FOX MANOR INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
FOX MANOR INC (EIN 38-2906665)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-10-12
IRS object ID
201142859349300119
Schema version
2010v3.4
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)
Timestamp2011-10-12T13:04:48-05:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1PLANTE & MORAN PLLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 307AddressLine1
CitySOUTHFIELDCity
StateMIState
ZIP Code480370307ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN382906665EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1FOX MANOR INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlFOXMNameControl
Phone2486742241Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12300 WATKINS LAKE ROADAddressLine1
CityWATERFORDCity
StateMIState
ZIP Code48328ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameSR MAUREEN COMER OPName
TitleCEOTitle
Phone2486742241Phone
Date Signed2011-09-30DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone2483522500Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonSR MAUREEN COMER OPNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line12300 WATKINS LAKE ROADAddressLine1
CityWATERFORDCity
StateMIState
ZIP Code48328ZIPCode
FieldValueIRS element (for citing)
Gross Receipts1311594GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Group Exemption Number0928GroupExemptionNumber
Organization501c3XOrganization501c3
Web SiteWWW.LOURDESSENIORCOMMUNITY.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1989YearFormation
State Legal DomicileMIStateLegalDomicile
Activity Or Mission DescriptionFULL CONTINUUM CARE FOR SENIORS REGARDLESS OF RACE, CREED, OR RELIGION.ActivityOrMissionDescription
Nbr Voting Members Governing Body21NbrVotingMembersGoverningBody
Nbr Independent Voting Members21NbrIndependentVotingMembers
Total Nbr Employees19TotalNbrEmployees
Total Nbr Volunteers53TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year6126ContributionsGrantsPriorYear
Contributions Grants Current Year17552ContributionsGrantsCurrentYear
Program Service Revenue Prior Year1251569ProgramServiceRevenuePriorYear
Program Service Revenue CY1292722ProgramServiceRevenueCY
Investment Income Prior Year16538InvestmentIncomePriorYear
Investment Income Current Year0InvestmentIncomeCurrentYear
Other Revenue Prior Year49148OtherRevenuePriorYear
Other Revenue Current Year1320OtherRevenueCurrentYear
Total Revenue Prior Year1323381TotalRevenuePriorYear
Total Revenue Current Year1311594TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year446101SalariesEtcPriorYear
Salaries Etc Current Year464141SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year7784TotalFundrsngExpCurrentYear
Other Expense Prior Year830317OtherExpensePriorYear
Other Expenses Current Year771745OtherExpensesCurrentYear
Total Expenses Prior Year1276418TotalExpensesPriorYear
Total Expenses Current Year1235886TotalExpensesCurrentYear
Revenues Less Expenses Prior Year46963RevenuesLessExpensesPriorYear
