2014-05-15T08:49:09-05:00 2013-06-30 861065772 DELOITTE TAX LLP 1750 TYSONS BLVD MCLEAN VA 221024219 990 2012-07-01 521851251 Gilchrist Hospice Care Inc GILC 4438498290 11311 McCormick Road No 350 Hunt Valley MD 21031 Catherine Y Hamel 4438492000 2014-05-15 1 Yvette L Woods P00364424 7032511000 2012 2015-11-30 17:44:51Z John B Chessare MD 6701 North Charles St Baltimore MD 21204 53405179 0 X www.gilchristhospice.org X 1993 MD Develop, own, manage and operate a hospice program and provide hospice care research and education. 24 20 457 400 0 0 2755512 3374630 38088794 39094530 1968390 2229657 210721 30444 43023417 44729261 0 338958 0 0 27529566 28164152 0 0 656670 11585380 11257129 39114946 39760239 3908471 4969022 78778767 90408085 4806472 5041337 73972295 85366748 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. 1 0 19737412 338958 29648239 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 provide care for an average of 533 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 FY2013, GHC provided end of life services for more than 4,755 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 30,000 terminally-ill individuals in Central Maryland and grief support for thousands of family members and caregivers. 10732347 9011234 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 FY2013, Gilchrist provided inpatient care to an average of 40 patients day. 810146 435057 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. Gilchrist provided care for an average of 9 children a day in fiscal year 2013. 31279905 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 60 7 1 457 1 0 0 0 0 0 0 0 0 0 0 0 X 24 20 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 1.00 0.00 X 0 0 0 Ms Jana Burch 1.00 0.00 X 0 0 0 Gary I Cohen MD 1.00 39.00 X 0 830583 38861 Mr Kevin R Dunbar 1.00 0.00 X 0 0 0 Mr Ronald L Erye 1.00 0.00 X 0 0 0 Mr Richard Huether 1.00 0.00 X 0 0 0 Ms Jo Ann C Jolivet 1.00 0.00 X 0 0 0 Mr James W Lee 1.00 0.00 X 0 0 0 Mr John Mangione 1.00 0.00 X 0 0 0 Redonda G Miller MD 1.00 0.00 X 0 0 0 Ms Mary Mullan 1.00 0.00 X 0 0 0 Ms Connie Pitcher 1.00 0.00 X 0 0 0 Mr Stuart K Rogers 1.00 0.00 X 0 0 0 Mr Rev Philip Roulette 1.00 0.00 X 0 0 0 Mr Stuart A Smith III 1.00 0.00 X 0 0 0 Mr John A Spilman IV 1.00 0.00 X 0 0 0 Ms Mary Ellen Thomsen 1.00 0.00 X 0 0 0 Ms Barbara H Wolf 1.00 0.00 X 0 0 0 John B Chessare MD 5.00 35.00 X X 0 735517 204279 Ms Catherine Y Hamel 34.00 6.00 X X 0 220400 55024 Mr Benjamin F Lucas II 1.00 3.00 X X 0 0 0 Ms Elizabeth Richardson 1.00 0.00 X X 0 0 0 Mr George Santos 1.00 0.00 X X 0 0 0 Mr W Lee Thomas 1.00 0.00 X X 0 0 0 Mr George E Bayless III 1.00 39.00 X 0 266709 66032 Ms Regina Bodnar 40.00 0.00 X 165811 0 39165 Mr Eric L Melchior 3.00 37.00 X 0 863032 39795 Ms Lori D Mulligan 40.00 0.00 X 155576 0 16565 Mr Keith R Poisson 1.00 39.00 X 0 469007 125592 W Anthony Riley MD 20.00 20.00 X 0 366180 39020 Mr Robert W Barth Jr 40.00 0.00 X 140901 0 10598 Ms Carol ACarico 40.00 0.00 X 109660 0 28626 Ms Nancy L Gerick 40.00 0.00 X 109055 0 10706 Ms Sarah J Rech 40.00 0.00 X 110475 0 16292 Ms Paula M Schaffer 40.00 0.00 X 114080 0 40810 Mr Laurence Merlis 1.00 3.00 X 0 860775 0 905558 4612203 731365 11 1 1 0 Bio Medical Recovery Systems 1613 Robin Circle Ste D E Forest Hill MD 21050 Waste Management 380454 Procare Ambulance of Md PO Box 6816 Towson MD 21285 Ambulance 354228 Cleannet of Baltimore 9861 Broken Land Parkway Columbia MD 21046 Cleaning Services 181788 Cerner 2800 Rockcreek Parkway Kansas City MO 64117 Software Maintainence/Support 153481 Maxim Healthcare Services 12558 Collections Ctr Dr Chicago IL 60693 Staffing 153481 6 5504 459728 72000 2837398 3374630 Hospice Care Homecare 621400 30083296 30083296 Hospice Care Inpatient 621400 9011234 9011234 39094530 990468 990468 9658815 8419626 1239189 1239189 1239189 229671 459728 236292 -6621 -6621 57065 20000 37065 37065 44729261 39094530 0 2260101 338958 338958 377117 377117 23085084 19396210 3272881 415993 846056 239841 594895 11320 2309206 1694215 572645 42346 1546689 1299366 218401 28922 122413 122413 24949 24949 1195523 797840 397683 294822 444 292126 2252 3502225 3261879 158146 82200 550285 550285 652949 556581 96368 7953 2405 5548 1149929 926787 223142 Equip. Rental, repairs 1751606 1679769 59211 