HOSPICE CARE OF SOUTHWEST MICHIGAN: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
HOSPICE CARE OF SOUTHWEST MICHIGAN (EIN 38-2293985)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-05-13
IRS object ID
201111339349302026
Schema version
2010v3.2
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)
Timestamp2011-05-13T09:03:49-05:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

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 Date2010-01-01TaxPeriodBeginDate

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 Signed2011-05-13DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameSUSAN M VALENTINEName
Phone2693438180Phone
Date Prepared2011-05-13DatePrepared
FieldValueIRS element (for citing)
Tax Year2010TaxYear
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 Receipts20315015GrossReceipts
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 Body12NbrVotingMembersGoverningBody
Nbr Independent Voting Members12NbrIndependentVotingMembers
Total Nbr Employees193TotalNbrEmployees
Total Nbr Volunteers290TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year802488ContributionsGrantsPriorYear
Contributions Grants Current Year1214033ContributionsGrantsCurrentYear
Program Service Revenue Prior Year12936938ProgramServiceRevenuePriorYear
Program Service Revenue CY15753645ProgramServiceRevenueCY
Investment Income Prior Year-348060InvestmentIncomePriorYear
Investment Income Current Year84009InvestmentIncomeCurrentYear
Other Revenue Prior Year140030OtherRevenuePriorYear
Other Revenue Current Year58551OtherRevenueCurrentYear
Total Revenue Prior Year13531396TotalRevenuePriorYear
Total Revenue Current Year17110238TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year6748207SalariesEtcPriorYear
Salaries Etc Current Year8068520SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year498934TotalFundrsngExpCurrentYear
Other Expense Prior Year4833488OtherExpensePriorYear
Other Expenses Current Year5920567OtherExpensesCurrentYear
Total Expenses Prior Year11581695TotalExpensesPriorYear
Total Expenses Current Year13989087TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1949701RevenuesLessExpensesPriorYear
Revenues Less Expenses CY3121151RevenuesLessExpensesCY
Total Assets BOY27723612TotalAssetsBOY
Total Assets EOY32266975TotalAssetsEOY
Total Liabilities BOY2692490TotalLiabilitiesBOY
Total Liabilities EOY2726230TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY25031122NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY29540745NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionCARE FOR PEOPLE COPING WITH ILLNESS, AGING, DYING AND LOSS.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense8891965Expense
Revenue14056402Revenue
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)
Expense826936Expense
Revenue1209898Revenue
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)
Expense273784Expense
Revenue338666Revenue
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)
Expense630009Expense
Revenue148679Revenue
DescriptionVOLUNTEER SERVICES - COORDINATION OF TRAINING AND SERVICES PROVIDED BY HOSPICE VOLUNTEERS. ADULT DAY SERVICES - CARE FOR THOSE WHO ARE PHYSCILLY 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 Exp630009TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev148679TotalOfOtherProgramServiceRev
Total Program Service Expense10622694TotalProgramServiceExpense
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 RltnshptrueOfficerEntityWithBsnssRltnshp
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 With109665NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees193NumberOfEmployees
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 Members12NbrVotingGoverningBodyMembers
Number Independent Voting Members12NumberIndependentVotingMembers
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 ChaptersfalsePoliciesReferenceChapters
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 (18 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
LUCINDA STINSON
PRESIDENT1.00XX000
ANNE THOMPSON
VICE PRESIDE1.00XX000
RICHARD PATTERSON
DIRECTOR1.00X000
SHARON BUCKLEY
SECRETARY1.00XX000
DR KATHLEEN GADWOOD
DIRECTOR1.00X000
BRENDA MURPHY
DIRECTOR1.00X000
JOHN T HAYDEN
DIRECTOR1.00X000
JOSEPH LEARY
DIRECTOR1.00X000
N DEAN MACVICAR
DIRECTOR1.00X000
J WILLIAM WHITLOCK
TREASURER1.00XX000
BRUCE GELBAUGH
DIRECTOR1.00X000
PHILIP A LONG
DIRECTOR1.00X000
JEAN MAILE
CEO40.00X163178018134
HEIDI OBERLIN
COO40.00X89767014518
JAMIE COCKEREL
CFO40.00X6966104157
REBECCA HOLLOWAY
CHRO38.00X63929013584
PETER DIELEMAN
ASSOC MED DI35.00158817016984X
STEVEN DUPUIS
MEDICAL DIRE40.0015560901548X
FieldValueIRS element (for citing)
Total Reportable Comp From Org700961TotalReportableCompFromOrg
Total Other Compensation68925TotalOtherCompensation
Number Individuals GT100 K3NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Fundraising Events1017FundraisingEvents
All Other Contributions1213016AllOtherContributions
Noncash Contributions7798NoncashContributions
Total Contributions1214033TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPROGRAM SERVICE FEESDescription
Total Revenue Column15753645TotalRevenueColumn
Related Or Exempt Function Income15753645RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue15753645TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column229729TotalRevenueColumn
Exclusion$229,729ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities3003678Securities
Other39707Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities3139223Securities
Other49882Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-135545Securities
Other-10175Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-145720TotalRevenueColumn
Related Or Exempt Function Income-145720RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Gross Income Fundraising Events16090GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events1017CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses5833FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column10257TotalRevenueColumn
FieldValueIRS element (for citing)
Gross Income Gaming52515GrossIncomeGaming
Gaming Direct Expenses9839GamingDirectExpenses

