2013-05-14T15:20:11-05:00 2012-06-30 861065772 DELOITTE TAX LLP 1750 TYSONS BLVD MCLEAN VA 221024219 990 2011-07-01 521851251 Gilchrist Hospice Care Inc GILC 4438498290 11311 McCormick Road No 350 Hunt Valley MD 21031 Catherine Y Hamel 4438492000 2013-05-14 1 Yvette L Woods P00364424 7032511000 2011 2016-03-07 17:11:31Z John B Chessare MD 6701 North Charles St Baltimore MD 21204 54728315 0 X www.gilchristhospice.org X 1993 MD Develop, own, manage and operate a hospice program and provide hospice care research and education. 25 22 473 400 0 0 2673684 2755512 35518212 38088794 2751129 1968390 309483 210721 41252508 43023417 256435 0 0 0 23895576 27529566 0 0 690774 10587149 11585380 34739160 39114946 6513348 3908471 75144369 78778767 5210628 4806472 69933741 73972295 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 18498617 29403262 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 more than 500 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 FY2012, GHC provided end of life services for more than 4,504 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 25,000 terminally-ill individuals in Central Maryland and grief support for thousands of family members and caregivers. 9328973 8685532 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. During FY2012, nearly 45 percent of all GHC patient deaths occurred in the inpatient facility, but the facility accounted for less than 30 percent of all original admissions to GHC. 27827590 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 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 42 3 1 473 1 0 0 0 0 0 0 0 0 0 0 0 X 25 22 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 X Gary I Cohen MD 1.00 X 0 752600 35767 Ms Jo Ann Jolivet 1.00 X 0 0 0 Mr James Lee 1.00 X 0 0 0 Ms Mary Mullan 1.00 X 0 0 0 Mr George Santos 1.00 X 0 0 0 Ms Barbara Wolf 1.00 X 0 0 0 Mr Benjamin F Lucas 1.00 X 0 0 0 Ms Connie Pitcher 1.00 X 0 0 0 Mr Peter Banks 1.00 X 0 0 0 Ms Jana Burch 1.00 X 0 0 0 Mr Douglas Huether 1.00 X 0 0 0 Ms Pat Modell 1.00 X 0 0 0 Mr Rev Philip Roulette 1.00 X 0 0 0 Ms Mary Ellen Thomsen 1.00 X 0 0 0 Mr Hugh Moller 1.00 X 0 0 0 Mr John Spilman 1.00 X 0 0 0 Mr Ronald Eyre 1.00 X 0 0 0 Mr James Dunbar Sr 2.00 X X 0 0 0 Mr W Lee Thomas 2.00 X X 0 0 0 Ms Stuart Rodgers 2.00 X X 0 0 0 Ms Elizabeth Richardson 2.00 X X 0 0 0 John B Chessare MD 5.00 X X 0 782912 109533 Mr Stuart Smith III 1.00 X X 0 0 0 Ms Catherine Y Hamel 35.00 X X 90315 125160 47389 Mrs Regina Bodnar 40.00 X 160219 0 37544 W Anthony Riley MD 20.00 X 0 298780 36538 Mr Eric Melchior 3.00 X 0 978315 36354 Mr Keith Poisson 1.00 X 0 460229 117754 Mrs Lori D Mulligan 40.00 X 145517 0 16807 Mr Hal R Friedman 40.00 X 137325 0 35687 Mr Robert W Barth Jr 40.00 X 130635 0 9736 Mrs Paula M Schaffer 40.00 X 109045 0 14645 Mrs Tyla Gibson 40.00 X 107509 0 9983 880565 3397996 507737 11 0 1 0 Bio Medical Recovery Systems 1613 Robin Circle Ste D E Forest Hill MD 21050 Waste Management 245950 Cleannet of Baltimore 9861 Broken Land Parkway Columbia MD 21046 Cleaning Services 181788 Aramark Services 25271 Network Place Chicago IL 60673 Foodservice 105398 3 6268 260185 6612 2482447 2755512 Hospice Care Homecare 621400 29403262 29403262 Hospice Care Inpatient 621400 8685532 8685532 38088794 1085227 1085227 12552034 11668871 883163 883163 883163 170015 6268 28527 141488 141488 30225 7500 22725 22725 Other Revenue 900099 46508 46508 46508 43023417 38135302 0 2132603 348862 348862 22710779 17787055 4469264 454460 665100 205831 449085 10184 2262861 1772043 449022 41796 1541964 1206764 298598 36602 399996 399996 59892 2041 57851 23228 23228 225208 225208 877934 730702 146732 500 628855 606340 22515 3073602 2759277 241465 72860 463152 342957 120195 572732 22414 550318 823604 628845 187448 7311 65564 25493 37431 2640 1146770 20727 1126043 5203 36 5167 Equip. Rental, repairs 1964515 1891761 72129 625 Purchased Services 615237 431269 142687 41281 