STRATEGY STUDIO / PUBLIC DATA EXPLORER

PILGRIM MANOR INC: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
PILGRIM MANOR INC (EIN 38-1651383)
Tax period
2014-01-01 to 2014-12-31
Filed
2015-11-02
IRS object ID
201523069349301312
Schema version
2014v5.0
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)
Return2015-11-02T14:41:34-06:00ReturnTs
Tax Period End2014-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN381357951PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1PLANTE & MORAN PLLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1750 TRADE CENTRE WAY STE 300AddressLine1Txt
CityPORTAGECityNm
State AbbreviationMIStateAbbreviationCd
ZIP49002ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2014-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN381651383EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1PILGRIM MANOR INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlPILGBusinessNameControlTxt
Phone6164581133PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12000 LEONARD NEAddressLine1Txt
CityGRAND RAPIDSCityNm
State AbbreviationMIStateAbbreviationCd
ZIP49505ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKAREN MESSICKPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone6164581133PhoneNum
Signature2015-10-26SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonCAROL LALONDE CPAPreparerPersonNm
PTINP00181637PTIN
Phone2695674500PhoneNum
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerKAREN MESSICKPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12000 LEONARD NEAddressLine1Txt
CityGRAND RAPIDSCityNm
State AbbreviationMIStateAbbreviationCd
ZIP49505ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$8,986,868GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.PILGRIMMANOR.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1963FormationYr
Legal Domicile StateMILegalDomicileStateCd
Activity Or MissionPILGRIM MANOR OPERATES A RETIREMENT HOME WITH SECTIONS FOR INDEPENDENT RESIDENTS, ASSISTED LIVING, AND NURSING CARE.ActivityOrMissionDesc
Voting Members Governing Body13VotingMembersGoverningBodyCnt
Voting Members Independent13VotingMembersIndependentCnt
Total Employee246TotalEmployeeCnt
Total Volunteers15TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$217,924PYContributionsGrantsAmt
CY Contributions Grants$1,071,679CYContributionsGrantsAmt
PY Program Service Revenue$8,031,924PYProgramServiceRevenueAmt
CY Program Service Revenue$7,905,959CYProgramServiceRevenueAmt
PY Investment Income$1,582PYInvestmentIncomeAmt
CY Investment Income-$799CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$8,251,430PYTotalRevenueAmt
CY Total Revenue$8,976,839CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$4,646,324PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$4,607,862CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$3,218,200PYOtherExpensesAmt
CY Other Expenses$3,403,584CYOtherExpensesAmt
PY Total Expenses$7,864,524PYTotalExpensesAmt
CY Total Expenses$8,011,446CYTotalExpensesAmt
PY Revenues Less Expenses$386,906PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$965,393CYRevenuesLessExpensesAmt
Total Assets BOY$7,955,559TotalAssetsBOYAmt
Total Assets EOY$6,815,995TotalAssetsEOYAmt
Total Liabilities BOY$3,398,560TotalLiabilitiesBOYAmt
Total Liabilities EOY$2,253,973TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$4,556,999NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$4,562,022NetAssetsOrFundBalancesEOYAmt
MissionPILGRIM MANOR, A NONPROFIT CORPORATION AFFILIATED WITH THE UNITED CHURCH OF CHRIST, PROVIDES A COMMUNITY FOR OLDER ADULTS THAT ENABLES THEM TO MEET THEIR ON-GOING PHYSICAL, SOCIAL, AND SPIRITUAL NEEDS, AFFIRMING THEIR DIGNITY, MEANING, AND WORTH.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$6,791,173ExpenseAmt
Revenue$7,905,959RevenueAmt
DescASSISTED LIVING/INDEPENDENT CARE AND SKILLED NURSING CAREDesc
Total Program Service Expenses$6,791,173TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document26IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee246EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members13GoverningBodyVotingMembersCnt
Independent Voting Member13IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local ChaptersYes (1)LocalChaptersInd
Policies Reference ChaptersYes (1)PoliciesReferenceChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldMIStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JEANETTE EGGERTBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone6164581133PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12000 LEONARD NEAddressLine1Txt
CityGRAND RAPIDSCityNm
State AbbreviationMIStateAbbreviationCd
ZIP495055894ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
GRETCHEN TELLMAN-PARTRIDGE
TREASURER/SECRETARY1.001.00Yes (X)Yes (X)$0$0$0
MICKI BENZ
CHAIR1.001.00Yes (X)Yes (X)$0$0$0
PAT MILES SR
VICE CHAIR1.001.00Yes (X)Yes (X)$0$0$0
CARL APPLE
DIRECTOR1.001.00Yes (X)$0$0$0
CHARLES DENTON
DIRECTOR1.001.00Yes (X)$0$0$0
CHARLES FERRO
DIRECTOR1.001.00Yes (X)$0$0$0
MARK BRIEVE
DIRECTOR1.001.00Yes (X)$0$0$0
PHILIP BALKEMA
DIRECTOR1.001.00Yes (X)$0$0$0
MARY LOUPEE
DIRECTOR1.001.00Yes (X)$0$0$0
SUE ANN ROBERT
DIRECTOR1.001.00Yes (X)$0$0$0
TAMERA LAAGE
DIRECTOR1.001.00Yes (X)$0$0$0
BILL ALSOVER
DIRECTOR1.001.00Yes (X)$0$0$0
KARL BETZ
DIRECTOR1.001.00Yes (X)$0$0$0
DAN SPAULDING
DIRECTOR (THROUGH 5/12/14)1.001.00Yes (X)$0$0$0
SHAWN REUTZ
DIRECTOR (THROUGH 5/12/14)1.001.00Yes (X)$0$0$0
KAREN MESSICK
EXECUTIVE DIRECTOR40.001.00Yes (X)$122,162$0$3,956
FieldValueIRS element (for citing)
Total Reportable Comp From Org$122,162TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$3,956TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (2 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
