MONTGOMERY HOSPICE INC: Form 990, tax year 2024
View the entire original 990 at ProPublica ↗
- Organization
- MONTGOMERY HOSPICE INC (EIN 52-1114719)
- Tax period
- 2024-01-01 to 2024-12-31
- Filed
- 2025-05-22
- IRS object ID
- 202531429349300413
- Schema version
- 2024v5.1
- 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) |
|---|---|---|
| Return | 2025-05-22T08:06:38-05:00 | ReturnTs |
| Tax Period End | 2024-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 550621482 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GRAY GRIFFITH & MAYS AC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 707 VIRGINIA STREETEASTSUITE 400 | AddressLine1Txt |
| City | CHARLESTON | CityNm |
| State Abbreviation | WV | StateAbbreviationCd |
| ZIP | 253012711 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2024-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 521114719 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MONTGOMERY HOSPICE INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MONT | BusinessNameControlTxt |
| Phone | 3019214400 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1355 PICCARD DRIVE 100 | AddressLine1Txt |
| City | ROCKVILLE | CityNm |
| State Abbreviation | MD | StateAbbreviationCd |
| ZIP | 20850 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | SCOTT THELEN | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 3019214400 | PhoneNum |
| Signature | 2025-05-20 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (1) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | J RYAN LINDSAY | PreparerPersonNm |
| PTIN | P01835061 | PTIN |
| Phone | 3043459400 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2024 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | SCOTT THELEN | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1355 PICCARD DRIVE 100 | AddressLine1Txt |
| City | ROCKVILLE | CityNm |
| State Abbreviation | MD | StateAbbreviationCd |
| ZIP | 20850 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $33,222,926 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.MONTGOMERYHOSPICE.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1979 | FormationYr |
| Legal Domicile State | MD | LegalDomicileStateCd |
| Activity Or Mission | TO GENTLE THE JOURNEY THROUGH SERIOUS ILLNESS AND LOSS WITH SKILL AND COMPASSION. | ActivityOrMissionDesc |
| Voting Members Governing Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 14 | VotingMembersIndependentCnt |
| Total Employee | 348 | TotalEmployeeCnt |
| Total Volunteers | 222 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $2,410,279 | PYContributionsGrantsAmt |
| CY Contributions Grants | $2,296,756 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $23,624,932 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $28,649,799 | CYProgramServiceRevenueAmt |
| PY Investment Income | $672,921 | PYInvestmentIncomeAmt |
| CY Investment Income | $2,245,798 | CYInvestmentIncomeAmt |
| PY Other Revenue | $140,327 | PYOtherRevenueAmt |
| CY Other Revenue | $30,573 | CYOtherRevenueAmt |
| PY Total Revenue | $26,848,459 | PYTotalRevenueAmt |
| CY Total Revenue | $33,222,926 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $24,052,315 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $25,238,516 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $446,034 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $7,580,266 | PYOtherExpensesAmt |
| CY Other Expenses | $7,349,580 | CYOtherExpensesAmt |
| PY Total Expenses | $31,632,581 | PYTotalExpensesAmt |
| CY Total Expenses | $32,588,096 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$4,784,122 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $634,830 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $42,434,609 | TotalAssetsBOYAmt |
| Total Assets EOY | $43,592,911 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $4,657,053 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $4,552,825 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $37,777,556 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $39,040,086 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO GENTLE THE JOURNEY THROUGH SERIOUS ILLNESS AND LOSS WITH SKILL AND COMPASSION. TO BRING COMFORT BY PROVIDING COMPASSIONATE, PROFESSIONAL CARE TO COMMUNITY RESIDENTS WHO ARE FACING SERIOUS ILLNESS AND LOSS. TO PROVIDE DIGNITY FOR THE DYING AND UNCONDITIONAL COMPASSION THROUGH DEDICATION, AND COLLABORATION. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $29,889,314 | ExpenseAmt |
| Revenue | $28,680,372 | RevenueAmt |
