2018-01-11T15:52:47-06:00 2017-05-31 381357951 PLANTE & MORAN PLLC 750 Trade Centre Way Ste 300 Portage MI 49002 990 2016-06-01 381237795 CHRISTIAN REST HOME ASSOCIATION CHRI 6164532475 1000 EDISON AVE NW GRAND RAPIDS MI 49504 TODD NYEHOLT ADMINISTRATOR 6164532475 2017-12-17 1 Carol LaLonde CPA P00181637 2695674500 2017-12-17 73.110.115.178 2017-12-17 12:58:12 ES P 58F74DC53CB874483B207ADF23CD6921384352E9 58F74DC53CB874483B207ADF23CD6921384352E9 2016 2021-01-29 14:40:06Z CHRISTIAN REST HOME TODD NYEHOLT 1000 EDISON AVE NW GRAND RAPIDS MI 49504 18570377 0 X WWW.CHRISTIANRESTHOME.ORG X 1945 MI PROVIDE SKILLED AND BASIC NURSING CARE, SUPPORTIVE CARE, AND RESIDENTIAL CARE TO ADULT PERSONS 12 12 429 200 0 0 431144 388638 13911149 13096633 132549 37126 5799 190199 14480641 13712596 0 0 0 0 9375315 9251118 9023 9294 29630 4557424 4465964 13941762 13726376 538879 -13780 18518445 18148224 1418760 1062319 17099685 17085905 X THE PURPOSE OF CHRISTIAN REST HOME ASSOCIATION IS TO OPERATE WITH CHRISTIAN LOVE AND CONCERN, FACILITIES PROVIDING SKILLED AND BASIC NURSING CARE, SUPPORTIVE CARE AND RESIDENTIAL CARE TO ADULT PERSONS. THESE SERVICES ARE PROVIDED IN RECOGNITION OF THEIR OBLIGATION TO RENDER MERCY AND HELP TO THE AFFLICTED, AS ENJOINED UPON US BY THE LORD JESUS CHRIST IN LUKE 6:36, "BE YE THEREFORE MERCIFUL, AS YOUR FATHER ALSO IS MERCIFUL." 0 0 9705740 11066514 PROVIDED SKILLED NURSING SERVICES TO APPROXIMATELY 220 INDIVIDUALS DURING THE FISCAL YEAR. 1179436 1272695 PROVIDED ASSISTED LIVING SERVICES TO APPROXIMATELY 40 INDIVIDUALS DURING THE FISCAL YEAR. 903287 757424 PROVIDED SENIOR HOUSING TO APPROXIMATELY 55 INDIVIDUALS DURING THE FISCAL YEAR. 11788463 1 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 1 0 0 1 17 0 1 429 1 0 0 0 0 0 0 0 0 0 0 X 12 12 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 1 0 0 MI X JAMES HORJUS 6164532475 1000 EDISON NW GRAND RAPIDS MI 49504 ROBERT MYERS PRESIDENT 1.00 0.00 X X 0 0 0 MARK ARNOUDSE VICE PRESIDENT 1.00 0.00 X X 0 0 0 SUSAN OLTHOF SECRETARY 1.00 0.00 X X 0 0 0 JAMES WIELHOUWER TREASURER 1.00 0.00 X X 0 0 0 RONALD KLAASEN PRESIDENT -PART YEAR 1.00 1.00 X X 0 0 0 DAVID BLEEKER BOARD MEMBER 1.00 0.00 X 0 0 0 THOMAS BONT BOARD MEMBER 1.00 0.00 X 0 0 0 MARSHA HEYBOER BOARD MEMBER 1.00 0.00 X 0 0 0 ROGER HOOGEWIND BOARD MEMBER 1.00 0.00 X 0 0 0 RONALD HOOGMOED MD BOARD MEMBER 1.00 0.00 X 0 0 0 LOIS VANDERSTEL BOARD MEMBER 1.00 0.00 X 0 0 0 KAREN VANZWEDEN BOARD MEMBER 1.00 0.00 X 0 0 0 THOMAS WORD BOARD MEMBER 1.00 0.00 X 0 0 0 DAVID KWEKEL BOARD MEMBER - PART YEAR 1.00 0.00 X 0 0 0 TODD NYEHOLT ADMINSTRATOR 45.00 1.00 X 135568 0 20703 JAMES HORJUS BUSINESS MANAGER 45.00 1.00 X 100301 0 21243 235869 0 41946 2 0 1 0 MORRISON MANAGEMENT SPECIALISTS PO BOX 102289 ATLANTA GA 303682289 DIETARY SERVICES 304353 REHAB DIMENSIONS 2100 RAYBROOK AVE SE SUITE 300 GRAND RAPIDS MI 49546 THERAPY SERVICES 234789 2 200000 188638 9536 388638 SERVICE CARE REVENUE 623000 11694386 11694386 QUALITY ASSURANCE SUPPLEMENT 623000 1402247 1402247 13096633 67617 67617 104519 59770 44749 44749 44749 4767520 4798011 -30491 -30491 -30491 MISCELLANEOUS REVENUE 900099 93764 93764 BEAUTY & BARBER SHOP 812900 51686 51686 145450 13712596 13096633 0 227325 299914 299914 7279175 7124899 154276 148097 140383 7714 958694 958694 565238 565238 284167 284167 6565 6565 26190 26190 9294 9294 731049 731049 20336 20336 22545 22545 65914 65914 5042 5042 370925 335784 35141 80907 80907 QUALITY ASSURANCE 1153937 1153937 FOOD AND SUPPLIES 609177 609177 UTILITIES 343078 343078 NURSING SUPPLIES 303482 303482 442650 326598 116052 13726376 11788463 1908283 29630 3720491 