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REST HAVEN ILLIANA CHRISTIAN CONVALESCENT HOME: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
REST HAVEN ILLIANA CHRISTIAN CONVALESCENT HOME (EIN 36-2382853)
Tax period
2015-01-01 to 2015-12-31
Filed
2016-11-15
IRS object ID
201623209349309412
Schema version
2015v2.1
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)
Return2016-11-15T15:12:23-06:00ReturnTs
Tax Period End2015-12-31TaxPeriodEndDt

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 Begin2015-01-01TaxPeriodBeginDt

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
Signature2016-11-15SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDavid LowenthalPreparerPersonNm
PTINP00378651PTIN
Phone3122071040PhoneNum
Preparation2016-11-15PreparationDt
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

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$92,595,362GrossReceiptsAmt
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 Independent16VotingMembersIndependentCnt
Total Employee1349TotalEmployeeCnt
Total Volunteers350TotalVolunteersCnt
Total Gross UBI$6,835TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,313,214PYContributionsGrantsAmt
CY Contributions Grants$1,346,503CYContributionsGrantsAmt
PY Program Service Revenue$57,971,086PYProgramServiceRevenueAmt
CY Program Service Revenue$63,944,756CYProgramServiceRevenueAmt
PY Investment Income$1,449,987PYInvestmentIncomeAmt
CY Investment Income$6,805,784CYInvestmentIncomeAmt
PY Other Revenue-$157,998PYOtherRevenueAmt
CY Other Revenue-$154,288CYOtherRevenueAmt
PY Total Revenue$60,576,289PYTotalRevenueAmt
CY Total Revenue$71,942,755CYTotalRevenueAmt
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$30,332,536PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$33,580,261CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$28,378,846PYOtherExpensesAmt
CY Other Expenses$32,359,483CYOtherExpensesAmt
PY Total Expenses$58,711,382PYTotalExpensesAmt
CY Total Expenses$65,939,744CYTotalExpensesAmt
PY Revenues Less Expenses$1,864,907PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$6,003,011CYRevenuesLessExpensesAmt
Total Assets BOY$107,674,828TotalAssetsBOYAmt
Total Assets EOY$105,228,782TotalAssetsEOYAmt
Total Liabilities BOY$70,691,215TotalLiabilitiesBOYAmt
Total Liabilities EOY$73,282,519TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$36,983,613NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$31,946,263NetAssetsOrFundBalancesEOYAmt
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$59,275,322ExpenseAmt
Revenue$63,937,921RevenueAmt
DescTO PROVIDE PROPER CARE FOR THE SICK AND ELDERLY. 819 BEDS/UNITS WITH OCCUPANCY OVER 88% ON THE FULL CONTINUUM OF CARE.Desc
Total Program Service Expenses$59,275,322TotalProgramServiceExpensesAmt
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 BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
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 Document74IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee1349EmployeeCnt
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 Member16IndependentVotingMemberCnt
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 Line1WILLIAM DEYOUNGBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7083428139PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line118601 NORTH CREEK DRIVEAddressLine1Txt
CityTINLEY PARKCityNm
State AbbreviationILStateAbbreviationCd
ZIP60477ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (26 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
TIM BREEMS
CHAIR (BEG. MAY 2015)1.002.00Yes (X)Yes (X)$0$0$0
NORM AARDEMA
CHAIR (THRU MAY 2015)1.002.00Yes (X)Yes (X)$0$0$0
CAL TAMELING
VICE CHAIR1.002.00Yes (X)Yes (X)$0$0$0
JUSTIN KATS
SECRETARY/TREASURER (BEG. MAY 2015)1.002.00Yes (X)Yes (X)$0$0$0
SHARON CLOUSING
ASST. SECRETARY/TREASURER (BEG. MAY 2015)1.002.00Yes (X)Yes (X)$0$0$0
HOWARD HOFF
ASST. SECRETARY/TREASURER (THRU MAY 2015)1.002.00Yes (X)Yes (X)$0$0$0
LUCETTE BAMFORD
DIRECTOR1.002.00Yes (X)$0$0$0
DR DAVE BEEZHOLD
DIRECTOR (THRU MAY 2015)1.002.00Yes (X)$0$0$0
HAL BROWN
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
GARY ELLENS
DIRECTOR1.002.00Yes (X)$0$0$0
KEN SCHOON
DIRECTOR1.002.00Yes (X)$0$0$0
TIM SMITS
DIRECTOR1.002.00Yes (X)$0$0$0
DON VAN DYK
DIRECTOR1.002.00Yes (X)$0$0$0
RICH VAN HATTEM
DIRECTOR1.002.00Yes (X)$0$0$0
BOB VAN STAALDUINEN
DIRECTOR1.002.00Yes (X)$0$0$0
BOB WORKMAN
