2024-05-02T09:51:25-07:00 2023-12-31 990 2023-01-01 381366927 Holland Home HOLL 6162355015 2100 Raybrook St SE Ste 300 Grand Rapids MI 49546 Troy Vugteveen President & Chief Executive Officer 6162355007 2024-05-02 Troy Vugteveen 999009999 1 1 11 0 AAL2 X 2023 2023-04-26 12:10:37Z Troy Vugteveen 2100 Raybrook St SE Suite 300 Grand Rapids MI 49546 85256348 0 X www.hollandhome.org X 1892 MI Provide nursing, therapy, and benevolent services for aged residents in skilled nursing, memory care, assisted living and independent living centers. 14 13 1324 467 0 0 4068375 4400980 64621470 75117421 635438 1041379 -123906 -129114 69201377 80430666 0 0 0 0 42858854 46565578 15665 10910 616445 31325790 32148176 74200309 78724664 -4998932 1706002 253276947 263475433 237996565 240402319 15280382 23073114 In fulfilling God's calling to serve others, the organization will service aged persons (1) with love and compassion, (2) with a commitment to excellence, and (3) follow Christ's teachings and example in all that the organization does. 0 0 72771494 0 75117421 Provide nursing and residential care at two campuses located in greater Grand Rapids, Michigan to an average of approximately 1,350 residents each day, with the care being delivered in skilled nursing (approximately 120 per day), assisted living (approximately 250 per day) and independent living (approximately 980 per day). Of the approximately 250 residents in assisted living, the organization provides financial assistance to approximately 25% or 60 residents on average which amounts to $2.1 million in benevolence. In skilled nursing, the organization serves an average of 60 residents (50%) on Medicaid and 12 residents (10%) on Medicare. Amounts received from Medicaid do not cover the full cost of care and as a result, the organization provides approximately $1.5 million of uncompensated care. Total benevolence, either through assistance provided to those in assisted living or those on Medicaid receiving care in skilled nursing approximated $3.6 million in 2023. 0 0 0 72771494 1 1 0 0 0 0 0 0 0 0 1 0 1 1 1 0 0 1 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 69 0 1324 1 1 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 X 14 13 0 0 0 0 1 0 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 MI X Adam Kinder 6162355015 2100 Raybrook St SE Suite 300 Grand Rapids MI 49546 Troy Vugteveen CEO & President 50 0 X X 373036 0 0 John Mulder Chief Medical Consultant 50 0 X 367586 0 0 James Chiavaras Physician, Care Resources 50 0 X 295827 0 0 David Tiesenga Chief Strategy Officer 50 0 X 258345 0 31843 Tracey McKnight CEO, Care Resources 50 0 X 246645 0 0 Adam Kinder Chief Financial Officer 50 0 X 204457 0 0 Teresa Toland CEO, Tandem365 50 0 X 204457 0 0 Doug Himmelein Exec VP of Operations & HR 50 0 X 198749 0 0 Paul Farr Director 2 0 X 0 0 0 Carlos Hidalgo Director 2 0 X 0 0 0 Mark Johnson Director 2 0 X 0 0 0 David Knibbe Director 2 0 X 0 0 0 Gary Malburg Director/Treasurer 2 0 X X 0 0 0 Jean Nagelkerk Director 2 0 X 0 0 0 Nelson Sanchez Director/Vice Chair Secretary 2 0 X X 0 0 0 Gilbert Segovia Director 2 0 X 0 0 0 David Smith Director 2 0 X 0 0 0 Nick Thole Director 2 0 X 0 0 0 Mary Ursul Director/Chair 2 0 X X 0 0 0 Susan Vogel-Vanderson Director 2 0 X 0 0 0 Sam Watson Director 2 0 X 0 0 0 2149102 0 31843 30 0 1 0 Erhardt Construction 6060 Fulton Street E Ada MI 49301 Construction services 5064855 EV Construction 86 East 6th Street Holland MI 49423 Construction services 