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REST HAVEN ILLIANA CHRISTIAN CONVALESCENT HOME: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
REST HAVEN ILLIANA CHRISTIAN CONVALESCENT HOME (EIN 36-2382853)
Tax period
2018-01-01 to 2018-12-31
Filed
2019-11-14
IRS object ID
201923189349310592
Schema version
2018v3.1
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

FieldValueIRS element (for citing)
Return2019-11-14T15:44:04-06:00ReturnTs
Tax Period End2018-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN381357951PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1PLANTE & MORAN PLLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line110 S RIVERSIDE PLAZA 9TH FLOORAddressLine1Txt
CityCHICAGOCityNm
State AbbreviationILStateAbbreviationCd
ZIP60606ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2018-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN362382853EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1REST HAVEN ILLIANA CHRISTIANBusinessNameLine1Txt
Business Name Line2CONVALESCENT HOMEBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlRESTBusinessNameControlTxt
Phone7083428100PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line118601 NORTH CREEK DRIVEAddressLine1Txt
CityTINLEY PARKCityNm
State AbbreviationILStateAbbreviationCd
ZIP60477ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonBARRY VANDERGENUGTENPersonNm
Person TitleCFOPersonTitleTxt
Phone7083428100PhoneNum
Signature2019-11-07SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDAVID LOWENTHALPreparerPersonNm
PTINP00378651PTIN
Phone3122071040PhoneNum
Preparation2019-11-07PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address67.59.56.31IPv4AddressTxt
FieldValueIRS element (for citing)
IP2019-11-07IPDt
IP Tm08:50:06IPTm
IP TimezoneCSIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDA39A3EE5E6B4B0D3255BFEF95601890AFD80709AtSubmissionCreationDeviceId
At Submission Filing Device IdE8885A5DE86C3E42C2EA91F2F4BBC110C3D198A0AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2020-04-17 16:48:07ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1PROVIDENCE LIFE SERVICESBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerRICHARD SCHUTTPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line118601 NORTH CREEK DRIVEAddressLine1Txt
CityTINLEY PARKCityNm
State AbbreviationILStateAbbreviationCd
ZIP60477ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$89,468,408GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.PROVIDENCELIFESERVICES.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1956FormationYr
Legal Domicile StateILLegalDomicileStateCd
Activity Or MissionREST 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 Body16VotingMembersGoverningBodyCnt
Voting Members Independent15VotingMembersIndependentCnt
Total Employee1704TotalEmployeeCnt
Total Volunteers350TotalVolunteersCnt
Total Gross UBI$16,018TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$1,586NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,337,547PYContributionsGrantsAmt
CY Contributions Grants$3,724,032CYContributionsGrantsAmt
PY Program Service Revenue$76,091,223PYProgramServiceRevenueAmt
CY Program Service Revenue$78,588,450CYProgramServiceRevenueAmt
PY Investment Income$370,793PYInvestmentIncomeAmt
CY Investment Income$856,929CYInvestmentIncomeAmt
PY Other Revenue-$105,829PYOtherRevenueAmt
CY Other Revenue$1,515,172CYOtherRevenueAmt
PY Total Revenue$77,693,734PYTotalRevenueAmt
CY Total Revenue$84,684,583CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$41,095,474PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$43,934,750CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$448,686CYTotalFundraisingExpenseAmt
PY Other Expenses$37,628,969PYOtherExpensesAmt
CY Other Expenses$38,623,198CYOtherExpensesAmt
PY Total Expenses$78,724,443PYTotalExpensesAmt
CY Total Expenses$82,557,948CYTotalExpensesAmt
PY Revenues Less Expenses-$1,030,709PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$2,126,635CYRevenuesLessExpensesAmt
Total Assets BOY$96,055,082TotalAssetsBOYAmt
Total Assets EOY$94,538,589TotalAssetsEOYAmt
Total Liabilities BOY$75,195,808TotalLiabilitiesBOYAmt
Total Liabilities EOY$73,003,843TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$20,859,274NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$21,534,746NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionREST 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 Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$73,542,948ExpenseAmt
Revenue$80,188,343RevenueAmt
