2015-05-15T13:27:25-05:00 2014-12-31 381357951 PLANTE & MORAN PLLC 750 TRADE CENTRE WAY STE 300 PORTAGE MI 49002 990 2014-01-01 454485835 EMMANUEL HOSPICE EMMA 6167190919 2161 LEONARD ST NW GRAND RAPIDS MI 49504 SARA LOWE EXECUTIVE DIRECTOR 6167190919 2015-05-14 1 CAROL LALONDE CPA P00181637 2695674500 2014 2016-04-25 22:37:26Z JAMES BRADY 1700 FISK RD SE GRAND RAPIDS MI 49506 2506265 0 X WWW.EMMANUELHOSPICE.ORG X 2012 MI TO PROVIDE END OF LIFE HOSPICE CARE AND RELATED SERVICES TO INDIVIDUALS IN THE COMMUNITY WHO HAVE A TERMINAL CONDITION. 11 11 21 13 0 0 0 56060 55396 2450182 0 0 14212 23 69608 2506265 0 0 0 0 203171 826072 0 13489 13489 153893 1629545 357064 2469106 -287456 37159 228955 777707 605729 1117322 -376774 -339615 THE MISSION OF EMMANUEL HOSPICE, AN INTERFAITH PARTNERSHIP, IS TO PROVIDE EXEMPLARY SPIRITUAL AND PHYSICAL CARE CREATING A PEACEFUL EXPERIENCE FOR THE DYING AND THEIR LOVED ONES. 0 0 1954149 2450182 HOSPICE AND BEREAVEMENT CARE 1954149 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 21 1 0 0 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 1 1 1 1 0 0 0 0 1 1 1 1 1 1 0 0 MI X CRAIG VANDENBOS 6169541799 4450 CASCADE ROAD GRAND RAPIDS MI 49546 JAMES BRADY CHAIR 5.00 X X 0 0 0 JANE TOOT VICE CHAIR 3.00 X X 0 0 0 RICK WALKER TREASURER 3.00 X X 0 0 0 SISTER GABRIELA HILKE DIRECTOR & CHAPLAIN 30.00 X 0 0 0 THOMAS WESHOLSKI DIRECTOR 1.00 X 0 0 0 CHRISTINE ALBERTINI DIRECTOR 1.00 X 0 0 0 MARY THERESA HEGARTY DIRECTOR 1.00 X 0 0 0 LAURANCE BURNS DIRECTOR 1.00 X 0 0 0 ROBERT HERR DIRECTOR 1.00 X 0 0 0 JUDITH BAKER DIRECTOR 1.00 X 0 0 0 PAT BERGSTROM DIRECTOR 1.00 X 0 0 0 SARA LOWE EXECUTIVE DIRECTOR 50.00 X 80903 0 6183 80903 0 6183 0 0 0 0 0 56060 56060 MEDICARE/MEDICAID 623000 2157091 2157091 NURSING HOME ROOM & BO 623000 293091 293091 2450182 MISCELLANEOUS 900099 23 23 23 2506265 2450182 0 23 88034 88034 644881 525767 119114 31894 18182 13712 61263 46099 15164 129878 129878 1100 1100 3900 3900 13489 13489 13154 3369 9785 22362 22362 5552 5552 43879 40704 3175 3874 3874 18710 18710 8623 8623 BAD DEBT 885735 885735 NURSING HOME ROOM & BOA 249229 249229 PHARMACY 85542 85542 EQUIPMENT/SUPPLIES 83691 66789 16902 74316 32733 41583 2469106 1954149 501468 13489 129257 98925 55396 619035 0 2087 92820 35160 44302 57660 228955 777707 29776 276491 575953 840831 605729 1117322 X 0 0 0 0 -376774 -339615 -376774 -339615 228955 777707 37159 0 X X 1 X 0 1 0 X 750 56060 56810 55396 2450182 2505578 750 55396 2506242 2562388 0 0 0 2562388 14212 23 14235 750 69608 2506265 2576623 X 0.00000 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 40869 6331 34538 51951 28829 23122 57660 LINE OF CREDIT 220000 ACCRUED LIABILITIES 65205 DUE TO DUE FROM 555626 840831 FORM 990, PART VI, SECTION A, LINE 6 THE STOCKHOLDERS ARE ST ANN'S - 54%, PORTER HILLS - 18%, CLARK RETIREMENT COMMUNITY - 18%, AND SUNSET MANOR - 10%. FORM 990, PART VI, SECTION A, LINE 7A MEMBERS OF THE BOARD ARE APPOINTED BY CURRENT BOARD MEMBERS. FORM 990, PART VI, SECTION A, LINE 7B CHANGES IN PURPOSE, MERGERS, INCURRENCE OF LONG TERM DEBT, SALE OF ASSETS GREATER THAN $5,000, HIRING OF EXECUTIVE DIRECTOR REQUIRE UNANIMOUS STOCKHOLDER VOTE. FORM 990, PART VI, SECTION A, LINE 8B THERE ARE NO COMMITTEES WITH AUTHORITY. FORM 990, PART VI, SECTION B, LINE 11 DUE TO TIME CONSTRAINTS THIS YEAR, THE BOARD MEMBERS WILL BE PROVIDED A COPY OF THE 990 FOR REVIEW IN THE NEXT BOARD MEETING FOLLOWING THE FILING. IN FUTURE YEARS, THEY WILL BE GIVEN A COPY BEFORE THE FILING FOR REVIEW. FORM 990, PART VI, SECTION B, LINE 12C ON AN ANNUAL BASIS, THE CONFLICT OF INTEREST POLICY IS SIGNED BY EACH BOARD MEMBER. IF A CONFLICT DOES ARISE, THE SITUATION IS REVIEWED WITH THE MEMBER AND THE BOARD CHAIR AND A DETERMINATION IS MADE ON HOW TO PROCEED. FORM 990, PART VI, SECTION B, LINE 15A ON AN ANNUAL BASIS, SARA LOWE'S (THE EXECUTIVE DIRECTOR FOR EMMANUEL) SALARY IS DETERMINED BY THE BOARD USING A BENCHMARKING PROCESS. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART XII, LINE 2C: THERE HAS BEEN NO CHANGE IN PROCESS SINCE PRIOR YEAR. ST ANN'S HOME INC 2161 LEONARD ST NW GRAND RAPIDS MI 49504 381872660 NURSING HOME MI 501(C)(3) LINE 9 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 ST ANN'S HOME INC K 6000 ALLOCATION OF COST ST ANN'S HOME INC M 38963 ALLOCATION OF COST