BRIDGINGLIFE INC: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- BRIDGINGLIFE INC (EIN 52-1565870)
- Tax period
- 2011-07-01 to 2012-06-30
- Filed
- 2013-05-14
- IRS object ID
- 201301349349304315
- Schema version
- 2011v1.5
- 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) |
|---|---|---|
| Timestamp | 2013-05-14T13:46:10-05:00 | Timestamp |
| Tax Period End Date | 2012-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COHEN RUTHERFORD KNIGHT PC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6903 ROCKLEDGE DRIVE SUITE 500 | AddressLine1 |
| City | BETHESDA | City |
| State | MD | State |
| ZIP Code | 208171800 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 521565870 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CARROLL HOSPICE INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of Name | % DAVID MCCORMICK | InCareOfName |
| Name Control | CARR | NameControl |
| Phone | 4108716695 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 292 STONER AVE | AddressLine1 |
| City | WESTMINSTER | City |
| State | MD | State |
| ZIP Code | 21157 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | KEVIN KELBLY | Name |
| Title | CFO | Title |
| Date Signed | 2013-05-10 | DateSigned |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | TINA C ECKLOFF | Name |
| Phone | 3018281008 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | DIANE LINK | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 535 OLD WESTMINSTER PIKE | AddressLine1 |
| City | WESTMINSTER | City |
| State | MD | State |
| ZIP Code | 21157 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 4920168 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.Carrollhospice.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1988 | YearFormation |
| State Legal Domicile | MD | StateLegalDomicile |
| Activity Or Mission Description | CARROLL HOSPICE, AN AFFILIATE OF CARROLL HOSPITAL CENTER, IS DEDICATED TO IMPROVING THE QUALITY OF LIFE FOR PATIENTS NEEDING END-OF-LIFE HOSPICE CARE. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 13 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 12 | NbrIndependentVotingMembers |
| Total Nbr Employees | 0 | TotalNbrEmployees |
| Total Nbr Volunteers | 150 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 681472 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 581474 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 3501364 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 4283299 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 0 | InvestmentIncomePriorYear |
| Investment Income Current Year | 0 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 8707 | OtherRevenuePriorYear |
| Other Revenue Current Year | 40318 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 4191543 | TotalRevenuePriorYear |
| Total Revenue Current Year | 4905091 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 3205302 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 3228645 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 260066 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 1164161 | OtherExpensePriorYear |
| Other Expenses Current Year | 1194258 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 4369463 | TotalExpensesPriorYear |
| Total Expenses Current Year | 4422903 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -177920 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 482188 | RevenuesLessExpensesCY |
| Total Assets BOY | 6750451 | TotalAssetsBOY |
| Total Assets EOY | 7032060 | TotalAssetsEOY |
| Total Liabilities BOY | 507926 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 236386 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 6242525 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 6795674 | NetAssetsOrFundBalancesEOY |
| Mission Description | CARROLL HOSPICE, AN AFFILIATE OF CARROLL HOSPITAL CENTER, IS DEDICATED TO IMPROVING THE QUALITY OF LIFE FOR PATIENTS NEEDING END-OF-LIFE HOSPICE CARE. OUR COMPREHENSIVE AND COMPASSIONATE CARE IS CENTERED AROUND A HOLISTIC PHILOSOPHY OF TREATMENT THAT ADDRESSES THE PATIENTS PHYSICAL, EMOTIONAL AND SPIRITUAL WELL-BEING, ALLOWING THEM TO LIVE AS FULLY AND COMFORTABLY AS POSSIBLE IN THEIR FINAL DAYS. OUR SERVICES INCLUDE A FULL SPECTRUM OF CARE: PAIN MANAGEMENT AND SYMPTOM CONTROL, COORDINATION OF HOME AND INPATIENT SERVICES, AN INTERDISCIPLINARY TEAM INCLUDING PHYSICIANS, NURSES, SOCIAL WORKERS, CLERGY, PHARMACISTS, HOSPICE VOLUNTEERS, AND HOME HEALTH AIDES, AND BEREAVEMENT CARE FOR FAMILY MEMBERS FOR UP TO 13 MONTHS. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 1285190 | Expense |
| Grants | 0 | Grants |
| Revenue | 1056286 | Revenue |
