2023-11-10T15:33:23-06:00 2022-12-31 381357951 PLANTE & MORAN PLLC 750 TRADE CENTRE WAY STE 300 PORTAGE MI 49002 990 2022-01-01 381387113 RESTHAVEN REST 6167963504 948 WASHINGTON AVE HOLLAND MI 494235205 DEEDRE VRIESMAN PRESIDENT/CEO 6167963504 2023-11-10 1 DEEDRE VRIESMAN 999009999 0 DAVID LOWENTHAL P00378651 2695674500 2023-11-10 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z RESTHAVEN CARE COMMUNITY DEEDRE VRIESMAN 948 WASHINGTON AVE HOLLAND MI 494235205 27118990 0 X WWW.RESTHAVEN.ORG X 1945 MI RESTHAVEN'S MISSION IS TO GLORIFY GOD BY PROVIDING A CONTINUUM OF QUALITY CARE AND SERVICES THAT DEMONSTRATES THE LOVE AND COMPASSION OF JESUS CHRIST. 10 10 661 35 -48445 0 5014220 1574804 23818213 24894846 168471 284796 86516 141224 29087420 26895670 0 0 0 0 15091321 15808007 0 0 37656 9269721 9435936 24361042 25243943 4726378 1651727 35879779 54017067 11782224 28146104 24097555 25870963 X RESTHAVEN'S MISSION IS TO GLORIFY GOD BY PROVIDING A CONTINUUM OF QUALITY CARE AND SERVICES THAT DEMONSTRATES THE LOVE AND COMPASSION OF JESUS CHRIST. 0 0 17012077 17454524 RESTHAVEN CARE CENTER - PROVIDES MEDICAL REHABILITATION, LONG-TERM CARE SERVICES, AND MEMORY SUPPORT FOR SENIORS IN HOLLAND, MI. SERVING AN AVERAGE OF 137 RESIDENTS PER DAY. THE CARE AND SERVICES ARE PROVIDED IN A COMFORTABLE, HOME-LIKE SURROUNDING, INCLUDING TWO SMALL HOUSE MODELS OF 10 RESIDENTS EACH. THE INDIVIDUAL'S PHYSICAL, SPIRITUAL, AND SOCIAL NEEDS ARE SUPPORTED. RESTHAVEN CARE CENTER PROVIDES SERVICES TO THOSE WHO HAVE EXHAUSTED THEIR FINANCIAL RESOURCES. MEDICAID ELIGIBLE RESIDENTS ACCOUNT FOR APPROXIMATELY 70.8% OF THE CENSUS. THE ORGANIZATION PROVIDES UNCOMPENSATED COST OF PRIVATE ROOMS TO MANY OF THOSE ON MEDICAID AND A HIGHER STAFFING RATIO OF CAREGIVERS THAN MANDATED BY MEDICAID TO PROMOTE PERSON-CENTERED CARE FOR RESIDENTS. 4492465 4776186 RESTHAVEN MAPLE WOODS - AN AFFORDABLE ASSISTED LIVING FACILITY THAT PROVIDES SENIORS WITH 3 MEALS PER DAY, SOCIAL OPPORTUNITIES AND A SUPERVISED ENVIRONMENT TO PROMOTE THEIR HIGHEST LEVEL OF INDEPENDENCE, WHILE PROVIDING SUPPORTS NEEDED TO HELP THEM REMAIN IN THE COMMUNITY. MAPLE WOODS PROVIDES UNCOMPENSATED SERVICES TO THOSE ON MEDICAID AND THOSE RECEIVING SUPPLEMENTAL SOCIAL SECURITY INCOME, APPROXIMATELY 21.4% OF RESIDENTS AT THIS TIME. DUE TO ITS AFFORDABILITY, RESTHAVEN IS ABLE TO SERVE MANY RESIDENTS WITH INCOMES OF 50% AMI OR LESS AT MAPLE WOODS. THERE IS ALSO A SEPARATE 24-BED SMALL HOUSE MODEL ASSISTED LIVING ON THE MAPLE WOODS CAMPUS. 