2016-02-15T11:58:33-06:00 2015-03-31 383635706 REHMANN ROBSON LLC 555 BRIARWOOD CIRCLE 300 ANN ARBOR MI 48108 990 2014-04-01 381891500 GLACIER HILLS INC GLAC 7347696410 1200 EARHART ROAD ANN ARBOR MI 48105 LAWRENCE PETROSKEY SR VICE-PRESIDENT 7347696410 2016-02-10 1 DOUGLAS A KELLY CPA P00091369 7347612005 2014 2016-08-17 19:52:53Z LAWRENCE PETROSKEY 1200 EARHART ROAD ANN ARBOR MI 48105 38645150 0 X WWW.GLACIERHILLS.ORG X 1966 MI TO SERVE OLDER ADULTS WITH A CONTINUUM OF LIFESTYLE, CARE AND SUPPORT ALTERNATIVES. 16 16 911 335 0 0 725453 262101 32617828 36145325 283058 1137062 476537 589908 34102876 38134396 51142 56023 0 0 20894087 23262217 0 0 53428 14373973 14932632 35319202 38250872 -1216326 -116476 100094241 103449183 89810423 90979998 10283818 12469185 TO SERVE OLDER ADULTS WITH A CONTINUUM OF LIFESTYLE, CARE AND SUPPORT ALTERNATIVES EMBRACING ENRICHMENT OF THE WHOLE PERSON. 0 0 34535317 56023 36735233 NURSING CARE FACILITY & RETIREMENT HOME-PATIENTS & RESIDENTS ARE ENTITLED TO 24 HOUR EMERGENCY CARE. APARTMENT RESIDENTS ARE PROVIDED WITH UNFURNISHED APARTMENTS FOR LIFETIME USE AND VARIOUS DOMESTIC & NURSING AMENITIES. 34535317 1 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 97 0 1 911 1 0 0 0 0 0 0 0 0 0 0 X 16 16 0 0 0 0 0 0 0 1 1 0 1 1 1 1 1 1 0 1 1 1 0 MI X X RAYMOND RABIDOUX PRESIDENT 7347696410 1200 EARHART ROAD ANN ARBOR MI 48105 WILLIAM STAPLETON SECRETARY 1.00 X X 0 0 0 GEORGE BOREL ASSISTANT TREASURER 1.00 X X 0 0 0 ALAN DENGIZ BOARD MEMBER/MEDICAL DIR 20.00 X 60000 0 0 JAN BARNEY-NEWMAN BOARD MEMBER 1.00 1.00 X 0 0 0 PATRICK SAVAGE VICE CHAIR 1.00 1.00 X X 0 0 0 LYLE DAHLBERG BOARD MEMBER 1.00 X 0 0 0 PAUL GLENDON CHAIR 2.00 1.00 X X 0 0 0 DALE BERRY BOARD MEMBER 1.00 X 0 0 0 DAVID STEINBERG MD BOARD MEMBER 1.00 X 0 0 0 ALENE BLOMQUIST BOARD MEMBER 1.00 X 0 0 0 ALLAN NEWMAN BOARD MEMBER 1.00 X 0 0 0 MARGARET A REYNOLDS BOARD MEMBER 1.00 1.00 X 0 0 0 STEPHANIE SMITH BOARD MEMBER 1.00 X 0 0 0 DAVID SKAFF TREASURER 2.00 2.00 X X 0 0 0 CONSTANCE COOK BOARD MEMBER 1.00 X 0 0 0 DONNA SNYDER BOARD MEMBER 1.00 X 0 0 0 RAYMOND RABIDOUX PRESIDENT AND CEO 40.00 9.00 X 309908 0 21689 LAWRENCE PETROSKEY SR. VICE PRES. & BUSINESS STRATEGY 40.00 5.00 X 179660 0 14773 KIM CYBART EXEC DIRECTOR OF EMPLOYEE SERVICES 40.00 X 105559 0 10143 ANIMESH ANAND DIRECTOR OF THERAPY OPERATIONS 40.00 X 111246 0 17322 KIMBERLEY THOMPSON EXEC DIRECTOR CRC 40.00 X 148025 0 18660 SHELLEY MACMILLAN EXEC DIRECTOR GH FOUNDATION 1.00 40.00 X 106400 0 4901 1020798 0 87488 6 0 1 0 HEALTH PLUS OF MICHIGAN PO BOX 674416 DETROIT MI 48267 