2020-06-02T12:15:58-05:00 2019-12-31 381357951 PLANTE & MORAN PLLC 750 TRADE CENTRE WAY STE 300 PORTAGE MI 49002 990 2019-01-01 381387113 RESTHAVEN REST 6167963504 948 WASHINGTON AVE HOLLAND MI 494235205 DEEDRE VRIESMAN PRESIDENT/CEO 6167963504 2020-05-26 1 DAVID LOWENTHAL P00378651 2695674500 2020-05-26 23.122.254.12 2020-05-26 07:17:55 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 58F74DC53CB874483B207ADF23CD6921384352E9 2019 2020-09-23 17:36:50Z RESTHAVEN CARE COMMUNITY DEEDRE VRIESMAN 948 WASHINGTON AVE HOLLAND MI 494235205 22975901 0 X WWW.RESTHAVEN.ORG X 1945 MI RESTHAVEN'S MISSION IS TO GLORIFY GOD BY PROVIDING A CONTINUUM OF QUALITY CARE AND SERVICES THAT DEMONSTRATES THE LOVE AND COMPASSION OF JESUS CHRIST. 9 9 581 329 0 0 654834 417173 21361914 22234886 85080 148479 138342 147607 22240170 22948145 0 0 0 0 13056589 13267707 0 0 97490 7849197 8198048 20905786 21465755 1334384 1482390 25498668 27521606 9998331 10526345 15500337 16995261 X RESTHAVEN'S MISSION IS TO GLORIFY GOD BY PROVIDING A CONTINUUM OF QUALITY CARE AND SERVICES THAT DEMONSTRATES THE LOVE AND COMPASSION OF JESUS CHRIST. 0 0 14453961 16208899 RESTHAVEN CARE CENTER - PROVIDES MEDICAL REHABILITATION, LONG-TERM CARE SERVICES, AND MEMORY SUPPORT FOR SENIORS IN HOLLAND, MI. SERVING AN AVERAGE OF 138 RESIDENTS PER DAY. THE CARE AND SERVICES ARE PROVIDED IN A COMFORTABLE, HOME-LIKE SURROUNDING, INCLUDING TWO SMALL HOUSE MODELS OF 10 RESIDENTS EACH. THE INDIVIDUAL'S PHYSICAL, SPIRITUAL, AND SOCIAL NEEDS ARE SUPPORTED. RESTHAVEN CARE CENTER PROVIDES SERVICES TO THOSE WHO HAVE EXHAUSTED THEIR FINANCIAL RESOURCES. MEDICAID ELIGIBLE RESIDENTS ACCOUNT FOR APPROXIMATELY 70.1% OF THE CENSUS. THE ORGANIZATION PROVIDES UNCOMPENSATED COST OF PRIVATE ROOMS TO MANY OF THOSE ON MEDICAID AND A HIGHER STAFFING RATIO OF CAREGIVERS THAN MANDATED BY MEDICAID TO PROMOTE PERSON-CENTERED CARE FOR RESIDENTS. 3887726 4337641 RESTHAVEN MAPLE WOODS - AN AFFORDABLE ASSISTED LIVING FACILITY THAT PROVIDES SENIORS WITH 3 MEALS PER DAY, SOCIAL OPPORTUNITIES AND A SUPERVISED ENVIRONMENT TO PROMOTE THEIR HIGHEST LEVEL OF INDEPENDENCE, WHILE PROVIDING SUPPORTS NEEDED TO HELP THEM REMAIN IN THE COMMUNITY. MAPLE WOODS PROVIDES UNCOMPENSATED SERVICES TO THOSE ON MEDICAID AND THOSE RECEIVING SUPPLEMENTAL SOCIAL SECURITY INCOME, APPROXIMATELY 9.4% OF RESIDENTS AT THIS TIME. DUE TO ITS AFFORDABILITY, RESTHAVEN IS ABLE TO SERVE MANY RESIDENTS WITH INCOMES OF 50% AMI OR LESS AT MAPLE WOODS. THERE IS ALSO A SEPARATE 24-BED SMALL HOUSE MODEL ASSISTED LIVING ON THE MAPLEWOODS CAMPUS. 