2367857 Gordon Food Service PO Box 88029 Chicago IL 60680 Food services 2004314 Standale Home Studio 4046 Lake Michigan Dr NW Grand Rapids MI 49534 Construction services 770247 McKesson Medical PO Box 630693 Cincinnati OH 45263 Medical supplies & equipment 622605 59 0 0 318269 0 1943433 2139278 0 4400980 HFA, AFC & Independent Living 623311 23227162 23227162 0 0 Medicare/Medicaid 623000 7633845 7633845 0 0 Skilled Nursing 623000 10639920 10639920 0 0 Amortization of Endowments 623311 7875344 7875344 0 0 Ancillary Revenue 623311 767325 767325 0 0 24973825 24973825 0 0 75117421 1013778 0 0 1013778 0 0 0 0 0 0 0 0 0 0 4687069 0 4614007 45461 73062 -45461 27601 0 0 27601 37100 318269 166214 -129114 0 -129114 0 80430666 75117421 0 912265 0 0 0 0 0 0 0 0 861449 0 861449 0 0 0 0 0 38458553 36317505 1696638 444410 607903 540702 60585 6616 3540402 3270055 230332 40015 3097271 2860761 201503 35007 348545 147706 200839 0 50919 0 50919 0 135960 0 135960 0 0 0 0 0 10910 10910 49113 0 49113 0 0 0 0 0 929746 915660 14086 0 3357132 3192199 128072 36861 726320 36408 689912 0 0 0 0 0 4634479 4280228 354251 0 351181 331676 17166 2339 0 0 0 0 36571 25761 10275 535 4366304 4366304 0 0 0 0 0 0 10516181 10098100 418081 0 717150 657793 59357 0 Purchased Services 1231549 1186996 20875 23678 Medical Quality Assurance Fees 1202088 1202088 0 0 Medical Supplies 694244 694244 0 0 COVID-19 629881 629881 0 0 2170813 2017427 137312 16074 78724664 72771494 5336725 616445 7953003 3770648 3315719 1748587 30100 102160 1804638 2826193 0 0 0 0 2909028 3420873 331346 387369 447129 1106154 331801776 136787288 186617521 195014488 11060937 14444490 0 0 21051519 24867108 0 0 17756007 15787363 253276947 263475433 9049261 9980347 0 0 48961485 52617625 117909785 115239096 0 0 0 0 0 0 546797 276871 61529237 62288380 237996565 240402319 X 14099737 21362174 1180645 1710940 15280382 23073114 253276947 263475433 X 1706002 1676109 0 0 0 4410621 X 0 1 X 0 0 X 2248627 2697415 10823853 3823487 4400980 23994362 60318182 61162667 60686764 64635593 75117421 321920627 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 62566809 63860082 71510617 68459080 79518401 345914989 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 345914989 571068 631836 505991 675616 1013778 3398289 0 0 0 0 0 0 571068 631836 505991 675616 1013778 3398289 0 0 0 0 0 0 0 0 0 0 0 0 63137877 64491918 72016608 69134696 80532179 349313278 0.99027 0.9912 0.00973 0.0088 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 13373363 0 13373363 272591324 0 117380949 155210375 965951 0 555564 410387 23956816 0 13851290 10105526 20914322 0 4999485 15914837 195014488 Interest in Net Assets of Charitable Foundation 24867108 F 24867108 Investment in Tandem365 50000 Investment in Atrio Home Care 480000 Split Dollar Agreement Receivable 216019 457b Plan Assets 546676 Series 2016 Debt Service Reserve Funds 3800270 Series 2019 Debt Service Reserve Funds 3255778 Series 2021 Debt Service Reserve Funds 735753 Series 2022 Debt Service Reserve Funds 3022273 Series 2021 Project Fund 2082837 Restricted Contributions for Programs/Projects 1597757 15787363 0 Note Payable to Reliance CCP 2500000 Mortgage Notes & Refundable Entrance Fees 58250403 Faith Value of Interest Rate Swap Agreements 1537977 62288380 80645298 1676109 0 0 0 1676109 78969189 49113 1412364 1461477 80430666 78841765 0 0 0 166214 166214 78675551 49113 0 49113 78724664 Schedule D, Part XI, Line 4b Fundraising event expenses of $166,214; donor-imposed