REST HAVEN ILLIANA CHRISTIAN CONVALESCENT HOME: Form 990, tax year 2023
View the entire original 990 at ProPublica ↗
- Organization
- REST HAVEN ILLIANA CHRISTIAN CONVALESCENT HOME (EIN 36-2382853)
- Tax period
- 2023-01-01 to 2023-12-31
- Filed
- 2024-11-14
- IRS object ID
- 202443199349312519
- Schema version
- 2023v5.1
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2024-11-14T14:50:47-06:00 | ReturnTs |
| Tax Period End | 2023-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 381357951 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PLANTE & MORAN PLLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10 S RIVERSIDE PLAZA 9TH FLOOR | AddressLine1Txt |
| City | CHICAGO | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60606 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2023-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 362382853 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | REST HAVEN ILLIANA CHRISTIAN | BusinessNameLine1Txt |
| Business Name Line2 | CONVALESCENT HOME | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | REST | BusinessNameControlTxt |
| Phone | 7083428100 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 18601 NORTH CREEK DRIVE | AddressLine1Txt |
| City | TINLEY PARK | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60477 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | BARRY VANDERGENUGTEN | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 7083428100 | PhoneNum |
| Signature | 2024-11-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (1) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | DAVID LOWENTHAL | PreparerPersonNm |
| PTIN | P00378651 | PTIN |
| Phone | 3122071040 | PhoneNum |
| Preparation | 2024-11-13 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2023 | TaxYr |
| Build TS | 2024-10-15 13:58:12Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PROVIDENCE LIFE SERVICES | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | RICHARD SCHUTT | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 18601 NORTH CREEK DRIVE | AddressLine1Txt |
| City | TINLEY PARK | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60477 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $59,742,619 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.PROVIDENCELIFESERVICES.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1956 | FormationYr |
| Legal Domicile State | IL | LegalDomicileStateCd |
| Activity Or Mission | REST HAVEN'S PURPOSE IS TO PROVIDE SERVICES FOR THE AGED INCLUDING SKILLED NURSING AND REHAB SERVICES, HOME HEALTH CARE, TOWN HOME LIVING, INDEPENDENT AND ASSISTED LIVING. | ActivityOrMissionDesc |
| Voting Members Governing Body | 16 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 15 | VotingMembersIndependentCnt |
| Total Employee | 628 | TotalEmployeeCnt |
| Total Volunteers | 120 | TotalVolunteersCnt |
| Total Gross UBI | $632,840 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $61,311 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $2,783,625 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,870,729 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $48,837,276 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $40,622,131 | CYProgramServiceRevenueAmt |
| PY Investment Income | $15,533,466 | PYInvestmentIncomeAmt |
| CY Investment Income | -$1,224,733 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$195,607 | PYOtherRevenueAmt |
| CY Other Revenue | -$91,226 | CYOtherRevenueAmt |
| PY Total Revenue | $66,958,760 | PYTotalRevenueAmt |
| CY Total Revenue | $41,176,901 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $28,569,309 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $23,024,328 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $492,627 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $28,078,811 | PYOtherExpensesAmt |
| CY Other Expenses | $23,868,279 | CYOtherExpensesAmt |
| PY Total Expenses | $56,648,120 | PYTotalExpensesAmt |
