CHRISTIAN REST HOME ASSOCIATION: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- CHRISTIAN REST HOME ASSOCIATION (EIN 38-1237795)
- Tax period
- 2020-06-01 to 2021-05-31
- Filed
- 2022-03-29
- IRS object ID
- 202230889349300803
- Schema version
- 2020v4.2
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-03-29T10:50:15-05:00 | ReturnTs |
| Tax Period End | 2021-05-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 381357951 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PLANTE & MORAN PLLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10 S RIVERSIDE PLAZA 9TH FLOOR | AddressLine1Txt |
| City | CHICAGO | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60606 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-06-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 381237795 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHRISTIAN REST HOME ASSOCIATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CHRI | BusinessNameControlTxt |
| Phone | 6164532475 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1000 EDISON AVE NW | AddressLine1Txt |
| City | GRAND RAPIDS | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 49504 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | TODD NYEHOLT | PersonNm |
| Person Title | ADMINISTRATOR | PersonTitleTxt |
| Phone | 6164532475 | PhoneNum |
| Signature | 2022-03-24 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | TODD | PersonFirstNm |
| Person Last | NYEHOLT | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | DAVID LOWENTHAL | PreparerPersonNm |
| PTIN | P00378651 | PTIN |
| Phone | 3122071040 | PhoneNum |
| Preparation | 2022-03-24 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHRISTIAN REST HOME | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | TODD NYEHOLT | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1000 EDISON AVE NW | AddressLine1Txt |
| City | GRAND RAPIDS | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 49504 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $16,536,600 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.EDISONCHRISTIAN.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1945 | FormationYr |
| Legal Domicile State | MI | LegalDomicileStateCd |
| Activity Or Mission | PROVIDE SKILLED AND BASIC NURSING CARE, SUPPORTIVE CARE, AND RESIDENTIAL CARE TO ADULT PERSONS | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 409 | TotalEmployeeCnt |
| Total Volunteers | 25 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $479,552 | PYContributionsGrantsAmt |
| CY Contributions Grants | $4,162,034 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $14,268,851 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $11,705,482 | CYProgramServiceRevenueAmt |
| PY Investment Income | $210,233 | PYInvestmentIncomeAmt |
| CY Investment Income | $136,937 | CYInvestmentIncomeAmt |
| PY Other Revenue | $428,474 | PYOtherRevenueAmt |
| CY Other Revenue | $481,155 | CYOtherRevenueAmt |
| PY Total Revenue | $15,387,110 | PYTotalRevenueAmt |
| CY Total Revenue | $16,485,608 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $9,801,504 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $10,303,195 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $10,155 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $10,460 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $73,281 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $5,007,670 | PYOtherExpensesAmt |
| CY Other Expenses | $4,480,328 | CYOtherExpensesAmt |
| PY Total Expenses | $14,819,329 | PYTotalExpensesAmt |
| CY Total Expenses | $14,793,983 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $567,781 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,691,625 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $21,398,094 | TotalAssetsBOYAmt |
| Total Assets EOY | $21,492,879 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $2,606,747 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,093,887 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $18,791,347 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $20,398,992 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | 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." | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $11,901,277 | ExpenseAmt |
| Revenue | $10,190,720 | RevenueAmt |
| Desc | PROVIDED SKILLED NURSING SERVICES TO APPROXIMATELY 130 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. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,203,118 | ExpenseAmt |
| Revenue | $944,601 | RevenueAmt |
| Desc | 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. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $842,590 | ExpenseAmt |
| Revenue | $570,161 | RevenueAmt |
| Desc | 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. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $13,946,985 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 27 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 409 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | 0 | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | MI | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JAMES HORJUS | PersonNm |
| Phone | 6164532475 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1000 EDISON NW | AddressLine1Txt |
