2011-02-14T11:47:39-06:00 2010-06-30 WILLIAM VAUGHAN COMPANY 145 CHESTERFIELD LANE MAUMEE OH 435373836 990 2009-07-01 382532215 ARBOR HOSPICE INC ARBO 7346625999 2366 OAK VALLEY DRIVE ANN ARBOR MI 48103 Bruce Carty 7346625999 2011-02-14 1 JACK C HAGMEYER 4198911040 2009 2016-02-24 21:20:13Z Gloria Brooks 2366 OAK VALLEY DRIVE ANN ARBOR MI 48103 16954777 0 X www.arborhospice.org X 1984 MI Provide services for terminally ill patients and their families. 17 15 271 354 0 0 499655 811502 15825053 16092820 6208 15228 45860 28035 16376776 16947585 0 0 9458908 9435877 0 0 6791397 7042315 16250305 16478192 126471 469393 9161867 9045851 8077270 7487356 1084597 1558495 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 8664591 12626527 Hospice Field: Care rendered to terminally ill patients in their own home. Approximately 70,800 patient days of care were provided. 4255273 3466293 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 8,100 patient days of care were provided. 278908 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. 13198772 1 1 0 0 0 0 0 0 1 1 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 0 0 1 55 0 271 1 0 0 0 0 0 0 0 0 0 17 15 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 Patricia Warner 1.10 X X 0 0 0 Michael Martin 1.10 X X 0 0 0 Janet Callaway 1.10 X X 0 0 0 Essel Bailey 1.10 X X 0 0 0 Carol Barker 1.10 X 0 0 0 Annette Tenerelli-Lemke 1.10 X 0 0 0 Kemp Cease 1.10 X 0 0 0 Tom Crete 1.10 X 0 0 0 Cindy Livesay 1.10 X 0 0 0 Ed Goldman 1.10 X 0 0 0 Kathy Kudner 1.10 X 0 0 0 Sandi Nielsen 1.10 X 0 0 0 Jackie Silhanek 1.10 X 0 0 0 Dr David Smith 1.10 X 0 0 0 Dan Sygar 1.10 X 0 0 0 Gloria Brooks 40.00 X X 199914 0 1228 Dr Anjanette Stoltz 1.10 X 0 0 0 Bruce Carty 40.00 X 149125 0 10137 Kathleen E Skaar 40.00 X 110391 0 2448 Mary Wisely 24.00 X 166867 0 2547 Julie Richards 40.00 X 128367 0 2949 Anathea Collar 40.00 X 108314 0 16874 862978 0 36183 6 0 1 0 University of Michigan 1500 E Medical Center Dr Ann Arbor MI 48104 Physician Services 134366 1 811502 811502 Program Revenue 623000 16092820 16092820 16092820 6375 6375 16045 7192 8853 8853 8853 Miscellaneous 623990 28035 28035 28035 16947585 16120855 0 15228 322527 322527 7490812 5890082 1600730 64703 52483 12220 893127 654193 238934 664708 501742 162966 216567 216567 22698 22698 66105 66105 3276049 3158546 117503 36745 36745 279348 165756 113592 72749 6784 65965 512185 404621 107564 421801 347664 74137 11351 3740 7611 345277 247182 98095 70119 50043 20076 Medicine and Supplies 1194716 1192300 2416 Bad Debts 202440 202440 Marketing & promotion 132665 93 132572 Dietary Services 104514 104514 Employee hiring and tra 44271 22 44249 32715 32715 16478192 13198772 3279420 0 500 500 1281909 1511629 2156106 1948087 229829 273194 8643996 3428543 5414525 5215453 78998 96988 9161867 9045851 1506079 1447627 4520000 4355000 2051191 1684729 8077270 7487356 X 1084597 1558495 1084597 1558495 9161867 9045851 X 0 1 1 X 0 X 474407 690632 197540 499655 811502 2673736 474407 690632 197540 499655 811502 2673736 212266 2461470 54033 35868 24067 6208 6375 126551 45311 48353 388675 45860 28035 556234 3356521 69968321 0.73330 0.70500 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 472703 110000 19438 14250 587891 385747 100000 -3456 9588 472703 0.99960 0.00040 1 1 1 575493 575493 6222102 2073723 4148379 212809 136852 75957 1238320 917694 320626 395272 300274 94998 5215453 Deposits Payable 621338 Accrued Payroll 1023532 Interest Payable 1210 Intercompany A/P 38649 1684729 Part V, Line 4: Description of Intended Use of Endowment Funds: $27,761 To support the upkeep of the gardens on the grounds of Arbor Hospice, Inc. $40,000 To support a camp designed to help adults and children cope with the loss of a loved one. $497,500 To support the general operations of Arbor Hospice, Inc. $22,630 To support children's services provided by Arbor Hospice, Inc. Part X: Description of Uncertain Tax Positions Under FIN 48: Effective for the year ended June 30, 2010, the Company adopted the provisions of FASB ASC 740, Income Taxes (ASC 740), relating to the accounting for uncertainty in income taxes for any unrelated business income. The Company files tax returns in the U.S. federal jurisdiction. Tax returns for all fiscal years after 2006 are subject to future examinations by tax authorities. The implementation of ASC 740 did not have any impact on the financial statements. Part V, Line 1: ENDOWMENT ADMINISTERED BY RELATED ORGANIZATION INCLUDED IN ENDOWMENT FUNDS ARE FUNDS HELD AND ADMINISTERED BY THE ARBOR HOSPICE FOUNDATION IN THE FOLLOWING AMOUNTS: $454,578 BEGINNING OF YEAR BALANCE; $110,000 CONTRIBUTIONS, $14,933 INVESTMENT EARNINGS, $14,250 EXPENDITURES, $565,261 END OF YEAR BALANCE. X X X 1 0 0 0 0 1 0 0 0 Gloria Brooks 166590 0 23296 0 10028 0 0 0 1228 0 201142 0 0 0 Bruce Carty 139661 0 9464 0 0 0 0 0 10137 0 159262 0 0 0 Mary Wisely 166867 0 0 0 0 0 0 0 2547 0 169414 0 0 0 Part I, Line 4a KATHLEEN SKAAR - $24,000 JULIE RICHARDS - $29,800 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 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. Form 990, part XI, line 2c: The process has remained unchanged. FORM 990, part I, line 22: CHANGE IN NET ASSETS: THE CHANGE FROM BEGINNING TO ENDING UNRESTRICTED NET ASSETS INCLUDES $4,505 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 1 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 The Arbor Hospice Foundation A 12000 The Arbor Hospice Foundation C 811502 The Arbor Hospice Foundation L 523132 the Arbor Hospice Foundation P 322426