| CY Total Expenses | $46,892,607 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $10,310,640 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$5,715,706 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $76,767,096 | TotalAssetsBOYAmt |
| Total Assets EOY | $57,755,855 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $43,367,455 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $42,021,309 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $33,399,641 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $15,734,546 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | REST HAVEN ILLIANA CHRISTIAN CONVALESCENT HOME D/B/A PROVIDENCE LIFE SERVICES (REST HAVEN) IS A NOT-FOR-PROFIT ILLINOIS CORPORATION WHOSE PURPOSE IS TO PROVIDE NURSING AND RESIDENTIAL LIVING ARRANGEMENTS FOR THE AGED INCLUDING SKILLED NURSING AND REHABILITATION SERVICES, HOME HEALTH CARE, TOWNHOME LIVING, INDEPENDENT LIVING, AND ASSISTED LIVING. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $38,574,073 | ExpenseAmt |
| Revenue | $38,168,107 | RevenueAmt |
| Desc | TO PROVIDE PROPER CARE FOR THE SICK AND ELDERLY. 379 BEDS/UNITS WITH OCCUPANCY OVER 94% ON THE FULL CONTINUUM OF CARE. | Desc |
| Total Program Service Expenses | $38,574,073 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 91 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 628 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (1) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (1) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 16 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 15 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | IL | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BARRY VANDERGENUGTEN | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7083428100 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 18601 NORTH CREEK DRIVE | AddressLine1Txt |
| City | TINLEY PARK | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60477 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (26 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| RICH SCHUTT | ||||||||
| DIRECTOR & CEO | 40.00 | 5.00 | Yes (X) | Yes (X) | $686,133 | $0 | $28,539 | |
| JAKE GROENEWOLD | ||||||||
| CHAIR | 1.00 | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| PAUL BUIKEMA | ||||||||
| VICE CHAIR | 1.00 | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| KAREN HUIZENGA | ||||||||
| SECRETARY/TREASURER | 1.00 | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| KEN HOVING | ||||||||
| ASST. SECRETARY/TREASURER | 1.00 | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| EDWARD DAMSTRA III | ||||||||
| DIRECTOR | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| TED FEENSTRA | ||||||||
| DIRECTOR | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| SHERYL HAMMER | ||||||||
| DIRECTOR | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| PATTI JABAAY | ||||||||
| DIRECTOR | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| EMILY MCMASTER | ||||||||
| DIRECTOR | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| GARY LEO | ||||||||
| DIRECTOR | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| DARREN VAN ESSEN | ||||||||
| DIRECTOR | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| DAVID VOSS | ||||||||
| DIRECTOR | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| KYLE YONKER | ||||||||
| DIRECTOR | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| ARNOLD KOLDENHOVEN | ||||||||
| DIRECTOR | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| ERIC WOO | ||||||||
| DIRECTOR | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| PAUL KATS | ||||||||
| DIRECTOR - PART YEAR | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| ROGER BOERMA | ||||||||
| DIRECTOR - PART YEAR | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| BILL ZANDSTRA | ||||||||
| DIRECTOR - PART YEAR | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| WILLIAM DEYOUNG | ||||||||
| COO | 40.00 | 5.00 | Yes (X) | $473,238 | $0 | $83,887 | ||
