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REST HAVEN ILLIANA CHRISTIAN CONVALESCENT HOME: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
REST HAVEN ILLIANA CHRISTIAN CONVALESCENT HOME (EIN 36-2382853)
Tax period
2017-01-01 to 2017-12-31
Filed
2018-11-15
IRS object ID
201803199349313695
Schema version
2017v2.3
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)
Return2018-11-15T15:19:25-06:00ReturnTs
Tax Period End2017-12-31TaxPeriodEndDt

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 Begin2017-01-01TaxPeriodBeginDt

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
Signature2018-11-15SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDAVID LOWENTHALPreparerPersonNm
PTINP00378651PTIN
Phone3122071040PhoneNum
Preparation2018-11-14PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address67.59.56.31IPv4AddressTxt
FieldValueIRS element (for citing)
IP2018-11-15IPDt
IP Tm11:12:00IPTm
IP TimezoneCSIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDA39A3EE5E6B4B0D3255BFEF95601890AFD80709AtSubmissionCreationDeviceId
At Submission Filing Device Id75C7EC6AC54A61BA087900A4F9B91D17BA572CD0AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

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$81,530,164GrossReceiptsAmt
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 Employee1642TotalEmployeeCnt
Total Volunteers350TotalVolunteersCnt
Total Gross UBI$4,136TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,341,054PYContributionsGrantsAmt
CY Contributions Grants$1,337,547CYContributionsGrantsAmt
PY Program Service Revenue$71,210,216PYProgramServiceRevenueAmt
CY Program Service Revenue$76,091,223CYProgramServiceRevenueAmt
PY Investment Income$235,887PYInvestmentIncomeAmt
CY Investment Income$370,793CYInvestmentIncomeAmt
PY Other Revenue-$163,999PYOtherRevenueAmt
CY Other Revenue-$105,829CYOtherRevenueAmt
PY Total Revenue$72,623,158PYTotalRevenueAmt
CY Total Revenue$77,693,734CYTotalRevenueAmt
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$37,643,453PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$41,095,474CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$434,730CYTotalFundraisingExpenseAmt
PY Other Expenses$36,752,841PYOtherExpensesAmt
CY Other Expenses$37,628,969CYOtherExpensesAmt
PY Total Expenses$74,396,294PYTotalExpensesAmt
CY Total Expenses$78,724,443CYTotalExpensesAmt
PY Revenues Less Expenses-$1,773,136PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$1,030,709CYRevenuesLessExpensesAmt
Total Assets BOY$95,534,757TotalAssetsBOYAmt
Total Assets EOY$96,055,082TotalAssetsEOYAmt
Total Liabilities BOY$75,857,773TotalLiabilitiesBOYAmt
Total Liabilities EOY$75,195,808TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$19,676,984NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$20,859,274NetAssetsOrFundBalancesEOYAmt
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$72,174,395ExpenseAmt
Revenue$76,087,087RevenueAmt
DescTO PROVIDE PROPER CARE FOR THE SICK AND ELDERLY. 926 BEDS/UNITS WITH OCCUPANCY OVER 86% ON THE FULL CONTINUUM OF CARE.Desc
Total Program Service Expenses$72,174,395TotalProgramServiceExpensesAmt
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 Document138IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee1642EmployeeCnt
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
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 (23 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
JUSTIN KATS
CHAIR1.002.00Yes (X)Yes (X)$0$0$0
RICH VAN HATTEM
VICE CHAIR1.002.00Yes (X)Yes (X)$0$0$0
DON VAN DYK
SECRETARY/TREASURER1.002.00Yes (X)Yes (X)$0$0$0
RICHARD SCHUTT
DIRECTOR & CEO40.0010.00Yes (X)Yes (X)$551,375$0$165,951
LUCETTE BAMFORD
DIRECTOR1.002.00Yes (X)$0$0$0
KEVIN BOTMA
DIRECTOR1.002.00Yes (X)$0$0$0
JEAN CAVANAUGH
DIRECTOR1.002.00Yes (X)$0$0$0
AL DIEPSTRA
DIRECTOR1.002.00Yes (X)$0$0$0
BASTIAN KNOPPERS
DIRECTOR1.002.00Yes (X)$0$0$0
DAVE LARSEN
DIRECTOR1.002.00Yes (X)$0$0$0
HOWARD RYNBERK JR
DIRECTOR1.002.00Yes (X)$0$0$0
GARY SMIT
DIRECTOR1.002.00Yes (X)$0$0$0
TIM SMITS
DIRECTOR1.002.00Yes (X)$0$0$0
BOB VAN STAALDUINEN
DIRECTOR1.002.00Yes (X)$0$0$0
ROBERT WORKMAN
DIRECTOR1.002.00Yes (X)$0$0$0
BILL ZANDSTRA
DIRECTOR1.002.00Yes (X)$0$0$0
WILLIAM DEYOUNG
COO40.0010.00Yes (X)$379,845$0$77,476
BARRY VANDERGENUGTEN
CFO40.0010.00Yes (X)$234,273$0$30,749
RAY HEMPHILL