DescTO PROVIDE PROPER CARE FOR THE SICK AND ELDERLY. 998 BEDS/UNITS WITH OCCUPANCY OVER 84% ON THE FULL CONTINUUM OF CARE.Desc
Total Program Service Expenses$73,542,948TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (1)BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document91IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee1704EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members16GoverningBodyVotingMembersCnt
Independent Voting Member15IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldILStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BARRY VANDERGENUGTENBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7083428100PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line118601 NORTH CREEK DRIVEAddressLine1Txt
CityTINLEY PARKCityNm
State AbbreviationILStateAbbreviationCd
ZIP60477ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (26 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
RICHARD SCHUTT
DIRECTOR & CEO40.0010.00Yes (X)Yes (X)$988,853$0$175,074
RICH VAN HATTEM
CHAIR1.002.00Yes (X)Yes (X)$0$0$0
JUSTIN KATS
CHAIR (JAN-MAY 2018)1.002.00Yes (X)Yes (X)$0$0$0
DAVE LARSEN
SECRETARY/TREASURER1.002.00Yes (X)Yes (X)$0$0$0
BOB VAN STAALDUINEN
DIRECTOR1.002.00Yes (X)$0$0$0
LUCETTE BAMFORD
DIRECTOR1.002.00Yes (X)$0$0$0
BILL ZANDSTRA
DIRECTOR1.002.00Yes (X)$0$0$0
ROBERT WORKMAN
DIRECTOR1.002.00Yes (X)$0$0$0
DON VAN DYK
DIRECTOR1.002.00Yes (X)$0$0$0
RICK VANDYKEN
DIRECTOR1.002.00Yes (X)$0$0$0
TIM SMITS
DIRECTOR1.002.00Yes (X)$0$0$0
HOWARD RYNBERK JR
DIRECTOR1.002.00Yes (X)$0$0$0
BASTIAN KNOPPERS
DIRECTOR1.002.00Yes (X)$0$0$0
PAUL KATS
DIRECTOR1.002.00Yes (X)$0$0$0
AL DIEPSTRA
DIRECTOR1.002.00Yes (X)$0$0$0
JEAN CAVANAUGH
DIRECTOR1.002.00Yes (X)$0$0$0
KEVIN BOTMA
DIRECTOR1.002.00Yes (X)$0$0$0
ROGER BOEREMA
DIRECTOR1.002.00Yes (X)$0$0$0
GARY SMIT
DIRECTOR1.002.00Yes (X)$0$0$0
WILLIAM DEYOUNG
COO40.0010.00Yes (X)$373,815$0$78,752
BARRY VANDERGENUGTEN
CFO40.0010.00Yes (X)$264,383$0$35,292
JEAN LAROCHE
VP HOME & COMMUNITY BASED SERVICES40.005.00$156,019$0$12,874Yes (X)
WILLIAM BUIKEMA
VP MINISTRY ADVANCEMENT40.005.00$156,436$0$28,555Yes (X)
SCOTT STUDEBAKER
VP MINISTRY ADVANCEMENT & DEVELOPMENT40.005.00$161,783$0$22,218Yes (X)
JEFF COURTNEY
VP CONSTRUCTION40.005.00$171,221$0$37,984Yes (X)
RAY HEMPHILL
EVP PROJECT DEVELOPMENT40.005.00$256,576$0$45,093Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,529,086TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$435,842TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K36IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
PROVINET SOLUTIONS
18645 WEST CREEK DRIVETINLEY PARKIL60477IT SERVICES$1,448,092
GORDON FOOD SERVICE INC
PO BOX 88029CHICAGOIL60680DINING SERVICES$1,265,010
SYMBRIA REHAB
28100 TORCH PARKWAY SUITE 600WARRENVILLEIL60555THERAPY$1,173,515
CREATIVE DINING SERVICES
ONE ROYAL PARK DRIVE STE 3ZEELANDMI49464DINING SERVICES$991,256
SYMBRIA RX SERVICES
28100 TORCH PARKWAY SUITE 600WARRENVILLEIL60555PHARMACY$937,782
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K23CntrctRcvdGreaterThan100KCnt
Fundraising$304,637FundraisingAmt
All Other Contributions$3,419,395AllOtherContributionsAmt
Total Contributions$3,724,032TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
ROUTINE REVENUE621610$74,090,961$74,090,961
ANCILLARY REVENUE621610$4,497,489$4,481,471$16,018
FieldValueIRS element (for citing)
Total Program Service Revenue$78,588,450TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$338,317TotalRevenueColumnAmt
Exclusion$338,317ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$5,051,473SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$4,532,861SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$518,612SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$518,612TotalRevenueColumnAmt
Exclusion$518,612ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$150,225FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$304,637ContriRptFundraisingEventAmt
Fundraising Direct Expenses$250,964FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$100,739TotalRevenueColumnAmt
Exclusion-$100,739ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescSALE OF OPERATING ENTITYDesc
Business900099BusinessCd
Total Revenue Column$1,615,911TotalRevenueColumnAmt
Related Or Exempt Func Income$1,615,911RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$1,615,911OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$84,684,583TotalRevenueColumnAmt
Related Or Exempt Func Income$80,188,343RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$16,018UnrelatedBusinessRevenueAmt
