2025-11-12T09:03:29-05:00 2024-12-31 LARRY J OTTE CPA 10755 HAWTHORNE DR SAINT JOHN IN 46373 990 2024-01-01 201835089 TIMOTHY PLACE NFP TIMO 7083428100 18670 GRAPHICS DRIVE STE 106 TINLEY PARK IL 60477 DEYOUNG WILLIAM COO 7083428100 2025-10-27 false LARRY J OTTE P01427347 7083593329 2025-11-12 X 2024 2025-03-06 01:10:19Z PARK PLACE CHRISTIAN COMM ELMHURST DEYOUNG WILLIAM 18601 N CREEK DR TINLEY PARK IL 60477 23380095 false X PROVIDENCELIFESERVICES.COM X 2004 IL TO PROVIDE HOUSING AND THE FULL CONTINUUM OF CARE FOR SENIORS. 7 7 308 50 0 167894 236419 21887552 22361089 459806 782587 0 22515252 23380095 0 0 9464035 10395798 0 0 16854868 17014804 26318903 27410602 -3803651 -4030507 123658033 124306824 230595019 235175815 -106936986 -110868991 TO PROVIDE HOUSING AND THE FULL CONTINUUM OF CARE FOR SENIORS. false false 25610470 TO PROVIDE HOUSING AND CARE FOR THE ELDERLY AND SICK. 25610470 true true false false false false false false false false true false false true true false true false false false false false false false false false false false false true true false false false false false false false false false false false false false false false true false false false true 17 0 true 308 true false false false false false false false false false false false false false false X 7 7 false true false false true true true true true false false true true true true true true true true false IL X DEYOUNG WILLIAM 7083428100 18601 N CREEK DR TINLEY PARK IL 60477 SCHUTT RICHARD CEO 3.00 42.00 X 0 626743 30072 DEYOUNG WILLIAM COO 3.00 42.00 X 0 418786 81129 VANDERGENUGTEN BARRY CFO 3.00 42.00 X 0 456582 24359 MCGOWAN-WELCH BETH EXECUTIVE DI 40.00 X 205400 0 22100 TIEMERSMA DAVID ADMINISTRATO 40.00 X 136810 0 21516 DELL JULIAN MARKETING DI 40.00 X 152052 0 6122 NIKOLIC MILANKA RN 40.00 X 131743 0 26132 CABERRA ARJELIO RN 40.00 X 121310 0 13901 VAN ESSEN DARREN DIRECTOR 1.00 2.00 X 0 0 0 GROENEWOLD JAKE CHAIR (THRU X X 0 0 0 HUIZENGA KAREN SECRETARY/TR 1.00 2.00 X X 0 0 0 HOVING KEN VICE CHAIR 1.00 2.00 X X 0 0 0 JABAAY PATTI DIRECTOR 1.00 2.00 X 0 0 0 BUIKEMA PAUL CHAIR 1.00 2.00 X X 0 0 0 FEENSTRA TED DIRECTOR 1.00 2.00 X 0 0 0 747315 1502111 225331 14 false true false PROVIDENCE LIFE SERVICES 18670 GRAPHICS DRIVE STE 106 TINLEY PARK IL 60477 MANAGEMENT 895453 SYMBRIA RX SERVICES 28100 TORCH PARKWAY SUITE 600 WARRENVILLE IL 60555 PHARMACY 608158 PROVINET SOLUTIONS 18670 GRAPHICS DRIVE STE 106 TINLEY PARK IL 60477 IT SERVICES 572894 CHARLES CARPETS 3720 W DEVON AVE LINCOLNWOOD IL 60712 FLOORING 533838 22 236419 236419 ROUTINE REVENUE 623000 22039996 22039996 ANCILLARY REVENUE 623000 282759 282759 OTHER REVENUE 38334 38334 22361089 768539 768539 14048 14048 14048 14048 23380095 22375137 768539 8690717 8690717 174612 174612 903274 903274 627195 627195 1176634 1176634 13605 13605 158757 158757 55312 55312 160861 160861 58128 58128 623498 623498 1153801 1153801 4736613 4736613 3704243 3704243 552965 552965 DIETARY SERVICES 942622 942622 MAINTENANCE & REPAIR 844147 844147 CONTRACT SERVICES 818867 818867 THERAPY 382310 382310 1632441 1632441 27410602 25610470 1800132 0 1593277 3912654 962880 2785133 90988 296804 143436567 43516830 102465150 99919737 18545738 17392496 123658033 124306824 2099271 2626176 86971312 92074987 107269103 106501214 34255333 33973438 230595019 235175815 X -106936986 -110902559 33568 -106936986 -110868991 123658033 124306824 -4030507 