2021-02-19T15:54:20-06:00 2020-05-31 381357951 PLANTE & MORAN PLLC 10 S RIVERSIDE PLAZA 9TH FLOOR CHICAGO IL 60606 990 2019-06-01 381237795 CHRISTIAN REST HOME ASSOCIATION CHRI 6164532475 1000 EDISON AVE NW GRAND RAPIDS MI 49504 TODD NYEHOLT ADMINISTRATOR 6164532475 2021-02-17 1 DAVID LOWENTHAL P00378651 3122071040 2021-02-17 2019 2022-09-23 18:48:47Z CHRISTIAN REST HOME TODD NYEHOLT 1000 EDISON AVE NW GRAND RAPIDS MI 49504 21461694 0 X WWW.EDISONCHRISTIAN.ORG X 1945 MI PROVIDE SKILLED AND BASIC NURSING CARE, SUPPORTIVE CARE, AND RESIDENTIAL CARE TO ADULT PERSONS 12 12 428 190 0 0 470065 479552 14030818 14268851 149107 210233 333703 428474 14983693 15387110 0 0 0 0 9516925 9801504 9860 10155 65794 5010996 5007670 14537781 14819329 445912 567781 18724362 21398094 637572 2606747 18086790 18791347 X THE PURPOSE OF CHRISTIAN REST HOME ASSOCIATION IS TO OPERATE WITH CHRISTIAN LOVE AND CONCERN, FACILITIES PROVIDING SKILLED AND BASIC NURSING CARE, SUPPORTIVE CARE AND RESIDENTIAL CARE TO ADULT PERSONS. THESE SERVICES ARE PROVIDED IN RECOGNITION OF THEIR OBLIGATION TO RENDER MERCY AND HELP TO THE AFFLICTED, AS ENJOINED UPON US BY THE LORD JESUS CHRIST IN LUKE 6:36, "BE YE THEREFORE MERCIFUL, AS YOUR FATHER ALSO IS MERCIFUL." 0 0 11927614 12091399 PROVIDED SKILLED NURSING SERVICES TO APPROXIMATELY 165 INDIVIDUALS DURING THE FISCAL YEAR. 1192901 1366402 PROVIDED ASSISTED LIVING SERVICES TO APPROXIMATELY 40 INDIVIDUALS DURING THE FISCAL YEAR. 952307 811050 PROVIDED SENIOR HOUSING TO APPROXIMATELY 50 INDIVIDUALS DURING THE FISCAL YEAR. 14072822 1 1 0 0 0 0 0 0 0 0 1 1 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 0 0 0 0 0 0 1 1 1 0 0 1 30 0 1 428 1 0 0 0 0 0 0 0 0 0 0 0 0 X 12 12 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 1 0 0 MI X JAMES HORJUS 6164532475 1000 EDISON NW GRAND RAPIDS MI 49504 TODD NYEHOLT ADMINISTRATOR 45.00 0.30 X 149871 0 22543 JAMES HORJUS BUSINESS MANAGER 45.00 0.10 X 107766 0 25013 MARK ARNOUDSE PRESIDENT 0.40 0.00 X X 0 0 0 DAVID BLEEKER VICE PRESIDENT 0.40 0.00 X X 0 0 0 JULIE SPAANS SECRETARY 0.40 0.00 X X 0 0 0 CHRIS BOUMA TREASURER 0.30 0.00 X X 0 0 0 THOMAS BONT BOARD MEMBER 0.40 0.00 X 0 0 0 CINDY HAGURUP BOARD MEMBER 0.40 0.00 X 0 0 0 MARSHA HEYBOER BOARD MEMBER 0.40 0.00 X 0 0 0 RONALD HOOGMOED MD BOARD MEMBER - PART YEAR 0.10 0.00 X 0 0 0 SUSAN OLTHOF BOARD MEMBER - PART YEAR 0.10 0.00 X 0 0 0 JAN VANSTRIEN BOARD MEMBER 0.40 0.00 X 0 0 0 DAVID VERHEY BOARD MEMBER 0.40 0.00 X 0 0 0 THOMAS WORD BOARD MEMBER 0.40 0.00 X 0 0 0 LINDA STROM BOARD MEMBER 0.30 0.00 X 0 0 0 KAREN VANZWEDEN BOARD MEMBER 0.30 0.00 X 0 0 0 257637 0 47556 3 0 1 0 MORRISON MANAGEMENT