ARBOR HOSPICE INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
ARBOR HOSPICE INC (EIN 38-2532215)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-08-16
IRS object ID
201742289349300744
Schema version
2016v3.0
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

FieldValueIRS element (for citing)
Return2017-08-16T16:02:11-05:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN350921680PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CROWE HORWATH LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1225 West Wacker Drive Suite 2600AddressLine1Txt
CityChicagoCityNm
State AbbreviationILStateAbbreviationCd
ZIP606061224ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN382532215EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Arbor Hospice IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlARBOBusinessNameControlTxt
Phone7346625999PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12366 OAK VALLEY DRIVEAddressLine1Txt
CityANN ARBORCityNm
State AbbreviationMIStateAbbreviationCd
ZIP48103ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonLee Ann MyersPersonNm
Person TitleCFOPersonTitleTxt
Signature2017-07-26SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJennifer BurkePreparerPersonNm
PTINP01342224PTIN
Phone3128997000PhoneNum
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

FieldValueIRS element (for citing)
Business Name Line1ROBERT CAHILLBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12366 OAK VALLEY DRIVEAddressLine1Txt
CityANN ARBORCityNm
State AbbreviationMIStateAbbreviationCd
ZIP48103ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$16,403,569GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.arborhospice.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1984FormationYr
Legal Domicile StateMILegalDomicileStateCd
Activity Or MissionPROVIDE SERVICES FOR TERMINALLY ILL PATIENTS AND THEIR FAMILIES.ActivityOrMissionDesc
Voting Members Governing Body7VotingMembersGoverningBodyCnt
Voting Members Independent4VotingMembersIndependentCnt
Total Employee228TotalEmployeeCnt
Total Volunteers155TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,696,968PYContributionsGrantsAmt
CY Contributions Grants$521,140CYContributionsGrantsAmt
PY Program Service Revenue$7,749,271PYProgramServiceRevenueAmt
CY Program Service Revenue$15,864,989CYProgramServiceRevenueAmt
PY Investment Income$53PYInvestmentIncomeAmt
CY Investment Income$260CYInvestmentIncomeAmt
PY Other Revenue$12,912PYOtherRevenueAmt
CY Other Revenue$17,180CYOtherRevenueAmt
PY Total Revenue$9,459,204PYTotalRevenueAmt
CY Total Revenue$16,403,569CYTotalRevenueAmt
CY Grants And Similar Paid$5,396CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$4,373,625PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$9,863,738CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$799CYTotalFundraisingExpenseAmt
PY Other Expenses$3,438,506PYOtherExpensesAmt
CY Other Expenses$6,601,161CYOtherExpensesAmt
PY Total Expenses$7,812,131PYTotalExpensesAmt
CY Total Expenses$16,470,295CYTotalExpensesAmt
PY Revenues Less Expenses$1,647,073PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$66,726CYRevenuesLessExpensesAmt
Total Assets BOY$8,115,765TotalAssetsBOYAmt
Total Assets EOY$14,738,983TotalAssetsEOYAmt
Total Liabilities BOY$4,555,379TotalLiabilitiesBOYAmt
Total Liabilities EOY$6,333,704TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$3,560,386NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$8,405,279NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO GIVE COMFORT, ASSURANCE AND CARE TO FAMILIES AND PATIENTS WHO HAVE LIFE-LIMITING ILLNESSES AND TO EDUCATE AND NURTURE OTHERS IN THIS CARE.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$292,536ExpenseAmt
DescGRIEF SUPPORT SERVICES: PROGRAMS OFFERED BY THE AGENCY ON A COMPREHENSIVE BASIS TO THE SURVIVING FAMILY MEMBERS AFTER THE DEATH OF A LOVED ONE. SPECIAL PROGRAMS ARE ALSO OFFERED FOR CHILDREN WHO HAVE SUFFERED THE LOSS OF A LOVED ONE.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$10,389,705ExpenseAmt
Grant$5,396GrantAmt
Revenue$13,759,292RevenueAmt
DescHOSPICE FIELD: CARE RENDERED TO TERMINALLY ILL PATIENTS IN THEIR OWN HOME. 51,078 PATIENT DAYS OF CARE WERE PROVIDED.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$2,211,921ExpenseAmt
Revenue$1,922,253RevenueAmt
DescHOSPICE RESIDENCE: 24-HOUR NURSING CARE PROVIDED IN THE ARBOR HOSPICE RESIDENCE, OUR 30-BED LICENSED IN-PATIENT FACILITY FOR PATIENTS WITH TERMINAL ILLNESSES. 4,189 PATIENT DAYS OF CARE WERE PROVIDED.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$609,195ExpenseAmt
Revenue$200,624RevenueAmt
