2025-05-22T08:06:38-05:00 2024-12-31 550621482 GRAY GRIFFITH & MAYS AC 707 VIRGINIA STREETEASTSUITE 400 CHARLESTON WV 253012711 990 2024-01-01 521114719 MONTGOMERY HOSPICE INC MONT 3019214400 1355 PICCARD DRIVE 100 ROCKVILLE MD 20850 SCOTT THELEN CFO 3019214400 2025-05-20 1 1 J RYAN LINDSAY P01835061 3043459400 2024 2025-03-06 01:10:19Z SCOTT THELEN 1355 PICCARD DRIVE 100 ROCKVILLE MD 20850 33222926 0 X WWW.MONTGOMERYHOSPICE.ORG X 1979 MD TO GENTLE THE JOURNEY THROUGH SERIOUS ILLNESS AND LOSS WITH SKILL AND COMPASSION. 15 14 348 222 0 0 2410279 2296756 23624932 28649799 672921 2245798 140327 30573 26848459 33222926 0 0 0 0 24052315 25238516 0 0 446034 7580266 7349580 31632581 32588096 -4784122 634830 42434609 43592911 4657053 4552825 37777556 39040086 X 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. 0 0 29889314 28680372 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. 29889314 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 1 16 0 348 1 0 0 0 0 0 0 0 0 0 0 X 15 14 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 0 0 MD X SCOTT THELEN 3019214400 1355 PICCARD DRIVE 100 ROCKVILLE MD 20850 JUSTIN G REAVES CHAIRMAN 1.00 X X 0 0 0 CHRISTOPHER N PALMER VICE CHAIR 1.00 X X 0 0 0 SHOBHANA SHARMA SECRETARY 1.00 X X 0 0 0 FRANCISCO NUGENT TREASURER 1.00 X X 0 0 0 DIANE K KUWANURA ESQ IMMEDIATE PAST CHAIR 1.00 X X 0 0 0 DAWN E DOEBLER DIRECTOR 1.00 X 0 0 0 ANGELA GRAHAM DIRECTOR 1.00 X 0 0 0 SHADY JADALI DIRECTOR 1.00 X 0 0 0 AJA JERE JENKINS DIRECTOR 1.00 X 0 0 0 JANELLE MIRABEAU DIRECTOR 1.00 X 0 0 0 MICHELLE Q PROFIT DIRECTOR 1.00 X 0 0 0 DEVANG SHAH DIRECTOR 1.00 X X 0 0 0 JOYE SISTRUNK DIRECTOR 1.00 X 0 0 0 DANIEL RUTHERFORD WILLSON DIRECTOR 1.00 X 0 0 0 KAREN MILLER PRESIDENT & CEO 40.00 X X 163909 0 0 SCOTT THELEN CFO 40.00 X 149950 0 0 DAVID SCHRIER CHIEF MEDICAL OFFICER 40.00 X 275679 0 0 JENNIFER PLUDE CHIEF CLINICAL OFFICER 40.00 X 204307 0 0 MARLENE BRADFORD CHIEF ADVANCEMENT OFFICER 40.00 X 202205 0 0 ANN LICHTENSTEIN ASSOCIATE MEDICAL OFFICER 40.00 X 236554 0 0 LISSA BERROA GARCIA PHYSICIAN 32.00 X 203354 0 0 VAISHNAVI PREMKUMAR PHYSICIAN 40.00 X 191276 0 0 CORNELIA STRONG VP OF QUALITY & COMPLIANCE 40.00 X 162715 0 0 SOFIA MONTEBLANCO PHYSICIAN 40.00 X 156278 0 0 GUY-EDGARD DOLTAIRE RN - CASE MANAGER 40.00 X 160276 0 0 KATHLEEN MCCABE PHYSICIAN 40.00 X 158805 0 0 GEORGE NDINU LICENSED PRACTIAL NURSE 40.00 X 157124 0 0 ANN MITCHELL PRESIDENT & CEO 40.00 X 204969 0 0 2627401 0 0 48 1 1 0 ENCLARA PHARMACIA 1601 CHERRY ST 18TH FLOOR PHILADELPHIA PA 19102 PHARMACY 1151138 DME EXPRESS 4500 S GARNETT RD 320 TULSA OK 74146 DURABLE MEDICAL EQUIPMENT 763720 MEDLINE INDUSTRIES BOX 382075 PITTSBURGH PA 15251 MEDICAL SUPPLIES 650763 AMERCO REAL ESTATE COMPANY 2727 N CENTRAL AVE 500 PHOENIX AZ 85004 PICCARD RENT 390934 VILLAGE AT ROCKVILLE 9701 VEIRS DR ROCKVILLE MD 20850 NURSING HOME ROOM AND BOARD 355632 19 2296756 2296756 PATIENT SERVICE REVENUE 624100 28649799 28649799 28649799 2245798 2245798 MISC REVENUE 900099 30573 30573 30573 33222926 28680372 0 2245798 2398789 2158910 191903 47976 18876822 17079283 