2012-11-14T15:23:07-06:00 2011-12-31 861065772 DELOITTE TAX LLP 200 RENAISSANCE CENTER SUITE 3900 DETROIT MI 48243 990 2011-01-01 382549505 BOTSFORD CONTINUING CARE CORPORATION BOTS 2484718157 28050 GRAND RIVER AVE FARMINGTON HILLS MI 48336 REGINA DOXTADER 2484718157 2012-11-14 1 LORI BOYCE P00121981 3133963000 2011 2016-02-24 21:20:13Z BOTSFORD CONTINUING HEALTH CENTER MARGARET LIGHTNER 28050 GRAND RIVER AVE FARMINGTON HILLS MI 48336 20859483 0 X WWW.BOTSFORDCOMMONS.ORG X 1984 MI TO CREATE A FULLNESS OF LIFE THROUGH THE JOY OF RELATIONSHIPS, THE ART OF CARING, AND THE SPIRIT OF LIVING. 9 7 276 0 21996 11018 6555 10999 19715032 20515146 7790 25102 147814 67396 19877191 20618643 3000 5000 0 0 9618095 9336043 0 0 0 10374720 10379102 19995815 19720145 -118624 898498 25082920 23737742 32115754 29873912 -7032834 -6136170 X IN THE INTEREST OF MEETING OUR COMMUNITY'S NEEDS FOR A CONTINUUM OF CARE, BOTSFORD CONTINUING CARE CORPORATION, IN CONCERT WITH BOTSFORD HEALTH CARE, WILL PROVIDE AN ENVIRONMENT IN WHICH CLIENTS WILL RECEIVE PERSONAL ATTENTION BY HEALTH CARE PROFESSIONALS DEDICATED TO MAINTAINING THEIR HEALTH, SAFETY, INDEPENDENCE, COMFORT AND DIGNITY DURING THEIR RESIDENCE THROUGH STATE OF THE ART MEDICAL, NURSING, DIETARY, THERAPEUTIC, RECREATIONAL, SPIRITUAL AND QUALITY OF LIFE PROGRAMS WITHIN AESTHETICALLY PLEASING FACILITIES AND GROUNDS. BOTSFORD CONTINUING CARE CORPORATION IS TO CREATE A FULLNESS OF LIFE THROUGH THE JOY OF RELATIONSHIPS, THE ART OF CARING AND THE SPIRIT OF LIVING. 0 0 16158076 5000 17941229 THE SKILLED NURSING UNIT (SNF)IS A 179 BED FACILITY LOCATED IN FARMINGTON HILLS MICHIGAN. IN THE YEAR ENDED 2011, 57,401 PATIENT DAYS WERE PROVIDED IN WHICH 45,713 WERE MEDICARE OR MEDICAID. THIS REPRESENTED 79.64% OF THE TOTAL. 1355275 1280232 THE ASSISTED LIVING FACILITY IS A 63 BED UNIT ALSO LOCATED IN FARMINGTON HILLS MICHIGAN. IT IS A SAFE AND SUPPORTIVE ENVIRONMENT FOR OLDER ADULTS NEEDING SOME ASSISTANCE WITH THEIR DAILY ROUTINE. EACH RESIDENTS' CARE IS CUSTOMIZED TO HIS OR HER INDIVIDUAL NEEDS TO PROVIDE SUPPORT AND ASSISTANCE WHILE MAINTAINING AND PROVIDING INDEPENDENCE. THE CENTER FEATURES 63 RESIDENTIAL SUITES WITH PRIVATE BATHS AND GENEROUS LIVING SPACE FOR TREASURED PERSONAL FURNISHINGS. EACH IS EASILY ACCESSIBLE TO COMMUNITY LIVING, DINING AND SOCIAL AREAS. 307994 754044 THE INDEPENDENT LIVING APARTMENT IS A 51 UNIT BUILDING LOCATED ON THE CAMPUS OF BOTSFORD CONTINUING CARE CENTER. EACH APARTMENT IS WHEELCHAIR ACCESSIBLE, HAS 24 HOUR SECURITY SERVICES, ILLUMINATED THERMOSTATS AND INCLUDES EMERGENCY CALL SERVICE. EACH UNIT ALSO HAS PRIORITY ACCESS TO HEALTH SERVICES. EACH APARTMENT INCLUDES COMPLETE KITCHEN AND LAUNDRY FACILITIES AND INCLUDES ACCESS TO THE ADJACENT TOWN COMMONS BUILDING. THE TOWN COMMONS BUILDING INCLUDES DINING SERVICES, A POOL, EXERCISE ROOM AND A LIBRARY WITH MEDIA SERVICES. 