1451125 2099178 THE WARM FRIEND- AN INDEPENDENT LIVING FACILITY WITH 59 APARTMENTS FOR SENIORS, SERVING APPROXIMATELY 66 RESIDENTS. THE WARM FRIEND PROVIDES LIFE ENRICHMENT, DINING OPTIONS AND 24 HR ONSITE STAFF TO HELP SENIORS REMAIN INDEPENDENT IN THE COMMUNITY. 254282 564958 OTHER SERVICES 254282 564958 23209949 1 1 0 0 0 0 0 0 0 1 1 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 1 49 0 661 1 0 0 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 MI X SETH WEENER 6167963504 948 WASHINGTON AVE HOLLAND MI 494235205 NATE BAUMANN BOARD CHAIR 1.00 0.00 X X 0 0 0 BOB CARLSON BOARD TREASURER 1.00 0.00 X X 0 0 0 KEVIN VANDERKLOK BOARD SECRETARY 1.00 0.00 X X 0 0 0 DAVID LUTZ TRUSTEE 1.00 0.00 X 0 0 0 KAITLIN DEMAAGD TRUSTEE 1.00 0.00 X 0 0 0 HAANS MULDER TRUSTEE 1.00 0.00 X 0 0 0 ANNIE STERKEN TRUSTEE 1.00 0.00 X 0 0 0 DOUG DELEEUW TRUSTEE 1.00 0.00 X 0 0 0 PAM VANPUTTEN TRUSTEE 1.00 0.00 X 0 0 0 BARB KLEINHEKSEL TRUSTEE 1.00 0.00 X 0 0 0 RICHARD ZWEERING TRUSTEE-PARTIAL YEAR 1.00 0.00 X 0 0 0 DEEDRE VRIESMAN PRESIDENT/CEO 50.00 0.00 X 261175 0 12554 SETH WEENER CHIEF FINANCIAL OFFICER 50.00 0.00 X 163112 0 36784 TAMMY MCKEEVER NURSE 54.00 0.00 X 112307 0 21965 PATRICK CIOFFI DIRECTOR OF FACILITY OPERATIONS 50.00 0.00 X 100583 0 32686 STACEY ROBERTSON CERTIFIED NURSE AID 75.00 0.00 X 120197 0 12802 MARY WIKSTROM NURSE 56.00 0.00 X 109278 0 11075 ANGELINA JACOBS DIRECTOR OF NURSING 50.00 0.00 X 100531 0 8581 967183 0 136447 7 0 1 0 THW DESIGN 2100 RIVEREDGE PARKWAY STE 900 ATLANTA GA 30328 ARCHITECT 1357340 ELZINGA & VOLKERS INC 86 EAST 6TH STREET HOLLAND MI 49423 CONSTRUCTION COMPANY 1273503 DHE PLUMBING AND MECHANICAL 4475 8TH AVE GRANDVILLE MI 49418 PLUMBING 625419 FUNCTIONAL PATHWAYS 10133 SHERRILL BLVD STE 200 KNOXVILLE TN 37932 PHYSICAL THERAPY 569420 WIT & CRAFT 125 OTTAWA NE GRAND RAPIDS MI 49503 ADVERTISING 294642 15 838847 735957 1574804 ROOM AND BOARD 624310 18791032 18791032 ANCILLARY SERVICES 900099 5651308 5651308 OTHER OPERATING INCOME 900099 452506 452506 24894846 260541 260541 204133 62909 141224 141224 -48445 189669 184666 160411 24255 24255 24255 26895670 24894846 -48445 474465 473625 473625 12771179 12267259 488192 15728 185868 184055 1460 353 1398064 1316679 78106 3279 979271 907835 69479 1957 41885 2962 38923 69218 3718 65500 1325620 1118402 207035 183 346708 18880 319094 8734 238153 254842 -16701 12 318949 256142 59557 3250 1622561 1606974 15587 22286 13005 8044 1237 107501 92541 12823 2137 1681134 1540932 140202 236594 217791 18464 339 DUES & LICENSES 1306548 1304679 1544 325 FOOD 1009305 993779 15404 122 RESIDENT SUPPLIES 858637 858637 BAD DEBTS 