| Desc | HOSPICE CARE: THE ORGANIZATION PROVIDES SPECIALIZED MEDICAL AND PSYCHOSOCIAL END-OF-LIFE CARE TO MONTGOMERY AND PRINCE GEORGE'S COUNTY, MARYLAND RESIDENTS OF ALL AGES WHO ARE LIVING WITH A LIFE LIMITING ILLNESS. PATIENTS (AND THEIR FAMILIES) ARE CARED FOR IN HOMES, EXTENDED CARE FACILITIES AND AT CASEY HOUSE, ITS INPATIENT HOSPICE FACILITY. TEAMS OF DOCTORS, NURSE PRACTITIONERS, NURSES, SPIRITUAL COUNSELORS, SOCIAL WORKERS, CERTIFIED NURSING ASSISTANTS, COMPLEMENTARY THERAPISTS, BEREAVEMENT COUNSELORS AND VOLUNTEERS WORK TOGETHER TO PROVIDE COMFORT CARE CUSTOMIZED FOR EACH PATIENT. MONTGOMERY HOSPICE INC. PROVIDES CONSULTATIVE PALLIATIVE CARE (PALLIATIVE MEDICINE CONSULTUNTS) PROVIDED BY DOCTORS, NURSE PRACTITIONORS, SOCIAL WORKERS AND SPRITUAL COUNSELORS. | Desc |
| Total Program Service Expenses | $29,889,314 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | Yes (1) | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 16 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 348 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 14 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | 0 | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | MD | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SCOTT THELEN | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3019214400 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1355 PICCARD DRIVE 100 | AddressLine1Txt |
| City | ROCKVILLE | CityNm |
| State Abbreviation | MD | StateAbbreviationCd |
| ZIP | 20850 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| JUSTIN G REAVES | |||||||||
| CHAIRMAN | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| CHRISTOPHER N PALMER | |||||||||
| VICE CHAIR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| SHOBHANA SHARMA | |||||||||
| SECRETARY | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| FRANCISCO NUGENT | |||||||||
| TREASURER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| DIANE K KUWANURA ESQ | |||||||||
| IMMEDIATE PAST CHAIR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| DAWN E DOEBLER | |||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| ANGELA GRAHAM | |||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| SHADY JADALI | |||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| AJA JERE JENKINS | |||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| JANELLE MIRABEAU | |||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| MICHELLE Q PROFIT | |||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| DEVANG SHAH | |||||||||
| DIRECTOR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| JOYE SISTRUNK | |||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| DANIEL RUTHERFORD WILLSON | |||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| KAREN MILLER | |||||||||
| PRESIDENT & CEO | 40.00 | Yes (X) | Yes (X) | $163,909 | $0 | $0 | |||
| SCOTT THELEN | |||||||||
| CFO | 40.00 | Yes (X) | $149,950 | $0 | $0 | ||||
| DAVID SCHRIER | |||||||||
| CHIEF MEDICAL OFFICER | 40.00 | $275,679 | $0 | $0 | Yes (X) | ||||
| JENNIFER PLUDE | |||||||||
| CHIEF CLINICAL OFFICER | 40.00 | $204,307 | $0 | $0 | Yes (X) | ||||
| MARLENE BRADFORD | |||||||||
| CHIEF ADVANCEMENT OFFICER | 40.00 | $202,205 | $0 | $0 | Yes (X) | ||||
| ANN LICHTENSTEIN | |||||||||
| ASSOCIATE MEDICAL OFFICER | 40.00 | $236,554 | $0 | $0 | Yes (X) | ||||
| LISSA BERROA GARCIA | |||||||||
| PHYSICIAN | 32.00 | $203,354 | $0 | $0 | Yes (X) | ||||
| VAISHNAVI PREMKUMAR | |||||||||
| PHYSICIAN | 40.00 | $191,276 | $0 | $0 | Yes (X) | ||||
| CORNELIA STRONG | |||||||||
| VP OF QUALITY & COMPLIANCE | 40.00 | $162,715 | $0 | $0 | Yes (X) | ||||
| SOFIA MONTEBLANCO | |||||||||
| PHYSICIAN | 40.00 | $156,278 | $0 | $0 | Yes (X) | ||||
| GUY-EDGARD DOLTAIRE | |||||||||
| RN - CASE MANAGER | 40.00 | $160,276 | $0 | $0 | Yes (X) | ||||
| KATHLEEN MCCABE | |||||||||
| PHYSICIAN | 40.00 | $158,805 | $0 | $0 | Yes (X) | ||||
| GEORGE NDINU | |||||||||
| LICENSED PRACTIAL NURSE | 40.00 | $157,124 | $0 | $0 | Yes (X) | ||||
| ANN MITCHELL | |||||||||
| PRESIDENT & CEO | 40.00 | $204,969 | $0 | $0 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,627,401 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $0 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 48 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| ENCLARA PHARMACIA | |||||
| 1601 CHERRY ST 18TH FLOOR | PHILADELPHIA | PA | 19102 | PHARMACY | $1,151,138 |
| DME EXPRESS | |||||
| 4500 S GARNETT RD 320 | TULSA | OK | 74146 | DURABLE MEDICAL EQUIPMENT | $763,720 |
| MEDLINE INDUSTRIES | |||||
| BOX 382075 | PITTSBURGH | PA | 15251 | MEDICAL SUPPLIES | $650,763 |
| AMERCO REAL ESTATE COMPANY | |||||