| Description | INPATIENT HOSPICE (DOVE HOUSE) Patients in The Dove House receive care 24 hours a day from an expert medical team dedicated to helping them live as comfortable and supported as possible. Number of patients served in FY2012 - 319. Days of care provided FY2012 - 1,517. Programs provided - Hospice education to nursing facilities, General Hospice Patient Care, Palliative Care. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 2250806 | Expense |
| Grants | 0 | Grants |
| Revenue | 3226480 | Revenue |
| Description | HOME HOSPICE Carroll Hospice provides hospice care in the patients home, nursing home or assisted living facility. Number of patients served in FY2012 - 491. Days of care provided FY2012 - 20,894. Programs provided - General Inpatient Hospice Care, Residential. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 3535996 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | true | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | false | Hospital |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transaction Related Entity | true | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 27 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 0 | NumberOfEmployees |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | true | QuidProQuoContributions |
| Quid Pro Quo Disclosure | true | QuidProQuoDisclosure |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 13 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 12 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | false | CompensationProcessCEO |
| Compensation Process Other | false | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | MD | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | DAVID MCCORMICK | NamePerson |
| Telephone Number | 4108716695 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 535 OLD WESTMINSTER PIKE SUITE 111 | AddressLine1 |
| City | Westminster | City |
| State | MD | State |
| ZIP Code | 21157 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
| No Listed Persons Compensated | X | NoListedPersonsCompensated |
Form990 Part VII Section A Form990PartVIISectionA (17 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer |
|---|---|---|---|---|---|---|
| R WAYNE BARNES | ||||||
| BOARD MEMBER | 1.0 | X | 0 | 0 | 0 | |
| SUSAN KREBS | ||||||
| BOARD MEMBER | 1.0 | X | 0 | 0 | 0 | |
| DAVID HIGHFIELD | ||||||
| VICE CHAIR | 1.0 | X | 0 | 0 | 0 | X |
| MARY DARRELL | ||||||
| BOARD MEMBER | 1.0 | X | 0 | 0 | 0 | |
| RICHARD P COYNE | ||||||
| BOARD MEMBER | 1.0 | X | 0 | 0 | 0 | |
| SHIRLYN EVANS FORD | ||||||
| BOARD MEMBER/SECRETARY | 1.0 | X | 0 | 0 | 0 | X |
| FRANK POTEPAN | ||||||
| BOARD MEMBER | 1.0 | X | 0 | 0 | 0 | |
| SCOTT MCKLEVIE | ||||||
| BOARD MEMBER | 1.0 | X | 0 | 0 | 0 | |
| MARK BLACKSTEN | ||||||
| CHAIR | 1.0 | X | 0 | 0 | 0 | X |
| FLAVIO WAINBERG KRUTER | ||||||
| BOARD MEMBER | 1.0 | X | 0 | 475016 | 9947 | |
| DENISE WHITECOTTON | ||||||
| BOARD MEMBER | 1.0 | X | 0 | 0 | 0 | |
| PHYLLIS ZUMBRUN | ||||||
| BOARD MEMBER | 1.0 | X | 0 | 0 | 0 | |
| ERIN DANZ | ||||||
| BOARD MEMBER | 1.0 | X | 0 | 0 | 0 | |
| THOMAS DALE FLETCHER | ||||||
| BOARD MEMBER | 1.0 | X | 0 | 0 | 0 | |
| DIANE LINK | ||||||
| EXECUTIVE DIRECTOR | 40.0 | 0 | 119748 | 2452 | X | |
| LESLIE R SIMMONS | ||||||
| COO | 2.0 | 0 | 329679 | 26026 | X | |
| KEVIN K KELBLY | ||||||
| CFO | 2.0 | 0 | 350751 | 28812 | X | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 0 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 1275194 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 67237 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (2 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| CARROLL CARE PHARMACIES LLC | |||||
| PO BOX 1706 | WESTMINSTER | MD | 211581706 | PHARMACEUTICALS | 296692 |
| BEVERLY ENTERPRISES-MARYLAND INC | |||||
| 1234 WASHINGTON RD | WESTMINSTER | MD | 21157 | NURSING HOME | 101076 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 2 | NumberOfContractorsGT100K |
| Fundraising Events | 88583 | FundraisingEvents |
| Related Organizations | 45000 | RelatedOrganizations |
| All Other Contributions | 447891 | AllOtherContributions |
| Noncash Contributions | 1102 | NoncashContributions |
| Total Contributions | 581474 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (4 entries)
| DescriptionDescription | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue | ExclusionExclusionAmount |
|---|---|---|---|---|
| PRIVATE | 343587 | 343587 | 0 | $0 |
| MEDICARE/MEDICAID | 3860341 | 3860341 | 0 | $0 |
| PHYSICIAN SERVICE | 78838 | 78838 | 0 | $0 |