| BARRY VANDERGENUGTEN | ||||||||
| CFO | 40.00 | 5.00 | Yes (X) | $403,100 | $0 | $29,973 | ||
| SUSAN ENRIGHT | ||||||||
| VP HOME & COMMUNITY BASED | 40.00 | 0.00 | $219,595 | $0 | $16,077 | Yes (X) | ||
| JOHANNA ZANDSTRA | ||||||||
| VP OF OPERATIONS | 40.00 | 5.00 | $191,645 | $0 | $29,909 | Yes (X) | ||
| MEGAN TENGERSTROM | ||||||||
| VP OF OPERATIONS | 40.00 | 5.00 | $219,057 | $0 | $18,396 | Yes (X) | ||
| SCOTT STUDEBAKER | ||||||||
| VP MINISTRY ADVANCEMENT & DEVELOPMENT | 40.00 | 5.00 | $189,131 | $0 | $20,392 | Yes (X) | ||
| LARRY OTTE | ||||||||
| VP OF FINANCE | 40.00 | 5.00 | $196,210 | $0 | $30,295 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,578,109 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $257,468 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 34 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| SYMBRIA REHAB | |||||
| 28100 TORCH PARKWAY | WARRENVILLE | IL | 60555 | THERAPY | $3,460,703 |
| PROVIDENCE MGMT & DEVELOPMENT (DBA PROVI | |||||
| 18645 WEST CREEK DRIVE | TINLEY PARK | IL | 60477 | IT SERVICES | $1,940,577 |
| GORDON FOOD SERVICE | |||||
| PO BOX 88029 | CHICAGO | IL | 60680 | DINING SERVICES | $1,713,962 |
| CREATIVE DINING SERVICES | |||||
| 1 ROYAL PARK DR 3 | ZEELAND | MI | 49464 | DINING SERVICES | $1,137,578 |
| NOVASTAFF HEALTHCARE SERVICE INC | |||||
| PO BOX 249 | COAL CITY | IL | 60416 | NURSING AND HEALTHCARE SERVICES | $597,787 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 43 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $301,772 | FundraisingAmt |
| Government Grants | $367,567 | GovernmentGrantsAmt |
| All Other Contributions | $1,201,390 | AllOtherContributionsAmt |
| Total Contributions | $1,870,729 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| ROUTINE REVENUE | 621610 | $36,995,123 | $36,995,123 | |
| ANCILLARY REVENUE | 621610 | $3,627,008 | $2,994,168 | $632,840 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $40,622,131 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $596,451 | TotalRevenueColumnAmt |
| Exclusion | $596,451 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $16,509,808 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $16,509,808 | SecuritiesAmt |
| Other | $1,821,184 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | -$1,821,184 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$1,821,184 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | -$1,821,184 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $143,500 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $301,772 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $234,726 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$91,226 | TotalRevenueColumnAmt |
| Exclusion | -$91,226 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $41,176,901 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $38,168,107 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $632,840 | UnrelatedBusinessRevenueAmt |
| Exclusion | $505,225 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,704,872 | TotalAmt |
| Management And General | $1,704,872 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,164,175 | TotalAmt |
| Program Services | $14,086,327 | ProgramServicesAmt |
| Management And General | $3,685,152 | ManagementAndGeneralAmt |
| Fundraising | $392,696 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $305,595 | TotalAmt |
| Program Services | $203,465 | ProgramServicesAmt |
| Management And General | $86,622 | ManagementAndGeneralAmt |
| Fundraising | $15,508 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,449,158 | TotalAmt |
| Program Services | $1,321,389 | ProgramServicesAmt |
| Management And General | $71,676 | ManagementAndGeneralAmt |
| Fundraising | $56,093 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,400,528 | TotalAmt |
| Program Services | $1,103,922 | ProgramServicesAmt |
| Management And General | $268,276 | ManagementAndGeneralAmt |
