2021-05-13T15:05:12-07:00 2020-12-31 990 2020-01-01 813166606 Atrio Home Care ATRI 6162234142 1551 Franklin St SE Grand Rapids MI 49506 Hermina Breuker Chairperson 6162355005 2021-04-30 1 11 0 AAL2 2020 2022-09-23 18:48:47Z Atrio Help at Home Hermina Breuker 2100 Raybrook St SE Suite 300 Grand Rapids MI 49546 1799374 0 X www.atriohomecare.org X 2016 MI To provide seniors and their family members and care givers access to a wide array of coordinated home and community based healthcare and assistance with the goal of empowering seniors to remain or rehabilitate safely in their homes. 6 0 109 0 0 0 101175 52937 1869502 1743080 18 1499 68 1858 1970763 1799374 0 0 0 0 1478805 1437704 0 0 0 394829 359878 1873634 1797582 97129 1792 836908 603820 649716 901132 187192 -297312 To provide the highest level of care and support for those we serve by utilizing the values, unique gifts, and professional expertise of each Atrio Home Care team member. 0 0 1560725 1744938 Provision of in-home services, including: personal care, life enrichment, care coordination, monitoring, light house work, respite care, medication set-up and reminders, meal preparation and related services, attendant services, massage therapy, memory care services, and home risk and safety evaluations. 0 0 0 1560725 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 0 0 0 1 1 0 109 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 6 0 0 0 0 0 1 0 1 1 1 0 0 1 1 1 1 1 1 1 1 0 MI X David Tiesenga 6162355035 2100 Raybrook St SE Suite 300 Grand Rapids MI 49546 Hermina Breuker President/Chairperson 2 50 X X 0 411239 25752 David Tiesenga Director/Assistant Secretary 2 50 X X 0 316459 24769 Brian Pangle Director/Secretary 2 50 X X 0 265102 38858 Deedre Vriesman Director/Treasurer 2 50 X 0 193532 0 Kelli Timmer Director 0 0 X X 0 109711 0 Seth Weener Director 2 50 X 0 71548 1838 0 1367591 91217 0 1 1 0 Holland Home 2100 Raybrook St SE Grand Rapids MI 49546 management fees & other expenses 387184 1 0 0 0 0 42188 10749 0 52937 In-Home Services 621610 1743080 1743080 0 0 0 0 0 0 1743080 1499 0 0 1499 0 0 0 0 0 0 0 0 0 0 0 0 0 1858 1858 0 0 1858 1799374 1744938 0 1499 1221434 1148493 72941 5444 5119 325 121525 114268 7257 89301 83968 5333 134580 0 134580 2935 0 2935 3763 0 3763 36594 36594 0 84 84 0 11136 11136 0 12843 12843 0 0 0 0 27303 27303 0 54567 54567 0 0 0 0 881 881 0 9723 0 9723 Purchased contracted services 5049 5049 0 0 Miscellaneous 4901 4901 0 0 Dues & memberships 1706 1706 0 0 Medical Supplies & Telehealth 38041 38041 0 0 15772 15772 0 0 1797582 1560725 236857 0 252360 261005 0 33270 0 0 205518 176335 0 0 0 0 319060 65551 0 0 32577 41008 5425 5286 881 139 0 0 0 0 0 0 26512 26512 0 0 836908 603820 149716 150975 0 0 0 0 0 0 0 0 0 0 0 0 0 250157 500000 500000 649716 901132 X 187192 -297312 0 0 187192 -297312 836908 603820 X 1792 -1750 0 0 2822 -487368 X 0 1 X 1 0 X 50000 0 0 101175 10749 161924 50000 0 0 101175 10749 161924 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 161924 0 7 13 0 1499 1519 0 7 13 0 1499 1519 50000 7 13 101175 12248 163443 0.99071 0.99987 0.00929 0.00013 X 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5425 5286 139 139 0 Related party advance payable 500000 500000 1797624 -1750 0 0 0 -1750 1799374 0 0 0 1799374 1797582 0 0 0 0 0 1797582 0 0 0 1797582 X X X X 0 0 0 0 0 0 0 0 0 Hermina Breuker President/Chairperson 0 382160 0 29079 0 0 0 19000 0 5769 0 436008 0 0 David Tiesenga Director/Assistant Secretary 0 294673 0 21785 0 0 0 19000 0 5769 0 341227 0 0 Brian Pangle Director/Secretary 0 265102 0 0 0 38858 0 0 0 0 0 303960 0 0 Deedre Vriesman Director/Treasurer 0 193532 0 0 0 0 0 0 0 0 0 193532 0 0 Clark Retirement parent organization 10530 facility rental 1 Holland Home parent organization 134580 management services 1 Schedule L, Part I, Line 1 Atrio Home Care has entered into a management services agreement with Holland Home, a wholly owned subsidiary of Christian Living Services (which holds a 60% membership interest in Atrio Home Care). The management services agreement provides for certain services, including human resources, information technology, finance, and executive leadership to be provided by Holland Home for the benefit of Atrio Home Care. Atrio Home Care leases facilities, through a facility lease agreement, from Clark Retirement Community, Inc. (which holds a 20% membership interest in Atrio Home Care), for administrative and office space. All other transactions between the organization ownership or affiliates have been considered in the ordinary course of business and are considered and outlined within Schedule R. Form 990, Part VI, Section A, Line 6 