| OTHER | 533 | 533 | 0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 4283299 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 55395 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 88583 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 15077 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 40318 | TotalRevenueColumn |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $40,318 | ExclusionAmount |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 0 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 4905091 | TotalRevenueColumn |
| Related Or Exempt Function Income | 4283299 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $40,318 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2881501 | Total |
| Program Services | 2704885 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 176616 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 347144 | Total |
| Program Services | 311821 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 35323 | Fundraising |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Fundraising | 0 | Fundraising |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10493 | Total |
| Program Services | 4094 | ProgramServices |
| Management And General | 6399 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 45270 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 43613 | ManagementAndGeneral |
| Fundraising | 1657 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 84929 | Total |
| Program Services | 1360 | ProgramServices |
| Management And General | 83569 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4760 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 4760 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1820 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 1820 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 185943 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 185943 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| TRAINING AND EDUCATION | 1148 | 0 | 1148 | 0 |
| PURCHASED SERVICES | 509967 | 263502 | 241891 | 4574 |
| FUNDRAISING | 41896 | 0 | 0 | 41896 |
| MEDICAL SUPPLIES | 256131 | 235161 | 20970 | 0 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 51901 | Total |
| Program Services | 15173 | ProgramServices |
| Management And General | 36728 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4422903 | Total |
| Program Services | 3535996 | ProgramServices |
| Management And General | 626841 | ManagementAndGeneral |
| Fundraising | 260066 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1151439 | BOY |
| EOY | 1571848 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3143 | BOY |
| EOY | 2143 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 404464 | BOY |
| EOY | 389503 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11075 | BOY |
| EOY | 12832 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 5911532 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 1158907 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4938567 | BOY |
| EOY | 4752625 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 241763 | BOY |
| EOY | 303109 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6750451 | BOY |
| EOY | 7032060 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 140298 | BOY |
| EOY | 207008 | EOY |
Grants Payable GrantsPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Escrow Account Liability EscrowAccountLiability
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Loans From Officers Directors LoansFromOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 367628 | BOY |
| EOY | 29378 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 507926 | BOY |
| EOY | 236386 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6000763 | BOY |
| EOY | 6492566 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 241762 | BOY |
| EOY | 303108 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6242525 | BOY |
| EOY | 6795674 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6750451 | BOY |
| EOY | 7032060 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 482188 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 70961 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org170b1 Avi | X | PubliclySupportedOrg170b1Avi |
Gifts Grants Contrib Received170 GiftsGrantsContribReceived170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 868082 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1045468 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 874855 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 644121 | CurrentTaxYearMinus1Year |
| Current Tax Year | 447891 | CurrentTaxYear |
| Total | 3880417 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 868082 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1045468 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 874855 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 644121 | CurrentTaxYearMinus1Year |