DescPALLIATIVE CARE: IN-HOME CONSULTATIVE SERVICE TO RELIEVE PAIN AND OTHER SYMPTOMS DUE TO SERIOUS ILLNESS AND IMPROVE QUALITY OF LIFE.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$609,195TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue$200,624TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$13,503,357TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document125IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee228EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members7GoverningBodyVotingMembersCnt
Independent Voting Member4IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsYes (true)ChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldMIStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Lee Ann MyersBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3135785000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12366 Oak Valley DriveAddressLine1Txt
CityAnn ArborCityNm
State AbbreviationMIStateAbbreviationCd
ZIP48103ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (10 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
Gloria A Brooks
VICE PRESIDENT36.05.0Yes (X)Yes (X)$15,341$228,230$19,938
Robert Cahill
President/CEO1.646.0Yes (X)Yes (X)$0$633,654$35,487
Pat Jannausch
Chair1.61.0Yes (X)Yes (X)$0$0$0
John Evangelista
Secretary1.60.0Yes (X)Yes (X)$0$0$0
Lee Ann Myers
Treasurer/CFO8.042.0Yes (X)Yes (X)$0$323,696$20,071
Kathleen Wade
Board Member1.60.0Yes (X)$0$0$0
Denise Hoffman
BOARD MEMBER1.60.0Yes (X)$0$0$0
Michael Paletta MD
Chief Medical Officer1.640.0Yes (X)$0$290,841$47,644
Bruce F Carty
CFO (through May 2016)40.04.0Yes (X)$146,774$0$1,350
Theresa i Turner
Director, Education Institute40.00.0$102,837$0$2,803Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$264,952TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1,476,421TotReportableCompRltdOrgAmt
Total Other Compensation$127,293TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K2IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsYes (true)CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (3 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtAddress Line2ContractorAddress/USAddress/AddressLine2TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Evangelical Homes of Michigan
34024 West 8 Mile RdSuite 101FarmingtonMI48335NURSING HOME SERVICES$660,551
Peters Building Co
172 S Industrial DrSalineMI48176construction services$295,729
Fusco Shaffer & Pappas Inc
550 E 9 Mile RdFerndaleMI48220Architecture services$115,522
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K3CntrctRcvdGreaterThan100KCnt
Related Organizations$521,140RelatedOrganizationsAmt
Total Contributions$521,140TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPROGRAM REVENUEDesc
Business623000BusinessCd
Total Revenue Column$15,864,989TotalRevenueColumnAmt
Related Or Exempt Func Income$15,864,989RelatedOrExemptFuncIncomeAmt

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$15,864,989TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$260TotalRevenueColumnAmt
Exclusion$260ExclusionAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$0OtherAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUSDesc
Business900099BusinessCd
Total Revenue Column$17,180TotalRevenueColumnAmt
Related Or Exempt Func Income$17,180RelatedOrExemptFuncIncomeAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$17,180OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$16,403,569TotalRevenueColumnAmt
Related Or Exempt Func Income$15,882,169RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$260ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$5,396TotalAmt
Program Services$5,396ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$163,667TotalAmt
Program Services$61,821ProgramServicesAmt
Management And General$101,846ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$8,140,347TotalAmt
Program Services$6,686,891ProgramServicesAmt
Management And General$1,453,456ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$78,924TotalAmt
Program Services$61,801ProgramServicesAmt
Management And General$17,123ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$907,543TotalAmt
Program Services$723,848ProgramServicesAmt
Management And General$183,695ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$573,257TotalAmt
Program Services$462,807ProgramServicesAmt
Management And General$110,450ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$47,823TotalAmt
Management And General$47,823ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$17,787TotalAmt
Management And General$17,787ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$4,060,681TotalAmt
Program Services$3,884,754ProgramServicesAmt
Management And General$175,927ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$85,171TotalAmt
Program Services$691ProgramServicesAmt