390000 OTHER PROGRAM SERVICES INCLUDE A REFUND FOR PROFESSIONAL LIABILITY FEES, DUE TO A MALPRACTICE SETTLEMENT THAT WAS LESS THAN ANTICIPATED. 390000 17821345 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 60 0 1 276 1 1 1 0 0 0 0 0 0 0 0 0 X 9 7 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 MI X REGINA DOXTADER 2484718157 28050 GRAND RIVER AVE FARMINGTON HILLS MI 48336 X GERSON COOPER 1.00 X 1950 7950 0 ELIZABETH PERNICK 1.00 X 1900 0 0 MARILYN KUNCZ 1.00 X 1900 0 0 DR PAUL LACASSE 40.00 X 0 583164 37383 KEVIN KELLEY 1.00 X 1200 0 0 JANETTE DOLAN 1.00 X 1950 0 0 BARBARA ZEISER 1.00 X 1900 0 0 DEBRA WHITING 0.00 X 0 0 0 CLARISSA CHARTIER 0.00 X 0 0 0 MARGARET LIGHTNER 40.00 X 196048 0 32567 LISA VANDECAVEYE 40.00 X 0 316359 36224 DAVID MARCELLINO 40.00 X 0 392195 34284 REGINA DOXTADER 40.00 X 0 225962 35486 KAREN LANDRUM CROSS 40.00 X 134913 0 24630 341761 1525630 200574 2 0 1 0 SODEXO INC & AFFILIATES 4880 PAYSPHERE CIRCLE CHICAGO IL 60674 FOOD SERVICE 2061376 SELECT REHABILITATION PO BOX 809056 CHICAGO IL 606809056 THERAPY SERVICES 1564280 2 7499 3500 10999 PATIENT SERVICE 623000 17941229 17941229 ASSISTED LIVING 623990 1280232 1280232 INDEPENDENT LIVING 623990 754044 754044 RISK MANAGEMENT REFUND 900099 390000 390000 GUEST MEALS & CABLE TV 900099 101312 101312 48329 48329 20515146 3569 3569 157 157 214324 160951 53373 53373 21996 31377 1566 99699 0 79889 1566 19810 21376 21376 14023 14023 14023 20618643 20365505 21996 220143 5000 5000 240315 240315 7385300 6827546 557754 157698 147768 9930 1001513 931274 70239 551217 497678 53539 424477 424477 27088 27088 9665 9665 1906 1906 4193017 4128036 64981 58809 2405 56404 1425668 1358985 66683 100559 100559 741183 739620 1563 11770 9746 2024 981069 981069 983252 983252 158317 33419 124898 QUALITY ASSURANCE ASSES 852723 852723 0 BAD DEBT 222583 222583 ADMINISTRATIVE EXPENSE 64652 64652 UBI EXPENSE 6176 6176 116188 35589 80599 19720145 17821345 1898800 0 139819 275997 2652330 2008183 19203 32502 111398 136658 37190995 18244062 19694913 18946933 2465257 2337469 25082920 23737742 1647252 1839628 14850604 14163716 11255325 10830845 4362573 3039723 32115754 29873912 X -7032834 -6136170 -7032834 -6136170 25082920 23737742 X 898498 -1834 X 0 1 1 X 0 X 1626459 4994 74832 6555 10999 1723839 18274909 19557365 20162778 19715032 20515146 98225230 19901368 19562359 20237610 