REST HAVEN ILLIANA CHRISTIAN CONVALESCENT HOME: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- REST HAVEN ILLIANA CHRISTIAN CONVALESCENT HOME (EIN 36-2382853)
- Tax period
- 2010-01-01 to 2010-12-31
- Filed
- 2011-11-15
- IRS object ID
- 201113199349310051
- Schema version
- 2010v3.4
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule G
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-11-15T16:58:29-05:00 | Timestamp |
| Tax Period End Date | 2010-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KPMG LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 303 EAST WACKER DRIVE | AddressLine1 |
| City | CHICAGO | City |
| State | IL | State |
| ZIP Code | 606015212 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 362382853 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Rest Haven Illiana Christian | BusinessNameLine1 |
| Business Name Line2 | Convalescent Home | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | REST | NameControl |
| Phone | 7083428100 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 18601 NORTH CREEK DRIVE | AddressLine1 |
| City | TINLEY PARK | City |
| State | IL | State |
| ZIP Code | 60477 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | william deyoung | Name |
| Title | chief financial officer | Title |
| Date Signed | 2011-11-15 | DateSigned |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3126651000 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
Doing Business As DoingBusinessAs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PROVIDENCE LIFE SERVICES | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Richard Schutt | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 18601 North Creek Drive | AddressLine1 |
| City | Tinley Park | City |
| State | IL | State |
| ZIP Code | 60477 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 87910692 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.PROVIDENCELIFESERVICES.COM | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1956 | YearFormation |
| State Legal Domicile | IL | StateLegalDomicile |
| Activity Or Mission Description | REST 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 Body | 15 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 15 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1554 | TotalNbrEmployees |
| Total Nbr Volunteers | 350 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 813703 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 1843841 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 70984500 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 70618626 | ProgramServiceRevenueCY |
| Investment Income Prior Year | -1423674 | InvestmentIncomePriorYear |
| Investment Income Current Year | 1590950 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | -180187 | OtherRevenuePriorYear |
| Other Revenue Current Year | -179731 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 70194342 | TotalRevenuePriorYear |
| Total Revenue Current Year | 73873686 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 6216 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 2524 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 34280985 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 33697428 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 40474851 | OtherExpensePriorYear |
| Other Expenses Current Year | 38143817 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 74762052 | TotalExpensesPriorYear |
| Total Expenses Current Year | 71843769 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -4567710 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 2029917 | RevenuesLessExpensesCY |
| Total Assets BOY | 99245093 | TotalAssetsBOY |
| Total Assets EOY | 84982962 | TotalAssetsEOY |
| Total Liabilities BOY | 84124679 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 66371783 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 15120414 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 18611179 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | SEE SCHEDULE O | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 67065306 | Expense |
| Grants | 2524 | Grants |
| Revenue | 70618626 | Revenue |
| Description | TO PROVIDE PROPER CARE FOR THE SICK AND ELDERLY. 1,032 BEDS/UNITS WITH OCCUPANCY OVER 66% ON THE FULL CONTINUUM OF CARE. | Description |
| Total Program Service Expense | 67065306 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | true | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | true | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | true | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | false | Hospital |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | true | TaxExemptBonds |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBonds |
| Escrow Account | false | EscrowAccount |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | true | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transaction Related Entity | false | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 58 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 1554 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 15 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 15 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | true | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | false | MembersOrStockholders |
| Election Of Board Members | false | ElectionOfBoardMembers |
| Decisions Subject To Approval | false | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | IL | StatesWhereCopyOfReturnIsFiled |