| Current Tax Year | 447891 | CurrentTaxYear |
| Total | 3880417 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | 3880417 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 25891 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 8237 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 0 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 0 | CurrentTaxYearMinus1Year |
| Current Tax Year | 0 | CurrentTaxYear |
| Total | 34128 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 3914545 | TotalSupport |
| Gross Receipts From Admissions Etc | 18491900 | GrossReceiptsFromAdmissionsEtc |
| Public Support Pertcentage170 | 0.99128 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.98774 | PublicSupportPertcentPriorYear |
| Thirty Three Percnt Tests CY170 | X | ThirtyThreePercntTestsCY170 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts | |
| Current Year Minus3 Years | CurrentYearMinus3Years | |
| Land | Land |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 5416180 | OtherCostOrOtherBasis |
| Depreciation | 778206 | Depreciation |
| Book Value | 4637974 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Leasehold Improvements | LeaseholdImprovements | |
| Equipment | Equipment |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 495352 | OtherCostOrOtherBasis |
| Depreciation | 380701 | Depreciation |
| Book Value | 114651 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 4752625 | TotalOfBookValueLandBuildings |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| DUE TO CARROLL HOSP CENTER | $21,405 |
| DUE TO CARROLL HOSPITAL FOUNDA | $7,973 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 29378 | TotalOfAmounts |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | TASTE OF CARROL | NameOfEvent1 |
| Gross Receipts Event1 | 126376 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 77741 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 48635 | GrossRevenueEvent1 |
| Non Cash Prizes Event1 | 2940 | NonCashPrizesEvent1 |
| Rent Facility Costs Event1 | 1773 | RentFacilityCostsEvent1 |
| Food And Beverage Event1 | 2764 | FoodAndBeverageEvent1 |
| Other Direct Expenses Event1 | 6479 | OtherDirectExpensesEvent1 |
| Name Of Event2 | SEASON TO REMEM | NameOfEvent2 |
| Gross Receipts Event2 | 17602 | GrossReceiptsEvent2 |
| Charitable Contributions Event2 | 10842 | CharitableContributionsEvent2 |
| Gross Revenue Event2 | 6760 | GrossRevenueEvent2 |
| Other Direct Expenses Event2 | 1121 | OtherDirectExpensesEvent2 |
| Total Number Of Other Events | 0 | TotalNumberOfOtherEvents |
| Gross Receipts Total | 143978 | GrossReceiptsTotal |
| Charitable Contributions Total | 88583 | CharitableContributionsTotal |
| Gross Revenue Total Events | 55395 | GrossRevenueTotalEvents |
| Non Cash Prizes Total Events | 2940 | NonCashPrizesTotalEvents |
| Rent Facility Costs Total Events | 1773 | RentFacilityCostsTotalEvents |
| Food And Beverage Total Events | 2764 | FoodAndBeverageTotalEvents |
| Other Direct Expenses Total Events | 7600 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 15077 | DirectExpenseSummaryEvents |
| Net Income Summary | 40318 | NetIncomeSummary |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | false | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (3 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| FLAVIO WAINBERG KRUTER | |||||||||||||
| 0 | 300503 | 0 | 105671 | 0 | 68842 | 0 | 0 | 0 | 9947 | 0 | 484963 | 0 | 0 |
| LESLIE R SIMMONS | |||||||||||||
| 0 | 254441 | 0 | 47184 | 0 | 28054 | 0 | 7489 | 0 | 18537 | 0 | 355705 | 0 | 0 |
| KEVIN K KELBLY | |||||||||||||
| 0 | 267672 | 0 | 52971 | 0 | 30108 | 0 | 11632 | 0 | 17180 | 0 | 379563 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | ESTABLISHING COMPENSATION | Identifier |
| Return Reference | SCHEDULE J, PART I, LINE 3 | ReturnReference |
| Explanation | CARROLL HOSPITAL CENTER COMPENSATES THE EXECUTIVE OF THE ORGANIZATION AND THE ORGANIZATION RELIES ON CARROLL HOSPITAL CENTER TO UTILIZE THE FOLLOWING METHODS IN ESTABLISHING COMPENSATION: COMPENSATION COMMITTEE, WRITTEN EMPLOYMENT CONTRACT, INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEY OR STUDY, FORM 990 OF OTHER ORGANIZATIONS, APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (26 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| REVIEWING THE 990 | PART VI, SECTION A, LINE 11B | The organization's Form 990 is reviewed in detail between the preparer, an outside accounting firm, and the Finance Department of Carroll Hospital Center. A copy of the draft Form 990 is submitted to the Carroll Hospital Center Risk, Audit and Compliance ("RAC") Committee members for their review and comments. Then, prior to filing the organization's Form 990, the organization provides a copy of the Form 990 to each Member of the organization's Board of Directors for their review, questions, and comments, which feedback is then incorporated into the filed Form 990. |