19721587 20526145 99949069 0 0 0 99949069 281076 241502 228049 134765 135314 1020706 281076 241502 228049 134765 135314 1020706 18507 11018 29525 75872 9377 20580 9809 14023 129661 20258316 19813238 20486239 19884668 20686500 101128961 0.98830 0.98330 0.01010 0.01240 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 1906 1906 0 EXPLANATION OF LOBBYING ACTIVITIES: PART II-B, LINE 1: BOTSFORD CONTINUING CARE CORPORATION PAID DUES TO HEALTH CARE ASSOCIATION OF MICHIGAN (HCAM). HCAM IDENTIFIED THAT 11.1% OF OPERATION DUES AND 34% OF AHCA DUES WERE SPENT ON LOBBYING AND RELATED EXPENSES. 429384 429384 31149947 13797262 17352685 3420680 2989836 430844 2190984 1456964 734020 18946933 ASSETS WHOSE USE IS LIMITED 1944083 UNAMORTIZED BOND ISSUE COSTS 297936 MISCELLANOUS RECEIVABLES 51339 DUE FROM AFFILIATES 44111 2337469 DUE TO AFFILIATES 1046630 DEFINED BENEFIT AND DEFINED CONTRIBUTION PLAN 1290440 PROFESSIONAL LIABILITY AND 3RD PARTY CLAIMS -5180 SECURITY AND OTHER DEPOSITS 252833 CONDO RESERVE 455000 3039723 SCHEDULE D, PART X: UNSECURED PAYABLES TO RELATED ORGANIZATIONS - THE FOLLOWING REFLECTS BALANCES OWED TO RELATED ORGANIZATIONS AS OF DECEMBER 31, 2011: DUE TO BOTSFORD HOSPITAL - $997,132 DUE TO ZIEGER HEALTH CARE CORPORATION - $13,124 DUE TO BOTSFORD PROPERTY ASSOCIATION - $29,093 DUE TO CEMS - $7,282 SCHEDULE D, PART X: OTHER AMOUNTS REFLECT LIABILITIES FOR DEFINED BENEFIT AND DEFINED CONTRIBUTION PLANS, PROFESSIONAL LIABILITY CLAIMS, ESTIMATED THIRD PARTY SETTLEMENTS, RESIDENT DEPOSITS AND CONDO RESERVE. X X X X 0 0 0 0 0 0 0 1 0 DR PAUL LACASSE 0 459628 0 81374 0 42162 0 14700 0 22683 0 620547 0 0 MARGARET LIGHTNER 142375 0 38370 0 15303 0 9892 0 22675 0 228615 0 0 0 LISA VANDECAVEYE 0 240701 0 48085 0 27573 0 14604 0 21620 0 352583 0 0 DAVID MARCELLINO 0 305435 0 56340 0 30420 0 14700 0 19584 0 426479 0 0 REGINA DOXTADER 0 163863 0 32720 0 29379 0 12326 0 23160 0 261448 0 0 KAREN LANDRUM CROSS 116720 0 14178 0 4015 0 2769 0 21861 0 159543 0 0 0 PART I, LINE 7 NON-FIXED PAYMENTS ARE PAID ONLY UPON APPROVAL OF THE BOTSFORD CONTINUING CARE CORPORATION COMPENSATION COMMITTEE AND ARE BASED UPON ESTABLISHED METRICS. CITY OF FARMINGTON HILLS HOSPITAL FINANCE AUTHORITY 521719468 311166BJ0 2008-04-03 480556 REFUND BONDS ISSUED 12/18/91 0 0 0 49171 480556 9611 661 470284 2008 1 0 1 1 0 1 0 0 0 1 SCHEDULE K SUPPLENTAL INFORMATION THE BOND ISSUED 04/01/08 WAS ISSUED TO THE ZIEGER HEALTH CARE CORPORATION OBLIGATED GROUP IN THE AMOUNT OF $16,370,000. THE OBLIGATED GROUP CONSISTS OF ZIEGER HEALTH CARE CORPORATION, BOTSFORD HOSPITAL, BOTSFORD CONTINUING CARE CORPORATION AND