2016-03-01T12:36:57-06:00 2015-06-30 381357951 PLANTE & MORAN PLLC PO BOX 307 SOUTHFIELD MI 480370307 990 2014-07-01 382755767 ANGELA HOSPICE HOME CARE INC ANGE 7344647810 14100 NEWBURGH ROAD LIVONIA MI 481545010 MARK HIBBARD CHIEF FINANCIAL OFFICER 7344647810 2016-03-01 1 ROBERT F LONG P00782202 2483522500 2014 2016-08-17 19:52:53Z MARGOT PARR 14100 NEWBURGH ROAD LIVONIA MI 481545010 19352499 0 X WWW.ANGELAHOSPICE.ORG X 1985 MI HOSPICE CARE 10 9 271 420 0 0 1245964 1161614 16225882 17119811 27655 36823 91917 131708 17591418 18449956 0 0 0 0 11268904 11254330 0 0 242106 6597197 6395634 17866101 17649964 -274683 799992 25730660 26097165 4131277 3743832 21599383 22353333 IS DEDICATED TO PROVIDE COMPREHENSIVE, COMPASSIONATE, AND CHRSTLIKE CARE TO ADULTS AND CHILDREN IN THE COMMUNITIES WE SERVE. 0 0 13359264 17119811 TO PROVIDE SUPPORT SERVICES TO TERMINALLY ILL PATIENTS AND THEIR FAMILIES, BOTH IN THEIR HOMES AND IN AN INPATIENT FACILITY. THE CARE PROVIDED NURTURE THE WHOLE PERSON: THE PHYSICAL, EMOTIONAL, SPIRITUAL WITH COMPASSION AND ACCEPTANCE TO ALL. THE PROGRAM SPANS THE FULL BREADTH OF HUMAN LIFE, FROM PRENATAL AND PEDIATRIC PROGRAMS, TO OUR ADULT HOSPICE PROGRAMS. 13359264 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 54 4 1 271 1 0 0 0 0 0 0 0 0 0 0 X 10 9 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 MI X MARK HIBBARD 7349536025 14100 NEWBURGH RD LIVONIA MI 48154 MR DAVID WARD DIRECTOR - EX-OFICIO 2.00 X X 0 236807 0 MARY BETH MONING PRESIDENT-INTERIM (PART YR) 40.00 X X 151264 0 0 THOMAS LESONDAK TREASURER / CFO (PART YR) 32.00 X X 99673 0 0 SR FELICITY MARIE MADIGAN DIRECTOR 2.00 X 0 0 0 W MICHAEL GEORGE DIRECTOR 2.00 X 0 0 0 BARBARA HENDRICKSON CHAIRPERSON 5.00 X X 0 0 0 DAVID P PARR DIRECTOR 2.00 X 0 0 0 ART COLE DIRECTOR 2.00 X 0 0 0 GEORGE SMRTKA DIRECTOR 2.00 X 0 0 0 DR DEBORAH DUNN DIRECTOR 2.00 X 0 0 0 NANCY TOCHMAN DIRECTOR 2.00 X 0 0 0 PEGGY POLINSKI DIRECTOR 2.00 X 0 0 0 SR MARY FRANCIS LEWANDOWSKI DIRECTOR (PART YR) 2.00 X 0 0 0 SR MARY THADDEUS MARKELEWICZ DIRECTOR (PART YR) 2.00 X 0 0 0 MARGOT PARR PRESIDENT & CEO 40.00 X 64168 0 0 MARK HIBBARD TREASURER / CFO 40.00 X 25410 0 0 DR JAMES BOAL MEDICAL DIRECTOR 40.00 X 210043 0 0 DR IRENE ZMITROVIC DIR CLINICAL SERVICES 40.00 X 132349 0 0 682907 236807 0 3 0 1 0 ENCLARA HEALTH LLC PO BOX 95000-7220 PHILADELPHIA PA 19195 PHARMACY BENEFIT MANAGER 845359 LUTHERAN HOME LIVONIA 28910 PLYMOUTH RD LIVONIA MI 48150 NURSING HOME CARE 491173 CARELINC MEDICAL EQUIPMENT 89 54TH STREET GRAND RAPIDS MI 49548 DME RENTAL 319644 MORRISON MANAGEMENT PO BOX 102289 ATLANTA GA 30368 FOOD SERVICE PROVIDER 258052 4 158830 1002784 1161614 NET PATIENT REVENUE 621610 17119811 17119811 17119811 43366 43366 746058 744231 8370 1827 -8370 -6543 -6543 248736 158830 149942 98794 98794 MISCELLANEOUS 900099 32914 32914 32914 18449956 17119811 0 168531 321566 321566 8961569 7376755 1433597 151217 56822 56822 1201624 890826 301825 8973 712749 673400 39349 26130 26130 18116 18116 158052 90240 67812 201828 189988 11840 327526 31217 255074 41235 240945 229622 11323 266065 177640 88425 275750 248110 27945 -305 24567 7110 13291 4166 72359 72359 727847 727847 74922 74922 ROOM & BOARD 1622433 1622433 MEDICAL