| MONITORING CONFLICTS | PART VI, SECTION B, LINE 12C | The Conflict of Interest Policy applies to Carroll Hospital Center and its direct and indirect subsidiaries and parent organization. Review of Disclosure Statements/Report to the Board. The Chief Executive Officer of the Hospital Organization, the Governance Committee and the Corporate Compliance Officer shall review the matters disclosed in the Disclosure Statements and shall submit to the Hospital Organization's Board of Directors an annual summary or spreadsheet of the disclosures and his or her recommendation for the resolution of any conflicts disclosed. In formulating recommendations, the Chief Executive Officer shall consult with appropriate officers of the Hospital Organization and counsel as necessary. The Board of Directors of the Hospital Organization, acting in the best interests of the Hospital Organization, shall have sole discretion to make all final decisions regarding conflicts of interest, other than those regarding gifts to Hospital Organization employees which shall be resolved by the appropriate supervisory executive. However, no person shall be involved in considering the existence of an actual or potential conflict of interest, in the management and oversight of a conflict relationship, or in the determination of discipline for violations of this Policy, if that person is a party or potential party to that conflict. All final decisions regarding conflicts of interest shall be reflected in a revised annual summary or spreadsheet of conflict disclosures which will be shared with each director. The Chair and Vice-Chair of the Board, and all Board committee chairs, shall have this revised summary or spreadsheet available at the time of all Board and Board committee meetings in case a matter involving a potential conflict arises. CONFLICT OF INTEREST RECUSAL PROCEDURE FOR BOARD MEETINGS Whenever a Hospital Organizations' Board or Board committee is to consider a transaction or an arrangement with another organization, entity or individual in which or with whom a person covered by this Policy has a relationship creating an actual or potential conflict of interest, the following procedures shall be employed: A.The interested person must fully disclose the actual or potential conflict of interest to the Board; B.The interested person should be asked to leave the meeting during discussion of the potential conflict and any related votes, but the interested person may make a statement or answer any questions on the matter before departing the meeting; C.If appropriate, the Board or Board committee may appoint a non-interested person or committee to investigate alternatives to the proposed transaction or arrangement; D.To consider the proposed transaction or arrangement, the Board must: 1.find, by a majority vote of directors then in office, not counting the interested person, that the proposed transaction or arrangement is in the Hospital Organization's best interest and for the Hospital Organization's own benefit, it is fair and reasonable, and that, after reasonable investigation, the Hospital Organization cannot obtain a more advantageous transaction or arrangement using reasonable efforts; and 2.vote on the transaction or arrangement, approval requiring a majority vote of directors then in office, not counting the interested person. E.The minutes should include: (1) the name of the person disclosing the conflict of interest and a description of the conflict; (2) the Board's determination of whether there is a conflict; (3) the names and votes of persons present for the discussions and votes relating to the transaction or arrangement; and (4) the content of those discussions including the Board's determination of whether or not the transaction or arrangement is in the Hospital Organization's best interest, fair and reasonable, and the best reasonably available alternative Ongoing Duty to Disclose One's Own or Others' Conflicts of Interest. As an actual or potential conflict of interest can arise at any time, any actual or potential conflict must be disclosed promptly in writing by use of a supplemental Disclosure Statement, as soon as its existence is or should be known. If a person is in doubt about a situation, the person should consult with the Chief Executive Officer, Board Chairman