2018-05-15T08:21:07-05:00 2017-12-31 381357951 PLANTE & MORAN PLLC 27400 NORTHWESTERN HIGHWAY SOUTHFIELD MI 48034 990 2017-01-01 381789460 LOURDES INC LOUR 2486742241 2300 WATKINS LAKE ROAD WATERFORD MI 48328 SR MAUREEN COMER OP CEO 2486742241 2018-05-11 1 TINA M PETERS P00904574 2483522500 2018-05-10 2017 2022-09-23 18:48:47Z LOURDES REHABILITATION AND HEALTHCARE CENTER SR MAUREEN COMER OP 2300 WATKINS LAKE ROAD WATERFORD MI 48328 11339786 0 0928 X WWW.LOURDESSENIORCOMMUNITY.ORG X 1965 MI OPERATION OF A 108-BED SKILLED NURSING FACILITY 15 15 244 98 0 0 1744 6221 11915511 11252374 53998 81191 0 0 11971253 11339786 0 0 0 0 7437420 7324127 0 0 0 5187771 4978428 12625191 12302555 -653938 -962769 22096166 20952936 14476851 14087954 7619315 6864982 X LOURDES SENIOR COMMUNITY, INSPIRED BY THE GOSPEL OF JESUS AND SPONSORED BY THE DOMINICAN SISTERS OF PEACE, PROVIDES A BROAD CONTINUUM OF CARE FOR SENIORS AND THEIR FAMILIES. ALL WHO MINISTER AT LOURDES HONOR THE UNIQUENESS OF EACH PERSON WITH COMPASSION, LOVE, RESPECT AND DIGNITY. 0 0 11075933 11252374 OPERATION OF A 108-BED SKILLED NURSING FACILITY. 11075933 1 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 15 0 1 244 1 0 0 0 0 0 0 0 0 0 0 X 15 15 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 MI X SR MAUREEN COMER OP CEO 2486742241 2300 WATKINS LAKE ROAD WATERFORD MI 48328 BRIAN CONDIT CHAIR 1.00 3.00 X X 0 0 0 SISTER GENE POORE OP VICE CHAIR 1.00 3.00 X X 0 0 0 BARBARA MENDELSON SECRETARY/TREASURER 1.00 3.00 X X 0 0 0 SISTER MAUREEN COMER OP PRESIDENT/CEO 10.00 30.00 X X 0 0 9622 BETH CAFARO DIRECTOR 1.00 3.00 X 0 0 0 DAN CALLAN DIRECTOR - PART YEAR 1.00 3.00 X 0 0 0 SISTER DIANE TRAFFAS DIRECTOR 1.00 3.00 X 0 0 0 TIM GRAJEWSKI DIRECTOR 1.00 3.00 X 0 0 0 J EDWARD HANNAN DIRECTOR 1.00 3.00 X 0 0 0 LYNNE LEPISTO-GOLLING RN MS DIRECTOR 1.00 3.00 X 0 0 0 JAMES NOTEMAN DIRECTOR 1.00 3.00 X 0 0 0 REV MSGR JOHN P ZENZ DIRECTOR 1.00 3.00 X 0 0 0 SISTER JANICE BACHMAN OP DIRECTOR 1.00 3.00 X 0 0 0 HENRIETTA JURAS MD DIRECTOR 1.00 3.00 X 0 0 0 JOHN NOONE DIRECTOR 1.00 3.00 X 0 0 0 LINDA GIFFORD DIRECTOR 1.00 3.00 X 0 0 0 MICHAEL CIANCIOLO DIRECTOR - PART YEAR 1.00 3.00 X 0 0 0 RICHARD ACHO CFO 10.00 30.00 X 36615 0 476 DENNIS MCFALL CFO - PART YEAR 10.00 30.00 X 41264 0 2085 DEBORAH EDMONDS NURSING HOME ADMINISTRATOR 40.00 0.00 X 115776 0 8547 JUDITH MURRAY DIRECTOR OF NURSING 40.00 0.00 X 110102 0 9032 OMEGA PARNALL ASSISTANT DIRECTOR OF NURSING 40.00 0.00 X 103121 0 8958 406878 0 38720 3 0 0 0 REHABCARE GROUP PO BOX 503534 ST LOUIS MO 63150 RESIDENT THERAPY 425756 AGILITY REHAB 607 DEWEY AVE NW STE 300 GRAND RAPIDS MI 49504 RESIDENT THERAPY 372639 DOMINICAN SISTERS OF ADRIAN 1257 EAST SIENA HEIGHTS DRIVE ADRIAN MI 49221 MANAGEMENT SERVICES 184791 MOORE STEPHENS DOEREN MAYHEW 305 W BIG BEAVER STE 200 TROY MI 48084 FINANCE CONSULTING 125492 SPRINGER MECHANICAL 9753 GIBBS RD