DIRECTOR1.002.00Yes (X)$0$0$0
RICH SCHUTT
CEO40.005.00Yes (X)Yes (X)$505,834$0$33,492
WILLIAM DE YOUNG
CFO40.005.00Yes (X)$335,109$0$44,495
CHERYL WIDDOWSON
EXEC. VP OF HEALTHCARE SERVICES40.005.00$691,679$0$18,508Yes (X)
RAY HEMPHILL
VP OF PROJECT DEVELOPMENT40.005.00$257,438$0$44,536Yes (X)
MANUEL PEDRE
VP OF CLINICAL DEVELOPMENT40.005.00$167,410$0$24,720Yes (X)
BARRY VANDERGENUGTEN
VP OF FINANCE40.005.00$176,027$0$29,613Yes (X)
MARY KAY KACMAREK
VP CLINICAL SERVICES40.005.00$144,759$0$35,256Yes (X)
JEFFREY COURTNEY
VP CONSTRUCTION40.005.00$149,933$0$39,476Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,428,189TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$270,096TotalOtherCompensationAmt
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
SYMBRIA RX SERVICES
28100 TORCH PARKWAY SUITE 600WARRENVILLEIL60555PHARMACY$2,939,250
GORDON FOOD SERVICE INC
PO BOX 88029CHICAGOIL60680DIETARY$2,044,735
PROVINET SOLUTIONS
18645 WEST CREEK DRIVETINLEY PARKIL60477IT SERVICES$1,554,047
CREATIVE DINING SERVICES
ONE ROYAL PARK DRIVE SUITE 3ZEELANDMI49464DIETARY$898,416
MARIANJOY
13259 S CENTRAL AVENUEPALOS HEIGHTSIL60463THERAPY$750,000
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K42CntrctRcvdGreaterThan100KCnt
Fundraising$255,026FundraisingAmt
All Other Contributions$1,091,477AllOtherContributionsAmt
Total Contributions$1,346,503TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
Routine Revenue621610$59,915,092$59,915,092
Ancillary Revenue621610$4,029,664$4,022,829$6,835
FieldValueIRS element (for citing)
Total Program Service Revenue$63,944,756TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$642,412TotalRevenueColumnAmt
Exclusion$642,412ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$26,512,655SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$20,349,283SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$6,163,372SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,163,372TotalRevenueColumnAmt
Exclusion$6,163,372ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$149,036FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$255,026ContriRptFundraisingEventAmt
Fundraising Direct Expenses$303,324FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$154,288TotalRevenueColumnAmt
Exclusion-$154,288ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$71,942,755TotalRevenueColumnAmt
Related Or Exempt Func Income$63,937,921RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$6,835UnrelatedBusinessRevenueAmt
Exclusion$6,651,496ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,629,117TotalAmt
Program Services$1,408,787ProgramServicesAmt
Management And General$220,330ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$27,031,426TotalAmt
Program Services$23,564,769ProgramServicesAmt
Management And General$3,466,657ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$421,252TotalAmt
Program Services$312,564ProgramServicesAmt
Management And General$108,688ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$2,440,504TotalAmt
Program Services$1,853,010ProgramServicesAmt
Management And General$587,494ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$2,057,962TotalAmt
Program Services$1,845,099ProgramServicesAmt
Management And General$212,863ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$37,792TotalAmt
Program Services$37,792ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$323,675TotalAmt
Program Services$323,675ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$4,311,793TotalAmt
Program Services$4,311,793ProgramServicesAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$768,942TotalAmt
Program Services$768,942ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,833,502TotalAmt
Program Services$1,462,284ProgramServicesAmt
Management And General$371,218ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$2,470,585TotalAmt
Program Services$2,443,620ProgramServicesAmt
Management And General$26,965ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$2,789,655TotalAmt
Program Services$2,773,856ProgramServicesAmt
Management And General$15,799ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$2,614,801TotalAmt
Program Services$2,518,083ProgramServicesAmt
Management And General$96,718ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
Nursing Expense$3,403,924$3,403,924
Food & Dietary Expense$3,162,820$3,162,820
Pharmacy Expense$2,699,203$2,699,203
RepAIRS & MAINTENANCE$1,800,493$1,800,493

