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Nonprofiteer
← CARROLL COUNTY HEALTH SERVICE CORP

Form 990 for tax year 2022

Filed by CARROLL COUNTY HEALTH SERVICE CORP.

Totals

Total revenue
$79,988
Total expenses
$4,194
Contributions and grants received
$0
Grants paid
$4,000
Program service revenue
$0
Investment income
$14,898
Other revenue
$65,090
Total assets, end of year
$392,109,182
Total liabilities, end of year
$18,440
Net assets or fund balances, end of year
$392,090,742
Program services expenses (Part IX)
$4,000
Management and general expenses
$194
Fundraising expenses
$0
Program service expenses (Part III)
$4,000

Program services were 95.4% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 3 · Investment income

    total $14,898 · excluded $14,898

  • 4 · Income from investment of tax-exempt bond proceeds

    total $0

  • 5 · Royalties

    total $0

  • 6a · Gross rents

    real property $129,380

  • 6b · Less rental expenses

    real property $64,290

  • 6c · Rental income or loss

    real property $65,090 · personal property $0

  • 6d · Net rental income or loss

    total $65,090 · unrelated business $15,000 · excluded $50,090

  • 7d · Net gain or loss

    total $0

  • 8a · Fundraising events: gross income

    $0

  • 8b · Fundraising events: direct expenses

    $0

  • 8c · Net income from fundraising events

    total $0

  • 9a · Gaming: gross income

    $0

  • 9b · Gaming: direct expenses

    $0

  • 9c · Net income from gaming

    total $0

  • 10a · Gross sales of inventory

    $0

  • 10b · Cost of goods sold

    $0

  • 10c · Net income from sales of inventory

    total $0

  • 11e · Other revenue, total

    $0

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $0

  • 2 · Grants to domestic individuals

    total $4,000 · program services $4,000

  • 3 · Grants to foreign organizations and individuals

    total $0

  • 4 · Benefits paid to or for members

    total $0

  • 5 · Compensation of officers, directors and key employees

    total $0

  • 6 · Compensation of disqualified persons

    total $0

  • 7 · Other salaries and wages

    total $0

  • 8 · Pension plan contributions

    total $0

  • 9 · Other employee benefits

    total $0

  • 10 · Payroll taxes

    total $0

  • 11a · Fees: management

    total $0

  • 11b · Fees: legal

    total $0

  • 11c · Fees: accounting

    total $0

  • 11d · Fees: lobbying

    total $0

  • 11e · Fees: professional fundraising services

    total $0

  • 11f · Fees: investment management

    total $0

  • 11g · Fees: other

    total $0

  • 12 · Advertising and promotion

    total $0

  • 13 · Office expenses

    total $0

  • 14 · Information technology

    total $0

  • 15 · Royalties

    total $0

  • 16 · Occupancy

    total $0

  • 17 · Travel

    total $0

  • 18 · Travel or entertainment for public officials

    total $0

  • 19 · Conferences, conventions and meetings

    total $0

  • 20 · Interest

    total $0

  • 21 · Payments to affiliates

    total $0

  • 22 · Depreciation, depletion and amortization

    total $0

  • 23 · Insurance

    total $0

  • 24a · Other expenses: BANK FEE

    total $194 · program services $0 · management and general $194 · fundraising $0

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $1,367,508 · end of year $1,423,301