CLARKSTON MI 48348 MECHANICAL REPAIR 103845 5 6221 6221 RESIDENT SERVICE/ROOM 623000 8703163 8703163 RESIDENT SERVICES 623000 2535147 2535147 MEDICARE/MEDICAID PAY. 623000 14064 14064 11252374 38907 38907 42284 0 42284 42284 42284 11339786 11252374 0 81191 80440 80440 5949705 5256796 692909 23833 23833 851087 844674 6413 419062 419062 24000 24000 36265 36265 196057 196057 973414 959677 13737 49544 49544 1184734 1153260 31474 150372 150372 342091 342091 2085 2085 464 464 279281 279281 847327 847327 65208 65208 MEDICAID - BED TAX 702164 702164 BAD DEBT EXPENSE 92246 92246 COMMUNITY RELATIONS 14623 14623 EQUIPMENT RENTAL 13208 13208 5345 5150 195 12302555 11075933 1226622 0 500 500 536887 314705 1070742 1107352 18325 15906 107870 140271 24760258 6813076 18722867 17947182 1243611 1422866 395364 4154 22096166 20952936 1057540 1088284 7514 10839 13411797 12988831 14476851 14087954 X 7619315 6864982 7619315 6864982 22096166 20952936 -962769 208436 0 X X 0 1 X 1 0 X 3728084 443 2704 1744 6221 3739196 10721912 10793634 10827211 11915511 11252374 55510642 14449996 10794077 10829915 11917255 11258595 59249838 0 38271 20186 42788 52314 31376 184935 38271 20186 42788 52314 31376 184935 59064903 15549 8817 28785 33069 38907 125127 15549 8817 28785 33069 38907 125127 14465545 10802894 10858700 11950324 11297502 59374965 0.99480 0.98670 0.00210 0.00240 X 1 837 2237 510 2564 0 990893 990893 1 3716000 3716000 13107932 1680718 11427214 4399274 3406384 992890 2966070 1324643 1641427 570982 401331 169651 17947182 PART IV, LINE 1B: ORGANIZATION IS CUSTODIAN FOR RESIDENT TRUST ACCOUNT TO HOLD SPENDING MONEY FOR NURSING HOME RESIDENTS. PART V, LINE 4: THE ORGANIZATION INTENDS TO USE THE FUNDS IN VARIOUS WAYS IN SUPPORT OF THE DESIGNATION BY THE DONOR OR BOARD. A MICHIGAN STRATEGIC FUND 521417332 2014-06-20 14055000 RENOVATION OF EXISTING FACILITIES - REPLACEMENT OF 50 BEDS 0 1 0 A 14055000 313514 247239 13494247 2015 0 0 1 1 A 0 0 1 0 1 0 0 0 1 A 1 FORM 990, PART VI, SECTION A, LINE 6 THE CORPORATION IS ORGANIZED ON A MEMBERSHIP BASIS. SECTION 2.2 OF THE BYLAWS FOR EACH CORPORATION IS AS FOLLOWS: THE MEMBERS OF THE CORPORATION SHALL BE THE PRIORESS OF THE DOMINICAN SISTERS OF PEACE, INC., A KENTUCKY NONPROFIT CORPORATION (HEREINAFTER THE "DOMINICAN SISTERS OF PEACE"), HER COUNCIL, AND THOSE PERSONS WHO, FROM TIME TO TIME, ARE APPOINTED AS MEMBERS BY THE PRIORESS. MEMBERS WHO ARE APPOINTED BY THE PRIORESS MAY BE REMOVED BY THE PRIORESS OR THE MEMBERS, WITH OR WITHOUT CAUSE. THE PRIORESS SERVES AS CHAIRPERSON OF THE MEMBERS. FORM 990, PART VI, SECTION A, LINE 7A PURSUANT TO SECTION 3.1 OF THE BYLAWS, EACH CORPORATION MUST HAVE AT LEAST 9 AND NO MORE THAN 21 DIRECTORS. THERE ARE 2 EX OFFICIO DIRECTORS (THE PRESIDENT OF THE CORPORATION AND THE PRIORESS OR HER DESIGNEE), AND AT LEAST 7 ADDITIONAL DIRECTORS APPOINTED BY THE CHAIRPERSON OF THE MEMBERS (I.E., THE PRIORESS), ONE OF WHOM MUST BE A ROMAN CATHOLIC CLERIC FROM THE ARCHDIOCESE OF DETROIT. FORM 990, PART VI, SECTION A, LINE 7B DECISIONS OF EACH CORPORATION MUST FIRST BE APPROVED BY THE DIRECTORS AND THEREAFTER MUST BE SUBMITTED TO THE MEMBERS FOR APPROVAL. THE MEMBERS APPOINT THE PRESIDENT AND MAY REMOVE THE PRESIDENT WITH OR WITHOUT CAUSE. FORM 990, PART VI, SECTION B, LINE 11B THE CEO, CFO, AND AUDIT AND COMPLIANCE COMMITTEE REVIEW THE FORM 990 AND PROVIDE TO THE BOARD OF DIRECTORS PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C SR. MAUREEN COMER, OP, CEO, THE PRESIDENT OF THE DOMINICAN HEALTH CARE BOARD, AND THE GOVERNANCE AND NOMINATING COMMITTEE REVIEW THE CONFLICT OF INTEREST STATEMENTS SUBMITTED BY BOARD MEMBERS, OFFICERS, AND KEY EMPLOYEES ON AN ANNUAL BASIS. IN THE EVENT A CONFLICT ARISES, IT IS DISCUSSED WITH THE AUDIT/COMPLIANCE COMMITTEE TO EVALUATE APPROPRIATENESS AND DETERMINATION OF RESTRICTIONS. THE MONITORING OF TRANSACTIONS IS REPORTED TO THE AUDIT/COMPLIANCE COMMITTEE. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION COMMITTEE, COMPRISED OF BOARD MEMBERS, MEETS TWO TIMES ANNUALLY TO DETERMINE COMPENSATION FOR THE CEO AND THE EXECUTIVE GROUP. COMPENSATION BENCHMARKING AND PERFORMANCE DATA IS REVIEWED IN ORDER TO DETERMINE COMPENSATION. DETERMINATION OF COMPENSATION IS DOCUMENTED IN MEETING MINUTES. 2017 WAS THE MOST RECENT YEAR THIS PROCESS WAS UNDERTAKEN. FORM 990, PART VI, SECTION C, LINE 19 THESE DOCUMENTS ARE NOT AVAILABLE FOR PUBLIC INSPECTION. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM PRIOR YEAR. DOMINICAN SISTERS OF PEACE 2320 AIRPORT ROAD COLUMBUS OH 432192098 263550703 RELIGIOUS KY 501(C)(3) LINE 1 VATICAN - CATHOLIC CHURCH 0 LOURDES ALZHEIMERS SPECIAL CARE CENTER 2300 WATKINS LAKE ROAD WATERFORD MI 48328 383077328 ALZHEIMERS CARE MI 501(C)(3) LINE 10 CORPORATE MEMBERS DOMINICAN SISTERS OF PEACE 1 LOURDES ASSISTED LIVING CORPORATION 2300 WATKINS LAKE ROAD WATERFORD MI 48328 383431154 ASSISTED LIVING MI 501(C)(3) LINE 10 CORPORATE MEMBERS DOMINICAN SISTERS OF PEACE 1 FOX MANOR INC 2300 WATKINS LAKE ROAD WATERFORD MI 48328 382906665 SENIOR CARE MI 501(C)(3) LINE 10 CORPORATE MEMBERS DOMINICAN SISTERS OF PEACE 1 DOMINICAN HEALTH CARE CORPORATION 2300 WATKINS LAKE ROAD WATERFORD MI 48328 383575700 RELIGIOUS MI 501(C)(3) LINE 1 CORPORATE MEMBERS DOMINICAN SISTERS OF PEACE 1 LOURDES CAMPUS FUND 2300 WATKINS LAKE ROAD WATERFORD MI 48328 383576730 FUNDING TO SUPPORT RELATED NONPROFIT CORPORATIONS AND THEIR RESIDENTS MI 501(C)(3) LINE 1 CORPORATE MEMBERS DOMINICAN SISTERS OF PEACE 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 LOURDES ASSISTED LIVING CORPORATION O 293552 ALLOCATED COMPENSATION FOX MANOR O 205549 ALLOCATED COMPENSATION LOURDES CAMPUS FUND O 133571 ALLOCATED COMPENSATION LOURDES ALZHEIMERS SPECIAL CARE CENTER O 174788 ALLOCATED COMPENSATION