EVP PROJECT DEVELOPMENT40.005.00$264,147$0$47,253Yes (X)
JEFF COURTNEY
VP CONSTRUCTION40.005.00$176,687$0$39,064Yes (X)
SCOTT STUDEBAKER
VP MINISTRY ADVANCEMENT & DEVELOPMENT40.005.00$156,426$0$20,430Yes (X)
JOHANNA ZANDSTRA
VP OPERATIONS40.005.00$152,892$0$37,152Yes (X)
RICHARD NOLDEN
VP HEALTHCARE STRATEGY40.005.00$152,488$0$28,460Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,068,133TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$446,535TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K28IndivRcvdGreaterThan100KCnt
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$2,829,948
MARIANJOY REHABILITATION
26 W 171 ROOSEVELT ROAD PO BOX 7WHEATONIL60189THERAPY$2,730,567
SYMBRIA RX SERVICES
28100 TORCH PARKWAY SUITE 600WARRENVILLEIL60555PHARMACY$2,370,601
GORDON FOOD SERVICE INC
PO BOX 88029CHICAGOIL606801029DINING SERVICES$1,767,835
CREATIVE DINING SERVICES
ONE ROYAL PARK DRIVE STE 3ZEELANDMI49464DINING SERVICES$938,853
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K18CntrctRcvdGreaterThan100KCnt
Fundraising$244,517FundraisingAmt
All Other Contributions$1,093,030AllOtherContributionsAmt
Total Contributions$1,337,547TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
ROUTINE REVENUE621610$70,852,257$70,852,257
ANCILLARY REVENUE621610$5,238,966$5,234,830$4,136
FieldValueIRS element (for citing)
Total Program Service Revenue$76,091,223TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$480,665TotalRevenueColumnAmt
Exclusion$480,665ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$3,476,075SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$3,585,947SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$109,872SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$109,872TotalRevenueColumnAmt
Exclusion-$109,872ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$144,654FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$244,517ContriRptFundraisingEventAmt
Fundraising Direct Expenses$250,483FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$105,829TotalRevenueColumnAmt
Exclusion-$105,829ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$77,693,734TotalRevenueColumnAmt
Related Or Exempt Func Income$76,087,087RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$4,136UnrelatedBusinessRevenueAmt
Exclusion$264,964ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,278,926TotalAmt
Program Services$1,117,321ProgramServicesAmt
Management And General$161,605ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$32,941,366TotalAmt
Program Services$29,041,390ProgramServicesAmt
Management And General$3,549,579ManagementAndGeneralAmt
Fundraising$350,397FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$415,464TotalAmt
Program Services$304,640ProgramServicesAmt
Management And General$96,808ManagementAndGeneralAmt
Fundraising$14,016FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$3,955,518TotalAmt
Program Services$3,217,188ProgramServicesAmt
Management And General$692,129ManagementAndGeneralAmt
Fundraising$46,201FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$2,504,200TotalAmt
Program Services$2,237,591ProgramServicesAmt
Management And General$242,493ManagementAndGeneralAmt
Fundraising$24,116FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$91,359TotalAmt
Program Services$91,359ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$424,061TotalAmt
Program Services$127,972ProgramServicesAmt
Management And General$296,089ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$5,326,961TotalAmt
Program Services$5,326,961ProgramServicesAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$1,878,212TotalAmt
Program Services$1,878,212ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,640,259TotalAmt
Program Services$1,282,870ProgramServicesAmt
Management And General$357,389ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$2,542,153TotalAmt
Program Services$2,397,974ProgramServicesAmt
Management And General$144,179ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$3,213,163TotalAmt
Program Services$3,171,341ProgramServicesAmt
Management And General$41,822ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$3,188,833TotalAmt
Program Services$3,106,633ProgramServicesAmt
Management And General$82,200ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
NURSING EXPENSE$4,651,165$4,651,165
FOOD & DIETARY EXPENSE$3,185,110$3,185,110