Management And General$84,480ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$565,419TotalAmt
Program Services$429,032ProgramServicesAmt
Management And General$135,828ManagementAndGeneralAmt
Fundraising$559FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$554,902TotalAmt
Program Services$457,379ProgramServicesAmt
Management And General$97,523ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$322,609TotalAmt
Program Services$124,386ProgramServicesAmt
Management And General$198,223ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$320,125TotalAmt
Program Services$289,118ProgramServicesAmt
Management And General$30,767ManagementAndGeneralAmt
Fundraising$240FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$50,278TotalAmt
Program Services$14,837ProgramServicesAmt
Management And General$35,441ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$66,205TotalAmt
Management And General$66,205ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$150,497TotalAmt
Management And General$150,497ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
BAD DEBT$297,470$297,470
MEMBERSHIP AND DUES$10,129$141$9,988
OTHER EXPENSES$52,065$2,985$49,080

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$16,470,295TotalAmt
Program Services$13,503,357ProgramServicesAmt
Management And General$2,966,139ManagementAndGeneralAmt
Fundraising$799FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,612,558BOYAmt
EOY$1,689,695EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$234,647BOYAmt
EOY$122,907EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,671,921BOYAmt
EOY$1,949,414EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$70,912BOYAmt
EOY$13,211EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$7,283,251LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$120,345LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$4,274,959BOYAmt
EOY$7,162,906EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$31,716BOYAmt
EOY$372,731EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$219,052BOYAmt
EOY$3,428,119EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$8,115,765BOYAmt
EOY$14,738,983EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$637,911BOYAmt
EOY$1,962,055EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,775,000BOYAmt
EOY$2,545,000EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,142,468BOYAmt
EOY$1,826,649EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$4,555,379BOYAmt
EOY$6,333,704EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,560,386BOYAmt
EOY$4,516,794EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$2,863,830EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$1,024,655EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,560,386BOYAmt
EOY$8,405,279EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$8,115,765BOYAmt
EOY$14,738,983EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$66,726ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$4,911,619OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,075,857CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$864,170CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$107,280CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,696,968CurrentTaxYearMinus1YearAmt
Current Tax Year$521,140CurrentTaxYearAmt
Total$4,265,415TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,075,857CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$864,170CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$107,280CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,696,968CurrentTaxYearMinus1YearAmt
Current Tax Year$521,140CurrentTaxYearAmt
Total$4,265,415TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$0SubstantialContributorsTotAmt
Public Support Total170$4,265,415PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$166CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$136CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$86CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$53CurrentTaxYearMinus1YearAmt
Current Tax Year$260CurrentTaxYearAmt
Total$701TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$35,002CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$38,031CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$338,444CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$12,912CurrentTaxYearMinus1YearAmt
Current Tax Year$17,180CurrentTaxYearAmt
Total$441,569TotalAmt
FieldValueIRS element (for citing)
Total Support$4,707,685TotalSupportAmt
Gross Receipts Rltd Activities$73,165,331GrossReceiptsRltdActivitiesAmt
Public Support CY1700.9061PublicSupportCY170Pct
Public Support PY1700.8382PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule A, Part II, Line 10 Other IncomeFormAndLineReferenceDesc
