2015-05-14T08:27:50-05:00 2014-06-30 ERNST & YOUNG US LLP 111 MONUMENT CIRCLE SUITE 4000 INDIANAPOLIS IN 46204 990 2013-07-01 521164513 Hospice of Frederick County Inc % Michelle Mahan HOSP 2405663030 PO BOX 1799 Suite FREDERICK MD 21705 Michelle K Mahan CFO 2015-05-13 JENNIFER L LYNCH P01255855 2013 2016-02-25 16:41:14Z Laurel Cucchi PO Box 1799 Frederick MD 21705 3292436 false X WWW.HOSPICEOFFREDERICKCO.COM X 1981 MD PROVIDE AND PROMOTE HOSPICE CARE FOR PEOPLE WHO ARE TERMINALLY ILL AND FOR THEIR FAMILIES. IT SERVES AS A FUNDRAISING ORG. FOR THE BENEFIT OF HOSPICE SVCS. AND THE KLINE HOUSE. 11 8 0 50 0 710342 979996 237820 202260 165163 353325 20434 18164 1133759 1553745 0 0 0 0 0 0 0 0 15453 1160474 1196548 1160474 1196548 -26715 357197 4061148 4472459 198789 68551 3862359 4403908 X THE PURPOSE OF THE HOSPICE OF FREDERICK COUNTY, INC. IS TO PROVIDE AND PROMOTE HOSPICE CARE FOR INDIVIDUALS WHO ARE TERMINALLY ILL AND FOR THEIR FAMILIES. HOSPICE OF FREDERICK COUNTY, INC. OPERATES AS A FUNDRAISING ORGANIZATION FOR THE BENEFIT OF HOSPICE SERVICES AND OPERATES THE KLINE HOSPICE HOUSE. false false 1069855 0 202260 THE PURPOSE OF THE HOSPICE OF FREDERICK COUNTY, INC. IS TO PROVIDE AND PROMOTE HOSPICE CARE FOR INDIVIDUALS WHO ARE TERMINALLY ILL AND FOR THEIR FAMILIES. HOSPICE OF FREDERICK COUNTY, INC. OPERATES AS A FUNDRAISING ORGANIZATION FOR THE BENEFIT OF HOSPICE SERVICES AND OPERATES THE KLINE HOSPICE HOUSE. 1069855 true true false false false false false false false false true false false false false false false true false false false false false false true false false false false true false false false false false false false false false false false false false true true true false false true 0 0 0 false false false false false true true false false false false X 11 8 false false false false true true true true true false false true true true true true true false false false MD X Michelle Mahan 2405663300 400 West Seventh Street Frederick MA 21701 Timothy A Gibian PsyD President 2.0 0.0 X X 0 0 0 Kimball Firestone end 82013 Director 1.0 0.0 X 0 0 0 William Haugh Director 2.0 0.0 X Carmen Hernandez MD Director 1.0 0.0 X Thomas Kleinhanzl Director 5.0 40.0 X 0 792072 181505 Carl Miller Director 4.0 0.0 X Ricky Sandy VICE PRESIDENT 1.0 0.0 X 0 0 0 Douglas Stauffer Director 2.0 0.0 X John Verbus Director 4.0 40.0 X 0 424866 56369 Mark Goldstein MD Director 2.0 40.0 X 0 448233 25532 Rev Timothy May Secretary 2.0 0.0 X X 0 0 0 Denise Rollins end 82013 Director 2.0 0.0 X 0 0 0 Don Butt Jr Treasurer 2.0 0.0 X X 0 0 0 Laurel Cucchi Director (operations) 55.0 0.0 X 0 108943 16196 Michelle Mahan Chief Financial Officer - FMH 1.0 40.0 X 0 