STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

REST HAVEN ILLIANA CHRISTIAN CONVALESCENT HOME: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
REST HAVEN ILLIANA CHRISTIAN CONVALESCENT HOME (EIN 36-2382853)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-15
IRS object ID
201333199349309928
Schema version
2012v2.1
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)
Timestamp2013-11-15T16:00:23-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1KPMG LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1191 West Nationwide Blvd Ste 500AddressLine1
CityColumbusCity
StateOHState
ZIP Code432152568ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN362382853EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Rest Haven Illiana ChristianBusinessNameLine1
Business Name Line2Convalescent HomeBusinessNameLine2
FieldValueIRS element (for citing)
In Care Of Name% WILLIAM DEYOUNGInCareOfName
Name ControlRESTNameControl
Phone7083428100Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line118601 NORTH CREEK DRIVEAddressLine1
Address Line2SuiteAddressLine2
CityTINLEY PARKCity
StateILState
ZIP Code60477ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameWilliam DeYoungName
TitleChief Financial OfficerTitle
Phone7083428100Phone
Date Signed2013-11-15DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone6142492300Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1PROVIDENCE LIFE SERVICESBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonRichard SchuttNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line118601 North Creek DriveAddressLine1
CityTinley ParkCity
StateILState
ZIP Code60477ZIPCode
FieldValueIRS element (for citing)
Gross Receipts75256774GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.PROVIDENCELIFESERVICES.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1956YearFormation
State Legal DomicileILStateLegalDomicile
Activity Or Mission DescriptionREST HAVEN'S PURPOSE IS TO PROVIDE NURSING AND RESIDENTIAL LIVING FOR THE AGED INCLUDING SKILLED NURSING AND REHABILITATION SERVICES, HOME HEALTH CARE, TOWN HOME LIVING, INDEPENDENT AND ASSISTED LIVING.ActivityOrMissionDescription
Nbr Voting Members Governing Body15NbrVotingMembersGoverningBody
Nbr Independent Voting Members15NbrIndependentVotingMembers
Total Nbr Employees1583TotalNbrEmployees
Total Nbr Volunteers350TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year1657909ContributionsGrantsPriorYear
Contributions Grants Current Year1027968ContributionsGrantsCurrentYear
Program Service Revenue Prior Year73255482ProgramServiceRevenuePriorYear
Program Service Revenue CY73371513ProgramServiceRevenueCY
Investment Income Prior Year432311InvestmentIncomePriorYear
Investment Income Current Year732973InvestmentIncomeCurrentYear
Other Revenue Prior Year-94397OtherRevenuePriorYear
Other Revenue Current Year-107552OtherRevenueCurrentYear
Total Revenue Prior Year75251305TotalRevenuePriorYear
Total Revenue Current Year75024902TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year2069GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY354GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year35161270SalariesEtcPriorYear
Salaries Etc Current Year35566954SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year38579526OtherExpensePriorYear
Other Expenses Current Year38719635OtherExpensesCurrentYear
Total Expenses Prior Year73742865TotalExpensesPriorYear
Total Expenses Current Year74286943TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1508440RevenuesLessExpensesPriorYear
Revenues Less Expenses CY737959RevenuesLessExpensesCY
Total Assets BOY88158307TotalAssetsBOY
Total Assets EOY91164013TotalAssetsEOY
Total Liabilities BOY69007027TotalLiabilitiesBOY
Total Liabilities EOY70610688TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY19151280NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY20553325NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionSEE SCHEDULE OMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense69364582Expense