ExplanationDESCRIPTION - OTHER INCOME, COLUMN A - 35002.0, COLUMN B - 38031.0, COLUMN C - 338444.0, COLUMN D - 12912.0, COLUMN E - 17180.0, COLUMN F - 441569.0;ExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,136,992BeginningYearBalanceAmt
Contributions$75,000ContributionsAmt
Investment Earnings Or Losses$331,894InvestmentEarningsOrLossesAmt
Other Expenditures$521,140OtherExpendituresAmt
End Year Balance$1,022,746EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,204,445BeginningYearBalanceAmt
Investment Earnings Or Losses-$49,542InvestmentEarningsOrLossesAmt
Other Expenditures$17,911OtherExpendituresAmt
End Year Balance$1,136,992EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,128,935BeginningYearBalanceAmt
Contributions$75,000ContributionsAmt
Investment Earnings Or Losses$35,675InvestmentEarningsOrLossesAmt
Other Expenditures$35,165OtherExpendituresAmt
End Year Balance$1,204,445EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$999,344BeginningYearBalanceAmt
Investment Earnings Or Losses$159,611InvestmentEarningsOrLossesAmt
Other Expenditures$30,020OtherExpendituresAmt
End Year Balance$1,128,935EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$850,904BeginningYearBalanceAmt
Contributions$100,000ContributionsAmt
Investment Earnings Or Losses$92,588InvestmentEarningsOrLossesAmt
Other Expenditures$44,148OtherExpendituresAmt
End Year Balance$999,344EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.0BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY1.0PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.0TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (true)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (true)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$440,392OtherCostOrOtherBasisAmt
Book Value$440,392BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,182,658OtherCostOrOtherBasisAmt
Depreciation$52,214DepreciationAmt
Book Value$6,130,444BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$199,713OtherCostOrOtherBasisAmt
Depreciation$9,986DepreciationAmt
Book Value$189,727BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$389,698OtherCostOrOtherBasisAmt
Depreciation$46,514DepreciationAmt
Book Value$343,184BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$70,790OtherCostOrOtherBasisAmt
Depreciation$11,631DepreciationAmt
Book Value$59,159BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$7,162,906TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
DUE FROM ARBOR HOSPICE FOUNDATION$412,710
INVESTMENT IN ARBOR HOSPICE FOUNDATION$2,986,577
BOND ISSUE COST$28,832
FieldValueIRS element (for citing)
Total Book Value Other Assets$3,428,119TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
457B PLAN PAYABLE$97,037
DUE TO HOSPICE OF MICHIGAN$1,729,612
FieldValueIRS element (for citing)
Total Liability$1,826,649TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule D, Part V, Line 4 Intended uses of endowment fundsTHE ENDOWMENT FUND IS HELD AND ADMINISTERED BY ARBOR HOSPICE FOUNDATION, A RELATED TAX-EXEMPT ORGANIZATION. THE ENDOWMENT FUND IS INTENDED TO SUPPORT THE GENERAL OPERATIONS OF ARBOR HOSPICE, INC.
Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnoteHOSPICE IS EXEMPT FROM INCOME TAXES ON INCOME FROM RELATED ACTIVITIES UNDER SECTION 501(C)(3) OF THE U.S. INTERNAL REVENUE CODE AND CORRESPONDING STATE TAX LAW. ACCORDINGLY, NO PROVISION HAS BEEN MADE FOR FEDERAL OR STATE INCOME TAXES. U.S. GAAP REQUIRES THAT A TAX POSITION IS RECOGNIZED AS A BENEFIT ONLY IF IT IS "MORE LIKELY THAN NOT" THAT THE TAX POSITION WOULD BE SUSTAINED IN A TAX EXAMINATION, WITH A TAX EXAMINATION BEING PRESUMED TO OCCUR. THE AMOUNT RECOGNIZED IS THE LARGEST AMOUNT OF TAX BENEFIT THAT IS GREATER THAN 50% LIKELY OF BEING REALIZED ON EXAMINATION. FOR TAX POSITIONS NOT MEETING THE "MORE LIKELY THAN NOT" TEST, NO TAX BENEFIT IS RECORDED. DUE TO ITS TAX-EXEMPT STATUS, HOSPICE IS NOT GENERALLY SUBJECT TO U.S. FEDERAL INCOME TAX OR STATE INCOME TAX. HOSPICE'S FORM 990 HAS NOT BEEN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE OR THE STATE OF MICHIGAN FOR THE LAST THREE YEARS. HOSPICE DOES NOT EXPECT THE TOTAL AMOUNT OF UNRECOGNIZED TAX BENEFITS TO SIGNIFICANTLY CHANGE IN THE NEXT 12 MONTHS. HOSPICE RECOGNIZES INTEREST AND/OR PENALTIES RELATED TO INCOME TAX MATTERS IN INCOME TAX EXPENSE. HOSPICE DID NOT HAVE ANY AMOUNTS ACCRUED FOR INTEREST AND PENALTIES AT DECEMBER 31, 2016 AND 2015.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentYes (true)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (4 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Gloria A Brooks
VICE PRESIDENT$15,341$196,221$0$10,000$0$22,009$0$2,543$202$17,193$15,543$247,966$0$0
Robert Cahill
President/CEO$0$447,176$0$125,870$0$60,608$0$18,367$0$17,120$0$669,141$0$0
Lee Ann Myers