428706 61785 0 2202820 341387 0 false true false 0 236700 743296 0 979996 inpatient - hospice house 623110 202260 202260 0 0 202260 112306 112306 0 0 0 0 0 1951224 1710205 241019 241019 241019 46650 236700 28486 18164 18164 0 0 0 1553745 202260 0 371489 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30695 0 30695 0 0 0 0 0 0 0 0 0 110012 68606 34370 7036 0 0 0 0 0 0 0 0 11779 11779 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 61709 61709 0 0 0 0 0 0 MEDICAL SUPPLIES 108860 91382 10878 6600 RELATED PARTY FEES SVCS 873493 836379 35297 1817 1196548 1069855 111240 15453 0 0 0 253298 224641 0 0 100603 95915 0 0 0 0 0 0 0 0 441 0 1698496 897895 862310 800601 2844496 3351302 0 0 0 0 0 0 0 0 4061148 4472459 198789 68551 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 198789 68551 X 3862359 4403908 0 0 0 0 3862359 4403908 4061148 4472459 357197 184352 X false true X true false X 503618 602502 1511719 710342 979996 4308177 111543 226491 266420 237820 202260 1044534 207015 49689 250326 47655 46650 601335 0 0 822176 878682 2028465 995817 1228906 5954046 0 0 0 0 0 0 181863 2482 1024044 46936 229797 1485122 181863 2482 1024044 46936 229797 1485122 4468924 41010 38581 67173 100816 112306 359886 0 41010 38581 67173 100816 112306 359886 0 0 863186 917263 2095638 1096633 1341212 6313932 0.70779 0.64409 0.05700 0.05314 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 145000 145000 1175507 566373 609134 227799 213340 14459 150190 118182 32008 800601 GOURMET TASTE 69915 29600 40315 1440 266 GOLF TOURNEY 213435 207100 6335 17054 9726 0 283350 236700 46650 18494 9992 28486 18164 false true false false false false false false false Thomas Kleinhanzl Director 0 575212 0 212603 0 4257 0 168150 0 13355 0 973577 0 452082 John Verbus Director 0 350449 0 72095 0 2322 0 47616 0 8753 0 481235 0 0 Michelle Mahan Chief Financial Officer - FMH 0 353041 0 73343 0 2322 0 46569 0 15216 0 490491 0 0 Mark Goldstein MD Director 0 246903 0 201114 0 216 0 10434 0 15098 0 473765 0 0 Form 990, Schedule J, Part I, Line 4b FREDERICK MEMORIAL HOSPITAL HAS ONE 457(F) NON-QUALIFIED DEFERRED COMPENSATION PLAN FOR CERTAIN MEMBERS OF SENIOR MANAGEMENT. UNDER THE PLAN, THEY MAY CONTRIBUTE AMOUNTS FROM THEIR COMPENSATION TO THE PLAN AND MAY RECEIVE A DISCRETIONARY EMPLOYER CONTRIBUTION. EMPLOYEES ARE FULLY VESTED IN ALL EMPLOYEE CONTRIBUTIONS TO THE PLAN. VESTING IN EMPLOYER CONTRIBUTIONS OCCURS IN ACCORDANCE WITH THE UNDERLYING PLAN DOCUMENTS. ALL ASSETS OF THE PLAN ARE HELD IN A SEPARATE TRUST. Form 990, Part VI, Line 6 DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS FREDERICK MEMORIAL HOSPITAL, INC. IS THE SOLE MEMBER OF THE CORPORATION. Form 