GRACE MEDICAL CENTER INC: Form 990, tax year 2024
View the entire original 990 at ProPublica ↗
- Organization
- GRACE MEDICAL CENTER INC (EIN 52-0591555)
- Tax period
- 2024-07-01 to 2025-06-30
- Filed
- 2026-05-13
- IRS object ID
- 202611339349301736
- 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 | 2026-05-13T08:06:45+00:00 | ReturnTs |
| Tax Period End | 2025-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 135381590 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BDO USA | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8401 GREENSBORO DR STE 800 | AddressLine1Txt |
| City | MCLEAN | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 221023599 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2024-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 520591555 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GRACE MEDICAL CENTER INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | GRAC | BusinessNameControlTxt |
| Phone | 4106016161 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2000 W BALTIMORE STREET | AddressLine1Txt |
| City | BALTIMORE | CityNm |
| State Abbreviation | MD | StateAbbreviationCd |
| ZIP | 21223 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DAVID KRAJEWSKI | PersonNm |
| Person Title | EXECUTIVE VP/CFO | PersonTitleTxt |
| Phone | 4106016161 | PhoneNum |
| Signature | 2026-05-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | TODD TERESCO | PreparerPersonNm |
| PTIN | P00247720 | PTIN |
| Phone | 7038930600 | PhoneNum |
| Preparation | 2026-05-13 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2024 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
Principal Ofcr Business Name PrincipalOfcrBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | AMY SHLOSSMAN | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2000 W BALTIMORE STREET | AddressLine1Txt |
| City | BALTIMORE | CityNm |
| State Abbreviation | MD | StateAbbreviationCd |
| ZIP | 21223 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $9,739,019 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.LIFEBRIDGEHEALTH.ORG/GRACE/GRACE.ASPX | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1920 | FormationYr |
| Legal Domicile State | MD | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE QUALITY COMPASSIONATE HEALTH CARE AND COMMUNITY-BASED SERVICES THAT SEEK TO IMPROVE THE HEALTH OF THE COMMUNITY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 7 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 4 | VotingMembersIndependentCnt |
| Total Employee | 183 | TotalEmployeeCnt |
| Total Volunteers | 3 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $556,380 | PYContributionsGrantsAmt |
| CY Contributions Grants | $266,228 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $8,391,671 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $9,132,071 | CYProgramServiceRevenueAmt |
| PY Investment Income | $58,016 | PYInvestmentIncomeAmt |
| CY Investment Income | $67,787 | CYInvestmentIncomeAmt |
| PY Other Revenue | $211,968 | PYOtherRevenueAmt |
| CY Other Revenue | $272,933 | CYOtherRevenueAmt |
| PY Total Revenue | $9,218,035 | PYTotalRevenueAmt |
| CY Total Revenue | $9,739,019 | 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 | $13,968,171 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $12,936,986 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $11,126,928 | PYOtherExpensesAmt |
| CY Other Expenses | $12,185,017 | CYOtherExpensesAmt |
| PY Total Expenses | $25,095,099 | PYTotalExpensesAmt |
| CY Total Expenses | $25,122,003 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$15,877,064 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$15,382,984 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $86,099,037 | TotalAssetsBOYAmt |
| Total Assets EOY | $76,088,114 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $63,123,695 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $49,168,976 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $22,975,342 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $26,919,138 | NetAssetsOrFundBalancesEOYAmt |
| Mission | THE MISSION IS TO PROVIDE COMPASSIONATE HEALTHCARE SERVICES FOR ALL, REGARDLESS OF PATIENTS' SOCIO-ECONOMIC STATUS AND ABILITY TO PAY. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $15,263,504 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $9,303,364 | RevenueAmt |
