2013-11-11T11:03:45-06:00 2012-12-31 381357951 PLANTE & MORAN PLLC PO BOX 307 SOUTHFIELD MI 480370307 990 2012-01-01 382906665 FOX MANOR INC FOXM 2486742241 2300 WATKINS LAKE ROAD WATERFORD MI 48328 SR MAUREEN COMER OP 2486742241 2013-10-17 1 SUSAN MIENCIER P00842339 2483522500 2012 2016-02-24 21:20:13Z SR MAUREEN COMER OP 2300 WATKINS LAKE ROAD WATERFORD MI 48328 1404237 0 0928 X WWW.LOURDESSENIORCOMMUNITY.ORG X 1989 MI FULL CONTINUUM CARE FOR SENIORS REGARDLESS OF RACE, CREED, OR RELIGION. 21 21 28 84 0 0 3372 55643 1190177 1330239 26517 18355 11730 0 1231796 1404237 0 0 0 0 457926 435177 0 0 6070 775915 787282 1233841 1222459 -2045 181778 2473393 1748918 1842289 1482605 631104 266313 FULL CONTINUUM CARE FOR SENIORS REGARDLESS OF RACE, CREED, OR RELIGION. THOSE WHO MINISTER ARE COMMITTED TO GOSPEL VALUES AND STRIVE TO PROVIDE HUMAN WHOLENESS RECOGNIZING THE UNIQUENESS OF EACH PERSON WITH COMPASSION, LOVE, RESPECT, AND DIGNITY. 0 0 886036 1330239 RENTAL HOUSING FOR INDEPENDENT ELDERLY OVER 65 YEARS OF AGE. ONE HOT MEAL PER DAY ALONG WITH ACTIVITIES FOR BOTH PHYSICAL AND SPIRITUAL NEEDS ARE PROVIDED. FOX MANOR HAS 55 APARTMENTS AVAILABLE FOR RENT. 886036 1 1 0 0 0 0 0 0 0 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 3 0 1 28 1 0 0 0 0 0 0 0 0 0 0 X 21 21 1 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 ROBERT RINEY 1.00 3.00 X 0 0 0 SR DIANE TRAFFAS OP 1.00 3.00 X 0 0 0 SR GENE POORE 1.00 3.00 X X 0 0 0 MICHAEL W CIANCIOLO 1.00 3.00 X 0 0 0 BARBARA MENDELSON 1.00 3.00 X X 0 0 0 SR MAUREEN COMER OP 10.00 30.00 X X 0 0 0 BETH CAFARO 1.00 3.00 X 0 0 0 DAN CALLAN 1.00 3.00 X 0 0 0 BRIAN CONDIT 1.00 3.00 X X 0 0 0 TIM GRAJEWSKI 1.00 3.00 X 0 0 0 ROGER HOWARD MD 1.00 3.00 X 0 0 0 J EDWARD HANNAN 1.00 3.00 X 0 0 0 LYNNE LEPISTO-GOLLING RN MSN 1.00 3.00 X 0 0 0 FRANK MACDONELL 1.00 3.00 X 0 0 0 RONALD MCGUIRE 1.00 3.00 X 0 0 0 JOSEPH MENDELSON SR 1.00 3.00 X 0 0 0 JAMES NOTEMAN 1.00 3.00 X 0 0 0 JUDITH SMITH 1.00 3.00 X 0 0 0 DANIEL WALLAS 1.00 3.00 X 0 0 0 SR TERESITA LIPAR OP 1.00 3.00 X 0 0 0 REV MSGR JOHN P ZENZ 1.00 3.00 X 0 0 0 DON MISENER 10.00 30.00 X 0 104281 9000 0 104281 9000 0 0 0 0 0 53114 2529 55643 RESIDENT SERVICES 623000 1273499 1273499 MISC. RESIDENT SERVICE 623000 56740 56740 1330239 16855 16855 1500 0 1500 1500 1500 1404237 1330239 0 18355 X 396045 182534 207441 6070 3709 219 3490 13533 13533 21890 14172 7718 180 180 11150 11150 164602 122063 42539 140418 129416 11002 7829 7829 143059 143059 182 182 20485 20485 268488 268488 24446 24446 VISITING CLERGY FEE 5600 5600 GOODWILL 843 843 1222459 886036 330353 6070 46265 344990 17816 0 16223 7698 14869 17522 4358082 3534347 1561089 823735 742116 491379 75015 63594 2473393 1748918 364289 61033 1478000 1372751 0 48821 1842289 1482605 X 421104 266313 210000 0 631104 266313 2473393 1748918 181778 30514 -577083 0 X X 0 1 X 1 0 X 19933 6126 17552 3372 55643 102626 1235768 1300662 1292722 1201907 1330239 6361298 1255701 1306788 1310274 1205279 1385882 6463924 0 446440 457072 513618 532624 448525 2398279 446440 457072 513618 532624 448525 2398279 4065645 14910 11728 14913 16855 58406 14910 11728 14913 16855 58406 55 1320 1375 1270611 1318571 1311594 1220192 1402737 6523705 0.62320 0.67750 0.00900 0.01120 X SCHEDULE A, PART II, LINE 12, EXPLANATION OF OTHER INCOME: LATE FEES RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3524794 3002960 521834 467654 366289 101365 365634 165098 200536 823735 RELATED PARTY