2017-02-02T14:47:27-06:00 2016-03-31 383635706 REHMANN ROBSON LLC 555 BRIARWOOD CIRCLE 300 ANN ARBOR MI 48108 990 2015-04-01 381891500 GLACIER HILLS INC GLAC 7347696410 1200 EARHART RD ANN ARBOR MI 48105 LAWRENCE PETROSKEY SR VICE-PRESIDENT 7347696410 2017-01-30 1 MARY R BROGLEY CPA P00053778 7347612005 2017-01-30 2015 2021-01-29 14:40:06Z LAWRENCE PETROSKEY 1200 EARHART RD ANN ARBOR MI 48105 38870854 0 X WWW.GLACIERHILLS.ORG X 1966 MI TO SERVE OLDER ADULTS WITH A CONTINUUM OF LIFESTYLE, CARE AND SUPPORT ALTERNATIVES. 15 15 906 350 0 0 262101 189914 36145325 37553595 1137062 352174 589908 757199 38134396 38852882 56023 29349 0 0 23262217 23716411 0 0 62744 14932632 14205722 38250872 37951482 -116476 901400 103449183 102160323 90979998 89639807 12469185 12520516 TO SERVE OLDER ADULTS WITH A CONTINUUM OF LIFESTYLE, CARE AND SUPPORT ALTERNATIVES EMBRACING ENRICHMENT OF THE WHOLE PERSON. 0 0 34036992 29349 38310794 NURSING CARE FACILITY & RETIREMENT HOME-PATIENTS & RESIDENTS ARE ENTITLED TO 24 HOUR EMERGENCY CARE. APARTMENT RESIDENTS ARE PROVIDED WITH UNFURNISHED APARTMENTS FOR LIFETIME USE AND VARIOUS DOMESTIC & NURSING AMENITIES. 34036992 1 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 1 0 0 0 0 0 1 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 87 0 1 906 1 0 0 0 0 0 0 0 0 0 0 X 15 15 0 0 0 0 0 0 0 1 1 0 1 1 1 1 1 1 0 1 1 1 0 MI X X RAYMOND RABIDOUX PRESIDENT 7347696410 1200 EARHART ROAD ANN ARBOR MI 48105 WILLIAM STAPLETON SECRETARY 1.00 X X 0 0 0 ALAN DENGIZ BOARD MEMBER/MEDICAL DIR 20.00 X 60000 0 0 JAN BARNEY-NEWMAN BOARD MEMBER 1.00 1.00 X 0 0 0 PATRICK SAVAGE CHAIR 2.00 1.00 X X 0 0 0 LYLE DAHLBERG BOARD MEMBER 1.00 X 0 0 0 PAUL GLENDON BOARD MEMBER 1.00 1.00 X 0 0 0 DALE BERRY BOARD MEMBER 1.00 X 0 0 0 DAVID STEINBERG MD BOARD MEMBER 1.00 X 0 0 0 ALLAN NEWMAN BOARD MEMBER 1.00 X 0 0 0 MARGARET A REYNOLDS BOARD MEMBER 1.00 2.00 X 0 0 0 DAVID SKAFF TREASURER 2.00 2.00 X X 0 0 0 CONSTANCE COOK BOARD MEMBER 1.00 X 0 0 0 DONNA SNYDER BOARD MEMBER 1.00 1.00 X 0 0 0 JOHN BALBACH BOARD MEMBER 1.00 1.00 X 0 0 0 GAURAV VASHISHTA BOARD MEMBER 1.00 X 0 0 0 RAYMOND RABIDOUX PRESIDENT AND CEO 40.00 9.00 X 314664 0 15801 LAWRENCE PETROSKEY SENIOR VP AND CFO 40.00 4.00 X 192443 0 19231 KIMBERLEY THOMPSON VICE PRESIDENT OF OPERATIONS 40.00 X 166227 0 20537 SHELLEY MACMILLAN EXEC DIRECTOR GH FND 1.00 40.00 X 114191 0 1952 MARY SUNLIN ADMINSTRATOR OF CRC 40.00 X 141872 0 14971 ALISA BAILEY DIRECTOR OF THERAPY 40.00 X 104474 0 9342 1093871 0 81834 6 0 1 0 HEALTH PLUS OF MICHIGAN PO BOX 674416 DETROIT MI 48267 EMPLOYEE HEALTH INSURANCE 2879636 OMNICARE L 2649 COLUMBUS