| Desc | OUTPATIENT SERVICES: RENAL DIALYSIS, MENTAL HEALTH, SUBSTANCE ABUSE TREATMENT, HEALTH EDUCATION, PRIMARY CARE INCLUDING PREVENTIVE CARE, ACUTE AND CHRONIC DISEASE MANAGEMENT, AND CARE COORDINATION; SPECIALTY SERVICES INCLUDING PEDIATRICS, OBGYN, CARDIOLOGY, PODIATRY, ORTHOPEDICS, INFECTIOUS DISEASE, GASTROINTESTINAL SERVICES, OPHTHALMOLOGY/EYE CARE, PULMONARY AND VASCULAR TESTING, PHYSICAL THERAPY, AND NUTRITION SERVICES; OUTPATIENT LAB, HIGH RESOLUTION 3D MAMMOGRAPHY, AND IMAGING SERVICES. AN ADVANCED CT SCANNER-TO HELP WITH EARLY DIAGNOSIS OF CONDITIONS SUCH AS STROKES AND IMPENDING HEART ATTACKS-IS LOCATED AT THE FACILITY. WE PROVIDE PATIENTS WITH ADDED SUPPORT PROGRAMS AND CONNECTION TO RESOURCES TO ASSIST WITH THEIR HEALTH JOURNEY. ADDITIONAL PROGRAMS AVAILABLE INCLUDE: PEER RECOVERY TO HELP PATIENTS WHO USE ILLICIT OR PRESCRIPTION DRUGS OR ALCOHOL BEGIN THE PATH TO RECOVERY, VIA THE OVERDOSE SURVIVORS OUTREACH PROGRAM (OSOP) AND SCREENING, BRIEF INTERVENTION AND REFERRAL TO TREATMENT (SBIRT). | Desc |
| Total Program Service Expenses | $15,263,504 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | Yes (true) | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 19 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 183 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 7 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 4 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Policies Reference Chapters | false | PoliciesReferenceChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | false | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Written Policy Or Procedure | false | WrittenPolicyOrProcedureInd |
| 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 | NANCY KANE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 4106015653 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10090 RED RUN BLVD | AddressLine1Txt |
| City | OWINGS MILLS | CityNm |
| State Abbreviation | MD | StateAbbreviationCd |
| ZIP | 21117 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (11 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| AMY SHLOSSMAN | ||||||||
| PRESIDENT (Pres SHB, SVP LBH) | 1.0 | 41.0 | Yes (X) | Yes (X) | $0 | $879,692 | $9,679 | |
| DAVID H KRAJEWSKI | ||||||||
| VP/TRASURER, LBH, EVP AND CFO | 1.0 | 54.0 | Yes (X) | Yes (X) | $0 | $1,939,064 | $47,616 | |
| DR MATTHEW POFFENROTH MD | ||||||||
| DIRECTOR AND VP (THRU 06/2025) | 1.0 | 40.0 | Yes (X) | Yes (X) | $0 | $1,337,179 | $194,589 | |
| JASON H WEINER | ||||||||
| VP AND SECRETARY, LBH, SVP & GENERAL COUNSEL | 1.0 | 54.0 | Yes (X) | Yes (X) | $0 | $1,144,544 | $217,432 | |
| NEIL M MELTZER | ||||||||
| DIRECTOR/LBH PRESIDENT/CEO/VP | 1.0 | 50.0 | Yes (X) | Yes (X) | $0 | $4,061,168 | $50,333 | |
| LESLIE R SIMMONS | ||||||||
| DIRECTOR, LBH, EVP AND COO | 1.0 | 50.0 | Yes (X) | $0 | $1,953,912 | $125,076 | ||
| CAROLYN KELLY-GREENE | ||||||||
| DIRECTOR, IMAGING SERVICES | 40.0 | 0 | $166,542 | $0 | $14,013 | Yes (X) | ||
| HEATHER YOUNG | ||||||||
| PROGRAM DIRECTOR | 40.0 | 0 | $168,563 | $0 | $8,568 | Yes (X) | ||
| MICHELLE BERKLEY-BROWN | ||||||||
| DIRECTOR, AVP OPERATIONS | 40.0 | 0 | $241,200 | $0 | $4,546 | Yes (X) | ||
| STACY CROSS | ||||||||
| DIRECTOR, ASSERTIVE CMTY TRTMNT ACT | 40.0 | 0 | $154,003 | $0 | $12,729 | Yes (X) | ||
| YASMEEN AHMED MD | ||||||||
| PHYSICIAN | 40.0 | 0 | $255,970 | $0 | $20,651 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $986,278 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $11,315,559 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $705,232 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 5 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| CROTHALL HEALTHCARE | |||||
| 1500 LIBERTY RIDGE DRIVE | WAYNE | PA | 19087 | CONTRACT CLEANING | $1,459,705 |
| ALLIED UNIVERSAL SECURITY | |||||
| POBOX 828854 | PHILADELPHIA | PA | 19182 | PROTECTION SERVICES | $860,855 |
| JOHNSON CONTROLS INC | |||||
| 5757 N GREEN BAY AVENUE | MILWAUKEE | WI | 53201 | EQUIPMENT MAINTENANCE | $604,481 |
| QUALIVIS LLC | |||||
| 5930 CORNERSTONE COURT WEST | SAN DIEGO | CA | 92121 | AGENCY NURSES | $321,365 |
| MEDHELP INC | |||||
| 1184 HAMMOCK GLEN | NEW BRAUNDELS | TX | 78132 | BILLING SERVICES | $248,760 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 9 | CntrctRcvdGreaterThan100KCnt |
| Federated Campaigns | $0 | FederatedCampaignsAmt |
| Membership Dues | $0 | MembershipDuesAmt |
| Fundraising | $0 | FundraisingAmt |
| Government Grants | $246,114 | GovernmentGrantsAmt |
| All Other Contributions | $20,114 | AllOtherContributionsAmt |
| Noncash Contributions | $0 | NoncashContributionsAmt |
| Total Contributions | $266,228 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| PATIENT SERVICE REVENUE | 621110 | $9,132,071 | $9,132,071 | $0 | $0 |
| $0 | $0 | $0 | $0 | ||
| $0 | $0 | $0 | $0 | ||
| $0 | $0 | $0 | $0 | ||
| $0 | $0 | $0 | $0 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $9,132,071 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $67,787 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $67,787 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $101,640 | RealAmt |
