2015-05-12T15:21:42-05:00 2014-06-30 861065772 DELOITTE TAX LLP 1750 TYSONS BLVD MCLEAN VA 221025971 990 2013-07-01 521851251 Gilchrist Hospice Care Inc GILC 4438498290 11311 McCormick Road No 350 Hunt Valley MD 21031 Eric L Melchior EVP/CFO 4438498290 2015-05-12 1 Yvette L Woods P00364424 7032511000 2013 2016-02-25 16:41:14Z Catherine Y Hamel 11311 McCormick Road No 350 Hunt Valley MD 21031 58935762 0 X www.gilchristhospice.org X 1993 MD Develop, own, manage and operate a hospice program and provide hospice care research and education. 22 19 491 450 0 0 3374630 3194442 39094530 38289570 2229657 7164985 30444 12205 44729261 48661202 338958 390858 0 0 28164152 28438618 0 0 660499 11257129 11255506 39760239 40084982 4969022 8576220 90408085 102199289 5041337 4679176 85366748 97520113 X Gilchrist Hospice Care is organized and operated exclusively as a nonprofit charitable and educational organization within the meaning of section 501(c)(3) of the Internal Revenue Code for the following purposes: (1) To develop, own, manage, and operate a hospice program providing inpatient and outpatient hospice services including operating an inpatient facility for the benefit of the terminally ill individuals and their families and other caregivers, and to provide other health related services; (2) To provide research and education about hospice care to the public and the healthcare community; (3) 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. 0 0 21000110 390858 28736171 Gilchrist Hospice Care (GHC) was founded in 1994 as a home hospice organization and that function remains at the core of our mission of providing the finest in end of life care. Each day, we provided care for an average of 518 patients, nearly 95 percent of whom are cared for in their homes or in long-term care facilities in which they reside. Patients are offered a wide-array of services that are provided by members of an interdisciplinary team that includes a physician, a registered nurse, a hospice aide, a social worker and a chaplain, as well as volunteers. After the death of a loved one, bereavement counselors provide counseling and support for patient families and the community at-large. During FY2014, GHC provided end of life services for more than 3,106 patients in Baltimore City and Baltimore, Carroll, Harford and Howard Counties. In the years since our founding, we have provided quality, compassionate hospice care for more than 40,000 terminally-ill individuals in Central Maryland and grief support for thousands of family members and caregivers. 9693635 8991125 Situated atop rolling hills in the heart of Towson, Gilchrist Center is designed to provide the highest-level acute inpatient hospice care in a home-like setting. Patients with pain or symptoms that are difficult to manage in their homes are referred to Gilchrist Center for care and many Gilchrist patients spend their last days or hours in the renowned facility, which allows patient families and friends to visit 24 hours a day, seven days a week. The facility opened with 24 patient rooms in 1996 and was expanded, in 2009, to 34 patient rooms due to increased demand for inpatient services. In 2011, Gilchrist expanded inpatient services to Howard County by opening a 10 patient room facility. During FY2014, Gilchrist provided inpatient care to an average of 39 patients day. 873482 562275 Gilchrist Hospice Care recognized that there was a need to provide the finest in end of life care for infants and children and for all those who love them, therefore, Gilchrist Kids program was started. Gilchrist Kids' goal is to help any child "live well" during their last months, weeks and days and to provide their loved ones with the support they need during their most difficult time. By providing relief from physical, emotional, social, and spiritual suffering, we enhance the quality of life for seriously ill children and their families.Our pediatric home hospice program cares for infants, children, teens, and young adults with life-limiting illnesses or injuries and is focused on (SEE SCHEDULE O)- palliative (comfort oriented) care- pain management- symptom control- and emotional supportIn addition to enhancing the child's care, Gilchrist Kids provides grief support and counseling to surviving family and friends. 