OH 43260 PHARMACY 1397511 SYSCO FOOD SERVICE PO BOX 33580 DETROIT MI 48233 FOOD, KITCHEN SUPPLIES 1279745 DTE ENERGY PO BOX 740786 CINCINNATI OH 45274 GAS, ELECTRIC 593786 ALL MED MEDICAL SUPPLY 6321 COMMERCE DR WESTLAND MI 48185 MEDICAL SUPPLIES 588530 23 189914 189914 HEALTH CARE 623000 23692195 23692195 APARTMENT CARE 623990 13057619 13057619 LIFE RESIDENCY FEES 623990 803781 803781 37553595 370146 370146 17972 -17972 -17972 -17972 OTHER 900099 757199 757199 757199 38852882 38310794 0 352174 29349 29349 688706 145555 520276 22875 18699341 16903082 1760977 35282 2835451 2153419 682032 1492913 1317521 170805 4587 67416 27374 40042 86456 86456 539044 539044 105528 25252 80276 259614 62497 197117 102659 102659 1389694 1389694 3798610 3798610 357106 267969 89137 SUPPLIES AND PARTS 2897572 2897572 FOOD PURCHASES 1148969 1148969 CONTRACTED SERVICES 1010757 971540 39217 PROPERTY TAXES 654391 654391 1787906 1705154 82752 37951482 34036992 3851746 62744 2968060 3472185 2895358 2412696 151974 145322 433154 727797 95242202 44171900 53071259 51070302 8810950 10837254 30559496 29558317 4558932 3936450 103449183 102160323 1094366 561033 2369367 2855019 36211000 33514000 51305265 52709755 90979998 89639807 X 11460190 11406293 1008995 1114223 12469185 12520516 103449183 102160323 X 901400 -1240660 390591 X X 0 1 X 1 0 X 232103 1137212 725453 262101 189914 2546783 30670524 30931780 32617828 36145325 37553595 167919052 30902627 32068992 33343281 36407426 37743509 170465835 0 0 0 170465835 444247 356393 387949 425624 370146 1984359 444247 356393 387949 425624 370146 1984359 390242 415926 476537 589908 757199 2629812 31737116 32841311 34207767 37422958 38870854 175080006 0.97360 0.97350 0.01130 0.01270 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 380050 380050 78517711 30924345 47593366 2221186 1257817 963369 14121021 11989738 2131283 2234 2234 51070302 CF MULTI-STRATEGY EQUITY INVESTORS LLC 23779939 F CF MULTI-STRATEGY BOND INVESTORS LLC 5778378 F 29558317 ACCRUED COMPENSATION 682752 ACCRUED SICK AND VACATION PAY 441111 OTHER ACCRUED LIABILITIES 1480121 REFUNDABLE ADVANCE FEES 47801966 INTEREST RATE SWAP LIABILITY 2303805 52709755 0 RICHNER & RICHNER LLC 117 N 1ST STREET 10 ANN ARBOR MI 48104 CONSULTING 0 0 20000 -20000 20000 -20000 MI SCHEDULE G, PART I, LINE 2B, COLUMN (V) SINGLE-LUMP SUM PAYMENT FOR CONSULTING WITH THE STAFF AND BOARD LEADERSHIP TO ASSESS, PLAN AND EXECUTE FUNDRAISING STRATEGIES FOR GROWTH AND SUSTAINABILITY. 