restricted contributions of $861,835; receipts on pledges receivable of $130,720; transfer from Holland Home Foundation of $575,000 Schedule D, Part XII, Line 2d Fundraising event expenses. Christmas Dinner 355369 318269 37100 0 0 75598 0 33500 57116 0 0 355369 318269 37100 0 0 75598 0 33500 57116 166214 -129114 X X X X 0 0 0 0 0 0 0 0 0 John Mulder Chief Medical Consultant 349223 0 18363 0 0 0 0 0 0 0 367586 0 0 0 James Chiavaras Physician, Care Resources 273830 0 21997 0 0 0 0 0 0 0 295827 0 0 0 Tracey McKnight CEO, Care Resources 225181 0 21464 0 0 0 0 0 0 0 246645 0 0 0 Teresa Toland CEO, Tandem365 172105 0 32352 0 0 0 0 0 0 0 204457 0 0 0 Doug Himmelein VP of Operations 185836 0 12913 0 0 0 0 0 0 0 198749 0 0 0 Troy Vugteveen CEO & President 352986 0 20050 0 0 0 0 0 0 0 373036 0 0 0 David Tiesenga Chief Strategy Officer 246122 0 12223 0 0 0 22000 0 9843 0 290188 0 0 0 Adam Kinder Chief Financial Officer 215592 0 14477 0 0 0 0 0 0 0 230069 0 0 0 A Econ Dev Corp of the City of Kentwood 381844797 491740EW2 2016-10-31 32187291 Refund prior issue (08-31-2006) 0 0 0 B Michigan Strategic Fund 521417332 594698PM8 2016-10-31 9483642 Renovate facility 0 0 0 C Michigan Strategic Fund 521417332 594698RM6 2019-09-06 27611429 See Part VI 0 0 0 D Econ Dev Corp of the City of Kentwood 381844797 491740EY8 2019-10-17 13042526 Refund prior issue (6/29/12) 0 0 0 A 4430000 0 32298855 2691208 434 0 651160 0 0 0 28956053 0 2005 1 0 1 1 B 0 0 9512687 905545 0 0 182258 0 0 8424884 0 0 2019 0 0 1 1 C 4580000 0 27707875 1709405 0 0 550825 0 0 7083283 18364361 0 2022 1 0 1 1 D 145000 0 13086969 1183942 0 0 258990 0 0 0 11644036 0 2005 1 0 1 1 A 0 0 0 0 0 0 0 1 0 0 B 0 0 0 0 0 0 0 1 0 0 C 0 0 0 0 0 0 0 1 0 0 D 0 0 0 0 0 0 0 1 0 0 A 0 0 1 1 0 0 0 0 0 B 0 0 0 1 0 0 0 0 0 C 0 1 1 0 0 0 0 0 0 D 0 1 1 0 0 0 0 0 0 A 0 B 0 C 0 D 0 Schedule K, Part I, Column f-09/06/2019 27,611,429 Michigan Strategic Fund Entity 1 Construct and furnish facility and refund prior bonds (12/11/14) Schedule K, Part IV, Line 2c-10/31/2016 32,187,291 Econ Dev Corp of the City of Kentwood Date the Rebate Computation was Performed: 10/31/2021 Schedule K, Part IV, Line 2c-10/31/2016 9,483,642 Michigan Strategic Fund Date the Rebate Computation was Performed: 10/31/2021 A Econ Dev Corp of the City of Kentwood 381844797 471740EZ5 2021-07-15 46646376 See Part VI 0 0 0 A 260000 0 46973717 3612611 0 0 931720 0 0 8222974 32157044 2049367 1 0 0 1 A 0 0 0 0 0 0 0 1 0 0 A 0 1 1 0 0 0 0 0 0 A 0 Schedule K, Part I, Column f-07/15/2021 46,646,376 Econ Dev Corp of the City of Kentwood Entity 2 Construct, renovate and furnish facility and refund prior Bonds (06/29/12) Schedule K, Part II, Line 3-07/15/2021 46,646,376 Econ Dev Corp of the City of Kentwood Entity 1 & 2 The total proceeds do not agree to the issue price in Part I, Column (e) due to investment earnings/market value fluctuations. Form 990, Part VI, Section A, Line 6 Pursuant to its Articles of Incorporation, as amended, the organization is organized on a membership basis. Form 990, Part VI, Section A, Line 7b Pursuant to its Bylaws, as amended, the corporation is a subsidiary of Christian Living Services (CLS) and not withstanding any (CLS) and not withstanding any other provision in their Bylaws to the contrary, the approval of Christian Living Services as the member of this corporation is required to: (1) change the purpose, philosophy, core values or mission of the corporation, (2) amend the Articles of Incorporation or