| States Where Copy Of Return Is Filed | IN | StatesWhereCopyOfReturnIsFiled |
| States Where Copy Of Return Is Filed | MI | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | WILLIAM DEYOUNG | NamePerson |
| Telephone Number | 7083428139 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 18601 NORTH CREEK DRIVE | AddressLine1 |
| City | TINLEY PARK | City |
| State | IL | State |
| ZIP Code | 60477 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (23 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| PAT BILTHOUSE | |||||||
| DIRECTOR | 2.0 | X | 0 | 0 | 0 | ||
| KURT NELSON | |||||||
| DIRECTOR | 2.0 | X | 0 | 0 | 0 | ||
| ROBERT WORKMAN | |||||||
| SECRETARY/TREASURER | 2.0 | X | 0 | 0 | 0 | X | |
| RON PORTER | |||||||
| DIRECTOR | 2.0 | X | 0 | 0 | 0 | ||
| ARNOLD KOLDENHOVEN | |||||||
| DIRECTOR | 2.0 | X | 0 | 0 | 0 | ||
| JANICE DEBOER | |||||||
| DIRECTOR | 2.0 | X | 0 | 0 | 0 | ||
| CATHY LARSEN | |||||||
| ASST. SEC./TREAS. | 2.0 | X | 0 | 0 | 0 | X | |
| GEORGE VANDE WERKEN | |||||||
| DIRECTOR | 2.0 | X | 0 | 0 | 0 | ||
| NORM AARDEMA | |||||||
| DIRECTOR | 2.0 | X | 0 | 0 | 0 | ||
| DR DAVE BEEZHOLD | |||||||
| DIRECTOR | 2.0 | X | 0 | 0 | 0 | ||
| HAL BROWN | |||||||
| DIRECTOR | 2.0 | X | 0 | 0 | 0 | ||
| SHARON CLOUSING | |||||||
| DIRECTOR | 2.0 | X | 0 | 0 | 0 | ||
| GARY ELLENS | |||||||
| DIRECTOR | 2.0 | X | 0 | 0 | 0 | ||
| HOWARD HOFF | |||||||
| DIRECTOR | 2.0 | X | 0 | 0 | 0 | ||
| RICH VAN HATTEM | |||||||
| PRESIDENT | 2.0 | X | 0 | 0 | 0 | X | |
| RICHARD SCHUTT | |||||||
| CEO | 60.0 | 0 | 407757 | 113505 | X | ||
| WILLIAM DEYOUNG | |||||||
| CFO | 60.0 | 0 | 264350 | 48490 | X | ||
| DAN HOLWERDA | |||||||
| COO | 60.0 | 0 | 232998 | 32384 | X | ||
| Mary Kay Kacmarek | |||||||
| Corp. Clinical Nurse Mgr. | 40.0 | 0 | 127719 | 25544 | X | ||
| Mercedita Defante | |||||||
| Registered Nurse | 40.0 | 0 | 120256 | 24051 | X | ||
| Richard Nolden | |||||||
| ADMINISTRATOR | 40.0 | 0 | 105045 | 21009 | X | ||
| Jacquelyn L Terpstra | |||||||
| ADMINISTRATOR | 40.0 | 0 | 104228 | 20846 | X | ||
| Richard Molenhouse | |||||||
| ADMINISTRATOR | 40.0 | 0 | 102027 | 20405 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 0 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 1464380 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 306234 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| ALLIANCE PHARMACY SERVICES | |||||
| PO BOX 66973 | CHICAGO | IL | 60666 | PHARMACY SERVICES | 3278756 |
| PROVIDENCE MGMT DEV | |||||
| 18601 N CREEK DRIVE | TINLEY PARK | IL | 60477 | MANAGEMENT SERVICES | 5345649 |
| GORDON FOOD SERVICE | |||||
| 333 50th St SW | GRAND RAPIDS | MI | 49501 | Dietary services | 2519423 |
| ALLIANCE REHAB | |||||
| PO BOX 66973 | CHICAGO | IL | 60666 | REHAB SERVICES | 2214227 |
| Healthcare Serv Corp | |||||
| PO Box 1186 | CHICAGO | IL | 60690 | Health insurance | 3155163 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 18 | NumberOfContractorsGT100K |
| Fundraising Events | 246485 | FundraisingEvents |
| All Other Contributions | 1597356 | AllOtherContributions |
| Total Contributions | 1843841 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| ROUTINE REVENUE | 621610 | 67254735 | 67254735 |
| ANCILLARY REVENUE | 621610 | 3363891 | 3363891 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 70618626 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 740596 | TotalRevenueColumn |
| Exclusion | $740,596 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 14600000 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 13749646 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 850354 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 850354 | TotalRevenueColumn |
| Exclusion | $850,354 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 107629 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 246485 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 287360 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -179731 | TotalRevenueColumn |
| Exclusion | -$179,731 | ExclusionAmount |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 0 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 73873686 | TotalRevenueColumn |
| Related Or Exempt Function Income | 70618626 | RelatedOrExemptFunctionIncome |
| Exclusion | $1,411,219 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2524 | Total |
| Program Services | 2524 | ProgramServices |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 905105 | Total |
| Program Services | 905105 | ProgramServices |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 27987456 | Total |
| Program Services | 27987456 | ProgramServices |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 71067 | Total |
| Program Services | 71067 | ProgramServices |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2679979 | Total |
| Program Services | 2679979 | ProgramServices |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2053821 | Total |
| Program Services | 2053821 | ProgramServices |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4778463 | Total |
| Management And General | 4778463 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8190654 | Total |
| Program Services | 8190654 | ProgramServices |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 412585 | Total |
| Program Services | 412585 | ProgramServices |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1982495 | Total |
| Program Services | 1982495 | ProgramServices |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2630561 | Total |