| Fundraising | $28,330 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,590 | TotalAmt |
| Management And General | $10,590 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,388,218 | TotalAmt |
| Program Services | $2,688,848 | ProgramServicesAmt |
| Management And General | $699,370 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $515,412 | TotalAmt |
| Program Services | $515,412 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $704,721 | TotalAmt |
| Program Services | $523,029 | ProgramServicesAmt |
| Management And General | $181,692 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,146,343 | TotalAmt |
| Program Services | $1,146,343 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,239,098 | TotalAmt |
| Program Services | $2,086,109 | ProgramServicesAmt |
| Management And General | $152,989 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,737,291 | TotalAmt |
| Program Services | $1,638,308 | ProgramServicesAmt |
| Management And General | $98,983 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,964,773 | TotalAmt |
| Program Services | $1,858,220 | ProgramServicesAmt |
| Management And General | $106,553 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,666,634 | TotalAmt |
| Program Services | $1,280,674 | ProgramServicesAmt |
| Management And General | $385,960 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| NURSING EXPENSE | $2,792,243 | $2,792,243 | |
| FOOD & DIETARY EXPENSE | $2,098,292 | $2,098,292 | |
| PHARMACY EXPENSE | $850,882 | $817,187 | $33,695 |
| SOCIAL SERVICES & ACTIV | $330,181 | $330,181 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,423,601 | TotalAmt |
| Program Services | $4,084,124 | ProgramServicesAmt |
| Management And General | $339,477 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $46,892,607 | TotalAmt |
| Program Services | $38,574,073 | ProgramServicesAmt |
| Management And General | $7,825,907 | ManagementAndGeneralAmt |
| Fundraising | $492,627 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,038,773 | BOYAmt |
| EOY | $472,065 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $226,837 | BOYAmt |
| EOY | $127,528 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,694,019 | BOYAmt |
| EOY | $2,054,775 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $578,637 | BOYAmt |
| EOY | $691,059 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $51,876,430 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $23,947,953 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,964,207 | BOYAmt |
| EOY | $27,928,477 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,156,943 | BOYAmt |
| EOY | $6,277,743 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $652,869 | BOYAmt |
| EOY | $318,932 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,454,811 | BOYAmt |
| EOY | $19,885,276 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $76,767,096 | BOYAmt |
| EOY | $57,755,855 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,006,671 | BOYAmt |
| EOY | $6,186,912 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $577,894 | BOYAmt |
| EOY | $627,285 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,795,687 | BOYAmt |
| EOY | $32,086,314 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,987,203 | BOYAmt |
| EOY | $3,120,798 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $43,367,455 | BOYAmt |
| EOY | $42,021,309 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,973,350 | BOYAmt |
| EOY | $15,223,469 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $426,291 | BOYAmt |
| EOY | $511,077 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,399,641 | BOYAmt |
| EOY | $15,734,546 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $76,767,096 | BOYAmt |