SPECIALISTS PO BOX 102289 ATLANTA GA 303682289 FOOD SERVICE MANAGEMENT 979268 REHABCARE PO BOX 503534 SAINT LOUIS MO 631503534 THERAPY SERVICES 298438 QCI HEALTHCARE 2805 COIT NE GRAND RAPIDS MI 49505 STAFFING AGENCY 124461 CLM ENTERPRISES INC 1971 EAST BELTLINE AVE SUITE 216 GRAND RAPIDS MI 495257045 STAFFING AGENCY 121868 4 250000 229552 479552 SERVICE CARE REVENUE 623000 12272352 12272352 QUALITY ASSURANCE SUPPLEMENT 623000 1779702 1779702 MANAGEMENT FEE REVENUE 900099 216797 216797 14268851 197573 197573 69247 42336 26911 26911 26911 6044908 6003044 29204 41864 -29204 12660 12660 ANCILLARY SERVICE REVENUE 900099 365860 365860 BEAUTY & BARBER SHOP 812900 35703 35703 401563 15387110 14268851 0 638707 326040 326040 7902842 7662523 204106 36213 161974 161974 834464 785195 42388 6881 576184 576184 321685 321685 7598 1840 5758 46590 46590 10155 10155 672518 672518 12545 12545 135616 94097 41519 47595 43930 3665 415387 407755 7632 4722 4722 301470 298455 3015 86606 86606 QUALITY ASSURANCE 1340355 1340355 FOOD AND SUPPLIES 923086 923086 NURSING SUPPLIES 392321 392321 REPAIRS & MAINTENANCE 249576 249576 50000 50000 14819329 14072822 680713 65794 3493108 5718835 817096 904768 248825 172751 12927479 9503311 3328794 3424168 10836539 11177572 18724362 21398094 585757 658901 451778 1330000 51815 166068 637572 2606747 X 18086790 18791347 18086790 18791347 18724362 21398094 567781 136776 0 X X 0 1 X 1 0 X 431144 388638 474648 470065 479552 2244047 13911149 13096633 13650078 14030818 14268851 68957529 14342293 13485271 14124726 14500883 14748403 71201576 200000 200000 250000 250000 250000 1150000 0 200000 200000 250000 250000 250000 1150000 70051576 182056 110922 112740 262240 266820 934778 182056 110922 112740 262240 266820 934778 5205 206664 199519 309259 401563 1122210 14529554 13802857 14436985 15072382 15416786 73258564 0.95620 0.96330 0.01280 0.01130 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: ANCILLARY SERVICES - 2015 AMOUNT: $ 5,205. 2016 AMOUNT: $ 154,978. 2017 AMOUNT: $ 155,337. 2018 AMOUNT: $ 267,970. 2019 AMOUNT: $ 365,860. BEAUTY BARBER SHOP - 2016 AMOUNT: $ 51,686. 2017 AMOUNT: $ 44,182. 2018 AMOUNT: $ 41,289. 2019 AMOUNT: $ 35,703. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 60224 60224 10013850 7017007 2996843 547662 508776 38886 2238103 1977528 260575 67640 67640 3424168 CERTIFICATES OF DEPOSIT 11177572 C 11177572 COST REPORT SETTLEMENT PAYABLE 134654 DEPOSITS FROM RESIDENTS 31414 166068 X X X 0 0 0 0 0 0 0 1 0 TODD NYEHOLT ADMINISTRATOR 146831 0 3040 0 0 0 7022 0 15521 0 172414 0 0 0 PART I, LINE 7 ALL EMPLOYEES HAVE AN ANNUAL EVALUATION AND ARE ELIGIBLE FOR A PERFORMANCE