Revenues Less Expenses CY75708RevenuesLessExpensesCY
Total Assets BOY2337397TotalAssetsBOY
Total Assets EOY2324926TotalAssetsEOY
Total Liabilities BOY1833817TotalLiabilitiesBOY
Total Liabilities EOY1696056TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY503580NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY628870NetAssetsOrFundBalancesEOY
Mission DescriptionFULL CONTINUUM CARE FOR SENIORS REGARDLESS OF RACE, CREED, OR RELIGION. THOSE WHO MINISTER ARE COMMITTED TO GOSPEL VALUES AND STRIVE TO PROVIDE HUMAN WHOLENESS RECOGNIZING THE UNIQUENESS OF EACH PERSON WITH COMPASSION, LOVE, RESPECT, AND DIGNITY.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense847754Expense
Revenue1294042Revenue
DescriptionRENTAL HOUSING FOR INDEPENDENT ELDERLY OVER 65 YEARS OF AGE. ONE HOT MEAL PER DAY ALONG WITH ACTIVITIES FOR BOTH PHYSICAL AND SPIRITUAL NEEDS ARE PROVIDED. FOX MANOR HAS 55 APARTMENTS AVAILABLE FOR RENT.Description
Total Program Service Expense847754TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required0ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10962NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees19NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members21NbrVotingGoverningBodyMembers
Number Independent Voting Members21NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledMIStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1SR MAUREEN COMER OP CEOBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number2486742241TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12300 WATKINS LAKE ROADAddressLine1
CityWATERFORDCity
StateMIState
ZIP Code48328ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (23 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
ROBERT RINEY
PRESIDENT1.00XX000
SR DIANE TRAFFAS OP
VICE PRESIDENT1.00XX000
SR GENE POORE
PRIORESS1.00XX000
MICHAEL W CIANCIOLO
MEMBER1.00X000
BARBARA MENDELSON
SECRETARY/TREASURER1.00XX000
BETH CAFARO
MEMBER1.00X000
DAN CALLAN
MEMBER1.00X000
BRIAN CONDIT
MEMBER1.00X000
TIM GRAJEWSKI
MEMBER1.00X000
ROGER HOWARD MD
MEMBER1.00X000
J EDWARD HANNAN
MEMBER1.00X000
HENRIETTA JURAS MD
MEMBER1.00X000
LYNNE LEPISTO-GOLLING RN MSN
MEMBER1.00X000
FRANK MACDONELL
MEMBER1.00X000
RONALD MCGUIRE
MEMBER1.00X000
JOSEPH MENDELSON SR
MEMBER1.00X000
JAMES NOTEMAN
MEMBER1.00X000
JUDITH SMITH
MEMBER1.00X000
DANIEL WALLAS
MEMBER1.00X000
SR TERESITA LIPAR OP
MEMBER1.00X000
ARCHBISHOP VIGNERON
CHAIR, EX-OFFICIO1.00XX000
SR MAUREEN COMER OP
CEO10.00X000
DON MISENER
CFO10.00X0950907175
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs95090TotalReportableCompFrmRltdOrgs
Total Other Compensation7175TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
All Other Contributions17552AllOtherContributions
Total Contributions17552TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
RESIDENT SERVICES62300012435211243521
MISCELLANEOUS RESIDENT6230004920149201
FieldValueIRS element (for citing)
Total Program Service Revenue1292722TotalProgramServiceRevenue

