ARBOR HOSPICE INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
ARBOR HOSPICE INC (EIN 38-2532215)
Tax period
2012-07-01 to 2013-06-30
Filed
2013-11-15
IRS object ID
201343199349302794
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)
Timestamp2013-11-15T09:41:39-06:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN341145015EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1WILLIAM VAUGHAN COMPANYBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1145 CHESTERFIELD LANEAddressLine1
CityMAUMEECity
StateOHState
ZIP Code435373836ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN382532215EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1ARBOR HOSPICE INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlARBONameControl
Phone7346625999Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12366 OAK VALLEY DRIVEAddressLine1
CityANN ARBORCity
StateMIState
ZIP Code48103ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameBRUCE F CARTYName
TitleCFOTitle
Phone7346625999Phone
Date Signed2013-11-13DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJACK C HAGMEYERName
PTINP00051646PTIN
Phone4198911040Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonGLORIA BROOKSNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line12366 OAK VALLEY DRIVEAddressLine1
CityANN ARBORCity
StateMIState
ZIP Code48103ZIPCode
FieldValueIRS element (for citing)
Gross Receipts19085022GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.ARBORHOSPICE.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1984YearFormation
State Legal DomicileMIStateLegalDomicile
Activity Or Mission DescriptionPROVIDE SERVICES FOR TERMINALLY ILL PATIENTS AND THEIR FAMILIES.ActivityOrMissionDescription
Nbr Voting Members Governing Body19NbrVotingMembersGoverningBody
Nbr Independent Voting Members18NbrIndependentVotingMembers
Total Nbr Employees293TotalNbrEmployees
Total Nbr Volunteers308TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year78345ContributionsGrantsPriorYear
Contributions Grants Current Year1075857ContributionsGrantsCurrentYear
Program Service Revenue Prior Year18154704ProgramServiceRevenuePriorYear
Program Service Revenue CY17973997ProgramServiceRevenueCY
Investment Income Prior Year662InvestmentIncomePriorYear
Investment Income Current Year166InvestmentIncomeCurrentYear
Other Revenue Prior Year313049OtherRevenuePriorYear
Other Revenue Current Year35002OtherRevenueCurrentYear
Total Revenue Prior Year18546760TotalRevenuePriorYear
Total Revenue Current Year19085022TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year11112258SalariesEtcPriorYear
Salaries Etc Current Year11468230SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year28432TotalFundrsngExpCurrentYear
Other Expense Prior Year7582102OtherExpensePriorYear
Other Expenses Current Year7387399OtherExpensesCurrentYear
Total Expenses Prior Year18694360TotalExpensesPriorYear
Total Expenses Current Year18855629TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-147600RevenuesLessExpensesPriorYear
Revenues Less Expenses CY229393RevenuesLessExpensesCY
Total Assets BOY8221949TotalAssetsBOY
Total Assets EOY7957954TotalAssetsEOY
Total Liabilities BOY6325509TotalLiabilitiesBOY
Total Liabilities EOY5830713TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY1896440NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY2127241NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO GIVE COMFORT, ASSURANCE AND CARE TO FAMILIES AND PATIENTS WHO HAVE LIFE-LIMITING ILLNESSES AND TO EDUCATE AND NURTURE OTHERS IN THIS CARE.MissionDescription