THERAPY MANAGEMENT INC
PO BOX 698ALLEN PARKMI48101THERAPY SERVICES$479,376
HOLLAND HOME
2100 RAYBROOK ST SEGRAND RAPIDSMI49546IT, GROUNDS & MAINTENANCE SVCS$210,213
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K2CntrctRcvdGreaterThan100KCnt
Related Organizations$1,071,679RelatedOrganizationsAmt
Noncash Contributions$17,061NoncashContributionsAmt
Total Contributions$1,071,679TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PROGRAM SERVICE REVENU623000$7,287,110$7,287,110
QAAP REVENUE623000$435,299$435,299
OTHER REVENUE900099$183,550$183,550
FieldValueIRS element (for citing)
Total Program Service Revenue$7,905,959TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,503TotalRevenueColumnAmt
Exclusion$3,503ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$5,727OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$10,029OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$4,302OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$4,302TotalRevenueColumnAmt
Exclusion-$4,302ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$8,976,839TotalRevenueColumnAmt
Related Or Exempt Func Income$7,905,959RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion-$799ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$126,118TotalAmt
Management And General$126,118ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$3,831,012TotalAmt
Program Services$3,372,800ProgramServicesAmt
Management And General$458,212ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$29,494TotalAmt
Program Services$18,878ProgramServicesAmt
Management And General$10,616ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$245,302TotalAmt
Program Services$208,317ProgramServicesAmt
Management And General$36,985ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$375,936TotalAmt
Program Services$244,156ProgramServicesAmt
Management And General$131,780ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$28,889TotalAmt
Management And General$28,889ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$39,700TotalAmt
Management And General$39,700ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$925,239TotalAmt
Program Services$833,952ProgramServicesAmt
Management And General$91,287ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$35,411TotalAmt
Program Services$381ProgramServicesAmt
Management And General$35,030ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$108,762TotalAmt
Program Services$61,910ProgramServicesAmt
Management And General$46,852ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$305,131TotalAmt
Program Services$304,490ProgramServicesAmt
Management And General$641ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$8,757TotalAmt
Management And General$8,757ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$12,853TotalAmt
Program Services$4,032ProgramServicesAmt
Management And General$8,821ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$78,243TotalAmt
Program Services$78,243ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$308,645TotalAmt
Program Services$308,645ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$87,587TotalAmt
Management And General$87,587ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
SUPPLIES$688,544$688,544
QAAP$292,506$292,506
REPAIRS$150,521$132,211$18,310
PROVISION FOR BAD DEBTS$149,993$149,993

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$182,803TotalAmt
Program Services$92,115ProgramServicesAmt
Management And General$90,688ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$8,011,446TotalAmt
Program Services$6,791,173ProgramServicesAmt
Management And General$1,220,273ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$580,186BOYAmt
EOY$699,258EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$19,960BOYAmt
EOY$5,470EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$689,066BOYAmt
EOY$683,022EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$187,096BOYAmt
EOY$121,837EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$11,704,716LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$7,897,225LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$3,993,519BOYAmt
EOY$3,807,491EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$2,315,975BOYAmt
EOY$1,355,604EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$169,757BOYAmt
EOY$143,313EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$7,955,559BOYAmt
EOY$6,815,995EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$515,943BOYAmt
EOY$399,807EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,979,167BOYAmt
EOY$1,854,166EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$903,450BOYAmt
EOY$0EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,398,560BOYAmt
EOY$2,253,973EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,564,568BOYAmt
EOY$3,567,815EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$640,033BOYAmt
EOY$643,883EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$352,398BOYAmt
EOY$350,324EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$4,556,999BOYAmt
EOY$4,562,022EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$7,955,559BOYAmt
EOY$6,815,995EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$965,393ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$960,370OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit Committee0AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$245,000CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$259,173CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$471,090CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$217,924CurrentTaxYearMinus1YearAmt
Current Tax Year$1,071,679CurrentTaxYearAmt
