2023-04-06T16:50:54-05:00 2022-05-31 381357951 PLANTE & MORAN PLLC 10 S RIVERSIDE PLAZA 9TH FLOOR CHICAGO IL 60606 990 2021-06-01 381237795 CHRISTIAN REST HOME ASSOCIATION CHRI 6164532475 1000 EDISON AVE NW GRAND RAPIDS MI 49504 TODD NYEHOLT ADMINISTRATOR 6164532475 2023-04-04 1 TODD NYEHOLT 999009999 DAVID LOWENTHAL P00378651 3122071040 2023-04-04 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z CHRISTIAN REST HOME TODD NYEHOLT 1000 EDISON AVE NW GRAND RAPIDS MI 49504 16481104 0 X WWW.EDISONCHRISTIAN.ORG X 1945 MI PROVIDE SKILLED AND BASIC NURSING CARE, SUPPORTIVE CARE, AND RESIDENTIAL CARE TO ADULT PERSONS 12 12 351 25 0 0 4162034 5282614 11705482 10717576 136937 29972 481155 381905 16485608 16412067 0 0 0 0 10303195 9507618 10460 0 63535 4480328 4776666 14793983 14284284 1691625 2127783 21492879 23494835 1093887 1276419 20398992 22218416 X THE PURPOSE OF CHRISTIAN REST HOME ASSOCIATION IS TO OPERATE WITH CHRISTIAN LOVE AND CONCERN, FACILITIES PROVIDING SKILLED AND BASIC NURSING CARE, SUPPORTIVE CARE AND RESIDENTIAL CARE TO ADULT PERSONS. THESE SERVICES ARE PROVIDED IN RECOGNITION OF THEIR OBLIGATION TO RENDER MERCY AND HELP TO THE AFFLICTED, AS ENJOINED UPON US BY THE LORD JESUS CHRIST IN LUKE 6:36, "BE YE THEREFORE MERCIFUL, AS YOUR FATHER ALSO IS MERCIFUL." 0 0 11457599 9141708 PROVIDED SKILLED NURSING SERVICES TO APPROXIMATELY 150 INDIVIDUALS DURING THE FISCAL YEAR. ABOUT 82% OF THE INDIVIDUALS ARE MEDICAID RECIPIENTS, HAVING EXHAUSTED THEIR FINANCIAL RESOURCES; 1% OF THE INDIVIDUALS RECEIVED REHABILITATION SERVICES UNDER MEDICARE/MEDICARE ADVANTAGE; 17% OF THE INDIVIDUALS WERE SELF OR PRIVATE PAY. 1128924 891133 PROVIDED ASSISTED LIVING SERVICES TO APPROXIMATELY 40 INDIVIDUALS DURING THE FISCAL YEAR. ABOUT 10% OF THE INDIVIDUALS RECEIVED DISCOUNTED SERVICES BECAUSE THEY EXHAUSTED THEIR FINANCIAL RESOURCES. THE DISCOUNT GIVEN WAS BASED ON THE INDIVIDUAL'S MONTHLY INCOME. THE REDUCTION IN MONTHLY FEES RANGED FROM 30-70% FROM STATED RATES. 841084 721160 PROVIDED SENIOR HOUSING TO APPROXIMATELY 40 INDIVIDUALS DURING THE FISCAL YEAR. ABOUT 1% OF THE INDIVIDUALS RECEIVED DISCOUNTED SERVICES BECAUSE THEY EXHAUSTED THEIR FINANCIAL RESOURCES. THE DISCOUNT GIVEN WAS BASED ON THE INDIVIDUAL'S MONTHLY INCOME. THE REDUCTION IN MONTHLY FEES RANGED FROM 15-30% FROM STATED RATES. 13427607 1 1 0 0 0 0 0 0 0 0 1 1 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 39 0 1 351 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 12 12 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 1 0 0 MI X JAMES HORJUS 6164532475 1000 EDISON NW GRAND RAPIDS MI 49504 DAVID VERHEY PRESIDENT 0.40 0.00 X X 0 0 0 DAVID BLEEKER PRESIDENT - PART YEAR 0.10 0.00 X X 0 0 0 RENZ VERBEEK VICE PRESIDENT 0.40 0.00 X X 0 0 0 JULIE SPAANS SECRETARY 0.40 0.00 X X 0 0 0 THOMAS BONT TREASURER 0.40 0.00 X X 0 0 0 CHRIS BOUMA TREASURER - PART YEAR 0.10 0.00 X X 0 0 0 VONNIE ENGELSMA BOARD MEMBER 0.40 0.00 X 0 0 0 MARTIN FAASSE BOARD MEMBER 0.30 0.00 X 0 0 0 