HOSPICE CARE OF SOUTHWEST MICHIGAN: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
HOSPICE CARE OF SOUTHWEST MICHIGAN (EIN 38-2293985)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-05-11
IRS object ID
201231329349300918
Schema version
2011v1.2
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)
Timestamp2012-05-11T09:15:28-05:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

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 Date2011-01-01TaxPeriodBeginDate

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)
NameJ WILLIAM WHITLOCKName
TitleTREASURERTitle
Phone2693450273Phone
Date Signed2012-04-30DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameSUSAN M VALENTINEName
Phone2693438180Phone
Date Prepared2012-05-10DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
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 Receipts20672890GrossReceipts
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 Employees196TotalNbrEmployees
Total Nbr Volunteers234TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year1214033ContributionsGrantsPriorYear
Contributions Grants Current Year1058144ContributionsGrantsCurrentYear
Program Service Revenue Prior Year15753645ProgramServiceRevenuePriorYear
Program Service Revenue CY15307211ProgramServiceRevenueCY
Investment Income Prior Year84009InvestmentIncomePriorYear
Investment Income Current Year573076InvestmentIncomeCurrentYear
Other Revenue Prior Year58551OtherRevenuePriorYear
Other Revenue Current Year49891OtherRevenueCurrentYear
Total Revenue Prior Year17110238TotalRevenuePriorYear
Total Revenue Current Year16988322TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year8068520SalariesEtcPriorYear
Salaries Etc Current Year8583725SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year580550TotalFundrsngExpCurrentYear
Other Expense Prior Year5920567OtherExpensePriorYear
Other Expenses Current Year5695564OtherExpensesCurrentYear
Total Expenses Prior Year13989087TotalExpensesPriorYear
Total Expenses Current Year14279289TotalExpensesCurrentYear
Revenues Less Expenses Prior Year3121151RevenuesLessExpensesPriorYear
Revenues Less Expenses CY2709033RevenuesLessExpensesCY
Total Assets BOY32266975TotalAssetsBOY
Total Assets EOY34209124TotalAssetsEOY
Total Liabilities BOY2726230TotalLiabilitiesBOY
Total Liabilities EOY2701675TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY29540745NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY31507449NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionCARE FOR PEOPLE COPING WITH ILLNESS, AGING, DYING AND LOSS.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense8883561Expense
Revenue13581659Revenue
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)
Expense865358Expense
Revenue1117965Revenue
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)
Expense296110Expense
Revenue371829Revenue
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)
Expense623931Expense
Revenue235759Revenue
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 Exp623931TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev235759TotalOfOtherProgramServiceRev
Total Program Service Expense10668960TotalProgramServiceExpense
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 ActivitiestrueFundraisingActivities
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
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109657NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees196NumberOfEmployees
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 DocsfalseChangesToOrganizingDocs
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 PersonJEAN MAILENamePerson
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 (19 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
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
CEO40.00X164232021855
KELLY MCCORMICK
COO40.00X75067015217
JAMIE COCKEREL
CFO40.00X74778017315
REBECCA HOLLOWAY
CHRO38.00X73915010693
STEVEN DUPUIS
MEDICAL DIRE40.0021713802287X
PETER DIELEMAN
ASSOC MED DI32.00159242017243X
FieldValueIRS element (for citing)
Total Reportable Comp From Org764372TotalReportableCompFromOrg
Total Other Compensation84610TotalOtherCompensation
Number Individuals GT100 K3NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Fundraising Events940FundraisingEvents
All Other Contributions1057204AllOtherContributions
Noncash Contributions20774NoncashContributions
Total Contributions1058144TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPROGRAM SERVICE FEESDescription
Total Revenue Column15307211TotalRevenueColumn
Related Or Exempt Function Income15307211RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue15307211TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column286285TotalRevenueColumn
Exclusion$286,285ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities3840858Securities
Other115658Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities3669725Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities171133Securities
Other115658Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column286791TotalRevenueColumn
Related Or Exempt Function Income286791RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Gross Income Fundraising Events23072GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events940CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses6836FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column16236TotalRevenueColumn
FieldValueIRS element (for citing)
Gross Income Gaming31487GrossIncomeGaming
Gaming Direct Expenses8007GamingDirectExpenses

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column23480TotalRevenueColumn
Related Or Exempt Function Income23480RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMISCELLANEOUS INCOMEDescription
Total Revenue Column10175TotalRevenueColumn
Related Or Exempt Function Income10175RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue10175TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column16988322TotalRevenueColumn
Related Or Exempt Function Income15627657RelatedOrExemptFunctionIncome
Exclusion$286,285ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total6884485Total
Program Services5464592ProgramServices
Management And General1106560ManagementAndGeneral
Fundraising313333Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total135768Total
Program Services108614ProgramServices
Management And General27154ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1017734Total
Program Services806154ProgramServices
Management And General147961ManagementAndGeneral
Fundraising63619Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total545738Total
Program Services436590ProgramServices
Management And General109148ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total20397Total
Management And General20397ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total24695Total
Management And General24695ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total55889Total
Management And General55889ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total80247Total
Fundraising80247Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total88954Total
Program Services1564ProgramServices
Management And General61358ManagementAndGeneral
Fundraising26032Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total154480Total
Management And General154480ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total195037Total
Program Services4461ProgramServices
Management And General190576ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total24693Total
Management And General24693ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total32962Total
Program Services63ProgramServices
Management And General13484ManagementAndGeneral
Fundraising19415Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total27267Total
Management And General27267ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total582520Total
Management And General581213ManagementAndGeneral
Fundraising1307Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total83532Total
Management And General83532ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
ROOM AND BOARD15658161565816
PRESCRIPTION DRUGS834311834311
PATIENT SERVICE EXPENSE567487567487
MEDICAL SUPPLIES505570505570