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMISCELLANEOUSDescription
Business Code623000BusinessCode
Total Revenue Column1320TotalRevenueColumn
Related Or Exempt Function Income1320RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue1320TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column1311594TotalRevenueColumn
Related Or Exempt Function Income1294042RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total414238Total
Program Services189628ProgramServices
Management And General216876ManagementAndGeneral
Fundraising7734Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total3326Total
Management And General3326ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total24960Total
Management And General24960ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total21617Total
Program Services14253ProgramServices
Management And General7364ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total4047Total
Management And General4047ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total12550Total
Management And General12550ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total177111Total
Program Services123154ProgramServices
Management And General53957ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total162238Total
Program Services127959ProgramServices
Management And General34229ManagementAndGeneral
Fundraising50Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total4034Total
Management And General4034ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total137458Total
Program Services137458ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total611Total
Management And General611ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total66235Total
Program Services66235ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total188967Total
Program Services188967ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total18186Total
Management And General18186ManagementAndGeneral

Other Expenses OtherExpenses

FieldValueIRS element (for citing)
DescriptionMISCELLANEOUSDescription
Total308Total
Program Services100ProgramServices
Management And General208ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total1235886Total
Program Services847754ProgramServices
Management And General380348ManagementAndGeneral
Fundraising7784Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY80716BOY
EOY205793EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY37060BOY
EOY30527EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY347BOY
EOY3406EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY16414BOY
EOY19190EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis4327136LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec2738273LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY1754376BOY
EOY1588863EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY413023BOY
EOY444266EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY35461BOY
EOY32881EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY2337397BOY
EOY2324926EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY220439BOY
EOY194499EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY1545000BOY
EOY1465000EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY68378BOY
EOY36557EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1833817BOY
EOY1696056EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY293580BOY
EOY418870EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY210000BOY
EOY210000EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY503580BOY
EOY628870EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2337397BOY
EOY2324926EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses75708ReconcilationRevenueExpenses
Reconcilation Other Changes49582ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years27556CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years21572CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years19933CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6126CurrentTaxYearMinus1Year
Current Tax Year17552CurrentTaxYear
Total92739Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1047726CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1138466CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1235768CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1300662CurrentTaxYearMinus1Year
Current Tax Year1292722CurrentTaxYear
Total6015344Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1075282CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1160038CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1255701CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1306788CurrentTaxYearMinus1Year
Current Tax Year1310274CurrentTaxYear
Total6108083Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years446440CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year457072CurrentTaxYearMinus1Year
Current Tax Year513618CurrentTaxYear
Total1417130Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years446440CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year457072CurrentTaxYearMinus1Year
Current Tax Year513618CurrentTaxYear
Total1417130Total
FieldValueIRS element (for citing)
Public Support Total5094690953PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years19530CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years16736CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years14910CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year11728CurrentTaxYearMinus1Year
Total62904Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years19530CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years16736CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years14910CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year11728CurrentTaxYearMinus1Year
Total62904Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year55CurrentTaxYearMinus1Year
Current Tax Year1320CurrentTaxYear
Total1375Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1094812CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1176774CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1270611CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1318571CurrentTaxYearMinus1Year
Current Tax Year1311594CurrentTaxYear
Total6172362Total
FieldValueIRS element (for citing)
Public Support Percentage5090.76000PublicSupportPercentage509
Prior Year Support Percentage0.87120PriorYearSupportPercentage
Investment Income Percentage0.01020InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.01270PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509
General ExplanationSCHEDULE A, PART II, LINE 12, EXPLANATION OF OTHER INCOME: LATE FEESGeneralExplanation

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

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis210000OtherCostOrOtherBasis
Book Value210000BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis2883000OtherCostOrOtherBasis
Depreciation2044307Depreciation
Book Value838693BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis711654OtherCostOrOtherBasis
Depreciation335077Depreciation
Book Value376577BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis462276OtherCostOrOtherBasis
Depreciation314948Depreciation
Book Value147328BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis60206OtherCostOrOtherBasis
Depreciation43941Depreciation
Book Value16265BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings1588863TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionINTEREST RATE SWAP VALUATIONDescription
Amount$36,557Amount
FieldValueIRS element (for citing)
Total Of Amounts36557TotalOfAmounts
Total Revenue1311594TotalRevenue
Total Expenses1235886TotalExpenses
Excess Or Deficit For Year75708ExcessOrDeficitForYear
Net Unrealized GL On Investments17761NetUnrealizedGLOnInvestments
Other$31,821OtherAmount
Total Adjustments49582TotalAdjustments
Excess Or Deficit Per FS125290ExcessOrDeficitPerFS