COMMUNITY EMERGENCY MEDICAL SERVICES. EACH ENTITY OF THE OBLIGATED GROUP WAS ALLOCATED A PORTION OF THIS DEBT AND THAT AMOUNT IS REFLECTED ON SCHEDULE K, PART I, LINE A(E) AND ON SCHEDULE K, PART II. SCHEDULE K, PART V BCCC COMPLIANCE PROCEDURES CONDUCTED ON AN AS NEEDED BASIS; WRITTEN DOCUMENTATION OF SUCH COMPLIANCE PROCEDURES WAS FORMALLY ADOPTED SUBSEQUENT TO YEAR END. SCHEDULE K, PART III PART III HAS NOT BEEN COMPLETED, SINCE THE BONDS REFUNDED PRE-2003 BOND ISSUES. HAD COMPLETION OF PART III BEEN REQUIRED, LINE 7 WOULD HAVE BEEN ANSWERED "YES". FORM 990, PART VI, SECTION A, LINE 2 THE FOLLOWING INDIVIDUALS HAVE A BUSINESS RELATIONSHIP BECAUSE THEY ARE BOARD MEMBERS OR SHARED OFFICERS ON TWO OR MORE ENTITIES WITHIN THE BOTSFORD HEALTH CARE SYSTEM. GERSON COOPER PAUL LACASSE DAVID MARCELLINO LISA VANDECAVEYE REGINA DOXTADER FORM 990, PART VI, SECTION A, LINE 6 AS THE SOLE CORPORATE MEMBER, ZIEGER HEALTH CARE CORPORATION APPROVED/ELECTS THE GOVERNING BODY OF BOTSFORD CONTINUING CARE CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A ZIEGER HEALTH CARE CORPORATION IS THE SOLE CORPORATE MEMBER OF BOTSFORD CONTINUING CARE CORPORATION. FORM 990, PART VI, SECTION A, LINE 7B AS THE SOLE CORPORATE MEMBER, ZIEGER HEALTH CARE CORPORATION HAS CERTAIN RESERVED POWERS OVER OPERATIONS AND CAPITAL OF BOTSFORD CONTINUING CARE CORPORATION. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 AND ALL RELATED SCHEDULES WERE PREPARED BY THE ORGANIZATION'S FINANCE DEPARTMENT AND REVIEWED BY AN OUTSIDE TAX FIRM. A COPY OF THE FORM 990 WAS PROVIDED TO THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE OF THE CONFLICT OF INTEREST POLICY. THIS IS DONE BY REVIEW OF THE POLICY ANNUALLY AT A BOARD MEETING AND MANDATORY SUBMISSION OF ANY CONFLICTS TO THE SECRETARY OF THE ORGANIZATION PER THE POLICY. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION, BENEFITS AND RETIREMENT COMMITTEE (COMMITTEE) OF BOTSFORD HEALTH CARE WILL REVIEW AND MAKE RECOMMENDATIONS TO THE BOARD OF DIRECTORS WITH RESPECT TO ALL ASPECTS OF COMPENSATION AND OTHER BENEFITS, INCLUDING, WITHOUT LIMITATIONS, COMPENSATION OF THE CORPORATION'S DIRECTORS, OFFICERS, PHYSICIANS, EMPLOYEES AND CONTRACTORS. THE COMMITTEE RETAINS AN INDEPENDENT COMPENSATION CONSULTANT EACH YEAR TO ASSESS THE COMPETITIVNESS AND REASONABLENESS OF THE TOTAL COMPENSATION PROVIDED TO EXECUTIVES, DIRECTORS AND PHYSICIANS. THE COMPENSATION CONSULTANT ABSTRACTS BASE SALARY, TOTAL CASH COMPENSATION AND BENEFITS DATA FROM MAJOR SURVEYS FOR HEALTHCARE AND OTHER APPROPRIATE INDUSTRIES. THE FAIR MARKET REVIEW IS FOR COMPARABLE POSITIONS IN COMPARABLE