SUPPLIES 1482280 1423946 58334 MEDICAL EQUIPMENT 442564 442564 REPAIRS & MAINTENANCE 158028 22420 135608 276222 87693 174872 13657 17649964 13359264 4048594 242106 2242191 750 237623 3043977 34264 113751 1366592 1767903 254911 199635 23677655 5658572 18585845 18019083 3002984 2945816 6250 6250 25730660 26097165 1484227 1374877 161059 99120 27389 2458602 2269835 4131277 3743832 X 19840152 20806294 107340 65080 1651891 1481959 21599383 22353333 25730660 26097165 799992 -46042 0 X X 0 1 X 1 0 X 3343801 1132052 1217582 1245964 1002784 7942183 3343801 1132052 1217582 1245964 1002784 7942183 242463 7699720 22214 40120 36175 41763 43366 183638 66321 65768 86563 91917 440480 751049 8876870 83013951 0.86740 0.97100 X 0.99820 0.00180 SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: FUNDRAISING MISCELLANEOUS INCOME SCHEDULE A, PART I IN THE PAST ANGELA HOSPICE HOME CARE, INC. (ANGELA) HAS FILED AS AN EXEMPT ORGANIZATION UNDER 509(A)(2) AND CHECKED BOX 9 ON PART I. HOWEVER, UPON REVIEWING THE ORGANIZATION'S ORGANIZATIONAL DOCUMENTS, IT WAS DETERMINED THAT ANGELA IS CLASSIFIED AS A 509(A)(1). FOR THE CURRENT YEAR, THE RETURN HAS BEEN PREPARED ACCORDINGLY. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1651891 100 -6597 163435 1481959 1502454 149437 1651891 1506179 -3639 86 1502454 1482314 23865 1506179 1490167 -12345 -4492 1482314 1.00000 0 0 2944500 2944500 18508301 4393322 14114979 2224854 1265250 959604 18019083 NOTE PAYABLE - FELICIAN SISTERS OF NORTH AMERICA 2269835 2269835 X 18553856 -46042 149942 103900 18449956 0 18449956 17799906 149942 149942 17649964 0 17649964 PART X, LINE 2: THE INTERNAL REVENUE SERVICE HAS RULED THAT THE ORGANIZATION IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, AND ACCORDINGLY, NO TAX PROVISION IS REFLECTED IN THE FINANCIAL STATEMENTS. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE ORGANIZATION AND RECOGNIZE A TAX LIABILITY IF THE ORGANIZATION HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE IRS OR OTHER APPLICABLE TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE ORGANIZATION, AND HAS CONCLUDED THAT AS OF JUNE 30, 2015, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE ORGANIZATION IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. MANAGEMENT BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO 2011. PART XI, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES INCLUDED IN PART VIII 149,942. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES INCLUDED IN PART VIII 149,942. LAUGHTER LIFTS YOU UP 99529 37120 62409 3100 42624 3500 5289 EVENT TREE OF LIFE 88385 88385 52 8374 4 219652 33325 186327 1750 28610 16798 2000 37845 407566 158830 248736 1750 31710 59474 5500 51508 149942 98794 0 0 0 0 0 0 0 0 0 MR DAVID WARD DIRECTOR - EX-OFICIO 0 216692 0 0 0 20115 0 0 0 0 0 236807 0 0 MARY BETH MONING PRESIDENT-INTERIM (PART YR) 141322 0 0 0 9942 0 0 0 0 0 151264 0 0 0 DR JAMES BOAL MEDICAL DIRECTOR 199838 0 0 0 10205 0 0 0 0 0 210043 0 0 0 FORM 990, PART VI, SECTION A, LINE 6 FELICIAN SERVICES, INC. IS THE SOLE MEMBER OF ANGELA HOSPICE HOME CARE, INC.. AS THE SOLE MEMBER, THE FELICIAN SERVICES, INC. HAVE THE SOLE AUTHORITY TO INITIATE AND APPROVE THE FOLLOWING ACTIONS: (A) TO ADOPT, ALTER, AMEND, OR