31567227 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 0 0 0 0 0 0 1 1 0 1 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 1 61 1 1 491 1 0 0 0 0 0 0 0 0 0 0 0 X 22 19 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 MD X X Eric Melchior 4438492000 6701 North Charles Street Baltimore MD 21204 Mr Theodore W Bauer Director 1.00 0.00 X 0 0 0 Gary I Cohen MD Director/GBMC Healthcare Med. Dir. 1.00 39.00 X 0 691006 32470 Mr Kevin R Dunbar Director 1.00 0.00 X 0 0 0 Mr Ronald L Erye Director 1.00 0.00 X 0 0 0 Mr Richard D Huether Director 1.00 0.00 X 0 0 0 Ms Jo Ann C Jolivet Director 1.00 0.00 X 0 0 0 Mr James W Lee Director 1.00 0.00 X 0 0 0 Mr John Mangione Director 1.00 0.00 X 0 0 0 Redonda G Miller MD Director 1.00 0.00 X 0 0 0 Ms Mary Mullan Director 1.00 0.00 X 0 0 0 Ms Constance Pitcher Director 1.00 0.00 X 0 0 0 Mr Staurt K Rogers Director(Left 10/2013) 1.00 0.00 X 0 0 0 Rev Philip Roulette Director 1.00 0.00 X 0 0 0 Ms Lorraine G Schapiro Director 1.00 0.00 X 0 0 0 Mr Stuart A Smith III Director 1.00 0.00 X 0 0 0 Ms Mary Ellen Thomsen Director 1.00 0.00 X 0 0 0 Ms Jana Burch Vice Chair 1.00 0.00 X X 0 0 0 John B Chessare MD President/CEO GBMC Healthcare 1.00 39.00 X X 0 787462 199214 Ms Catherine Y Hamel Exec Director and COO 20.00 20.00 X X 0 225103 55103 Mr Benjamin F Lucas II Chair 1.00 3.00 X X 0 0 0 Ms Elizabeth Richardson Secretary 1.00 0.00 X X 0 0 0 Mr John A Spilman IV Asst. Treasurer 1.00 0.00 X X 0 0 0 Mr W Lee Thomas Treasurer 1.00 0.00 X X 0 0 0 Mr Eric L Melchior EVP & CFO GBMC Healthcare 1.00 39.00 X 0 659084 41644 Mr Keith R Poisson EVP & COO GBMC Healthcare 3.00 37.00 X 0 1062888 123575 Mr George E Bayless III VP Finance GBMC Healthcare 1.00 39.00 X 0 442147 61540 Ms Regina Bodnar Administrative Director 40.00 0.00 X 158077 0 35239 Ms Lori D Mulligan Sr. Director of Development 40.00 0.00 X 155472 0 21102 W Anthony Riley MD Medical Director 20.00 20.00 X 0 346427 33757 Mr Rober W Barth Jr Controller 40.00 0.00 X 0 138404 8691 Ms Anne M Evans Director of Business Development 40.00 0.00 X 149502 0 21853 Ms Paula M Schaffer Nurse 40.00 0.00 X 0 110604 15961 Ms Linda N Simon Director of Quality 40.00 0.00 X 0 106582 16295 Ms Sarah J Rech Clinical Manager 40.00 0.00 X 0 108823 17871 463051 4678530 684315 14 0 1 0 Procare Ambulance of MD PO Box 6816 Towson MD 21285 Ambulance 342304 Ainsley & Co LLC 720 S Montford Avenue Suite 101 Baltimore MD 21224 Advertising 262986 Bio Medical Recovery Systems 1613 Robin Circle Ste D E Forest Hill MD 21050 Waste Management 249600 Cerner 2800 Rockcreek Parkway Kansas City MO 64117 Software Maintainence/Support 193607 Cleannet of Baltimore 9861 Broken Land Parkway Columbia MD 21046 Cleaning 181974 8 7921 195887 773750 2216884 3194442 Hospice Care Homecare 621400 28736170 28736170 Hospice Care Inpatient 621400 8991125 8991125 Gilchrist Kids 621400 562275 562275 38289570 1477391 1477391 15916757 10229163 5687594 5687594 5687594 31480 195887 35397 -3917 -3917 26122 10000 16122 16122 48661202 38289570 0 7177190 390858 390858 373547 373547 23506517 19527285 3507572 471660 703835 240867 449661 13307 2266175 1681832 544735 39608 1588544 1369380 185781 33383 146330 146330 44529 44529 1082109 859521 222588 288867 1865 286814 188 3416816 3166351 208021 42444 550252 550252 691918 621088 70830 24116 2414 21702 1130781 921910 208871 Equip. Rental, Repairs 1651492 1577895 52045 21552 Other 903446 78561 802557 22328 Purchased Services 719645 684159 19457 16029 Telecommunication 589581 427617 161964 0 15624 15624 40084982 31567227 7857256 660499 2300 2300 7025222 10020283 1742952 1422685 5518420 5519262 54371 85858 139729 489242 20183041 11112488 9849350 9070553 63628097 74949507 2447644 639599 90408085 102199289 4426933 3923408 614404 755768 5041337 4679176 X 68362459 78266961 5909315 7590980 11094974 11662172 85366748 97520113 90408085 