| 2727 N CENTRAL AVE 500 | PHOENIX | AZ | 85004 | PICCARD RENT | $390,934 |
| VILLAGE AT ROCKVILLE | |||||
| 9701 VEIRS DR | ROCKVILLE | MD | 20850 | NURSING HOME ROOM AND BOARD | $355,632 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 19 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $2,296,756 | AllOtherContributionsAmt |
| Total Contributions | $2,296,756 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PATIENT SERVICE REVENUE | Desc |
| Business | 624100 | BusinessCd |
| Total Revenue Column | $28,649,799 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $28,649,799 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $28,649,799 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,245,798 | TotalRevenueColumnAmt |
| Exclusion | $2,245,798 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISC REVENUE | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $30,573 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $30,573 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $30,573 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $33,222,926 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $28,680,372 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $2,245,798 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,398,789 | TotalAmt |
| Program Services | $2,158,910 | ProgramServicesAmt |
| Management And General | $191,903 | ManagementAndGeneralAmt |
| Fundraising | $47,976 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,876,822 | TotalAmt |
| Program Services | $17,079,283 | ProgramServicesAmt |
| Management And General | $1,527,304 | ManagementAndGeneralAmt |
| Fundraising | $270,235 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $43,809 | TotalAmt |
| Program Services | $39,428 | ProgramServicesAmt |
| Management And General | $3,505 | ManagementAndGeneralAmt |
| Fundraising | $876 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,369,987 | TotalAmt |
| Program Services | $2,132,988 | ProgramServicesAmt |
| Management And General | $189,599 | ManagementAndGeneralAmt |
| Fundraising | $47,400 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,549,109 | TotalAmt |
| Program Services | $1,394,198 | ProgramServicesAmt |
| Management And General | $123,929 | ManagementAndGeneralAmt |
| Fundraising | $30,982 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $127,751 | TotalAmt |
| Program Services | $113,698 | ProgramServicesAmt |
| Management And General | $11,498 | ManagementAndGeneralAmt |
| Fundraising | $2,555 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $52,500 | TotalAmt |
| Program Services | $46,725 | ProgramServicesAmt |
| Management And General | $4,725 | ManagementAndGeneralAmt |
| Fundraising | $1,050 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $241,607 | TotalAmt |
| Program Services | $215,030 | ProgramServicesAmt |
| Management And General | $21,745 | ManagementAndGeneralAmt |
| Fundraising | $4,832 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,662 | TotalAmt |
| Program Services | $28,662 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $580,913 | TotalAmt |
| Program Services | $529,298 | ProgramServicesAmt |
| Management And General | $42,231 | ManagementAndGeneralAmt |
| Fundraising | $9,384 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $890,409 | TotalAmt |
| Program Services | $795,001 | ProgramServicesAmt |
| Management And General | $78,061 | ManagementAndGeneralAmt |
| Fundraising | $17,347 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $535,165 | TotalAmt |
| Program Services | $501,951 | ProgramServicesAmt |
| Management And General | $27,175 | ManagementAndGeneralAmt |
| Fundraising | $6,039 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $229,665 | TotalAmt |
| Program Services | $223,361 | ProgramServicesAmt |
| Management And General | $5,158 | ManagementAndGeneralAmt |
| Fundraising | $1,146 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $145,264 | TotalAmt |
| Program Services | $133,010 | ProgramServicesAmt |
| Management And General | $10,026 | ManagementAndGeneralAmt |
| Fundraising | $2,228 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| PHARMACY & MEDICAL EQUI | $2,699,857 | $2,699,857 | ||
| STAFF TRAINING & TRANSP | $358,108 | $357,663 | $364 | $81 |
| COMMUNICATIONS | $240,153 | $231,440 | $6,758 | $1,955 |
| DUES & PUBLICATIONS | $64,660 | $59,202 | $4,466 | $992 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,154,866 | TotalAmt |
| Program Services | $1,149,609 | ProgramServicesAmt |
| Management And General | $4,301 | ManagementAndGeneralAmt |