REPEAL THE ARTICLES OF INCORPORATION OR THE BYLAWS OF THE CORPORATION; (B) TO ADOPT OR REVISE THE STATEMENTS OF PHILOSOPHY, MISSION, OR PURPOSE OF THE CORPORATION; (C) TO MERGE, CONSOLIDATE, DISSOLVE, OR OTHERWISE CHANGE THE CORPORATE STRUCTURE OF THE CORPORATION; (D) TO AUTHORIZE THE SALE, LEASE, EXCHANGE, OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION; (E) TO AUTHORIZE THE CORPORATION TO INCUR ANY INDEBTEDNESS (OTHER THAN TRADE OBLIGATIONS INCURRED IN THE REGULAR COURSE OF BUSINESS), GUARANTEE ANY INDEBTEDNESS OF ANOTHER ENTITY, OR ALLOW ANY PROPERTY OF THE CORPORATION TO SECURE ANY INDEBTEDNESS; (F) TO APPROVE THE PURCHASE, TRANSFER, SALE, LONG-TERM LEASE, OR ENCUMBRANCE OF ANY REAL PROPERTY OWNED BY THE CORPORATION; (G) TO APPROVE THE CREATION OF, OR THE PURCHASE OF AN EQUITY INTEREST IN, ANY LEGAL ENTITY, OR TO APPROVE ENTERING INTO ANY PARTNERSHIP OR JOINT VENTURE (REGARDLESS OF ITS LEGAL FORM), OTHER THAN PASSIVE INVESTMENTS BY THE CORPORATION; (H) TO APPROVE AN ANNUAL OPERATING BUDGET, AND ANY CAPITAL BUDGET, OF THE CORPORATION; (I) TO APPROVE ANY UNBUDGETED OPERATING OR CAPITAL EXPENDITURES IN EXCESS OF ONE HUNDRED THOUSAND ($100,000) DOLLARS; (J) TO APPOINT, ELECT, REMOVE, WITH OR WITHOUT CAUSE, OR DETERMINE THE NUMBER OF DIRECTORS OF THE CORPORATION; (K) TO APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, THE CHAIRPERSON OF THE BOARD (THE "CHAIRPERSON"); (L) TO APPOINT, ELECT, OR REMOVE, WITH OR WITHOUT CAUSE, THE OFFICERS OF THE CORPORATION; (M) TO APPROVE THE SELECTION OF THE INDEPENDENT AUDITORS OF THE CORPORATION; (N) TO ASSURE THAT ALL ACTIONS OF THE CORPORATION ARE CONSISTENT WITH THE PURPOSES OF THE CONGREGATION OF THE SISTERS OF ST. FELIX OF CANTALICE; (O) TO CARRY OUT PERIODIC EVALUATIONS OF THE CORPORATION AND TO OTHERWISE MONITOR THE ACCOMPLISHMENT OF THE GOALS AND THE ADHERENCE TO THE PHILOSOPHY OF THE CORPORATION; (P) TO APPROVE THE LONG-TERM AND STRATEGIC PLANS OF THE CORPORATION; AND (Q) TO APPROVE ANY ACTS OF EXTRAORDINARY ADMINISTRATION UNDER THE CANON LAW OF THE ROMAN CATHOLIC CHURCH. FORM 990, PART VI, SECTION A, LINE 7A SEE NARRATIVE FOR PART VI, SECTION A, LINE 6 FORM 990, PART VI, SECTION A, LINE 7B SEE NARRATIVE FOR PART VI, SECTION A, LINE 6 FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS REVIEWED BY THE FINANCE COMMITTEE, AND PRESENTED TO THE BOARD MEMBERS FOR APPROVAL PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C ALL BOARD MEMBERS RECEIVE THE CONFLICT OF INTEREST POLICY FORM 990, PART VI, SECTION B, LINE 15 AN INDEPENDENT SEARCH FIRM WAS USED AND COMPENSATION WAS DETERMINED BY CONSULTANT AND BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 19 PUBLIC DOCUMENTS MADE AVAILABLE UPON WRITTEN REQUEST. FORM 990, PART XII, LINE 2C: THE AUDIT PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. FELICIAN SERVICES INC 3800 W PETERSON AVE CHICAGO IL 60659 363685438 PARENT CO IL 501(C)(3) LINE 7 CONGREG ST FELIX OF CANTALICE 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 SCHEDULE R - ADDITIONAL INFORMATION THE REPORTING ORGANIZATION AND ALL RELATED ORGANIZATIONS OF THE CONGREGATION OF THE SISTERS OF ST. FELIX OF CANTALICE ARE INCLUDED IN THE OFFICIAL CATHOLIC DIRECTORY.