or the Hospital Organization's Compliance Officer. Persons should err on the side of disclosure so that a conflict of interest assessment can be made. The potential conflict will be referred to the Governance committee for review and a response will be provided within 14 days. Noncompliance with the policy: The Organization's Board of Directors retains broad power and sole discretion under this Policy to: (1) determine the existence of actual or potential conflicts of interest; (2) subject conflict of interest relationships to appropriate oversight, management, conditions, restrictions and prohibitions; and (3) impose appropriate sanctions. A breach of this Policy can become grounds for discipline, up to and including removal from office or, for management personnel, termination of employment. It may also result in cessation of business with a vendor and in liability for damages. Grounds for discipline include, but are not limited to: A.willful failure to sign and return the Conflict of Interest Disclosure Statement in accord with this Policy; B.a material misstatement or omission in the Disclosure Statement; C.willful failure to disclose an actual or potential conflict of interest at any time in accord with the requirements of this Policy; D.willful participation in a vote or decision involving a transaction which raises an undisclosed conflict of interest; or E.willful disclosure or use of confidential information regarding the affairs, business or plans of a Hospital Organization for any purpose other than in furtherance of the affairs and best interests of the Hospital Organization. |
| DETERMINING COMPENSATION | PART VI, SECTION B, LINE 15 | CARROLL HOSPITAL CENTER, INC. DETERMINES THE COMPENSATION OF THE ORGANIZATION'S CEO, OFFICERS AND KEY EMPLOYEES. THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS OF CARROLL HOSPITAL CENTER, WHICH IS COMPRISED OF INDEPENDENT BOARD MEMBERS DETERMINED TO BE FREE OF ANY CONFLICT OF INTEREST, IS CHARGED WITH DETERMINING EXECUTIVE COMPENSATION AND ESTABLISHING PERFORMANCE CRITERIA ACCORDING TO AN APPROVED COMPENSATION PHILOSOPHY. THE COMMITTEE WORKS WITH AN INDEPENDENT EXECUTIVE COMPENSATION CONSULTING AND ADVISORY FIRM, YAFFE & COMPANY, THAT PROVIDES MARKET SURVEY DATA CONCERNING COMPENSATION AND BENEFIT LEVELS FOR FUNCTIONALLY COMPARABLE HEALTHCARE EXECUTIVES IN SIMILAR HOSPITALS ACROSS THE REGION AND THE NATION BASED ON SEVERAL FACTORS INCLUDING SIZE, GEOGRAPHY, HOSPITAL TYPE AND COMPLEXITY. THE COMMITTEE REVIEWS AND APPROVES THE COMPENSATION OF THE SENIOR EXECUTIVES AND ENSURES THAT ALL FORMS OF EXECUTIVE COMPENSATION ARE REASONABLE, APPROPRIATE AND CONSISTENT WITH ITS COMPENSATION PHILOSOPHY. THE COMMITTEE CONTEMPORANEOUSLY DOCUMENTS ITS DECISIONS IN MEETING MINUTES. |
| MAKING DOCUMENTS AVAILABLE | PART VI, SECTION C, LINE 19 | THIS ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY AND AUDITED FINANCIALS AVAILABLE TO THE PUBLIC UPON REQUEST. |
| PART VI, LINE 6 | Carroll Hospital Center, Inc., a 501(c)(3) corporation, is the sole member of Carroll Hospice, Inc. | |
| PART VI, LINE 7A | The Sole Member of the Corporation has the right to elect and remove trustees of the Corporation. All elected trustees shall serve terms of three years, with the terms staggered so that one-third of the trustees will have their terms expire in each year. The trustees shall be divided into three classes as nearly equal in number as possible. At the first meeting of the Board, one class of trustees shall be designated to serve for a one-year term, one class shall be designated to serve for a two-year term and one class shall be designated to serve for a three-year term. At each successive annual meeting of the Sole Member, the Sole member shall elect trustees of each successive class to serve for three-year terms and until their successors are elected and qualify. The Sole Member may remove any elected trustee at any time, with or without cause. Ex officio trustees shall be deemed to be removed as of the time they cease to hold the office on which their ex officio status is based. A vacancy in an ex officio position shall be filled by the individual appointed to the underlying office. | |
| PART VI, LINE 7B | The Sole Member of the Corporation has the right to elect and remove trustees of the Corporation, the right to approve amendments to the Bylaws, and such other rights as may be conferred by law on the members of a non-stock corporation organized under the laws of the State of Maryland. | |
| NET ASSETS RECONCILIATION | PART XI, LINE 5 | ASSETS RELEASED FROM RESTRICTION 54,615 INCREASE OF TEMPORARILY RESTRICTED ASSETS 61,346 GRANT NOT ON BOOK (45,000) -------- TOTAL 70,961 |