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierPART XI, LINE 8 - OTHER ADJUSTMENTS:Identifier
ExplanationCHANGE IN VALUE OF INTEREST RATE SWAP 31,821.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION A, LINE 2BARBARA AND JOSEPH MENDELSON - PERSONAL RELATIONSHIP.
FORM 990, PART VI, SECTION A, LINE 6THE MEMBERSHIP OF THE CORPORATION SHALL BE LIMITED TO TWENTY-ONE PERSONS, TO BE APPOINTED BY THE DOMINICAN HEALTH CARE CORPORATION. AMONG THESE MEMBERS SHALL BE THREE MEMBERS OF THE ORDER OF THE DOMINICAN SISTERS OF PEACE, KENTUCKY ("DOMINICAN SISTERS") WHOSE NAMES ARE TO BE SUBMITTED TO THE DOMINICAN HEALTH CARE CORPORATION BY THE PRIORESS OF THE DOMINICAN SISTERS.
FORM 990, PART VI, SECTION A, LINE 7AELECTION OF THE ADMINISTRATOR IS SUBJECT TO APPROVAL OF THE BOARD OF DIRECTORS. ALL MEMBERS OF THE CORPORATION, AND ONLY SUCH MEMBERS, SHALL BE MEMBERS OF THE BOARD OF DIRECTORS. THE MEMBERSHIP OF THE CORPORATION SHALL BE LIMITED TO TWENTY-ONE PERSONS, TO BE APPOINTED BY THE DOMINICAN HEALTH CARE CORPORATION.
FORM 990, PART VI, SECTION A, LINE 7BTHE MEMBERS ARE THE BOARD OF DIRECTORS. DECISIONS ARE SUBJECT TO THE APPROVAL OF THE MEMBERS.
FORM 990, PART VI, SECTION B, LINE 11THE CEO, CONTROLLER, AND AUDIT AND COMPLIANCE COMMITTEE REVIEW THE FORM 990 AND PROVIDE TO THE BOARD OF DIRECTORS PRIOR TO FILING.
SR. MAUREEN COMER, OP, CEO, THE PRESIDENT OF THE DOMINICAN HEALTH CARE BOARD, AND THE GOVERNANCE AND NOMINATING COMMITTEE REVIEW THE CONFLICT OF INTEREST STATEMENTS SUBMITTED BY BOARD MEMBERS AND KEY EMPLOYEES ON AN ANNUAL BASIS. IN THE EVENT A CONFLICT ARISES, IT IS DISCUSSED WITH THE AUDIT/COMPLIANCE COMMITTEE TO EVALUATE APPROPRIATENESS AND DETERMINATION OF RESTRICTIONS. THE MONITORING OF TRANSACTIONS IS REPORTED TO THE AUDIT/COMPLIANCE COMMITTEE.FORM 990, PART VI, SECTION B, LINE 12C
THE HUMAN RESOURCES/COMPENSATION COMMITTEE, COMPRISED OF INDEPENDENT BOARD MEMBERS AND NON-BOARD MEMBERS, MEETS ANNUALLY TO DETERMINE RAISES FOR THE CEO AND THE EXECUTIVE GROUP. COMPENSATION BENCHMARKING AND PERFORMANCE DATA IS REVIEWED IN ORDER TO SUBSTANTIATE COMPENSATION. 2010 WAS THE MOST RECENT YEAR THIS PROCESS WAS UNDERTAKEN.FORM 990, PART VI, SECTION B, LINE 15
THESE DOCUMENTS ARE NOT AVAILABLE FOR PUBLIC INSPECTION.FORM 990, PART VI, SECTION C, LINE 19
DON MISENER WORKED AN AVERAGE OF AT LEAST 10 HOURS PER WEEK AT LOURDES, INC.FORM 990, PART VII:
CHANGES IN NET ASSETS OR FUND BALANCES:NET UNREALIZED GAINS ON INVESTMENTS: 17,761. CHANGE IN VALUE OF INTEREST RATE SWAP 31,821. TOTAL TO FORM 990, PART XI, LINE 5: 49,582.FORM 990, PART XI, LINE 5:
THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.FORM 990, PART XI, LINE 2C:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (6 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
DOMINICAN SISTERS OF PEACE
2320 AIRPORT DRIVECOLUMBUSOH48219263550703RELIGIOUSKY501(C)(3)LINE 1VATICAN - CATHOLIC CHURCH0
LOURDES ASSISTED LIVING CORPORATION
2300 WATKINS LAKE ROADWATERFORDMI48328383431154ASSISTED LIVINGMI501(C)(3)LINE 9PRIORESS DOMINICAN SISTERS OF PEACE1
LOURDES INC
2300 WATKINS LAKE ROADWATERFORDMI48328381789460NURSING HOMEMI501(C)(3)LINE 9DOMINICAN HEALTH CARE CORPORATION1
LOURDES ALZHEIMERS SPECIAL CARE CENTER
2300 WATKINS LAKE ROADWATERFORDMI48328383077328ALZHEIMEERS CAREMI501(C)(3)LINE 9LOURDES INC1
LOURDES CAMPUS FUND
2300 WATKINS LAKE ROADWATERFORDMI48328383576730FUNDING TO SUPPORT LOURDES, INC. AND AFFILIATESMI501(C)(3)LINE 1ARCHBISHOP ARCHDIOCESE OF DETROIT1
ARCHDIOCESE OF DETROIT
1234 WASHINGTON BLVDDETROITMI48226381359274RELIGIOUSMI501(C)(3)LINE 1VATICAN - CATHOLIC CHURCH0
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1LOURDES INCBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeNTransactionType
Amount Involved272168AmountInvolved
Method Of Amt DeterminationALLOCATED COST OF COMPENSATIONMethodOfAmtDetermination

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