2016-11-15T14:26:34-06:00 2015-12-31 990 2015-01-01 383026594 HAVEN PARK CHRISTIAN HOUSING AND NURSING ASSOCIATION OF ZEELAND HAVE 7083428100 18601 NORTH CREEK DRIVE TINLEY PARK IL 60477 VANDERGENUGTEN BARRY CFO 7083428100 2016-11-14 LARRY J OTTE P01427347 2016-11-10 2015 2017-02-10 21:41:12Z DEYOUNG WILLLIAM 18601 N CREEK DR TINLEY PARK IL 60477 12219238 false X HAVENPARK.COM X 1991 MI CARE OF THE ELDERLY AND SICK 7 7 326 15 0 0 12254045 11998394 0 223038 220844 12477083 12219238 0 0 6859545 6760801 0 0 6485687 6097652 13345232 12858453 -868149 -639215 2089845 2526226 2186320 3085189 -96475 -558963 CARE OF THE ELDERLY AND SICK false false 11553989 TO PROVIDE THE GENERAL PUBLIC LONG-TERM HEALTHCARE FACILITIES AND SERVICES FOR THE SICK, INJURED &/OR AGED. 11553989 true false false false false false false false false false true false false false false true false false false false false false false false false false false false false true false false false false false false true false false false false false true true false false false true 10 0 true 326 true false false false false false false X 7 7 false true false false true true true true true false false false true true true true true true true false MI X PROVIDENCE LIFE SERVICES 7083428100 18601 NORTH CREEK DRIVE TINLEY PARK IL 60477 CLOUSING SHARON ASST SECR/TR 1.00 2.00 X X 0 0 0 TAMELING CAL VICE CHAIR 1.00 2.00 X X 0 0 0 VAN HATTEM RICH TRUSTEE 1.00 2.00 X 0 0 0 KATS JUSTIN SEC/TREAS 1.00 2.00 X X 0 0 0 BREEMS TIM CHAIR 1.00 2.00 X X 0 0 0 VANDYK DON TRUSTEE 1.00 2.00 X 0 0 0 SCHOON KEN TRUSTEE 1.00 2.00 X 0 0 0 SCHUTT RICHARD CEO 5.00 50.00 X 0 505834 144643 DEYOUNG WILLLIAM CFO 5.00 50.00 X 0 335109 72468 840943 217111 false true false REST HAVEN ILLIANA CHRISTIAN 18601 NORTH CREEK DR TINLEY PARK IL 60477 MGMT, EDUC MKTG 1140889 PRIORITY HEALTH 3915 MOMEMTUM PLACE CHICAGO IL 60689 HEALTH INS 528805 GORDON FOOD SERVICE 520 79TH ST SE GRAND RAPIDS MI 49508 DIETARY 380170 AGILITY HEALTH LLC PO BOX 5509 CAROL STREAM IL 60197 THERAPY 292483 PROVINET SOLUTIONS 18601 NORTH CREEK DR TINLEY PARK IL 60477 IT 232493 7 HEALTHCARE 623000 11998394 11998394 11998394 RENTAL INCOME 220844 220844 220844 12219238 12219238 5724452 5724452 106263 106263 525484 525484 404602 404602 1140889 1140889 16762 16762 53443 53443 20027 20027 72411 72411 163575 163575 1621734 1621734 36000 36000 107096 107096 PROVIDER TAXES 963495 963495 DIETARY 348107 348107 NURSING THERAPY 343426 343426 NURSING SUPPLIES 333310 333310 877377 877377 12858453 11553989 1304464 0 475196 223972 984209 913446 11945 10436 3906 50738 1438274 165240 559989 1273034 54600 54600 2089845 2526226 2186320 3085189 2186320 3085189 X -96475 -558963 -96475 -558963 2089845 2526226 -639215 176727 X false true X true X 11901 3100 15001 11449511 11632780 13254106 12477083 12219238 61032718 11461412 11635880 13254106 12477083 12219238 61047719 61047719 36415 67 36482 36415 67 36482 11497827 11635947 13254106 12477083 12219238 61084201 0.99940 0.99870 0.00000 0.00000 X 1438274 165240 1273034 1273034 X SCHEDULE D, PAGE 3, PART X ASC 740 FOOTNOTE THE CORPORATION ACCOUNTS FOR UNCERTAIN TAX POSITIONS IN ACCORDANCE WITH ASC SUBTOPIC 740-10, INCOME TAXES - GENERAL, WHICH ADDRESSES THE DETERMINATION OF HOW TAX BENEIFTS CLAIMED OR EXPECTED TO BE CLAIMED ON A TAX RETURN SHOULD BE RECORDED IN THE FINANCIAL STATEMENTS. UNDER ACS SUBTOPIC 740-10 THE CORPORATION MAY RECOGNIZE THE TAX BENEFIT FROM AN UNCERTAIN TAX POSITION ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY THE TAXING AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFITS RECONGIZED IN THE FINANCIAL STATEMENTS FROM SUCH A POSITION ARE MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. ASC SUBTOPIC 740-10 ALSO PROVIDES GUIDANCE ON DERECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES ON INCOME TAXES, AND ACCOUNTING IN INTERIM PERIODS, AND REQUIRES INCREASED DISCLOSURES. AS OF DECEMBER 31, 2015, THE CORPORATION DOES NOT HAVE A LIABILITY FOR ANY UNRECOGNIZED TAX BENEFITS. X X true true X X X X X X false false false false false false false false false SCHUTT RICHARD CEO 451063 37762 17009 121751 22892 650477 DEYOUNG WILLLIAM CFO 297262 25490 12357 38573 33895 407577 SCHEDULE J, PART III QUESTION 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. DOCUMENTATION OF ATTENDANCE AT THE ANNUAL CONVENTION IS REQUIRED. THE ORGANIZATIN 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. QUESTION 4B REST 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 CONTRIBUTION TO THE PLAN: RICHARD SCHUTT 111,151 WILLIAM DEYOUNG 27,973 IN 2005, THE BOARD OF DIRECTORS ESTABLISHED A RETENTION INCENTIVE PLAN FOR CERTAIN OFFICERS. THIS PLAN RECOGNIZES THE HISTORIC CONTRIBUTION OF THE EXECUTIVES 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 FUTURE DATE. THE ORGANIZATIONS 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 THE MONIES 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. QUESTIONS 5A AND 6A 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 ORGANIZATIONS COMMITMENT TO PAY FOR SPECIFIC PERFORMANCE TOWARDS THE ORGANIZATIONS 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 EMPLOYEE BENEFITS 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 RECIEVES AN EXECUTIVE COMPENSATION OPINION NOTING THAT THE ORGANIZATIONS 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. LINDA SCHUTT SPOUSE OF CEO 100715 EMPLOYMENT COMP false BONNIE HEIRENDT DAUGHTER OF CEO 51702 EMPLOYMENT COMP false ALLISON OLESHKO SISTER OF CEO 54828 EMPLOYMENT COMP false SCHEDULE L, PART V THE TRANSACTIONS REPORTED ABOVE INVOLVING INTEREST PERSONS ARE REVIEWED ANNUALLY BY THE BOARDS COMPENSATION COMMITTEE AND HAVE BEEN DEEMED APPROPRIATE BASED ON THE POSITIONS EMPLOYED. FORM 990, PAGE 6, PART VI, LINE 3 RESPONSIBILITIES 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 ESTATE 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 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 ESTATE 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 IS PREPARED AND REVIEWED BY THE CONTROLLER AND THE CFO. UPON THEIR 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, PAGE 6, PART VI, LINE 12C BOARD MEMBERS ANNUALLY REVIEW AND UPDATE THEIR CONFLICT OF INTEREST STATEMENTS. FORM 990, PAGE 6, PART VI, LINE 15A 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 15B 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. RPPII LLC 18601 NORTH CREEK DRIVE TINLEY PARK IL 60477 RENTAL IL 136177 1614537 N/A REST HAVEN ILLIANA CHRISTIAN 18601 N CREEK DRIVE TINLEY PARK IL 60477 362382853 HEALTHCARE IL 501C3 7 N/A false PROVIDENCE MANAGMENT & DEVELOPMENT 18601 N CREEK DR TINLEY PARK IL 60477 363774205 MGMT & IT IL N/A false false false false false false false false false false false true false false false true true false true false PROVIDENCE MGMT & DEVELOPMENT P 163575 FMV REST HAVEN ILLIANA CHRISTIAN P 1140889 FMV REST HAVEN ILLIANA CHRISTIAN K 1306070 FMV