  • 2 · Savings and temporary cash investments

    beginning of year $0 · end of year $0

  • 3 · Pledges and grants receivable

    beginning of year $0 · end of year $0

  • 4 · Accounts receivable

    beginning of year $0 · end of year $0

  • 5 · Loans and receivables from officers and key people

    beginning of year $0 · end of year $0

  • 6 · Loans and receivables from disqualified persons

    beginning of year $0 · end of year $0

  • 7 · Other notes and loans receivable

    beginning of year $0 · end of year $0

  • 8 · Inventories for sale or use

    beginning of year $0 · end of year $0

  • 9 · Prepaid expenses and deferred charges

    beginning of year $0 · end of year $0

  • 10a · Land, buildings and equipment: cost or other basis

    $2,600,682

  • 10b · Land, buildings and equipment: accumulated depreciation

    $16,894

  • 10c · Land, buildings and equipment, net

    beginning of year $2,583,788 · end of year $2,583,788

  • 11 · Investments: publicly traded securities

    beginning of year $0 · end of year $0

  • 12 · Investments: other securities

    beginning of year $40,371 · end of year $29,605

  • 13 · Investments: program-related

    beginning of year $367,659,063 · end of year $388,040,800

  • 14 · Intangible assets

    beginning of year $0 · end of year $0

  • 15 · Other assets

    beginning of year $16,688 · end of year $31,688

  • 17 · Accounts payable and accrued expenses

    beginning of year $0 · end of year $0

  • 18 · Grants payable

    beginning of year $0 · end of year $0

  • 19 · Deferred revenue

    beginning of year $0 · end of year $0

  • 20 · Tax-exempt bond liabilities

    beginning of year $0 · end of year $0

  • 21 · Escrow or custodial account liability

    beginning of year $0 · end of year $0

  • 22 · Loans and payables to officers and key people

    beginning of year $0 · end of year $0

  • 23 · Secured mortgages and notes payable

    beginning of year $0 · end of year $0

  • 24 · Unsecured notes and loans payable

    beginning of year $0 · end of year $0

  • 25 · Other liabilities

    beginning of year $23,441 · end of year $18,440

  • 27 · Net assets without donor restrictions

    beginning of year $310,716,040 · end of year $330,728,254

  • 28 · Net assets with donor restrictions

    beginning of year $60,927,937 · end of year $61,362,488

Mission and programs · 2022

Mission

TO SUPPORT CARROLL HOSPITAL CENTER, INC., INCLUDING BY ASSISTING IN OVERSEEING THE OPERATIONS OF ITS SUBSIDIARIES.

  • CARROLL COUNTY HEALTH SERVICES CORPORATION IS A NON-PROFIT, NON-STOCK MEMBERSHIP CORPORATION INCORPORATED IN MARYLAND ENGAGED IN SUPPORTING CARROLL HOSPITAL CENTER, INC., INCLUDING BY ASSISTING IN OVERSEEING THE OPERATIONS OF ITS SUBSIDIARIES. CARROLL HOSPITAL CENTER, INC. IS A WHOLLY CONTROLLED SUBSIDIARY OF THE CORPORATION. THE HOSPITAL OPERATES A 166 BED ACUTE CARE HOSPITAL WITH BOTH INPATIENT AND OUTPATIENT CARE.

    Expenses $4,000 · Grants $4,000

As filed on the 2022 return.

Listed in Part VII

  • NEIL M MELTZER

    DIRECTOR/LBH PRESIDENT/CEO

    Total calculated
    $4,027,911
    From this org
    $0
    From related orgs
    $3,617,972
    Other
    $409,939
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,100,384 related
    Bonus
    $0 + $1,347,370 related
    Other
    $0 + $1,170,218 related
    Deferred
    $0 + $388,009 related
    Nontaxable benefits
    $0 + $21,930 related
    Filer's total
    $0 + $4,027,911 related

  • LESLIE R SIMMONS

    FORMER DIR./PRES. CHC/ COO LBH

    Total calculated
    $1,908,539
    From this org
    $0
    From related orgs
    $1,643,643
    Other
    $264,896
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $711,284 related
    Bonus
    $0 + $454,822 related
    Other
    $0 + $477,537 related
    Deferred
    $0 + $242,547 related
    Nontaxable benefits
    $0 + $22,349 related
    Filer's total
    $0 + $1,908,539 related

  • GARRETT W HOOVER

    DIRECTOR/PRESIDENT/COO OF CHC

    Total calculated
    $656,258
    From this org
    $0
    From related orgs
    $629,156
    Other
    $27,102
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $393,442 related
    Bonus
    $0 + $192,570 related
    Other
    $0 + $43,144 related
    Deferred
    $0 + $1,936 related
    Nontaxable benefits
    $0 + $25,166 related
    Filer's total
    $0 + $656,258 related

  • MICHAEL MYERS

    VP RATES & REIMB. & CFO CCHS

    Total calculated
    $516,935
    From this org
    $0
    From related orgs
    $429,059
    Other
    $87,876
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $302,809 related
    Bonus
    $0 + $83,750 related
    Other
    $0 + $42,500 related
    Deferred
    $0 + $60,431 related
    Nontaxable benefits
    $0 + $27,445 related
    Filer's total
    $0 + $516,935 related

  • ALEC YEO

    CHAIR

    Total calculated
    $0
    Hours/week
    1

  • THOMAS ZIRPOLI

    VICE CHAIR

    Total calculated
    $0
    Hours/week
    1

  • MARTIN KP HILL

    SECRETARY

    Total calculated
    $0
    Hours/week
    1

  • DAVID S BOLLINGER

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • SUE CHAMBERS

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • CHRISTOPHER GROVE MD

    DIRECTOR/PRES. MEDICAL STAFF

    Total calculated
    $0
    Hours/week
    1

  • DAMIAN HALSTAD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • TODD HERRING