Grants354Grants
Revenue73371513Revenue
DescriptionTO PROVIDE PROPER CARE FOR THE SICK AND ELDERLY. 1,020 BEDS/UNITS WITH OCCUPANCY OVER 82% ON THE FULL CONTINUUM OF CARE.Description
Total Program Service Expense69364582TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntitytrueDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109663NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees1583NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionstrueQuidProQuoContributions
Quid Pro Quo DisclosuretrueQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members15NbrVotingGoverningBodyMembers
Number Independent Voting Members15NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiestrueDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodyfalseForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledILStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledINStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledMIStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonWILLIAM DEYOUNGNamePerson
Telephone Number7083428139TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line118601 NORTH CREEK DRIVEAddressLine1
CityTINLEY PARKCity
StateILState
ZIP Code60477ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (22 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
KURT NELSON
DIRECTOR2.0X000
RON PORTER
DIRECTOR2.0X000
ARNOLD KOLDENHOVEN
CHAIR2.0X000
NORM AARDEMA
VICE CHAIR2.0X000
DR DAVE BEEZHOLD
DIRECTOR2.0X000
HAL BROWN
DIRECTOR2.0X000
SHARON CLOUSING
SECRETARY/TREASURER2.0X000X
GARY ELLENS
DIRECTOR2.0X000
HOWARD HOFF
DIRECTOR2.0X000
LUCETTE BAMFORD
DIRECTOR2.0X000
TIM BREEMS
DIRECTOR2.0X000
JUSTIN KATS
DIRECTOR2.0X000
KEN SCHOON
DIRECTOR2.0X000
CAL TAMELING
ASST. SEC./TREAS.2.0X000X
DON VAN DYK
DIRECTOR2.0X000
RICHARD SCHUTT
CEO60.00462937128057X
WILLIAM DEYOUNG
CFO60.0030724658342X
Timothy Abbring
ADMINISTRATOR40.0012510914582X
Mary Kay Kacmarek
Corp. Clinical Nurse Mgr.40.0013112422514X
Leeona Campbell
VP of Marketing40.0011159732151X
Linda Carrigan
Director of Nursing40.001045139328X
Jacquelyn Terpstra
ADMINISTRATOR40.0010772432730X
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1350250TotalReportableCompFrmRltdOrgs
Total Other Compensation297704TotalOtherCompensation
Number Individuals GT100 K11NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
PROVIDENCE MGMT DEV
18601 N CREEK DRIVETINLEY PARKIL60477MANAGEMENT SERVICES4693825
ALLIANCE PHARMACY SERVICES
1520 KENSINGTON ROAD SUITE 105OAK BROOKIL60523PHARMACY SERVICES3669137
GORDON FOOD SERVICE INC
PAYMENT PROCESSING CENTER DEPT CHPALATINEIL600550490DIETARY SERVICES2218720
INGALLS REHABILITATION
INGALLS MEMORIAL HOSPITAL ACCT DEPHARVEYIL60426THERAPY SERVICES1890141
CREATIVE DINING SERVICES
ONE ROYAL PARK DRIVE STE 3ZEELANDMI49464DIETARY SERVICES811807
FieldValueIRS element (for citing)
Number Of Contractors GT100 K47NumberOfContractorsGT100K
Fundraising Events286738FundraisingEvents
All Other Contributions741230AllOtherContributions
Total Contributions1027968TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
ROUTINE REVENUE6216107012142170121421
ANCILLARY REVENUE62161032500923250092
FieldValueIRS element (for citing)
Total Program Service Revenue73371513TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column732973TotalRevenueColumn
Exclusion$732,973ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Gross Income Fundraising Events124320GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events286738CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses231872FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-107552TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column75024902TotalRevenueColumn
Related Or Exempt Function Income73371513RelatedOrExemptFunctionIncome
Exclusion$732,973ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total354Total
Program Services354ProgramServices

