2014-11-17T18:23:45-06:00 2013-12-31 990 2013-01-01 383026594 HAVEN PARK CHRISTIAN HOUSING AND NURSING ASSOCIATION OF ZEELAND HAVE 7083428100 18601 NORTH CREEK DRIVE TINLEY PARK IL 60477 WILLIAM DEYOUNG CFO 7083428100 2014-11-17 LARRY J OTTE P01427347 2014-11-17 2013 2015-11-30 17:44:51Z 13254106 false X HAVENPARK.COM X 1991 MI CARE OF THE ELDERLY AND SICK 7 7 251 15 0 3100 0 10968424 13254106 67 0 664356 0 11635947 13254106 0 0 5947690 6772734 0 0 5411447 6645840 11359137 13418574 276810 -164468 13745829 2812497 10170179 2040823 3575650 771674 CARE OF THE ELDERLY AND SICK false false 12348433 TO PROVIDE THE GENERAL PUBLIC LONG-TERM HEALTHCARE FACILITIES AND SERVICES FOR THE SICK, INJURED &/OR AGED. 12348433 true false false false false false false false false false true false false false false true false true false false false false false false false false false false false true false false false false false false false false false false false false true true false false false true 0 0 true 251 true false false false false false false X 7 7 false true false false false false false 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 AARDEMA NORM VICE CHAIR 1.00 2.00 X X 0 0 0 CLOUSING SHARON SECRETARY/TR 1.00 2.00 X X 0 0 0 HOFF HOWARD TRUSTEE 1.00 2.00 X 0 0 0 KOLDENHOVEN ARNIE CHAIR 1.00 2.00 X X 0 0 0 NELSON KURT TRUSTEE 1.00 2.00 X 0 0 0 PORTER RON TRUSTEE 1.00 2.00 X 0 0 0 TAMELING CAL ASS SEC/TREA 1.00 2.00 X X 0 0 0 SCHUTT RICHARD CEO 45.00 X 0 444366 144635 DEYOUNG WILLLIAM CFO 45.00 X 0 295208 66009 739574 210644 false true false REST HAVEN ILLIANA CHRISTIAN 18601 NORTH CREEK DR TINLEY PARK IL 60477 MANAGEMENT 1178136 PRIORITY HEALTH 3915 MOMEMTUM PLACE CHICAGO IL 60689 HEALTH INS 635517 GORDON FOOD SERVICE 520 79TH ST SE GRAND RAPIDS MI 49508 DIETARY 376563 MARY FREE BED PROFESSIONAL SERVICE PO BOX 5805 235 WEALTHY ST SE GRAND RAPIS MI 49503 THERAPY & REHAB 207253 SPECIALIZED PHARMACY L2650 COLUMBUS OH 43260 PHARMACEUTICALS 136690 7 HEALTHCARE 13254106 13254106 13254106 13254106 13254106 5645655 5645655 71327 71327 640184 640184 415568 415568 927391 927391 119651 119651 28940 28940 119749 119749 142750 142750 756108 756108 13759 13759 2481 2481 303790 303790 332285 332285 270432 270432 PROVIDER TAXES 986968 986968 BAD DEBT EXPENSE 453157 453157 NURSING SUPPLIES 432549 432549 NURSING THERAPY 425974 425974 1329856 1329856 13418574 12348433 1070141 0 404633 736957 972814 1992293 1454653 11637 11304 25238 13594 689229 93240 10249397 595989 89817 13745829 2812497 1994380 2040823 5155130 3020669 10170179 2040823 X 3571379 771674 4271 3575650 771674 13745829 2812497 -164468 -2639508 X false true X true true true X 18964 11993 11901 3100 45958 10746468 11035649 11449511 11632780 13254106 58118514 10765432 11047642 11461412 11635880 13254106 58164472 58164472 45445 39737 36415 67 121664 45445 39737 36415 67 121664 10810877 11087379 11497827 11635947 13254106 58286136 0.99790 0.99620 0.00000 X 689229 93240 595989 595989 SCHEDULE D, PAGE 3, PART X ASC 740 FOOTNOTE THE CORPORATIONS ACCOUNT FOR UNCERTAIN TAX POSITIONS WITH ASC SUBTOPIC 740 -10, INCOME TAXES - OVERALL, WHICH ADDRESSES THE DETERMINATION OF HOW TAX BENEFITS CLAIMED OR EXPECTED TO BE CLAIMED ON A TAX RETURN SHOULD BE RECORDED IN THE CONSOLIDATED FINANCIAL STATEMENTS. UNDER ASC SUBTOPIC 740 -10, THE CORPORATIONS 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 RECOGNIZED IN THE CONSOLIDATED 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, 2013 AND 2012, THE CORPORATIONS DO NOT HAVE A LIABILITY FOR ANY UNRECOGNIZED TAX BENEFITS. X X true true X X X X X false false false false false false false false false SCHUTT RICHARD CEO 406240 21192 16934 114318 30317 589001 DEYOUNG WILLLIAM CFO 269201 14305 11702 35648 30361 361217 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 KNOWLIEDGE 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 96,226 WILLIAM DEYOUNG 24,206 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 OPRGANIZATIONS 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 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 SUBJUECT 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 COMPETIVIE AND IN LINE WITH COMMON PRACTICE FOR SIMILAR POSITIONS IN SIMILARLY SIZED AND TYPE ORGANIZATIONS. THE COMMITTEE RECIEVES AND 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. 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 11B A DRAFT OF THE 990 WAS PREPARED AND AN INITIAL REVIEW WAS MADE BY THE CONTROLLER, CFO AND CEO. UPON REVIEW AND APPROVAL, 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 LEADERSHIO 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 REASONABLENSS 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 LEADERSHIO 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 REASONABLENSS 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. FORM 990, PART XI, LINE 9 EQUITY TRANSFER FOR ASSETS AND DEBT 2,639,508 RPPII LLC 18601 NORTH CREEK DRIVE TINLEY PARK IL 60477 RENTAL IL 22179 629384 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 142750 FMV REST HAVEN ILLIANA CHRISTIAN P 1178136 FMV REST HAVEN ILLIANA CHRISTIAN K 474768 FMV