| EOY | $57,755,855 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$5,715,706 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $12,010 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$11,961,399 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,651,685 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,887,369 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,552,517 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,783,625 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,870,729 | CurrentTaxYearAmt |
| Total | $18,745,925 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $77,473,126 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $56,204,654 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $56,161,018 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $48,837,276 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $40,126,419 | CurrentTaxYearAmt |
| Total | $278,802,493 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $79,124,811 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $62,092,023 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $62,713,535 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $51,620,901 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $41,997,148 | CurrentTaxYearAmt |
| Total | $297,548,418 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $142,964 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $155,395 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $202,321 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $319,476 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $301,546 | CurrentTaxYearAmt |
| Total | $1,121,702 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $142,964 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $155,395 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $202,321 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $319,476 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $301,546 | CurrentTaxYearAmt |
| Total | $1,121,702 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $296,426,716 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $543,487 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $483,540 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $364,052 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $311,057 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $596,451 | CurrentTaxYearAmt |
| Total | $2,298,587 | TotalAmt |
Post1975 UBTI Post1975UBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $35,313 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $22,547 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $18,963 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $29,383 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $48,711 | CurrentTaxYearAmt |
| Total | $154,917 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $578,800 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $506,087 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $383,015 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $340,440 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $645,162 | CurrentTaxYearAmt |
| Total | $2,453,504 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $79,703,611 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $62,598,110 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $63,096,550 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $51,961,341 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $42,642,310 | CurrentTaxYearAmt |
| Total | $300,001,922 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.98810 | PublicSupportCY509Pct |
| Public Support PY509 | 0.98770 | PublicSupportPY509Pct |
| Investment Income CY | 0.00820 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00630 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,810,562 | OtherCostOrOtherBasisAmt |
| Book Value | $4,810,562 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $43,564,336 | OtherCostOrOtherBasisAmt |
| Depreciation | $21,363,789 | DepreciationAmt |
| Book Value | $22,200,547 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,362,277 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,532,514 | DepreciationAmt |
