2011-11-14T08:22:01-06:00 2010-12-31 DELOITTE TAX LLP 200 RENAISSANCE CENTER SUITE 3900 DETROIT MI 48243 990 2010-01-01 382549505 BOTSFORD CONTINUING CARE CORPORATION BOTS 2484718157 28050 GRAND RIVER AVE FARMINGTON HILLS MI 48336 REGINA DOXTADER 2484718157 2011-11-10 1 LORI BOYCE 3133963000 2010 2016-02-24 21:20:13Z BOTSFORD CONTINUING HEALTH CENTER MARGARET LIGHTNER 28050 GRAND RIVER AVE FARMINGTON HILLS MI 48336 19954308 0 X WWW.BOTSFORDCOMMONS.ORG X 1984 MI TO CREATE A FULLNESS OF LIFE THROUGH THE JOY OF RELATIONSHIPS, THE ART OF CARING, AND THE SPIRIT OF LIVING. 7 5 277 0 53935 18507 74832 6555 20162778 19715032 14886 7790 158832 147814 20411328 19877191 1750 3000 0 0 10036376 9618095 0 0 0 10146199 10374720 20184325 19995815 227003 -118624 25655322 25082920 32572865 32115754 -6917543 -7032834 X IN THE INTEREST OF MEETING OUR COMMUNIITY'S NEEDS FOR A CONTINUUM OF CARE, BOTSFORD CONTINUING CARE CORPORATION, IN CONCERT WITH BOTSFORD HEALTH CARE, WILL PROVIDE AN ENVIRONMENT IN WHICH CLIENTS WILL RECEIVE PERSONAL ATTENTION BY HEALTH CARE PROFESSIONALS DEDICATED TO MAINTAINING THEIR HEALTH, SAFETY, INDEPENDANCE, COMFORT AND DIGNITY DURING THEIR RESIDENCE THROUGH STATE OF THE ART MEDICAL, NURSING, DIETARY, THERAPEUTIC, RECREATIONAL, SPIRTUAL AND QUALITY OF LIFE PROGRAMS WITHIN AESTHETICALLY PLEASING FACILITIES AND GROUNDS. BOTSFORD CONTINUING CARE CORPORATION'S MISSION IS TO CREATE A FULLNESS OF LIFE THROUGH THE JOY OF RELATIONSHIPS, THE ART OF CARING AND THE SPIRIT OF LIVING. 0 0 15565953 3000 17472786 THE SKILLED NURSING UNIT (SNF)IS A 179 BED FACILITY LOCATED IN FARMINGTON HILLS MICHIGAN. IN THE YEAR ENDED 2010, 55,914 PATIENT DAYS WERE PROVIDED IN WHICH 43,231 WERE MEDICARE OR MEDICAID. THIS REPRESENTED 77.32% OF THE TOTAL. 1421015 1250775 THE ASSISTED LIVING FACILITY IS A 63 BED UNIT ALSO LOCATED IN FARMINGTON HILLS MICHIGAN. IT IS A SAFE AND SUPPORTIVE ENVIRONMENT FOR OLDER ADULTS NEEDING SOME ASSISTANCE WITH THEIR DAILY ROUTINE. EACH RESIDENTS' CARE IS CUSTOMIZED TO HIS OR HER INDIVIDUAL NEEDS TO PROVIDE SUPPORT AND ASSISTANCE WHILE MAINTAINING AND PROVIDING INDEPENDENCE. THE CENTER FEATURES 63 RESIDENTIAL SUITES WITH PRIVATE BATHS AND GENEROUS LIVING SPACE FOR TREASURED PERSONAL FURNISHINGS. EACH IS EASILY ACCESSIBLE TO COMMUNITY LIVING, DINING AND SOCIAL AREAS. 342924 842107 THE INDEPENDENT LIVING APARTMENT IS A 51 UNIT BUILDING LOCATED ON THE CAMPUS OF BOTSFORD CONTINUING CARE CENTER. EACH APARTMENT IS WHEELCHAIR ACCESSIBLE, HAS 24 HOUR SECURITY SERVICES, ILLUMINATED THERMOSTATS AND INCLUDES EMERGENCY CALL SERVICE. EACH UNIT ALSO HAS PRIORITY ACCESS TO HEALTH SERVICES. EACH APARTMENT INCLUDES COMPLETE KITCHEN AND LAUNDRY FACILITIES AND INCLUDES ACCESS TO THE ADJACENT TOWN COMMONS BUILDING. THE TOWN COMMONS BUILDING INCLUDES DINING SERVICES, A POOL, EXERCISE ROOM AND A LIBRARY WITH MEDIA SERVICES. 