| Program Services | 2630561 | ProgramServices |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3425392 | Total |
| Program Services | 3425392 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3005969 | Total |
| Program Services | 3005969 | ProgramServices |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices |
|---|---|---|
| NURSING | 5901612 | 5901612 |
| FOOD AND DIETARY | 3350152 | 3350152 |
| REPAIRS AND MAINTENANCE | 1683792 | 1683792 |
| PROVISION FOR BAD DEBT | 581547 | 581547 |
| HOUSEKEEPING | 330060 | 330060 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1870535 | Total |
| Program Services | 1870535 | ProgramServices |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 71843769 | Total |
| Program Services | 67065306 | ProgramServices |
| Management And General | 4778463 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 82166 | BOY |
| EOY | 1165534 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9720329 | BOY |
| EOY | 3557374 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 653393 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12226105 | BOY |
| EOY | 12848190 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 485601 | BOY |
| EOY | 176130 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 113321611 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 61532366 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 69927551 | BOY |
| EOY | 51789245 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6199068 | BOY |
| EOY | 6873802 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 376332 | BOY |
| EOY | 1257617 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 227941 | BOY |
| EOY | 6661677 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 99245093 | BOY |
| EOY | 84982962 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12548053 | BOY |
| EOY | 11744480 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3397422 | BOY |
| EOY | 3153849 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 18240000 | BOY |
| EOY | 17895000 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 42968844 | BOY |
| EOY | 32012240 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6970360 | BOY |
| EOY | 1566214 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 84124679 | BOY |
| EOY | 66371783 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14862366 | BOY |
| EOY | 17531848 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 258048 | BOY |
| EOY | 1079331 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15120414 | BOY |
| EOY | 18611179 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 99245093 | BOY |
| EOY | 84982962 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 2029917 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 1460848 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
| Contrib By Controlling Individual | false | ContribByControllingIndividual |
| Contribution By Related Party | false | ContributionByRelatedParty |
| Contrib By35 Controlled Entity | false | ContribBy35ControlledEntity |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 797093 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 761897 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 794151 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 853703 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1843841 | CurrentTaxYear |
| Total | 5050685 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 55994595 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 68144834 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 72001336 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 70984500 | CurrentTaxYearMinus1Year |
| Current Tax Year | 70618626 | CurrentTaxYear |
| Total | 337743891 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 56791688 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 68906731 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 72795487 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 71838203 | CurrentTaxYearMinus1Year |
| Current Tax Year | 72462467 | CurrentTaxYear |
| Total | 342794576 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 342794576 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 465171 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1160230 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 550529 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 299821 | CurrentTaxYearMinus1Year |
| Current Tax Year | 740596 | CurrentTaxYear |
| Total | 3216347 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 465171 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1160230 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 550529 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 299821 | CurrentTaxYearMinus1Year |
| Current Tax Year | 740596 | CurrentTaxYear |
| Total | 3216347 | Total |
Net Income From Other UBI NetIncomeFromOtherUBI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 0 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 0 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 25935 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 0 | CurrentTaxYearMinus1Year |
| Current Tax Year | 0 | CurrentTaxYear |
| Total | 25935 | Total |
Other Income509 OtherIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 3754788 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 0 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 0 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 0 | CurrentTaxYearMinus1Year |
