HOSPICE CARE OF SOUTHWEST MICHIGAN: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
HOSPICE CARE OF SOUTHWEST MICHIGAN (EIN 38-2293985)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-05-10
IRS object ID
201321309349300947
Schema version
2012v2.1
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)
Timestamp2013-05-10T09:35:21-05:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1SEBER TANS PLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1555 W CROSSTOWN PARKWAY STE 304AddressLine1
CityKALAMAZOOCity
StateMIState
ZIP Code49008ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN382293985EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1HOSPICE CARE OF SOUTHWEST MICHIGANBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlHOSPNameControl
Phone2693450273Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1222 N KALAMAZOO MALLAddressLine1
Address Line2ROOM/SUITE 100AddressLine2
CityKALAMAZOOCity
StateMIState
ZIP Code49007ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameRICHARD PATTERSONName
TitleTREASURERTitle
Phone2693450273Phone
Date Signed2013-05-08DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameSUSAN M VALENTINEName
Phone2693438180Phone
Date Prepared2013-05-08DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1HOSPICE OF GREATER KALAMAZOOBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonJEAN MAILE CEONameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1222 N KALAMAZOO MALL STE 100AddressLine1
CityKALAMAZOOCity
StateMIState
ZIP Code49007ZIPCode
FieldValueIRS element (for citing)
Gross Receipts19021154GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.HOSPICESWMI.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1981YearFormation
State Legal DomicileMIStateLegalDomicile
Activity Or Mission DescriptionCARE FOR PEOPLE COPING WITH ILLNESS, AGING, DYING AND LOSS.ActivityOrMissionDescription
Nbr Voting Members Governing Body13NbrVotingMembersGoverningBody
Nbr Independent Voting Members13NbrIndependentVotingMembers
Total Nbr Employees205TotalNbrEmployees
Total Nbr Volunteers175TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year1058144ContributionsGrantsPriorYear
Contributions Grants Current Year772157ContributionsGrantsCurrentYear
Program Service Revenue Prior Year15307211ProgramServiceRevenuePriorYear
Program Service Revenue CY14743496ProgramServiceRevenueCY
Investment Income Prior Year573076InvestmentIncomePriorYear
Investment Income Current Year587187InvestmentIncomeCurrentYear
Other Revenue Prior Year49891OtherRevenuePriorYear
Other Revenue Current Year44306OtherRevenueCurrentYear
Total Revenue Prior Year16988322TotalRevenuePriorYear
Total Revenue Current Year16147146TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year8583725SalariesEtcPriorYear
Salaries Etc Current Year8747497SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year502013TotalFundrsngExpCurrentYear
Other Expense Prior Year5695564OtherExpensePriorYear
Other Expenses Current Year5318374OtherExpensesCurrentYear
Total Expenses Prior Year14279289TotalExpensesPriorYear
Total Expenses Current Year14065871TotalExpensesCurrentYear
Revenues Less Expenses Prior Year2709033RevenuesLessExpensesPriorYear
Revenues Less Expenses CY2081275RevenuesLessExpensesCY
Total Assets BOY34209124TotalAssetsBOY
Total Assets EOY37053286TotalAssetsEOY
Total Liabilities BOY2701675TotalLiabilitiesBOY
Total Liabilities EOY2464864TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY31507449NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY34588422NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionCARE FOR PEOPLE COPING WITH ILLNESS, AGING, DYING AND LOSS.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense8609055Expense
Revenue13015238Revenue
DescriptionMEDICAL SERVICES - THE FOLLOWING SERVICES ARE PROVIDED THROUGH HOSPICE: AS NEEDED AND AS APPROPRIATE NURSING SERVICES, MEDICAL SOCIAL WORK, PHYSICIAN SERVICES, SPIRITUAL COUNSELING, TRAINED VOLUNTEERS, PHYSICAL THERAPY, NUTRITIONAL COUNSELING, OCCUPATIONAL THERAPY, SPEECH AND LANGUAGE THERAPY, HOME HEALTH AIDE SERVICES, HOMEMAKER SERVICES, SHORT-TERM INPATIENT CARE, SHORT-TERM CONTINUOUS CARE, SHORT-TERM RESPITE INPATIENT CARE, AND GRIEF SERVICES. ALSO PROVIDED ARE RELATED MEDICAL SUPPLIES, MEDICATION, AND DURABLE MEDICAL EQUIPMENT.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense873769Expense
Revenue1005719Revenue
DescriptionSOCIAL WORK AND SPIRITUAL COUNSELING SERVICES - SOCIAL WORK AND SPIRITUAL COUNSELING SERVICES PROVIDED AS PART OF THE OVERALL HOSPICE PROGRAM TO HOSPICE CLIENTS AND THEIR FAMILIES.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense332188Expense
Revenue479136Revenue
DescriptionBEREAVEMENT SERVICES - GRIEF COUNSELING SERVICES PROVIDED TO BEREAVED FOR THIRTEEN MONTHS AFTER A LOVED ONE'S DEATH AND GRIEF SUPPORT SERVICES PROVIDED TO COMMUNITY MEMBERS WHO HAVE EXPERIENCED GRIEF OR LOSS.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense664641Expense
Revenue243402Revenue
DescriptionVOLUNTEER SERVICES - COORDINATION OF TRAINING AND SERVICES PROVIDED BY HOSPICE VOLUNTEERS. ADULT DAY SERVICES - CARE FOR THOSE WHO ARE PHYSICALLY FRAIL, HAVE DEMENTIA, OR NEED EXTRA ASSISTANCE AFTER HOSPITALIZATION. ALSO CARE FOR OLDER ADULTS WHO ENJOY THE MEANINGFUL ACTIVITIES AND SOCIAL ENGAGEMENT OFFERED BY THE PROGRAM.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp664641TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev243402TotalOfOtherProgramServiceRev
Total Program Service Expense10479653TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingtrueGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109648NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees205NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members13NbrVotingGoverningBodyMembers
Number Independent Voting Members13NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocstrueChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChapterstrueLocalChapters
Policies Reference ChapterstruePoliciesReferenceChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledMIStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonJAMIE COCKERELNamePerson
Telephone Number2693450273TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1222 N KALAMAZOO MALL STE 100AddressLine1
CityKALAMAZOOCity
StateMIState
ZIP Code49007ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (18 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
ANNE THOMPSON
PRESIDENT1.00XX000
RICHARD PATTERSON
SECRETARY1.00XX000
SHARON BUCKLEY
VICE PRESIDE1.00XX000
DR KATHLEEN GADWOOD
DIRECTOR1.00X000
BRENDA MURPHY
DIRECTOR1.00X000
JOHN T HAYDEN
DIRECTOR1.00X000
JOSEPH LEARY
DIRECTOR1.00X000
J WILLIAM WHITLOCK
TREASURER1.00XX000
BRUCE GELBAUGH
DIRECTOR1.00X000
PHILIP A LONG
DIRECTOR1.00X000
RITA LAREAU
DIRECTOR1.00X000
CAROL VANDENBERG
DIRECTOR1.00X000
KENNETH WARREN
DIRECTOR1.00X000
JEAN MAILE
CEO40.00X173591024125
KELLY MCCORMICK
COO40.00X91885016036
JAMIE COCKEREL
CFO40.00X77017017911
REBECCA HOLLOWAY
CHRO38.00X74214010452
AMY MERVAK
CQCO40.00X73356014393
FieldValueIRS element (for citing)
Total Reportable Comp From Org490063TotalReportableCompFromOrg
Total Other Compensation82917TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Federated Campaigns130538FederatedCampaigns
Fundraising Events135FundraisingEvents
All Other Contributions641484AllOtherContributions
Noncash Contributions5027NoncashContributions
Total Contributions772157TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPROGRAM SERVICE FEESDescription
Business Code624200BusinessCode
Total Revenue Column14743496TotalRevenueColumn
Related Or Exempt Function Income14743496RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue14743496TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column352279TotalRevenueColumn
Exclusion$352,279ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities2929475Securities
Other162736Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities2857303Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities72172Securities
Other162736Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column234908TotalRevenueColumn
Related Or Exempt Function Income234908RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Gross Income Fundraising Events13894GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events135CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses6879FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column7015TotalRevenueColumn
FieldValueIRS element (for citing)
Gross Income Gaming38888GrossIncomeGaming
Gaming Direct Expenses9826GamingDirectExpenses