| Fundraising | $956 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,588,096 | TotalAmt |
| Program Services | $29,889,314 | ProgramServicesAmt |
| Management And General | $2,252,748 | ManagementAndGeneralAmt |
| Fundraising | $446,034 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,384,305 | BOYAmt |
| EOY | $3,939,677 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,515,373 | BOYAmt |
| EOY | $1,024,024 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,024 | BOYAmt |
| EOY | $20,386 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,315,531 | BOYAmt |
| EOY | $4,004,437 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $105,731 | BOYAmt |
| EOY | $321,525 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $6,067,899 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $2,850,622 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,118,930 | BOYAmt |
| EOY | $3,217,277 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,059,078 | BOYAmt |
| EOY | $30,541,145 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $911,637 | BOYAmt |
| EOY | $524,440 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $42,434,609 | BOYAmt |
| EOY | $43,592,911 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,638,103 | BOYAmt |
| EOY | $3,988,276 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,018,950 | BOYAmt |
| EOY | $564,549 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,657,053 | BOYAmt |
| EOY | $4,552,825 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,676,662 | BOYAmt |
| EOY | $27,261,688 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,100,894 | BOYAmt |
| EOY | $11,778,398 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,777,556 | BOYAmt |
| EOY | $39,040,086 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $42,434,609 | BOYAmt |
| EOY | $43,592,911 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $634,830 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $627,700 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $12,879,860 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $12,651,515 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $8,161,442 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,410,279 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,296,756 | CurrentTaxYearAmt |
| Total | $38,399,852 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $23,777,662 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $20,346,018 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $21,567,440 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $23,624,932 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $28,649,799 | CurrentTaxYearAmt |
| Total | $117,965,851 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $36,657,522 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $32,997,533 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $29,728,882 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $26,035,211 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $30,946,555 | CurrentTaxYearAmt |
| Total | $156,365,703 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $11,101,498 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,313,232 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,850,000 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,000,000 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $400,674 | CurrentTaxYearAmt |
| Total | $17,665,404 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $11,101,498 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,313,232 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,850,000 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,000,000 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $400,674 | CurrentTaxYearAmt |
| Total | $17,665,404 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $138,700,299 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $713,272 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $693,684 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $779,708 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $795,217 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,369,435 | CurrentTaxYearAmt |
| Total | $5,351,316 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $713,272 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $693,684 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $779,708 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $795,217 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,369,435 | CurrentTaxYearAmt |
