION OF WRITTEN MINUTES OF THE COMPENSATION COMMITTEE MEETINGS DURING WHICH SUCH DECISIONS ARE DELIBERATED AND DETERMINED. THE COMMITTEE'S DECISIONS ARE SUBJECT TO THE FINAL APPROVAL OF THE BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE GOVERNING DOCUMENTS ARE LOCATED ON THE STATE OF MARYLAND DEPARTMENT OF TAXATION'S WEBSITE. FINANCIAL STATEMENTS ARE MADE PUBLIC THROUGH THE STATE OF MARYLAND CHARITABLE REGISTRATION. FINANCIAL STATEMENTS FOR GBMC HEALTHCARE, INC. ARE ALSO AVAILABLE THROUGH THE ELECTRONIC MUNICIPAL MARKET ACCESS (EMMA) WEBSITE VIA THE CONTINUING DISCLOSURE DOCUMENT. THE CONFLICT OF INTEREST POLICY IS NOT AVAILABLE TO THE PUBLIC. |
| FORM 990, PART XI, LINE 9: | TRANSFERS -4,706,412. EQUITY INCOME OF SUBSIDIARY -16,832,089. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GREATER BALTIMORE HEALTH ALLIANCE PHYSICIANS LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6701 NORTH CHARLES STREET | AddressLine1Txt |
| City | BALTIMORE | CityNm |
| State Abbreviation | MD | StateAbbreviationCd |
| ZIP | 21204 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 900794161 | EIN |
| Primary Activities | ACCOUNTABLE CARE ORGANIZATION | PrimaryActivitiesTxt |
| Legal Domicile State | MD | LegalDomicileStateCd |
| Total Income | $0 | TotalIncomeAmt |
| End Of Year Assets | $106,706 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GBMC HEALTHCARE INC | BusinessNameLine1Txt |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (14 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 | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| GREATER BALTIMORE MEDICAL CENTER INC | |||||||||||
| 6701 NORTH CHARLES STREET | BALTIMORE | MD | 21204 | 526049658 | HEALTHCARE | MD | 501(C)(3) | LINE 3: 170(B)(1)(A) | GBMC HEALTHCARE INC | Yes (1) | |
| GBMC FOUNDATION INC | |||||||||||
| 6701 NORTH CHARLES STREET | BALTIMORE | MD | 21204 | 521411935 | FUNDRAISING | MD | 501(C)(3) | LINE 7: 170(B)(1)(A) | GBMC HEALTHCARE INC | Yes (1) | |
| GILCHRIST HOSPICE CARE INC | |||||||||||
| 11311 MCCORMICK ROAD SUITE 350 | HUNT VALLEY | MD | 21031 | 521851251 | HOSPICE SERVICES | MD | 501(C)(3) | LINE 3: 170(B)(1)(A) | GBMC HEALTHCARE INC | Yes (1) | |
| GBMC INVESTMENTS INC | |||||||||||
| 6701 NORTH CHARLES STREET | BALTIMORE | MD | 21204 | 521040300 | INVESTMENT MANAGEMENT | MD | 501(C)(3) | LINE 11, TYPE II: 50 | GBMC HEALTHCARE INC | Yes (1) | |
| DIVERSIFIED HEALTH ENTERPRISES INC | |||||||||||
| 6701 NORTH CHARLES STREET | BALTIMORE | MD | 21204 | 521725005 | HEALTH SERVICES | MD | 501(C)(3) | LINE 11, TYPE II: 50 | GBMC HEALTHCARE INC | Yes (1) | |
| DIVERSIFIED NURSES INC | |||||||||||
| 6701 NORTH CHARLES STREET | BALTIMORE | MD | 21204 | 521305904 | NURSING SERVICES | MD | 501(C)(3) | LINE 9: 509(A)(2) | GBMC HEALTHCARE INC | Yes (1) | |
| DIVERSIFIED HEALTH SERVICES INC | |||||||||||
| 6701 NORTH CHARLES STREET | BALTIMORE | MD | 21204 | 521331993 | HEALTH SERVICES | MD | 501(C)(3) | LINE 9: 509(A)(2) | GBMC HEALTHCARE INC | Yes (1) | |
| GBMC LAND INC | |||||||||||
| 6701 NORTH CHARLES STREET | BALTIMORE | MD | 21204 | 521413360 | REAL ESTATE PROPERTY | MD | 501(C)(3) | LINE 11, TYPE I: 509 | GBMC HEALTHCARE INC | Yes (1) | |