Pursuant to its Articles of Incorporation, as amended, the organization is organized on a stock basis. Form 990, Part VI, Section A, Line 7b Pursuant to its Bylaws, as amended, the corporation consists of one class, with the current shareholders being: Christian Living Services (600 shares of common stock), Clark Retirement Community Inc (200 shares of common stock) and Resthaven (200 shares of common stock). Certain actions are provided for, requiring a 60% support of shares outstanding, while other actions require 80% support of shares outstanding and any changes to the mission or core values of the corporation, any changes to the structure or operation of the corporation, or adoption, amendment, repeal or waiving of provisions to the Articles of Incorporation or Bylaws must receive 100% support of shares outstanding. Form 990, Part VI, Section B, Line 11b The Form 990 and appropriate schedules are prepared by the organization. A draft of the Form is reported to the organization's Finance Committee, which is given opportunity to review the form, prior to its submission to the Internal Revenue Service. Upon confirmation of review, the form is subsequently submitted and filed with the Internal Revenue Service. Form 990, Part VI, Section B, Line 12c On an annual basis each director, principal officer and member of a committee with board delegated powers must complete a statement that (1) they have received a copy of the Conflict of Interest Policy, (2) they have read and understand the policy, (3) they have agreed to comply with the policy, and (4) understands that the organization is charitable and in order to maintain its federal tax exemption it must engage Atrio Home Care primarily in activities which accomplish one or more of its tax exempt purposes. Form 990, Part VI, Section B, Line 15 The organization purchases compensation surveys and establishes the executive compensation around the fiftieth percentile, (with some flexibility) of prevailing market rates for similar positions, market trends, and the financial resources of the organization. The organization is committed to balancing fiscal stewardship with a desire to competitively compensate its personnel. Executive compensation is reviewed within the compensation committee of the Board of Directors. Form 990, Part VI, Section C, Line 19 The organization does not generally make its governing documents or Conflict of Interest Policy available to the public; however, such documents would be subject to public inspection if so requested. Form 990, Part XI, Line 9 During 2020, Atrio Home Care transferred, through forgiveness of liabilities, net assets to Atrio Home Health Lakeshore. Christian Living Services 2100 Raybrook St SE Grand Rapids MI 49546 261126816 senior living mgmt MI 501(c)(3) 12b N/A Resthaven 9 East 8th Street Holland MI 49423 381387113 IL/AL/SNF MI 501(c)(3) 10 N/A Clark Retirement Community Inc 1551 Franklin St SE Grand Rapids MI 49506 381366932 IL/AL/SNF MI 501(c)(3) 10 N/A Atrio Home Health 2100 Raybrook St SE Grand Rapids MI 49546 382660300 home care svcs MI 501(c)(3) Atrio Home Care 1 Holland Home 2100 Raybrook St SE Grand Rapids MI 49546 381366927 IL/AL/SNF MI 501(c)(3) 10 Christian Living Services Atrio Home Health Lakeshore 2100 Raybrook St SE Grand Rapids MI 49546 814839698 Home Health Care MI 501(c)(3) 12b Atrio Home Care 1 Faith Hospice 2100 Raybrook St SE Grand Rapids MI 49546 383062893 Hospice Care MI 501(c)(3) 12b Christian Living Services EHCO Group 2100 Raybrook St SE Grand Rapids MI 49546 health management MI N/A Related 0 0 0.4 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 1 1 1 0 Holland Home m 134580 set fee for management services Holland Home p 213096 reimbursement for expenses Atrio Home Health Lakeshore p 40678 reimbursement for expenses Atrio Home Health Lakeshore q 68711 reimbursement for expenses Atrio Home Health Lakeshore r 487368 transfer of net assets as a result of forgiveness of related party liabilities EHCO Group l 11059 services based upon set fee Faith Hospice n 26828 reimbursement for expenses Atrio Home Health p 40310 reimbursement for expenses Atrio Home Health q 159519 reimbursement for expenses Clark Retirement Community Inc k 10530 lease/occupancy agreement Schedule R, Part III Clark Retirement Community Inc and Holland Home each maintain a 20% membership interest in EHCO Group, LLC (dba Tandem365). Both Clark Retirement Community Inc and Christian Living Services (the sole member of Holland Home) hold a combined 80% interest in Atrio Home Care. Atrio Home Care provides contracted services to Tandem365 during the ordinary course of business.