| City | GRAND RAPIDS | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 49504 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|---|---|
| TODD NYEHOLT | ||||||||
| ADMINISTRATOR | 45.00 | 0.30 | Yes (X) | $162,816 | $0 | $22,224 | ||
| JAMES HORJUS | ||||||||
| BUSINESS MANAGER | 45.00 | 0.10 | Yes (X) | $123,848 | $0 | $23,647 | ||
| ESTHER HEEREMA | ||||||||
| ASSISTANT ADMINISTRATOR | 45.00 | 0.00 | $106,007 | $0 | $11,709 | Yes (X) | ||
| MARK ARNOUDSE | ||||||||
| PRESIDENT - PART YEAR | 0.10 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| DAVID BLEEKER | ||||||||
| VICE PRESIDENT/PRESIDENT | 0.40 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| DAVID VERHEY | ||||||||
| BOARD MEMBER/VICE PRESIDENT | 0.40 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| JULIE SPAANS | ||||||||
| SECRETARY | 0.40 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| CHRIS BOUMA | ||||||||
| TREASURER | 0.40 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| THOMAS BONT | ||||||||
| BOARD MEMBER | 0.40 | 0.00 | $0 | $0 | $0 | Yes (X) | ||
| VONNIE ENGELSMAN | ||||||||
| BOARD MEMBER | 0.30 | 0.00 | $0 | $0 | $0 | Yes (X) | ||
| RENZ VERBEEK | ||||||||
| BOARD MEMBER | 0.30 | 0.00 | $0 | $0 | $0 | Yes (X) | ||
| JAN VANSTRIEN | ||||||||
| BOARD MEMBER | 0.40 | 0.00 | $0 | $0 | $0 | Yes (X) | ||
| THOMAS WORD | ||||||||
| BOARD MEMBER | 0.40 | 0.00 | $0 | $0 | $0 | Yes (X) | ||
| LINDA STROM | ||||||||
| BOARD MEMBER | 0.40 | 0.00 | $0 | $0 | $0 | Yes (X) | ||
| KAREN VANZWEDEN | ||||||||
| BOARD MEMBER | 0.40 | 0.00 | $0 | $0 | $0 | Yes (X) | ||
| CINDY HAGURUP | ||||||||
| BOARD MEMBER - PART YEAR | 0.25 | 0.00 | $0 | $0 | $0 | Yes (X) | ||
| MARSHA HEYBOER | ||||||||
| BOARD MEMBER - PART YEAR | 0.10 | 0.00 | $0 | $0 | $0 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $392,671 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $57,580 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 3 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| MORRISON MANAGEMENT SPECIALISTS | |||||
| PO BOX 102289 | ATLANTA | GA | 303682289 | FOOD SERVICE MANAGEMENT | $870,226 |
| NX GEN MDX | |||||
| 801 BROADWAY AVE NW SUITE 203 | GRAND RAPIDS | MI | 49504 | LAB SERVICES | $359,355 |
| SHMG OCCUPATIONAL HEALTH | |||||
| PO BOX 2048 | GRAND RAPIDS | MI | 49504 | OCCUPATIONAL HEALTH | $358,363 |
| REHABCARE | |||||
| PO BOX 503534 | SAINT LOUIS | MO | 631503534 | THERAPY SERVICES | $265,703 |
| CLM ENTERPRISES INC | |||||
| 1971 EAST BELTLINE AVE SUITE 216 | GRAND RAPIDS | MI | 495257045 | STAFFING AGENCY | $166,327 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $250,000 | RelatedOrganizationsAmt |
| Government Grants | $3,688,547 | GovernmentGrantsAmt |
| All Other Contributions | $223,487 | AllOtherContributionsAmt |
| Total Contributions | $4,162,034 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| SERVICE CARE REVENUE | 623000 | $10,139,204 | $10,139,204 |
| QUALITY ASSURANCE SUPPLEMENT | 623000 | $1,566,278 | $1,566,278 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $11,705,482 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $155,555 | TotalRevenueColumnAmt |
| Exclusion | $155,555 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $70,721 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $32,374 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $38,347 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $38,347 | TotalRevenueColumnAmt |
| Exclusion | $38,347 | ExclusionAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $18,618 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$18,618 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$18,618 | TotalRevenueColumnAmt |
| Exclusion | -$18,618 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| ANCILLARY SERVICE REVENUE | 900099 | $431,758 | $431,758 |
| BEAUTY & BARBER SHOP | 812900 | $11,050 | $11,050 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $442,808 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $16,485,608 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $11,705,482 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $618,092 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $340,583 | TotalAmt |
| Management And General | $340,583 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,909,882 | TotalAmt |
| Program Services | $7,632,739 | ProgramServicesAmt |
| Management And General | $237,182 | ManagementAndGeneralAmt |
| Fundraising | $39,961 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $165,570 | TotalAmt |
| Program Services | $165,570 | ProgramServicesAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,415,181 | TotalAmt |
| Program Services | $1,309,823 | ProgramServicesAmt |
| Management And General | $94,703 | ManagementAndGeneralAmt |
| Fundraising | $10,655 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $471,979 | TotalAmt |
| Program Services | $471,979 | ProgramServicesAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $314,204 | TotalAmt |
| Program Services | $314,204 | ProgramServicesAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,140 | TotalAmt |
| Program Services | $915 | ProgramServicesAmt |
| Management And General | $6,225 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $40,180 | TotalAmt |
| Management And General | $40,180 | ManagementAndGeneralAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,460 | TotalAmt |