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total767183Total
Program Services767183ProgramServices

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total29387240Total
Program Services29387240ProgramServices

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total422929Total
Program Services422929ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total2818065Total
Program Services2818065ProgramServices

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total2171537Total
Program Services2171537ProgramServices

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total4922361Total
Management And General4922361ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total0Total

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total7909730Total
Program Services7909730ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total475452Total
Program Services475452ProgramServices

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1817512Total
Program Services1817512ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total193896Total
Program Services193896ProgramServices

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total2061528Total
Program Services2061528ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total3306625Total
Program Services3306625ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total2613950Total
Program Services2613950ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
NURSING62578676257867
FOOD AND DIETARY38125693812569
REPAIRS AND MAINTENANCE17652141765214
PROVISION FOR BAD DEBT10049001004900

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total2578031Total
Program Services2578031ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total74286943Total
Program Services69364582ProgramServices
Management And General4922361ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1597477BOY
EOY1328950EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY2845310BOY
EOY1935633EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY653393BOY
EOY168782EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY11579380BOY
EOY11671512EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY481376BOY
EOY689165EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis116857834LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec68144690LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY50521489BOY
EOY48713144EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY6774826BOY
EOY11879427EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY1305417BOY
EOY1533947EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY12399639BOY
EOY13243453EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY88158307BOY
EOY91164013EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY14954420BOY
EOY11813313EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY3149044BOY
EOY2960262EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY17535000BOY
EOY17155000EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY31269611BOY
EOY33312382EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY2098952BOY
EOY5369731EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY69007027BOY
EOY70610688EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY17867290BOY
EOY20214760EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1283990BOY
EOY338565EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY19151280BOY
EOY20553325EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY88158307BOY
EOY91164013EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses737959ReconcilationRevenueExpenses
Reconciliation Unrealized Invest611702ReconciliationUnrealizedInvest
Reconcilation Prior Adjustment52384ReconcilationPriorAdjustment
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years794151CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years853703CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1843841CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1657909CurrentTaxYearMinus1Year
Current Tax Year741230CurrentTaxYear
Total5890834Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years72001336CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years70984500CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years70618626CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year73255481CurrentTaxYearMinus1Year
Current Tax Year73371512CurrentTaxYear
Total360231455Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

FieldValueIRS element (for citing)
Total0Total

Tax Rev Levied For Org Benefit509 TaxRevLeviedForOrgBenefit509

FieldValueIRS element (for citing)
Total0Total

Value Of Svcs Fclts Furnishd By Govt ValueOfSvcsFcltsFurnishdByGovt

FieldValueIRS element (for citing)
Total0Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years72795487CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years71838203CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years72462467CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year74913390CurrentTaxYearMinus1Year
Current Tax Year74112742CurrentTaxYear
Total366122289Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total509366122289PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years550529CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years299821CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years740596CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year181696CurrentTaxYearMinus1Year
Current Tax Year1344675CurrentTaxYear
Total3117317Total

Post1975 UBTI Post1975UBTI

FieldValueIRS element (for citing)
Total0Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years550529CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years299821CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years740596CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year181696CurrentTaxYearMinus1Year
Current Tax Year1344675CurrentTaxYear
Total3117317Total

Net Income From Other UBI NetIncomeFromOtherUBI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years25935CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total25935Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Total0Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years73371951CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years72138024CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years73203063CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year75095086CurrentTaxYearMinus1Year
Current Tax Year75457417CurrentTaxYear
Total369265541Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99149PublicSupportPercentage509
Prior Year Support Percentage0.99187PriorYearSupportPercentage
Investment Income Percentage0.00844InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00806PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
Current Year Minus3 YearsCurrentYearMinus3Years
Current Year Minus4 YearsCurrentYearMinus4Years

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis6107179OtherCostOrOtherBasis
Book Value6107179BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis75747974OtherCostOrOtherBasis
Depreciation43093889Depreciation
Book Value32654085BookValue
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovements

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis23462923OtherCostOrOtherBasis
Depreciation21457173Depreciation
Book Value2005750BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis11539758OtherCostOrOtherBasis
Depreciation3593628Depreciation
Book Value7946130BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings48713144TotalOfBookValueLandBuildings

Other Assets OtherAssets (5 entries)

DescriptionDescriptionBook ValueBookValue
GROUND LEASE RECEIVABLES4984008
INTERDIVISIONAL4687950
LEGAL LIAB INS RECOVERIES1894998
DEFERRED FINANCING COSTS, NET1250386
OTHER ASSETS426111
FieldValueIRS element (for citing)
Total Book Value Other Assets13243453TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (7 entries)

DescriptionDescriptionAmountAmount
OTHER LONG-TERM LIABILITIES$1,504,724
CHARITABLE ANNUITY CONTRACTS$217,437
ACCRUED INTEREST PAYABLE$119,017
RESIDENT NOTES AND DEPOSITS$96,628
ESTIMATED SELF-INS LIABILITIES$2,656,905
NONCURRENT LIABILITIES OF DISCONT$254,305
CURRENT LIABILITIES OF DISCONT OPS$520,715
FieldValueIRS element (for citing)
Total Of Amounts5369731TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierASC 740 FOOTNOTEIdentifier
ExplanationTHE CORPORATIONS ACCOUNT FOR UNCERTAIN TAX POSITIONS IN ACCORDANCE 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, 2012 AND 2011, THE CORPORATIONS DO NOT HAVE A LIABILITY FOR ANY UNRECOGNIZED TAX BENEFITS.Explanation