Significant New Program Services1SignificantNewProgramServices
Significant Change0SignificantChange
Expense10091340Expense
Revenue14359491Revenue
DescriptionHOSPICE FIELD: CARE RENDERED TO TERMINALLY ILL PATIENTS IN THEIR OWN HOME. 83,995 PATIENT DAYS OF CARE WERE PROVIDED.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense4186028Expense
Revenue3589630Revenue
DescriptionHOSPICE RESIDENCE: 24-HOUR NURSING CARE PROVIDED IN THE ARBOR HOSPICE RESIDENCE, OUR 30-BED LICENSED IN-PATIENT FACILITY FOR PATIENTS WITH TERMINAL ILLNESSES. 8,640 PATIENT DAYS OF CARE WERE PROVIDED.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense337417Expense
DescriptionGRIEF SUPPORT SERVICES: PROGRAMS OFFERED BY THE AGENCY ON A COMPREHENSIVE BASIS TO THE SURVIVING FAMILY MEMBERS AFTER THE DEATH OF A LOVED ONE. SPECIAL PROGRAMS ARE ALSO OFFERED FOR CHILDREN WHO HAVE SUFFERED THE LOSS OF A LOVED ONE.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense276236Expense
Revenue24876Revenue
DescriptionPALLIATIVE CARE: IN-HOME CONSULTATIVE SERVICE TO RELIEVE PAIN AND OTHER SYMPTOMS DUE TO SERIOUS ILLNESS AND IMPROVE QUALITY OF LIFE.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp276236TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev24876TotalOfOtherProgramServiceRev
Total Program Service Expense14891021TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109670NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees293NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members19NbrVotingGoverningBodyMembers
Number Independent Voting Members18NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body0Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1BRUCE CARTYBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number7346625999TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12366 OAK VALLEY DRIVEAddressLine1
CityANN ARBORCity
StateMIState
ZIP Code48103ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (24 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationAverage Hours Per Week RelatedAverageHoursPerWeekRelatedHighest Compensated EmployeeHighestCompensatedEmployee
DR DAVID SMITH
CHAIR1.40XX000
JACKIE SILHANEK
VICE CHAIR1.40XX000
ROSEMARY BERARDI
SECRETARY1.40XX000
CINDY LIVESAY
TREASURER1.40XX000
DR CAROL BARKER
BOARD MEMBER1.40X000
LINDA BLOOM
BOARD MEMBER1.40X000
STEPHEN DAVIS
BOARD MEMBER1.40X000
ANGEL GIBSON
BOARD MEMBER1.40X000
GREGORY HAWKINS
BOARD MEMBER1.40X000
PAT JANNAUSCH
BOARD MEMBER1.40X0000.80
KURT KOBILJAK
BOARD MEMBER1.40X000
KATHRIN E KUDNER
BOARD MEMBER1.40X000
SWATEE KULKARNI
BOARD MEMBER1.40X000
BUD LAUDERBACH
BOARD MEMBER1.40X000
DR SUSAN URBA
BOARD MEMBER1.40X000
KATHLEEN WADE
BOARD MEMBER1.40X000
REV RODRICK GREEN
BOARD MEMBER1.40X000
DR JOHN NICKLAS
BOARD MEMBER1.40X000
GLORIA DANNA BROOKS
PRESIDENT AND CEO36.00XX166948031384.00
BRUCE CARTY
CFO36.00X160908053044.00
PENNY MURPHY
PREVIOUS VP CLINICAL OPERATIONS40.0012703409047X
ANATHEA COLLAR
VP HUMAN RESOURCES40.00114947013053X
MARGARET ADRAIN
VP MARKETING40.00106340013294X
HEIDI GRIX
VP DEVELOPMENT/EXECUTIVE D4.001016860100536.00X
FieldValueIRS element (for citing)
Total Reportable Comp From Org777863TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation44841TotalOtherCompensation
Number Individuals GT100 K6NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1UNIVERSITY OF MICHIGAN HEALTH SYSTEMBusinessNameLine1