Exclusion$756,190ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,916,169TotalAmt
Management And General$1,916,169ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$34,955,692TotalAmt
Program Services$30,561,284ProgramServicesAmt
Management And General$4,034,224ManagementAndGeneralAmt
Fundraising$360,184FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$411,526TotalAmt
Program Services$334,344ProgramServicesAmt
Management And General$62,715ManagementAndGeneralAmt
Fundraising$14,467FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$3,965,133TotalAmt
Program Services$2,885,911ProgramServicesAmt
Management And General$1,029,758ManagementAndGeneralAmt
Fundraising$49,464FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$2,686,230TotalAmt
Program Services$2,374,242ProgramServicesAmt
Management And General$287,417ManagementAndGeneralAmt
Fundraising$24,571FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$30,255TotalAmt
Management And General$30,255ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$127,176TotalAmt
Management And General$127,176ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$5,987,724TotalAmt
Program Services$5,987,724ProgramServicesAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$2,195,397TotalAmt
Program Services$2,195,397ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,923,695TotalAmt
Program Services$1,793,018ProgramServicesAmt
Management And General$130,677ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$2,543,114TotalAmt
Program Services$2,409,644ProgramServicesAmt
Management And General$133,470ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$3,163,629TotalAmt
Program Services$3,090,071ProgramServicesAmt
Management And General$73,558ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$3,215,326TotalAmt
Program Services$3,122,566ProgramServicesAmt
Management And General$92,760ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
NURSING EXPENSE$5,122,538$5,122,538
FOOD & DIETARY EXPENSE$3,105,757$3,105,757
PHARMACY EXPENSE$2,202,393$2,202,393
REPAIRS & MAINTENANCE$1,656,622$1,656,364$258

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$7,349,572TotalAmt
Program Services$6,701,695ProgramServicesAmt
Management And General$647,877ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$82,557,948TotalAmt
Program Services$73,542,948ProgramServicesAmt
Management And General$8,566,314ManagementAndGeneralAmt
Fundraising$448,686FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$555,531BOYAmt
EOY$4,057,296EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$307,345BOYAmt
EOY$310,788EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$13,968,152BOYAmt
EOY$13,098,933EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$224,675BOYAmt
EOY$593,237EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$82,952,104LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$34,792,096LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$52,130,522BOYAmt
EOY$48,160,008EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$14,887,425BOYAmt
EOY$5,910,844EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$13,981,432BOYAmt
EOY$22,407,483EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$96,055,082BOYAmt
EOY$94,538,589EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$8,541,119BOYAmt
EOY$8,492,802EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$2,035,426BOYAmt
EOY$1,758,323EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$59,282,271BOYAmt
EOY$57,445,884EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$5,336,992BOYAmt
EOY$5,306,834EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$75,195,808BOYAmt
EOY$73,003,843EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$20,715,151BOYAmt
EOY$21,406,190EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$144,123BOYAmt
EOY$128,556EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$20,859,274BOYAmt
EOY$21,534,746EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$96,055,082BOYAmt
EOY$94,538,589EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$2,126,635ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$903,839NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$547,324OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,313,214CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,346,503CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,341,054CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,337,547CurrentTaxYearMinus1YearAmt