12626 Other 854389 64173 740740 49476 Purchased Services 676260 645153 19572 11535 Telecommunication 458202 360660 97542 15624 15624 39760239 31279905 7823664 656670 2161 2300 4144783 7025222 1713382 1742952 4878792 5518420 25236 54371 248895 139729 19831056 9981706 10828220 9849350 54741360 63628097 2195938 2447644 78778767 90408085 4134721 4426933 671751 614404 4806472 5041337 X 58961028 68362459 3995020 5909315 11016247 11094974 73972295 85366748 78778767 90408085 4969022 6425431 0 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 12073230 78727 2044963 756000 13440920 12011124 630606 240733 809233 12073230 10037523 336020 2237581 600000 12011124 8628776 -21567 1930314 500000 10037523 11932874 48456 -2973863 378691 8628776 0.82550 0.17450 0 0 28630 28630 8815164 5262794 3552370 97160 52812 44348 940375 473666 466709 9949727 4192434 5757293 9849350 Owed to GBMC 614404 614404 X 51410984 6425431 256292 6681723 44729261 0 44729261 40016531 256292 256292 39760239 0 39760239 Description of Intended Use of Endowment Funds: Part V, Line 4: 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. Description of Uncertain Tax Positions Under FIN 48: 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, 2013 and 2012 for uncertain tax positions. Part XI, Line 2d - Other Adjustments: Event Expense, netted from revenue 256,292. Part XII, Line 2d - Other Adjustments: Event Expense, netted from revenue 256,292. Taste of Howard Cty 215718 110334 105384 10289 22376 Holly Ball 473681 349394 124287 115217 17789 70621 689399 459728 229671 125506 17789 92997 236292 -6621 57065 20000 0 57065 20000 20000 37065 MD 1 0 0 0 1.00000 Mrs Lori Mulligan 11311 McCormick Rd Suite 350 Hunt Valley MD 21031 0 Mrs Lori Mulligan 155576 See Schedule G, Part IV X 0 Schedule G, Part III, Line 16, Description of Services Provided: One of Mrs. Lori Mulligan's responsibilities as Director of Development is to manage gaming activity. Mulligan's salary reflects her overall compensation as Sr. 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) 338958 To fund GBMC's palliative care program 1 0 Procedure for Monitoring Grants in the U.S.: Part I, Line 2: Schedule I, Part I, Line 2: Gilchrist provides contribution to GBMC to support Pallative Care services provided at GBMC. Gilchrist COO has adminstrative responsibilty over GBMC's Pallative Care services, therefore, monitoring the use of grant provided by Gilchrist to GBMC. 0 1 0 0 0 0 0 0 0 Gary I Cohen MD 0 223268 0 601835 0 5480 0 15850 0 23011 0 869444 0 0 John B Chessare MD 0 651193 0 59289 0 25035 0 175412 0 28867 0 939796 0 0 Ms Catherine Y Hamel 0 179200 0 30230 0 10970 0 17937 0 37087 0 275424 0 0 Mr George E Bayless III 0 224759 0 32303 0 9647 0 35401 0 30631 0 332741 0 0 Ms Regina Bodnar 150936 0 13534 0 1341 0 5260 0 33905 0 204976 0 0 0 Mr Eric L Melchior 0 397105 0 423950 0 41977 0 15850 0 23945 0 902827 0 278334 Ms Lori D Mulligan 139083 0 15756 0 737 0 4872 0 11693 0 172141 0 0 0 Mr Keith R Poisson 0 381781 0 60239 0 26987 0 93762 0 31830 0 594599 0 0 W Anthony Riley MD 0 299505 0 64230 0 2445 0 15850 0 23170 0 405200 0 0 Mr Robert W Barth Jr 127292 0 13609 0 0 0 7164 0 3434 0 151499 0 0 0 Ms Paula M Schaffer 113756 0 230 0 94 0 6899 0 33911 0 154890 0 0 0 Mr Laurence Merlis 0 0 0 860775 0 0 0 0 0 0 0 860775 0 860775 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 II, 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 $170,512, Paid $0 Mr. George E. Bayless, III: Earned $23,129, Paid $0 Ms. Catherine Y. Hamel: Earned $6,088, Paid $0 Mr. Eric L. Melchior: Earned $0, Paid $278,334 Mr. Keith R. Poisson: Earned $80,362, Paid $0 Mr. Lawerence Merlis: Earned $0, Paid $860,775 John A Spilman IV Assistant Treasurer 54099 See Part V 0 John A. Spilman IV is a managing partner at Brown Advisory Securities, LLC. The firm provides investment management services to Gilchrist. New Program Services Form 990, Part III, line 2 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 -palliative (comfort oriented) care -pain management -symptom control -and emotional support In addition to enhancing the child's care, Gilchrist Kids provides grief support and counseling to surviving family and friends. 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 0 1 0 0 1 0 0 0