| Personal | $0 | PersonalAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $101,640 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $101,640 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $101,640 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $0 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $0 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $0 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $0 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $0 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| MISCELLANEOUS REVENUE | 900099 | $171,293 | $171,293 | $0 | $0 |
| $0 | $0 | $0 | $0 | ||
| $0 | $0 | $0 | $0 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $171,293 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $9,739,019 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $9,303,364 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $169,427 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,805,247 | TotalAmt |
| Program Services | $8,148,718 | ProgramServicesAmt |
| Management And General | $2,656,529 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $140,565 | TotalAmt |
| Program Services | $116,883 | ProgramServicesAmt |
| Management And General | $23,682 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,224,795 | TotalAmt |
| Program Services | $765,912 | ProgramServicesAmt |
| Management And General | $458,883 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $766,379 | TotalAmt |
| Program Services | $637,261 | ProgramServicesAmt |
| Management And General | $129,118 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $59,282 | TotalAmt |
| Program Services | $42,675 | ProgramServicesAmt |
| Management And General | $16,607 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $69,559 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $69,559 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,265,498 | TotalAmt |
| Program Services | $1,478,780 | ProgramServicesAmt |
| Management And General | $3,786,718 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,425 | TotalAmt |
| Program Services | $2,967 | ProgramServicesAmt |
| Management And General | $5,458 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,090,606 | TotalAmt |
| Program Services | $115,563 | ProgramServicesAmt |
| Management And General | $975,043 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,449,897 | TotalAmt |
| Program Services | $975,391 | ProgramServicesAmt |
| Management And General | $474,506 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,976 | TotalAmt |
| Program Services | $9,870 | ProgramServicesAmt |
| Management And General | $106 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,585 | TotalAmt |
| Program Services | $7,798 | ProgramServicesAmt |
| Management And General | $787 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $525,290 | TotalAmt |
| Program Services | $60,318 | ProgramServicesAmt |
| Management And General | $464,972 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,282,354 | TotalAmt |
| Program Services | $714,933 | ProgramServicesAmt |
| Management And General | $567,421 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Expenses OtherExpensesGrp (2 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| SUPPLIES | $2,410,445 | $2,181,485 | $228,960 | $0 |
| DUES/MEMBERSHIPS | $5,100 | $4,950 | $150 | $0 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,122,003 | TotalAmt |
| Program Services | $15,263,504 | ProgramServicesAmt |
| Management And General | $9,858,499 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,703,340 | BOYAmt |
| EOY | $6,559,816 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,735,817 | BOYAmt |
| EOY | $3,504,795 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $343,904 | BOYAmt |
| EOY | $290,184 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $103,629 | BOYAmt |
| EOY | $122,098 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $141,683,778 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $79,823,004 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $54,612,760 | BOYAmt |
| EOY | $61,860,774 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,599,587 | BOYAmt |
| EOY | $3,750,447 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $86,099,037 | BOYAmt |
| EOY | $76,088,114 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,444,309 | BOYAmt |
| EOY | $5,057,361 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,068,181 | BOYAmt |
| EOY | $166,058 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $78,304 | BOYAmt |
| EOY | $79,750 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,872,758 | BOYAmt |
| EOY | $18,756,397 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,660,143 | BOYAmt |
| EOY | $25,109,410 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $63,123,695 | BOYAmt |
| EOY | $49,168,976 | 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 | $22,656,034 | BOYAmt |