| Fundraising | $10,460 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $536,282 | TotalAmt |
| Program Services | $536,282 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,205 | TotalAmt |
| Fundraising | $12,205 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $105,837 | TotalAmt |
| Program Services | $61,568 | ProgramServicesAmt |
| Management And General | $44,269 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $47,166 | TotalAmt |
| Program Services | $47,166 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $403,736 | TotalAmt |
| Program Services | $396,274 | ProgramServicesAmt |
| Management And General | $7,462 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,300 | TotalAmt |
| Program Services | $1,300 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $311,296 | TotalAmt |
| Program Services | $308,183 | ProgramServicesAmt |
| Management And General | $3,113 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $94,618 | TotalAmt |
| Program Services | $94,618 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| QUALITY ASSURANCE | $993,339 | $993,339 |
| FOOD AND SUPPLIES | $873,062 | $873,062 |
| NURSING SUPPLIES | $450,998 | $450,998 |
| REPAIRS & MAINTENANCE | $238,965 | $238,965 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $50,000 | TotalAmt |
| Program Services | $50,000 | ProgramServicesAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,793,983 | TotalAmt |
| Program Services | $13,946,985 | ProgramServicesAmt |
| Management And General | $773,717 | ManagementAndGeneralAmt |
| Fundraising | $73,281 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,718,835 | BOYAmt |
| EOY | $6,174,601 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $904,768 | BOYAmt |
| EOY | $656,866 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $172,751 | BOYAmt |
| EOY | $159,775 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $12,871,060 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $9,611,012 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,424,168 | BOYAmt |
| EOY | $3,260,048 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,177,572 | BOYAmt |
| EOY | $11,241,589 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,398,094 | BOYAmt |
| EOY | $21,492,879 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $658,901 | BOYAmt |
| EOY | $643,428 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $451,778 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,330,000 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $166,068 | BOYAmt |
| EOY | $450,459 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,606,747 | BOYAmt |
| EOY | $1,093,887 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,791,347 | BOYAmt |
| EOY | $20,398,992 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,791,347 | BOYAmt |
| EOY | $20,398,992 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,398,094 | BOYAmt |
| EOY | $21,492,879 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $1,691,625 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$83,980 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $388,638 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $474,648 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $470,065 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $479,552 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,162,034 | CurrentTaxYearAmt |
| Total | $5,974,937 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $13,096,633 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $13,650,078 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $14,030,818 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $14,268,851 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $11,705,482 | CurrentTaxYearAmt |
| Total | $66,751,862 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $13,485,271 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $14,124,726 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $14,500,883 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $14,748,403 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $15,867,516 | CurrentTaxYearAmt |
| Total | $72,726,799 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $200,000 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $250,000 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $250,000 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $250,000 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $250,000 | CurrentTaxYearAmt |
| Total | $1,200,000 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $200,000 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $250,000 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $250,000 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $250,000 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $250,000 | CurrentTaxYearAmt |
| Total | $1,200,000 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $71,526,799 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $110,922 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $112,740 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $262,240 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $266,820 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $226,276 | CurrentTaxYearAmt |