1 SCHOLARSHIPS TO EMPLOYEES OF GLACIER HILLS, INC. 35 29349 FMV; CASH GRANTS X 1 1 X X X 0 0 0 0 0 0 0 1 0 RAYMOND RABIDOUX PRESIDENT AND CEO 259664 0 55000 0 0 0 7800 0 8001 0 330465 0 0 0 LAWRENCE PETROSKEY SENIOR VP AND CFO 192443 0 0 0 0 0 5949 0 13282 0 211674 0 0 0 KIMBERLEY THOMPSON VICE PRESIDENT OF OPERATIONS 166227 0 0 0 0 0 5270 0 15267 0 186764 0 0 0 MARY SUNLIN ADMINSTRATOR OF CRC 141872 0 0 0 0 0 198 0 14773 0 156843 0 0 0 SCHEDULE J: PART I, LINE 7 PART I, LINE 7: ANNUAL MANAGEMENT BONUS HAS A PORTION RELATED TO ACHIEVING PERFORMANCE GOALS DETERMINED AT THE BEGINNING OF THE YEAR. A EDC - ECONOMIC DEVELOPMENT CORPORATION OF THE CITY OF ANN ARBOR 382148652 2015-08-28 15515000 RETIRE EXISTING ISSUE, ISSUANCE COSTS 0 0 0 B EDC - ECONOMIC DEVELOPMENT CORPORATION OF THE CITY OF ANN ARBOR 382148652 2015-09-18 4495000 RETIRE EXISTING ISSUE 0 0 0 C EDC - ECONOMIC DEVELOPMENT CORPORATION OF THE CITY OF ANN ARBOR 382148652 2015-07-23 10000000 RETIRE EXISTING ISSUE 0 0 0 D EDC - ECONOMIC DEVELOPMENT CORPORATION OF THE CITY OF ANN ARBOR 382148652 2015-08-07 4000000 RETIRE EXISTING ISSUE 0 0 0 A 15515000 235000 1 0 1 1 B 4495000 1 0 1 1 C 10000000 1 0 1 1 D 4000000 1 0 1 1 A 0 0 0 0 0 0 1 B 0 0 0 0 0 0 1 C 0 0 0 0 0 0 1 D 0 0 0 0 0 0 1 A 0 0 0 0 1 0 0 0 0 B 0 0 0 0 1 0 0 0 0 C 0 0 0 0 1 0 0 0 0 D 0 0 0 0 1 0 0 0 0 A 1 B 1 C 1 D 1 FORM 990, PART VI, SECTION B, LINE 11 FORM 990 WAS REVIEWED BY THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS. FURTHER, IT WAS SENT TO ALL BOARD MEMBERS TO SOLICIT FEEDBACK. FORM 990, PART VI, SECTION B, LINE 12C ANNUAL EDUCATION AND WRITTEN DECLARATIONS ARE REQUIRED BY ALL BOARD MEMBERS AND KEY EMPLOYEES. FORM 990, PART VI, SECTION B, LINE 15 NATIONAL, REGIONAL AND LOCAL DATA COLLECTED REGARDING COMPARABLE COMPENSATION AND PERCENTAGE INCREASES, WHICH IS REVIEWED BY THE EXECUTIVE COMMITTEE OF THE BOARD. THE CEO MAKES FINAL DETERMINATION OF COMPENSATION FOR OTHER OFFICERS AND KEY EMPLOYEES. THE EXECUTIVE COMMITTEE DETERMINES CEO'S COMPENSATION. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS, POLICIES, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: CHANGE IN FAIR VALUE OF INTEREST RATE SWAP 273,029. CHANGE IN VALUE OF INVESTMENT IN HOME CARE AGENCY & SUBSIDIARY 117,562. FORM 990, PART XI, LINE 2C THE PROCESS OF SELECTING INDEPENDENT AUDITORS HAS NOT CHANGED FROM LAST YEAR. GLACIER HILLS FOUNDATION 1200 EARHART ROAD ANN ARBOR MI 48105 208072723 FUND RAISING MI 501(C)(3) LINE 11C, III-FI GLACIER HILLS INC 1 0 1 1 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 GLACIER HILLS FOUNDATION C 189914 CASH GIFT GLACIER HILLS FOUNDATION M 176845 FMV GLACIER HILLS FOUNDATION N 168000 FMV GLACIER HILLS FOUNDATION O 176845 FMV GLACIER HILLS FOUNDATION B 344845 FMV