| EOY | $26,466,183 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $319,308 | BOYAmt |
| EOY | $452,955 | EOYAmt |
Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,975,342 | BOYAmt |
| EOY | $26,919,138 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $86,099,037 | BOYAmt |
| EOY | $76,088,114 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$15,382,984 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $612,767 | NetUnrlzdGainsLossesInvstAmt |
| Investment Expense | $69,559 | InvestmentExpenseAmt |
| Other Changes In Net Assets | $18,644,454 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
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 C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | Yes (true) | DirectContactLegislatorsInd |
| Direct Contact Legislators | $16,607 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $42,675 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $59,282 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY | FormAndLineReferenceDesc |
| Explanation | LOBBYING INCLUDES A PORTION OF THE MARYLAND HOSPITAL ASSOCIATION DUES RELATED TO LOBBYING ACTIVITIES PERFORMED ON BEHALF OF THE ORGANIZATION REGARDING COMMUNITY STABILIZATION AND DEVELOPMENT, HEALTH CARE MALPRACTICE AND FACILITIES, AND BUDGET INTERVENTION/PREVENTION. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | false | AgentTrusteeEtcInd |
| Incl Escrow Custodial Acct Liab | Yes (true) | InclEscrowCustodialAcctLiabInd |
| Explanation Provided | Yes (X) | ExplanationProvidedInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,369,700 | OtherCostOrOtherBasisAmt |
| Book Value | $1,369,700 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $83,935,478 | OtherCostOrOtherBasisAmt |
| Depreciation | $31,872,956 | DepreciationAmt |
| Book Value | $52,062,522 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $55,702,717 | OtherCostOrOtherBasisAmt |
| Depreciation | $47,950,048 | DepreciationAmt |
| Book Value | $7,752,669 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $675,883 | OtherCostOrOtherBasisAmt |
| Depreciation | $0 | DepreciationAmt |
| Book Value | $675,883 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $61,860,774 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)
| DescDesc | AmtAmt |
|---|---|
| Federal Income Taxes | |
| INTERCOMPANY PAYABLES | |
| LEASE LIABILITIES | |
| Intercompany Payables | $25,035,004 |
| Lease Liabilities | $74,406 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $25,109,410 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Other Revenue | $0 | OtherRevenueAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $0 | RevenueSubtotalAmt |
| Other Revenues Not Included | $0 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $0 | TotalRevenuePerForm990Amt |
| Other Expenses Included | $0 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $0 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $0 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $0 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule D, Part IV, Line 2b Explanation of escrow agreement | GRACE MEDICAL CENTER HELD, SAFEGUARDED, MANAGED AND ACCOUNTED FOR THE SOCIAL SECURITY FUNDS OF CERTAIN PATIENTS. THESE FUNDS WERE HELD IN AN FDIC INSURED BANKING INSTITUTION. WITH THE ASSISTANCE OF HOSPITAL PERSONNEL, FUNDS WERE GENERALLY ACCESSED BY THE PATIENT THROUGH THE USE OF ATM CARDS OR VISA GIFT CARDS PURCHASED ON THEIR BEHALF. |
| Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote | THE CORPORATION HAS BEEN RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE CORPORATION ACCOUNTS FOR UNCERTAIN TAX POSITIONS IN ACCORDANCE WITH FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) ACCOUNTING STANDARDS CODIFICATION (ASC) TOPIC 740, INCOME TAXES. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 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 H KRAJEWSKI | ||||||||||||||
| VP/TRASURER, LBH, EVP AND CFO | $0 | $879,781 | $0 | $680,890 | $0 | $378,393 | $0 | $38,834 | $0 | $8,782 | $0 | $1,986,680 | $0 | $324,014 |
| NEIL M MELTZER | ||||||||||||||
| DIRECTOR/LBH PRESIDENT/CEO/VP | $0 | $1,229,823 | $0 | $1,883,697 | $0 | $947,648 | $0 | $38,184 | $0 | $12,149 | $0 | $4,111,501 | $0 | $526,545 |
| DR MATTHEW POFFENROTH MD | ||||||||||||||
| DIRECTOR AND VP (THRU 06/2025) | $0 | $670,861 | $0 | $510,668 | $0 | $155,650 | $0 | $178,961 | $0 | $15,628 | $0 | $1,531,768 | $0 | $118,429 |
| AMY SHLOSSMAN | ||||||||||||||
| PRESIDENT (Pres SHB, SVP LBH) | $0 | $629,774 | $0 | $216,778 | $0 | $33,140 | $0 | $5,530 | $0 | $4,149 | $0 | $889,371 | $0 | $0 |
| JASON H WEINER | ||||||||||||||
| VP AND SECRETARY, LBH, SVP & GENERAL COUNSEL | $0 | $536,994 | $0 | $423,128 | $0 | $184,422 | $0 | $207,070 | $0 | $10,362 | $0 | $1,361,976 | $0 | $144,066 |
| LESLIE R SIMMONS | ||||||||||||||