149365 159173 OTHER PROGRAM SERVICES INCLUDE ANCILLARY SERVICES TO IMPROVE THE COMFORT OF RESIDENTS WHILE RESIDING ON THE BOTSFORD COMMONS CAMPUS. SUCH SERVICES INCLUDE CABLE TV , GUEST MEALS AND SIMILAR SERVICES. 149365 159173 17479257 1 1 0 1 0 0 0 0 0 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 48 0 1 277 1 1 1 0 0 0 0 0 0 0 0 0 X 7 5 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 MI X REGINA DOXTADER 2484718157 28050 GRAND RIVER AVE FARMINGTON HILLS MI 48336 X GERSON COOPER 1.00 X 1750 7450 0 ELIZABETH PERNICK 1.00 X 1300 0 0 MARILYN KUNCZ 1.00 X 1400 0 0 DR PAUL LACASSE 1.00 X 0 507585 33522 KEVIN KELLEY 1.00 X 1300 0 0 JANETTE DOLAN 1.00 X 1400 0 0 BARBARA ZEISER 1.00 X 1100 0 0 MARGARET LIGHTNER 40.00 X 196815 0 27012 LISA VANDECAVEYE 5.00 X 0 314765 35803 DAVID MARCELLINO 5.00 X 0 409648 34312 REGINA DOXTADER 5.00 X 0 207735 31568 KAREN LANDRUM CROSS 40.00 X 136436 0 31794 LAWRENCE PERKINS 40.00 X 102532 0 9701 DR LEO SHEINER X 0 0 0 444033 1447183 203712 3 0 1 0 SELECT REHABILITATION PO BOX 809056 CHICAGO IL 606809056 THERAPY SERVICES 1985013 SODEXO INC AND AFFLIATES 4880 PAYSPHERE CIRCLE CHICAGO IL 60674 CONTRACTED FOOD SERVICE 1938636 OP THERAPY 8207 SOLUTIONS CENTER CHICAGO MI 606778002 IMAGING SERVICES 142328 3 6555 6555 SKILLED NURSING REVENU 623000 17472786 17472786 ASSISTED LIVING 623990 1250775 1250775 INDEPENDENT LIVING 623990 842107 842107 149364 149364 19715032 3017 3017 160 160 214324 76319 138005 138005 53935 84070 2411 3000 798 2411 2202 4613 4613 9809 9809 9809 19877191 19724841 53935 91860 3000 3000 232077 232077 7490897 7010158 480739 147768 138315 9453 1192365 1122365 70000 554988 503155 51833 466130 466130 20541 20541 1891 1891 4075632 4032254 43378 75847 75847 1450268 1391617 58651 41889 41889 219565 219090 475 6244 5439 805 1022859 1022859 1029434 1029434 351114 35393 315721 ADMINISTRATIVE 941905 358838 583067 UTILITIES 452993 452993 BAD DEBT 135816 135816 RESIDENT EVENTS 11915 11915 BOARD EXP & CORP DUES 10132 10132 60545 6616 53929 19995815 17479257 2516558 0 144069 139819 2124311 2652330 60239 19203 164560 111398 36924702 17229789 20459380 19694913 2702763 2465257 25655322 25082920 1703166 1647252 15500981 14850604 11619165 11255325 3749553 4362573 32572865 32115754 X -6917543 -7032834 -6917543 -7032834 25655322 25082920 X -118624 3333 X X 0 1 1 X 0 X 902400 1626459 4994 74832 6555 2615240 18035581 18274909 19557365 20162778 19715032 95745665 18937981 19901368 19562359 20237610 