98502 X false true X true false X 2059760 237336 336423 167894 236419 3037832 20386959 21425994 20880719 21887552 22361089 106942313 22446719 21663330 21217142 22055446 22597508 109980145 109980145 50555 1884 182032 544218 768539 1547228 50555 1884 182032 544218 768539 1547228 22497274 21665214 21399174 22599664 23366047 111527373 0.98610 0.99020 0.01000 0.01000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 14600000 14600000 124394399 40116385 84278014 4343971 3322554 1021417 98197 77891 20306 99919737 ASSETS LIMITED TO USE 17392496 17392496 DEFERRED GAIN ON 2016 DEBT RESTRUCTU 32277866 SUBORDINATED OBLIGATIONS 4556879 DEFERRED EMPLOYEE RETENTION CREDIT 507260 RESIDENT DEPOSITS 5744 ORIGINAL ISSUE DISCOUNT -3374311 33973438 23380095 23380095 23380095 27410602 27410602 27410602 X true true X X X X X X false false false false false false false false false SCHUTT RICHARD CEO 581196 24000 21547 13308 16764 656815 DEYOUNG WILLIAM COO 403346 15440 62990 18139 499915 VANDERGENUGTEN BARRY CFO 336749 100000 19833 9279 15080 480941 MCGOWAN-WELCH BETH EXECUTIVE DIRECTOR 193125 12275 7725 14375 227500 TIEMERSMA DAVID ADMINISTRATOR 131865 3750 1195 5275 16241 158326 DELL JULIAN MARKETING DIRECTOR 123604 28200 248 5598 524 158174 NIKOLIC MILANKA RN 91551 6336 33856 5256 20876 157875 SCHEDULE J, PART III PART I,LINE 1A: THE 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. PART I, LINE 4B: REST HAVEN HAS ESTABLISHED A NONQUALIFIED DEFERRED COMPENSATION PLAN IN AN EFFORT TO RETAIN SELECTED OFFICERS ON A LONG TERM BASIS. WILLIAM DEYOUNG PARTICIPATES IN THE PLAN. IN 2024, THERE WERE NO DISTRIBUTIONS FROM OR AMOUNTS VESTED IN THE ACCOUNT. IN 2005, THE PLAN WAS SET UP BY THE BOARD OF DIRECTORS TO ESTABLISH A RETENTION INCENTIVE 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 CONTINOUSLY EMPLOYED THRU AND UNTIL A FUTURE DATE. THE ORGANIZATION'S PAYMENTS INTO THE PLAN ARE RECORDED ON THE 990 AS DEFERRED COMPENSATION. HOWEVER, THESE MONIES ARE ONLY ELIGIBLE TO BE RECEIVED BASED UPON ACHIEVEMENT OR SATISFACTION OF SOME FUTURE EVENTS. THE PLAN CONTRIBUTIONS ARE NOT UNDER THE CONTROL OF THE EXECUTIVES, THEY REMAIN THE ASSET OF THE ORGANIZATION, AND THE ENTIRE PLAN IS SUBJECT TO A FULL RISK FORFEITURE BY THE INDIVIDUAL. PART I, LINE 7: THE EXECUTIVE COMPENSATION PROGRAM HAS TWO MAJOR ELEMENTS; SALARY, OR BASE PAY, AND VARIABLE PAY. THE SALARY REFLECTS THE VALUE OF AN EXECUTIVE'S CAPABALITIES 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 INSURE THEY ARE COMPETITIVE AND IN LINE WITH COMMON PRACTICE FOR SIMILAR POSITIONS IN SIMILARLY SIZED AND TYPE ORGANIZATIONS. THE COMMITTEE ROUTNINELY RECIEVES AN EXECUTIVE COMPENSATION OPINION NOTING THAT THE ORGANIZATION'S EXECUTIVE COMPENSATION FALLS WITHIN THE RANGE OF COMPARABLE POSITIONS WITHIN THE SAME INDUSTRY, AND SCOPE OF OPERATIONS. THE REPORT/OPINION ALSO NOTES THAT THE STATED REQUIREMENTS OF ENSURING INDEPENDENCE OF COMPENSATION DELIBERATIONS FOR SENIOR EXECUTIVES ARE MET. A ILLINOIS FINANCE AUTHORITY 861091967 45204FHC2 2021-03-31 107269103 DEBT REFINANCING false false false A 107269103 107269103 true false false true A false false false false false false false A false false false false false false false false true A true PURPOSE OF ISSUE DESCRIPTION ILLINOIS FINANCE AUTHORITY DEBT REFINANCING FORM 990, PAGE 6, PART VI, LINE 3 RESPONSIBILITES PAID THROUGH MANAGEMENT FEES TO REST HAVEN