2017-02-02T10:39:02-06:00 2016-06-30 521197902 MULLEN SONDBERG WIMBISH & STONE PA 2553 HOUSLEY ROAD SUITE 200 ANNAPOLIS MD 214016751 990 2015-07-01 521227747 TALBOT HOSPICE FOUNDATION INC TALB 4108226681 586 CYNWOOD DRIVE EASTON MD 216013805 DIANE ROHMAN BOARD PRESIDENT 4108226681 2017-02-02 1 MICHELE L MOORE CPA P00740046 4102244920 2017-02-02 2015 2021-01-29 14:40:06Z DIANE ROHMAN 586 CYNWOOD DRIVE EASTON MD 216013805 5425060 0 X WWW.TALBOTHOSPICE.ORG X 1981 MD HOSPICE PROGRAM FOR TERMINALLY ILL. 24 24 57 132 0 0 1520911 926911 545078 1406819 160632 204783 17885 9511 2244506 2548024 0 0 0 0 1659210 1951355 0 0 305867 716570 1218098 2375780 3169453 -131274 -621429 11770740 9929316 1189162 105077 10581578 9824239 HOSPICE PROGRAM FOR TERMINALLY ILL. 0 0 2341601 1406819 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. 2341601 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 3 0 1 57 1 0 0 0 0 0 0 0 0 X 24 24 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 ALBERT L SMITH DIRECTOR,EMERITUS 1.00 X 0 0 0 JOHN THOMAS SMITH II SECRETARY 2.00 X X 0 0 0 CAMILLE M PASSARELLA VICE PRESIDENT 2.00 X X 0 0 0 ADDIE C ECKARDT DIRECTOR 1.00 X 0 0 0 CECILIA KOONS DIRECTOR 1.00 X 0 0 0 CHILDLENE R BROOKS DIRECTOR 1.00 X 0 0 0 W LEE PHILLIPS DIRECTOR 1.00 X 0 0 0 REV KEVIN M CROSS DIRECTOR 1.00 X 0 0 0 WILLIAM R ROLLE DIRECTOR 1.00 X 0 0 0 LYNN H SANCHEZ DIRECTOR 1.00 X 0 0 0 KATHY H FOSTER DIRECTOR 1.00 X 0 0 0 HYNDA B DALTON DIRECTOR 1.00 X 0 0 0 JOHN R MERCERON DIRECTOR 1.00 X 0 0 0 JOYCE R PHILIP DIRECTOR 1.00 X 0 0 0 SUSAN PIGGOTT PRESIDENT 1.00 X X 0 0 0 ANTHONY J PRINCIPI TREASURER 1.00 X X 0 0 0 JACK ANTHONY DIRECTOR 1.00 X 0 0 0 JAMES GIESKE MD DIRECTOR 1.00 X 0 0 0 PATRICIA ROCHE DIRECTOR 1.00 X 0 0 0 EMILIE JOSHI DIRECTOR 1.00 X 0 0 0 DIANE ROHMAN DIRECTOR 1.00 X 0 0 0 TOM D SEIP DIRECTOR 1.00 X 0 0 0 ADRIENNE W RUDGE DIRECTOR 1.00 X 0 0 0 SHEILA B MONAHAN DIRECTOR 1.00 X 0 0 0 MARY ELLEN SHEA CHIEF EXECUTIVE DIRECTOR 40.00 X 104903 0 0 VIVIAN DODGE EXECUTIVE DIRECTOR/CEO 40.00 X 0 0 0 104903 0 0 1 0 0 0 WILLOW CONSTRUCTION LLC 400 MARYLAND AVENUE PO BOX 521 EASTON MD 21601 CONSTRUCTION CONTRACTOR 1114754 1 39265 887646 124788 926911 MEDICAL FEES/REIMBURSEMENTS 623110 1207953 1207953 ROOM AND BOARD 623110 198866 198866 1406819 144264 144264 2907346 2846827 60519 60519 60519 39720 39265 30209 9511 9511 2548024 1406819 0 214294 104903 78677 15736 10490 1499692 1148767 188435 162490 25435 19459 3789 2187 204292 156283 30440 17569 117033 89530 17438 10065 39702 39702 33993 33993 196392 178543 16362 1487 28613 21127 6603 883 63767 34785 13678 15304 24502 14527 7058 2917 22263 22263 19326 13225 3329 2772 49002 29058 14113 5831 151957 90110 43764 18083 42281 28888 9093 4300 MEDICAL SUPPLIES 139855 139855 LICENSING CERTIFICATION 127478 73502 39227 14749 EQUIPMENT 107383 85617 15402 6364 REPAIRS AND MAINTENANCE 51954 30809 14963 6182 119630 86576 8860 24194 3169453 2341601 521985 305867 128935 218057 43143 3476 1137489 739280 333205 199237 6387 18380 6213620 788298 4448557 5425322 61697 5611327 3325564 11770740 9929316 459001 95292 730161 9785 1189162 105077 X 9079934 8732411 1207152 792211 294492 299617 10581578 9824239 11770740 9929316 -621429 -135910 0 X X 0 1 X 1 0 X 2644835 1159813 922775 1520911 926911 7175245 2644835 1159813 922775 1520911 926911 7175245 1237293 5937952 145200 167429 171997 157221 144264 786111 46619 2524 44421 93564 8054920 2579738 0.73720 0.76000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 5672632 522484 34648 2812808 3416956 6080811 656493 103387 1168059 5672632 5554991 2750 785519 262449 6080811 5130615 63072 610619 249315 5554991 4899492 616438 -33290 352025 5130615 0.89680 0.08770 0.01550 0 0 280517 280517 5293318 510272 4783046 143905 52675 91230 495880 225351 270529 5425322 COMMON TRUST FUNDS 3325564 F 3325564 X 2378120 -135910 -135910 2514030 33994 33994 2548024 3135460 0 3135460 33993 33993 3169453 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, 2013 REMAIN SUBJECT TO EXAMINATION BY FEDERAL AND STATE AUTHORITIES. BARN DANCE 48400 33900 14500 80 5213 4270 660 5613 ROCK THE BLOCK 14040 14040 7575 397 3 16545 5365 11180 6401 78985 39265 39720 80 12788 4270 660 12411 30209 9511 X 10 120756 FAIR MARKET VALUE X LANDSCAPING 1 4032 FAIR MARKET VALUE 0 1 0 FORM 990, PART VI, SECTION B, LINE 11 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 11D, 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 139000 CASH