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$6,142,298TotalAmt
Program Services$4,584,608ProgramServicesAmt
Management And General$1,557,690ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$65,939,744TotalAmt
Program Services$59,275,322ProgramServicesAmt
Management And General$6,664,422ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$9,218,822BOYAmt
EOY$3,598,689EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$2,573,354BOYAmt
EOY$837,947EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$34,500BOYAmt
EOY$22,800EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$7,625,283BOYAmt
EOY$10,862,730EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$418,117BOYAmt
EOY$59,588EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$113,615,892LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$61,189,998LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$54,464,092BOYAmt
EOY$52,425,894EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$19,180,975BOYAmt
EOY$22,008,963EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$14,159,685BOYAmt
EOY$15,412,171EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$107,674,828BOYAmt
EOY$105,228,782EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$9,117,944BOYAmt
EOY$9,281,655EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$4,609,197BOYAmt
EOY$1,724,979EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$6,730,566BOYAmt
EOY$7,086,283EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$46,691,520BOYAmt
EOY$49,816,359EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,541,988BOYAmt
EOY$5,373,243EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$70,691,215BOYAmt
EOY$73,282,519EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$36,804,797BOYAmt
EOY$31,784,414EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$178,816BOYAmt
EOY$161,849EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$36,983,613BOYAmt
EOY$31,946,263EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$107,674,828BOYAmt
EOY$105,228,782EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$6,003,011ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$2,131,474NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$8,908,887OtherChangesInNetAssetsAmt
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$1,657,909CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$741,230CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,449,177CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,313,214CurrentTaxYearMinus1YearAmt
Current Tax Year$1,346,503CurrentTaxYearAmt
Total$6,508,033TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$73,255,481CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$73,371,512CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$70,682,235CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$57,958,718CurrentTaxYearMinus1YearAmt
Current Tax Year$63,937,921CurrentTaxYearAmt
Total$339,205,867TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$74,913,390CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$74,112,742CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$72,131,412CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$59,271,932CurrentTaxYearMinus1YearAmt
Current Tax Year$65,284,424CurrentTaxYearAmt
Total$345,713,900TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$345,713,900PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$181,696CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,344,675CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$932,659CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,412,613CurrentTaxYearMinus1YearAmt
Current Tax Year$4,674,310CurrentTaxYearAmt
Total$8,545,953TotalAmt

Post1975 UBTI Post1975UBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$12,268CurrentTaxYearMinus1YearAmt
Current Tax Year$6,835CurrentTaxYearAmt
Total$19,103TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$181,696CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,344,675CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$932,659CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,424,881CurrentTaxYearMinus1YearAmt
Current Tax Year$4,681,145CurrentTaxYearAmt
Total$8,565,056TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$75,095,086CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$75,457,417CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$73,064,071CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$60,696,813CurrentTaxYearMinus1YearAmt
Current Tax Year$69,965,569CurrentTaxYearAmt
Total$354,278,956TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.97580PublicSupportCY509Pct
Public Support PY5090.98710PublicSupportPY509Pct
Investment Income CY0.02420InvestmentIncomeCYPct
Investment Income PY0.01290InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,761,212OtherCostOrOtherBasisAmt
Book Value$4,761,212BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$85,552,225OtherCostOrOtherBasisAmt
Depreciation$44,088,888DepreciationAmt
Book Value$41,463,337BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$19,120,992OtherCostOrOtherBasisAmt
Depreciation$16,645,195DepreciationAmt
Book Value$2,475,797BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,181,463OtherCostOrOtherBasisAmt
Depreciation$455,915DepreciationAmt
Book Value$3,725,548BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$52,425,894TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (8 entries)