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1GERIATRICS CENTER 300 N INGALLSAddressLine1
CityANN ARBORCity
StateMIState
ZIP Code48109ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesPHYSICIAN SERVICESDescriptionOfServices
Compensation247824Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
Related Organizations1075857RelatedOrganizations
Total Contributions1075857TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPROGRAM REVENUEDescription
Business Code623000BusinessCode
Total Revenue Column17973997TotalRevenueColumn
Related Or Exempt Function Income17973997RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue17973997TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column166TotalRevenueColumn
Exclusion$166ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMISCELLANEOUSDescription
Business Code623990BusinessCode
Total Revenue Column35002TotalRevenueColumn
Related Or Exempt Function Income35002RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue35002TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column19085022TotalRevenueColumn
Related Or Exempt Function Income18008999RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$166ExclusionAmount
FieldValueIRS element (for citing)
Info In Schedule O Part IXXInfoInScheduleOPartIX

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total377206Total
Management And General377206ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total9218059Total
Program Services7162865ProgramServices
Management And General2048582ManagementAndGeneral
Fundraising6612Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total79840Total
Program Services62501ProgramServices
Management And General17290ManagementAndGeneral
Fundraising49Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total953714Total
Program Services699714ProgramServices
Management And General253448ManagementAndGeneral
Fundraising552Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total839411Total
Program Services627363ProgramServices
Management And General211552ManagementAndGeneral
Fundraising496Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total408431Total
Program Services408431ProgramServices

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total41937Total
Management And General41937ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total25202Total
Management And General25202ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total3089193Total
Program Services2978507ProgramServices
Management And General110686ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total40991Total
Management And General40991ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total311005Total
Program Services78100ProgramServices
Management And General232902ManagementAndGeneral
Fundraising3Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total98090Total
Program Services4318ProgramServices
Management And General93772ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total502837Total
Program Services400441ProgramServices
Management And General92186ManagementAndGeneral
Fundraising10210Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total593177Total
Program Services525480ProgramServices
Management And General67683ManagementAndGeneral
Fundraising14Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total10037Total
Program Services4806ProgramServices
Management And General5231ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total289618Total
Program Services212634ProgramServices
Management And General68779ManagementAndGeneral
Fundraising8205Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total89832Total
Program Services66143ProgramServices
Management And General21398ManagementAndGeneral
Fundraising2291Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MEDICINE AND SUPPLIES136600813642161792
BAD DEBTS177479177479
DIETARY SERVICES110747110747
MARKETING & PROMOTION94924357191353

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total137891Total
Program Services3705ProgramServices
Management And General134186ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total18855629Total
Program Services14891021ProgramServices
Management And General3936176ManagementAndGeneral
Fundraising28432Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY853968BOY
EOY878418EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY81454BOY
EOY105470EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY2030540BOY
EOY1885808EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY260909BOY
EOY245968EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis9023957LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec4255422LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY4921749BOY
EOY4768535EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY73329BOY
EOY73755EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY8221949BOY
EOY7957954EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY850944BOY
EOY882914EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY3795000BOY
EOY3400000EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1679565BOY
EOY1547799EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY6325509BOY
EOY5830713EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY1896440BOY
EOY2127241EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1896440BOY
EOY2127241EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY8221949BOY
EOY7957954EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses229393ReconcilationRevenueExpenses
Reconciliation Unrealized Invest1408ReconciliationUnrealizedInvest
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years499655CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years811502CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years798684CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year78345CurrentTaxYearMinus1Year
Current Tax Year1075857CurrentTaxYear
Total3264043Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years499655CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years811502CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years798684CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year78345CurrentTaxYearMinus1Year
Current Tax Year1075857CurrentTaxYear
Total3264043Total
FieldValueIRS element (for citing)
Public Support Total1703264043PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years6208CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years6375CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years9088CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year142CurrentTaxYearMinus1Year
Current Tax Year166CurrentTaxYear
Total21979Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years45860CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years28035CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years47073CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year313049CurrentTaxYearMinus1Year
Current Tax Year35002CurrentTaxYear
Total469019Total
FieldValueIRS element (for citing)
Total Support3755041TotalSupport
Gross Receipts From Admissions Etc84740873GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.86920PublicSupportPertcentage170
Public Support Pertcent Prior Year0.73310PublicSupportPertcentPriorYear
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 Balance850904BeginningOfYearBalance
Contributions100000Contributions
Investment Earnings Or Losses92588InvestmentEarningsOrLosses
Other Expenditures44148OtherExpenditures
End Of Year Balance999344EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance763812BeginningOfYearBalance
Contributions100000Contributions
Investment Earnings Or Losses-12176InvestmentEarningsOrLosses
Other Expenditures732OtherExpenditures
End Of Year Balance850904EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance587891BeginningOfYearBalance
Contributions100000Contributions
Investment Earnings Or Losses76283InvestmentEarningsOrLosses
Other Expenditures362OtherExpenditures
End Of Year Balance763812EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance472703BeginningOfYearBalance
Contributions110000Contributions
Investment Earnings Or Losses19438InvestmentEarningsOrLosses
Other Expenditures14250OtherExpenditures
End Of Year Balance587891EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance385747BeginningOfYearBalance
Contributions100000Contributions
Investment Earnings Or Losses-3456InvestmentEarningsOrLosses
Other Expenditures9588OtherExpenditures
End Of Year Balance472703EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance0.97480PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.02520TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs1EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs1EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R1AreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis575493OtherCostOrOtherBasis
Book Value575493BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis6331151OtherCostOrOtherBasis
Depreciation2563941Depreciation
Book Value3767210BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis255084OtherCostOrOtherBasis
Depreciation190138Depreciation
Book Value64946BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1331706OtherCostOrOtherBasis
Depreciation1071794Depreciation
Book Value259912BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis530523OtherCostOrOtherBasis
Depreciation429549Depreciation
Book Value100974BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings4768535TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
DEPOSITS PAYABLE$687,979
ACCRUED PAYROLL$819,797
INTEREST PAYABLE$336
INTERCOMPANY PAYABLE$39,687
FieldValueIRS element (for citing)
Total Of Amounts1547799TotalOfAmounts