19721587 98360905 0 0 0 98360905 272472 281076 241502 228049 217501 1240600 272472 281076 241502 228049 217501 1240600 312320 75872 9377 20580 9809 427958 19522773 20258316 19813238 20486239 19948897 100029463 0.98330 0.98310 0.01240 0.01270 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 1891 1891 0 EXPLANATION OF OTHER LOBBYING ACTIVITIES: PART II-B, LINE 1I: BOTSFORD CONTINUING CARE CORPORATION PAID DUES TO HEALTH CARE ASSOCIATION OF MICHIGAN (HCAM). HCAM IDENTIFIED THAT 11.1% OF OPERATION DUES AND 31% OF AHCA DUES WERE SPENT ON LOBBYING AND RELATED EXPENSES. 429384 429384 31056483 12988184 18068299 3309478 2873451 436027 2129357 1368154 761203 19694913 LIMITED USE ASSETS 2082606 UNAMORTIZED BOND ISSUE COSTS 323102 MISCELLANOUS RECEIVABLES 17933 DUE FROM AFFILIATES 41616 2465257 DUE TO AFFILIATES 1917516 DEFINED BENEFIT & DEFINED CONTRIBUTION PLAN 1286228 PROFESSIONAL LIABILITY & 3RD PARTY RESERVES 457915 SECURITY AND OTHER DEPOSITS 245914 CONDO RESERVE 455000 4362573 THE CORPORATION HAS BEEN RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN ORGANIZATION DESCRIBED UNDER INTERNAL REVENUE CODE (IRC) SECTION 501 (C)(3) AND AS SUCH IS EXEMPT FROM FEDERAL INCOME TAXES UNDER IRC SECTION 501(A). SCHEDULE D, PART X: UNSECURED PAYABLES TO RELATED ORGANIZATIONS - THE FOLLOWING REFLECTS BALANCES OWED TO RELATED ORGANIZATIONS AS OF DECEMBER 31, 2009: DUE TO BOTSFORD HOSPITAL - $1,875,674 DUE TO ZIEGER HEALTH CARE CORPORATION - $18,748 DUE TO BOTSFORD PROPERTY ASSOCIATION - $23,093 SCHEDULE D, PART X: OTHER AMOUNTS REFLECT LIABILITIES FOR DEFINED BENEFIT AND DEFINED CONTRIBUTION PLANS, PROFESSIONAL LIABILITY CLAIMS, ESTIMATED THIRD PARTY SETTLEMENTS, RESIDENT DEPOSITS AND CONDO RESIDENTS. X X X X 0 0 0 0 0 0 0 1 0 DR PAUL LACASSE 0 379176 0 85200 0 43209 0 14699 0 18823 0 541107 0 0 MARGARET LIGHTNER 144825 0 43128 0 8862 0 4098 0 22914 0 223827 0 0 0 LISA VANDECAVEYE 0 229898 0 57760 0 27107 0 14191 0 21612 0 350568 0 0 DAVID MARCELLINO 0 304893 0 61390 0 43365 0 14700 0 19612 0 443960 0 0 REGINA DOXTADER 0 145717 0 36372 0 25646 0 11002 0 20566 0 239303 0 0 KAREN LANDRUM CROSS 119708 0 16728 0 0 0 2819 0 28975 0 168230 0 0 0 PART I, LINE 7 NON-FIXED PAYMENTS ARE PAID ONLY UPON APPROVAL OF THE BOTSFORD CONTINUING CARE CORPORATION COMPENSATION COMMITTEE AND ARE BASED UPON ESTABLISHED METRICS. CITY OF FARMINGTON HILLS HOSPITAL FINANCE AUTHORITY 521719468 311166BJ0 2008-04-03 480556 REFUND BONDS ISSUED 12/18/91 0 0 0 32585 480556 9611 661 470284 2008 1 0 1 1 0 1 0 0 0 1 SCHEDULE K SUPPLENTAL INFORMATION THE BOND ISSUED 04/03/08 WAS ISSUED TO THE ZIEGER HEALTH CARE CORPORATION OBLIGATED GROUP IN THE AMOUNT OF $16,370,000. THE