2017-11-13T09:08:20-06:00 2016-12-31 381357951 PLANTE & MORAN PLLC 27400 Northwestern Highway Southfield MI 48034 990 2016-01-01 381789460 LOURDES INC LOUR 2486742241 2300 WATKINS LAKE ROAD WATERFORD MI 48328 SR MAUREEN COMER OP CEO 2486742241 2017-11-08 1 TINA M PETERS P00904574 2483522500 2017-11-08 67.59.56.32 2017-11-08 15:00:34 ES P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 852ED58CBC9AA6807749D456DA873D43AD1BF2F7 2016 2017-02-10 21:41:12Z LOURDES REHABILITATION AND HEALTHCARE CENTER SR MAUREEN COMER OP 2300 WATKINS LAKE ROAD WATERFORD MI 48328 11971253 0 0928 X WWW.LOURDESSENIORCOMMUNITY.ORG X 1965 MI OPERATION OF A 108-BED SKILLED NURSING FACILITY 15 15 251 94 0 0 2704 1744 10827211 11915511 41953 53998 0 0 10871868 11971253 0 0 0 0 7380140 7437420 0 0 0 4047578 5187771 11427718 12625191 -555850 -653938 23388773 22096166 15233466 14476851 8155307 7619315 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 11306279 11915511 OPERATION OF A 108-BED SKILLED NURSING FACILITY. 11306279 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 12 0 1 251 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 7431 BETH CAFARO DIRECTOR 1.00 3.00 X 0 0 0 DAN CALLAN DIRECTOR 1.00 3.00 X 0 0 0 MICHAEL CIANCIOLO 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 LINDA GIFFORD DIRECTOR 1.00 3.00 X 0 0 0 DENNIS MCFALL CFO/DIR. OF STRATEGIC PLANNING 10.00 30.00 X 133311 0 6931 RON DELASKO DIRECTOR OF PLANT OPS 10.00 30.00 X 103616 0 15933 236927 0 30295 2 0 0 0 REHABCARE GROUP PO BOX 503534 ST LOUIS MO 63150 RESIDENT THERAPY 810829 ENTECH PO BOX 776419 CHICAGO IL 60677 AGENCY NURSING SERVICES 116445 2 1744 1744 RESIDENT SERVICE/ROOM 623000 9193483 9193483 RESIDENT SERVICES 623000 2694558 2694558 MEDICARE/MEDICAID PAY. 623000 27470 27470 11915511 33069 33069 20929 0 20929 20929 20929 11971253 11915511 0 53998 140242 140242 5937391 5308277 629114 43877 38612 5265 873339 844941 28398 442571 440886 1685 24000 24000 17108 17108 80722 80722 1122180 1059909 62271 56705 56705 1550208 1347494 202714 345395 345395 10832 10832 723 723 284408 284408 808068 808068 66378 66378 MEDICAID - BED TAX 668022 668022 BAD DEBT EXPENSE 128767 128767 COMMUNITY RELATIONS 16755 16755 VISITING CLERGY FEE 7500 7500 12625191 11306279 1318912 0 700 500 1153112 536887 1146582 1070742 16659 18325 84839 107870 25033485 6310618 19608891 18722867 1146709 1243611 231281 395364 23388773 22096166 1348813 1057540 18232 7514 12494280 13411797 2072 1370069 0 15233466 14476851 X 8155307 7619315 8155307 7619315 23388773 22096166 -653938 117946 0 X X 0 1 X 1 0 X 30729 3728084 443 2704 1744 3763704 10897770 10721912 10793634 10827211 11915511 55156038 10928499 14449996 10794077 10829915 11917255 58919742 0 490047 38271 20186 42788 52314 643606 490047 38271 20186 42788 52314 643606 58276136 55447 15549 8817 28785 33069 141667 55447 15549 8817 28785 33069 141667 10983946 14465545 10802894 10858700 11950324 59061409 0.98670 0.98470 0.00240 0.00260 X 1 2072 1235 837 0 990893 990893 920653 27 73757 3546 990893 1 3716000 3716000 17712481 4639082 13073399 3026668 1237736 1788932 578336 433800 144536 18722867 Part IV, Line 1b: ORGANIZATION IS CUSTODIAN FOR RESIDENT TRUST ACCOUNT TO HOLD SPENDING MONEY FOR NURSING HOME RESIDENTS. 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. 2016 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 ALZHEIMERS SPECIAL CARE CENTER O 105511 ALLOCATED COMPENSATION FOX MANOR O 167442 ALLOCATED COMPENSATION FOX MANOR Q 59662 REIMBURSEMENT OF EXPENSES LOURDES CAMPUS FUND O 94761 ALLOCATED COMPENSATION LOURDES ALZHEIMERS SPECIAL CARE CENTER O 238957 ALLOCATED COMPENSATION