| other program services | BEREAVEMENT SERVICES Carroll Hospice bereavement program helps families to better understand and cope with their grief, while respecting their unique grieving style. Served 1,037 families in FY2012. Served 1,537 individuals in various BV support groups in FY2012. Programs provided - PATHWAYS, BV LUNCHEON, WIDOW SUPPORT, WIDOWER SUPPORT, GRIEF SPEAKER AT HOSPICE, REMEMBRANCE SERVICE, PET LOSS SUPPORT, HEALING HEARTS DAY CAMP. | |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:R WAYNE BARNES TITLE:BOARD MEMBER HOURS: |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:SUSAN KREBS TITLE:BOARD MEMBER HOURS: |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:DAVID HIGHFIELD TITLE:VICE CHAIR HOURS: |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:MARY DARRELL TITLE:BOARD MEMBER HOURS: |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:RICHARD P. COYNE TITLE:BOARD MEMBER HOURS: |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:SHIRLYN EVANS FORD TITLE:BOARD MEMBER/SECRETARY HOURS: |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:FRANK POTEPAN TITLE:BOARD MEMBER HOURS: |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:SCOTT MCKLEVIE TITLE:BOARD MEMBER HOURS: |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:MARK BLACKSTEN TITLE:CHAIR HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:FLAVIO WAINBERG KRUTER TITLE:BOARD MEMBER HOURS:1 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:DENISE WHITECOTTON TITLE:BOARD MEMBER HOURS: |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:PHYLLIS ZUMBRUN TITLE:BOARD MEMBER HOURS: |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:ERIN DANZ TITLE:BOARD MEMBER HOURS: |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:THOMAS DALE FLETCHER TITLE:BOARD MEMBER HOURS: |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:DIANE LINK TITLE:EXECUTIVE DIRECTOR HOURS: |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:LESLIE R. SIMMONS TITLE:COO HOURS:38 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:KEVIN K. KELBLY TITLE:CFO HOURS:38 |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| CARROLL HOSPITAL CENTER INC | ||||||||||
| 200 MEMORIAL AVENUE | WESTMINSTER | MD | 21157 | 521452024 | HOSPITAL | MD | 501(c)(3) | 170B1(A)III | CCHS | true |
| CARROLL HOSPITAL CENTER FOUNDATION INC | ||||||||||
| 200 MEMORIAL AVENUE | WESTMINSTER | MD | 21157 | 521115038 | FOUNDATION | MD | 501(c)(3) | 509(A)(3) | CARROLL HOSP | true |
| CARROLL COUNTY HEALTH SERVICES INC | ||||||||||
| 200 MEMORIAL AVENUE | WESTMINSTER | MD | 21157 | 520691413 | HEALTH SERVIC | MD | 501(c)(3) | 509(A)(3) | NA | false |
| PARTNERSHIP FOR A HEALTHIER CC | ||||||||||
| 535 OLD WESTMINSTER PIKE SUITE 102 | WESTMINSTER | MD | 211575799 | 522156892 | HEALTH SERVIC | MD | 501(c)(3) | 170B1(A)VI | NA | false |
Form990 Schedule R Part III Form990ScheduleRPartIII (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|
| cc radiology llc | |||||||
| 7253 AMBASSADOR ROAD | BALTIMORE | MD | 21284 | 522190849 | RADIOLOGY | MD | CARROLL HOSPITA |
| Carroll Care Pharmacies | |||||||
| P O BOX 1706 | WESTMINSTER | MD | 21158 | 201141106 | PHARMACY | MD | CC MED-SERVICES |
| Carroll Occupational Hlth | |||||||
| 7001 CORPORATE CENTER COURT | WESTMINSTER | MD | 21157 | 202769332 | OCCUPATIONAL HLTH | MD | CC MED-SERVICES |
Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Address Line1AddressForeign/AddressLine1 | CityAddressForeign/City | CountryAddressForeign/Country | Postal CodeAddressForeign/PostalCode | Legal Domicile Foreign CountryLegalDomicileForeignCountry |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CARROLL COUNTY MED-SERVICES INC | |||||||||||||
| 200 MEMORIAL AVENUE | WESTMINSTER | MD | 21157 | 521891102 | MEDICAL SERVI | MD | CCHS | C CORP | |||||
| CEN-MAR ASSURANCE COMPANY | |||||||||||||
| 980611607 | INSURANCE | CARROLL HOSPITA | C CORP | PO BOX 1085 | GRAND CAYMAN | CJ | KY1-1102 | CJ | |||||
| Carroll Health Group LLC | |||||||||||||
| 200 MEMORIAL AVE | WESTMINSTER | MD | 21157 | 271956453 | HEALTHCARE | MD | CC MED-SERVICES | C CORP | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | true | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | true | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable
Name Of Other Organization NameOfOtherOrganization
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | carroll county hospital foundation | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | c | TransactionType |
| Amount Involved | 45000 | AmountInvolved |
| Method Of Amt Determination | fmv | MethodOfAmtDetermination |
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