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:PART V, LINE 4:$30,844 TO SUPPORT THE UPKEEP OF THE GARDENS ON THE GROUNDS OF ARBOR HOSPICE, INC. $48,791 TO SUPPORT A CAMP DESIGNED TO HELP ADULTS AND CHILDREN COPE WITH THE LOSS OF A LOVED ONE. $894,537 TO SUPPORT THE GENERAL OPERATIONS OF ARBOR HOSPICE, INC. $25,172 TO SUPPORT CHILDREN'S SERVICES PROVIDED BY ARBOR HOSPICE, INC.
PART V: ENDOWMENT ADMINISTERED BY RELATED ORGANIZATION INCLUDED IN ENDOWMENT FUNDS ARE FUNDS HELD AND ADMINISTERED BY THE ARBOR HOSPICE FOUNDATION IN THE FOLLOWING AMOUNTS: $827,140 BEGINNING OF YEAR BALANCE; $100,000 CONTRIBUTIONS, $91,180 INVESTMENT EARNINGS, $44,148 EXPENDITURES, $974,172 END OF YEAR BALANCE.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment1SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org1CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (2 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
GLORIA DANNA BROOKS
PRESIDENT AND CEO1567200102280000031380170086000
BRUCE CARTY
CFO154629062790000053040166212000

