2011-10-12T13:04:48-05:00 2010-12-31 PLANTE & MORAN PLLC PO BOX 307 SOUTHFIELD MI 480370307 990 2010-01-01 382906665 FOX MANOR INC FOXM 2486742241 2300 WATKINS LAKE ROAD WATERFORD MI 48328 SR MAUREEN COMER OP 2486742241 2011-09-30 1 2483522500 2010 2016-03-07 17:11:31Z SR MAUREEN COMER OP 2300 WATKINS LAKE ROAD WATERFORD MI 48328 1311594 0 0928 X WWW.LOURDESSENIORCOMMUNITY.ORG X 1989 MI FULL CONTINUUM CARE FOR SENIORS REGARDLESS OF RACE, CREED, OR RELIGION. 21 21 19 53 0 0 6126 17552 1251569 1292722 16538 0 49148 1320 1323381 1311594 0 0 0 0 446101 464141 0 0 7784 830317 771745 1276418 1235886 46963 75708 2337397 2324926 1833817 1696056 503580 628870 FULL 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. 0 0 847754 1294042 RENTAL 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. 847754 1 1 0 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 2 0 1 19 1 0 0 0 0 0 0 0 0 0 0 X 21 21 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 MI X SR MAUREEN COMER OP CEO 2486742241 2300 WATKINS LAKE ROAD WATERFORD MI 48328 X ROBERT RINEY 1.00 X X 0 0 0 SR DIANE TRAFFAS OP 1.00 X X 0 0 0 SR GENE POORE 1.00 X X 0 0 0 MICHAEL W CIANCIOLO 1.00 X 0 0 0 BARBARA MENDELSON 1.00 X X 0 0 0 BETH CAFARO 1.00 X 0 0 0 DAN CALLAN 1.00 X 0 0 0 BRIAN CONDIT 1.00 X 0 0 0 TIM GRAJEWSKI 1.00 X 0 0 0 ROGER HOWARD MD 1.00 X 0 0 0 J EDWARD HANNAN 1.00 X 0 0 0 HENRIETTA JURAS MD 1.00 X 0 0 0 LYNNE LEPISTO-GOLLING RN MSN 1.00 X 0 0 0 FRANK MACDONELL 1.00 X 0 0 0 RONALD MCGUIRE 1.00 X 0 0 0 JOSEPH MENDELSON SR 1.00 X 0 0 0 JAMES NOTEMAN 1.00 X 0 0 0 JUDITH SMITH 1.00 X 0 0 0 DANIEL WALLAS 1.00 X 0 0 0 SR TERESITA LIPAR OP 1.00 X 0 0 0 ARCHBISHOP VIGNERON 1.00 X X 0 0 0 SR MAUREEN COMER OP 10.00 X 0 0 0 DON MISENER 10.00 X 0 95090 7175 0 95090 7175 0 0 0 0 0 17552 17552 RESIDENT SERVICES 623000 1243521 1243521 MISCELLANEOUS RESIDENT 623000 49201 49201 1292722 MISCELLANEOUS 623000 1320 1320 1320 1311594 1294042 0 0 414238 189628 216876 7734 3326 3326 24960 24960 21617 14253 7364 4047 4047 12550 12550 177111 123154 53957 162238 127959 34229 50 4034 4034 137458 137458 611 611 66235 66235 188967 188967 18186 18186 MISCELLANEOUS 308 100 208 1235886 847754 380348 7784 80716 205793 37060 30527 347 3406 16414 19190 4327136 2738273 1754376 1588863 413023 444266 35461 32881 2337397 2324926 220439 194499 1545000 1465000 68378 36557 1833817 1696056 X 293580 418870 210000 210000 503580 628870 2337397 2324926 X 75708 49582 X X 0 1 1 X 0 X 27556 21572 19933 6126 17552 92739 1047726 1138466 1235768 1300662 1292722 6015344 1075282 1160038 1255701 1306788 1310274 6108083 0 446440 457072 513618 1417130 446440 457072 513618 1417130 4690953 19530 16736 14910 11728 62904 19530 16736 14910 11728 62904 55 1320 1375 1094812 1176774 1270611 1318571 1311594 6172362 0.76000 0.87120 0.01020 0.01270 X SCHEDULE A, PART II, LINE 12, EXPLANATION OF OTHER INCOME: LATE FEES RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 210000 210000 2883000 2044307 838693 711654 335077 376577 462276 314948 147328 60206 43941 16265 1588863 INTEREST RATE SWAP VALUATION 36557 36557 1311594 1235886 75708 17761 31821 49582 125290 PART XI, LINE 8 - OTHER ADJUSTMENTS: CHANGE IN VALUE OF INTEREST RATE SWAP 31,821. FORM 990, PART VI, SECTION A, LINE 2 BARBARA AND JOSEPH MENDELSON - PERSONAL RELATIONSHIP. FORM 990, PART VI, SECTION A, LINE 6 THE 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 7A ELECTION 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 7B THE MEMBERS ARE THE BOARD OF DIRECTORS. DECISIONS ARE SUBJECT TO THE APPROVAL OF THE MEMBERS. FORM 990, PART VI, SECTION B, LINE 11 THE CEO, CONTROLLER, AND AUDIT AND COMPLIANCE COMMITTEE REVIEW THE FORM 990 AND PROVIDE TO THE BOARD OF DIRECTORS PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C 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 15 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 C, LINE 19 THESE DOCUMENTS ARE NOT AVAILABLE FOR PUBLIC INSPECTION. FORM 990, PART VII: DON MISENER WORKED AN AVERAGE OF AT LEAST 10 HOURS PER WEEK AT LOURDES, INC. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: 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 2C: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. DOMINICAN SISTERS OF PEACE 2320 AIRPORT DRIVE COLUMBUS OH 48219 263550703 RELIGIOUS KY 501(C)(3) LINE 1 VATICAN - CATHOLIC CHURCH 0 LOURDES ASSISTED LIVING CORPORATION 2300 WATKINS LAKE ROAD WATERFORD MI 48328 383431154 ASSISTED LIVING MI 501(C)(3) LINE 9 PRIORESS DOMINICAN SISTERS OF PEACE 1 LOURDES INC 2300 WATKINS LAKE ROAD WATERFORD MI 48328 381789460 NURSING HOME MI 501(C)(3) LINE 9 DOMINICAN HEALTH CARE CORPORATION 1 LOURDES ALZHEIMERS SPECIAL CARE CENTER 2300 WATKINS LAKE ROAD WATERFORD MI 48328 383077328 ALZHEIMEERS CARE MI 501(C)(3) LINE 9 LOURDES INC 1 LOURDES CAMPUS FUND 2300 WATKINS LAKE ROAD WATERFORD MI 48328 383576730 FUNDING TO SUPPORT LOURDES, INC. AND AFFILIATES MI 501(C)(3) LINE 1 ARCHBISHOP ARCHDIOCESE OF DETROIT 1 ARCHDIOCESE OF DETROIT 1234 WASHINGTON BLVD DETROIT MI 48226 381359274 RELIGIOUS MI 501(C)(3) LINE 1 VATICAN - CATHOLIC CHURCH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 LOURDES INC N 272168 ALLOCATED COST OF COMPENSATION