Current Tax Year$3,724,032CurrentTaxYearAmt
Total$9,062,350TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$57,958,718CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$63,937,921CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$71,192,640CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$76,087,087CurrentTaxYearMinus1YearAmt
Current Tax Year$80,188,343CurrentTaxYearAmt
Total$349,364,709TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$59,271,932CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$65,284,424CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$72,533,694CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$77,424,634CurrentTaxYearMinus1YearAmt
Current Tax Year$83,912,375CurrentTaxYearAmt
Total$358,427,059TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$60,952CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$81,468CurrentTaxYearMinus1YearAmt
Current Tax Year$96,282CurrentTaxYearAmt
Total$238,702TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Current Tax Year$1,245,568CurrentTaxYearAmt
Total$1,245,568TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$60,952CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$81,468CurrentTaxYearMinus1YearAmt
Current Tax Year$1,341,850CurrentTaxYearAmt
Total$1,484,270TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$356,942,789PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,412,613CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,674,310CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$491,933CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$480,665CurrentTaxYearMinus1YearAmt
Current Tax Year$338,317CurrentTaxYearAmt
Total$7,397,838TotalAmt

Post1975 UBTI Post1975UBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$12,268CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,835CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$17,576CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,136CurrentTaxYearMinus1YearAmt
Current Tax Year$16,018CurrentTaxYearAmt
Total$56,833TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,424,881CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,681,145CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$509,509CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$484,801CurrentTaxYearMinus1YearAmt
Current Tax Year$354,335CurrentTaxYearAmt
Total$7,454,671TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$60,696,813CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$69,965,569CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$73,043,203CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$77,909,435CurrentTaxYearMinus1YearAmt
Current Tax Year$84,266,710CurrentTaxYearAmt
Total$365,881,730TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.97560PublicSupportCY509Pct
Public Support PY5090.97690PublicSupportPY509Pct
Investment Income CY0.02040InvestmentIncomeCYPct
Investment Income PY0.02260InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,469,746OtherCostOrOtherBasisAmt
Book Value$4,469,746BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$69,170,524OtherCostOrOtherBasisAmt
Depreciation$31,798,617DepreciationAmt
Book Value$37,371,907BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,000,459OtherCostOrOtherBasisAmt
Depreciation$2,969,191DepreciationAmt
Book Value$3,031,268BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,311,375OtherCostOrOtherBasisAmt
Depreciation$24,288DepreciationAmt
Book Value$3,287,087BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$48,160,008TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (8 entries)

DescDescBook ValueBookValueAmt
GROUND LEASE RECEIVABLES$1,168,106
ASSETS LIMITED TO USE$1,107,901
DUE FROM AFFILIATES$15,239,007
OTHER ASSETS$434,299
LEGAL LIABILITY INS RECOVERIES$1,404,244
DEFERRED COMP GRANTOR TRUST$1,562,640
INVESTMENTS IN PMDC & PDG$333,937
INTEREST RATE SWAP VALUE$1,157,349
FieldValueIRS element (for citing)
Total Book Value Other Assets$22,407,483TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDescAmtAmt
ESTIMATED SELF-INS LIABILITIES$3,064,227
ASSET RETIREMENT OBLIGATION$349,409
RESIDENT NOTES AND DEPOSITS$1,632,207
ACCRUED INTEREST PAYABLE$135,741
CHARITABLE ANNUITY CONTRACTS$125,250
FieldValueIRS element (for citing)
Total Liability$5,306,834TotalLiabilityAmt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1BANQUETEvent1Nm
Gross Receipts Event1$205,740GrossReceiptsEvent1Amt
Charitable Contri Event1$124,320CharitableContriEvent1Amt
Gross Revenue Event1$81,420GrossRevenueEvent1Amt