Treasurer/CFO$0$246,893$0$60,000$0$16,803$0$11,106$0$8,965$0$343,767$0$0
Michael Paletta MD
Chief Medical Officer$0$265,253$0$0$0$25,588$0$11,518$0$36,126$0$338,485$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensationTHE ORGANIZATION'S PRESIDENT & CEO IS PAID BY HOSPICE OF MICHIGAN, INC (HOM), A RELATED TAX-EXEMPT ORGANIZATION. HOM UTILIZES THE FOLLOWING METHODS IN DETERMINING THE PRESIDENT & CEO'S COMPENSATION: -COMPENSATION COMMITTEE -INDEPENDENT COMPENSATION CONSULTANT -FORM 990 OF OTHER ORGANIZATIONS -COMPENSATION SURVEY OR STUDY -APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE
Schedule J, Part I, Line 4a Severance or change-of-control paymentBruce Carty received severance payments in the amount of $81,762 in 2016.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement planThe following individuals participated in a SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: GLORIA BROOKS BRUCE CARTY Theresa Turner NO PAYMENTS WERE RECEIVED BY THE PARTICIPANTS IN REGARDS TO A NON-QUALIFIED RETIREMENT PLAN during 2016.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1THE ECONOMIC DEVELOPMENT CORPORATION OF THE CHARTER TOWNSHIP OF PITTSFIELDBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN382490613BondIssuerEIN
CUSIP725570AG0CUSIPNum
Bond Issued2007-01-02BondIssuedDt
Issue Price$4,800,000IssuePriceAmt
PurposeREFUND AN OUTSTANDING PORTION OF A 2005 TAXABLE VARIABLE RATE DEMAND NOTEPurposeDesc
DefeasedfalseDefeasedInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Pool FinancingfalsePoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Total Proceeds$4,800,000TotalProceedsAmt
Issuance Costs From Proceeds$57,665IssuanceCostsFromProceedsAmt
Current RefundingYes (true)CurrentRefundingInd
Advance RefundingfalseAdvanceRefundingInd
Final Allocation MadeYes (true)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (true)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed PropertyfalseOwningBondFinancedPropertyInd
Any Lease ArrangementsfalseAnyLeaseArrangementsInd
Mgmt Contract Bond Fincd PropfalseMgmtContractBondFincdPropInd
Any Research AgreementsfalseAnyResearchAgreementsInd
Total Private Business Use0.0TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt TestfalseBondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed PropfalseChangeInUseBondFinancedPropInd
Procs Nonqualified Bond RemdtdfalseProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T FiledfalseForm8038TFiledInd
Rebate Not Due YetfalseRebateNotDueYetInd
Exception To RebatefalseExceptionToRebateInd
No Rebate DuefalseNoRebateDueInd
Variable Rate IssueYes (true)VariableRateIssueInd
Hedge Identified In Bks And RecfalseHedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGICInd
Gross Proceeds InvestedfalseGrossProceedsInvestedInd
Written Proc To Monitor ReqsfalseWrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionfalseProceduresCorrectiveActionInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part III, Line 4d Description of other program services(Expenses $ 609,195 including grants of $)(Revenue $ 200,624) PALLIATIVE CARE: IN-HOME CONSULTATIVE SERVICE TO RELIEVE PAIN AND OTHER SYMPTOMS DUE TO SERIOUS ILLNESS AND IMPROVE QUALITY OF LIFE.
Form 990, Part VI, Line 15 PROCESS TO ESTABLISH COMPENSATION OF OFFICERSThe President/CEO and other officers are compensated by Hospice of Michigan, a related party. THE EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES of Hospice of Michigan MEETS ANNUALLY IN MARCH TO REVIEW AND APPROVE AS APPROPRIATE, FUNDS TO BE ALLOCATED FOR TOTAL COMPENSATION FOR THE ORGANIZATION'S PRESIDENT/CEO and other officers, INCLUDING BASE SALARY, BONUS, CAR ALLOWANCE, AND OTHER BENEFITS. Hospice of Michigan's EXECUTIVE COMMITTEE ALSO DETERMINES IF THE PRESIDENT/CEO'S CONTRACT NEEDS TO BE UPDATED OR RENEWED AT THIS TIME. MINUTES ARE TAKEN UP UNTIL THE POINT WHERE DISCUSSION OF COMPENSATION TAKES PLACE AND VOTE/DECISION IS MADE IN REGARDS TO COMPENSATION. THE CEO AND EXECUTIVE ASSISTANT ARE EXCUSED FROM THE MEETING AT THIS POINT WHILE DISCUSSION AND DECISION IS MADE. IN ADDITION, IN 2016 THE ANNUAL EXTERNAL COMPENSATION STUDY WAS PERFORMED TO ASSESS EXECUTIVE COMPENSATION. THE COMPENSATION STUDY AIMS TO PRICE POSITIONS AT MARKET BY USING LOCAL, NATIONAL, AND INDUSTRY SPECIFIC SURVEY DATA. AN OUTSIDE CONSULTANT IS ENGAGED THROUGH AN AFFILIATION WITH AMERICAN SOCIETY OF EMPLOYERS (ASE). MARKET DATA WAS GATHERED THROUGH CRAINS TOP NON-PROFIT SURVEY, ASE NATIONAL EXECUTIVE COMPENSATION SURVEY, NATIONALLY COMPARED 990'S OF THE 37 LARGEST HOSPICE'S, AS WELL AS THE TOP 32 HOSPITALS WITH REVENUE $150 MILLION OR LESS. TWO OPTIONS ARE PRESENTED TO THE EXECUTIVE COMMITTEE of Hospice of Michigan BASED ON THE MARKET DATA THAT WAS GATHERED.