102199289 8576220 3577145 0 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 13440920 567197 2483526 756000 15735643 12073230 78727 2044963 756000 13440920 12011124 630606 240733 809233 12073230 10037523 336020 2237581 600000 12011124 8628776 -21567 1930314 500000 10037523 0.74000 0.26000 0 0 28630 28630 13438788 5968055 7470733 97160 56360 40800 889189 498328 390861 5729274 4589745 1139529 9070553 Owed to GBMC 755768 755768 X 52283744 3577145 3577145 48706599 -45397 -45397 48661202 40130379 0 40130379 -45397 -45397 40084982 Part V, Line 4: Gilchrist Hospice Care endowment funds are used for uncompensated care which includes bereavement expenses, financial assistance, and any loss associated with inpatient care as a result of uncompensated care. Also, there is an endowment fund to support Gilchrist Kids program. 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, 2014 and 2013 for uncertain tax positions. Part XI, Line 4b - Other Adjustments: Event Expense, netted from revenue -45,397. Part XII, Line 4b - Other Adjustments: Event Expense, netted from revenue -45,397. Taste of Howard Cty 227367 195887 31480 8330 27067 227367 195887 31480 8330 27067 35397 -3917 26122 10000 1 0.25000 26122 10000 10000 16122 MD 1 0 0 0 1.00000 Mr David Drake 11311 McCormick Rd Suite 350 Hunt Valley MD 21031 0 Mr David Drake 107100 See Schedule G, Part IV X 0 Schedule G, Part III, Line 16, Description of Services Provided: One of Mr. David Drake's responsibilities as Director of Development is to manage gaming activity. Drake's salary reflects his overall compensation as Director of Development and not only as a gaming manager. 1 GBMC Foundation Inc 6701 North Charles Street Baltimore MD 21204 521411935 501(c)(3) 317611 To fund GBMC's palliative care program Global Partners in Care (FHSSA) 1731 King Street Alexandria VA 22314 161590512 501(c)(3) 71647 Assistance to our partner hospice in Tanzania, Africa 2 0 Part I, Line 2: Gilchrist provides contributions to GBMC Foundation to support Pallative Cares services provided at GBMC. Gilchrist COO has administrative responsibility over GBMC's Pallative Care services, therefore, she is monitoring the use of the grant provided by Gilchrist to GBMC. Gilchrist provides contributions to Global Partners which supports Hospice program in Africa. Gilchrist monitors its funding through monthly email communication and quarterly accounting of expenses. Gilchrist staff periodically take trips to Africa to exchange information a view the needs of the organization. 0 1 0 0 0 0 0 0 0 Gary I Cohen MD Director/GBMC Healthcare Med. Dir. 0 580181 0 110033 0 792 0 8750 0 23720 0 723476 0 0 John B Chessare MD President/CEO GBMC Healthcare 0 645209 0 117218 0 25035 0 169454 0 29760 0 986676 0 0 Ms Catherine Y Hamel Exec Director and COO 0 179526 0 34607 0 10970 0 18030 0 37073 0 280206 0 0 Mr Eric L Melchior EVP & CFO GBMC Healthcare 0 397335 0 227756 0 33993 0 16400 0 25244 0 700728 0 44969 Mr Keith R Poisson EVP & COO GBMC Healthcare 0 377570 0 661993 0 23325 0 94015 0 29560 0 1186463 0 585212 Mr George E Bayless III VP Finance GBMC Healthcare 0 224877 0 212311 0 4959 0 30440 0 31100 0 503687 0 179445 Ms Regina Bodnar Administrative Director 153695 0 3005 0 1377 0 1377 0 33862 0 193316 0 0 0 Ms Lori D Mulligan Sr. Director of Development 150279 0 4402 0 791 0 9341 0 11761 0 176574 0 0 0 W Anthony Riley MD Medical Director 0 343946 0 0 0 2481 0 8750 0 25007 0 380184 0 0 Ms Anne M Evans Director of Business Development 146401 0 2825 0 276 0 2703 0 19150 0 171355 0 0 0 Part I, Line 3 Gilchrist Hospice Care relied on its parent, GBMC Healthcare, Inc., to set compensation for Gilchrist's president. GBMC Healthcare, Inc. used a compensation committee, an independent compensation consultant, a written employment contract, a compensation survey or study, and an approval by a board or compensation committee to establish the top management official's compensation. Part I, Line 4b The following individuals participate in 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: John B. Chessare, M.D.: Earned $168,128, Paid $0 Mr. George E. Bayless, III: Earned $23,074, Paid $179,445 Ms. Catherine Y. Hamel: Earned $6,082, Paid $0 Mr. Eric Melchior: Earned $0, Paid $44,969 Mr. Keith R. Poisson: Earned $80,165, Paid $585,212. John A Spilman IV Assistant Treasurer 56856 See Part V 0 John Mangione Board member 385230 See Part V 0 Part IV, Line John A. Spilman is a managing partner at Brown Advisory Securities, LLC. The firm provides investment management services to Gilchrist. John Mangione is a part owner of Mangione Family Enterprises. This company owns Turf Valley Resort and Lorien Nursing Homes. Gilchrist rents Turf Valley Resort for an annual fundraising event. Gilchrist rents Harmony Hall space from Lorien for Gilchrist Hospice West and has patients who respite at Lorien Nursing Homes. Form 990, Part VI, Section A, line 6 The Board of Directors of GBMC Healthcare, Inc. is the governing body for the organization. GBMC Healthcare, Inc. is the parent corporation and sole stockholder of the organization. The business and affairs of the organization are managed under the direction of its Board of Directors except as reserved to the stockholder, GBMC Healthcare, Inc. in accordance with the bylaws, such as: A) To change the mission, purpose, philosophy or objectives of the organization B) To amend the bylaws of the organization C) To dissolve, to consolidate or to merge the organization D) To ratify the election of the president or other officers of the organization E) To remove the president or other officers of the organization F) To elect members of the Board of Directors of the organization G) To remove members of the Board of Directors of the organization H) To purchase, sell, or encumber with debt I) To sell all or substantially all of the organization's assets, or to undertake major expansion projects J) To approve the annual operating and capital budgets of the organization K) To appoint general counsel and the fiscal auditor of the Organization L) To set the fiscal year of the organization M) To issue additional stock, following the initial issuance of stock Form 990, Part VI, Section A, line 7a See Form 990, Part VI, Section A, Line 6 Description Form 990, Part VI, Section A, line 7b See Form 990, Part VI, Section A, Line 6 Description Form 990, Part VI, Section B, line 11 The Audit Committee of Gilchrist Hospice Care, Inc.'s supported parent organization, GBMC Healthcare, Inc. reviews and approves this Form 990. A copy of the Form 990 is provided to the Board of Directors of GBMC Healthcare, Inc. 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 the General In-House Counsel and appropriate action is taken, if necessary. A summary of disclosures is provided to the Audit 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. 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 0 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 0 GBMC Healthcare Inc 6701 North Charles Street Baltimore MD 21204 521851251 Healthcare MD 501(c)(3) Line 3: 170(b)(1)(a) N/A 0 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 0 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 0 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 0 Diversified Health Services Inc 6701 North Charles Street Baltimore MD 21204 521331933 Health Services MD 501(c)(3) Line 9: 509(a)(2) GBMC Healthcare Inc 0 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 0 GBMC Medical Arts LP 6701 North Charles Street Baltimore MD 21204 521412751 Real Estate Mgt MD N/A N/A 0 0 GBMC Pavilion West Medical Arts Limited 6701 North Charles Street Baltimore MD 21204 521899034 Real Estate Mgt MD N/A N/A 0 0 Greater Baltimore Diagnostic Imaging Partnership 6701 North Charles Street Baltimore MD 21204 521561640 Imaging Services MD N/A N/A 0 0 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 Co. 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 3 Gorham Road Hamilton HM 08 BD 980413102 Captive BD N/A C 0 GBMD Inc 6701 North Charles Street Baltimore MD 21204 521914558 Healthcare MD N/A C 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 0