2011-06-30T10:29:23-05:00 2010-12-31 MULLEN SONDBERG WIMBISH & STONE PA 2553 HOUSLEY ROAD SUITE 200 ANNAPOLIS MD 214016751 990 2010-01-01 521289626 HOSPICE OF CHARLES COUNTY INC HOSP 3019341268 105 LA GRANGE AVENUE LA PLATA MD 20646 DIXIE POE 3019341268 2011-06-29 1 MARY K STONE CPA 4102244920 2010 2016-02-24 21:20:13Z DIXIE POE 105 LA GRANGE AVENUE LA PLATA MD 20646 3760537 0 X WWW.HOSPICEOFCHARLESCOUNTY.ORG X 1982 MD PROVIDE EFFECTIVE PAIN AND SYMPTOM MANAGEMENT TO INDIVIDUALS DIAGNOSED WITH A TERMINAL ILLNESS, PROVIDE EMOTIONAL AND SPIRITUAL SUPPORT TO SUSTAIN THE QUALITY OF LIFE FOR PATIENTS AND CAREGIVERS. 12 12 37 70 0 0 813540 700731 2340478 1972441 34841 54140 26787 31776 3215646 2759088 5250 57566 0 0 1231004 1210982 92500 74500 80733 973404 674454 2302158 2017502 913488 741586 3824100 4576554 174276 114566 3649824 4461988 X PROVIDE EFFECTIVE PAIN AND SYMPTOM MANAGEMENT TO INDIVIDUALS DIAGNOSED WITH A TERMINAL ILLNESS, PROVIDE EMOTIONAL AND SPIRITUAL SUPPORT TO SUSTAIN THE QUALITY OF LIFE FOR PATIENTS AND CAREGIVERS. 0 0 1391671 1972441 CLINICAL SERVICES - PROVIDES MEDICAL CARE TO TERMINALLY ILL PATIENTS. 141281 COMMUNITY EDUCATION - PROVIDES INFORMATION ON HOSPICE AND OTHER SERVICES THE ORGANIZATION OFFERS TO THE COMMUNITY. 49750 BEREAVEMENT SERVICES - PROVIDES GRIEF COUNSELING TO FAMILIES. 48909 VOLUNTEER SERVICES - PROVIDES TRAINED VOLUNTEERS TO ASSIST WITH PATIENTS AND FAMILIES. 48909 1631611 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 3 0 37 1 0 0 0 0 0 0 0 0 X 12 12 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 MD X X THE ORGANIZATION 3019341268 105 LA GRANGE AVENUE LA PLATA MD 206461703 SUSAN LAWRENCE 2.00 X X 0 0 0 KATHLEEN PARSONS 2.00 X X 0 0 0 F MICHAEL WYANT 2.00 X X 0 0 0 DIXIE POE 40.00 X X X 108874 0 1989 KATHI PAYNE 2.00 X 0 0 0 MARY CATHERINE VONGARLEM 2.00 X 0 0 0 BETH PHILLIPS 2.00 X 0 0 0 KRISHAN MATHUR 2.00 X 0 0 0 ANNA WHITE 2.00 X 0 0 0 MANJULA PAUL 2.00 X 0 0 0 FREDERICK DAVIS 2.00 X 0 0 0 MICHAEL WILSON 2.00 X 0 0 0 ANGELA THORNTON 2.00 X 0 0 0 ANGELA BOOKER 2.00 X 0 0 0 NANCY BOWLING 40.00 X 57435 0 8074 166309 0 10063 1 0 0 0 BRUCE RAFER CONSTRUCTION 6160 WEATHER VIEW PLACE LA PLATA MD 20646 CONSTRUCTION CONTRACTOR 483089 1 84585 195000 421146 49007 700731 FEES AND REIMBURSEMENT 900099 1972441 1972441 1972441 35505 35505 988889 970188 66 18701 -66 18635 18635 55982 31195 24787 24787 MISCELLANEOUS 900099 6989 6989 6989 2759088 1972441 0 85916 57566 57566 176372 176372 877636 842209 35427 75328 67046 8282 81646 63757 17889 27308 21325 5983 74500 74500 13187 10298 2889 167626 167100 526 1531 1196 335 78780 60766 13856 4158 57176 44648 12528 56004 43734 12270 26905 21010 5895 16160 12619 3541 PHARMACY 129113 129113 DURABLE MEDICAL EQUIPME 55266 55266 REPAIRS & MAINTENANCE 23714 18518 5196 MOVING EXPENSES 12603 9842 2761 STAFF DEVELOPMENT/VOLUN 7006 5598 1408 2075 2075 2017502 1631611 305158 80733 50639 32250 1752260 1656900 725394 852287 312028 277297 21183 20685 1045089 114818 252313 930271 698138 794719 12145 12145 3824100 4576554 174276 114566 174276 114566 X 2847066 3603030 802758 858958 3649824 4461988 3824100 4576554 X 741586 70578 X 0 0 0 X 292873 297221 422441 847794 725518 2585847 292873 297221 422441 847794 725518 2585847 2585847 24658 39078 43088 41826 35439 184089 484 1190 1243 4985 6989 14891 2784827 9945497 0.92850 0.92760 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 183293 114818 68475 861796 861796 930271 2759088 2017502 741586 77756 -19167 11989 70578 812164 2848833 77756 11989 89745 2759088 0 2759088 2036669 19167 19167 2017502 0 2017502 PART XI, LINE 8 - OTHER ADJUSTMENTS: CHANGE IN VALUE PRESENT VALUE DISCOUNT ON UNCONDITIONAL PROMISES TO GIVE FUNDRAISING EXPENSES NETTED WITH RELATED INCOME. X X 1 PERFORMANCE STRATEGIES LLC 10375 SOUTHERN BLVD DUNKIRK MD 20754 MARKETING AND FUNDRAISING SERVICES 0 76103 74500 1603 76103 74500 1603 LACROSSE TOURNAMENT 29850 29850 10808 GOLF TOURNAMENT 16850 16850 11250 4 9282 9282 9137 55982 55982 31195 31195 24787 EXPLANATION OF FUNDRAISING PAYMENTS SCHEDULE G, PART I, LINE 2B, COLUMN (V) THE ORGANIZATION HAS SIGNED A CONTRACT WITH A PROFESSIONAL FUNDRAISER TO ASSIST WITH RAISING FUNDS FOR THE CAPITAL CAMPAIGN FOR THE NEW HOSPICE HOUSE BUILDING CONSTRUCTION. 0 CHARITY CARE 6 57566 COST OF CARE PROVIDED TO INDIVIDUALS NOT COVERED BY INSURANCE OR MEDICARE. X CONSTRUCTION MATERIALS 6 47213 FAIR MARKET VALUE 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 FORM 990 IS REVIEWED AND APPROVED BY THE FINANCE COMMITTEE AND BOARD OF DIRECTORS BEFORE IT IS FILED. FORM 990, PART VI, SECTION B, LINE 12C THE BOARD OF DIRECTORS, MANAGERS AND VOLUNTEERS ALL RECEIVE AN ANNUAL ISSUANCE OF THE CONFLICT OF INTEREST POLICY, THEY ARE ALL REQUIRED TO REVIEW AND SIGN THE POLICY ANNUALLY AND DISCLOSE IF THERE ARE ANY RELATED PARTY TRANSACTIONS. MANAGEMENT REVIEWS THE STATEMENTS ANNUALLY. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD OF DIRECTORS REVIEWS AND APPROVES THE COMPENSATION OF THE CEO. THE BOARD OF DIRECTORS UTILIZES COMPARABILITY DATA IN DETERMINING COMPENSATION. FORM 990, PART VI, SECTION C, LINE 18 THE ORGANIZATION MAKES ITS FORM 1023 AND FORM 990 AVAILABLE TO PULIC INSPECTION UPON WRITTEN REQUEST. THE FORM 990 IS ALSO AVAILABLE FOR PUBLIC INSPECTION ON THE GUIDESTAR WEBSITE. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 77,756. DONATED SERVICES AND USE OF FACILITIES: -19,167. CHANGE IN VALUE PRESENT VALUE DISCOUNT ON UNCONDITIONAL PROMISES TO GIVE 11,989. TOTAL TO FORM 990, PART XI, LINE 5: 70,578.