KRISTIN MAST BOARD MEMBER 0.30 0.00 X 0 0 0 ROBERT MYERS BOARD MEMBER 0.30 0.00 X 0 0 0 LINDA STROM BOARD MEMBER 0.40 0.00 X 0 0 0 JAN VANSTRIEN BOARD MEMBER 0.40 0.00 X 0 0 0 KAREN VANZWEDEN BOARD MEMBER 0.40 0.00 X 0 0 0 THOMAS WORD BOARD MEMBER 0.40 0.00 X 0 0 0 TODD NYEHOLT ADMINISTRATOR 45.00 0.30 X 178231 0 22549 JAMES HORJUS BUSINESS MANAGER 45.00 0.10 X 131948 0 23492 ESTHER HEEREMA ASSISTANT ADMINISTRATOR 45.00 0.00 X 116513 0 6575 426692 0 52616 3 0 1 0 MORRISON MANAGEMENT SPECIALISTS PO BOX 102289 ATLANTA GA 303682289 FOOD SERVICE MANAGEMENT 773008 SELECT REHABILITATION LLC 2600 COMPASS RD GLENVIEW IL 60026 THERAPY SERVICES 244318 CLM INTERPRISES INC 1971 EAST BELTLINE AVE SUITE 216 GRAND RAPIDS MI 495257045 STAFFING AGENCY 200399 MAXIM HEALTHCARE STAFFING SERVICES INC 5300 PATTERSON AVE SE SUITE 125 GRAND RAPIDS MI 49512 STAFFING AGENCY 171484 QCI HEALTHCARE 2805 COIT NE GRAND RAPIDS MI 49505 STAFFING AGENCY 106223 5 250000 4676637 355977 5282614 SERVICE CARE REVENUE 623000 9256754 9256754 QUALITY ASSURANCE SUPPLEMENT 623000 1460822 1460822 10717576 70781 70781 89576 28228 61348 61348 61348 40809 -40809 -40809 -40809 ANCILLARY SERVICE REVENUE 900099 297653 297653 BEAUTY & BARBER SHOP 812900 22904 22904 320557 16412067 10717576 0 411877 380865 380865 7565843 7281844 241880 42119 179034 179034 819039 765305 45551 8183 562837 562837 315532 315532 2854 2854 59180 59180 833996 833996 13233 13233 135299 88739 46560 61322 61322 455127 442018 13109 4268 4268 314308 311165 3143 101854 101854 QUALITY ASSURANCE 1032268 1032268 FOOD AND SUPPLIES 770451 770451 NURSING SUPPLIES 382955 382955 REPAIRS & MAINTENANCE 254019 254019 40000 40000 14284284 13427607 793142 63535 6174601 4657675 656866 706559 159775 164319 13153371 9730417 3260048 3422954 11241589 11003139 0 3540189 21492879 23494835 643428 851854 0 9313 450459 415252 1093887 1276419 X 20398992 22218416 20398992 22218416 21492879 23494835 2127783 -308359 0 X X 0 1 X 1 0 X 474648 470065 479552 4162034 5282614 10868913 13650078 14030818 14268851 11705482 10717576 64372805 14124726 14500883 14748403 15867516 16000190 75241718 250000 250000 250000 250000 250000 1250000 0 250000 250000 250000 250000 250000 1250000 73991718 112740 262240 266820 226276 160357 1028433 112740 262240 266820 226276 160357 1028433 199519 309259 401563 442808 320557 1673706 14436985 15072382 15416786 16536600 16481104 77943857 0.94930 0.95030 0.01320 0.01300 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: ANCILLARY SERVICES - 2017 AMOUNT: $ 155,337. 2018 AMOUNT: $ 267,970. 2019 AMOUNT: $ 365,860. 2020 AMOUNT: $ 431,758. 2021 AMOUNT: $ 297,653. BEAUTY BARBER SHOP - 2017 AMOUNT: $ 44,182. 2018 AMOUNT: $ 41,289. 2019 AMOUNT: $ 35,703. 2020 AMOUNT: $ 11,050. 2021 AMOUNT: $ 22,904. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 60224 60224 10199063 7227882 2971181 554839 525876 28963 2224668 1976659 248009 114577 114577 3422954 CERTIFICATES OF DEPOSIT 11003139 C 11003139 ERTC RECEIVABLE 3540189 3540189 COST REPORT SETTLEMENT PAYABLE 386671 DEPOSITS FROM RESIDENTS 28581 415252 X X X 0 0 0 0 0 0 0 1 0 TODD NYEHOLT ADMINISTRATOR 170231 0 8000 0 0 0 8912 0 13637 0 200780 0 0 0 JAMES HORJUS BUSINESS MANAGER 126948 0 5000 0 0 0 6597 0 16895 0 155440 0 0 0 PART I, LINE 7 ALL EMPLOYEES HAVE AN ANNUAL EVALUATION AND ARE ELIGIBLE FOR A PERFORMANCE BONUS BASED ON MEETING GOALS AND EXPECTATIONS. THE BOARD DETERMINES AND VOTES ON THE DISCRETIONARY BONUS FOR THE ADMINISTRATOR. THE ADMINSTRATOR DETERMINES THE DISCRETIONARY BONUS FOR THE REST OF THE STAFF. FORM 990, PART I, ITEM C DBA: EDISON MANOR DBA: EDISON ASSISTED LIVING CENTER DBA: EDISON CHRISTIAN ASSISTED LIVING DBA: EDISON CHRISTIAN HEALTH CENTER DBA: EDISON CHRISTIAN INDEPENDENT LIVING DBA: EDISON CHRISTIAN LIFE SERVICES FORM 990, PART VI, SECTION A, LINE 6 ANY PERSON WHO SUBSCRIBES TO THE PURPOSES AND BASIS OF THE ASSOCIATION, AS SET FORTH IN ITS ARTICLES OF INCORPORATION AND BY-LAWS, AND WHO MAKES AN ANNUAL FINANCIAL CONTRIBUTION DIRECTLY TO THE ASSOCIATION, SHALL BE A MEMBER THEREOF. FORM 990, PART VI, SECTION A, LINE 7A FOR EACH BOARD VACANCY, THE BOARD APPROVES A BOARD NOMINEE. THAT NOMINEE IS THEN APPROVED BY THE ASSOCIATION'S MEMBERS. FORM 990, PART VI, SECTION A, LINE 7B ANY AMENDMENTS TO THE EXEMPT ORGANIZATION'S BY-LAWS REQUIRE APPROVAL OF SUPPORTERS. A QUALIFIED VOTING SUPPORTER IS AN INDIVIDUAL WHO HAS CONTRIBUTED $5.00 OR MORE IN THE PAST 12 MONTHS. FORM 990, PART VI, SECTION B, LINE 11B A DRAFT RETURN IS PROVIDED TO MANAGEMENT, WHO FORWARDS COPIES TO THE FINANCE COMMITTEE FOR APPROVAL PRIOR TO SUBMISSION. FORM 990, PART VI, SECTION B, LINE 12C THE PRESIDENT OF THE BOARD OF DIRECTORS ANNUALLY REVIEWS CONFLICT OF INTEREST DISCLOSURES FOR POSSIBLE CONFLICTS. IF A CONFLICT OCCURS, THE PRESIDENT INFORMS THE REST OF THE BOARD ON THE CONFLICT OF INTEREST AND EXCLUDES THE BOARD MEMBER WHO HAS A CONFLICT OF INTEREST FROM VOTING ON MATTERS RELATED TO THAT CONFLICT OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15A THE EXECUTIVE COMMITTEE REVIEWS COMPARABILITY DATA PRIOR TO MAKING COMPENSATION RECOMMENDATIONS TO THE ENTIRE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE DOCUMENTS ITS FINDINGS IN WRITING. THE BOARD OF DIRECTORS REVIEWS THE RECOMMENDATIONS OF THIS COMMITTEE AND VOTES UPON THE COMPENSATION OF THE ADMINISTRATOR. THE ADMINISTRATOR DETERMINES COMPENSATION AMOUNTS BASED ON JOB PERFORMANCE MEASURES AND COMPARABILITY DATA. THIS PROCESS WAS MOST RECENTLY UNDERTAKEN DURING FISCAL YEAR 2020. FORM 990, PART VI, SECTION C, LINE 19 ALL PUBLIC DOCUMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART XII, LINE 2 THERE HAS BEEN NO CHANGE IN PROCESS FROM PRIOR YEAR. CHRISTIAN REST HOME FOUNDATION 1000 EDISON AVE NW GRAND RAPIDS MI 49504 382689011 PROVIDE FUNDS TO CHRISTIAN REST HOME ASSOCIATION MI 501(C)(3) LINE 12A, I CHRISTIAN REST HOME ASSOCIATION 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 CHRISTIAN REST HOME FOUNDATION C 250000 BOARD ELECTION