| Total | $978,998 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $110,922 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $112,740 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $262,240 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $266,820 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $226,276 | CurrentTaxYearAmt |
| Total | $978,998 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $206,664 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $199,519 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $309,259 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $401,563 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $442,808 | CurrentTaxYearAmt |
| Total | $1,559,813 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $13,802,857 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $14,436,985 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $15,072,382 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $15,416,786 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $16,536,600 | CurrentTaxYearAmt |
| Total | $75,265,610 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.95030 | PublicSupportCY509Pct |
| Public Support PY509 | 0.95620 | PublicSupportPY509Pct |
| Investment Income CY | 0.01300 | InvestmentIncomeCYPct |
| Investment Income PY | 0.01280 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: | FormAndLineReferenceDesc |
| Explanation | ANCILLARY SERVICES - 2016 AMOUNT: $ 154,978. 2017 AMOUNT: $ 155,337. 2018 AMOUNT: $ 267,970. 2019 AMOUNT: $ 365,860. 2020 AMOUNT: $ 431,758. BEAUTY BARBER SHOP - 2016 AMOUNT: $ 51,686. 2017 AMOUNT: $ 44,182. 2018 AMOUNT: $ 41,289. 2019 AMOUNT: $ 35,703. 2020 AMOUNT: $ 11,050. | ExplanationTxt |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| 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) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $60,224 | OtherCostOrOtherBasisAmt |
| Book Value | $60,224 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $10,000,931 | OtherCostOrOtherBasisAmt |
| Depreciation | $7,120,702 | DepreciationAmt |
| Book Value | $2,880,229 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $554,839 | OtherCostOrOtherBasisAmt |
| Depreciation | $516,451 | DepreciationAmt |
| Book Value | $38,388 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,247,456 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,973,859 | DepreciationAmt |
| Book Value | $273,597 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,610 | OtherCostOrOtherBasisAmt |
| Book Value | $7,610 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $3,260,048 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | CERTIFICATES OF DEPOSIT | Desc |
| Book Value | $11,241,589 | BookValueAmt |
| Method Valuation | C | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $11,241,589 | TotalBookValueSecuritiesAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| COST REPORT SETTLEMENT PAYABLE | $424,417 |
| DEPOSITS FROM RESIDENTS | $26,042 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $450,459 | TotalLiabilityAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | TODD NYEHOLT | PersonNm |
| Title | ADMINISTRATOR | TitleTxt |
| Base Compensation Filing Org | $157,776 | BaseCompensationFilingOrgAmt |
| Compensation Based On Rltd Orgs | $0 | CompensationBasedOnRltdOrgsAmt |
| Bonus Filing Organization | $5,040 | BonusFilingOrganizationAmount |
| Bonus Related Organizations | $0 | BonusRelatedOrganizationsAmt |
| Other Compensation Filing Org | $0 | OtherCompensationFilingOrgAmt |
| Other Compensation Rltd Orgs | $0 | OtherCompensationRltdOrgsAmt |
| Deferred Compensation Flng Org | $8,340 | DeferredCompensationFlngOrgAmt |
| Deferred Comp Rltd Orgs | $0 | DeferredCompRltdOrgsAmt |
| Nontaxable Benefits Filing Org | $13,884 | NontaxableBenefitsFilingOrgAmt |
| Nontaxable Benefits Rltd Orgs | $0 | NontaxableBenefitsRltdOrgsAmt |
| Total Compensation Filing Org | $185,040 | TotalCompensationFilingOrgAmt |
| Total Compensation Rltd Orgs | $0 | TotalCompensationRltdOrgsAmt |
| Comp Report Prior990 Filing Org | $0 | CompReportPrior990FilingOrgAmt |
| Comp Report Prior990 Rltd Orgs | $0 | CompReportPrior990RltdOrgsAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 7 | FormAndLineReferenceDesc |
| Explanation | 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. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHRISTIAN REST HOME FOUNDATION | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1000 EDISON AVE NW | AddressLine1Txt |
| City | GRAND RAPIDS | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 49504 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 382689011 | EIN |
| Primary Activities | PROVIDE FUNDS TO CHRISTIAN REST HOME ASSOCIATION | PrimaryActivitiesTxt |
| Legal Domicile State | MI | LegalDomicileStateCd |
| Exempt Code Section | 501(C)(3) | ExemptCodeSectionTxt |
| Public Charity Status | LINE 12A, I | PublicCharityStatusTxt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHRISTIAN REST HOME ASSOCIATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Organization | Yes (1) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHRISTIAN REST HOME FOUNDATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | C | TransactionTypeTxt |
| Involved | $250,000 | InvolvedAmt |
| Method Of Amount Determination | BOARD ELECTION | MethodOfAmountDeterminationTxt |
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