2019-05-09T10:00:07-07:00 2018-06-30 990 2017-07-01 383373281 MEADOWLARK RETIREMENT VILLAGE MEAD 6169494975 4450 Cascade Road SE Grand Rapids MI 49546 Craig Vandenbos Director of Finance 6163010158 2019-05-10 12.167.1.58 2017 2019-02-21 02:37:17Z Kim Hoppe 4450 Cascade Road Grand Rapids MI 49546 2285729 0 X porterhills.org X 1998 MI Provide Housing for the Elderly 14 14 83 12 0 0 106032 22292 1858260 2263437 127587 0 0 0 2091879 2285729 0 0 0 0 1044505 1164847 0 0 0 1392027 1094115 2436532 2258962 -344653 26767 2291813 2175176 4173965 3945403 -1882152 -1770227 Provide Housing for the Elderly 0 0 1694129 0 2263437 Housing support programs, general/other: Meadowlark operates assisted living, Independent living, and memory support rooms 0 0 0 1694129 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 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 3 0 1 83 1 0 0 0 0 0 0 X 14 14 0 0 0 0 1 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 MI X Craig Vandenbos 6163010158 4450 Cascade Road SE Grand Rapids MI 49546 Robert Daverman Board Member 1 0 X 0 0 0 Sharon Buursma Board Member 1 X 0 0 0 Martha Blandford Board member 1 X 0 0 0 Thomas Small Board Member 1 0 X 0 0 0 Carol Hubbard Board Member 1 0 X 0 0 0 James Williams Part year board member 1 0 X 0 0 0 Mary Wagner Chair 2 0 X X 0 0 0 Jane Toot Board member 1 0 X 0 0 0 Cynthia Havard immediate past chair 2 0 X X 0 0 0 Pam Kidd Board member 1 0 X 0 0 0 Joseph Stojak Treasurer 2 0 X X 0 0 0 Mark Yost Board member 1 0 X 0 0 0 William Bowie Board member 1 0 X 0 0 0 John Hagenbush Board member 1 0 X 0 0 0 Wnedy Stock Board member 1 0 X 0 0 0 John Wisentaner Vice Chair 2 0 X X 0 0 0 Larry Yachcik Chief Executive Officer part year 1 50 X 0 316774 34894 Kim Hoppe CFO/CEO part year 2 50 X 0 166440 6197 Nicole Maag VP of Residential services 2 50 X 0 148172 22695 Bruce Lyon Executive Director 20 50 X 75723 34835 6882 75723 666221 70668 0 0 1 0 Gordon Food Service 1300 Gezon Parkway SW Wyoming MI 49509 Food supplier 151692 0 0 0 0 22292 0 0 0 22292 Net Program receipts 623000 2263437 2263437 0 0 0 0 0 0 2263437 0 0 0 0 0 0 2285729 2263437 0 0 975889 870271 105618 0 117370 70498 46872 0 71588 64329 7259 10198 10198 249 249 8036 8036 12974 833 12141 278584 278584 3432 3432 111763 111763 209778 209778 14953 14953 Corporate Overhead 270982 0 270982 0 Food Services 133497 133497 0 0 Resident Supplies/Services 39669 39669 0 0 2258962 1694129 564833 0 0 0 0 14132 29361 0 0 0 0 0 0 4476922 2331107 2277681 2145815 0 0 0 0 0 2291813 2175176 146147 131459 0 0 2277325 2291908 1608092 142401 1522036 4173965 3945403 X -1882152 -1770227 0 0 0 0 -1882152 -1770227 2291813 2175176 X 26767 0 0 0 0 85158 X 1 1 1 0 X 0 1198 12594 106032 22292 142116 1343300 1418804 1557510 1858260 2263437 8441311 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1343300 1420002 1570104 1964292 2285729 8583427 0 0 0 0 0 0 0 0 0 707997 0 707997 0 0 0 707997 0 707997 7875430 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1343300 1420002 1570104 1964292 2285729 8583427 0.91752 0.89579 0 0.01463 X 71043 0 71043 3396409 0 1505542 1890867 0 0 0 0 1009470 0 825565 183905 0 0 0 0 2145815 0 Loan to Porter Hills 1464792 Fair Value of interest Swap Agreement 57244 1522036 2285729 0 0 0 0 0 2285729 0 0 0 2285729 2258962 0 0 0 0 0 2258962 0 0 0 2258962 X X X X 1 1 0 0 0 0 0 1 0 Larry Yachcik Chief Executive Officer part year 0 247543 0 0 0 69231 0 26380 0 8514 0 351668 0 0 Nicole Maag VP of Residential services 0 127624 0 20548 0 0 0 5927 0 16768 0 170867 0 0 Kim Hoppe CFO/CEO part year 0 144453 0 21987 0 0 0 6197 0 0 0 172637 0 0 Schedule J, Part I, Line 4 Larry Yachcik received a severance payment totaling $69,231 during 2017 calendar year. The CEO of Porter Hills Presbyterian village participates in a 457. Schedule J, Part I, Line 7 Part of the compensation is variable and at the discretion of the Board of Directors. A Grand Rapids Charter Township 386005448 2015-11-05 34285043 Refinance interim taxable facility which closed on 9-30-2013 0 0 0 B Michigan Strategic Fund 521417332 2013-11-05 17574957 Refinance interim taxable facility which closed on 9-30-2013. 