OBLIGATED GROUP CONSISTS OF ZIEGER HEALTH CARE CORPORATION, BOTSFORD HOSPITAL, BOTSFORD CONTINUING CARE CORPORATION AND COMMUNITY EMERGENCY MEDICAL SERVICES. EACH ENTITY OF THE OBLIGATED GROUP WAS ALLOCATED A PORTION OF THIS DEBT AND THAT AMOUNT IS REFLECTED ON SCHEDULE K, PART I, LINE A(E). FORM 990, PART VI, SECTION A, LINE 2 THE FOLLOWING INDIVIDUALS HAVE A BUSINESS RELATIONSHIP BECAUSE THEY ARE BOARD MEMBERS OR SHARED OFFICERS ON TWO OR MORE ENTITIES WITHIN THE BOTSFORD HEALTH CARE SYSTEM. GERSON COOPER PAUL LACASSE DAVID MARCELLINO LISA VANDECAVEYE REGINA DOXTADER FORM 990, PART VI, SECTION A, LINE 6 AS THE SOLE CORPORATE MEMBER, ZIEGER HEALTH CARE CORPORATION APPROVED/ELECTS THE GOVERNING BODY OF BOTSFORD CONTINUING CARE CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A ZIEGER HEALTH CARE CORPORATION IS THE SOLE CORPORATE MEMBER OF BOTSFORD CONTINUING CARE CORPORATION. FORM 990, PART VI, SECTION A, LINE 7B AS THE SOLE CORPORATE MEMBER, ZIEGER HEALTH CARE CORPORATION HAS CERTAIN RESERVED POWERS OVER OPERATIONS AND CAPITAL OF BOTSFORD CONTINUING CARE CORPORATION. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 AND ALL RELATED SCHEDULES WERE PREPARED BY THE ORGANIZATION'S FINANCE DEPARTMENT AND REVIEWED BY AN OUTSIDE TAX FIRM. A COPY OF THE FORM 990 WAS PROVIDED TO THE BOARD OF DIRECTORS IN NOVEMBER. THE FORM 990 WAS PRESENTED BY THE CORPORATE VICE PRESIDENT AND CONTROLLER TO THE BOARD OF DIRECTORS. ALL QUESTIONS / COMMENTS WERE ADDRESSED. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE OF THE CONFLICT OF INTEREST POLICY. THIS IS DONE BY REVIEW OF THE POLICY ANNUALLY AT A BOARD MEETING AND MANDATORY SUBMISSION OF ANY CONFLICTS TO THE SECRETARY OF THE ORGANIZATION PER THE POLICY. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION, BENEFITS AND RETIREMENT COMMITTEE (COMMITTEE) OF BOTSFORD HEALTH CARE WILL REVIEW AND MAKE RECOMMENDATIONS TO THE BOARD OF DIRECTORS WITH RESPECT TO ALL ASPECTS OF COMPENSATION AND OTHER BENEFITS, INCLUDING, WITHOUT LIMITATIONS, COMPENSATION OF THE CORPORATION'S DIRECTORS, OFFICERS, PHYSICIANS, EMPLOYEES AND CONTRACTORS. THE COMMITTEE RETAINS AN INDEPENDENT COMPENSATION CONSULTANT EACH YEAR TO ASSESS THE COMPETITIVENESS AND REASONABLENESS OF THE TOTAL COMPENSATION PROVIDED TO EXECUTIVES, DIRECTORS AND PHYSICIANS. THE COMPENSATION CONSULTANT ABSTRACTS BASE SALARY, TOTAL CASH COMPENSATION AND BENEFITS DATA FROM MAJOR SURVEYS FOR HEALTHCARE AND OTHER APPROPRIATE INDUSTRIES. THE FAIR MARKET REVIEW IS FOR COMPARABLE POSITIONS IN COMPARABLE ORGANIZATIONS BASED UPON SIZE, TOTAL REVENUES AND OTHER RELEVANT FACTORS. YEARLY, THE CONSULTANT WILL PRESENT A SUMMARY OF FINDINGS