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column42676TotalRevenueColumn
Related Or Exempt Function Income42676RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMISCELLANEOUS INCOMEDescription
Total Revenue Column5618TotalRevenueColumn
Related Or Exempt Function Income5618RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue5618TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column17110238TotalRevenueColumn
Related Or Exempt Function Income15656219RelatedOrExemptFunctionIncome
Exclusion$229,729ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total6534485Total
Program Services5242507ProgramServices
Management And General1021805ManagementAndGeneral
Fundraising270173Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total168117Total
Program Services134494ProgramServices
Management And General33623ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total858983Total
Program Services689919ProgramServices
Management And General114973ManagementAndGeneral
Fundraising54091Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total506935Total
Program Services405548ProgramServices
Management And General101387ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total6650Total
Management And General6650ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total24050Total
Management And General24050ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total42687Total
Management And General42687ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total79706Total
Fundraising79706Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total87262Total
Program Services3765ProgramServices
Management And General58247ManagementAndGeneral
Fundraising25250Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total137622Total
Management And General137622ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total184956Total
Program Services4153ProgramServices
Management And General180803ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total27112Total
Management And General27112ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total15380Total
Program Services38ProgramServices
Management And General14998ManagementAndGeneral
Fundraising344Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total30276Total
Management And General30276ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total582918Total
Management And General581611ManagementAndGeneral
Fundraising1307Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total75559Total
Management And General75559ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
ROOM AND BOARD16958451695845
PRESCRIPTION DRUGS10896941089694
MEDICAL SUPPLIES540949540949
PATIENT SERVICE EXPENSE495088495088
ALL OTHER EXPENSES33458610777315299473819

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total470227Total
Program Services212921ProgramServices
Management And General263062ManagementAndGeneral
Fundraising-5756Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total13989087Total
Program Services10622694ProgramServices
Management And General2867459ManagementAndGeneral
Fundraising498934Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY85209BOY
EOY244384EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY2402288BOY
EOY4517270EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY2741702BOY
EOY33000EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1747397BOY
EOY1679144EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY170310BOY
EOY179985EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis13942915LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec3486033LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY10839090BOY
EOY10456882EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY9736049BOY
EOY15156310EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1567BOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY27723612BOY
EOY32266975EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY993086BOY
EOY1128976EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY1699404BOY
EOY1597254EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY2692490BOY
EOY2726230EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY20099747BOY
EOY26838211EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY4715150BOY
EOY2486309EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY216225BOY
EOY216225EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY25031122BOY
EOY29540745EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY27723612BOY
EOY32266975EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses3121151ReconcilationRevenueExpenses
Reconcilation Other Changes1388472ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
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 Years1025267CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years804060CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5704798CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year802488CurrentTaxYearMinus1Year
Current Tax Year1214033CurrentTaxYear
Total9550646Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1025267CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years804060CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5704798CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year802488CurrentTaxYearMinus1Year
Current Tax Year1214033CurrentTaxYear
Total9550646Total
FieldValueIRS element (for citing)
Public Support Total1709550646PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years279953CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years390532CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1723CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year136465CurrentTaxYearMinus1Year
Current Tax Year229729CurrentTaxYear
Total1038402Total
FieldValueIRS element (for citing)
Total Support10589048TotalSupport
Gross Receipts From Admissions Etc15827868GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.90190PublicSupportPertcentage170
Public Support Pertcent Prior Year0.80380PublicSupportPertcentPriorYear
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 Balance2173307BeginningOfYearBalance
Investment Earnings Or Losses310295InvestmentEarningsOrLosses
Administrative Expenses8131AdministrativeExpenses
End Of Year Balance2475471EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