| Book Value | $829,763 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $139,255 | OtherCostOrOtherBasisAmt |
| Depreciation | $51,650 | DepreciationAmt |
| Book Value | $87,605 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $27,928,477 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (8 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| GROUND LEASE RECEIVABLES | $945,060 |
| ASSETS LIMITED TO USE | $1,161,106 |
| DUE FROM AFFILIATES | $10,664,416 |
| OTHER ASSETS | $71,259 |
| LEGAL LIABILITY INS RECOVERIES | $1,211,917 |
| DEFERRED COMP GRANTOR TRUST | $606,783 |
| INTEREST RATE SWAP VALUE | $1,423,797 |
| CASH RESERVES | $3,800,938 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $19,885,276 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)
| DescDesc | AmtAmt |
|---|---|
| ESTIMATED SELF-INS LIABILITIES | $1,785,684 |
| ASSET RETIREMENT OBLIGATION | $63,053 |
| RESIDENT NOTES AND DEPOSITS | $1,081,981 |
| ACCRUED INTEREST PAYABLE | $54,101 |
| CHARITABLE ANNUITY CONTRACTS | $135,979 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $3,120,798 | TotalLiabilityAmt |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | BANQUET | Event1Nm |
| Gross Receipts Event1 | $227,753 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $160,253 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $67,500 | GrossRevenueEvent1Amt |
| Other Direct Expenses Event1 | $146,774 | OtherDirectExpensesEvent1Amt |
| Event2 | GOLF OUTING | Event2Nm |
| Gross Receipts Event2 | $142,558 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $79,558 | CharitableContriEvent2Amt |
| Gross Revenue Event2 | $63,000 | GrossRevenueEvent2Amt |
| Other Direct Expenses Event2 | $64,703 | OtherDirectExpensesEvent2Amt |
| Other Events Total | 1 | OtherEventsTotalCnt |
| Gross Receipts Other Events | $74,961 | GrossReceiptsOtherEventsAmt |
| Charitable Contri Other Events | $61,961 | CharitableContriOtherEventsAmt |
| Gross Revenue Other Events | $13,000 | GrossRevenueOtherEventsAmt |
| Oth Direct Expnss Other Events | $23,249 | OthDirectExpnssOtherEventsAmt |
| Gross Receipts Total | $445,272 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $301,772 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $143,500 | GrossRevenueTotalEventsAmt |
| Oth Direct Expnss Total Events | $234,726 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $234,726 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$91,226 | NetIncomeSummaryAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | FORM 990, SCHEDULE G, PART II: | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION HOSTS EVENTS FOR PUBLIC RELATIONS AND FUNDRAISING PURPOSES. THESE EVENTS ARE OFTEN UNDERWRITTEN BY LEADERSHIP SPONSORS OF WHICH THEIR SPONSORSHIPS ARE ALLOCATED AMONGST THE VARIOUS EVENTS. THE COMBINED GROSS RECEIPTS OF THE EVENTS TOTALED $445,272 FOR 2023. THE COMBINED COSTS OF THE EVENTS TOTALED $234,726. THE NET INCOME TO THE ORGANIZATION FOR HOSTING ALL OF THE EVENTS WAS $210,546. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Travel For Companions | Yes (X) | TravelForCompanionsInd |
| Written Policy Ref T And E Expnss | Yes (1) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| RICH SCHUTT | ||||||||||||||
| DIRECTOR & CEO | $581,196 | $0 | $85,135 | $0 | $19,802 | $0 | $13,200 | $0 | $15,339 | $0 | $714,672 | $0 | $0 | $0 |
| WILLIAM DEYOUNG | ||||||||||||||
| COO | $402,881 | $0 | $56,242 | $0 | $14,115 | $0 | $62,590 | $0 | $21,297 | $0 | $557,125 | $0 | $0 | $0 |
| BARRY VANDERGENUGTEN | ||||||||||||||
| CFO | $336,360 | $0 | $46,956 | $0 | $19,784 | $0 | $12,937 | $0 | $17,036 | $0 | $433,073 | $0 | $0 | $0 |
| MEGAN TENGERSTROM | ||||||||||||||
| VP OF OPERATIONS | $207,194 | $0 | $10,063 | $0 | $1,800 | $0 | $8,690 | $0 | $9,706 | $0 | $237,453 | $0 | $0 | $0 |
| SUSAN ENRIGHT | ||||||||||||||
| VP HOME & COMMUNITY BASED | $216,300 | $0 | $0 | $0 | $3,295 | $0 | $8,652 | $0 | $7,425 | $0 | $235,672 | $0 | $0 | $0 |
| LARRY OTTE | ||||||||||||||