0 0 0 C The Economic Development Corporation of The Charter Township of Grand Rapid 386005448 2014-06-27 10000000 The proceeds financed the partial optional redemption of the bonds 0 0 0 A 0 0 34285043 0 0 0 236146 0 0 0 34285043 0 2014 1 0 1 1 B 0 0 17574957 0 0 0 120854 0 0 0 17574957 0 2014 1 0 1 1 C 0 0 10000000 0 0 0 0 0 0 0 10000000 0 2014 1 0 1 1 A 0 0 0 0 0 0 0 0 0 0 B 0 0 0 0 0 0 0 0 0 0 C 0 0 0 0 0 0 0 0 0 0 A 0 1 0 0 1 0 0 0 0 B 0 1 0 0 1 0 0 0 0 C 0 1 0 0 1 0 0 0 0 A 0 B 0 C 0 Form 990, Part VI, Section A, Line 6 Porter Hills Presbyterian Village is the sole member of Meadowlark Retirement community. Form 990, Part VI, Section B, Line 11b The 990 is prepared by the Director of Finance and reviewed by the VP of Finance before it is filed. Form 990, Part VI, Section B, Line 12c Officers, Directors, Trustees and Key employees are required to annually disclose if they have interest that may result in a conflict. The form which they sign requires them to promptly report any possible existence of a conflict of interest from themselves or anyone else subject to the policy. If a possible conflict was reported on the annual form or if notice was given after the disclosure, the information disclosed would be evaluated and if necessary compliance would be enforced. Form 990, Part VI, Section B, Line 15 For executive compensation a minimum of three sources are used. Each source is a third party organization specializing in compensation in the west Michigan area. The information is then compiled by the HR department and used to make recommendation on the appropriate salary for each person. The recommendation and approval process occurs within a short period of time. Form 990, Part VI, Section C, Line 19 Financial documents are kept in the facilities library for the residents and also they are available upon request. Form 990, Part XI, Line 9 Change in fair value of interest swap agreement Porter Hills Presbyterian Village 4450 Cascade Road Grand Rapids MI 49546 386141735 Retirement Home MI 501 C 3 7 Westminster Presbyterian Church 1 Porter Hills Foundation 4450 Cascade Road Grand Rapids MI 49564 383243846 Foundation MI 501 C 3 11A Porter Hills Presbyterian Village 0 Porter Hills Home Health West 4450 Cascade Road Grand Rapids MI 49546 383384372 Certified Home Care MI 501 c 3 9 Porter Hills Presbyterian Village 0 Walker Meadow Retirement Community 1101 Wilson Ave Grand Rapids MI 49534 383283760 Retirement Community MI 501 c 3 7 Porter Hills Presbyterian Village 0 Senora Woods Retirement Community 3781 Giddings Grand Rapids MI 49508 383382610 Retirement Community MI 501 c 3 7 Porter Hills Prebyterian Village 0 Sparta Retirement Community 100 Ida Red Sparta MI 49345 383445251 Retirement Community MI 501 c 3 7 Porter Hills Presbyterian Village 0 River Grove Retirement Community 5761 Jupiter Ave Belmont MI 49306 383519530 Retirement Community MI 501 c 3 7 Porter Hills Presbyterian Village 0 Baileys Retirement Community 5252 Baileys Center Kentwood MI 49512 383643825 Retirement Community MI 501 c 3 7 Porter Hills Presbyterian Village 0 Station Creek Retirement Community 10010 Crossroad Court Caledonia MI 49316 200771871 Retirement Community MI 501 c 3 7 Porter Hills Presbyterian Village 0 Porter Hills Home Health East 4450 Cascade Road Grand Rapids MI 49546 383358620 Private Duty MI 501 c 3 9 Porter Hills Presbyterian Village 0 Porter Hills at Home 4450 Cascade Road Grand Rapids MI 49546 453469541 Home Services MI 501 c 3 9 Porter Hills Presbyterian Village 0 Life Circles 560 Seminole Road Muskegon MI 49444 260170498 PACE Program MI 501c3 9 Porter Hills Presbyterian Village 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 Porter Hills Presbyterian Village m 270982 Meadowlark Retirement Community paid Porter Hills Corporate an overhead charge for services provided to Meadowlark. An automatic extension was filed and approved by the IRS.