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column29062TotalRevenueColumn
Related Or Exempt Function Income29062RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMISCELLANEOUS INCOMEDescription
Business Code624200BusinessCode
Total Revenue Column8229TotalRevenueColumn
Related Or Exempt Function Income8229RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue8229TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column16147146TotalRevenueColumn
Related Or Exempt Function Income15015695RelatedOrExemptFunctionIncome
Exclusion$352,279ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total572980Total
Management And General572980ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total6560652Total
Program Services5583908ProgramServices
Management And General696400ManagementAndGeneral
Fundraising280344Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total120424Total
Program Services112171ProgramServices
Management And General8253ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total922008Total
Program Services770909ProgramServices
Management And General89490ManagementAndGeneral
Fundraising61609Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total571433Total
Program Services457146ProgramServices
Management And General114287ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total5714Total
Management And General5714ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total24450Total
Management And General24450ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total60894Total
Management And General60894ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total80283Total
Fundraising80283Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total83507Total
Program Services1322ProgramServices
Management And General53649ManagementAndGeneral
Fundraising28536Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total208376Total
Management And General208376ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total207379Total
Program Services4329ProgramServices
Management And General203050ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total16836Total
Program Services35ProgramServices
Management And General16741ManagementAndGeneral
Fundraising60Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total22541Total
Management And General22541ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total565615Total
Management And General564962ManagementAndGeneral
Fundraising653Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total70593Total
Management And General70593ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
ROOM AND BOARD14362211436221
PRESCRIPTION DRUGS787341787341
PATIENT SERVICE EXPENSE672639672639
ALL OTHER EXPENSES33301112948514189261634