Uncollectible Accounts 432015 432015 Other 207873 375 207498 39114946 27827590 10596582 690774 2111 2161 6595016 4144783 1309487 1713382 4313141 4878792 19447 25236 217470 248895 19659997 8831777 11533163 10828220 49629213 54741360 1525321 2195938 75144369 78778767 4665864 4134721 544764 671751 5210628 4806472 X 55481243 58961028 4066858 3995020 10385640 11016247 69933741 73972295 75144369 78778767 X 3908471 130083 X 0 1 1 X 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 12011124 630606 240733 809233 12073230 10037523 336020 2237581 600000 12011124 8628776 -21567 1930314 500000 10037523 11932874 48456 -2973863 378691 8628776 0.91250 0.08750 0 0 28630 28630 8815164 4609571 4205593 97160 49264 47896 924517 409144 515373 9794526 3763798 6030728 10828220 Owed to GBMC 671751 671751 43023417 39114946 3908471 130083 130083 4038554 42273548 130083 36030 166113 42107435 915982 915982 43023417 38234994 36030 36030 38198964 915982 915982 39114946 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. Part X, Line 2: Gilchrist Hospice Care, Inc., as an affiliate of GBMC Healthcare, Inc. & Subsidiaries, has accounted for uncertain tax positions in accordance with ASC740 and has determined that these positions, as a whole, are immaterial. Part XII, Line 2d: Event expense netted against revenue. Part-XII, Line 4b: Gross revenue from fundraising and reclass of investment fee to the Statement of Functional Expenses. Part XIII, Line 2d: Event expense netted against revenue. Part XIII, Line 4b: Gross revenue from fundraising and reclass of investment fee to the Statement of Functional Expenses. Taste of Howard Cty 176283 6268 170015 8021 20506 176283 6268 170015 8021 20506 28527 141488 30225 7500 1 1.00000 30225 7500 7500 22725 MD 1 0 0 0 1.00000 Mrs Lori Mulligan 6701 North Charles Street Baltimore MD 21204 0 Mrs Lori Mulligan 145517 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 Director of Development and not only as a gaming manager. X X X 1 1 0 1 0 0 0 0 0 0 0 Gary I Cohen MD 0 519177 0 232631 0 792 0 15600 0 20167 0 788367 0 0 John B Chessare MD 0 623200 0 132750 0 26962 0 84856 0 24677 0 892445 0 0 Ms Catherine Y Hamel 90017 76546 0 44587 298 4027 2890 12277 18560 13662 111765 151099 0 0 Mrs Regina Bodnar 142767 0 16156 0 1296 0 10072 0 27472 0 197763 0 0 0 W Anthony Riley MD 0 278538 0 17830 0 2412 0 15600 0 20938 0 335318 0 0 Mr Eric Melchior 0 387620 0 558817 0 31878 0 15687 0 20667 0 1014669 0 376475 Mr Keith Poisson 0 361114 0 66472 0 32643 0 90561 0 27193 0 577983 0 0 Mrs Lori D Mulligan 128269 0 16622 0 626 0 8204 0 8603 0 162324 0 0 0 Mr Hal R Friedman 121057 0 15993 0 275 0 7265 0 28422 0 173012 0 0 0 Part I, Line 1a Certain Officers have a limited accountable plan (expenses have to be supported with receipts) for the following expenses: financial and legal counseling, club memberships, tuition, health equipment and medical expenses not covered by an insurance plan. The reimbursements range from $3,000 to $5,000 per year and are grossed-up for income tax purposes. 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. John B. Chessare, M.D.: Earned $84,375, Paid $0 Ms. Catherine Y. Hamel: Earned $4,306, Paid $0 Mr. Eric Melchior: Earned $0, Paid $376,475 Mr. Keith Poisson: Earned $77,411, Paid $0 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 Gilchrist Hospice Care is governed by the policies of its parent organization, GBMC Healthcare, Inc. These policies include a written conflict of interest policy that is regularly and consistently monitored and enforced, a written whistleblower policy, and a written document retention and destruction policy. The conflict of interest policy is regularly monitored and enforced with Management annually submitting a conflict of interest statement to the Compliance Officer. The Compliance Officer and General Counsel review all potential conflicts and recommend action, as appropriate, to the