Form 990, Part VI, Line 4 Significant changes to organizational documentsThe corporation amended its governing documents to reflect a change in membership and to outline the reserved powers of the sole member. The Corporation is organized on a non-stock basis as a nonprofit membership corporation. The sole member is Hospice of Michigan, Inc. ("HOM" or the "Member"). THESE AMENDED GOVERNING DOCUMENTS BECAME EFFECTIVE JANUARY 1, 2016.
Form 990, Part VI, Line 6 Classes of members or stockholdersThe Corporation is organized on a non-stock basis as a nonprofit membership corporation. The sole member is Hospice of Michigan, Inc. ("HOM" or the "Member").
Form 990, Part VI, Line 7a Members or stockholders electing members of governing bodyThe Corporation is organized on a non-stock basis as a nonprofit membership corporation. The sole member is Hospice of Michigan, Inc. ("HOM" or the "Member"). Pursuant to Section 3.2 of the Bylaws, approval by the Member shall be required for the election of voting members of the Corporation's Board, including the filling of vacancies. Pursuant to Section 4.5 of the Bylaws, at the Member's sole discretion, HOM may appoint up to two directors from either the HOM executive team or HOM board of directors.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholdersReserved Powers: Pursuant to Section 3.2 of the Bylaws, in addition to other rights reserved to the Member by law, approval by the Member shall be required for the following actions: a. The election of voting members of the Corporation's Board, including the filling of vacancies; b. Any amendments to the Corporation's Articles of Incorporation or Bylaws; c. A change in the Corporation's mission statement; d. Adoption or approval of any plan or dissolution of the Corporation; and e. Adoption or approval of any plan of merger, consolidation, or sale of all or substantially all of the assets or property of the Corporation.
Form 990, Part VI, Line 11b Review of form 990 by governing bodyA DRAFT COPY OF THE 990 IS PRESENTED TO THE BOARD OF DIRECTORS BEFORE THE RETURNS ARE TRANSMITTED TO THE IRS.
Form 990, Part VI, Line 12c Conflict of interest policyPROCEDURE: EMPLOYEES, BOTH PAID AND UNPAID (FROM HERE FORWARD REFERRED TO AS "EMPLOYEE"), AND BOARD MEMBERS, HAVE A FUNDAMENTAL OBLIGATION TO ACT IN THE BEST INTEREST OF PATIENT CARE AND ARBOR HOSPICE. EVERY BOARD MEMBER AND EMPLOYEE IS RESPONSIBLE FOR ACTING CONSISTENT WITH THIS OBLIGATION WHEN ENGAGING IN ACTIVITIES, AND SHOULD NOT LET OTHER PERSONAL AND FINANCIAL INTERESTS INTERFERE WITH THIS OBLIGATION. GENERAL PRACTICE GUIDELINES: (1) ARBOR HOSPICE REQUIRES THAT ALL MEMBERS OF ITS BOARDS OF TRUSTEES AND EMPLOYEES DISCLOSE INTERESTS THAT COULD RESULT IN A CONFLICT. ANNUALLY, ALL BOARD MEMBERS SIGN OFF ON A CONFLICT OF INTEREST POLICY AND DISCLOSE ANY SITUATION WHICH MAY REPRESENT A CONFLICT. THE CORPORATE COMPLIANCE OFFICER (CCO) ALSO HAS ACCESS TO THE BOARD AT LEAST ANNUALLY. THE ORGANIZATION ALSO UTILIZES C-TRAC (CROWE TAX RISK ASSESSMENT AND CONTROL), A TOOL PROVIDED BY OUR TAX ADVISORS, TO SEND CONFLICT OF INTEREST SURVEYS TO ALL VOTING BOARD MEMBERS, EXECUTIVES, AND THE HIGHEST PAID