250837 250837 25243943 23209949 1996338 37656 1490 700 9520678 10278726 434147 235547 2330199 2346190 31831 24306 134493 191376 50264965 23738221 17965758 26526744 4712757 7477180 588426 522455 160000 160000 0 6253843 35879779 54017067 3867851 8943493 660000 3298672 5657750 9819129 1596623 359860 0 5724950 11782224 28146104 X 23648120 25601017 449435 269946 24097555 25870963 35879779 54017067 X 1651727 -1376702 1498383 X X 0 1 X 1 1 1 X 654834 417173 2631962 5014220 1574804 10292993 21361914 22234886 23110990 23818213 24894846 115420849 22016748 22652059 25742952 28832433 26469650 125713842 50000 16115 19500 10000 5000 100615 0 50000 16115 19500 10000 5000 100615 125613227 275840 323842 277727 336955 464674 1679038 275840 323842 277727 336955 464674 1679038 22292588 22975901 26020679 29169388 26934324 127392880 0.98600 0.98730 0.01320 0.01180 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 46591 400 -5458 360 41173 39728 450 6739 326 46591 35572 350 4157 7 344 39728 29730 450 5724 3 329 35572 31696 200 -1839 7 320 29730 0.00000 1.00000 0.00000 1 0 2314790 2314790 31434926 19682054 11752872 1609748 942193 667555 4703165 3113974 1589191 10202336 10202336 26526744 ROU ASSETS 4740342 INTEREST SWAP CONTRACT 1513501 6253843 LEASE LIABILITY 4840700 REFUNDABLE ENTRANCE FEES 884250 5724950 27071683 -1376702 1552715 176013 26895670 0 26895670 25298275 54332 54332 25243943 0 25243943 PART V, LINE 4: THE ORGANIZATION CREATED A CHARITABLE ENDOWMENT FUND TO AID AND ASSIST IT IN CARRYING OUT ITS WORK WHICH INCLUDES PROVIDING HOUSING FACILITIES, HEALTHCARE SERVICES AND LIFE ENRICHMENT ACTIVITIES FOR SENIORS IN OUR COMMUNITY. PART XI, LINE 2D - OTHER ADJUSTMENTS: LOSS ON EARNINGS OF JOINT VENTURE -15,118. RENTAL EXPENSES FROM PART IX TO PART VIII, LINE 6B 54,332. CHANGE IN FMV OF INTEREST RATE SWAP 1,513,501. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES FROM PART IX TO PART VIII, LINE 6B 54,332. X X X X 0 0 0 0 0 0 0 1 0 DEEDRE VRIESMAN PRESIDENT/CEO 217015 0 44000 0 160 0 6196 0 6358 0 273729 0 0 0 SETH WEENER CHIEF FINANCIAL OFFICER 147671 0 15295 0 146 0 4885 0 31899 0 199896 0 0 0 PART I, LINE 7 THE PRESIDENT/CEO AND CFO OF THE ORGANIZATION RECEIVED A PERFORMANCE BONUS BASED ON MEETING GOALS AND EXPECTATIONS. THE EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES DETERMINES AND VOTES ON THE DISCRETIONARY BONUS. A MICHIGAN STRATEGIC FUND 521417332 2022-07-21 5525000 REFUND MSF SERIES 2013 & 2017 BONDS 0 1 0 B THE EDC OF THE COUNTY OF OTTAWA (SEE PART VI) 386004883 2022-07-21 78320000 FUND CONSTRUCTION OF SENIOR