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total742974Total
Program Services524147ProgramServices
Management And General229933ManagementAndGeneral
Fundraising-11106Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total14065871Total
Program Services10479653ProgramServices
Management And General3084205ManagementAndGeneral
Fundraising502013Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY429660BOY
EOY575960EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY5545953BOY
EOY6410127EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY2284487BOY
EOY1479853EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY203769BOY
EOY214247EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis14197513LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec4624006LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY10061594BOY
EOY9573507EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY15683661BOY
EOY18799592EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY34209124BOY
EOY37053286EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1215858BOY
EOY1090483EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY1485817BOY
EOY1374381EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY2701675BOY
EOY2464864EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY28909772BOY
EOY31794362EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY2381452BOY
EOY2577835EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY216225BOY
EOY216225EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY31507449BOY
EOY34588422EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY34209124BOY
EOY37053286EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses2081275ReconcilationRevenueExpenses
Reconciliation Unrealized Invest999698ReconciliationUnrealizedInvest
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years5704798CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years802488CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1214033CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1058144CurrentTaxYearMinus1Year
Current Tax Year772157CurrentTaxYear
Total9551620Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years5704798CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years802488CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1214033CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1058144CurrentTaxYearMinus1Year
Current Tax Year772157CurrentTaxYear
Total9551620Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total485800AmountsSubstContributorsTotal
Public Support Total1709065820PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1723CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years136465CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years229729CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year286285CurrentTaxYearMinus1Year
Current Tax Year352279CurrentTaxYear
Total1006481Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years73184CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5618CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year10175CurrentTaxYearMinus1Year
Current Tax Year8229CurrentTaxYear
Total97206Total
FieldValueIRS element (for citing)
Total Support10655307TotalSupport
Gross Receipts From Admissions Etc71202688GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.85080PublicSupportPertcentage170
Public Support Pertcent Prior Year0.88560PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance2402154BeginningOfYearBalance
Investment Earnings Or Losses250924InvestmentEarningsOrLosses
Administrative Expenses8753AdministrativeExpenses
End Of Year Balance2644325EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance2475471BeginningOfYearBalance
Investment Earnings Or Losses-64607InvestmentEarningsOrLosses
Administrative Expenses8710AdministrativeExpenses
End Of Year Balance2402154EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance2173307BeginningOfYearBalance
Investment Earnings Or Losses310295InvestmentEarningsOrLosses
Administrative Expenses8131AdministrativeExpenses
End Of Year Balance2475471EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance2015040BeginningOfYearBalance
Investment Earnings Or Losses162841InvestmentEarningsOrLosses
Administrative Expenses4574AdministrativeExpenses
End Of Year Balance2173307EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Contributions2000000Contributions
Investment Earnings Or Losses15040InvestmentEarningsOrLosses
End Of Year Balance2015040EndOfYearBalance
FieldValueIRS element (for citing)
Term Endowment EOY Balance1.00000TermEndowmentEOYBalance
Endowments Held By Unrelated OrgstrueEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis499633OtherCostOrOtherBasis
Book Value499633BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis10781298OtherCostOrOtherBasis
Depreciation2219008Depreciation
Book Value8562290BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis101225OtherCostOrOtherBasis
Depreciation38404Depreciation
Book Value62821BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis2815357OtherCostOrOtherBasis
Depreciation2366594Depreciation
Book Value448763BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings9573507TotalOfBookValueLandBuildings
Tot Revenue Etc Audited Fincl Stmt17163549TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments999698NetUnrealizedGainsInvestments
Other Revenues16705OtherRevenues
Revenue Not Rptd F9901016403RevenueNotRptdF990
Revenue Subtotal16147146RevenueSubtotal
Total Revenue Per Form99016147146TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt14082576TotExpensesEtcAuditedFinclStmt
Other Expenses Included16705OtherExpensesIncluded
Expenses Not Rptd F99016705ExpensesNotRptdF990
Expenses Subtotal14065871ExpensesSubtotal
Total Expenses Per Form99014065871TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
REVENUE AMOUNTS INCLUDED IN FINANCIALS - OTHERSCHEDULE D, PAGE 4, PART XI, LINE 2DSCHEDULE D, PART XII, LINE 2D - OTHER ADJUSTMENTS 0 SPECIAL EVENT EXPENSES 16,705
EXPENSE AMOUNTS INCLUDED IN FINANCIALS - OTHERSCHEDULE D, PAGE 4, PART XII, LINE 2DSHEDULE D, PART XIII, LINE 2D - OTHER ADJUSTMENTS 0 SPECIAL EVENT EXPENSES 16,705