Bylaws of the corporation, (3) make any changes to the structure of operations of the corporation which would affect its status as a nonprofit entity, exempt from taxation under Section 501(c)(3) of the Internal Revenue Code, (4) dissolve or liquidate the corporation, (5) merge or consolidate with another entity, (6) remove a Director of the corporation, (7) create or acquire a new subsidiary entity or enter into a joint venture or partnership, (8) purchase, acquire, or lease any real property or sell, lease, exchange, give as security, mortgage, or dispose of any personal property owned, held or leased by the corporation, (9) purchase, lease (as lessor or lessee), sell or otherwise dispose of any personal property that would be a capital asset of the corporation under generally accepted accounting principles, (10) borrow or enter into a guarantee, (11) adopt a budget, schedule of fees, marketing plan or long-range for the corporation, (12) enter into a material contract such as an employee lease arrangement or a contract to subcontract the provision for food service, facilities, maintenance or janitorial services, or (13) change accountants or attorneys. Form 990, Part VI, Section B, Line 11b The Form and appropriate Schedules are prepared by the organization. A draft of the form is reported to the organization's Finance Committee, which is given the opportunity to review the form, prior to its submission to the Internal Revenue Service. Upon confirmation of review, the form is subsequently submitted and filed with the Internal Revenue Service. Form 990, Part VI, Section B, Line 12c On an annual basis each director, principal officer, and member of a committee with board delegated powers must complete a statement that (1) they have received a copy of the Conflict of Interest Policy, (2) they have read and understood the policy, (3) they have agreed to comply with the policy, and (4) understands the organization is charitable and in order to maintain its federal tax exemption it must engage primarily in activities which accomplish one or more of its tax-exempt purposes. Form 990, Part VI, Section B, Line 15 The organization purchases compensation surveys and establishes the executive compensation around the fiftieth percentile (with some flexibility) of prevailing market rates for similar positions, market trends, and the financial resources of the organization. The organization is committed to balancing fiscal stewardship with a desire to competitively compensate its personnel. Executive compensation is reviewed within the compensation committee of the Board of Directors. Form 990, Part VI, Section C, Line 19 The organization does not generally make its governing documents or Conflict of Interest Policy available to the public; however, such documents would be subject to public inspection if so requested. A summary of the annual audited financial statements is made available each year within a quarterly publication of Holland Home called "New Horizons." This publication is made available to residents and key stakeholders. Form 990, Part XI, Line 9 Other changes in net assets include change in net assets of the Holland Home Foundation ($3,815,589), change in fair value of interest rate swap agreements ($522,779), net assets released from restriction for capital purchases ($545,536), transfers from the Holland Home Foundation ($575,000), and changes in pledges receivable ($44,164). Christian Living Services 2100 Raybrook St SE Suite 300 Grand Rapids MI 49546 261126816 Admin services MI 501(c)(3) 12b N/A 0 Faith Hospice 2100 Raybrook St SE Suite 300 Grand Rapids MI 49546 383062893 Hospice care MI 501(c)(3) 12b Christian Living Services 0 Reliance Community Care Partners 2100 Raybrook St SE Suite 300 Grand Rapids MI 49546 382295909 Community services MI 501(c)(3) 10 Christian Living Services 0 Helpers of Holland Home 2100 Raybrook St SE Suite 300 Grand Rapids MI 49546 271062997 In-home services MI 501(c)(3) 12b Christian Living Services 0 Atrio Home Health 2100 Raybrook St SE Suite 300 Grand Rapids MI 49546 382660300 Home Health Care MI 501(c)(3) 12b Christian Living Services 0 Trillium Institute 2100 Raybrook St SE Suite 300 Grand Rapids MI 49546 471295260 Education services MI 501(c)(3) 12b Christian Living Services 0 Rehab Dimensions 2100 Raybrook St SE Suite 300 Grand Rapids MI 49546 383337881 Rehabilitation services MI 501(c)(3) 12b Christian Living Services 0 Atrio Home Health Lakeshore 9 East 8th Street Holland MI 49423 814839696 Home Health Care MI 501(c)(3) 12b Atrio Home Care 0 Atrio Home Care 2100 Raybrook St SE Suite 300 Grand Rapids MI 49546 813166606 In-Home services MI 501(c)(3) 10 Christian Living Services 0 Holland Home Foundation 2100 Raybrook St SE Suite 300 Grand Rapids MI 49546 382663466 Mission Fundraising MI 501(c)(3) 12b N/A 0 Care Resources 4150 Kalamazoo Ave SE Grand Rapids MI 49508 300166828 PACE services MI 501(c)(3) 12b N/A 0 EHCO Group LLC 1279 Cedar Street Grand Rapids MI 49503 Health management MI N/A Related 0 0.2 Emunah Muskegon 2100 Raybrook St SE Suite 300 Grand Rapids MI 49546 920359193 Property development MI Christian Living Services Related 0 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 1 1 1 Atrio Home Care l 89028 Management fees. Atrio Home Care q 102844 Expense reimbursements Atrio Home Health l 299772 Management fees Atrio Home Health j 66640 Office space rental Atrio Home Health l 614258 Expense reimbursements Atrio Home Health Lakeshore l 156024 Management fees. Atrio Home Health Lakeshore q 205165 Expense reimbursements. Holland Home Foundation c 575000 Benevolence contribution Trillium Institute l 45000 Management fees Trillium Institute q 454493 Expenses Reliance Community Care Partners l 1276684 Management fees. Reliance Community Care Partners q 1126352 Expenses Reliance Community Care Partners j 294769 Office space rental Faith Hospice l 2294616 Management fees. Faith Hospice q 2100695 Expenses Faith Hospice j 17063 Office space rental Faith Hospice m 887395 Room & Board services. Care Resources m 1351263 Room & Board services Care Resources l 236750 Management services. Care Resources q 10459089 Expenses EHCO Group LLC q 4359087 Expenses Atrio Home Care m 90 Purchased services Faith Hospice p 1700 Expenses Reliance Community Care Partners r 75000 Interest on Note Schedule R, Part I EHCO Group, LLC (dba Tandem 365) is not an exempt organization. Holland Home, a wholly-owned subsidiary of Christian Living Services, maintains a 20% membership interest. The organization is a collaborative partnership between five organizations focused on managing health care costs of a specific pool of individuals, based upon contracting with health insurers and health care providers. Emunah Muskegon, LLC is not an exempt organization. Christian Living Services maintains a 100% membership interest. The entity was formed in 2022 for the purpose of holding property for future development.