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1BANQUETNameOfEvent1
Gross Receipts Event1216057GrossReceiptsEvent1
Charitable Contributions Event1150717CharitableContributionsEvent1
Gross Revenue Event165340GrossRevenueEvent1
Other Direct Expenses Event1155093OtherDirectExpensesEvent1
Name Of Event2GOLF OUTINGNameOfEvent2
Gross Receipts Event2144810GrossReceiptsEvent2
Charitable Contributions Event2102690CharitableContributionsEvent2
Gross Revenue Event242120GrossRevenueEvent2
Other Direct Expenses Event249986OtherDirectExpensesEvent2
Total Number Of Other Events3TotalNumberOfOtherEvents
Gross Receipts Other Events50191GrossReceiptsOtherEvents
Charitable Contrib Other Events33331CharitableContribOtherEvents
Gross Revenue Other Events16860GrossRevenueOtherEvents
Other Direct Expenses Other Events26793OtherDirectExpensesOtherEvents
Gross Receipts Total411058GrossReceiptsTotal
Charitable Contributions Total286738CharitableContributionsTotal
Gross Revenue Total Events124320GrossRevenueTotalEvents
Other Direct Expenses Total Events231872OtherDirectExpensesTotalEvents
Direct Expense Summary Events231872DirectExpenseSummaryEvents
Net Income Summary-107552NetIncomeSummary

Form990 Schedule G Part IV Form990ScheduleGPartIV

FieldValueIRS element (for citing)
IdentifierFUNDRAISING OR GAMING ACTIVITIESIdentifier
Return ReferenceFORM 990, SCHEDULE G, PART IIReturnReference
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 $411,058 for 2012. The combined costs of the events totaled $231,872. The net income to the organization for hosting all of the events was $179,186.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Travel For CompanionsXTravelForCompanions
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (3 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
RICHARD SCHUTT
CEO040045305378008704087475040582059099400
WILLIAM DEYOUNG
CFO0260551035861010834024606033736036558800
Mary Kay Kacmarek
Corp. Clinical Nurse Mgr.0131124000003938018576015363800

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierPart IIIIdentifier
Return ReferenceQuestion 1aReturnReference
ExplanationThe 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. 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 $ 87,475 William DeYoung $ 24,606 In 2005, the Board of Directors established 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 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. For calendar year 2012, a portion of the Retention Incentive Plan includes a retro-calculated catch-up provision as if the plan had been established upon assuming their current positions, as opposed to many years after the fact. That reality affects the current year's contribution level. This plan was developed by an outside professional compensation expert who practices significantly in non-profit, faith-based, aging services organizations. 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 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 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 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.Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1MICHIGAN STRATEGIC FUNDBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN521417332IssuerEIN
CUSIP Number59469YAF2CUSIPNumber
Date Issued2004-11-18DateIssued
Issue Price9585000IssuePrice
Description Of PurposeMICHIGAN STRATEGIC FUNDDescriptionOfPurpose
DefeasedfalseDefeased
On Behalf Of IssuerfalseOnBehalfOfIssuer
Pool FinancingfalsePoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Amount Retired1420000AmountRetired
Amount Bond Defeased0AmountBondDefeased
Total Proceeds9585000TotalProceeds
Amount In Reserve Fund0AmountInReserveFund
Capitalized Interest0CapitalizedInterest
Refunding Escrow0RefundingEscrow
Issuance Costs From Proceeds191700IssuanceCostsFromProceeds
Credit Enhancement0CreditEnhancement
Working Capital Expenditures0WorkingCapitalExpenditures
Capital Expenditures166000CapitalExpenditures
Other Spent Proceeds0OtherSpentProceeds
Amount Unspent0AmountUnspent
Current RefundingtrueCurrentRefunding
Advance RefundingfalseAdvanceRefunding
Final Allocation MadetrueFinalAllocationMade
Adequate Books And Recds MaintaindtrueAdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed PropertyfalseOwningBondFinancedProperty
Any Lease ArrangementsfalseAnyLeaseArrangements
Mngment Cntrct Bond Financd PrprtyfalseMngmentCntrctBondFinancdPrprty
Any Research AgreementsfalseAnyResearchAgreements
Prcntge Prvt Business Use By Others0PrcntgePrvtBusinessUseByOthers
Bond Iss Meet Prvt Security Pay TestfalseBondIssMeetPrvtSecurityPayTest
Change In Use Bond Financed PropfalseChangeInUseBondFinancedProp
Remedial Action TakenfalseRemedialActionTaken
Non Qualified Bond Remed ProcdrsfalseNonQualifiedBondRemedProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T FiledfalseForm8038TFiled
Rebate Not Due YetfalseRebateNotDueYet
Exception To RebatefalseExceptionToRebate
No Rebate DuetrueNoRebateDue
Variable Rate IssuefalseVariableRateIssue
Hedge Identified In Books And RecdsfalseHedgeIdentifiedInBooksAndRecds