| Total | $5,351,316 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $112,579 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $81,010 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $66,354 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,353 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $26,100 | CurrentTaxYearAmt |
| Total | $287,396 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $37,483,373 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $33,772,227 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $30,574,944 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $26,831,781 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $33,342,090 | CurrentTaxYearAmt |
| Total | $162,004,415 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.85620 | PublicSupportCY509Pct |
| Public Support PY509 | 0.86600 | PublicSupportPY509Pct |
| Investment Income CY | 0.03300 | InvestmentIncomeCYPct |
| Investment Income PY | 0.02290 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| 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) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $27,170,354 | BeginningYearBalanceAmt |
| Contributions | $926,622 | ContributionsAmt |
| Investment Earnings Or Losses | $2,720,689 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $979,960 | OtherExpendituresAmt |
| End Year Balance | $29,837,705 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $23,899,030 | BeginningYearBalanceAmt |
| Contributions | $1,000,000 | ContributionsAmt |
| Investment Earnings Or Losses | $3,203,847 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $932,523 | OtherExpendituresAmt |
| End Year Balance | $27,170,354 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $25,083,774 | BeginningYearBalanceAmt |
| Contributions | $2,000,000 | ContributionsAmt |
| Investment Earnings Or Losses | -$2,532,452 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $652,292 | OtherExpendituresAmt |
| End Year Balance | $23,899,030 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $18,113,610 | BeginningYearBalanceAmt |
| Contributions | $5,398,000 | ContributionsAmt |
| Investment Earnings Or Losses | $2,201,406 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $629,242 | OtherExpendituresAmt |
| End Year Balance | $25,083,774 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $8,805,557 | BeginningYearBalanceAmt |
| Contributions | $8,100,000 | ContributionsAmt |
| Investment Earnings Or Losses | $1,647,153 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $439,100 | OtherExpendituresAmt |
| End Year Balance | $18,113,610 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.61000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.39000 | PrmnntEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,082,200 | OtherCostOrOtherBasisAmt |
| Book Value | $1,082,200 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,812,528 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,606,475 | DepreciationAmt |
| Book Value | $1,206,053 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,231,834 | OtherCostOrOtherBasisAmt |
| Depreciation | $562,478 | DepreciationAmt |
| Book Value | $669,356 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $941,337 | OtherCostOrOtherBasisAmt |
| Depreciation | $681,669 | DepreciationAmt |
| Book Value | $259,668 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $3,217,277 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | LEASE LIABILITY | Desc |
| Amt | $564,549 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $564,549 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $33,850,626 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $627,700 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | $627,700 | RevenueNotReportedAmt |
| Revenue Subtotal | $33,222,926 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $33,222,926 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $32,588,096 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $32,588,096 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $32,588,096 | TotalExpensesPerForm990Amt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DAVID SCHRIER | ||||||||||||||
| CHIEF MEDICAL OFFICER | $275,679 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $275,679 | $0 | $0 | $0 |
| ANN LICHTENSTEIN | ||||||||||||||
| ASSOCIATE MEDICAL OFFICER | $236,554 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $236,554 | $0 | $0 | $0 |
| ANN MITCHELL | ||||||||||||||
| PRESIDENT & CEO | $189,969 | $0 | $0 | $0 | $15,000 | $0 | $0 | $0 | $0 | $0 | $204,969 | $0 | $0 | $0 |
| JENNIFER PLUDE | ||||||||||||||
| CHIEF CLINICAL OFFICER | $204,307 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $204,307 | $0 | $0 | $0 |