ILLIANA CHRISTIAN CONVALESCENT HOME DBA PROVIDENCE LIFE SERVICES. FORM 990, PAGE 6, PART VI, LINE 6 THE SOLE MEMBER OF THE CORPORATION IS REST HAVEN ILLIANA CHRISTIAN CONVALESCENT HOME. THE AFFAIRS, BUSINESS AND ALL LEGAL MATTERS OF THE CORPORATION SHALL BE MANAGED BY ITS BOARD OF DIRECTORS. FORM 990, PAGE 6, PART VI, LINE 7A THE MEMBER SHALL HAVE AND EXERCISE THE FOLLOWING RESERVE POWERS: (1) TO APPOINT OR REMOVE DIRECTORS; (2) TO APPROVE AMENDMENTS TO THE ARTICLES OF INCORPORATION OR BYLAWS OF THE CORPORATION; (3) TO REVIEW ALL ANNUAL BUDGETS AND AUDITED FINANCIAL STATEMENTS AND TO APPROVE ANY DEFICIT BUDGET; (4) TO APPROVE THE CONSTRUCTION OF ANY NEW OR THE ALTERATION OF ANY EXISTING FACILITY INVOLVING AN EXPENDITURE OF 500,000 OR MORE; (5) TO SELL, MORTGAGE, PLEDGE OR ALIENATE ALL OR ANY PART OF THE REAL ESATE OR SUBSTANTIALLY ALL OF THE OTHER ASSETS OF THE CORPORATION; (6) TO DISSOLVE THE CORPORATION. FORM 990, PAGE 6, PART VI, LINE 7B THE MEMBER SHALL HAVE AND EXERCISE THE THE FOLLOWING RESERVE POWERS: (1) TO APPOINT OR REMOVE DIRECTORS; (2) TO APPROVE AMENDMENTS TO THE ARTICLES OF INCORPORATION OR BYLAWS OF THE CORPORATION; (3) TO REVIEW ALL ANNUAL BUDGETS AND AUDITED FINANCIAL STATEMENTS AND TO APPROVE ANY DEFICIT BUDGET; (4) TO APPROVE THE CONSTRUCTION OF ANY NEW OR THE ALTERATION OF ANY EXISTING FACILITY INVOLVING AN EXPENDITURE OF 500,000 OR MORE; (5) TO SELL, MORTGAGE, PLEDGE OR ALIENATE ALL OR ANY PART OF THE REAL ESATE OR SUBSTANTIALLY ALL OF THE OTHER ASSETS OF THE CORPORATION; (6) TO DISSOLVE THE CORPORATION. FORM 990, PAGE 6, PART VI, LINE 11B A DRAFT OF THE 990 WAS PREPARED AND SENT FOR INITIAL REVIEW BY THE VP OF FINANCE, CFO AND CEO. UPON REVIEW AND APPROVAL, THE 990 WAS MADE AVAILABLE TO THE ENTIRE BOARD PRIOR TO FILING. FORM 990, PAGE 6, PART VI, LINE 12C THE OFFICERS AND DIRECTORS/TRUSTEES 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, PAGE 6, PART VI, LINE 15A THE PARENT COMPANY'S EXECUTIVE COMPENSATION PROGRAM'S PRIMARY OBJECTIVE IS TO PROVIDE COMPETITIVE TOTAL PAY OPPORTUNITIES THAT HELP ATTRACT, REWARD AND RETAIN CRITICAL LEADERSHIP TALENT IN ORDER TO ACHIEVE THE ORGANIZATION'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, PAGE 6, PART VI, LINE 15B THE EXCECUTIVE COMPENSATION OF THE PARENT (REST HAVEN) COMPANYS EXECUTIVES IS SET BY THE PARENT COMPANYS BOARD OF DIRECTORS THROUGH BOARD OVERSIGHT. THE EXECUTIVE COMPENSATION PROGRAMS PRIMARY OBJECTIVE IS TO PROVIDE COMPETITIVE TOTAL PAY OPPORTUNITIES THAT HELP ATTRACT, REWARD AND RETAIN CRITICAL LEADERSHIP TALENT IN ORDER TO ACHIEVE THE ORGANIZATIONS MISSION AND STRATEGIC INITIATIVES. REST HAVEN ESTABLISHES ITS EXECTUIVE 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, PAGE 6, PART VI, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. REST HAVEN ILLIANA CHRISTIAN REST HAVEN ILLIANA CHRISTIAN 18601 N CREEK DRIVE TINLEY PARK IL 60477 362382853 HEALTHCARE IL 501C3 7 N/A false CHRISTIAN HEALTHCARE FOUNDATION CHRISTIAN HEALTHCARE FOUNDATION 18601 N CREEK DRIVE TINLEY PARK IL 60477 200722359 RESEARCH IL 501C3 7 N/A false PROVIDENCE MANAGEMENT & DEVELOPMENT PROVIDENCE MANAGEMENT & DEVELOPMENT 18601 N CREEK DR TINLEY PARK IL 60477 363774205 IT SERVICE IL N/A false false false false false false false false false false false false false false false true true false false false REST HAVEN ILLIANA CHRISTIAN P 360000 FMV PROVIDENCE MANAGEMENT P 623498 FMV