President. Compliance with this process is reported to the Board annually. Form 990, Part VI, Section B, line 15 GBMC Healthcare, Inc., as the employer, determines or approves compensation of all officers, trustees, key employees, and highest paid employees providing services to Gilchrist Hospice Care, Inc. The compensation is determined by a subcommittee of GBMC Healthcare, Inc.'s Board of Directors. The Compensation Committee of the Board of Directors is chartered with the responsibility to assure Gilchrist Hospice Care, Inc. pays competitive salaries to the executives. The approach that is taken is based on current market "best practices" for non-profit organizations. The committee meets at least 6 times annually to review and discuss executive's salaries and benefits. The steps taken were as follows: (1) An independent executive compensation consultant was selected based on an RFP process and face-to-face interviews were conducted. (2) Once selected, the compensation consultant compiled, independently, salary survey data of similar sized organizations from throughout the country. (3) The survey data is presented to the Compensation Committee with the national survey data, various surveys are categorized by size of organization, academic and non-academic, system and community-based hospitals. (4) The data is categorized by executive position, and a salary range is recommended by the compensation specialist. (5) Base salary of an individual executive is based on survey results, years of experience and performance. (6) A recommendation is made to the Compensation Committee by the CEO for salary rates for the Vice Presidents. (7) The Compensation Committee either accepts or modifies the recommendation from the CEO for base salary adjustments. (8) The Compensation Committee determines the salary adjustment for the CEO based on national salary survey data, years of experience and performance. (9) The incentive bonus is determined based on actual results compared with the plan document and recommendation is made to the Compensation Committee for approval or modification. (10) The amount of bonus is determined by the criteria stated in the incentive plan document and is also based on current market practices from national surveys. (11) Survey of executive benefits is also reviewed by the compensation consultants to assure reasonableness. (12) The compensation consultant provides a written document on the reasonableness of the salaries being paid. (13) The board of directors review and approve the decisions of the Compensation Committee. 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. Form 990, Part VII, Section A: During the fiscal year, these individuals devoted the following estimated hours each week to a related organization: W. Anthony Riley, M.D.: 20 Mr. Eric Melchior: 37 Ms. Catherine Y. Hamel: 5 John B. Chessare, M.D.: 35 Ms. Stuart Rodgers: 3 Mr. Keith Poisson: 39 Gary I. Cohen, M.D.: 39 Changes in Net Assets or Fund Balances: Form 990, Part XI, line 5: Net unrealized gains on investments: 130,083. 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 Med 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 GBMC Agency Inc 6701 North Charles Street Baltimore MD 21204 521411931 Investments MD N/A C GBMC Management Inc 6701 North Charles Street Baltimore MD 21204 521411974 Management Co. MD N/A C GBMC Finance Corporation 6701 North Charles Street Baltimore MD 21204 521863069 Financing Agent MD N/A C GBMC Finance Corporation II 6701 North Charles Street Baltimore MD 21204 521836142 Financing Agent MD N/A C GBMC Finance Corporation III 6701 North Charles Street Baltimore MD 21204 521836144 Financing Agent MD N/A C Ruxton Insurance Company LTD 3 Gorham Road Hamilton HM 08 Hamilton BD 980413102 Captive BD N/A C GBMD Inc 6701 North Charles Street Baltimore MD 21204 521914558 Healthcare MD N/A C 0 1 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0