| LISSA BERROA GARCIA | ||||||||||||||
| PHYSICIAN | $203,354 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $203,354 | $0 | $0 | $0 |
| MARLENE BRADFORD | ||||||||||||||
| CHIEF ADVANCEMENT OFFICER | $197,205 | $0 | $5,000 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $202,205 | $0 | $0 | $0 |
| VAISHNAVI PREMKUMAR | ||||||||||||||
| PHYSICIAN | $191,276 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $191,276 | $0 | $0 | $0 |
| KAREN MILLER | ||||||||||||||
| PRESIDENT & CEO | $163,909 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $163,909 | $0 | $0 | $0 |
| CORNELIA STRONG | ||||||||||||||
| VP OF QUALITY & COMPLIANCE | $145,305 | $0 | $17,410 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $162,715 | $0 | $0 | $0 |
| GUY-EDGARD DOLTAIRE | ||||||||||||||
| RN - CASE MANAGER | $160,276 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $160,276 | $0 | $0 | $0 |
| KATHLEEN MCCABE | ||||||||||||||
| PHYSICIAN | $158,805 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $158,805 | $0 | $0 | $0 |
| GEORGE NDINU | ||||||||||||||
| LICENSED PRACTIAL NURSE | $157,124 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $157,124 | $0 | $0 | $0 |
| SOFIA MONTEBLANCO | ||||||||||||||
| PHYSICIAN | $156,278 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $156,278 | $0 | $0 | $0 |
Schedule M IRS990ScheduleM
Securities Publicly Traded SecuritiesPubliclyTradedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 5 | ContributionCnt |
| Noncash Contributions Rpt F990 | $25,053 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | PUBLISHED MARKET VALUE | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | 0 | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | 0 | ThirdPartiesUsedInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 IS REVIEWED BY THE PRESIDENT AND MEMBERS OF THE FINANCE COMMITTEE BEFORE FILING. THE CHAIPERSON GIVES A SUMMARY REPORT TO THE BOARD. BOARD MEMBERS CAN REQUEST A COPY OF THE FORM 990 RETURN. THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM. |
| FORM 990, PART VI, SECTION B, LINE 12C | ALL INDIVIDUALS, UPON APPOINTMENT TO THE BOARD OF DIRECTORS, ANY BOARD DESIGNATED COMMITTEE, OR MONTGOMERY HOSPICE SENIOR STAFF SHALL BE REQUIRED TO EXAMINE AND SIGN AN INDIVIDUAL STATEMENT REGARDING CONFLICT OF INTEREST. IN THE EVENT A CONFLICT OF INTEREST OR POTENTIAL CONFLICT ARISES, THE CONFLICT OF INTEREST STATEMENT MUST PROMPTLY BE UPDATED AND BROUGHT TO THE ATTENTION OF THE PRESIDENT/CEO AND/OR CHAIRPERSON OF THE BOARD. IF THE MATTER CONCERNS A STAFF MEMBER, THE CHANGE SHOULD BE PRESENTED TO THE INDIVIDUAL'S SUPERVISOR. THE INDIVIDUAL BOARD MEMBERS, WHO HAVE A CONFLICT OF INTEREST WITH THEIR CURRENT BUSINESS RELATIONSHIP AND THE HOSPICE, WILL WITHDRAW THEMSELVES FROM BOARD DISCUSSIONS AND VOTING. |
| FORM 990, PART VI, SECTION B, LINE 15A | REVIEW FOR PRESIDENT/CEO IS CONDUCTED ANNUALLY BY CERTAIN MEMBERS OF THE EXECUTIVE COMMITTEE. MEMBERS MAY INTERVIEW PRESIDENT/CEO'S COLLEAGUES CONCERNING THEIR INTERACTION AND RELATIONSHIP WITH PRESIDENT/CEO. OTHER ANALYSIS INCLUDES A WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY AND APPROVAL BY THE EXECUTIVE COMMITTEE. KEY EMPLOYEES ARE GIVEN ANNUAL PERFORMANCE REVIEWS BY THEIR IMMEDIATE SUPERVISOR INCLUDING THE PRESIDENT/CEO. THE PERFORMANCE SUMMARY IS REVIEWED AND DISCUSSED WITH THE PRESIDENT/CEO. AN ANALYSIS OF COMPARABLE STAFF POSITIONS AND SIMILAR HOSPICE ORGANIZATIONS IS DONE BY HR DEPARTMENT. DATA FROM BENCHMARK REPORTS PROVIDED BY NHPCO ARE ALSO USED IN THIS ANALYSIS. THE MOST RECENT YEAR IN WHICH THE COMPENSATION PROCESS WAS REVIEWED WAS 2021. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. THE ORGANIZATION'S FINANCIAL STATEMENTS ARE ALSO SUMMARIZED ON THE ORGANIZATION'S WEBSITE IN A WRITTEN ANNUAL REPORT. |
| PART XII, LINE 2C | NO CHANGE FROM THE PRIOR YEAR. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PALLIATIVE MEDICINE CONSULTANTS OF GREATER WASHINGTON LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1355 PICCARD DR SUITE 100 | AddressLine1Txt |
| City | ROCKVILLE | CityNm |
| State Abbreviation | MD | StateAbbreviationCd |
| ZIP | 20850 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 522343635 | EIN |
| Primary Activities | TO OFFER A CONTINUUM OF CARE FOR PATIENTS WITH ADVANCED ILLNESS | PrimaryActivitiesTxt |
| Legal Domicile State | MD | LegalDomicileStateCd |
| Total Income | $59,548 | TotalIncomeAmt |
| End Of Year Assets | $55,728 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MONTGOMERY HOSPICE INC | BusinessNameLine1Txt |