Name Of Hedge Provider NameOfHedgeProvider

FieldValueIRS element (for citing)
Business Name Line10BusinessNameLine1
FieldValueIRS element (for citing)
Superintegrated HedgefalseSuperintegratedHedge
Hedge TerminatedfalseHedgeTerminated
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGIC

Name Of GIC Provider NameOfGICProvider

FieldValueIRS element (for citing)
Business Name Line10BusinessNameLine1
FieldValueIRS element (for citing)
Gross Proceeds InvestedfalseGrossProceedsInvested
Written Proc To Monitor ReqsfalseWrittenProcToMonitorReqs

Form990 Schedule K Part V Form990ScheduleKPartV

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Proc To Undertk Corrective ActiontrueProcToUndertkCorrectiveAction

Form990 Schedule K Part VI Form990ScheduleKPartVI

FieldValueIRS element (for citing)
IdentifierMichigan Strategic FundIdentifier
Return ReferenceSchedule K, Part IV, Line 2cReturnReference
ExplanationThe rebate computation was performed on May 18, 2006, for the Michigan Strategic Fund Weekly Adjustable Rate Revenue Bonds, Series 2004A.Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1ILLINOIS FINANCE AUTHORITYBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN861091967IssuerEIN
CUSIP Number45200BGF9CUSIPNumber
Date Issued2004-11-01DateIssued
Issue Price33170000IssuePrice
Description Of PurposeILLINOIS DEVELOPMENT FINANCEDescriptionOfPurpose
DefeasedfalseDefeased
On Behalf Of IssuerfalseOnBehalfOfIssuer
Pool FinancingfalsePoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Amount Retired24180000AmountRetired
Amount Bond Defeased0AmountBondDefeased
Total Proceeds33170000TotalProceeds
Amount In Reserve Fund0AmountInReserveFund
Capitalized Interest0CapitalizedInterest
Refunding Escrow0RefundingEscrow
Issuance Costs From Proceeds663400IssuanceCostsFromProceeds
Credit Enhancement0CreditEnhancement
Working Capital Expenditures0WorkingCapitalExpenditures
Capital Expenditures6933000CapitalExpenditures
Other Spent Proceeds0OtherSpentProceeds
Amount Unspent0AmountUnspent
Current RefundingtrueCurrentRefunding
Advance RefundingfalseAdvanceRefunding
Final Allocation MadetrueFinalAllocationMade
Adequate Books And Recds MaintaindtrueAdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed PropertyfalseOwningBondFinancedProperty
Any Lease ArrangementsfalseAnyLeaseArrangements
Mngment Cntrct Bond Financd PrprtyfalseMngmentCntrctBondFinancdPrprty
Any Research AgreementsfalseAnyResearchAgreements
Prcntge Prvt Business Use By Others0PrcntgePrvtBusinessUseByOthers
Bond Iss Meet Prvt Security Pay TestfalseBondIssMeetPrvtSecurityPayTest
Change In Use Bond Financed PropfalseChangeInUseBondFinancedProp
Remedial Action TakenfalseRemedialActionTaken
Non Qualified Bond Remed ProcdrsfalseNonQualifiedBondRemedProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T FiledfalseForm8038TFiled
Rebate Not Due YetfalseRebateNotDueYet
Exception To RebatefalseExceptionToRebate
No Rebate DuetrueNoRebateDue
Variable Rate IssuefalseVariableRateIssue
Hedge Identified In Books And RecdsfalseHedgeIdentifiedInBooksAndRecds

Name Of Hedge Provider NameOfHedgeProvider

FieldValueIRS element (for citing)
Business Name Line10BusinessNameLine1
FieldValueIRS element (for citing)
Superintegrated HedgefalseSuperintegratedHedge
Hedge TerminatedfalseHedgeTerminated
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGIC

Name Of GIC Provider NameOfGICProvider

FieldValueIRS element (for citing)
Business Name Line10BusinessNameLine1
FieldValueIRS element (for citing)
Gross Proceeds InvestedfalseGrossProceedsInvested
Written Proc To Monitor ReqsfalseWrittenProcToMonitorReqs

Form990 Schedule K Part V Form990ScheduleKPartV

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Proc To Undertk Corrective ActiontrueProcToUndertkCorrectiveAction

Form990 Schedule K Part VI Form990ScheduleKPartVI

FieldValueIRS element (for citing)
IdentifierIllinois Finance AuthorityIdentifier
Return ReferenceSchedule K, Part IV, Line 2cReturnReference

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART III, LINE 1 - ORGANIZATION'S 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.
GOVERNANCE, MANAGEMENT, AND DISCLOSUREQUESTION 3: All management activities for Rest Haven are performed and supervised by Rest Haven's wholly-owned corporation, Providence Management and Development Company.FORM 990 PART VI, SECTION A
GOVERNANCE, MANAGEMENT, AND DISCLOSUREQUESTION 11B: A draft of the 990 was prepared and sent for initial review by the controllers, 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 A
GOVERNANCE, MANAGEMENT, AND DISCLOSUREQUESTION 12C: The 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
COMPENSATION OF KEY EMPLOYEESQUESTIONS 15A & 15B: The 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 PART VI, SECTION B
GOVERNANCE, MANAGEMENT, AND DISCLOSUREQUESTION 19: The governing documents, conflict of interest policy, and financial statements are available to the public upon request.FORM 990 PART VI, SECTION C
FEES FOR SERVICES - OTHEROTHER MISCELLANEOUS PROFESSIONAL FEES 7,909,730FORM 990, PART IX, LINE 11g - OTHER PROFESSIONAL FEES

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodePrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateTotal IncomeTotalIncomeEOY AssetsEOYAssetsBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
PROVIDENCE DEVELOPMENT GROUP
18601 N CREEK DRIVETINLEY PARKIL60477DEVELOPMENTIL993879891953REST HAVEN
PARK PLACE REALTY GROUP LLC
18601 N CREEK DRIVETINLEY PARKIL60477REAL ESTATEIL25085102028NA

Form990 Schedule R Part II Form990ScheduleRPartII (6 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
CHRISTIAN HEALTHCARE FOUNDATION
18601 N CREEK DRIVETINLEY PARKIL60477200722359RESEARCHIL501(C)(3)9REST HAVENfalse
CHRISTIAN LIVING CAMPUS
18601 N CREEK DRIVETINLEY PARKIL60477200226221SENIOR LIVINGIL501(C)(3)9REST HAVENfalse
HAVEN PARK
18601 N CREEK DRIVETINLEY PARKIL60477383026594HEALTHCAREMI501(C)(3)9REST HAVENfalse
TIMOTHY PLACE
18601 N CREEK DRIVETINLEY PARKIL60477201835089SENIOR LIVINGIL501(C)(3)9REST HAVENfalse
PARK PLACE OF ST JOHN
18601 N CREEK DRIVETINLEY PARKIL60477201834903SENIOR LIVINGIL501(C)(3)9REST HAVENfalse
HUDSONVILLE PARK PLACE
18601 N CREEK DRIVETINLeY PARKIL60477201834667SENIOR LIVINGIL501(C)(3)9REST HAVENfalse

Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnershipControlled OrgControlledOrg
PROVIDENCE MGMT & DEVELOPMENT
18601 N CREEK DRIVETINLEY PARKIL60477363774205MGMT & ITILNAC CORP82763837644311.00000true
HOME AIDE HEALTH NETWORK
18601 N CREEK DRIVETINLEY PARKIL60477364167569HOME CAREMIPROV MGMT & DEVC CORP0711261.00000true
PROVIDENCE HOUSING CORPORATION
18601 N CREEK DRIVETINLEY PARKIL60477461379112HOUSING SERVICESILREST HAVENC CORP001.00000true
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiestrueReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1PROVIDENCE MANAGEMENT DEVELOPMENT COMPANYBusinessNameLine1
FieldValueIRS element (for citing)
Transaction Type1OTransactionType
Amount Involved4693825AmountInvolved
Method Of Amt DeterminationFMVMethodOfAmtDetermination