Total$2,264,866TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$7,635,245CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$7,803,253CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$7,479,192CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$8,031,924CurrentTaxYearMinus1YearAmt
Current Tax Year$7,905,959CurrentTaxYearAmt
Total$38,855,573TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$7,880,245CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$8,062,426CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$7,950,282CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$8,249,848CurrentTaxYearMinus1YearAmt
Current Tax Year$8,977,638CurrentTaxYearAmt
Total$41,120,439TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$72,728CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$88,888CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$91,990CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$71,679CurrentTaxYearMinus1YearAmt
Total$325,285TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$72,728CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$88,888CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$91,990CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$71,679CurrentTaxYearMinus1YearAmt
Total$325,285TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$40,795,154PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$7,373CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$9,469CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$7,516CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,582CurrentTaxYearMinus1YearAmt
Current Tax Year$3,503CurrentTaxYearAmt
Total$29,443TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$7,373CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$9,469CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$7,516CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,582CurrentTaxYearMinus1YearAmt
Current Tax Year$3,503CurrentTaxYearAmt
Total$29,443TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$7,887,618CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$8,071,895CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$7,957,798CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$8,251,430CurrentTaxYearMinus1YearAmt
Current Tax Year$8,981,141CurrentTaxYearAmt
Total$41,149,882TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99140PublicSupportCY509Pct
Public Support PY5090.98930PublicSupportPY509Pct
Investment Income CY0.00070InvestmentIncomeCYPct
Investment Income PY0.00090InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$30,775OtherCostOrOtherBasisAmt
Book Value$30,775BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$9,605,110OtherCostOrOtherBasisAmt
Depreciation$6,153,428DepreciationAmt
Book Value$3,451,682BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$527,087OtherCostOrOtherBasisAmt
Depreciation$359,387DepreciationAmt
Book Value$167,700BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$232,224OtherCostOrOtherBasisAmt
Depreciation$167,116DepreciationAmt
Book Value$65,108BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,309,520OtherCostOrOtherBasisAmt
Depreciation$1,217,294DepreciationAmt
Book Value$92,226BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$3,807,491TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (2 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
INTEREST RATE CAP$5C
INVESTMENT IN SUBSIDIARY$1,355,599C
FieldValueIRS element (for citing)
Total Book Value Securities$1,355,604TotalBookValueSecuritiesAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationTHE MANOR AND THE FOUNDATION ARE NOT-FOR-PROFIT CORPORATIONS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE "CODE") AND ARE EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. CONTRIBUTIONS TO THE MANOR AND THE FOUNDATION ARE TAX DEDUCTIBLE WITHIN THE LIMITATIONS PRESCRIBED BY THE CODE. THE MANOR AND THE FOUNDATION HAVE BEEN DETERMINED BY THE INTERNAL REVENUE SERVICE NOT TO BE PRIVATE FOUNDATIONS WITHIN THE MEANING OF SECTION 509(A) OF THE CODE. THE FOUNDATION HAS BEEN DETERMINED TO BE A PUBLICLY SUPPORTED ORGANIZATION AND NOT A PRIVATE FOUNDATION. ACCORDINGLY, THE FOUNDATION'S NET INVESTMENT INCOME AND GIFTS MADE TO THE FOUNDATION ARE NOT SUBJECT TO EXCISE TAX. WITH FEW EXCEPTIONS, THE ORGANIZATION IS NO LONGER SUBJECT TO U.S. FEDERAL, STATE, LOCAL, OR NON-U.S. INCOME TAX EXAMINATIONS BY TAX AUTHORITIES FOR YEARS BEFORE 2011.ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1MICHIGAN STRATEGIC FUNDBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN521417332BondIssuerEIN
CUSIPNONEAVAILCUSIPNum
Bond Issued2009-10-15BondIssuedDt
Issue Price$2,500,000IssuePriceAmt
PurposeREFINANCEPurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Total Proceeds$2,500,000TotalProceedsAmt
Refunding Escrow$2,500,000RefundingEscrowAmt
Current Refunding0CurrentRefundingInd
Advance RefundingYes (1)AdvanceRefundingInd
Final Allocation MadeYes (1)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease Arrangements0AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop0MgmtContractBondFincdPropInd
Any Research Agreements0AnyResearchAgreementsInd
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd0ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T FiledYes (1)Form8038TFiledInd
Variable Rate IssueYes (1)VariableRateIssueInd
Hedge Identified In Bks And Rec0HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor Reqs0WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective Action0ProceduresCorrectiveActionInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6THE ORGANIZATION HAS SHAREHOLDERS IN ACCORDANCE WITH THE BY-LAWS.