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

Current Year Minus2 Years CurrentYearMinus2Years

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 Basis129633OtherCostOrOtherBasis
Book Value129633BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis11079986OtherCostOrOtherBasis
Depreciation1650122Depreciation
Book Value9429864BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis91805OtherCostOrOtherBasis
Depreciation35495Depreciation
Book Value56310BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis2598899OtherCostOrOtherBasis
Depreciation1800416Depreciation
Book Value798483BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis42592OtherCostOrOtherBasis
Book Value42592BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings10456882TotalOfBookValueLandBuildings
Total Revenue17110238TotalRevenue
Total Expenses13989087TotalExpenses
Excess Or Deficit For Year3121151ExcessOrDeficitForYear
Net Unrealized GL On Investments1388472NetUnrealizedGLOnInvestments
Total Adjustments1388472TotalAdjustments
Excess Or Deficit Per FS4509623ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt18564264TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments1388472NetUnrealizedGainsInvestments
Other Revenues65554OtherRevenues
Revenue Not Rptd F9901454026RevenueNotRptdF990
Revenue Subtotal17110238RevenueSubtotal
Total Revenue Per Form99017110238TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt14054641TotExpensesEtcAuditedFinclStmt
Losses Reported49882LossesReported
Other Expenses Included15672OtherExpensesIncluded
Expenses Not Rptd F99065554ExpensesNotRptdF990
Expenses Subtotal13989087ExpensesSubtotal
Total Expenses Per Form99013989087TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
RECONCILIATION OF CHANGES - OTHERSCHEDULE D, PAGE 4, PART XI, LINE 8LOSSES REPORTED ON RETURN 49,882 SCHEDULE D, PART XII, LINE 2D - OTHER ADJUSTMENTS 0 SPECIAL EVENT EXPENSES 15,672 LOSS ON DISPOSAL OF FIXED ASSET 49,882 SHEDULE D, PART XIII, LINE 2D - OTHER ADJUSTMENTS 0 SPECIAL EVENT EXPENSES -15,672
REVENUE AMOUNTS INCLUDED IN FINANCIALS - OTHERSCHEDULE D, PAGE 4, PART XII, LINE 2DSCHEDULE D, PART XII, LINE 2D - OTHER ADJUSTMENTS 0 SPECIAL EVENT EXPENSES 15,672 LOSS ON DISPOSAL OF FIXED ASSET 49,882
EXPENSE AMOUNTS INCLUDED IN FINANCIALS - OTHERSCHEDULE D, PAGE 4, PART XIII, LINE 2DSHEDULE D, PART XIII, LINE 2D - OTHER ADJUSTMENTS 0 SPECIAL EVENT EXPENSES 15,672

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1VAN BUREN GOLFNameOfEvent1
Gross Receipts Event110982GrossReceiptsEvent1
Charitable Contributions Event1477CharitableContributionsEvent1
Gross Revenue Event110505GrossRevenueEvent1
Non Cash Prizes Event1145NonCashPrizesEvent1
Rent Facility Costs Event11725RentFacilityCostsEvent1
Other Direct Expenses Event11702OtherDirectExpensesEvent1
Name Of Event2CASS COUNTY GOLNameOfEvent2
Gross Receipts Event26125GrossReceiptsEvent2
Charitable Contributions Event2540CharitableContributionsEvent2
Gross Revenue Event25585GrossRevenueEvent2
Rent Facility Costs Event21700RentFacilityCostsEvent2
Other Direct Expenses Event2561OtherDirectExpensesEvent2
Gross Receipts Total17107GrossReceiptsTotal
Charitable Contributions Total1017CharitableContributionsTotal
Gross Revenue Total Events16090GrossRevenueTotalEvents
Non Cash Prizes Total Events145NonCashPrizesTotalEvents
Rent Facility Costs Total Events3425RentFacilityCostsTotalEvents
Other Direct Expenses Total Events2263OtherDirectExpensesTotalEvents
Direct Expense Summary Events5833DirectExpenseSummaryEvents
Net Income Summary10257NetIncomeSummary

Gaming Information GamingInformation

FieldValueIRS element (for citing)
Volunteer Labor BingofalseVolunteerLaborBingo
Volunteer Labor Pull TabsfalseVolunteerLaborPullTabs
Gross Revenue Other Gaming52515GrossRevenueOtherGaming
Cash Prizes Other Gaming535CashPrizesOtherGaming
Non Cash Prizes Other Gaming518NonCashPrizesOtherGaming
Other Direct Expenses Other Gaming8786OtherDirectExpensesOtherGaming
Volunteer Labor Other GamingfalseVolunteerLaborOtherGaming
Gross Revenue Total Gaming52515GrossRevenueTotalGaming
Cash Prizes Total Gaming535CashPrizesTotalGaming
Non Cash Prizes Total Gaming518NonCashPrizesTotalGaming
Other Direct Expenses Total Gaming8786OtherDirectExpensesTotalGaming
Direct Expense Summary Gaming9839DirectExpenseSummaryGaming
Net Gaming Income Summary42676NetGamingIncomeSummary
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 Compensation70298GamingManagerCompensation
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 OrgBaseCompensationFilingOrgBonus Filing OrgBonusFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrg
JEAN MAILE
154678850097168418181312
PETER DIELEMAN
158817494312041175801
STEVEN DUPUIS
14760980001548157157

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 Proceeds1597254TotalProceeds
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
Any Research AgreementsfalseAnyResearchAgreements
Bond Counsel Routinely EngagedfalseBondCounselRoutinelyEngaged
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 L IRS990ScheduleL

DQP Table DQPTable

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1GREENLEAF TRUSTBusinessNameLine1
FieldValueIRS element (for citing)
Description Of TransactionOFFICERDescriptionOfTransaction
Transaction CorrectedtrueTransactionCorrected

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ALL OTHER ACHIEVEMENTS 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 PHYSCILLY 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.
POLICIES AND PROCEDURES GOVERNING CHAPTERSFORM 990, PAGE 6, PART VI, LINE 10BYES
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990FORM 990, PAGE 6, PART VI, LINE 11BTWO 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 BOARD MAKES THE FINAL DETERMINATION OF THE CEO SALARY. 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 GAIN ON INVESTMENTS - 1,388,472

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