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total851707Total
Program Services373738ProgramServices
Management And General401372ManagementAndGeneral
Fundraising76597Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total14279289Total
Program Services10668960ProgramServices
Management And General3029779ManagementAndGeneral
Fundraising580550Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY244384BOY
EOY429660EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY4517270BOY
EOY5545953EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY33000BOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1679144BOY
EOY2284487EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY179985BOY
EOY203769EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis14130147LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec4068553LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY10456882BOY
EOY10061594EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY15156310BOY
EOY15683661EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY32266975BOY
EOY34209124EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1128976BOY
EOY1215858EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY1597254BOY
EOY1485817EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY2726230BOY
EOY2701675EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY26838211BOY
EOY28909772EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY2486309BOY
EOY2381452EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY216225BOY
EOY216225EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY29540745BOY
EOY31507449EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY32266975BOY
EOY34209124EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses2709033ReconcilationRevenueExpenses
Reconcilation Other Changes-742329ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
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 Years804060CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years5704798CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years802488CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1214033CurrentTaxYearMinus1Year
Current Tax Year1058144CurrentTaxYear
Total9583523Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years804060CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years5704798CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years802488CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1214033CurrentTaxYearMinus1Year
Current Tax Year1058144CurrentTaxYear
Total9583523Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total170723AmountsSubstContributorsTotal
Public Support Total1709412800PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years390532CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1723CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years136465CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year229729CurrentTaxYearMinus1Year
Current Tax Year286285CurrentTaxYear
Total1044734Total
FieldValueIRS element (for citing)
Total Support10628257TotalSupport
Gross Receipts From Admissions Etc67351634GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.88560PublicSupportPertcentage170
Public Support Pertcent Prior Year0.90190PublicSupportPertcentPriorYear
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

FieldValueIRS element (for citing)
Disclosed Orgs Legal ControlfalseDisclosedOrgsLegalControl
Disclosed For Charitable PurposesfalseDisclosedForCharitablePurposes
Written Policy MonitoringfalseWrittenPolicyMonitoring
Sect170h Requirements SatisfiedfalseSect170hRequirementsSatisfied
Solicited Assets For SalefalseSolicitedAssetsForSale
Agent Trustee EtcfalseAgentTrusteeEtc
Included On FSfalseIncludedOnFS

Current Year CurrentYear

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

Current Year Minus1 Year CurrentYearMinus1Year

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

Current Year Minus2 Years CurrentYearMinus2Years

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

Current Year Minus3 Years CurrentYearMinus3Years

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
Are Related Orgs Listed Schedule RfalseAreRelatedOrgsListedScheduleR

Land Land

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

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis10767110OtherCostOrOtherBasis
Depreciation1926239Depreciation
Book Value8840871BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis91805OtherCostOrOtherBasis
Depreciation33801Depreciation
Book Value58004BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis2735649OtherCostOrOtherBasis
Depreciation2108513Depreciation
Book Value627136BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis35950OtherCostOrOtherBasis
Book Value35950BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings10061594TotalOfBookValueLandBuildings
Total Revenue16988322TotalRevenue
Total Expenses14279289TotalExpenses
Excess Or Deficit For Year2709033ExcessOrDeficitForYear
Net Unrealized GL On Investments-742329NetUnrealizedGLOnInvestments
Total Adjustments-742329TotalAdjustments
Excess Or Deficit Per FS1966704ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt16260836TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-742329NetUnrealizedGainsInvestments
Other Revenues14843OtherRevenues
Revenue Not Rptd F990-727486RevenueNotRptdF990
Revenue Subtotal16988322RevenueSubtotal
Total Revenue Per Form99016988322TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt14294132TotExpensesEtcAuditedFinclStmt
Other Expenses Included14843OtherExpensesIncluded
Expenses Not Rptd F99014843ExpensesNotRptdF990
Expenses Subtotal14279289ExpensesSubtotal
Total Expenses Per Form99014279289TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
RECONCILIATION OF CHANGES - OTHERSCHEDULE D, PAGE 4, PART XI, LINE 8SCHEDULE D, PART XII, LINE 2D - OTHER ADJUSTMENTS 0 SPECIAL EVENT EXPENSES 14,843 SHEDULE D, PART XIII, LINE 2D - OTHER ADJUSTMENTS 0 SPECIAL EVENT EXPENSES -14,843
REVENUE AMOUNTS INCLUDED IN FINANCIALS - OTHERSCHEDULE D, PAGE 4, PART XII, LINE 2DSCHEDULE D, PART XII, LINE 2D - OTHER ADJUSTMENTS 0 SPECIAL EVENT EXPENSES 14,843
EXPENSE AMOUNTS INCLUDED IN FINANCIALS - OTHERSCHEDULE D, PAGE 4, PART XIII, LINE 2DSHEDULE D, PART XIII, LINE 2D - OTHER ADJUSTMENTS 0 SPECIAL EVENT EXPENSES 14,843