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanation
PART I, LINES 4A-BPART I, LINES 4A-B: SEVERANCE PAYMENT PENNY MURPHY - $25,385 SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN MARGARET ADRAIN GLORIA BROOKS BRUCE CARTY ANATHEA COLLAR HEIDI GRIX PENNY MURPHY NO PAYMENTS WERE RECEIVED BY THE PARTICIPANTS.
PART I, LINE 6MEMBERS OF THE EXECUTIVE TEAM PARTICIPATE IN AN INCENTIVE COMPENSATION PLAN THAT CONSISTS OF MANY ELEMENTS, ONE OF WHICH IS NET INCOME OF THE ORGANIZATION.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1THE ECONOMIC DEVELOPMENT CORPORATION OF THE CHARTER TOWNSHIP OF PITTSFIELDBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN382490613IssuerEIN
CUSIP Number725570AG0CUSIPNumber
Date Issued2007-01-02DateIssued
Issue Price4800000IssuePrice
Description Of PurposeREFUND AN OUTSTANDING PORTION OF A 2005 TAXABLE VARIABLE RATE DEMAND NOTEDescriptionOfPurpose
Defeased0Defeased
On Behalf Of Issuer0OnBehalfOfIssuer
Pool Financing0PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Total Proceeds4800000TotalProceeds
Issuance Costs From Proceeds57665IssuanceCostsFromProceeds
Current Refunding1CurrentRefunding
Advance Refunding0AdvanceRefunding
Final Allocation Made1FinalAllocationMade
Adequate Books And Recds Maintaind1AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedProperty
Any Lease Arrangements0AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty0MngmentCntrctBondFinancdPrprty
Any Research Agreements0AnyResearchAgreements
Bond Iss Meet Prvt Security Pay Test0BondIssMeetPrvtSecurityPayTest
Change In Use Bond Financed Prop0ChangeInUseBondFinancedProp
Non Qualified Bond Remed Procdrs0NonQualifiedBondRemedProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiled
Rebate Not Due Yet0RebateNotDueYet
Exception To Rebate0ExceptionToRebate
No Rebate Due0NoRebateDue
Variable Rate Issue1VariableRateIssue
Hedge Identified In Books And Recds0HedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGIC
Gross Proceeds Invested0GrossProceedsInvested
Written Proc To Monitor Reqs0WrittenProcToMonitorReqs

Form990 Schedule K Part V Form990ScheduleKPartV

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Proc To Undertk Corrective Action0ProcToUndertkCorrectiveAction

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
NEW PROGRAM SERVICESFORM 990, PART III, LINE 2PALLIATIVE CARE: IN-HOME CONSULTATIVE SERVICE TO RELIEVE PAIN AND OTHER SYMPTOMS DUE TO SERIOUS ILLNESS AND IMPROVE QUALITY OF LIFE.
FORM 990, PART VI, SECTION B, LINE 11FORM 990 IS REVIEWED BY CFO PRIOR TO BEING FILED.
FORM 990, PART VI, SECTION B, LINE 12CMEMBERS OF THE BOARD OF DIRECTORS MUST ATTEST IN WRITING ON AN ANNUAL BASIS THAT THEY HAVE COMPLIED WITH THE CONFLICT OF INTEREST POLICY.
FORM 990, PART VI, SECTION B, LINE 15ACOMPENSATION OF THE ORGANIZATION'S CEO IS DETERMINED BY A COMPENSATION COMMITTEE USING COMPARABILITY STUDIES AND APPROVED BY THE BOARD.
FORM 990, PART VI, SECTION C, LINE 19AVAILABLE UPON REQUEST.
OTHER FEESFORM 990, PART IX, LINE 11GMISCELLANEOUS: PROGRAM SERVICE EXPENSES 2,978,507. MANAGEMENT AND GENERAL EXPENSES 110,686. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,089,193.
FORM 990, PART XII, LINE 2C:THE PROCESS HAS REMAINED UNCHANGED.
CHANGE IN NET ASSETS:FORM 990, PART 1, LINE 22THE CHANGE FROM BEGINNING TO ENDING UNRESTRICTED NET ASSETS INCLUDES $1,408 UNREALIZED GAINS ON INVESTMENTS.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1THE ARBOR HOSPICE FOUNDATIONBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12366 OAK VALLEY DRAddressLine1
CityANN ARBORCity
StateMIState
ZIP Code48103ZIPCode
FieldValueIRS element (for citing)
EIN320045893EIN
Primary ActivitiesTO SUPPORT ARBOR HOSPICE, INC.PrimaryActivities
Legal Domicile StateMILegalDomicileState
Exempt Code Section501(C)(3)ExemptCodeSection
Public Charity Status509(A)(3) TYPE IPublicCharityStatus
Direct Controlling Entity NAN/ADirectControllingEntityNA
Controlled Org1ControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
THE ARBOR HOSPICE FOUNDATION
C1075857ACTUAL COSTS
THE ARBOR HOSPICE FOUNDATION
M519346ACTUAL COSTS
THE ARBOR HOSPICE FOUNDATION
Q347145ACTUAL COSTS

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.