DescDescBook ValueBookValueAmt
GROUND LEASE RECEIVABLES$1,245,957
DEFERRED FINANCING COSTS$1,191,765
ASSETS LIMITED TO USE$1,743,535
DUE FROM AFFILIATES$1,558,833
OTHER ASSETS$364,332
LEGAL LIABILITY INS RECOVERIES$369,430
DEFERRED COMP GRANTOR TRUST$1,414,361
Investments in PMDC & PDG$7,523,958
FieldValueIRS element (for citing)
Total Book Value Other Assets$15,412,171TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDescAmtAmt
CHARITABLE ANNUITY CONTRACTS$230,790
ACCRUED INTEREST PAYABLE$205,991
RESIDENT NOTES AND DEPOSITS$2,887,724
ASSET RETIREMENT OBLIGATION$319,794
ESTIMATED SELF-INS LIABILITIES$1,728,944
FieldValueIRS element (for citing)
Total Liability$5,373,243TotalLiabilityAmt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1BanquetEvent1Nm
Gross Receipts Event1$180,976GrossReceiptsEvent1Amt
Charitable Contri Event1$109,726CharitableContriEvent1Amt
Gross Revenue Event1$71,250GrossRevenueEvent1Amt
Other Direct Expenses Event1$227,692OtherDirectExpensesEvent1Amt
Event2Golf OutingEvent2Nm
Gross Receipts Event2$157,330GrossReceiptsEvent2Amt
Charitable Contri Event2$94,218CharitableContriEvent2Amt
Gross Revenue Event2$63,112GrossRevenueEvent2Amt
Other Direct Expenses Event2$57,131OtherDirectExpensesEvent2Amt
Other Events Total3OtherEventsTotalCnt
Gross Receipts Other Events$65,756GrossReceiptsOtherEventsAmt
Charitable Contri Other Events$51,082CharitableContriOtherEventsAmt
Gross Revenue Other Events$14,674GrossRevenueOtherEventsAmt
Oth Direct Expnss Other Events$18,501OthDirectExpnssOtherEventsAmt
Gross Receipts Total$404,062GrossReceiptsTotalAmt
Charitable Contributions Tot$255,026CharitableContributionsTotAmt
Gross Revenue Total Events$149,036GrossRevenueTotalEventsAmt
Oth Direct Expnss Total Events$303,324OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$303,324DirectExpenseSummaryEventsAmt
Net Income Summary-$154,288NetIncomeSummaryAmt

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 $404,062 FOR 2015. THE COMBINED COSTS OF THE EVENTS TOTALED $303,324. THE NET INCOME TO THE ORGANIZATION FOR HOSTING ALL OF THE EVENTS WAS $100,738.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 Org0CompBasedOnRevenueOfFlngOrgInd
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
RICH SCHUTT
CEO$451,063$0$37,762$0$17,009$0$10,600$0$22,892$0$539,326$0$0$0
WILLIAM DE YOUNG
CFO$297,262$0$25,490$0$12,357$0$10,600$0$33,895$0$379,604$0$0$0
CHERYL WIDDOWSON
EXEC. VP OF HEALTHCARE SERVICES$96,868$0$9,200$0$585,611$0$10,600$0$7,908$0$710,187$0$582,099$0
RAY HEMPHILL
VP OF PROJECT DEVELOPMENT$197,822$0$50,500$0$9,116$0$10,600$0$33,936$0$301,974$0$0$0
MANUEL PEDRE
VP OF CLINICAL DEVELOPMENT$160,470$0$0$0$6,940$0$6,693$0$18,027$0$192,130$0$0$0
BARRY VANDERGENUGTEN
VP OF FINANCE$159,560$0$5,250$0$11,217$0$7,000$0$22,613$0$205,640$0$0$0
MARY KAY KACMAREK
VP CLINICAL SERVICES$142,538$0$0$0$2,221$0$4,677$0$30,579$0$180,015$0$0$0
JEFFREY COURTNEY
VP CONSTRUCTION$131,209$0$12,358$0$6,366$0$6,281$0$33,195$0$189,409$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. 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.
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 CONTRIBUTION TO OR DISTRIBUTION FROM THE PLAN IN 2015. - RICHARD SCHUTT RECEIVED A CONTRIBUTION OF $111,151. - WILL DEYOUNG RECEIVED A CONTRIBUTION OF $27,973. - CHERYL WIDDOWSON RECEIVED A DISTRIBUTION OF $582,099. 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 K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1Illinois Finance AuthorityBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN861091967BondIssuerEIN
Bond Issued2009-12-29BondIssuedDt
Issue Price$27,689,940IssuePriceAmt
PurposeRefinancingPurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$20,353,657RetiredAmt
Total Proceeds$27,689,940TotalProceedsAmt
Issuance Costs From Proceeds$329,940IssuanceCostsFromProceedsAmt
Current RefundingYes (1)CurrentRefundingInd
Advance Refunding0AdvanceRefundingInd
Final Allocation MadeYes (1)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease Arrangements0AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop0MgmtContractBondFincdPropInd
Any Research Agreements0AnyResearchAgreementsInd
Private Bus Use By Others0.00000PrivateBusUseByOthersPct
Private Bus Concerning UBI0.00000PrivateBusConcerningUBIPct
Total Private Business Use0.00000TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd0ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiledInd
Rebate Not Due Yet0RebateNotDueYetInd
Exception To Rebate0ExceptionToRebateInd
No Rebate DueYes (1)NoRebateDueInd
Variable Rate Issue0VariableRateIssueInd
Hedge Identified In Bks And Rec0HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor Reqs0WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (1)ProceduresCorrectiveActionInd