ORGANIZATIONS BASED UPON SIZE, TOTAL REVENUES AND OTHER RELEVANT FACTORS. YEARLY, THE CONSULTANT WILL PRESENT A SUMMARY OF FINDINGS AND RECOMMENDATIONS INTENDED TO HELP THE COMMITTEE ESTABLISH THE "REBUTTABLE PRESUMPTION OF REASONABLENESS FOR EXECUTIVES, DIRECTORS AND PHYSICIANS". THE COMMITTEE WILL MAKE RECOMMENDATIONS TO THE VARIOUS BOARDS FOR APPROVAL. NO MEMBER OF THE COMMITTEE WILL EVALUATE ANY COMPENSATION ARRANGEMENT WITH RESPECT TO WHICH HE OR SHE HAS A CONFLICT OF INTEREST. YEARLY, THE COMMITTEE MEMBERS WILL SIGN A CONFLICT OF INTEREST POLICY. ALL COMMITTEE RECOMMENDATIONS AND ACTIONS ARE ADEQUATELY DOCUMENTED IN COMMITTEE MINUTES. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS THAT ARE REQUIRED TO BE MADE AVAILABLE TO THE PUBLIC WILL BE MADE AVAILABLE UPON REQUEST. HOURS WORKED FOR RELATED ORGANIZATIONS FORM 990, PART VII, LINE 1A, COLUMN B OFFICERS, DIRECTORS, AND KEY EMPLOYEES OF BCCC PROVIDE SERVICES TO BCCC AND AFFILIATES. HOURS WORKED ARE NOT TRACKED SEPARATELY FOR EACH ENTITY. THEREFORE, HOURS FOR ALL INDIVIDUALS REPORTED ON FORM 990, PART VII, COMPENSATION OF OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES, HIGHEST COMPENSATED EMPLOYEES, AND INDEPENDENT CONTRACTORS REPRESENT AGGREGATE HOURS WORKED PER WEEK FOR ALL ENTITIES. OTHER CHANGES IN NET ASSETS FORM 990, PART XI, RECONCILIATION OF NET ASSETS THE $1,834 REPRESENTS A UNREALIZED LOSS ON INVESTEMENTS. ZIEGER HEALTHCARE CORPORATION 28050 GRAND RIVER AVE FARMINGTON HILLS MI 48336 382500428 CENTRALIZED GOVERNANCE & MGMT MI 501 (C) (3) 9 1 BOTSFORD HOSPITAL 28050 GRAND RIVER AVE FARMINGTON HILLS MI 48336 381426919 HOSPITAL MI 501 (C) (3) 3 ZIEGER HEALTH CARE CORPORATION 1 COMMUNITY EMERGENCY MEDICAL SERVICES 25400 W EIGHT MILE RD SOUTHFIELD MI 48034 382410823 AMBULANCE SERVICES MI 501 (C) (3) 9 ZIEGER HEALTH CARE CORPORATION 1 BOTSFORD COMMONS PROPERTY ASSOCIATION 28050 GRAND RIVER AVE FARMINGTON HILLS MI 48336 383203663 PROPERTY MANAGEMENT MI BOTSFORD CONTINUING CARE CORPORATION C 1.00000 PARASTAR 28050 GRAND RIVER AVE FARMINGTON HILLS MI 48336 382755982 MANAGEMENT & DISPATCH SERVICES MI COMMUNITY EMERGENCY MEDICAL SERVICE INC C BGH PHYSICIAN PORTFOLIO (CAPTIVE) PO BOX 1109 68 WEST BAY ROAD GEORGETOWN GRAND CAYMAN CJ 381426919 CAPTIVE INSURANCE (CELL) CJ BOTSFORD HOSPITAL C 0 1 1 0 0 0 0 0 1 0 0 0 0 1 1 1 0 0 BOTSFORD HOSPITAL N 424477 CASH BOTSFORD HOSPITAL O 3394647 CASH ZIEGER HEALTH CARE CORPORATION O 659149 CASH BOTSFORD COMMONS PROPERTY ASSOCIATION O 350500 CASH BOTSFORD HOSPITAL I 123188 CASH BOTSFORD COMMONS PROPERTY ASSOCIATION N 168688 CASH BOTSFORD HOSPITAL P 390000 CASH