STAFF. (2) ALL BOARD MEMBERS AND EMPLOYEES ARE REQUIRED TO SUBMIT A DISCLOSURE STATEMENT, IF THERE IS A CONFLICT OF INTEREST THAT MEETS THE STATED DEFINITION, AT THE BEGINNING OF EMPLOYMENT OR TERM. (3) IF A MATTER ARISES IN WHICH A MEMBER OF THE BOARD OR EMPLOYEE HAS A CONFLICT OF INTEREST, THE INDIVIDUAL SHALL PROMPTLY DISCLOSE IT TO THE CEO, OR IN THE CASE OF THE CEO, THE BOARD CHAIRPERSON. (4) AN INDIVIDUAL WITH A POTENTIAL CONFLICT OF INTEREST SHALL NOT PROCEED TO MAKE ANY DECISION OR TAKE ANY ACTION ON BEHALF OF THE ORGANIZATION WITH THE APPROVAL OF THE BOARD OF TRUSTEES. (5) ARBOR HOSPICE EMPLOYEES ARE PRECLUDED FROM ENGAGING IN ACTIVITIES WITH ANY "VENDOR OR SUPPLIER BUSINESS" (AS THAT TERM IS DEFINED IN THE POLICY) THAT DOES OR SEEKS BUSINESS WITH ARBOR HOSPICE WHICH MAY RESULT IN A PERSONAL BENEFIT TO THE EMPLOYEE AT THE EXPENSE OF ARBOR HOSPICE OR MAY INFLUENCE THE EMPLOYEE'S DECISIONS ON MATTERS INVOLVING ARBOR HOSPICE AND A VENDOR OR SUPPLIER BUSINESS.
Form 990, Part VI, Line 19 Required documents available to the publicTHE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.
Form 990, Part IX, Line 11g Other FeesOUTPATIENT SERVICES - Total Expense: 220684, Program Service Expense: 220684, Management and General Expenses: , Fundraising Expenses: ; CONTRACTED RESPITE - Total Expense: 33908, Program Service Expense: 33908, Management and General Expenses: , Fundraising Expenses: ; CONTRACTED ROOM AND BOARD - Total Expense: 2584943, Program Service Expense: 2584943, Management and General Expenses: , Fundraising Expenses: ; CONTRACTED STAFF - Total Expense: 102232, Program Service Expense: 42898, Management and General Expenses: 59334, Fundraising Expenses: ; INFUSION AND ENTERNAL FEEDING - Total Expense: 96199, Program Service Expense: 96199, Management and General Expenses: , Fundraising Expenses: ; PHARMACY - Total Expense: 723050, Program Service Expense: 723050, Management and General Expenses: , Fundraising Expenses: ; CONSULTING - Total Expense: 32862, Program Service Expense: 300, Management and General Expenses: 32562, Fundraising Expenses: ; OTHER PURCHASED SERVICES - Total Expense: 266803, Program Service Expense: 182772, Management and General Expenses: 84031, Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balancesREVALUATION OF FIXED ASSETS - 1525042; RECORD INTANGIBLE ASSET - REFERRAL SOURCE NETWORK - 270000; RECORD INTANGIBLE ASSET - TRADE NAME - 130000; INVESTMENT IN ARBOR FOUNDATION - 2756267; CHANGE IN INVESTMENT IN ARBOR FOUNDATION - 230310;

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
THE ARBOR HOSPICE FOUNDATION
2366 OAK VALLEY DRANN ARBORMI48103320045893TO SUPPORT ARBOR HOSPICE, INCMI501(c)(37nafalse
Hospice of Michigan Inc
2366 OAK VALLEY DRIVEAnn ArborMI48103382255529HOSPICE CAREMI501(c)(310nafalse
HOSPICE OF MICHIGAN FOUNDATION
2366 OAK VALLEY DRIVEAnn ArborMI48103383074337FUNDRAISINGMI501(c)(3Type IHOSPICE OF MICHIGANfalse
SUPPORTIVE CARE SERVICES OF MICHIGAN INC
2366 OAK VALLEY DRIVEAnn ArborMI48103383197374HOME HEALTHMI501(c)(310HOSPICE OF MICHIGANfalse
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

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