| Current Tax Year | 0 | CurrentTaxYear |
| Total | 3754788 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 61011647 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 70066961 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 73371951 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 72138024 | CurrentTaxYearMinus1Year |
| Current Tax Year | 73203063 | CurrentTaxYear |
| Total | 349791646 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.98000 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.97195 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.00920 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.00747 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 6292395 | OtherCostOrOtherBasis |
| Book Value | 6292395 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 74212400 | OtherCostOrOtherBasis |
| Depreciation | 38192578 | Depreciation |
| Book Value | 36019823 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 4313598 | OtherCostOrOtherBasis |
| Depreciation | 3216548 | Depreciation |
| Book Value | 1097050 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 22366302 | OtherCostOrOtherBasis |
| Depreciation | 20123240 | Depreciation |
| Book Value | 2243061 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 6136916 | OtherCostOrOtherBasis |
| Depreciation | 0 | Depreciation |
| Book Value | 6136916 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 51789245 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (3 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| PARK PLACE OF ELMHURST | 3600000 |
| INTERCOMPANY RECEIVABLE | 2803367 |
| DEFERRED FINANCING COSTS, NET | 258310 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 6661677 | TotalBookValueOtherAssets |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (3 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| OTHER LONG-TERM LIABILITIES | $1,433,641 |
| RESIDENT NOTES AND DEPOSITS | $44,136 |
| CHARITABLE ANNUITY CONTRACTS | $88,437 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 1566214 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | ASC 740 FOOTNOTE | Identifier |
| Explanation | THE 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, 2010 AND 2009, THE CORPORATIONS DO NOT HAVE A LIABILITY FOR ANY UNRECOGNIZED TAX BENEFITS. | Explanation |
Schedule G IRS990ScheduleG
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraiser Activity Information | FundraiserActivityInformation | |
| Total Gross Receipts | 0 | TotalGrossReceipts |
| Total Retained By Contractors | 0 | TotalRetainedByContractors |
| Total Net To Organization | 0 | TotalNetToOrganization |
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | BANQUET | NameOfEvent1 |
| Gross Receipts Event1 | 203557 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 146157 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 57400 | GrossRevenueEvent1 |
| Other Direct Expenses Event1 | 217794 | OtherDirectExpensesEvent1 |
| Name Of Event2 | GOLF OUTING | NameOfEvent2 |
| Gross Receipts Event2 | 118369 | GrossReceiptsEvent2 |
| Charitable Contributions Event2 | 83869 | CharitableContributionsEvent2 |
| Gross Revenue Event2 | 34500 | GrossRevenueEvent2 |
| Other Direct Expenses Event2 | 42090 | OtherDirectExpensesEvent2 |
| Total Number Of Other Events | 3 | TotalNumberOfOtherEvents |
| Gross Receipts Other Events | 32188 | GrossReceiptsOtherEvents |
| Charitable Contrib Other Events | 16459 | CharitableContribOtherEvents |
| Gross Revenue Other Events | 15729 | GrossRevenueOtherEvents |
| Other Direct Expenses Other Events | 27476 | OtherDirectExpensesOtherEvents |
| Gross Receipts Total | 354114 | GrossReceiptsTotal |
| Charitable Contributions Total | 246485 | CharitableContributionsTotal |
| Gross Revenue Total Events | 107629 | GrossRevenueTotalEvents |
| Other Direct Expenses Total Events | 287360 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 287360 | DirectExpenseSummaryEvents |
| Net Income Summary | -179731 | NetIncomeSummary |
Form990 Schedule G Part IV Form990ScheduleGPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | FUNDRAISING OR GAMING ACTIVITIES | Identifier |
| Return Reference | FORM 990, SCHEDULE G, PART II | ReturnReference |
| Explanation | The 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 $354,114 for 2010. The combined costs of the events totaled $287,360. The net income to the organization for hosting all of the events was $66,754. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Travel For Companions | X | TravelForCompanions |
| Club Dues Or Fees | X | ClubDuesOrFees |
| Written Policy Re T And E Expenses | true | WrittenPolicyReTAndEExpenses |
| Substantiation Required | true | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Form990 Of Other Organizations | X | Form990OfOtherOrganizations |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (4 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| RICHARD SCHUTT | |||||||||||||
| 0 | 381471 | 0 | 16414 | 0 | 9872 | 0 | 82375 | 0 | 31130 | 0 | 521262 | 0 | 524077 |
| WILLIAM DEYOUNG | |||||||||||||
| 0 | 242289 | 0 | 10533 | 0 | 11528 | 0 | 19506 | 0 | 28984 | 0 | 312840 | 0 | 315138 |
| DAN HOLWERDA | |||||||||||||
| 0 | 226937 | 0 | 0 | 0 | 6061 | 0 | 2850 | 0 | 29534 | 0 | 265382 | 0 | 260935 |
| Mary Kay Kacmarek | |||||||||||||
| 0 | 127719 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 25544 | 0 | 153263 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Part III | Identifier |
| Return Reference | Question 1a | ReturnReference |