| VP OF FINANCE | $177,648 | $0 | $5,300 | $0 | $13,262 | $0 | $7,138 | $0 | $23,157 | $0 | $226,505 | $0 | $0 | $0 |
| JOHANNA ZANDSTRA | ||||||||||||||
| VP OF OPERATIONS | $174,157 | $0 | $6,500 | $0 | $10,988 | $0 | $6,966 | $0 | $22,943 | $0 | $221,554 | $0 | $0 | $0 |
| SCOTT STUDEBAKER | ||||||||||||||
| VP MINISTRY ADVANCEMENT & DEVELOPMEN | $174,069 | $0 | $5,000 | $0 | $10,062 | $0 | $6,963 | $0 | $13,429 | $0 | $209,523 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 1A | THE ORGANIZATION PROVIDES AN ALLOWANCE FOR UP TO 10 BOARD MEMBERS TO ATTEND THE ANNUAL ASSOCIATION CONVENTION TO PROVIDE MORE IN DEPTH KNOWLEDGE OF THE SENIOR CARE INDUSTRY. THE COST OF TRAVEL FOR SPOUSES IS PERMITTED AS LONG AS THE TOTAL DOES NOT EXCEED THE ESTABLISHED ALLOWANCE AMOUNT. THE BENEFIT OF SPOUSAL TRAVEL IS INCLUDED IN TAXABLE COMPENSATION. DOCUMENTATION OF ATTENDANCE AT THE ANNUAL CONVENTION IS REQUIRED. |
| PART I, LINE 4B | REST HAVEN HAS ESTABLISHED A NONQUALIFIED DEFERRED COMPENSATION PLAN IN AN EFFORT TO RETAIN SELECTED OFFICERS ON A LONG TERM BASIS. WILLIAM DEYOUNG PARTICIPATES IN THE PLAN. IN 2023, THERE WERE NO DISTRIBUTIONS FROM OR AMOUNTS VESTED IN THE ACCOUNT. THE PLAN WAS ORIGINALLY SET UP IN 2005 BY THE BOARD OF DIRECTORS TO ESTABLISH A RETENTION INITIATIVE FOR CERTAIN OFFICERS. THIS PLAN RECOGNIZES THE HISTORIC CONTRIBUTION OF THE EXECUTIVES AND ESTABLISHES AN INCENTIVE FOR THEM TO CONTINUE THEIR EMPLOYMENT WITH THE ORGANIZATION UNTIL NORMAL RETIREMENT AGE. AMONG VARIOUS CRITERIA, IN ORDER TO QUALIFY FOR THE BENEFIT, THE EXECUTIVE WILL NEED TO BE CONTINUOUSLY EMPLOYED THRU AND UNTIL A FUTURE DATE. THE ORGANIZATION'S PAYMENTS INTO THE PLAN ARE RECORDED ON THE 990 AS DEFERRED COMPENSATION. HOWEVER, THESE MONIES ARE ONLY ELIGIBLE TO BE RECEIVED BASED UPON THE ACHIEVEMENT OR SATISFACTION OF SOME FUTURE EVENTS. THE PLAN CONTRIBUTIONS ARE NOT UNDER THE CONTROL OF THE EXECUTIVE, THEY REMAIN THE ASSET OF THE ORGANIZATION, AND THE ENTIRE PLAN IS SUBJECT TO A FULL RISK OF FORFEITURE BY THE INDIVIDUAL. |
| PART I, LINE 7 | THE EXECUTIVE COMPENSATION PROGRAM HAS TWO MAJOR ELEMENTS, SALARY, OR BASE PAY, AND VARIABLE PAY. THE SALARY REFLECTS THE VALUE OF AN EXECUTIVE'S CAPABILITIES AND EXPERIENCE. THE VARIABLE PAY REFLECTS THE ORGANIZATION'S COMMITMENT TO PAY FOR SPECIFIC PERFORMANCE TOWARDS THE ORGANIZATION'S GOALS. THE VARIABLE PAY IS AWARDED SEMI-ANNUALLY BASED UPON A SPECIFIC REVIEW OF GOALS AND OBJECTIVES (INCLUDING THOSE WHICH RELATE TO MISSION, OPERATIONAL EFFICIENCY, FINANCIAL EFFECTIVENESS, AND STRATEGIC GOALS). THE COMPENSATION COMMITTEE REVIEWS, ASSESSES AND DETERMINES ANY AWARD UNDER THE VARIABLE PAY COMPONENT. EXECUTIVE EMPLOYEES ARE REVIEWED BY THE COMPENSATION COMMITTEE AND OUTSIDE CONSULTANTS TO ENSURE THEY ARE COMPETITIVE AND IN LINE WITH COMMON PRACTICE FOR SIMILAR POSITIONS IN SIMILARLY SIZED AND TYPE ORGANIZATIONS. THE COMMITTEE ROUTINELY RECEIVES AN EXECUTIVE COMPENSATION OPINION NOTING THAT THE ORGANIZATION'S EXECUTIVE COMPENSATION FALLS WITHIN THE RANGE OF COMPARABLE POSITIONS WITHIN THE SAME INDUSTRY AND SCALE OF OPERATIONS. THE REPORT/OPINION ALSO NOTES THAT THE STATED REQUIREMENTS OF ENSURING INDEPENDENCE OF COMPENSATION DELIBERATIONS FOR SENIOR EXECUTIVES ARE MET. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 2 | JOHANNA ZANDSTRA (VP OF OPERATIONS) AND BILL ZANDSTRA (SECRETARY/TREASURER) HAVE A FAMILY RELATIONSHIP. |