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1VAN BUREN GOLFNameOfEvent1
Gross Receipts Event18599GrossReceiptsEvent1
Charitable Contributions Event1415CharitableContributionsEvent1
Gross Revenue Event18184GrossRevenueEvent1
Non Cash Prizes Event131NonCashPrizesEvent1
Rent Facility Costs Event12170RentFacilityCostsEvent1
Other Direct Expenses Event1800OtherDirectExpensesEvent1
Name Of Event2BELLS FOR BOWSNameOfEvent2
Gross Receipts Event28458GrossReceiptsEvent2
Gross Revenue Event28458GrossRevenueEvent2
Other Direct Expenses Event21151OtherDirectExpensesEvent2
Total Number Of Other Events1TotalNumberOfOtherEvents
Gross Receipts Other Events6955GrossReceiptsOtherEvents
Charitable Contrib Other Events525CharitableContribOtherEvents
Gross Revenue Other Events6430GrossRevenueOtherEvents
Non Cash Prizes Other Events483NonCashPrizesOtherEvents
Rent Facility Costs Other Events1140RentFacilityCostsOtherEvents
Other Direct Expenses Other Events1061OtherDirectExpensesOtherEvents
Gross Receipts Total24012GrossReceiptsTotal
Charitable Contributions Total940CharitableContributionsTotal
Gross Revenue Total Events23072GrossRevenueTotalEvents
Non Cash Prizes Total Events514NonCashPrizesTotalEvents
Rent Facility Costs Total Events3310RentFacilityCostsTotalEvents
Other Direct Expenses Total Events3012OtherDirectExpensesTotalEvents
Direct Expense Summary Events6836DirectExpenseSummaryEvents
Net Income Summary16236NetIncomeSummary

Gaming Information GamingInformation

FieldValueIRS element (for citing)
Volunteer Labor BingofalseVolunteerLaborBingo
Volunteer Labor Pull TabsfalseVolunteerLaborPullTabs
Gross Revenue Other Gaming31487GrossRevenueOtherGaming
Cash Prizes Other Gaming136CashPrizesOtherGaming
Non Cash Prizes Other Gaming150NonCashPrizesOtherGaming
Other Direct Expenses Other Gaming7721OtherDirectExpensesOtherGaming
Volunteer Labor Other GamingfalseVolunteerLaborOtherGaming
Gross Revenue Total Gaming31487GrossRevenueTotalGaming
Cash Prizes Total Gaming136CashPrizesTotalGaming
Non Cash Prizes Total Gaming150NonCashPrizesTotalGaming
Other Direct Expenses Total Gaming7721OtherDirectExpensesTotalGaming
Direct Expense Summary Gaming8007DirectExpenseSummaryGaming
Net Gaming Income Summary23480NetGamingIncomeSummary
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 Compensation72362GamingManagerCompensation
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 (3 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgOther Compensation Filing OrgOtherCompensationFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrgComp Report Prior990 Filing OrgCompReportPrior990FilingOrgBonus Filing OrgBonusFilingOrg
JEAN MAILE
15896752659782120731860875000
STEVEN DUPUIS
21313822872194254000
PETER DIELEMAN
159242356213681176485

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

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)
Total Proceeds1485817TotalProceeds
Current RefundingfalseCurrentRefunding
Advance RefundingfalseAdvanceRefunding
Final Allocation MadefalseFinalAllocationMade
Adequate Books And Recds MaintaindfalseAdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed PropertyfalseOwningBondFinancedProperty
Any Lease ArrangementsfalseAnyLeaseArrangements
Mngment Cntrct Bond Financd PrprtyfalseMngmentCntrctBondFinancdPrprty
Engage Bond Counsel ContractsfalseEngageBondCounselContracts
Any Research AgreementsfalseAnyResearchAgreements
Engage Bond Counsel ResearchfalseEngageBondCounselResearch
Post Issuance Compliance ProcdrsfalsePostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T FiledfalseForm8038TFiled
Variable Rate IssuefalseVariableRateIssue
Hedge Identified In Books And RecdsfalseHedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGIC
Gross Proceeds InvestedfalseGrossProceedsInvested
Exception To RebatefalseExceptionToRebate

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 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.
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.
OTHER CHANGES IN NET ASSETS EXPLANATIONFORM 990, PART XI, LINE 5UNREALIZED LOSS ON INVESTMENTS (742,329)

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