| DIRECTOR, LBH, EVP AND COO | $0 | $792,427 | $0 | $616,503 | $0 | $544,982 | $0 | $113,580 | $0 | $11,496 | $0 | $2,078,988 | $0 | $286,794 |
| MICHELLE BERKLEY-BROWN | ||||||||||||||
| DIRECTOR, AVP OPERATIONS | $198,891 | $0 | $41,543 | $0 | $766 | $0 | $3,825 | $0 | $721 | $0 | $245,746 | $0 | $0 | $0 |
| YASMEEN AHMED MD | ||||||||||||||
| PHYSICIAN | $242,059 | $0 | $11,625 | $0 | $2,286 | $0 | $4,991 | $0 | $15,660 | $0 | $276,621 | $0 | $0 | $0 |
| HEATHER YOUNG | ||||||||||||||
| PROGRAM DIRECTOR | $144,782 | $0 | $23,605 | $0 | $176 | $0 | $2,944 | $0 | $5,624 | $0 | $177,131 | $0 | $0 | $0 |
| CAROLYN KELLY-GREENE | ||||||||||||||
| DIRECTOR, IMAGING SERVICES | $139,536 | $0 | $26,721 | $0 | $285 | $0 | $4 | $0 | $14,009 | $0 | $180,555 | $0 | $0 | $0 |
| STACY CROSS | ||||||||||||||
| DIRECTOR, ASSERTIVE CMTY TRTMNT ACT | $153,798 | $0 | $0 | $0 | $205 | $0 | $725 | $0 | $12,004 | $0 | $166,732 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation | SINCE NOVEMBER 1, 2019, THE ORGANIZATION HAS BEEN PART OF LIFEBRIDGE HEALTH ("LBH"). THE COMPENSATION OF THE ORGANIZATION'S PRESIDENT IS ESTABLISHED BY LBH AS PART OF ITS PROCESS FOR SETTING EXECUTIVE COMPENSATION ACROSS THE HEALTH SYSTEM. METHODS USED BY LBH INCLUDE A COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. |
| Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan | THE FOLLOWING DIRECTORS, OFFICERS and key employees PARTICIPATED IN A LIFEBRIDGE HEALTH SPONSORED SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN DURING THE YEAR. THE AMOUNTS REPORTED BELOW REPRESENT EMPLOYER CONTRIBUTIONS TO THE SECTION 457(F) PLAN MADE DURING THE YEAR: LESLIE R. SIMMONS $ 76,027 JASON H. WEINER $ 176,284 DURING THE YEAR, THE FOLLOWING DIRECTORS AND OFFICERS RECEIVED PAYMENTS AS PART OF THEIR PARTICIPATION IN A LIFEBRIDGE HEALTH SPONSORED SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: NEIL M. MELTZER $882,930 LESLIE R. SIMMONS $ 515,756 DAVID H. KRAJEWSKI $ 330,949 JASON H. WEINER $ 147,040 COMPENSATION PROVIDED BY RELATED ORGANIZATIONS: MR. MELTZER RECEIVED COMPENSATION AS THE CHIEF EXECUTIVE OFFICER AND PRESIDENT OF LIFEBRIDGE HEALTH, INC., NOT AS A DIRECTOR OR OFFICER OF GRACE MEDICAL CENTER, INC. MS. SIMMONS RECEIVED COMPENSATION AS THE CHIEF OPERATIONS OFFICER AND EXECUTIVE VICE PRESIDENT OF LIFEBRIDGE, HEALTH, INC., NOT AS A DIRECTOR OR OFFICER OF GRACE MEDICAL CENTER, INC. MR. KRAJEWSKI RECEIVED COMPENSATION AS AN EXECUTIVE VICE PRESIDENT AND THE CHIEF FINANCIAL OFFICER OF LIFEBRIDGE HEALTH, INC., NOT AS AN OFFICER OF GRACE MEDICAL CENTER, INC. MR. POFFENROTH RECEIVED COMPENSATION AS A SENIOR VICE PRESIDENT OF LIFEBRIDGE HEALTH, INC., NOT AS AN OFFICER OF GRACE MEDICAL CENTER, INC. MR. WEINER RECEIVED COMPENSATION AS A SENIOR VICE PRESIDENT AND THE GENERAL COUNSEL OF LIFEBRIDGE HEALTH, INC., NOT AS AN OFFICER OF GRACE MEDICAL CENTER, INC. MS. SHLOSSMAN RECEIVED COMPENSATION AS PRESIDENT OF SINAI HOSPITAL OF BALTIMORE, INC. NOT AS A DIRECTOR OR OFFICER OF GRACE MEDICAL CENTER, INC. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Line 6 Classes of members or stockholders | THE CORPORATION SHALL HAVE ONE MEMBER, LIFEBRIDGE HEALTH, INC. (THE "MEMBER"), A MARYLAND NON-STOCK CORPORATION. MEMBERSHIP IN THE CORPORATION SHALL NOT BE TRANSFERABLE. |
| Form 990, Part VI, Line 7a Members or stockholders electing members of governing body | THE MEMBER SHALL HAVE THE EXCLUSIVE POWER AND AUTHORITY TO TAKE THE FOLLOWING ACTIONS: (1) EXCEPT FOR EX OFFICIO DIRECTORS AS PROVIDED FOR IN THE BYLAWS, TO NOMINATE, ELECT, AND REMOVE, WITH OR WITHOUT CAUSE, THE DIRECTORS OF THE CORPORATION; (2) TO APPOINT THE PRESIDENT OF THE CORPORATION WITH THE ADVICE AND CONSENT OF THE BOARD OF DIRECTORS; (3) TO NOMINATE AND ELECT THE CORPORATION'S CHAIR, VICE CHAIR, SECRETARY, AND TREASURER; AND (4) TO REMOVE EACH OF THE ABOVE NAMED OFFICERS (WITH OR WITHOUT CAUSE), PROVIDED THAT THE BOARD OF DIRECTORS OF THE CORPORATION SHALL ALSO HAVE THE POWER TO REMOVE ANY OFFICER OF THE CORPORATION. |
| Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders | THE MEMBER HAS POWER TO APPOINT AND/OR REMOVE MEMBERS OF THE GOVERNING BODY. |
| Form 990, Part VI, Line 11b Review of form 990 by governing body | THE LIFEBRIDGE EXEMPT ENTITIES 990'S ARE INITIALLY REVIEWED BY THE ASSISTANT VICE PRESIDENT OF FINANCIAL REPORTING. IN ADDITION, AN INDEPENDENT ACCOUNTING FIRM ALSO REVIEWS ALL THE 990 RETURNS. A FORMAL MEETING IS THEN SCHEDULED WITH THE CHIEF FINANCIAL OFFICER, VICE PRESIDENT OF FINANCIAL REPORTING, GENERAL COUNSEL AND THE ASSISTANT VICE PRESIDENT OF FINANCIAL REPORTING TO REVIEW IN THEIR ENTIRETY ALL THE LIFEBRIDGE EXEMPT ENTITIES 990'S. MANAGEMENT THEN PROVIDES A COPY OF THE 990'S TO THE AUDIT AND COMPLIANCE COMMITTEE OF THE LIFEBRIDGE HEALTH BOARD AND TO EACH INDIVIDUAL BOARD DIRECTOR PRIOR TO THE FILING DATE FOR REVIEW. |