1527304 270235 43809 39428 3505 876 2369987 2132988 189599 47400 1549109 1394198 123929 30982 127751 113698 11498 2555 52500 46725 4725 1050 241607 215030 21745 4832 28662 28662 580913 529298 42231 9384 890409 795001 78061 17347 535165 501951 27175 6039 229665 223361 5158 1146 145264 133010 10026 2228 PHARMACY & MEDICAL EQUI 2699857 2699857 STAFF TRAINING & TRANSP 358108 357663 364 81 COMMUNICATIONS 240153 231440 6758 1955 DUES & PUBLICATIONS 64660 59202 4466 992 1154866 1149609 4301 956 32588096 29889314 2252748 446034 1384305 3939677 2515373 1024024 24024 20386 4315531 4004437 105731 321525 6067899 2850622 3118930 3217277 30059078 30541145 911637 524440 42434609 43592911 3638103 3988276 1018950 564549 4657053 4552825 X 27676662 27261688 10100894 11778398 37777556 39040086 42434609 43592911 634830 627700 0 X X 0 1 X 1 0 X 12879860 12651515 8161442 2410279 2296756 38399852 23777662 20346018 21567440 23624932 28649799 117965851 36657522 32997533 29728882 26035211 30946555 156365703 11101498 1313232 3850000 1000000 400674 17665404 0 11101498 1313232 3850000 1000000 400674 17665404 138700299 713272 693684 779708 795217 2369435 5351316 713272 693684 779708 795217 2369435 5351316 112579 81010 66354 1353 26100 287396 37483373 33772227 30574944 26831781 33342090 162004415 0.85620 0.86600 0.03300 0.02290 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 27170354 926622 2720689 979960 29837705 23899030 1000000 3203847 932523 27170354 25083774 2000000 -2532452 652292 23899030 18113610 5398000 2201406 629242 25083774 8805557 8100000 1647153 439100 18113610 0.61000 0.39000 0 0 1082200 1082200 2812528 1606475 1206053 1231834 562478 669356 941337 681669 259668 3217277 LEASE LIABILITY 564549 564549 33850626 627700 627700 33222926 0 33222926 32588096 0 32588096 0 32588096 X X X X X 0 0 0 0 0 0 0 0 0 DAVID SCHRIER CHIEF MEDICAL OFFICER 275679 0 0 0 0 0 0 0 0 0 275679 0 0 0 ANN LICHTENSTEIN ASSOCIATE MEDICAL OFFICER 236554 0 0 0 0 0 0 0 0 0 236554 0 0 0 ANN MITCHELL PRESIDENT & CEO 189969 0 0 0 15000 0 0 0 0 0 204969 0 0 0 JENNIFER PLUDE CHIEF CLINICAL OFFICER 204307 0 0 0 0 0 0 0 0 0 204307 0 0 0 LISSA BERROA GARCIA PHYSICIAN 203354 0 0 0 0 0 0 0 0 0 203354 0 0 0 MARLENE BRADFORD CHIEF ADVANCEMENT OFFICER 197205 0 5000 0 0 0 0 0 0 0 202205 0 0 0 VAISHNAVI PREMKUMAR PHYSICIAN 191276 0 0 0 0 0 0 0 0 0 191276 0 0 0 KAREN MILLER PRESIDENT & CEO 163909 0 0 0 0 0 0 0 0 0 163909 0 0 0 CORNELIA STRONG VP OF QUALITY & COMPLIANCE 145305 0 17410 0 0 0 0 0 0 0 162715 0 0 0 GUY-EDGARD DOLTAIRE RN - CASE MANAGER 160276 0 0 0 0 0 0 0 0 0 160276 0 0 0 KATHLEEN MCCABE PHYSICIAN 158805 0 0 0 0 0 0 0 0 0 158805 0 0 0 GEORGE NDINU LICENSED PRACTIAL NURSE 157124 0 0 0 0 0 0 0 0 0 157124 0 0 0 SOFIA MONTEBLANCO PHYSICIAN 156278 0 0 0 0 0 0 0 0 0 156278 0 0 0 X 5 25053 PUBLISHED MARKET VALUE 0 0 0 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. PALLIATIVE MEDICINE CONSULTANTS OF GREATER WASHINGTON LLC 1355 PICCARD DR SUITE 100 ROCKVILLE MD 20850 522343635 TO OFFER A CONTINUUM OF CARE FOR PATIENTS WITH ADVANCED ILLNESS MD 59548 55728 MONTGOMERY HOSPICE INC