| Explanation | The organization provides an allowance for up to 10 board members to attend the annual association convention to provide more in depth knowledge of the senior care industry. The cost of travel for spouses is permitted as long as the total does not exceed the established allowance amount. Documentation of attendance at the annual convention is required. The 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 $ 82,375 William DeYoung $ 19,506 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 2010, 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 (2 entries)
| Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|---|
| MICHIGAN STRATEGIC FUND | |||||||
| 521417332 | 59469YAF2 | 2004-11-18 | 9585000 | MICHIGAN STRATEGIC FUND | false | false | false |
| ILLINOIS FINANCE AUTHORITY | |||||||
| 861091967 | 45200BGF9 | 2004-11-01 | 33170000 | ILLINOIS DEVELOPMENT FINANCE | false | false | false |
Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)
| Total ProceedsTotalProceeds | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Capital ExpendituresCapitalExpenditures | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind |
|---|---|---|---|---|---|---|
| 8585000 | 191700 | 166000 | true | false | true | true |
| 9310000 | 663400 | 6933000 | true | false | true | true |
Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)
| Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Any Research AgreementsAnyResearchAgreements | Bond Counsel Routinely EngagedBondCounselRoutinelyEngaged | Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs |
|---|---|---|---|---|---|
| false | false | false | false | false | true |
| false | false | false | false | false | true |
Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)
| Form8038 T FiledForm8038TFiled | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Superintegrated HedgeSuperintegratedHedge | Hedge TerminatedHedgeTerminated | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Gross Proceeds InvestedGrossProceedsInvested | Exception To RebateExceptionToRebate |
|---|---|---|---|---|---|---|---|
| false | false | false | false | false | false | false | false |
| false | false | false | false | false | false | false | false |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (7 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| FORM 990, PART III, LINE 1 - ORGANIZATION'S MISSION | REST 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 DISCLOSURE | QUESTION 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 DISCLOSURE | QUESTION 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 DISCLOSURE | QUESTION 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 EMPLOYEES | QUESTIONS 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 DISCLOSURE | QUESTION 19: The governing documents, conflict of interest policy, and financial statements are available to the public upon request. | FORM 990 PART VI, SECTION C |
| Reconciliation of Net Assets | change in fmv of interest rate swap $ 440,141 Prior Period Adjustment 995,627 transfer from related entity 25,080 ------------ total $ 1,460,848 ============ | Form 990, Part XI, Line 5 |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Total IncomeTotalIncome | EOY AssetsEOYAssets | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|
| PROVIDENCE DEVELOPMENT GROUP | ||||||||
| 18601 N CREEK DRIVE | TINLEY PARK | IL | 60477 | DEVELOPMENT | IL | 0 | 7812062 | NA |
| PARK PLACE REALTY GROUP LLC | ||||||||
| 18601 N CREEK DRIVE | TINLEY PARK | IL | 60477 | REAL ESTATE | IL | 30250 | 60741 | NA |
Form990 Schedule R Part II Form990ScheduleRPartII (6 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|
| CHRISTIAN HEALTHCARE FOUNDATION | |||||||||
| 18601 N CREEK DRIVE | TINLEY PARK | IL | 60477 | 200722359 | RESEARCH | IL | 501(C)(3) | 9 | false |
| CHRISTIAN LIVING CAMPUS | |||||||||
| 18601 N CREEK DRIVE | TINLEY PARK | IL | 60477 | 200226221 | SENIOR LIVING | IL | 501(C)(3) | 9 | false |
| HAVEN PARK | |||||||||
| 18601 N CREEK DRIVE | TINLEY PARK | IL | 60477 | 383026594 | HEALTHCARE | MI | 501(C)(3) | 9 | false |
| TIMOTHY PLACE | |||||||||
| 18601 N CREEK DRIVE | TINLEY PARK | IL | 60477 | 201835089 | SENIOR LIVING | IL | 501(C)(3) | 9 | false |
| PARK PLACE OF ST JOHN | |||||||||
| 18601 N CREEK DRIVE | TINLEY PARK | IL | 60477 | 201834903 | SENIOR LIVING | IL | 501(C)(3) | 9 | false |
| HUDSONVILLE PARK PLACE | |||||||||
| 18601 N CREEK DRIVE | TINLeY PARK | IL | 60477 | 201834667 | SENIOR LIVING | IL | 501(C)(3) | 9 | false |
Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Percentage OwnershipPercentageOwnership |
|---|---|---|---|---|---|---|---|---|---|---|---|
| PROVIDENCE MGMT & DEVELOPMENT | |||||||||||
| 18601 N CREEK DRIVE | TINLEY PARK | IL | 60477 | 363774205 | MGMT & IT | IL | NA | C CORP | 614251 | 3600785 | 1.00000 |
| HOME AIDE HEALTH NETWORK | |||||||||||
| 18601 N CREEK DRIVE | TINLEY PARK | IL | 60477 | 364167569 | HOME CARE | MI | PROV MGMT & DEV | C CORP | -350419 | 11660539 | 1.00000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | true | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | false | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | true | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | true | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved |
|---|---|
| PROVIDENCE MANAGEMENT DEVELOPMENT COMPANY | |
| 1O | 5345649 |
| HOME AIDE HEALTH NETWORK | |
| 1P | 21212 |
| HOME AIDE HEALTH NETWORK | |
| 1O | 229121 |