PAYABLE 48821 48821 X DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: 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 ORGANIZATIONS FEDERAL TAX RETURNS FOR THE YEARS ENDED PRIOR TO DECEMBER 31, 2009 ARE NO LONGER SUBJECT TO EXAMINATION. A ECONOMIC DEVELOPMENT CORPORATION OF THE CHARTER TOWNSHIP OF WATERFORD 386007299 2011-12-01 1478000 REFINANCE OF EXISTING BONDS AND CAPITAL IMPROVEMENTS 0 1 0 A 1478000 28925 86532 2011 0 1 1 1 A 0 0 1 0 1 0 0 0 0 A 0 FORM 990, PART VI, SECTION A, LINE 2 BARBARA AND JOSEPH MENDELSON - PERSONAL RELATIONSHIP. FORM 990, PART VI, SECTION A, LINE 6 THE MEMBERSHIP OF THE CORPORATION SHALL BE LIMITED TO TWENTY-TWO PERSONS, TO BE APPOINTED BY THE DOMINICAN HEALTH CARE CORPORATION. AMONG THESE MEMBERS SHALL BE THREE MEMBERS OF THE ORDER OF THE DOMINICAN SISTERS OF PEACE, KENTUCKY ("DOMINICAN SISTERS") WHOSE NAMES ARE TO BE SUBMITTED TO THE DOMINICAN HEALTH CARE CORPORATION BY THE PRIORESS OF THE DOMINICAN SISTERS. FORM 990, PART VI, SECTION A, LINE 7A THE PRESIDENT SHALL BE APPOINTED BY THE MEMBERS. ALL MEMBERS OF THE CORPORATION, AND ONLY SUCH MEMBERS, SHALL BE MEMBERS OF THE BOARD OF DIRECTORS. THE MEMBERSHIP OF THE CORPORATION SHALL BE LIMITED TO TWENTY-TWO PERSONS. THE PRESIDENT OF THE CORPORATION AND THE PRIORESS OF THE DOMINICAN SISTERS OF PEACE, OR HER DESIGNATED REPRESENTATIVE, ARE VOTING EX OFFICIO DIRECTORS OF THE CORPORATION. IN ADDITION TO THE EX OFFICIO DIRECTORS OF THE CORPORATION, THE CHAIRPERSON OF THE MEMBERS SHALL APPOINT AT LEAST SEVEN AT LARGE DIRECTORS, ONE OF WHOM SHALL BE A ROMAN CATHOLIC CLERIC FROM THE ARCHDIOCESE OF DETROIT. FORM 990, PART VI, SECTION A, LINE 7B THE MEMBERS ARE THE BOARD OF DIRECTORS. DECISIONS ARE SUBJECT TO THE APPROVAL OF THE MEMBERS. 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. 2012 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. OTHER FEES FORM 990, PART IX, LINE 11G MAINTENANCE CONTRACT LABOR: PROGRAM SERVICE EXPENSES 36,319. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 36,319. GROUNDS CONTRACT LABOR: PROGRAM SERVICE EXPENSES 67,621. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 67,621. DIETARY CONSULTANT FEE: PROGRAM SERVICE EXPENSES 119. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 119. THERAPY: PROGRAM SERVICE EXPENSES 18,004. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 18,004. FINANCE ADMINISTRATION FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 26,902. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 26,902. GUARDIAN MONITORING FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 9,540. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,540. ADMINISTRATION FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 6,097. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,097. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. DOMINICAN SISTERS OF PEACE 2320 AIRPORT DRIVE COLUMBUS OH 48219 263550703 RELIGIOUS KY 501(C)(3) LINE 1 VATICAN - CATHOLIC CHURCH 0 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 LOURDES INC 2300 WATKINS LAKE ROAD WATERFORD MI 48328 381789460 NURSING HOME MI 501(C)(3) LINE 9 PRIORESS DOMINICAN SISTERS OF PEACE 1 LOURDES ALZHEIMERS SPECIAL CARE CENTER 2300 WATKINS LAKE ROAD WATERFORD MI 48328 383077328 ALZHEIMEERS CARE MI 501(C)(3) LINE 9 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 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 LOURDES INC O 248154 ALLOCATED COST OF COMPENSATION