FORM 990, PART VI, SECTION A, LINE 7ASHAREHOLDERS HAVE THE ABILITY TO ELECT BOARD MEMBERS.
FORM 990, PART VI, SECTION B, LINE 11NO REVIEW WAS OR WILL BE CONDUCTED. THE RETURN IS PREPARED BY AN INDEPENDENT CPA FIRM. THE RETURN IS THEN REVIEWED BY MANAGEMENT PRIOR TO FILING THE RETURN.
FORM 990, PART VI, SECTION B, LINE 12CBOARD MEMBERS ARE REQUIRED TO DISCLOSE POTENTIAL CONFLICTS OF INTEREST AND SIGN THE CONFLICT OF INTEREST POLICY ANNUALLY. IF A POTENTIAL CONFLICT OF INTEREST ARISES, THE BOARD MEMBER SHALL LEAVE THE BOARD OR EXECUTIVE COMMITTEE MEETING WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON. THE REMAINING BOARD OR EXECUTIVE COMMITTEE MEMBERS SHALL DECIDE IF A CONFLICT OF INTEREST EXISTS.
FORM 990, PART VI, SECTION B, LINE 15THE BOARD OF DIRECTORS REVIEW THE EXECUTIVE DIRECTOR'S SALARY ANNUALLY. COMPENSATION FOR OTHER KEY MEMBERS OF MANAGEMENT ARE BASED ON PERFORMANCE AND REVIEW OF OTHER 990S FOR SIMILAR ORGANIZATIONS. THE MOST RECENT YEAR THIS PROCESS WAS UNDERTAKEN WAS 2014.
FORM 990, PART VI, SECTION C, LINE 19DOCUMENTS ARE AVAILABLE UPON REQUEST.
FORM 990, PART IX, LINE 11GDIET CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 15,084. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 15,084. NURSING ADMIN: PROGRAM SERVICE EXPENSES 70,662. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 70,662. MEDICAL RECORDS: PROGRAM SERVICE EXPENSES 1,427. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,427. SOCIAL SERVICES/PORSTAL CARE: PROGRAM SERVICE EXPENSES 3,920. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,920. DIVERSIONAL THERAPY: PROGRAM SERVICE EXPENSES 4,602. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,602. ROUTINE CARE UNIT: PROGRAM SERVICE EXPENSES 521,152. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 521,152. ADMINISTRATIVE: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 71,765. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 71,765. MAINTENANCE & REPAIR: PROGRAM SERVICE EXPENSES 186,222. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 186,222. HOUSEKEEPING: PROGRAM SERVICE EXPENSES 603. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 603. OTHER PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 30,280. MANAGEMENT AND GENERAL EXPENSES 19,522. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 49,802.
FORM 990, PART XI, LINE 9:CHANGE IN VALUE OF INTEREST RATE CAP AGREEMENT -427. CHANGE IN INTEREST OF NET ASSETS OF THE FOUNDATION -959,943.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1PILGRIM MANOR FOUNDATIONBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12000 LEONARD NEAddressLine1Txt
CityGRAND RAPIDSCityNm
State AbbreviationMIStateAbbreviationCd
ZIP495055894ZIPCd
FieldValueIRS element (for citing)
EIN383410416EIN
Primary ActivitiesSUPPORT OF NURSING HOMEPrimaryActivitiesTxt
Legal Domicile StateMILegalDomicileStateCd
Exempt Code Section501(C)(3)ExemptCodeSectionTxt
Public Charity StatusLINE 11A, IPublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1PILGRIM MANOR INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Controlled OrganizationYes (1)ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
PILGRIM MANOR FOUNDATION
C$1,071,679CASH
PILGRIM MANOR FOUNDATION
Q$79,549CASH