AND RECOMMENDATIONS INTENDED TO HELP THE COMMITTEE ESTABLISH THE "REBUTTABLE PRESUMPTION OF REASONABLENESS FOR EXECUTIVES, DIRECTORS AND PHYSICIANS." THE COMMITTEE WILL MAKE RECOMMENDATIONS TO THE VARIOUS BOARDS FOR APPROVAL. NO MEMBER OF THE COMMITTEE WILL EVALUATE ANY COMPENSATION ARRANGEMENT WITH RESPECT TO WHICH HE OR SHE HAS A CONFLICT OF INTEREST. YEARLY, THE COMMITTEE MEMBERS WILL SIGN A CONFLICT OF INTEREST POLICY. ALL COMMITTEE RECOMMENDATIONS AND ACTIONS ARE ADEQUATELY DOCUMENTED IN COMMITTEE MINUTES. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS THAT ARE REQUIRED TO BE MADE AVAILABLE TO THE PUBLIC WILL BE MADE AVAILABLE UPON REQUEST. HOURS WORKED FOR RELATED ORGANIZATIONS FORM 990 PART VII COLUMN B/E PAUL LACASSE, DAVID MARCELLINO, LISA VANDECAVEYE AND REGINA DOXTADER WORK ON AVERAGE 40 HOURS PER WEEK FOR RELATED ORGANIZATIONS. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 3,334. ROUNDING ADJUSTMENT OF -($1) FORM 990, PART XII, LINE 2C PROCESS HAS NOT CHANGED SINCE PRIOR YEAR. AUDIT COMMITTE PROCESS FORM 990 PART XII, LINE 2C THE ORGANIZATION'S AUDIT COMMITTE ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THE PROCESS THAT THE AUDIT COMMITTEE FOLLOWS FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT HAS NOT CHANGED FROM THE PRIOR YEAR. ZIEGER HEALTHCARE CORPORATION 28050 GRAND RIVER AVE FARMINGTON HILLS MI 48336 382500428 CENTRALIZED GOVERNANCE & MGMT MI 501 (C) (3) 9 1 BOTSFORD HOSPITAL 28050 GRAND RIVER AVE FARMINGTON HILLS MI 48336 381426919 HOSPITAL MI 501 (C) (3) 3 ZIEGER HEALTH CARE CORPORATION 1 COMMUNITY EMERGENCY MEDICAL SERVICES 25400 W EIGHT MILE RD SOUTHFIELD MI 48034 382410823 AMBULANCE SERVICES MI 501 (C) (3) 9 ZIEGER HEALTH CARE CORPORATION 1 CEMS-OHIO 4581 POTH ROAD COLUMBUS OH 43215 800249549 AMBULANCE SERVICES OH 501 (C) (3) 9 COMMUNITY EMERGENCY MEDICAL SERVICES 1 BOTSFORD COMMONS PROPERTY ASSOCIATION 28050 GRAND RIVER AVE FARMINGTON HILLS MI 48336 383203663 PROPERTY MANAGEMENT MI BOTSFORD CONTINUING CARE CORPORATION C 1.00000 PARASTAR 28050 GRAND RIVER AVE FARMINGTON HILLS MI 48336 382755982 MANAGEMENT & DISPATCH SERVICES MI COMMUNITY EMERGENCY MEDICAL SERVICE INC C BGH PHYSICIAN PORTFOLIO (CAPTIVE)HSBC BANK PO BOX 1109 HSBC HOUSE 68 WEST B GEORGETOWN GRAND CAYMAN CJ KY1-1102 381426919 CAPTIVE INSURANCE (CELL) CJ BOTSFORD HOSPITAL C 0 0 1 0 0 0 0 0 1 0 0 0 0 1 1 1 0 0 BOTSFORD HOSPITAL N 460779 BOTSFORD HOSPITAL O 3464950 ZIEGER HEALTH CARE CORPORATION O 604740 BOTSFORD COMMONS PROPERTY ASSOCIATION O 358838 BOTSFORD HOSPITAL I 123188 BOTSFORD COMMONS PROPERTY ASSOCIATION N 165957 BOTSFORD COMMONS PROPERTY ASSOCIATION P 41458 ZIEGER HEALTH CARE CORPORATION C 6555