EMPLOYEE HEALTH INSURANCE 2134902 SYSCO FOOD SERVICE PO BOX 33580 DETROIT MI 48233 FOOD, KITCHEN SUPPLIES 1313691 OMNICARE L 2649 COLUMBUS OH 43260 PHARMACY 1305539 SPENCE BROTHERS 417 MCCROSKEY ST SAGINAW MI 48601 GENERAL CONTRACTOR 905823 ALL MED MEDICAL SUPPLY 6321 COMMERCE DR WESTLAND MI 48185 MEDICAL SUPPLIES 564856 28 262101 262101 HEALTH CARE 623000 23436418 23436418 APARTMENT CARE 623990 12077712 12077712 LIFE RESIDENCY FEES 623990 631195 631195 36145325 425624 425624 64273 1157919 51126 459628 13147 698291 711438 711438 OTHER 900099 589908 589908 589908 38134396 36735233 0 1137062 56023 56023 647988 134477 493308 20203 18391028 16818892 1542708 29428 2759181 2090382 668799 1464020 1292842 167381 3797 121113 4241 116872 83000 83000 570211 570211 135320 19832 115488 198728 73186 125542 95325 95325 1828104 1828104 3845514 3845514 349121 233722 115399 SUPPLIES AND PARTS 3334674 3334674 FOOD PURCHASES 1090227 1090227 CONTRACTED SERVICES 1076413 1039240 37173 OTHER 762087 748382 13705 1442795 1355368 87427 38250872 34535317 3662127 53428 1840943 2968060 3036877 2895358 168258 151974 415706 433154 94921391 41850132 54391719 53071259 8913724 8810950 27708615 30559496 3618399 4558932 100094241 103449183 1060764 1094366 2216905 2369367 37551558 36211000 48981196 51305265 89810423 90979998 X 9331409 11460190 952409 1008995 10283818 12469185 100094241 103449183 X -116476 2435092 -133249 X X 0 1 X 1 0 X 238863 232103 1137212 725453 262101 2595732 30215669 30670524 30931780 32617828 36145325 160581126 30454532 30902627 32068992 33343281 36407426 163176858 0 0 0 163176858 511496 444247 356393 387949 425624 2125709 511496 444247 356393 387949 425624 2125709 435263 390242 415926 476537 589908 2307876 31401291 31737116 32841311 34207767 37422958 167610443 0.97350 0.97140 0.01270 0.01490 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 380050 380050 77891961 28846327 49045634 2120440 1096680 1023760 14508406 11907125 2601281 20534 20534 53071259 CF MULTI-STRATEGY EQUITY INVESTORS LLC 24833830 F CF MULTI-STRATEGY BOND INVESTORS LLC 5725666 F 30559496 ACCRUED COMPENSATION 679567 ACCRUED SICK AND VACATION PAY 377958 OTHER ACCRUED LIABILITIES 1153316 REFUNDABLE ADVANCE FEES 46517590 INTEREST RATE SWAP LIABILITY 2576834 51305265 1 SCHOLARSHIPS TO EMPLOYEES OF GLACIER HILLS, INC. 63 56023 0 FMV; CASH GRANTS X 1 1 X X X 0 0 0 0 0 0 0 1 0 RAYMOND RABIDOUX PRESIDENT AND CEO 289908 0 20000 0 0 0 7800 0 13889 0 331597 0 0 0 LAWRENCE PETROSKEY SR. VICE PRES. & BUSINESS STRATEGY 179660 0 0 0 0 0 1708 0 13065 0 194433 0 0 0 KIMBERLEY