Other Direct Expenses Event1$136,435OtherDirectExpensesEvent1Amt
Event2GOLF OUTINGEvent2Nm
Gross Receipts Event2$209,055GrossReceiptsEvent2Amt
Charitable Contri Event2$150,015CharitableContriEvent2Amt
Gross Revenue Event2$59,040GrossRevenueEvent2Amt
Other Direct Expenses Event2$77,595OtherDirectExpensesEvent2Amt
Other Events Total2OtherEventsTotalCnt
Gross Receipts Other Events$40,067GrossReceiptsOtherEventsAmt
Charitable Contri Other Events$30,302CharitableContriOtherEventsAmt
Gross Revenue Other Events$9,765GrossRevenueOtherEventsAmt
Oth Direct Expnss Other Events$36,934OthDirectExpnssOtherEventsAmt
Gross Receipts Total$454,862GrossReceiptsTotalAmt
Charitable Contributions Tot$304,637CharitableContributionsTotAmt
Gross Revenue Total Events$150,225GrossRevenueTotalEventsAmt
Oth Direct Expnss Total Events$250,964OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$250,964DirectExpenseSummaryEventsAmt
Net Income Summary-$100,739NetIncomeSummaryAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceFORM 990, SCHEDULE G, PART II:FormAndLineReferenceDesc
ExplanationTHE 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 $454,862 FOR 2018. THE COMBINED COSTS OF THE EVENTS TOTALED $250,964. THE NET INCOME TO THE ORGANIZATION FOR HOSTING ALL OF THE EVENTS WAS $203,898.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Travel For CompanionsYes (X)TravelForCompanionsInd
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgYes (1)CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
RICHARD SCHUTT
DIRECTOR & CEO$486,067$0$38,241$0$464,545$0$149,145$0$25,929$0$1,163,927$0$450,000$0
WILLIAM DEYOUNG
COO$338,534$0$23,848$0$11,433$0$45,752$0$33,000$0$452,567$0$0$0
BARRY VANDERGENUGTEN
CFO$236,387$0$16,717$0$11,279$0$9,456$0$25,836$0$299,675$0$0$0
JEAN LAROCHE
VP HOME & COMMUNITY BASED SERVICES$146,363$0$7,500$0$2,156$0$0$0$12,874$0$168,893$0$0$0
WILLIAM BUIKEMA
VP MINISTRY ADVANCEMENT$150,087$0$0$0$6,349$0$6,004$0$22,551$0$184,991$0$0$0
SCOTT STUDEBAKER
VP MINISTRY ADVANCEMENT & DEVELOPMEN$153,988$0$0$0$7,795$0$6,159$0$16,059$0$184,001$0$0$0
JEFF COURTNEY
VP CONSTRUCTION$152,299$0$12,229$0$6,693$0$5,796$0$32,188$0$209,205$0$0$0
RAY HEMPHILL
EVP PROJECT DEVELOPMENT$231,289$0$16,293$0$8,994$0$9,252$0$35,841$0$301,669$0$0$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 1ATHE 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. THE ORGANIZATION HAS ESTABLISHED A SENIOR EXECUTIVE MANAGEMENT PROGRAM WHICH ALLOWS STATED EMPLOYEES TO JOIN A FITNESS CENTER. ELIGIBLE EMPLOYEES THAT ENROLL ARE REQUIRED TO BE ACTIVELY UTILIZING THE FITNESS CENTER. NO SENIOR EXECUTIVE RECEIVED THIS BENEFIT IN 2018.
PART I, LINE 4BREST HAVEN HAS ESTABLISHED A NONQUALIFIED DEFERRED COMPENSATION PLAN IN AN EFFORT TO RETAIN SELECTED OFFICERS ON A LONG TERM BASIS. RICHARD SCHUTT AND WILLIAM DEYOUNG PARTICIPATE IN THE PLAN. IN 2018, RICHARD RECEIVED A DISTRIBUTION FROM THE ACCOUNT OF $450,000. IN 2005, THE BOARD OF DIRECTORS ESTABLISHED A RETENTION INITIATIVE PLAN 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, THE EXECUTIVE HAS NOT RECEIVED THESE MONIES AND WILL ONLY BE ELIGIBLE TO RECEIVE THEM 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 5THE 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 RECEIVES AN EXECUTIVE COMPENSATION OPINION NOTING THAT THE ORGANIZATION'S EXECUTIVE COMPENSATION FALLS WITHIN THE RANGE OF COMPARABLE POSITIONS WITHIN THE SAME INDUSTRY. THE REPORT/OPINION ALSO NOTES THAT THE STATED REQUIREMENTS OF ENSURING INDEPENDENCE OF COMPENSATION DELIBERATIONS FOR SENIOR EXECUTIVES ARE MET.
PART I, LINE 7AS INDICATED IN SCHEDULE J, PART II, CERTAIN INDIVIDUALS RECEIVED BONUSES BASED ON PERFORMANCE AND THE FINANCIAL RESULTS OF THE ORGANIZATION. THESE BONUSES ARE APPROVED BY THE COMPENSATION COMMITTEE.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
LINDA SCHUTT
SPOUSE OF CEO$99,401EMPLOYMENT COMPENSATION0
BONNIE HEIRENDT
SISTER OF CEO$52,378EMPLOYMENT COMPENSATION0
ALLISON OLESHKO
DAUGHTER OF CEO$19,578EMPLOYMENT COMPENSATION0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCH L, PART IV:FormAndLineReferenceDesc
ExplanationTHE TRANSACTIONS REPORTED ABOVE INVOLVING INTERESTED PERSONS ARE REVIEWED ANNUALLY BY THE BOARD'S COMPENSATION COMMITTEE AND HAVE BEEN DEEMED APPROPRIATE BASED ON THE POSITION EMPLOYED.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BA DRAFT OF THE 990 WAS PREPARED AND SENT FOR INITIAL REVIEW BY THE CONTROLLER, CFO AND CEO. UPON REVIEW AND APPROVAL, A COMPLETED COPY OF THE 990 IS PROVIDED TO THE FULL BOARD PRIOR TO SUBMISSION.