| Form 990, Part VI, Line 12c Conflict of interest policy | ALL DIRECTORS, OFFICERS, EMPLOYEES, MEDICAL STAFF MEMBERS, AND VOLUNTEERS ARE EXPECTED TO RECOGNIZE AND DISCLOSE AT THE EARLIEST POSSIBLE TIME ACTUAL AND POTENTIAL CONFLICTS OF INTEREST. AN INDIVIDUAL IS CONSIDERED TO HAVE A CONFLICT OF INTEREST WITH REGARD TO A MATTER OR TRANSACTION IF THE INDIVIDUAL OR A FAMILY MEMBER OF THE INDIVIDUAL HAS A PERSONAL OR FINANCIAL INTEREST THAT HAS THE POTENTIAL TO INFLUENCE THE ACTION TAKEN BY THE INDIVIDUAL ON BEHALF OF LIFEBRIDGE HEALTH. ADDITIONAL INFORMATION REGARDING WHAT CONSTITUTES A CONFLICT OF INTEREST AND HOW TO DISCLOSE A CONFLICT IS OUTLINED BELOW. LIFEBRIDGE AND ALL OF ITS SUBSIDIARIES SHALL REQUIRE ALL EMPLOYEES, MEDICAL STAFF, AND MEMBERS OF THE BOARD TO DISCLOSE ANY ACTIVITIES THAT COULD RESULT IN A POSSIBLE CONFLICT OF INTEREST. IF A CONFLICT IS IDENTIFIED, THE PERSON INVOLVED WOULD RECUSE HIM/HERSELF FROM DELIBERATIONS REGARDING THE TRANSACTIONS. AN INDIVIDUAL IS CONSIDERED TO HAVE A CONFLICT OF INTEREST WITH REGARD TO A MATTER OR TRANSACTION IF THE INDIVIDUAL HAS A PERSONAL OR FINANCIAL INTEREST THAT HAS THE POTENTIAL TO INFLUENCE THE ACTION TAKEN BY THE INDIVIDUAL ON BEHALF OF LIFEBRIDGE OR ANY OF ITS SUBSIDIARIES. AN INDIVIDUAL IS CONSIDERED TO HAVE A "PERSONAL INTEREST" IN A MATTER IF IT IS LIKELY TO HAVE A DIRECT AND MATERIAL IMPACT ON THE INDIVIDUAL'S RELATIONSHIP WITH LIFEBRIDGE OR ANY OF ITS SUBSIDIARIES (E.G., THE INDIVIDUAL'S CONTINUED MEMBERSHIP ON A SUBSIDIARY HOSPITAL'S MEDICAL STAFF), OR ON THE INDIVIDUAL'S OWN HEALTH CARE, OR THE INDIVIDUAL IS PERSONALLY INVOLVED IN A SUBSTANTIAL WAY (E.G., SERVES AS AN OFFICER, DIRECTOR, TRUSTEE, OR KEY EMPLOYEE) WITH ANOTHER ORGANIZATION THAT HAS A SIGNIFICANT INTEREST IN THE MATTER. AN INDIVIDUAL IS CONSIDERED TO HAVE A "FINANCIAL INTEREST" IN A TRANSACTION IF THE INDIVIDUAL, OR THEIR FAMILY MEMBER, (I) IS A PARTY TO THE TRANSACTION, (II) WILL BENEFIT PERSONALLY FROM THE TRANSACTION, OR (III) HAS, DIRECTLY OR INDIRECTLY, A CURRENT OR ANTICIPATED OWNERSHIP OR INVESTMENT IN, OR COMPENSATION ARRANGEMENT WITH, A PARTY TO THE TRANSACTION. AN OWNERSHIP INTEREST OF LESS THAN 5% IN AN ENTITY WILL NOT, IN AND OF ITSELF, GENERALLY BE CONSIDERED A FINANCIAL INTEREST; HOWEVER, TO THE EXTENT THE INDIVIDUAL'S COMPENSATION FROM THE ENTITY IS DIRECTLY LINKED TO THE ENTITY'S BUSINESS WITH LIFEBRIDGE HEALTH, SUCH COMPENSATION WILL CONSTITUTE A FINANCIAL INTEREST. FOR THE PURPOSES OF THIS POLICY, A "FAMILY MEMBER" INCLUDES SPOUSE OR DOMESTIC PARTNER, PARENTS, BROTHERS AND SISTERS, CHILDREN (WHETHER NATURAL OR ADOPTED), GRANDPARENTS, GRANDCHILDREN, GREAT-GRANDCHILDREN, AND IN-LAWS, SPOUSES OF BROTHERS, SISTERS, CHILDREN, GRANDCHILDREN, AND GREAT -GRANDCHILDREN, AND ANY OTHER MEMBER OF A HOUSEHOLD OF THE INDIVIDUAL. CONFLICTS OF INTEREST ARE TO BE REPORTED BY EMPLOYEES TO THEIR SUPERVISOR, WHO WILL BE RESPONSIBLE FOR DETERMINING WHETHER FURTHER DISSEMINATION IS NECESSARY. MEMBERS OF THE MEDICAL STAFF SHOULD REPORT CONFLICTS TO THE CHIEF OF THEIR DEPARTMENT, AND MEMBERS OF THE BOARD SHOULD REPORT THEM TO THE CHIEF COMPLIANCE OFFICER. QUESTIONNAIRES ARE SENT OUT TO MEMBERS OF THE BOARD ON AN ANNUAL BASIS. IF QUESTIONS ARISE OR FURTHER GUIDANCE IS SOUGHT, INDIVIDUALS CAN CONTACT THE CHIEF COMPLIANCE OFFICER OR CONFIDENTIAL COMPLIANCE HOTLINE. NOTHING IN THIS DEFINITION IS INTENDED TO RELIEVE ANY PERSON OF ANY ADDITIONAL OBLIGATIONS THAT MAY BE IMPOSED BY STATE OR FEDERAL LAW. |
| Form 990, Part VI, Line 19 Required documents available to the public | IT IS THE POLICY OF LIFEBRIDGE HEALTH INC. AND ITS SUBSIDIARIES TO MAKE AVAILABLE UPON REQUEST THE AUDITED FINANCIAL STATEMENTS TO THE GENERAL PUBLIC. THE LIFEBRIDGE HEALTH INC. AND SUBSIDIARY GOVERNING DOCUMENTS ARE NOT MADE AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST OR VIA A WEBSITE. THE CONFLICT OF INTEREST POLICY IS INCLUDED ON SCHEDULE O. |
| Form 990, Part IX, Line 11g Other Fees | OTHER PURCHASED SERVICES - Total Expense: 3438357, Program Service Expense: 981280, Management and General Expenses: 2457077, Fundraising Expenses: 0; LAUNDRY AND EVS - Total Expense: 1321397, Program Service Expense: 63596, Management and General Expenses: 1257801, Fundraising Expenses: 0; PROFESSINAL AND TECHNICAL - Total Expense: 341083, Program Service Expense: 269243, Management and General Expenses: 71840, Fundraising Expenses: 0; AGENCY - Total Expense: 164661, Program Service Expense: 164661, Management and General Expenses: 0, Fundraising Expenses: 0; |
| Form 990, Part XI, Line 9 Other changes in net assets or fund balances | TRANSFERS TO TAX EXEMPT AFFILIATES - 18655835; Other Adjustment - -11381; Total - 18644454; |