Schedule G IRS990ScheduleG

Gaming Information GamingInformation

FieldValueIRS element (for citing)
Volunteer Labor BingofalseVolunteerLaborBingo
Volunteer Labor Pull TabsfalseVolunteerLaborPullTabs
Gross Revenue Other Gaming38888GrossRevenueOtherGaming
Non Cash Prizes Other Gaming166NonCashPrizesOtherGaming
Other Direct Expenses Other Gaming9660OtherDirectExpensesOtherGaming
Volunteer Labor Other GamingfalseVolunteerLaborOtherGaming
Gross Revenue Total Gaming38888GrossRevenueTotalGaming
Non Cash Prizes Total Gaming166NonCashPrizesTotalGaming
Other Direct Expenses Total Gaming9660OtherDirectExpensesTotalGaming
Direct Expense Summary Gaming9826DirectExpenseSummaryGaming
Net Gaming Income Summary29062NetGamingIncomeSummary
FieldValueIRS element (for citing)
States Where Gaming ConductedMIStatesWhereGamingConducted
LicensedtrueLicensed
License Suspended EtcfalseLicenseSuspendedEtc
Gaming With NonmemberstrueGamingWithNonmembers
Member Of Other EntityfalseMemberOfOtherEntity
Percentage Of Gaming Othr Facility1.00000PercentageOfGamingOthrFacility
Name Of Gaming Rec Keeper PersonLAURA LATIOLAISNameOfGamingRecKeeperPerson

Address Of Gaming Rec Keeper US AddressOfGamingRecKeeperUS

FieldValueIRS element (for citing)
Address Line12255 W CENTRE AVEAddressLine1
CityPORTAGECity
StateMIState
ZIP Code49024ZIPCode
FieldValueIRS element (for citing)
Contract With3rd Party For Gam RevfalseContractWith3rdPartyForGamRev
Gaming Manager Name PersonLAURA LATIOLAISGamingManagerNamePerson
Gaming Manager Compensation75711GamingManagerCompensation
Gaming Manager Services ProvidedRECORD KEEPING AND REPORTINGGamingManagerServicesProvided
Gaming Manager Is EmployeeXGamingManagerIsEmployee
Charitable Distrib RequiredfalseCharitableDistribRequired

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII

FieldValueIRS element (for citing)
Name PersonJEAN MAILENamePerson
TitleCEOTitle
Base Compensation Filing Org168096BaseCompensationFilingOrg
Other Compensation Filing Org5495OtherCompensationFilingOrg
Deferred Comp Filing Org9846DeferredCompFilingOrg
Nontaxable Benefits Filing Org14279NontaxableBenefitsFilingOrg
Total Compensation Filing Org197716TotalCompensationFilingOrg
Comp Report Prior990 Filing Org5000CompReportPrior990FilingOrg

