2013-11-11T11:03:45-06:00 2012-12-31 381357951 PLANTE & MORAN PLLC PO BOX 307 SOUTHFIELD MI 480370307 990 2012-01-01 381789460 LOURDES INC LOUR 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 LOURDES NURSING HOME SR MAUREEN COMER OP 2300 WATKINS LAKE ROAD WATERFORD MI 48328 10985211 0 0928 X WWW.LOURDESSENIORCOMMUNITY.ORG X 1965 MI OPERATION OF A 108-BED SKILLED NURSING FACILITY 21 21 215 106 0 0 424967 30729 10939818 10897770 45270 52712 0 0 11410055 10981211 0 0 0 0 6696359 6645740 0 104353 229063 3887213 4197320 10583572 10947413 826483 33798 7824129 7415845 1165712 656439 6658417 6759406 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 9405418 10897770 OPERATION OF A 108-BED SKILLED NURSING FACILITY. 9405418 1 1 0 0 0 0 0 0 1 1 1 0 0 0 1 1 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 3 0 1 215 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 BRIAN CONDIT 1.00 3.00 X X 0 0 0 SISTER GENE POORE OP 1.00 3.00 X X 0 0 0 BARBARA MENDELSON 1.00 3.00 X X 0 0 0 SISTER 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 MICHAEL CIANCIOLO 1.00 3.00 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 MS 1.00 3.00 X 0 0 0 FRANK MACDONELL 1.00 3.00 X 0 0 0 RONALD J 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 ROBERT RINEY 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 REV MSGR JOHN P ZENZ 1.00 3.00 X 0 0 0 SISTER TERESITA LIPAR OP 1.00 3.00 X 0 0 0 SISTER DIANE TRAFFAS OP 1.00 3.00 X 0 0 0 DON MISENER 10.00 30.00 X 104281 0 9000 104281 0 9000 1 0 0 0 REHABCARE GROUP PO BOX 503534 ST LOUIS MO 63150 RESIDENT THERAPY 906008 DOMINICAN SISTERS OF ADRIAN 1257 EAST SIENA HEIGHTS DRIVE ADRIAN MI 49221 MANAGEMENT SERVICES 162133 PLANTE MORAN CRESA 27400 NORTHWESTERN HIGHWAY SOUTHFIELD MI 48034 DESIGN/PRECONSTRUCTION SERVICES 137357 3 8139 22590 30729 MEDICARE/MEDICAID PAY. 623000 7353866 7353866 RESIDENT SERVICE/ROOM 623000 3528470 3528470 RESIDENT SERVICES 623000 15434 15434 10897770 55447 55447 990 275 0 4000 990 -3725 -2735 -2735 10981211 10897770 0 52712 X 113281 113281 5150474 4520990 582711 46773 55382 39334 16048 880116 702870 131050 46196 446487 382582 59861 4044 12140 12140 11250 11250 104353 104353 1117079 951919 165160 40250 40250 922290 907732 1717 12841 9446 4858 4588 290494 232395 52289 5810 25303 25303 384505 384505 68588 68588 MEDICAID - BED TAX 670989 670989 BAD DEBT EXPENSE 599930 599930 DEVELOPMENTAL EXPENSE 4458 4458 SPONSORSHIPS 3569 3569 37029 12172 24857 10947413 9405418 1312932 229063 800 800 787347 871136 2846394 2374827 31688 33758 67811 79716 8556124 5938199 2780354 2617925 1309735 1423665 0 14018 7824129 7415845 873640 626675 292072 29764 1165712 656439 X 5346744 5381405 1311673 1378001 6658417 6759406 7824129 7415845 33798 67191 0 X X 0 1 X 1 0 X 234778 65605 105368 424967 30729 861447 10248997 9597908 10456443 10939818 10897770 52140936 10483775 9663513 10561811 11364785 10928499 53002383 130302 130302 31160 49260 146575 50691 277686 130302 31160 49260 146575 50691 407988 52594395 55110 48080 43298 46273 55447 248208 55110 48080 43298 46273 55447 248208 10538885 9711593 10605109 11411058 10983946 53250591 0.98770 0.98280 0.00470 0.00510 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 197 0 0 197 0 920653 27 73757 3546 990893 876612 46714 2673 920653 848776 60410 30014 2560 876612 797621 94230 40675 2400 848776 1.00000 0 1 1 6231247 4101964 2129283 1653135 1364478 288657 671742 471757 199985 2617925 RELATED PARTY PAYABLE 29764 29764 X PART IV, LINE 1B: ORGANIZATION IS CUSTODIAN FOR RESIDENT TRUST ACCOUNT TO HOLD SPENDING MONEY FOR NURSING HOME RESIDENTS. DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: THE ORGANIZATION INTENDS TO USE THE FUNDS IN VARIOUS WAYS IN SUPPORT OF THE CARE OF THE DOMINICAN SISTERS OF PEACE. 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 REQUIRES 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. 1 STRATEGIC PARTNERS INC 4311 JOY RD STE 405 CANTON MI 48187 CAPITAL CAMPAIGN CONSULTANT 0 0 104353 -104353 104353 -104353 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: PROGRAM SERVICE EXPENSES 7,666. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,666. AMBULANCE: PROGRAM SERVICE EXPENSES 1,330. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,330. ENTERTAINMENT: PROGRAM SERVICE EXPENSES 5,014. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,014. PHYSICAL THERAPY: PROGRAM SERVICE EXPENSES 404,452. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 404,452. OCCUPATIONAL THERAPY: PROGRAM SERVICE EXPENSES 362,870. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 362,870. SPEECH THERAPY: PROGRAM SERVICE EXPENSES 56,462. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 56,462. X-RAY: PROGRAM SERVICE EXPENSES 26,396. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 26,396. LABORATORY FEES: PROGRAM SERVICE EXPENSES 43,608. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 43,608. MEDICAL DIRECTOR FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 24,000. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 24,000. FINANCE SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 141,160. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 141,160. SOFTWARE MAINTENANCE: PROGRAM SERVICE EXPENSES 44,121. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 44,121. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM PRIOR YEAR. 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 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 9 PRIORESS DOMINICAN SISTERS OF PEACE 1 0 0 1 0 0 0 0 0 0 0 1 1 0 0 1 1 1 0 0 LOURDES ALZHEIMERS SPECIAL CARE CENTER O 227407 ALLOCATED COST OF COMPENSATION FOX MANOR O 248154 ALLOCATED COST OF COMPENSATION LOURDES ASSISTED LIVING O 437354 ALLOCATED COST OF COMPENSATION LOURDES CAMPUS FUND L 171936 COST