| FORM 990, PART VI, SECTION B, LINE 11B | A DRAFT OF THE 990 WAS PREPARED AND SENT FOR INITIAL REVIEW BY THE CONTROLLER, CFO AND CEO. UPON REVIEW AND APPROVAL, THE 990 WAS MADE AVAILABLE TO THE ENTIRE BOARD PRIOR TO ITS FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE OFFICERS, DIRECTORS/TRUSTEES AND KEY EMPLOYEES ARE REQUIRED TO SUBMIT A CONFLICT OF INTEREST STATEMENT UPON BEGINNING THEIR POSITION. THEREAFTER, THE CONFLICT OF INTEREST STATEMENTS ARE UPDATED ON AN ANNUAL BASIS. ANY POTENTIAL CONFLICTS ARE REVIEWED AND ADDRESSED BY THE BOARD AS NECESSARY. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE EXECUTIVE COMPENSATION PROGRAM'S PRIMARY OBJECTIVE IS TO PROVIDE COMPETITVE TOTAL PAY OPPORTUNITIES THAT HELP ATTRACT, REWARD AND RETAIN CRITICAL LEADERSHIP TALENT IN ORDER TO ACHIEVE THE ORGANIZATION'S MISSION AND STRATEGIC INITIATIVES. REST HAVEN ESTABLISHES ITS EXECUTIVE COMPENSATION RANGES THROUGH A WRITTEN POLICY AND BY COMPARING ITSELF TO ORGANIZATIONS OF SIMILAR SIZE AND TYPE - USING OBJECTIVE, THIRD-PARTY DATA. A COMPENSATION COMMITTEE OF INDEPENDENT DIRECTORS RECOMMENDS, AND THE BOARD OF DIRECTORS APPROVES, THE SALARY RANGES AND REVIEWS TOTAL COMPENSATION FOR EXECUTIVES ON AN ANNUAL BASIS. THE ORGANIZATION ROUTINELY USES KNOWLEDGEABLE EXTERNAL CONSULTANTS TO ADVISE ON THE PROCESS AND HAS RECEIVED AFFIRMATION OF COMPLIANCE WITH IRS GUIDELINES FOR REASONABLENESS OF EXECUTIVE COMPENSATION IN TAX-EXEMPT ENTITIES. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART XI, LINE 9: | TRANSFER OF EQUITY TO RELATED ENTITIES -11,298,721. UNREALIZED GAIN ON INTEREST RATE SWAP -662,678. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (7 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Total IncomeTotalIncomeAmt | End Of Year AssetsEndOfYearAssetsAmt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|
| PROVIDENCE DEVELOPMENT GROUP | ||||||||
| 18601 N CREEK DRIVE | TINLEY PARK | IL | 60477 | DEVELOPMENT | IL | $0 | $1,828,934 | REST HAVEN |
| PARK PLACE REALTY GROUP LLC | ||||||||
| 18601 N CREEK DRIVE | TINLEY PARK | IL | 60477 | REAL ESTATE | IL | $8,235 | $201,027 | REST HAVEN |
| PROVIDENCE OPERATIONS LLC | ||||||||
| 18601 N CREEK DRIVE | TINLEY PARK | IL | 60477 | OPERATIONS | IL | $0 | -$331,961 | REST HAVEN |
| PROVIDENCE TENANT LLC | ||||||||
| 18601 N CREEK DRIVE | TINLEY PARK | IL | 60477 | REAL ESTATE | IL | $0 | $0 | REST HAVEN |
| PROVIDENCE DOWNERS GROVE LLC | ||||||||
| 18601 N CREEK DRIVE | TINLEY PARK | IL | 60477 | REAL ESTATE | IL | $0 | $0 | PROVIDENCE TENANT LLC |
| PROVIDENCE GRAND RAPIDS LLC | ||||||||
| 18601 N CREEK DRIVE | TINLEY PARK | IL | 60477 | REAL ESTATE | IL | $0 | $0 | PROVIDENCE TENANT LLC |
| ROYAL PARK PLACE II LLC | ||||||||
| 18601 N CREEK DRIVE | TINLEY PARK | IL | 60477 | OPERATIONS | IL | $254,156 | -$5,279,271 | REST HAVEN |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| CHRISTIAN HEALTHCARE FOUNDATION | ||||||||||
| 18601 N CREEK DRIVE | TINLEY PARK | IL | 60477 | 200722359 | RESEARCH | IL | 501(C)(3) | LINE 10 | REST HAVEN | Yes (1) |
| CHRISTIAN LIVING CAMPUS | ||||||||||
| 18601 N CREEK DRIVE | TINLEY PARK | IL | 60477 | 200226221 | SENIOR LIVING | IL | 501(C)(3) | LINE 10 | REST HAVEN | Yes (1) |
| TIMOTHY PLACE | ||||||||||
| 18601 N CREEK DRIVE | TINLEY PARK | IL | 60477 | 201835089 | SENIOR LIVING | IL | 501(C)(3) | LINE 10 | REST HAVEN | Yes (1) |
| PARK PLACE CHRISTIAN COMMUNITY OF ST JOHN INC | ||||||||||
| 18601 N CREEK DRIVE | TINLEY PARK | IN | 60477 | 201834903 | SENIOR LIVING | IL | 501(C)(3) | LINE 10 | REST HAVEN | Yes (1) |
| HUDSONVILLE PARK PLACE | ||||||||||
| 18601 N CREEK DRIVE | TINLEY PARK | IL | 60477 | 201834667 | SENIOR LIVING | IL | 501(C)(3) | LINE 10 | REST HAVEN | Yes (1) |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PROVIDENCE MGMT & DEVELOPMENT | |||||||||||||
| 18601 N CREEK DRIVE | TINLEY PARK | IL | 60477 | 363774205 | IT SERVICES | IL | N/A | C | $665,608 | $883,798 | 1.00000 | Yes (1) | |
| PROVIDENCE HOUSING CORPORATION | |||||||||||||
| 18601 N CREEK DRIVE | TINLEY PARK | IL | 60477 | 461379112 | HOUSING | IL | C | $94,098 | $1,432,858 | 1.00000 | Yes (1) | REST HAVEN | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (1) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (4 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| PROVIDENCE MGMT & DEVELOPMENT | ||
| P | $1,135,774 | FMV |
| PROVIDENCE MGMT & DEVELOPMENT | ||
| Q | $620,240 | FMV |
| TIMOTHY PLACE | ||
| Q | $866,038 | FMV |
| PARK PLACE OF ST JOHN | ||
| Q | $1,310,833 | FMV |