1321656 1680381 THE WARM FRIEND- AN INDEPENDENT LIVING FACILITY WITH 61 APARTMENTS FOR SENIORS, SERVING APPROXIMATELY 67 RESIDENTS. THE WARM FRIEND PROVIDES LIFE ENRICHMENT, DINING OPTIONS AND 24 HR ONSITE STAFF TO HELP SENIORS REMAIN INDEPENDENT IN THE COMMUNITY. 139127 7965 OTHER SERVICES 139127 7965 19802470 1 1 0 0 0 0 0 0 0 1 1 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 55 0 1 581 1 0 0 0 0 0 0 0 0 0 0 0 0 X 9 9 1 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 MI X BEVERLY DONAHUE 6167963504 948 WASHINGTON AVE HOLLAND MI 494235205 CRAIG JANUSZ BOARD CHAIR 1.00 0.00 X X 0 0 0 RICK ZWEERING BOARD VICE CHAIR 1.00 0.00 X X 0 0 0 JACK GISINGER BOARD TREASURER 1.00 0.00 X X 0 0 0 MARIANNE BOUWENS BOARD SECRETARY 1.00 0.00 X X 0 0 0 MATT AHEARN BOARD TREASURER - PART YEAR 1.00 0.00 X X 0 0 0 NATE BAUMANN TRUSTEE 1.00 0.00 X 0 0 0 KAITLIN DEMAAGD TRUSTEE 1.00 0.00 X 0 0 0 SAM MARTIN TRUSTEE 1.00 0.00 X 0 0 0 HAANS MULDER TRUSTEE 1.00 0.00 X 0 0 0 ANNIE STERKEN TRUSTEE 1.00 0.00 X 0 0 0 GRETCHEN COSBY TRUSTEE - PART YEAR 1.00 0.00 X 0 0 0 ANDY MULDER TRUSTEE - PART YEAR 1.00 0.00 X 0 0 0 VICTOR OROZCO TRUSTEE - PART YEAR 1.00 0.00 X 0 0 0 DEEDRE VRIESMAN PRESIDENT/CEO 40.00 0.00 X 174807 0 10974 BEVERLY DONAHUE CHIEF FINANCIAL OFFICER 40.00 0.00 X 115968 0 13981 BARBARA HULS HUMAN RESOURCES DIRECTOR 40.00 0.00 X 100173 0 5389 390948 0 30344 3 0 1 0 CL CONSTRUCTION 39 VETERANS DR SUITE 340 HOLLAND MI 49423 CONSTRUCTION FIRM 1288683 FUNCTIONAL PATHWAYS OF TN LLC 10133 SHERRILL BLVD STE 200 KNOXVILLE TN 37932 THERAPY PROVIDER 614726 CREATIVE DINING SERVICES INC ONE ROYAL PARK DRIVE SUITE 3 ZEELAND MI 49464 CONTRACT DINING SERVICE PROVIDER 449367 DHE PLUMBING AND MECHANICAL 4475 8TH AVE GRANDVILLE MI 49418 PLUMBING HVAC CONTRACTOR 230959 EGLTECH 144 COOLIDGE AVE STE 20 HOLLAND MI 49423 NETWORK ADMINISTRATION 120022 5 55590 361583 965 417173 ROOM AND BOARD 624310 16509866 16509866 ANCILLIARY SERVICES 900099 5533803 5533803 OTHER OPERATING INCOME 900099 191217 191217 22234886 153146 153146 170696 14396 156300 156300 156300 4667 -4667 -4667 -4667 0 55590 8693 -8693 -8693 22948145 22234886 0 296086 315730 315730 10582813 10044802 492199 45812 130170 116481 12820 869 1444525 1337495 102152 4878 794469 732261 58867 3341 22671 4762 17909 34900 2200 32700 1694677 1447111 237625 9941 100602 303 80552 19747 213573 153803 51538 8232 192642 164280 25870 2492 1073314 1050915 22399 26697 17587 8842 268 73368 59523 13790 55 1544606 1478834 65461 311 175177 161554 12758 865 DUES & LICENSES 1452694 1450880 1489 325 FOOD 740141 726693 13094 354 RESIDENT SUPPLIES 620704 620704 BAD DEBTS 232282 232282 