| Form 990, Part XII, Line 2c Change of oversight process or selection process | THE AUDIT COMMITTEE REVIEW PROCESS FOR GRACE MEDICAL CENTER, INC. FOLLOWS LIFEBRIDGE HEALTH, INC.'S AUDIT COMMITTEE REVIEW PROCESS. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (18 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| CARROLL HOSPITAL CENTER INC | ||||||||||
| 200 MEMORIAL AVENUE | WESTMINSTER | MD | 21157 | 521452024 | HOSPITAL | MD | 501(c)(3) | 3 | CCHS | false |
| BRIDGINGLIFE INC | ||||||||||
| 292 STONER AVENUE | WESTMINSTER | MD | 21157 | 521565870 | HOSPICE | MD | 501(c)(3) | 7 | CHC | false |
| CARROLL HOSPITAL CENTER FOUNDATION INC | ||||||||||
| 200 MEMORIAL AVENUE | WESTMINSTER | MD | 21157 | 521115038 | HOSPITAL SUPPORT | MD | 501(c)(3) | Type I | CHC | false |
| PARTNERSHIP FOR A HEALTHIER CARROLL CTY | ||||||||||
| 295 STONER AVENUE 306 | WESTMINSTER | MD | 21157 | 522156892 | HEALTH SERVICES | MD | 501(c)(3) | 7 | CHC | false |
| LEVINDALE HEBREW GERIATRIC CENTER HOSP | ||||||||||
| 2434 WEST BELVEDERE AVENUE | BALTIMORE | MD | 21215 | 520607913 | HOSPITAL | MD | 501(c)(3) | 3 | LBH | false |
| SINAI HOSPITAL OF BALTIMORE INC | ||||||||||
| 2401 WEST BELVEDERE AVENUE | BALTIMORE | MD | 21215 | 520486540 | HOSPITAL | MD | 501(c)(3) | 3 | LBH | false |
| COURTLAND GARDENS NURSING AND REHAB CTR | ||||||||||
| 2434 WEST BELVEDERE AVENUE | BALTIMORE | MD | 21215 | 520607907 | NURSING | MD | 501(c)(3) | 10 | LBH | false |
| NORTHWEST HOSPITAL CENTER INC | ||||||||||
| 5401 OLD COURT ROAD | RANDALLSTOWN | MD | 21133 | 521372665 | HOSPITAL | MD | 501(c)(3) | 3 | LBH | false |
| CHILDRENS HOSPITAL OF BALTIMORE CITY INC | ||||||||||
| 2401 WEST BELVEDERE AVENUE | BALTIMORE | MD | 21215 | 520591592 | HOSPITAL SUPPORT | MD | 501(c)(3) | Type II | LBH | false |
| THE BALTIMORE JEWISH HEALTH FDN INC | ||||||||||
| 2401 WEST BELVEDERE AVENUE | BALTIMORE | MD | 21215 | 522111541 | HOSPITAL SUPPORT | MD | 501(c)(3) | Type II | LBH | false |
| CHILDRENS HOSPITAL AT SINAI FOUNDATION | ||||||||||
| 2401 WEST BELVEDERE AVENUE | BALTIMORE | MD | 21215 | 522167587 | HOSPITAL SUPPORT | MD | 501(c)(3) | Type II | LBH | false |
| THE BALTIMORE JEWISH ELDERCARE FDN | ||||||||||
| 2401 WEST BELVEDERE AVENUE | BALTIMORE | MD | 21215 | 522337669 | HOSPITAL SUPPORT | MD | 501(c)(3) | Type II | LBH | false |
| CENTER FOR HOPE INC | ||||||||||
| 5400 PREAKNESS WAY | BALTIMORE | MD | 21215 | 521681279 | CHILD SERVICES | MD | 501(c)(3) | 7 | LBH | false |
| WEST BALTIMORE RENAISSANCE FDN INC | ||||||||||
| 2401 WEST BELVEDERE AVENUE | BALTIMORE | MD | 21215 | 843355332 | COMMUNITY CENTER | MD | 501(c)(3) | 7 | LBH | false |
| CARROLL COUNTY HEALTH SERVICES CORP | ||||||||||
| 200 MEMORIAL AVENUE | WESTMINSTER | MD | 21157 | 520691413 | HOSPITAL SUPPORT | MD | 501(c)(3) | Type II | LBH | false |
| LIFEBRIDGE CENTER FOR HOPE INC | ||||||||||
| 2401 WEST BELVEDERE AVENUE | BALTIMORE | MD | 21215 | 853920012 | REAL ESTATE | MD | 501(c)(3) | Type I | SHB | false |
| LIFEBRIDGE HEALTH INC | ||||||||||
| 2401 WEST BELVEDERE AVENUE | BALTIMORE | MD | 21215 | 521402373 | SUPPORT | MD | 501(c)(3) | Type III-FI | NA | false |
| THE FAMILY TREE INC | ||||||||||
| 2108 NORTH CHARLES STREET | BALTIMORE | MD | 21218 | 521110645 | CHILD SERVICES | MD | 501(c)(3) | 7 | LBH | false |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (27 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|
| CARROLL COUNTY RADIOLOGY LLC | |||||||||||
| 7523 AMBASSADOR ROAD | BALTIMORE | MD | 21244 | 522190849 | RADIOLOGY | MD | NA | N/A | false | false | 0 |
| CARROLL OCCUPATIONAL HEALTH LLC | |||||||||||
| 7001 CORPORATE CENTER COURT | WESTMINSTER | MD | 21157 | 202769332 | MEDICAL SERVICES | MD | NA | N/A | false | false | 0 |
| CARDIOVASCULAR ASSOCIATES OF MARYLAND | |||||||||||
| 2401 WEST BELVEDERE AVENUE | BALTIMORE | MD | 21215 | 462935110 | MEDICAL SERVICES | MD | NA | N/A | false | false | 0 |
| LIFEBRIDGE CARDIOLOGY OF PARKVILLE LLC | |||||||||||
| 2401 WEST BELVEDERE AVENUE | BALTIMORE | MD | 21215 | 463742313 | MEDICAL SERVICES | MD | NA | N/A | false | false | 0 |
| LIFEBRIDGE COMMUNITY GASTROENTEROLOGY | |||||||||||
| 2401 WEST BELVEDERE AVENUE | BALTIMORE | MD | 21215 | 462863298 | MEDICAL SERVICES | MD | NA | N/A | false | false | 0 |
| LIFEBRIDGE COMMUNITY PEDIATRICS LLC | |||||||||||
| 2401 WEST BELVEDERE AVENUE | BALTIMORE | MD | 21215 | 462842468 | MEDICAL SERVICES | MD | NA | N/A | false | false | 0 |
| LIFEBRIDGE COMMUNITY PULMONOLOGY LLC | |||||||||||
| 2401 WEST BELVEDERE AVENUE | BALTIMORE | MD | 21215 | 461401312 | MEDICAL SERVICES | MD | NA | N/A | false | false | 0 |
| LIFEBRIDGE GYNECOLOGY OF PIKESVILLE LLC | |||||||||||
| 2401 WEST BELVEDERE AVENUE | BALTIMORE | MD | 21215 | 462949092 | MEDICAL SERVICES | MD | NA | N/A | false | false | 0 |
| LIFEBRIDGE MEDICAL ASSOCIATES LLC | |||||||||||
| 2401 WEST BELVEDERE AVENUE | BALTIMORE | MD | 21215 | 462941505 | MEDICAL SERVICES | MD | NA | N/A | false | false | 0 |