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1MICHIGAN STATE HOSPITAL FINANCEBusinessNameLine1
Business Name Line2AUTHORITYBusinessNameLine2
FieldValueIRS element (for citing)
Date Issued2005-03-17DateIssued
Issue Price2227000IssuePrice
DefeasedfalseDefeased
On Behalf Of IssuerfalseOnBehalfOfIssuer
Pool FinancingfalsePoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Total Proceeds1374380TotalProceeds
Current RefundingfalseCurrentRefunding
Advance RefundingfalseAdvanceRefunding
Final Allocation MadefalseFinalAllocationMade
Adequate Books And Recds MaintaindfalseAdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed PropertyfalseOwningBondFinancedProperty
Any Lease ArrangementsfalseAnyLeaseArrangements
Mngment Cntrct Bond Financd PrprtyfalseMngmentCntrctBondFinancdPrprty
Any Research AgreementsfalseAnyResearchAgreements
Bond Iss Meet Prvt Security Pay TestfalseBondIssMeetPrvtSecurityPayTest
Change In Use Bond Financed PropfalseChangeInUseBondFinancedProp
Remedial Action TakenfalseRemedialActionTaken
Non Qualified Bond Remed ProcdrsfalseNonQualifiedBondRemedProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T FiledfalseForm8038TFiled
Rebate Not Due YetfalseRebateNotDueYet
Exception To RebatefalseExceptionToRebate
No Rebate DuefalseNoRebateDue
Variable Rate IssuefalseVariableRateIssue
Hedge Identified In Books And RecdsfalseHedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGIC
Gross Proceeds InvestedfalseGrossProceedsInvested
Written Proc To Monitor ReqsfalseWrittenProcToMonitorReqs

Form990 Schedule K Part V Form990ScheduleKPartV

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Proc To Undertk Corrective ActionfalseProcToUndertkCorrectiveAction