990, Part VI, Line 7A & 7B DESCRIPTION OF CLASSES OF PERSON AND THE NATURE OF THEIR RIGHTS THE MEMBER (FMH, INC.) SHALL TAKE THE FOLLOWING ACTIONS ON BEHALF OF THE CORPORATION: -APPOINT, AND, AS NECESSARY, REMOVE THE PRESIDENT/CEO OF THE CORPORATION; PROVIDED, HOWEVER, THAT THE MEMBER SHALL TAKE NO SUCH ACTION WITHOUT PRIOR CONSULTATION WITH THE BOARD OF DIRECTORS -FORMULATE, COMMUNICATE AND IMPLEMENT STRATEGIC PLANNING AND FINANCIAL MANAGEMENT -SELECT A FISCAL AUDITOR THE CORPORATION MAY TAKE THE FOLLOWING ACTIONS ONLY WITH THE PRIOR APPROVAL OF THE MEMBER. -EXPEND OR DIVEST ITS CAPITAL ASSETS, IF THE VALUE OF SUCH EXPENDITURE OR DIVESTITURE IS IN EXCESS OF AN AMOUNT TO BE DESIGNATED BY THE MEMBER FROM TIME TO TIME -INCUR DEBT OR GUARANTEE DEBT, IF THE AGGREGATE AMOUNT OF SUCH DEBT DURING ANY TWELVE MONTH PERIOD IS IN EXCESS OF AN AMOUNT TO BE DESIGNATED BY THE MEMBER FROM TIME TO TIME -EXPEND AMOUNTS IN EXCESS OF THE CORPORATION'S APPROVED ANNUAL OPERATING BUDGET IF SUCH AMOUNTS EXCEED AN AMOUNT TO BE DESIGNATED BY THE MEMBER FROM TIME TO TIME -DISSOLVE OR LIQUIDATE -CREATE, DISSOLVE OR DIVEST ANY SUBSIDIARY, PARTNERSHIP OR LLC -AMEND THE ARTICLES OF INCORPORATION AND/OR BYLAWS OF THE CORPORATION THE FOLLOWING SHALL NOT BE DEEMED TO HAVE TAKEN PLACE ABSENT SUBSEQUENT RATIFICATION BY THE MEMBER: -THE ADOPTION BY THE CORPORATION OF ITS ANNUAL OPERATING BUDGET OR CAPITAL BUDGET -ELECTION OR REPLACEMENT OF A DIRECTOR OR THE FILLING OF A VACANCY ON THE BOARD OF DIRECTORS -AT SUCH TIMES AS THE MEMBER DEEMS NECESSARY, AND PURSUANT TO THE VOTE OF AT LEAST TWO-THIRDS OF THE MEMBER'S DIRECTORS, REMOVE A DIRECTOR OF THE CORPORATION -CHANGE THE MISSION OF THE CORPORATION FORM 990, PART VI, LINE 11B PROCESS USED BY MANAGEMENT AND/OR GOVERNING BODY TO REVIEW 990 THE 990 IS PREPARED IN CONJUNCTION WITH OUTSIDE TAX ACCOUNTANTS AND IS REVIEWED BY UPPER MANAGEMENT PRIOR TO PROVIDING A COPY TO THE BOARD. A COPY OF THE FORM 990 WAS PROVIDED TO ALL MEMBERS OF THE BOARD PRIOR TO FILING. Form 990, Part VI, Line 12c DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST THE HOSPICE OF FREDERICK COUNTY, INC. BOARD OF DIRECTORS IS COMMITTED TO MEETING ITS FIDUCIARY RESPONSIBILITIES AND MAINTAINING ITS DUTY OF LOYALTY TO THE HOSPITAL AND THE COMMUNITY IT SERVES. TO THIS END, THE BOARD WILL EXERCISE VIGILANCE IN IDENTIFYING ANY CONFLICTS OF INTEREST. THE BOARD WILL ALSO MAINTAIN TRANSPARENCY AND OBJECTIVITY IN MAKING DECISIONS ABOUT CONFLICTS OF INTEREST SO THAT THE ORGANIZATION'S MISSION IS ALWAYS THE FIRST PRIORITY. THE CHAIRPERSON (OR VICE CHAIRPERSON IF THE CHAIR IS INVOLVED) WILL NOTIFY ALL DIRECTORS OF A REPORTED CONFLICT OF INTEREST AND WILL DECIDE