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
LINDA SCHUTT
SPOUSE OF CEO$100,715EMPLOYMENT COMPENSATION0
BONNIE HEIRENDT
SISTER OF CEO$51,702EMPLOYMENT COMPENSATION0
ALLISON OLESHKO
DAUGHTER OF CEO$54,828EMPLOYMENT 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 11A 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 -8,908,887.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (9 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtDirect Controlling NADirectControllingNACd
providence development group
18601 N Creek DriveTinley ParkIL60477DevelopmentIL$22,621$7,091,495Rest Haven
Park place realty group
18601 N Creek DriveTinley ParkIL60477Real EstateIL$36,908$197,306N/A
Providence Operations LLC
18601 N Creek DriveTinley ParkIL60477OperationsIL$36,632,634$7,127,724Rest Haven
Providence Tenant LLC
18601 N Creek DriveTinley ParkIL60477Real EstateIL$0$0Rest Haven
Providence Palos Heights LLC
18601 N Creek DriveTinley ParkIL60477Real EstateIL$793,294$4,474,710Rest Haven
Providence Downers Grove LLC
18601 N Creek DriveTinley ParkIL60477Real EstateIL$961,175$8,832,433Rest Haven
Providence Grand Rapids LLC
18601 N Creek DriveTinley ParkIL60477Real EstateIL$409,016$2,835,937Rest Haven
Providence Zeeland LLC
18601 N Creek DriveTinley ParkIL60477Real EstateIL$1,306,649$9,040,040Rest Haven
RP Lisle Managing Partner LLC
18601 N Creek DriveTinley ParkIL60477REAL ESTATEIL$0$0PROVIDENCE HOUSING CORPORATION

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 9Rest Haven0
Christian Living Campus
18601 N Creek Drivetinley ParkIL60477200226221Senior LivingIL501(c)(3)Line 9Rest Haven0
Haven Park
18601 N Creek Drivetinley ParkIL60477383026594HealthcareMI501(c)(3)Line 9Rest Haven0
Timothy Place
18601 N Creek Drivetinley ParkIL60477201835089Senior LivingIL501(c)(3)Line 9Rest Haven0
Park Place of St John
18601 N Creek Drivetinley ParkIL60477201834903Senior LivingIL501(c)(3)Line 9Rest Haven0
Hudsonville Park Place
18601 N Creek Drivetinley ParkIL60477201834667Senior LivingIL501(c)(3)Line 9Rest Haven0

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-$577,393$6,307,0611.00000Yes (1)
Home Aide Health Network
18601 N Creek DriveTinley ParkIL60477364167569Home CareMIC1.00000Yes (1)PROVIDENCE MGMT & DEVELOPMENT
Providence Housing Corporation
18601 N Creek DriveTinley ParkIL60477461379112HousingILC$10,516$299,7851.00000Yes (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 (5 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
PROVIDENCE MGMT & DEVELOPMENT
P$760,021fmv
PROVIDENCE MGMT & DEVELOPMENT
Q$654,300fmv
Timothy Place
Q$503,448fmv
Haven Park
Q$1,140,889fmv
Haven Park
K$1,306,070fmv