Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 23.
SchJMediumBullet Attach to Form 990. SchJMediumBullet See separate instructions.
SchJMediumBullet Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
HOSPICE OF MICHIGAN INC
 
Employer identification number

38-2255529
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain
1b
Yes
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..
2
Yes
 
3
Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
4
During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? ................
4a
 
No
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
 
No
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.
5
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ...........................
5a
 
No
b
Any related organization?
5b
 
No
If "Yes," to line 5a or 5b, describe in Part III.
6
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization?
6a
 
No
b
Any related organization?
6b
 
No
If "Yes," to line 6a or 6b, describe in Part III.
7
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
 
No
8
Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................
8
 
No
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2013
Page 2

Schedule J (Form 990) 2013
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.
For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.
(A) Name and Title (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and other deferred compensation (D) Nontaxable
benefits
(E) Total of columns
(B)(i)-(D)
(F) Compensation
reported as deferred
in prior Form 990
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
1DR TERRI MACK BIGGSMEDICAL DIRECTOR (i)
(ii)
162,573
0
6,656
0
138
0
10,616
0
24,164
0
204,147
0
0
0
2LEE ANN MYERSCHIEF FINANCIAL OFFICER (i)
(ii)
197,561
0
41,256
0
16,023
0
13,685
0
5,602
0
274,127
0
0
0
3DR DAVID MCAREEMEDICAL DIRECTOR (i)
(ii)
212,682
0
6,371
0
138
0
13,396
0
17,774
0
250,361
0
0
0
4ROBERT CAHILLCHIEF ADMINISTRATIVE OFFICER (i)
(ii)
292,670
0
60,603
0
39,577
0
20,943
0
9,395
0
423,188
0
0
0
5MARCIE HILLARYCHIEF FUNDRAISING OFFICER (i)
(ii)
176,287
0
42,922
0
21,177
0
13,331
0
26,711
0
280,428
0
0
0
6MICHAEL PALETTA MDCHIEF MEDICAL OFFICER (i)
(ii)
243,313
0
58,425
0
29,697
0
17,637
0
20,955
0
370,027
0
0
0
7DR ALICE EMERYMEDICAL DIRECTOR (i)
(ii)
149,208
0
4,930
0
0
0
9,455
0
17,348
0
180,941
0
0
0
8MICHAEL JASPERSONCHIEF MARKETING OFFICER (i)
(ii)
172,128
0
37,669
0
24,614
0
11,290
0
20,196
0
265,897
0
0
0
9PATRICK MILLERCHIEF OPERATING OFFICER (i)
(ii)
205,965
0
50,097
0
36,038
0
18,290
0
22,351
0
332,741
0
0
0
10DR EVAN FONGERMEDICAL DIRECTOR (i)
(ii)
162,494
0
6,066
0
54
0
11,394
0
20,321
0
200,329
0
0
0
11DOROTHY E DEREMOPRESIDENT & CHIEF EXECUTIVE OFFICER (i)
(ii)
416,494
0
142,547
0
67,117
0
30,957
0
13,041
0
670,156
0
0
0
12DR MARK ZOOKMEDICAL DIRECTOR (i)
(ii)
145,756
0
4,980
0
0
0
3,042
0
5,908
0
159,686
0
0
0
Schedule J (Form 990) 2013
Page 3

Schedule J (Form 990) 2013
Page 3
Part III
Supplemental Information
Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II.
Also complete this part for any additional information.
Return Reference Explanation
Schedule J, Part I, Line 1a, Travel for companions THE CEO'S AND OTHER OFFICERS' SPOUSES PARTICIPATE IN VARIOUS EVENTS, AND THEIR TRAVEL EXPENSES WERE PAID BY HOSPICE OF MICHIGAN. THESE EXPENSES WERE TREATED AS TAXABLE COMPENSATION AND INCLUDED IN THE OFFICERS' FORMS W-2.
Schedule J, Part I, Line 1a, Tax indemnification and gross-up payments HOSPICE OF MICHIGAN PROVIDES A GROSS UP FOR OFFICERS' LONG-TERM DISABILITY (LTD) BENEFITS; THESE AMOUNTS ARE TREATED AS TAXABLE COMPENSATION AND INCLUDED IN THE INDIVIDUALS' FORMS W-2.
Schedule J, Part I, Line 1a, Health or social club dues or initiation fees DUES WERE PAID TO THE ECONOMIC CLUB OF DETROIT AND THE DETROIT ATHLETIC CLUB FOR DOROTHY DEREMO, ROBERT CAHILL AND MARCIE HILLARY. USE IS SOLELY FOR BUSINESS PURPOSES, WHICH IS REQUIRED TO BE DOCUMENTED BY EACH INDIVIDUAL, AND WAS THEREFORE NOT CONSIDERED A TAXABLE BENEFIT TO THE RECIPIENTS.
Schedule J (Form 990) 2013

Additional Data


Software ID: 13000248
Software Version: 2013v3.1