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • KIRAN KUNA MD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • BRIAN MOFFET

    DIRECTOR/CHAIRMAN OF LBH

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • ALEX MYERS

    DIRECTOR/FDN CHAIR

    Total calculated
    $0
    Hours/week
    1

  • MARCUS L PRIMM

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • DEBORAH SEIDEL

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • JACK TEVIS

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • DREWRY WHITE MD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 1 related

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

SCHEDULE J, PART I, LINE 3:
CARROLL COUNTY HEALTH SERVICES CORPORATION'S COMPENSATION OF TOP-LEVEL MANAGEMENT OFFICIALS IS DETERMINED AT THE PARENT LEVEL BY LIFEBRIDGE HEALTH, INC. THE METHODS USED AT LIFEBRIDGE HEALTH, INC. INCLUDE A COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.
SCHEDULE J, PART I, LINE 4B:
THE FOLLOWING DIRECTORS AND OFFICERS 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: NEIL MELTZER $ 354,129 LESLIE SIMMONS $ 209,197 MICHAEL MYERS $ 45,920 DURING THE YEAR, THE FOLLOWING DIRECTORS AND OFFICERS RECEIVED PAYMENTS AS A RESULT OF THEIR PARTICIPATION IN A LIFEBRIDGE HEALTH SPONSORED SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: NEIL MELTZER $ 1,111,000 LESLIE SIMMONS $ 451,092 MICHAEL MYERS $ 34,696 COMPENSATION PROVIDED BY RELATED ORGANIZATIONS: MR. HOOVER RECEIVED COMPENSATION AS PRESIDENT OF CARROLL COUNTY HEALTH SERVICES CORPORATION AND CARROLL HOSPITAL CENTER, INC., AND AS SENIOR VICE PRESIDENT OF LIFEBRIDGE HEALTH, INC., NOT AS A DIRECTOR. MR. MELTZER RECEIVED COMPENSATION AS PRESIDENT/CEO OF LIFEBRIDGE HEALTH, INC., NOT AS A DIRECTOR. MR. MYERS RECEIVED COMPENSATION AS VICE PRESIDENT OF REGULATORY REPORTING & REIMBURSEMENT AND CFO/VICE PRESIDENT OF CARROLL HOSPITAL CENTER, INC., NOT AS A DIRECTOR. MS. SIMMONS RECEIVED COMPENSATION AS COO OF LIFEBRIDGE HEALTH, INC., NOT AS A DIRECTOR."

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • Carroll County Med-Services Inc

    C Corp · Medical Services · MD · 100% owned · share of income $0 · share of assets $0 · controlled entity

    Directly controlled by CCHSC

  • LifeBridge Investments Inc

    C Corp · Investment · MD · 0% owned · share of income $0 · share of assets $0

    Directly controlled by LBH

  • Healthstar Medical Services Inc

    C Corp · Healthcare · MD · 0% owned · share of income $0 · share of assets $0

    Directly controlled by LB INV INC

  • Practice Dynamics Inc

    C Corp · Management · MD · 0% owned · share of income $0 · share of assets $0

    Directly controlled by LB INV INC

  • LifeBridge Insurance Company Ltd

    C Corp · Insurance · CJ · 0% owned · share of income $0 · share of assets $0

    Directly controlled by LBH

  • LifeBridge Community Physicians Inc

    C Corp · Healthcare · MD · 0% owned · share of income $0 · share of assets $0

    Directly controlled by LB INV INC

  • Carroll Billing Services Inc

    C Corp · Billing Services · MD · 0% owned · share of income $0 · share of assets $0

    Directly controlled by CHC INC

  • Carroll County Gen Hosp South Carroll

    C Corp · Real Estate · MD · 0% owned · share of income $0 · share of assets $0

    Directly controlled by NA

  • Med-Services Holdings Inc

    C Corp · Medical Services · MD · 0% owned · share of income $0 · share of assets $0

    Directly controlled by CCMS INC

  • LifeBridge Health Israel Ltd

    C Corp · Healthcare · IS · 0% owned · share of income $0 · share of assets $0

    Directly controlled by LB INV INC

Provenance

Return type
form_990
Tax year
2022
Filed
8 May 2024
IRS schema version
2022v5.0
Source object
202431349349309483

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