PHARMACY EXPENSE$2,316,809$2,316,809
REPAIRS & MAINTENANCE$1,758,734$1,755,947$2,787

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$7,412,150TotalAmt
Program Services$6,963,912ProgramServicesAmt
Management And General$448,238ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$78,724,443TotalAmt
Program Services$72,174,395ProgramServicesAmt
Management And General$6,115,318ManagementAndGeneralAmt
Fundraising$434,730FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$2,630,266BOYAmt
EOY$555,531EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$838,537BOYAmt
EOY$307,345EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$18,109,818BOYAmt
EOY$13,968,152EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$229,034BOYAmt
EOY$224,675EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$119,356,428LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$67,225,906LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$51,422,760BOYAmt
EOY$52,130,522EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$16,572,195BOYAmt
EOY$14,887,425EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$5,732,147BOYAmt
EOY$13,981,432EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$95,534,757BOYAmt
EOY$96,055,082EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$10,922,466BOYAmt
EOY$8,541,119EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$1,874,593BOYAmt
EOY$2,035,426EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$57,981,544BOYAmt
EOY$59,282,271EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$5,079,170BOYAmt
EOY$5,336,992EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$75,857,773BOYAmt
EOY$75,195,808EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$19,532,935BOYAmt
EOY$20,715,151EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$144,049BOYAmt
EOY$144,123EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$19,676,984BOYAmt
EOY$20,859,274EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$95,534,757BOYAmt
EOY$96,055,082EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$1,030,709ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$1,034,096NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$1,178,903OtherChangesInNetAssetsAmt
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$1,449,177CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,313,214CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,346,503CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,341,054CurrentTaxYearMinus1YearAmt
Current Tax Year$1,337,547CurrentTaxYearAmt
Total$6,787,495TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$70,682,235CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$57,958,718CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$63,937,921CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$71,192,640CurrentTaxYearMinus1YearAmt
Current Tax Year$76,087,087CurrentTaxYearAmt
Total$339,858,601TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$72,131,412CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$59,271,932CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$65,284,424CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$72,533,694CurrentTaxYearMinus1YearAmt
Current Tax Year$77,424,634CurrentTaxYearAmt
Total$346,646,096TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$60,952CurrentTaxYearMinus1YearAmt
Current Tax Year$81,468CurrentTaxYearAmt
Total$142,420TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$60,952CurrentTaxYearMinus1YearAmt
Current Tax Year$81,468CurrentTaxYearAmt
Total$142,420TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$346,503,676PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$932,659CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,412,613CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,674,310CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$491,933CurrentTaxYearMinus1YearAmt
Current Tax Year$480,665CurrentTaxYearAmt
Total$7,992,180TotalAmt

Post1975 UBTI Post1975UBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$12,268CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,835CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$17,576CurrentTaxYearMinus1YearAmt
Current Tax Year$4,136CurrentTaxYearAmt