BONUS BASED ON MEETING GOALS AND EXPECTATIONS. THE BOARD DETERMINES AND VOTES ON THE DISCRETIONARY BONUS FOR THE ADMINISTRATOR. THE ADMINSTRATOR DETERMINES THE DISCRETIONARY BONUS FOR THE REST OF THE STAFF. FORM 990, PART I, ITEM C DBA: EDISON MANOR DBA: EDISON ASSISTED LIVING CENTER DBA: EDISON CHRISTIAN ASSISTED LIVING DBA: EDISON CHRISTIAN HEALTH CENTER DBA: EDISON CHRISTIAN INDEPENDENT LIVING DBA: EDISON CHRISTIAN LIFE SERVICES FORM 990, PART VI, SECTION A, LINE 6 ANY PERSON WHO SUBSCRIBES TO THE PURPOSES AND BASIS OF THE ASSOCIATION, AS SET FORTH IN ITS ARTICLES OF INCORPORATION AND BY-LAWS, AND WHO MAKES AN ANNUAL FINANCIAL CONTRIBUTION DIRECTLY TO THE ASSOCIATION, SHALL BE A MEMBER THEREOF. FORM 990, PART VI, SECTION A, LINE 7A FOR EACH BOARD VACANCY, THE BOARD APPROVES A BOARD NOMINEE. THAT NOMINEE IS THEN APPROVED BY THE ASSOCIATION'S MEMBERS. FORM 990, PART VI, SECTION A, LINE 7B ANY AMENDMENTS TO THE EXEMPT ORGANIZATION'S BY-LAWS REQUIRE APPROVAL OF SUPPORTERS. A QUALIFIED VOTING SUPPORTER IS AN INDIVIDUAL WHO HAS CONTRIBUTED $5.00 OR MORE IN THE PAST 12 MONTHS. FORM 990, PART VI, SECTION B, LINE 11B A DRAFT RETURN IS PROVIDED TO MANAGEMENT, WHO FORWARDS COPIES TO THE FINANCE COMMITTEE FOR APPROVAL PRIOR TO SUBMISSION. FORM 990, PART VI, SECTION B, LINE 12C THE PRESIDENT OF THE BOARD OF DIRECTORS ANNUALLY REVIEWS CONFLICT OF INTEREST DISCLOSURES FOR POSSIBLE CONFLICTS. IF A CONFLICT OCCURS, THE PRESIDENT INFORMS THE REST OF THE BOARD ON THE CONFLICT OF INTEREST AND EXCLUDES THE BOARD MEMBER WHO HAS A CONFLICT OF INTEREST FROM VOTING ON MATTERS RELATED TO THAT CONFLICT OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15A THE EXECUTIVE COMMITTEE REVIEWS COMPARABILITY DATA PRIOR TO MAKING COMPENSATION RECOMMENDATIONS TO THE ENTIRE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE DOCUMENTS ITS FINDINGS IN WRITING. THE BOARD OF DIRECTORS REVIEWS THE RECOMMENDATIONS OF THIS COMMITTEE AND VOTES UPON THE COMPENSATION OF THE ADMINISTRATOR. THE ADMINISTRATOR DETERMINES COMPENSATION AMOUNTS BASED ON JOB PERFORMANCE MEASURES AND COMPARABILITY DATA. THIS PROCESS WAS MOST RECENTLY UNDERTAKEN DURING FISCAL YEAR 2019. FORM 990, PART VI, SECTION C, LINE 19 ALL PUBLIC DOCUMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART XII, LINE 2 THERE HAS BEEN NO CHANGE IN PROCESS FROM PRIOR YEAR. CHRISTIAN REST HOME FOUNDATION 1000 EDISON AVE NW GRAND RAPIDS MI 49504 382689011 PROVIDE FUNDS TO CHRISTIAN REST HOME ASSOCIATION MI 501(C)(3) LINE 12A, I CHRISTIAN REST HOME ASSOCIATION 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 CHRISTIAN REST HOME FOUNDATION C 250000 BOARD ELECTION