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ALL OTHER ACCOMPLISHMENT DESCRIPTIONFORM 990, PAGE 2, PART III, LINE 4DVOLUNTEER SERVICES - COORDINATION OF TRAINING AND SERVICES PROVIDED BY HOSPICE VOLUNTEERS. ADULT DAY SERVICES - CARE FOR THOSE WHO ARE PHYSICALLY FRAIL, HAVE DEMENTIA, OR NEED EXTRA ASSISTANCE AFTER HOSPITALIZATION. ALSO CARE FOR OLDER ADULTS WHO ENJOY THE MEANINGFUL ACTIVITIES AND SOCIAL ENGAGEMENT OFFERED BY THE PROGRAM.
SIGNIFICANT CHANGES TO ORGANIZATIONAL DOCUMENTSFORM 990, PAGE 6, PART VI, LINE 4AMENDMENT'S WERE MADE TO ARTICLE II (EXEMPT PURPOSE) AND ARTICLE VI (COMMITTEES) OF THE BYLAWS OF HOSPICE CARE OF SOUTHWEST MICHIGAN.
CLASSES OF MEMBERS OR STOCKHOLDERSFORM 990, PAGE 6, PART VI, LINE 6ORGANIZED WITH MEMBERS OR STOCKHOLDERS
ELECTION OF MEMBERS AND THEIR RIGHTSFORM 990, PAGE 6, PART VI, LINE 7APURSUANT TO ARTICLE IV, SECTIONS 2 AND 3 THE BYLAWS STATE THAT THE MEMBERS OF THE BOARD OF DIRECTORS SHALL BE ELECTED BY THE MEMBERSHIP AT THE MEMBERSHIP ANNUAL MEETING, WITH THE EXCEPTION THAT IN THE EVENT OF A VACANCY ON THE BOARD DUE TO RESIGNATION, REMOVAL OR OTHERWISE, THE BOARD OF DIRECTORS MAY FILL THAT VACANCY. ARTICLE XII OF THE BYLAWS STATES THAT ANY BYLAWS MADE BY THE AFFIRMATIVE VOTE OF A MAJORITY OF THE BOARD MAY BE AMENDED, ALTERED, CHANGED, OR ADDED TO OR REPEALED BY THE MEMBERS AT ANY REGULAR OR SPECIAL MEETING OF THE MEMBERSHIP. IN ADDITION, UNDER ARTICLE XIII OF THE BYLAWS, UPON TWO-THIRDS MAJORITY VOTE OF THE BOARD AND THE VOTE OF THE MEMBERS, THE ORGANIZATION CAN BE LIQUIDATED.
DECISIONS SUBJECT TO APPROVAL OF MEMBERSFORM 990, PAGE 6, PART VI, LINE 7BARTICLE XII OF THE BYLAWS STATES THAT ANY BYLAWS MADE BY THE AFFIRMATIVE VOTE OF A MAJORITY OF THE BOARD MAY BE AMENDED, ALTERED, CHANGED, OR ADDED TO OR REPEALED BY THE MEMBERS AT ANY REGULAR OR SPECIAL MEETING OF THE MEMBERSHIP. IN ADDITION, UNDER ARTICLE XIII OF THE BYLAWS, UPON TWO-THIRDS MAJORITY VOTE OF THE BOARD AND THE VOTE OF THE MEMBERS, THE ORGANIZATION CAN BE LIQUIDATED.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990FORM 990, PAGE 6, PART VI, LINE 11BTWO TO THREE BOARD MEMBERS REVIEW THE 990 PRIOR TO FILING. THE TREASURER SIGNS THE RETURN. ADDITIONALLY, ALL MEMBERS OF THE BOARD RECEIVE A COPY OF THE 990 PRIOR TO FILING.
ENFORCEMENT OF CONFLICTS POLICYFORM 990, PAGE 6, PART VI, LINE 12CAT THE TIME OF JOINING THE BOARD, EACH MEMBER IS REQUIRED TO SIGN A CONFLICT OF INTEREST STATEMENT. EACH MEMBER IS REQUIRED TO SIGN A CONFLICT OF INTEREST STATEMENT ANNUALLY. ADDITIONALLY, BOARD MEMBERS ARE REQUIRED TO DISCLOSE CONFLICTS OR POTENTIAL CONFLICTS OF INTEREST PROMPTLY. THE BOARD, EXCLUDING THE CONFLICTED MEMBER, WILL REVIEW AND ACT AS DICTATED BY THE CIRCUMSTANCES.
COMPENSATION PROCESS FOR TOP OFFICIALFORM 990, PAGE 6, PART VI, LINE 15ATHE CHIEF HUMAN RESOURCES OFFICER USES ESTABLISHED OUTSIDE SURVEYS AS A MARKET ANALYSIS OF COMPENSATION FOR ALL POSITIONS, INCLUDING THE CEO AND OTHER TOP MANAGEMENT POSITIONS. SALARY RANGES ARE DETERMINED FOR ALL EMPLOYEES. THE CHIEF HUMAN RESOURCES OFFICER PROVIDES THE BOARD WITH THE RECOMMENDED SALARY RANGE FOR THE CEO. ON AN ANNUAL BASIS, THE EXECUTIVE COMMITTEE OF THE BOARD DETERMINES THE CEO'S SALARY. THE INFORMATION IS MADE AVAILABLE TO THE BOARD IF REQUESTED. THE EXECUTIVE COMMITTEE ALSO COMPLETES A FORMAL EVALUATION OF THE CEO DURING THE ANNUAL SALARY REVIEW.
COMPENSATION PROCESS FOR OFFICERSFORM 990, PAGE 6, PART VI, LINE 15BSEE FORM 990, PART VI, SECTION B, LINE 15A
GOVERNING DOCUMENTS DISCLOSURE EXPLANATIONFORM 990, PAGE 6, PART VI, LINE 19DOCUMENTS ARE AVAILABLE ON SIGHT FOR REVIEW UPON REQUEST. IF NECESSARY, COPIES CAN BE MADE FOR A SMALL FEE THAT WILL COVER THE ADMINISTRATIVE COST OF COPYING THE DOCUMENTS.
RECONCILIATION OF CHANGES - OTHERFORM 990, PART XI, LINE 9SCHEDULE D, PART XII, LINE 2D - OTHER ADJUSTMENTS 0 SPECIAL EVENT EXPENSES 16,705 SHEDULE D, PART XIII, LINE 2D - OTHER ADJUSTMENTS 0 SPECIAL EVENT EXPENSES -16,705

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