Total$40,815TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$932,659CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,424,881CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,681,145CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$509,509CurrentTaxYearMinus1YearAmt
Current Tax Year$484,801CurrentTaxYearAmt
Total$8,032,995TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$73,064,071CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$60,696,813CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$69,965,569CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$73,043,203CurrentTaxYearMinus1YearAmt
Current Tax Year$77,909,435CurrentTaxYearAmt
Total$354,679,091TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.97690PublicSupportCY509Pct
Public Support PY5090.97460PublicSupportPY509Pct
Investment Income CY0.02260InvestmentIncomeCYPct
Investment Income PY0.02520InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,774,230OtherCostOrOtherBasisAmt
Book Value$4,774,230BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$89,289,013OtherCostOrOtherBasisAmt
Depreciation$48,902,593DepreciationAmt
Book Value$40,386,420BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$21,552,725OtherCostOrOtherBasisAmt
Depreciation$17,880,456DepreciationAmt
Book Value$3,672,269BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,740,460OtherCostOrOtherBasisAmt
Depreciation$442,857DepreciationAmt
Book Value$3,297,603BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$52,130,522TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (8 entries)

DescDescBook ValueBookValueAmt
GROUND LEASE RECEIVABLES$1,275,288
ASSETS LIMITED TO USE$1,422,544
DUE FROM AFFILIATES$7,127,337
OTHER ASSETS$434,785
LEGAL LIABILITY INS RECOVERIES$853,340
DEFERRED COMP GRANTOR TRUST$1,695,463
INVESTMENTS IN PMDC & PDG$333,937
INTEREST RATE SWAP VALUE$838,738
FieldValueIRS element (for citing)
Total Book Value Other Assets$13,981,432TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDescAmtAmt
ESTIMATED SELF-INS LIABILITIES$2,412,602
ASSET RETIREMENT OBLIGATION$339,357
RESIDENT NOTES AND DEPOSITS$2,227,623
ACCRUED INTEREST PAYABLE$174,846
CHARITABLE ANNUITY CONTRACTS$182,564
FieldValueIRS element (for citing)
Total Liability$5,336,992TotalLiabilityAmt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1BANQUETEvent1Nm
Gross Receipts Event1$185,647GrossReceiptsEvent1Amt
Charitable Contri Event1$122,447CharitableContriEvent1Amt
Gross Revenue Event1$63,200GrossRevenueEvent1Amt
Other Direct Expenses Event1$136,435OtherDirectExpensesEvent1Amt
Event2GOLF OUTINGEvent2Nm
Gross Receipts Event2$145,055GrossReceiptsEvent2Amt
Charitable Contri Event2$78,065CharitableContriEvent2Amt
Gross Revenue Event2$66,990GrossRevenueEvent2Amt
Other Direct Expenses Event2$84,260OtherDirectExpensesEvent2Amt
Other Events Total3OtherEventsTotalCnt
Gross Receipts Other Events$58,469GrossReceiptsOtherEventsAmt
Charitable Contri Other Events$44,005CharitableContriOtherEventsAmt
Gross Revenue Other Events$14,464GrossRevenueOtherEventsAmt
Oth Direct Expnss Other Events$29,788OthDirectExpnssOtherEventsAmt
Gross Receipts Total$389,171GrossReceiptsTotalAmt
Charitable Contributions Tot$244,517CharitableContributionsTotAmt
Gross Revenue Total Events$144,654GrossRevenueTotalEventsAmt
Oth Direct Expnss Total Events$250,483OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$250,483DirectExpenseSummaryEventsAmt
Net Income Summary-$105,829NetIncomeSummaryAmt

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 $389,171 FOR 2017. THE COMBINED COSTS OF THE EVENTS TOTALED $250,483. THE NET INCOME TO THE ORGANIZATION FOR HOSTING ALL OF THE EVENTS WAS $138,688.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$475,911$0$63,464$0$12,000$0$139,307$0$26,644$0$717,326$0$0$0
WILLIAM DEYOUNG
COO$327,173$0$43,946$0$8,726$0$43,036$0$34,440$0$457,321$0$0$0
BARRY VANDERGENUGTEN
CFO$197,788$0$26,169$0$10,316$0$8,958$0$21,791$0$265,022$0$0$0
RAY HEMPHILL
EVP PROJECT DEVELOPMENT$224,553$0$30,207$0$9,387$0$10,190$0$37,063$0$311,400$0$0$0
JEFF COURTNEY
VP CONSTRUCTION$147,863$0$22,070$0$6,754$0$6,797$0$32,267$0$215,751$0$0$0
SCOTT STUDEBAKER
VP MINISTRY ADVANCEMENT & DEVELOPMEN$149,503$0$0$0$6,923$0$5,980$0$14,450$0$176,856$0$0$0
JOHANNA ZANDSTRA
VP OPERATIONS$143,145$0$0$0$9,747$0$5,726$0$31,426$0$190,044$0$0$0
RICHARD NOLDEN
VP HEALTHCARE STRATEGY$142,809$0$0$0$9,679$0$5,712$0$22,748$0$180,948$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 2017.