3134771 819047 1066601 156506 203954 12537238 8878233 3783333 3659005 10025917 10083893 13151 0 18518445 18148224 1073949 929307 344811 133012 1418760 1062319 X 17099685 17085905 17099685 17085905 18518445 18148224 -13780 0 X X 0 1 X 1 0 X 350139 506574 425013 431144 388638 2101508 13799824 13594533 14298080 13911149 13096633 68700219 14149963 14101107 14723093 14342293 13485271 70801727 150000 150000 200000 200000 200000 900000 0 150000 150000 200000 200000 200000 900000 69901727 100289 91883 153926 182056 110922 639076 100289 91883 153926 182056 110922 639076 183531 153715 24609 5205 206664 573724 14433783 14346705 14901628 14529554 13802857 72014527 0.97070 0.98400 0.00890 0.00870 X Schedule A, Part III, Line 12, Explanation of Other Income: MISCELLANEOUS INCOME - 2012 Amount: $ 121,301. 2013 Amount: $ 86,191. 2014 Amount: $ 24,609. 2015 Amount: $ 5,205. 2016 Amount: $ 154,978. BEAUTY BARBER SHOP - 2012 Amount: $ 62,230. 2013 Amount: $ 67,524. 2016 Amount: $ 51,686. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 60224 60224 9787256 6468330 3318926 549936 481757 68179 2139822 1928146 211676 3659005 CERTIFICATES OF DEPOSIT 10083893 C 10083893 COST REPORT SETTLEMENT PAYABLE 101339 DEPOSITS FROM RESIDENTS 31673 133012 X X X 0 0 0 0 0 0 0 0 0 TODD NYEHOLT ADMINSTRATOR 132528 0 2000 0 1040 0 6938 0 13765 0 156271 0 0 0 GAYLE DYKEMA DAUGHTER OF RONALD KLASSEN, PRESIDENT OF CRHA 108414 GAYLE IS THE DIRECTOR OF NURSING OF CRHA 0 Form 990, Part I, Item C DBA: EDISON MANOR DBA: EDISON ASSISTED LIVING CENTER Form 990, Part VI, Section A, line 6 ANY PERSON WHO SUBSCRIBES TO THE PURPOSES AND BASIS OF THE ASSOCIATION, AS SET FORTH IN ITS ARTICLES OF INCORPORATION AND BY-LAWS, AND WHO MAKES AN ANNUAL FINANCIAL CONTRIBUTION DIRECTLY TO THE ASSOCIATION, SHALL BE A MEMBER THEREOF. Form 990, Part VI, Section A, line 7a FOR EACH BOARD VACANCY, THE BOARD APPROVES A BOARD NOMINEE. THAT NOMINEE IS THEN APPROVED BY THE ASSOCIATION'S MEMBERS. Form 990, Part VI, Section A, line 7b ANY AMENDMENTS TO THE EO'S BY-LAWS REQUIRE APPROVAL OF SUPPORTERS. A QUALIFIED VOTING SUPPORTER IS AN INDIVIDUAL WHO HAS CONTRIBUTED $5.00 OR MORE IN THE PAST 12 MONTHS. Form 990, Part VI, Section B, line 11b A DRAFT RETURN IS PROVIDED TO MANAGEMENT, WHO FORWARDS COPIES TO THE FINANCE COMMITTEE FOR APPROVAL PRIOR TO SUBMISSION. Form 990, Part VI, Section B, line 12c THE PRESIDENT OF THE BOARD OF DIRECTORS ANNUALLY REVIEWS CONFLICT OF INTEREST DISCLOSURES FOR POSSIBLE CONFLICTS. IF A CONFLICT OCCURS, THE PRESIDENT INFORMS THE REST OF THE BOARD ON THE CONFLICT OF INTEREST AND EXCLUDES THE BOARD MEMBER WHO HAS A CONFLICT OF INTEREST FROM VOTING ON MATTERS RELATED TO THAT CONFLICT OF INTEREST. Form 990, Part VI, Section B, line 15a THE EXECUTIVE COMMITTEE REVIEWS COMPARABILITY DATA PRIOR TO MAKING COMPENSATION RECOMMENDATIONS TO THE ENTIRE BOARD OF DIRECTORS. THE BOARD OF DIRECTORS REVIEWS THE RECOMMENDATIONS OF THIS COMMITTEE AND VOTES UPON THE COMPENSATION OF THE ADMINISTRATOR. THE ADMINISTRATOR DETERMINES COMPENSATION AMOUNTS BASED ON JOB PERFORMANCE MEASURES AND COMPARABILITY DATA. THIS PROCESS WAS MOST RECENTLY UNDERTAKEN DURING FISCAL YEAR 2017. Form 990, Part VI, Section C, line 19 ALL PUBLIC DOCUMENTS ARE AVAILABLE UPON REQUEST. Form 990, Part XII, Line 2c: THERE HAS BEEN NO CHANGE IN PROCESS FROM PRIOR YEAR. CHRISTIAN REST HOME FOUNDATION 1000 EDISON AVE NW GRAND RAPIDS MI 49504 382689011 PROVIDE FUNDS TO CHRISTIAN REST HOME ASSOCIATION MI 501(c)(3) Line 12a, I CHRISTIAN REST HOME ASSOCIATION 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 CHRISTIAN REST HOME FOUNDATION C 200000 BOARD ELECTION