| LIFEBRIDGE NEUROSCIENCES LLC | |||||||||||
| 2401 WEST BELVEDERE AVENUE | BALTIMORE | MD | 21215 | 450719598 | MEDICAL SERVICES | MD | NA | N/A | false | false | 0 |
| LIFEBRIDGE PRIMARY CARE OF ELDERSBURG | |||||||||||
| 2401 WEST BELVEDERE AVENUE | BALTIMORE | MD | 21215 | 383897702 | MEDICAL SERVICES | MD | NA | N/A | false | false | 0 |
| LIFEBRIDGE PRIMARY CARE OF NORTH CARROLL | |||||||||||
| 2401 WEST BELVEDERE AVENUE | BALTIMORE | MD | 21215 | 800883321 | MEDICAL SERVICES | MD | NA | N/A | false | false | 0 |
| HOMECARE MARYLAND LLC | |||||||||||
| 8028 RITCHIE HIGHWAY | PASADENA | MD | 21122 | 261378175 | HOME HEALTH SERVICES | MD | NA | N/A | false | false | 0 |
| LIFEBRIDGE REHABILITATION SERVICES LLC | |||||||||||
| 2401 WEST BELVEDERE AVENUE | BALTIMORE | MD | 21215 | 811504380 | REHAB SERVICES | MD | NA | N/A | false | false | 0 |
| ELLICOTT CITY ASC MANAGEMENT LLC | |||||||||||
| 2401 WEST BELVEDERE AVENUE | BALTIMORE | MD | 21215 | 522331663 | MEDICAL SERVICES | MD | NA | N/A | false | false | 0 |
| SURGICENTER OF BALTIMORE LLC | |||||||||||
| 2401 WEST BELVEDERE AVENUE | BALTIMORE | MD | 21215 | 521658841 | MEDICAL SERVICES | MD | NA | N/A | false | false | 0 |
| SPRINGWELL PARTNERS LLC | |||||||||||
| 2200 PINE HILL FARMS LANE | HUNT VALLEY | MD | 21030 | 271971171 | ASSISTED LIVING | MD | NA | N/A | false | false | 0 |
| LIFEBRIDGE SUBURBAN PHYSICIAN GROUP II | |||||||||||
| 5401 OLD COURT ROAD | RANDALLSTOWN | MD | 21133 | 814209029 | MEDICAL SERVICES | MD | NA | N/A | false | false | 0 |
| LIFEBRIDGE LAB MANAGEMENT LLC | |||||||||||
| 2401 WEST BELVEDERE AVENUE | BALTIMORE | MD | 21215 | 821113874 | LAB SERVICES | MD | NA | N/A | false | false | 0 |
| LIFEBRIDGE METROPOLITAN PHYSICIAN GRPII | |||||||||||
| 2401 WEST BELVEDERE AVENUE | BALTIMORE | MD | 21215 | 814223537 | MEDICAL SERVICES | MD | NA | N/A | false | false | 0 |
| LIFEBRIDGE MULTI-SPECIALTY LLC | |||||||||||
| 41 MAGNA WAY SUITE 100 | WESTMINSTER | MD | 21157 | 463753120 | MEDICAL SERVICES | MD | NA | N/A | false | false | 0 |
| ELLICOTT CITY AMBULATORY SURGERY CENTER | |||||||||||
| 2850 N RIDGE ROAD | ELLICOTT CITY | MD | 21043 | 522331663 | MEDICAL SERVICES | MD | NA | N/A | false | false | 0 |
| OAK FARM SOLUTIONS LLC | |||||||||||
| 1122 KENILWORTH DRIVE | TOWSON | MD | 21204 | 474944865 | HOME HEALTH SERVICES | MD | NA | N/A | false | false | 0 |
| MNR INDUSTRIES LLC | |||||||||||
| 5 BEL AIR SOUTH PARKWAY | BEL AIR | MD | 21015 | 331095434 | URGENT CARE SERVICES | MD | NA | N/A | false | false | 0 |
| MNR OF FREDERICK COUNTY LLC | |||||||||||
| 5 BEL AIR SOUTH PARKWAY | BEL AIR | MD | 21015 | 813781457 | URGENT CARE SERVICES | MD | NA | N/A | false | false | 0 |
| BAKER REHAB GROUP LLC | |||||||||||
| 197 THOMAS JOHNSON DRIVE | FREDERICK | MD | 21702 | 880864449 | REHAB SERVICES | MD | NA | N/A | false | false | 0 |
| ADVANCED ENDO CTR OF HOWARD CTY LLC | |||||||||||
| 8875 CENTRE PARK DRIVE | COLUMBIA | MD | 21045 | 522210078 | MEDICAL SERVICES | MD | NA | N/A | false | false | 0 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (8 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | Foreign PostalForeignAddress/ForeignPostalCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| HEALTHSTAR MEDICAL SERVICES INC | |||||||||||||||
| 2401 WEST BELVEDERE AVENUE | BALTIMORE | MD | 21215 | 521829098 | HEALTHCARE | MD | LB INVT LLC | C Corporation | 0 | false | |||||
| LIFEBRIDGE INSURANCE COMPANY LTD | |||||||||||||||
| 980415396 | INSURANCE | LBH INC | C Corporation | 0 | false | PO BOX 1109 GRAND CAYMAN | GRAND CAYMAN | CJ | KY11102 | CJ | |||||
| CARROLL BILLING SERVICES INC | |||||||||||||||
| 200 MEMORIAL AVENUE | WESTMINSTER | MD | 21157 | 300026598 | BILLING SERVICES | MD | CHC INC | C Corporation | 0 | false | |||||
| CARROLL COUNTY GEN HOSP SOUTH CARROLL | |||||||||||||||
| 200 MEMORIAL AVENUE | WESTMINSTER | MD | 21157 | REAL ESTATE | MD | NA | C Corporation | 0 | false | ||||||
| MED-SERVICES HOLDINGS INC | |||||||||||||||
| 200 MEMORIAL AVENUE | WESTMINSTER | MD | 21157 | MEDICAL SERVICES | MD | CCMS LLC | C Corporation | 0 | false | ||||||
| LIFEBRIDGE HEALTH ISRAEL LTD | |||||||||||||||
| 515804516 | HEALTHCARE | LB INVT LLC | C Corporation | 0 | false | 16 ABBA HILLEL ROAD | RAHMAT GAN | IS | 5250608 | IS | |||||
| LIFEBRIDGE INVESTMENTS HOLDINGS I INC | |||||||||||||||
| 2401 WEST BELVEDERE AVENUE | BALTIMORE | MD | 21215 | 993806250 | HOLDING COMPANY | MD | LBH INC | C Corporation | 0 | false | |||||
| LIFEBRIDGE INVESTMENTS HOLDINGS II INC | |||||||||||||||
| 2401 WEST BELVEDERE AVENUE | BALTIMORE | MD | 21215 | 993813568 | HOLDING COMPANY | MD | LBH INC | C Corporation | 0 | false | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (true) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |