2015-11-12T15:36:36-06:00 2014-12-31 381357951 PLANTE & MORAN PLLC PO BOX 307 SOUTHFIELD MI 480370307 990 2014-01-01 381789460 LOURDES INC LOUR 2486742241 2300 WATKINS LAKE ROAD WATERFORD MI 48328 SR MAUREEN COMER OP CEO 2486742241 2015-11-06 1 ROBERT LONG P00782202 2483522500 2014 2016-02-25 16:41:14Z LOURDES REHABILITATION & HEALTHCARE SR MAUREEN COMER OP 2300 WATKINS LAKE ROAD WATERFORD MI 48328 10808736 0 0928 X WWW.LOURDESSENIORCOMMUNITY.ORG X 1965 MI OPERATION OF A 108-BED SKILLED NURSING FACILITY 20 20 229 80 0 0 3728084 443 10721912 10793634 23884 -9004 0 0 14473880 10785073 0 0 0 0 6848834 7141187 113412 0 0 3982508 3752212 10944754 10893399 3529126 -108326 9802682 17628019 843117 8764744 8959565 8863275 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 9794384 10793634 OPERATION OF A 108-BED SKILLED NURSING FACILITY. 9794384 1 0 0 0 0 0 0 0 1 0 1 0 0 0 1 1 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 8 0 1 229 1 0 0 0 0 0 0 0 0 0 0 X 20 20 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 0 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 ROGER HOWARD MD 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 FRANK MACDONELL DIRECTOR 1.00 3.00 X 0 0 0 RONALD J MCGUIRE 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 DANIEL WALLAS DIRECTOR 1.00 3.00 X 0 0 0 SISTER JACQUELINE BAUM OP DIRECTOR 1.00 3.00 X 0 0 0 SISTER JANICE BACHMAN OP DIRECTOR 1.00 3.00 X 0 0 0 LINDA GIFFORD DIRECTOR 1.00 3.00 X 0 0 0 HENRIETTA JURAS MD DIRECTOR 1.00 3.00 X 0 0 0 DON MISENER DIR. OF STRATEGIC PLANNING/CFO 10.00 30.00 X 107643 0 9140 RON DELASKO DIRECTOR OF PLANT OPS 10.00 30.00 X 102331 0 20992 209974 0 30132 2 0 0 0 REHABCARE GROUP PO BOX 503534 ST LOUIS MO 63150 RESIDENT THERAPY 950906 DOMINICAN SISTERS OF ADRIAN 1257 EAST SIENA HEIGHTS DRIVE ADRIAN MI 49221 MANAGEMENT SERVICES 157570 PLANTE MORAN CRESA 26300 NORTHWESTERN HWY SOUTHFIELD MI 48076 CONSULTING 132798 3 443 443 MEDICARE/MEDICAID PAY. 623000 8324015 8324015 RESIDENT SERVICE/ROOM 623000 2443261 2443261 RESIDENT SERVICES 623000 26358 26358 10793634 8817 8817 5842 0 23663 5842 -23663 -17821 -17821 10785073 10793634 0 -9004 116783 116783 5658527 5117822 540705 54507 54507 888520 874367 14153 422850 391696 31154 15683 15683 1044585 874002 170583 40787 40787 1177795 1096774 81021 329368 329368 8593 8593 2964 2964 330125 330125 61941 61941 MEDICAID - BED TAX 657632 657632 BAD DEBT EXPENSE 60791 60791 MISCELLANEOUS 14648 14648 VISITING CLERGY FEE 7300 7300 10893399 9794384 1099015 0 800 700 747635 1151131 1765795 1265565 40610 34143 82515 85682 20283799 6323283 6961621 13960516 199687 898563 4019 231719 9802682 17628019 802678 605864 40439 0 0 5836526 0 2322354 843117 8764744 X 8959565 8863275 8959565 8863275 9802682 17628019 -108326 12036 0 X X 0 1 X 1 0 X 105368 424967 30729 3728084 443 4289591 10456443 10939818 10897770 10721912 10793634 53809577 10561811 11364785 10928499 14449996 10794077 58099168 0 49260 146575 490047 38271 20186 744339 49260 146575 490047 38271 20186 744339 57354829 43298 46273 55447 15549 8817 169384 43298 46273 55447 15549 8817 169384 10605109 11411058 10983946 14465545 10802894 58268552 0.98430 0.98310 0.00290 0.00360 X 1 803 1653 866 1590 0 0 990893 990893 920653 27 73757 3546 990893 876612 46714 2673 920653 848776 60410 30014 2560 876612 0.00000 0.00000 0.00000 1 3716000 3716000 14101705 4297313 9804392 1809958 1503290 306668 656136 522680 133456 13960516 CONSTRUCTION PAYABLE 2322354 2322354 X PART IV, LINE 1B: ORGANIZATION IS CUSTODIAN FOR RESIDENT TRUST ACCOUNT TO HOLD SPENDING MONEY FOR NURSING HOME RESIDENTS. PART X, LINE 2: THE ENTITIES COMPRISING THE ORGANIZATION ARE EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN MADE. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN AND RECOGNIZE A TAX LIABILITY IF UNCERTAIN POSITIONS ARE TAKEN THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY APPLICABLE TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN AND HAS CONCLUDED THAT THERE ARE NO UNCERTAIN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE ORGANIZATION IS SUBJECT TO ROUTINE AUDITS BY TAXING AUTHORITIES; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. THE ORGANIZATION'S FEDERAL TAX RETURNS FOR THE YEARS ENDED PRIOR TO DECEMBER 31, 2011 ARE NO LONGER SUBJECT TO EXAMINATION. 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 0 0 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 11 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 ANNUALLY TO DETERMINE RAISES 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. 2014 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. PAGE 1, PART C DOING BUSINESS AS LOURDES REHABILITATION AND HEALTHCARE CENTER 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 9 PRIORESS DOMINICAN SISTERS OF PEACE 1 LOURDES ASSISTED LIVING CORPORATION 2300 WATKINS LAKE ROAD WATERFORD MI 48328 383431154 ASSISTED LIVING MI 501(C)(3) LINE 9 PRIORESS DOMINICAN SISTERS OF PEACE 1 FOX MANOR INC 2300 WATKINS LAKE ROAD WATERFORD MI 48328 382906665 SENIOR CARE MI 501(C)(3) LINE 9 PRIORESS DOMINICAN SISTERS OF PEACE 1 DOMINICAN HEALTH CARE CORPORATION 2300 WATKINS LAKE ROAD WATERFORD MI 48328 383575700 RELIGIOUS MI 501(C)(3) LINE 1 PRIORESS DOMINICAN SISTERS OF PEACE 1 LOURDES CAMPUS FUND 2300 WATKINS LAKE ROAD WATERFORD MI 48328 383576730 FUNDING TO SUPPORT LOURDES, INC. AND AFFILIATES MI 501(C)(3) LINE 1 PRIORESS DOMINICAN SISTERS OF PEACE 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 0 LOURDES ALZHEIMERS SPECIAL CARE CENTER O 135831 COST FOX MANOR O 176116 COST LOURDES CAMPUS FUND O 166662 COST LOURDES CAMPUS FUND Q 168882 COST LOURDES ASSISTED LIVING CORPORATION O 306769 COST