21465755 19802470 1565795 97490 1375 1375 7214855 7677400 380890 192159 1856857 1548016 9622 7006 40619 36722 171317 93680 37108928 20083683 14958250 17025245 459281 513509 245602 266494 160000 160000 25498668 27521606 2214437 1861196 660000 660000 6740000 7639250 383894 365899 9998331 10526345 X 13559883 16808952 1940454 186309 15500337 16995261 25498668 27521606 X 1482390 65078 -52544 X X 0 1 X 1 0 X 407856 3156881 682829 654834 417173 5319573 19596108 20108783 19764483 21361914 22234886 103066174 20003964 23265664 20447312 22016748 22652059 108385747 10000 50000 16115 76115 0 10000 50000 16115 76115 108309632 167707 168047 218079 275840 323842 1153515 167707 168047 218079 275840 323842 1153515 20171671 23433711 20665391 22292588 22975901 109539262 0.98880 0.99020 0.01050 0.00930 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 29730 450 5724 3 329 35572 31696 200 -1839 7 320 29730 27526 200 4202 7 225 31696 29017 120 1907 3300 218 27526 30096 200 -974 5 300 29017 0.00000 1.00000 0.00000 1 0 2351076 2351076 29042875 16815430 12227445 1571694 725487 846207 4109616 2542766 1566850 33667 33667 17025245 22969372 65078 -52544 12534 22956838 -8693 -8693 22948145 21474448 8693 8693 21465755 0 21465755 PART V, LINE 4: THE ORGANIZATION CREATED A CHARITABLE ENDOWMENT FUND TO AID AND ASSIST IT IN CARRYING OUT ITS WORK WHICH INCLUDES PROVIDING HOUSING FACILITIES, HEALTHCARE SERVICES AND LIFE ENRICHMENT ACTIVITIES FOR SENIORS IN OUR COMMUNITY. PART XI, LINE 2D - OTHER ADJUSTMENTS: LOSS ON EARNINGS OF JOINT VENTURE -52,544. PART XI, LINE 4B - OTHER ADJUSTMENTS: FUNDRAISING EVENT EXPENSE -8,693. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EVENT EXPENSE 8,693. MEANINGFUL EXPRESSIONS - ART SHOW 18680 18680 1856 150 1961 FAITHFULLY CARING 36910 36910 270 3471 985 55590 55590 270 5327 150 2946 8693 -8693 X X X X 0 0 0 0 0 0 0 1 0 DEEDRE VRIESMAN PRESIDENT/CEO 149730 0 25000 0 77 0 3596 0 7378 0 185781 0 0 0 PART I, LINE 7 THE PRESIDENT/CEO OF THE ORGANIZATION RECEIVED A PERFORMANCE BONUS BASED ON MEETING GOALS AND EXPECTATIONS. THE EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES DETERMINES AND VOTES ON THE THE DISCRETIONARY BONUS. A MICHIGAN STRATEGIC FUND SERIES 2013 521417332 2013-07-09 5100000 REFINANCE LOAN AND CONSTRUCTION OF 16 BED SNF 0 0 0 B MICHIGAN STRATEGIC FUND SERIES 2017 521417332 2017-06-22 3000000 CONSTRUCTION OF 24 BED ASSISTED LIVING 0 0 0 A 1452500 5100000 5100000 2013 1 0 1 1 B 259250 3000000 3000000 2017 0 0 1 1 A 0 0 0 0 0 0 1 B 0 0 0 0 0 0 1 A 0 0 0 0 0 0 0 0 0 B 0 0 0 0 0 0 0 0 0 A 1 B 1 X 1 965 SELLING PRICE X FURNITURE 1 