LIVING FACILITY 0 1 0 A 47100 5525000 61108 47100 5416792 1 0 1 1 B 78320000 1095225 5444079 71780696 0 0 0 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 B 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 1 1 0 1 1 OLD NATIONAL BANK 2043.000000000000 0 0 0 0 1 B 0 1 0 0 1 1 PROCEDURES TO UNDERTAKE 2056.000000000000 0 0 0 0 1 X 1 156050 APPRAISAL 5 0 1 0 FORM 990, PART I, ITEM C DBA: RESTHAVEN CARE CENTER DBA: THE WARM FRIEND DBA: VERN AND LOIS BOERSMA COTTAGE DBA: GOOD SHEPHERD HOME, MEMORY SUPPORT DBA: RESTHAVEN REHABILITATION DBA: RESTHAVEN MAPLE WOODS DBA: MAPLE WOODS COTTAGES DBA: CARE COTTAGES OF RESTHAVEN DBA: GOOD SHEPHERD DEMENTIA PROGRAM DBA: MAPLE WOODS, A RESTHAVEN COMMUNITY DBA: RESTHAVEN CARE CENTER AT FOUNTAINVIEW DBA: RESTHAVEN GOOD SHEPHERD HOME DBA: RESTHAVEN GREEN HOUSE DBA: RESTHAVEN GREEN HOUSE HOME DBA: RESTHAVEN PATRONS, INC. DBA: RESTHAVEN REHAB COTTAGE DBA: RESTHAVEN REHABILITATION COTTAGE DBA: THE COTTAGES AT MAPLE WOODS DBA: THE COTTAGES OF RESTHAVEN DBA: THE REHAB COTTAGE DBA: JAY & HAZEL JANSSEN COTTAGE DBA: THE FARMSTEAD BY RESTHAVEN DBA: THE RIVER PLACE BY RESTHAVEN FORM 990, PART VI, SECTION B, LINE 11B THE ACCOUNTING FIRM PROVIDES THE ORGANIZATION WITH A DRAFT COPY OF THE 990 FORM. THE ENTIRE GOVERNING BOARD REVIEWS THE FORM AND MAKES ANY CORRECTIONS OR SUGGESTIONS AS NEEDED. THE ACCOUNTING FIRM THEN REVISES THE FORM AND FILES IT ELECTRONICALLY. FORM 990, PART VI, SECTION B, LINE 12C THE POLICY APPLIES TO ALL DIRECTORS, TRUSTEES, OFFICERS, ADVISORY MEMBERS AND EXECUTIVE STAFF. ALL ACTUAL AND POTENTIAL CONFLICTS OF INTEREST MUST BE DISCLOSED TO THE PRESIDENT/CEO AND CHAIRPERSON OF THE BOARD. BOARD MEMBERS ARE REQUIRED TO SIGN A NEW CONFLICT OF INTEREST POLICY ANNUALLY. IF A CONFLICT ARISES, THE BOARD MEMBER MUST LEAVE THE ROOM DURING DISCUSSION AND ABSTAIN FROM VOTING. FORM 990, PART VI, SECTION B, LINE 15 TOP OFFICIALS ARE RATED ON A SCALE AND EVALUATED ON SEVERAL PERFORMANCE FACTORS. IT IS THE ORGANIZATION'S POLICY TO MAINTAIN FAIR AND COMPETITIVE SALARY RANGES CONSISTENT WITH THE ECONOMIC REQUIREMENTS OF THE ORGANIZATION AND COMMENSURATE WITH THOSE OF THE COMMUNITY IN WHICH IT OPERATES. LASTLY, THE BOARD OF DIRECTORS DELIBERATES AND DETERMINES WHAT IS AN APPROPRIATE COMPENSATION PACKAGE FOR TOP OFFICIALS. THE MOST RECENT YEAR THIS PROCESS WAS UNDERTAKEN WAS 2022. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: LOSS ON EARNINGS OF JOINT VENTURE -15,118. CHANGE IN FV OF INTEREST RATE SWAPS 1,513,501. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM PRIOR YEAR.