WHETHER TO TAKE THE MATTER TO THE FULL BOARD TO DECIDE WHETHER A CONFLICT EXISTS AND, IF SO, TO DECIDE WHAT ACTION TO TAKE. ALTERNATIVELY, THE CHAIR PERSON WILL REFER THE MATTER TO THE GOVERNANCE COMMITTEE FOR AN IN-DEPTH EXAMINATION, SUMMARY, AND RECOMMENDATION PRIOR TO A FULL BOARD DISCUSSION AND DECISION. IF TIME IS OF THE ESSENCE, THE CHAIRPERSON WILL TAKE THE MATTER TO THE EXECUTIVE COMMITTEE, AND THE CHAIRPERSON WILL NOTIFY THE FULL BOARD OF SUCH ACTION. WHERE A CONFLICT OF INTEREST HAS BEEN IDENTIFIED THE BOARD MEMBER SHALL NOT VOTE OR BE PRESENT FOR THE DISCUSSION OR THE VOTE REGARDING THE TRANSACTION AT EITHER THE FULL BOARD, EXECUTIVE COMMITTEE, OR GOVERNANCE COMMITTEE MEETINGS EXCEPT TO ANSWER QUESTIONS THAT MAY BE ASKED OF HIM OR HER. TO PREVENT ACTUAL OR PERCEIVED INFLUENCE ON THE BOARD'S DECISION, THE CONFLICTED MEMBER IS PROHIBITED, AFTER INITIAL DISCLOSURE, FROM DISCUSSING THE CONFLICT OF INTEREST EITHER FORMALLY OR INFORMALLY WITH FELLOW DIRECTORS OR WITH MEMBERS OF THE MANAGEMENT. THERE WILL BE AN ANNUAL REVIEW OF ALL BOARD MEMBERS' AND OFFICERS' TRANSACTIONS PREPARED BY THE ADMINISTRATION AND REVIEWED BY THE GOVERNANCE COMMITTEE AND THE FULL BOARD OF DIRECTORS. AT THAT TIME, ALL DIRECTORS WILL BE REMINDED OF THE IRS INTERMEDIATE SANCTIONS REGULATION THAT ESTABLISHES EXCISE TAXES AS A SANCTION AGAINST ADMINISTRATORS AND DIRECTORS OF TAX-EXEMPT ORGANIZATIONS WHO PARTICIPATE IN 'EXCESS BENEFIT TRANSACTIONS' (E.G., UNREASONABLE HIGH EMPLOYMENT COMPENSATION OR BUSINESS DEALS). Form 990, Part VI, Line 19 PROCESS FOR MAKING DOCUMENTS AVAILABLE TO THE PUBLIC THE GOVERNING DOCUMENTS AND THE CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. FREDERICK REGIONAL HEALTH SYSTEM, INC'S CONSOLIDATED ANNUAL AUDITED FINANCIAL STATEMENTS ARE AVAILABLE AT WWW.FMH.ORG. Frederick Memorial Hospital Inc 400 West Seventh Street Frederick MD 21701 520591612 Hospital MD 501(c)(3) 3 FRHS false Frederick Regional Health System Inc 400 West Seventh Street Frederick MD 21701 454133096 Health System MD 501(c)(3) 11b na false Monocacy Health Partners LLC 400 West Seventh Street Frederick MD 21701 453007639 Physician Org MD 501(c)(3) 7 FRHS true Frederick Health Services Corp 400 West Seventh Street Frederick MD 21701 521851661 Health Care MD FMH C Corp true Frederick Surgical Services Corp 400 West Seventh Street Frederick MD 21701 521642334 Health Care MD FHSC C Corp true Monocacy Insurance LTD PO Box 1159 Grand Cayman KY1-1102 CJ 981011570 Self Insurance CJ FRHS C Corp true false false false false false false false false false false false false false false true false false false false Frederick Memorial Hospital o 869394 Direct costing