FORM 990, PART VI, SECTION B, LINE 12CTHE 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 15THE 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 ORANIZATION'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 19THE 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 -865,935. UNREALIZED GAIN ON INTEREST RATE SWAP 318,611.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (9 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
PROVIDENCE DEVELOPMENT GROUP
18601 N CREEK DRIVETINLEY PARKIL60477DEVELOPMENTIL$0$3,257,098REST HAVEN
PARK PLACE REALTY GROUP LLC
18601 N CREEK DRIVETINLEY PARKIL60477REAL ESTATEIL$52,637$86,951REST HAVEN
PROVIDENCE OPERATIONS LLC
18601 N CREEK DRIVETINLEY PARKIL60477OPERATIONSIL$38,374,916$7,334,652REST HAVEN
PROVIDENCE TENANT LLC
18601 N CREEK DRIVETINLEY PARKIL60477REAL ESTATEIL$0$0REST HAVEN
PROVIDENCE PALOS HEIGHTS LLC
18601 N CREEK DRIVETINLEY PARKIL60477REAL ESTATEIL$813,362$3,428,615PROVIDENCE TENANT LLC
PROVIDENCE DOWNERS GROVE LLC
18601 N CREEK DRIVETINLEY PARKIL60477REAL ESTATEIL$939,211$7,073,532PROVIDENCE TENANT LLC
PROVIDENCE GRAND RAPIDS LLC
18601 N CREEK DRIVETINLEY PARKIL60477REAL ESTATEIL$414,056$2,337,389PROVIDENCE TENANT LLC
PROVIDENCE ZEELAND LLC
18601 N CREEK DRIVETINLEY PARKIL60477REAL ESTATEIL$107,284$0REST HAVEN
ROYAL PARK PLACE II LLC
18601 N CREEK DRIVETINLEY PARKIL60477REAL ESTATEIL$2,947,539$1,482,856REST HAVEN

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
CHRISTIAN HEALTHCARE FOUNDATION
18601 N CREEK DRIVETINLEY PARKIL60477200722359RESEARCHIL501(C)(3)LINE 10REST HAVENYes (1)
CHRISTIAN LIVING CAMPUS
18601 N CREEK DRIVETINLEY PARKIL60477200226221SENIOR LIVINGIL501(C)(3)LINE 10REST HAVENYes (1)
HAVEN PARK
18601 N CREEK DRIVETINLEY PARKIL60477383026594HEALTHCAREMI501(C)(3)LINE 10REST HAVENYes (1)
TIMOTHY PLACE
18601 N CREEK DRIVETINLEY PARKIL60477201835089SENIOR LIVINGIL501(C)(3)LINE 10REST HAVENYes (1)
PARK PLACE OF ST JOHN
18601 N CREEK DRIVETINLEY PARKIL60477201834903SENIOR LIVINGIL501(C)(3)LINE 10REST HAVENYes (1)
HUDSONVILLE PARK PLACE
18601 N CREEK DRIVETINLEY PARKIL60477201834667SENIOR LIVINGIL501(C)(3)LINE 10REST HAVENYes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1THOMAS PLACE LPBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line118601 N CREEK DRIVEAddressLine1Txt
CityTINLEY PARKCityNm
State AbbreviationILStateAbbreviationCd
ZIP60477ZIPCd
FieldValueIRS element (for citing)
EIN999999999EIN
Legal Domicile StateILLegalDomicileStateCd
Disproportionate Allocations0DisproportionateAllocationsInd
General Or Managing Partner0GeneralOrManagingPartnerInd

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
PROVIDENCE MGMT & DEVELOPMENT
18601 N CREEK DRIVETINLEY PARKIL60477363774205IT SERVICESILN/AC$14,327$6,094,3931.00000Yes (1)
PROVIDENCE HOUSING CORPORATION
18601 N CREEK DRIVETINLEY PARKIL60477461379112HOUSINGILC$73,725$592,5291.00000Yes (1)REST HAVEN
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (1)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (4 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
PROVIDENCE MGMT & DEVELOPMENT
P$2,195,397FMV
PROVIDENCE MGMT & DEVELOPMENT
Q$407,582FMV
TIMOTHY PLACE
Q$360,000FMV
PARK PLACE OF ST JOHN
Q$915,897FMV