THOMPSON EXEC DIRECTOR CRC 148025 0 0 0 0 0 3709 0 14951 0 166685 0 0 0 SCHEDULE J: PART I, LINE 7 PART I, LINE 7: ANNUAL MANAGEMENT BONUS HAS A PORTION RELATED TO ACHIEVING PERFORMANCE GOALS DETERMINED AT THE BEGINNING OF THE YEAR. A EDC - ECONOMIC DEVELOPMENT CORPORATION OF THE CITY OF ANN ARBOR 382148652 2015-08-28 15515000 RETIRE EXISTING ISSUE, ISSUANCE COSTS 0 0 0 B EDC - ECONOMIC DEVELOPMENT CORPORATION OF THE CITY OF ANN ARBOR 382148652 2015-09-18 4495000 RETIRE EXISTING ISSUE 0 0 0 C EDC - ECONOMIC DEVELOPMENT CORPORATION OF THE CITY OF ANN ARBOR 382148652 2015-07-23 10000000 RETIRE EXISTING ISSUE 0 0 0 D EDC - ECONOMIC DEVELOPMENT CORPORATION OF THE CITY OF ANN ARBOR 382148652 2015-08-07 4000000 RETIRE EXISTING ISSUE 0 0 0 A 15280000 15515000 235000 1 0 1 1 B 4495000 4495000 1 0 1 1 C 10000000 10000000 1 0 1 1 D 4000000 4000000 1 0 1 1 A 0 0 0 0 0 0 1 B 0 0 0 0 0 0 1 C 0 0 0 0 0 0 1 D 0 0 0 0 0 0 1 A 0 0 0 0 1 0 0 0 0 B 0 0 0 0 1 0 0 0 0 C 0 0 0 0 1 0 0 0 0 D 0 0 0 0 1 0 0 0 0 A 1 B 1 C 1 D 1 FORM 990, PART VI, SECTION B, LINE 11 FORM 990 WAS REVIEWED BY THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS. FURTHER, IT WAS SENT TO ALL BOARD MEMBERS TO SOLICIT FEEDBACK. FORM 990, PART VI, SECTION B, LINE 12C ANNUAL EDUCATION AND WRITTEN DECLARATIONS ARE REQUIRED BY ALL BOARD MEMBERS AND KEY EMPLOYEES. FORM 990, PART VI, SECTION B, LINE 15 NATIONAL, REGIONAL AND LOCAL DATA COLLECTED REGARDING COMPARABLE COMPENSATION AND PERCENTAGE INCREASES, WHICH IS REVIEWED BY THE EXECUTIVE COMMITTEE OF THE BOARD. THE CEO MAKES FINAL DETERMINATION OF COMPENSATION FOR OTHER OFFICERS AND KEY EMPLOYEES. THE EXECUTIVE COMMITTEE DETERMINES CEO'S COMPENSATION. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS, POLICIES, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: CHANGE IN FAIR VALUE OF INTEREST RATE SWAP -7,459. CHANGE IN VALUE OF INVESTMENT IN HOME CARE AGENCY -125,790. FORM 990, PART XI, LINE 2C THE PROCESS OF SELECTING INDEPENDENT AUDITORS HAS NOT CHANGED FROM LAST YEAR. GLACIER HILLS FOUNDATION 1200 EARHART ROAD ANN ARBOR MI 48105 208072723 FUND RAISING MI 501(C)(3) LINE 11C, III-FI GLACIER HILLS INC 1 GLACIER HILLS HOME CARE (3114-123114) 1200 EARHART ROAD ANN ARBOR MI 48105 201681131 HOME HEALTH PROVIDER MI 501(C)(3) LINE 9 GLACIER HILLS INC 1 0 1 1 0 0 0 0 0 0 0 0 0 1 1 1 1 1 0 0 GLACIER HILLS FOUNDATION C 262101 CASH GIFT GLACIER HILLS FOUNDATION M 167878 FMV GLACIER HILLS FOUNDATION N 168000 FMV GLACIER HILLS FOUNDATION O 167878 FMV GLACIER HILLS FOUNDATION B 335878 FMV GLACIER HILLS HOME CARE INC N 72000 FMV