2011-11-14T09:22:11-06:00 2011-06-30 WILLIAM VAUGHAN COMPANY 145 CHESTERFIELD LANE MAUMEE OH 435373836 990 2010-07-01 382532215 ARBOR HOSPICE INC ARBO 7346625999 2366 OAK VALLEY DRIVE ANN ARBOR MI 48103 BRUCE F CARTY 7346625999 2011-11-14 1 JACK C HAGMEYER 4198911040 2010 2016-03-07 17:11:31Z GLORIA BROOKS 2366 OAK VALLEY DRIVE ANN ARBOR MI 48103 18029440 0 X WWW.ARBORHOSPICE.ORG X 1984 MI PROVIDE SERVICES FOR TERMINALLY ILL PATIENTS AND THEIR FAMILIES. 20 18 291 290 0 0 811502 798684 16092820 16694299 15228 80920 28035 47073 16947585 17620976 0 0 0 0 9435877 10068786 0 0 25779 7042315 7067779 16478192 17136565 469393 484411 9045851 8954511 7487356 6910021 1558495 2044490 TO GIVE COMFORT, ASSURANCE AND CARE TO FAMILIES AND PATIENTS WHO HAVE LIFE-LIMITING ILLNESSES AND TO EDUCATE AND NURTURE OTHERS IN THIS CARE. 0 0 8653311 13163154 HOSPICE FIELD: CARE RENDERED TO TERMINALLY ILL PATIENTS IN THEIR OWN HOME. APPROXIMATELY 74,100 PATIENT DAYS OF CARE WERE PROVIDED. 4350153 3531145 HOSPICE RESIDENCE: 24-HOUR NURSING CARE PROVIDED IN THE ARBOR HOSPICE RESIDENCE, OUR 30-BED LICENSED IN-PATIENT FACILITY FOR PATIENTS WITH TERMINAL ILLNESSES. APPROXIMATELY 8,500 PATIENT DAYS OF CARE WERE PROVIDED. 288652 GRIEF 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. 13292116 1 1 0 0 0 0 0 0 1 1 0 0 0 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 64 0 291 1 0 0 0 0 0 0 0 0 0 0 X 20 18 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 X X BRUCE CARTY 7346625999 2366 OAK VALLEY DRIVE ANN ARBOR MI 48103 MICHAEL MARTIN 1.20 X X 0 0 0 DR DAVID SMITH 1.20 X X 0 0 0 JACKIE SILHANEK 1.20 X X 0 0 0 ESSEL BAILEY 1.20 X X 0 0 0 CAROL BARKER 1.20 X 0 0 0 ROSEMARY BERARDI 1.20 X 0 0 0 LINDA BLOOM 1.20 X 0 0 0 JANET CALLAWAY 1.20 X 0 0 0 DR KEMP CEASE 1.20 X 0 0 0 TOM CRETE 1.20 X 0 0 0 ED GOLDMAN 1.20 X 0 0 0 KATHY KUDNER 1.20 X 0 0 0 CINDY LIVESAY 1.20 X 0 0 0 NORA MARTIN 1.20 X 0 0 0 SANDI NIELSEN 1.20 X 0 0 0 GLORIA BROOKS 40.00 X X 190628 0 2322 DR ANJANETTE STOLTZ 1.20 X 0 0 0 DAN SYGAR 1.20 X 0 0 0 ANNETTE TENERELLI-LEMKE 1.20 X 0 0 0 PATRICIA WARNER 1.20 X 0 0 0 BRUCE CARTY 40.00 X 158099 0 8702 PENNY MURPHY 40.00 X 107581 0 14897 MARY WISELY 32.00 X 247885 0 5016 ANATHEA COLLAR 40.00 X 106724 0 19699 810917 0 50636 5 0 1 0 UNIVERSITY OF MICHIGAN 1500 E MEDICAL CENTER DR ANN ARBOR MI 48104 PHYSICIAN SERVICES 146405 CRITICORE NURSING AGENCY 5773 CANTON CENTER RD SUITE 5 CANTON MI 48187 CLINICAL SERVICES 100877 2 798684 798684 PROGRAM REVENUE 623000 16694299 16694299 16694299 9088 9088 480296 408426 38 71870 -38 71832 71832 MISCELLANEOUS 623990 47073 47073 47073 17620976 16741372 0 80920 385918 385918 8029959 6055851 1969030 5078 68319 50091 18186 42 895658 633187 261940 531 688932 496381 192135 416 196787 196787 44547 44547 35465 35465 1611 1611 3406484 3231879 174605 31909 31909 287843 159409 128388 46 88667 8449 80218 501987 389565 102744 9678 411142 332077 79063 2 14772 5520 9251 1 320633 229718 82586 8329 70759 50812 18291 1656 MEDICINE AND SUPPLIES 1237913 1231767 6146 DIETARY SERVICES 119173 