| JOSEPH RICHEY HOUSE INC | |||||||||||
| 838 NORTH EUTAW STREET | BALTIMORE | MD | 21201 | 521184960 | HOSPICE SERVICES | MD | 501(C)(3) | LINE 3: 170(B)(1)(A) | GILCHRIST HOSPICE CARE INC | 0 | |
| BROWNLOW BYRON HOME INC | |||||||||||
| 838 NORTH EUTAW STREET | BALTIMORE | MD | 21201 | 522019909 | HOUSING FOR LOW INCOME TENANTS | MD | 501(C)(3) | LINE 3: 170(B)(1)(A) | GILCHRIST HOSPICE CARE INC | 0 | |
| PRESBYTERIAN EYE EAR & THROAT CHARITY HOSP INC BOARD LADY MGRS | |||||||||||
| 20 INDIAN LANE | BALTIMORE | MD | 21210 | 526052408 | SUPPORTING | MD | 501(C)(3) | LINE 11C, III-FI | 0 | N/A | |
| PRESBYTERIAN EYE EAR & THROAT CHARITY HOSPITAL | |||||||||||
| 2639 QUEENSLAND DRIVE | ELLICOTT CITY | MD | 21093 | 520449990 | SUPPORTING | MD | 501(C)(3) | LINE 11C, III-FI | GREATER BALTIMORE MEDICAL CENTER INC | 0 | |
| WOMEN'S HOSPITAL FOUNDATION INC | |||||||||||
| PO BOX 166 | RIDERWOOD | MD | 21139 | 520591609 | FUNDRAISING | MD | 501(C)(3) | LINE 11C, III-FI | GREATER BALTIMORE MEDICAL CENTER INC | 0 | |
| MILTON J DANCE JR ENDOWMENT INC | |||||||||||
| 409 WASHINGTON AVE | BALTIMORE | MD | 21204 | 521104173 | SUPPORTING | MD | 501(C)(3) | LINE 11C, III-FI | GREATER BALTIMORE MEDICAL CENTER INC | 0 | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|
| GBMC MEDICAL ARTS LP | |||||||
| 6701 NORTH CHARLES STREET | BALTIMORE | MD | 21204 | 521412751 | REAL ESTATE MANAGEMENT | MD | N/A |
| GBMC MEDICAL ARTS PAVILION WEST LP | |||||||
| 6701 NORTH CHARLES STREET | BALTIMORE | MD | 21204 | 521899034 | REAL ESTATE MANAGEMENT | MD | N/A |
| GREATER BALTIMORE DIAGNOSTIC IMAGING PARTNERSHIP | |||||||
| 6701 NORTH CHARLES STREET | BALTIMORE | MD | 21204 | 521561640 | IMAGING SERVICES | MD | N/A |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (7 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| GBMC AGENCY INC | |||||||||||||
| 6701 NORTH CHARLES STREET | BALTIMORE | MD | 21204 | 521411931 | INVESTMENTS | MD | N/A | C | 0 | ||||
| GBMC MANAGEMENT INC | |||||||||||||
| 6701 NORTH CHARLES STREET | BALTIMORE | MD | 21204 | 521411974 | MANAGEMENT COMPANY | MD | N/A | C | 0 | ||||
| GBMC FINANCE CORPORATION | |||||||||||||
| 6701 NORTH CHARLES STREET | BALTIMORE | MD | 21204 | 521863069 | FINANCING AGENT | MD | N/A | C | 0 | ||||
| GBMC FINANCE CORPORATION II | |||||||||||||
| 6701 NORTH CHARLES STREET | BALTIMORE | MD | 21204 | 521836142 | FINANCING AGENT | MD | N/A | C | 0 | ||||
| GBMC FINANCE CORPORATION III | |||||||||||||
| 6701 NORTH CHARLES STREET | BALTIMORE | MD | 21204 | 521836144 | FINANCING AGENT | MD | N/A | C | 0 | ||||
| RUXTON INSURANCE COMPANY LTD | |||||||||||||
| 980413102 | INSURANCE CAPTIVE | N/A | C | 0 | 3 GORHAM ROAD HAMILTON HM 08 | HAMILTON | BD | BD | |||||
| GBMD INC | |||||||||||||
| 6701 NORTH CHARLES STREET | BALTIMORE | MD | 21204 | 521914558 | HEALTHCARE | MD | N/A | C | 0 | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (3 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| GREATER BALTIMORE MEDICAL CENTER INC | ||
| C | $50,000 | COST |
| GREATER BALTIMORE MEDICAL CENTER INC | ||
| M | $260,004 | COST |
| GREATER BALTIMORE MEDICAL CENTER INC | ||
| S | $217,360 | COST |
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