50000 SELLING PRICE 0 1 0 PART I, COLUMN (B): THE NUMBER LISTED IN COLUMN B REPRESENTS THE NUMBER OF CONTRIBUTIONS RECEIVED. FORM 990, PART I, ITEM C DBA: RESTHAVEN CARE CENTER DBA: THE WARM FRIEND DBA: VERN AND LOIS BOERSMA COTTAGE DBA: GOOD SHEPHERD HOME, MEMORY SUPPORT DBA: RESTHAVEN REHABILITATION DBA: RESTHAVEN MAPLE WOODS DBA: MAPLE WOODS COTTAGES DBA: CARE COTTAGES OF RESTHAVEN DBA: COTTAGE GROVE AT VAN RAALTE WOODS DBA: COTTAGE GROVE HOLLAND DBA: GOOD SHEPHERD DEMENTIA PROGRAM DBA: MAPLE WOODS, A RESTHAVEN COMMUNITY DBA: RESTHAVEN CARE CENTER AT FOUNTAINVIEW DBA: RESTHAVEN COTTAGE GROVE DBA: RESTHAVEN GOOD SHEPHERD HOME DBA: RESTHAVEN GREEN HOUSE DBA: RESTHAVEN GREEN HOUSE HOME DBA: RESTHAVEN HOME HEALTH CARE DBA: RESTHAVEN PATRONS, INC. DBA: RESTHAVEN REHAB COTTAGE DBA: RESTHAVEN REHABILITATION COTTAGE DBA: THE COTTAGES AT MAPLE WOODS DBA: THE COTTAGES OF RESTHAVEN DBA: THE REHAB COTTAGE DBA: THE RESTHAVEN GREEN HOUSE DBA: HOLLAND FOR A LIFETIME DBA: JAY & HAZEL JANSSEN COTTAGE DBA: LIFETIME HOLLAND FORM 990, PART VI, SECTION A, LINE 2 HAANS MULDER AND ANDY MULDER HAVE A FAMILY RELATIONSHIP. FORM 990, PART VI, SECTION B, LINE 11B THE ACCOUNTING FIRM PROVIDES THE ORGANIZATION WITH A DRAFT COPY OF THE 990 FORM. THE FINANCE COMMITTEE, WHO IS APPROVED BY THE GOVERNING BOARD TO MAKE ALL FINANCIAL DECISIONS REGARDING THE ORGANIZATION, REVIEWS THE FORM AND MAKES ANY CORRECTIONS OR SUGGESTIONS AS NEEDED. THE ACCOUNTING FIRM THEN REVISES THE FORM AND FILES IT ELECTRONICALLY. FORM 990, PART VI, SECTION B, LINE 12C THE POLICY APPLIES TO ALL DIRECTORS, TRUSTEES, OFFICERS, ADVISORY MEMBERS AND EXECUTIVE STAFF. ALL ACTUAL AND POTENTIAL CONFLICTS OF INTEREST MUST BE DISCLOSED TO THE PRESIDENT/CEO AND CHAIRPERSON OF THE BOARD. BOARD MEMBERS ARE REQUIRED TO SIGN A NEW CONFLICT OF INTEREST POLICY ANNUALLY. IF A CONFLICT ARISES, THE BOARD MEMBER MUST LEAVE THE ROOM DURING DISCUSSION AND ABSTAIN FROM VOTING. FORM 990, PART VI, SECTION B, LINE 15 TOP OFFICIALS ARE RATED ON A SCALE AND EVALUATED ON SEVERAL PERFORMANCE FACTORS. IT IS THE ORGANIZATION'S POLICY TO MAINTAIN FAIR AND COMPETITIVE SALARY RANGES CONSISTENT WITH THE ECONOMIC REQUIREMENTS OF THE ORGANIZATION AND COMMENSURATE WITH THOSE OF THE COMMUNITY IN WHICH IT OPERATES. LASTLY, THE BOARD OF DIRECTORS DELIBERATES AND DETERMINES WHAT IS AN APPROPRIATE COMPENSATION PACKAGE FOR TOP OFFICIALS. THE MOST RECENT YEAR THIS PROCESS WAS UNDERTAKEN WAS 2019. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: LOSS ON EARNINGS OF JOINT VENTURE -52,544. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM PRIOR YEAR.