119173 MARKETING & PROMOTION 105104 18 105086 BAD DEBTS 99632 99632 EMPLOYEE HIRING AND TRA 58532 1170 57362 34819 630 34189 17136565 13292116 3818670 25779 500 1458737 1511629 77756 1948087 1891269 273194 227402 8892409 3741338 5215453 5151071 96988 148276 9045851 8954511 1447627 1138494 4355000 4180000 1684729 1591527 7487356 6910021 X 1558495 2044490 1558495 2044490 9045851 8954511 X 484411 1584 X X 0 1 1 X 0 X 690632 197540 499655 811502 798684 2998013 690632 197540 499655 811502 798684 2998013 127248 2870765 35868 24067 6208 6375 9088 81606 48353 388675 45860 28035 47073 557996 3637615 76103147 0.78920 0.73330 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 587891 100000 76283 362 763812 472703 110000 19438 14250 587891 385747 100000 -3456 9588 472703 0.96830 0.03170 1 1 1 575493 575493 6305158 2232166 4072992 254705 151224 103481 1317818 1011003 306815 439235 346945 92290 5151071 DEPOSITS PAYABLE 630779 ACCRUED PAYROLL 960136 INTEREST PAYABLE 612 1591527 DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: $31,045 TO SUPPORT THE UPKEEP OF THE GARDENS ON THE GROUNDS OF ARBOR HOSPICE, INC. $45,253 TO SUPPORT A CAMP DESIGNED TO HELP ADULTS AND CHILDREN COPE WITH THE LOSS OF A LOVED ONE. $663,301 TO SUPPORT THE GENERAL OPERATIONS OF ARBOR HOSPICE, INC. $24,213 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: $565,261 BEGINNING OF YEAR BALANCE; $100,000 CONTRIBUTIONS, $74,699 INVESTMENT EARNINGS, $362 EXPENDITURES, $739,598 END OF YEAR BALANCE. X X X 0 0 0 0 0 1 0 0 0 GLORIA BROOKS 174752 0 10234 0 5642 0 0 0 2322 0 192950 0 0 0 BRUCE CARTY 151118 0 6981 0 0 0 0 0 8702 0 166801 0 0 0 MARY WISELY 247885 0 0 0 0 0 0 0 5016 0 252901 0 0 0 PART I, LINE 6 MEMBERS OF THE EXECUTIVE TEAM PARTICIPATE IN AN INCENTIVE COMPENSATION PLAN THAT CONSISTS OF MANY ELEMENTS, ONE OF WHICH IS NET INCOME OF THE ORGANIZATION. THE ECONOMIC DEVELOPMENT CORPORATION OF THE CHARTER TOWNSHIP OF PITTSFIELD 382490613 725570AG0 2007-01-02 4800000 REFUND AN OUTSTANDING PORTION OF A 2005 TAXABLE VARIABLE RATE DEMAND NOTE 0 0 0 4800000 57665 1 0 1 1 0 0 0 0 0 1 0 1 0 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 FORM 990 IS REVIEWED BY THE BOARD OF DIRECTORS PRIOR TO BEING FILED. FORM 990, PART VI, SECTION B, LINE 12C MEMBERS 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 15A COMPENSATION 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 19 AVAILABLE UPON REQUEST. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 1,584. FORM 990, PART XII, LINE 2C: THE PROCESS HAS REMAINED UNCHANGED. CHANGE IN NET ASSETS: FORM 990, PART I, LINE 22: THE CHANGE FROM BEGINNING TO ENDING UNRESTRICTED NET ASSETS INCLUDES $1,584 IN UNREALIZED GAINS ON INVESTMENTS. THE ARBOR HOSPICE FOUNDATION 2366 OAK VALLEY DR ANN ARBOR MI 48103 320045893 TO SUPPORT ARBOR HOSPICE, INC. MI 501(C)(3) 509(A)(3) TYPE I N/A 1 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 THE ARBOR HOSPICE FOUNDATION C 798684 ACTUAL COSTS THE ARBOR HOSPICE FOUNDATION L 338154 ACTUAL COSTS THE ARBOR HOSPICE FOUNDATION P 275858 ACTUAL COSTS