PART I, LINE 4BREST HAVEN HAS ESTABLISHED A NONQUALIFIED DEFERRED COMPENSATION PLAN IN AN EFFORT TO RETAIN SELECTED OFFICERS ON A LONG TERM BASIS. THE FOLLOWING IS A SCHEDULE OF THE OFFICERS AND THE ANNUAL CREDIT OR DEBIT TO THE ACCOUNT IN 2017. - RICHARD SCHUTT RECEIVED A CREDIT TO THE ACCOUNT OF $128,507. - WILLIAM DEYOUNG RECEIVED A CREDIT TO THE ACCOUNT OF $32,236. 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 BASED UPON A SPECIFIC REVIEW OF GOALS AND OBJECTIVES (INCLUDING THOSE WHICH RELATE TO MISSION, OPERATIONAL EFFICIENCY, FINANCIAL EFFECTIVENESS, AND STRATEGIC GOALS) SEMI-ANNUALLY. 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 EXECUTIVE COMMITTEE.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
LINDA SCHUTT
SPOUSE OF CEO$97,607EMPLOYMENT COMPENSATION0
BONNIE HEIRENDT
SISTER OF CEO$57,630EMPLOYMENT COMPENSATION0
ALLISON OLESHKO
DAUGHTER OF CEO$34,646EMPLOYMENT 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, THE FINAL DRAFT IS FORWARDED TO THE EXECUTIVE COMMITTEE BEFORE SUBMISSION. A COMPLETED COPY OF THE 990 IS PROVIDED TO THE FULL BOARD AT THE SUBSEQUENT BOARD MEETING, AFTER FILING.
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 1,102,209. UNREALIZED GAIN ON INTEREST RATE SWAP 76,694.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (8 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$7,104,244REST HAVEN
PARK PLACE REALTY GROUP LLC
18601 N CREEK DRIVETINLEY PARKIL60477REAL ESTATEIL$46,482$37,491REST HAVEN
PROVIDENCE OPERATIONS LLC
18601 N CREEK DRIVETINLEY PARKIL60477OPERATIONSIL$39,213,695$9,316,990REST HAVEN
PROVIDENCE TENANT LLC
18601 N CREEK DRIVETINLEY PARKIL60477REAL ESTATEIL$0$0REST HAVEN
PROVIDENCE PALOS HEIGHTS LLC
18601 N CREEK DRIVETINLEY PARKIL60477REAL ESTATEIL$805,579$3,935,898REST HAVEN
PROVIDENCE DOWNERS GROVE LLC
18601 N CREEK DRIVETINLEY PARKIL60477REAL ESTATEIL$933,204$7,559,339REST HAVEN
PROVIDENCE GRAND RAPIDS LLC
18601 N CREEK DRIVETINLEY PARKIL60477REAL ESTATEIL$414,056$2,496,712REST HAVEN
PROVIDENCE ZEELAND LLC
18601 N CREEK DRIVETINLEY PARKIL60477REAL ESTATEIL$1,269,192$7,547,245REST 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 Corp Tr IdRelatedOrgTxblCorpTrGrp (3 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$7,560,561$6,067,1051.00000Yes (1)
HOME AIDE HEALTH NETWORK
18601 N CREEK DRIVETINLEY PARKIL60477364167569HOME CAREMIC1.00000Yes (1)PROVIDENCE MGMT & DEVELOPMENT
PROVIDENCE HOUSING CORPORATION
18601 N CREEK DRIVETINLEY PARKIL60477461379112HOUSINGILC$121,467$519,5451.00000Yes (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 (6 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
PROVIDENCE MGMT & DEVELOPMENT
P$2,147,503FMV
PROVIDENCE MGMT & DEVELOPMENT
Q$637,188FMV
TIMOTHY PLACE
Q$360,000FMV
HAVEN PARK
Q$982,783FMV
HAVEN PARK
K$1,269,000FMV
PARK PLACE OF ST JOHN
P$525,437FMV