2019-07-30T15:21:48-05:00 2018-12-31 390758449 WIPFLI LLP 10000 INNOVATION DRIVE SUITE 250 MILWAUKEE WI 532264837 990 2018-01-01 362606227 FAIRHAVEN CHRISTIAN RETIREMENT CENTER FAIR 8158771441 3470 N ALPINE ROAD ROCKFORD IL 61114 JEFF REIERSON DIRECTOR OF FINANCE 8158771441 2019-07-29 1 PAUL DALY CPA P00277674 4144319300 2019-07-29 207.250.78.130 2019-07-29 13:31:08 CD P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 CC322FB1B7FC8ED290785ACCB7D2994D8745AEAD 2018 2019-02-21 02:37:17Z JEFF REIERSON 3470 N ALPINE ROAD ROCKFORD IL 61114 13837994 0 X WWW.FAIRHAVEN.CC X 1965 IL FAIRHAVEN CHRISTIAN RETIREMENT CENTER'S MISSION IS TO PROVIDE A COMFORTABLE LIFESTYLE AND EXCEPTIONAL CARE WHICH ENHANCES QUALITY OF LIFE IN A MATTER THAT GLORIFIES GOD. 13 13 350 250 0 0 86171 271589 12724994 13171915 93639 111147 289623 283343 13194427 13837994 0 0 0 0 7727480 7840438 0 0 5644 5422795 5618443 13150275 13458881 44152 379113 28118123 27564377 15269225 14722632 12848898 12841745 X FAIRHAVEN CHRISTIAN RETIREMENT CENTER'S MISSION IS TO PROVIDE A COMFORTABLE LIFESTYLE AND EXCEPTIONAL CARE WHICH ENHANCES QUALITY OF LIFE IN A MATTER THAT GLORIFIES GOD. THE CENTER IS DESIGNED AND EQUIPPED SPECIFICALLY FOR THE COMFORT, CONVENIENCE, AND SAFETY OF THE ELDERLY PEOPLE. 0 0 5415650 0 5900143 NURSING CARE:THE CENTER OPERATES A 96 BED NURSING CARE FACILITY. 4352821 0 4742232 INDEPENDENT LIVING AND RESIDENTIAL CARE:THE CENTER OPERATES 112 UNITS OF INDEPENDENT LIVING DUPLEXES AND A 92 UNIT INDEPENDENT LIVING RESIDENTIAL APARTMENT FACILITY. 2321825 0 2529540 SUPPORTIVE CARE:THE CENTER OPERATES A 50 BED SUPPORTIVE CARE FACILITY. 12090296 1 1 0 0 0 0 0 0 1 1 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 20 0 350 1 0 0 0 0 0 0 0 0 0 0 0 0 X 13 13 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X JEFF REIERSON 8158771441 3470 N ALPINE ROAD ROCKFORD IL 61114 KATHY ARNOLD DIRECTOR 0.50 X 0 0 0 DR NEIL BROGREN DIRECTOR 0.25 X 0 0 0 BRENDA BUZZARD DIRECTOR 0.25 X 0 0 0 TOM EWING DIRECTOR 0.50 X 0 0 0 GREG JOHNSON DIRECTOR 0.25 X 0 0 0 PALMER KLAAS DIRECTOR 0.75 X 0 0 0 DAVID NORBERG DIRECTOR 0.75 X 0 0 0 RITA VERSENDAAL DIRECTOR 0.50 X 0 0 0 RANDY VOORHIES DIRECTOR 0.25 X 0 0 0 DAVID WILES PRESIDENT 1.00 X X 0 0 0 CHUCK SCHLUETER VICE PRESIDENT 0.75 X X 0 0 0 DAN NYBERG SECRETARY 0.25 X X 0 0 0 STEVE SJOGREN TREASURER 0.50 X X 0 0 0 TOM BLEED EXECUTIVE DIRECTOR 40.00 X 149697 0 10971 JEFF REIERSON DIRECTOR OF FINANCE 40.00 X 122056 0 11877 271753 0 22848 2 0 1 0 JOHN EVANS CONSTRUCTION CO 5343 ARBUTUS ROAD ROCKFORD IL 61107 CONSTRUCTION SERVICES 237102 AUDIO ENGINEERING INC 5155 TORQUE ROAD LOVES PARK IL 61111 ALARM AND FIRE SYSTEM SERVICES 190108 SECURITAS SECURITY SERVICES 12672 COLLECTIONS CENTER DRIVE CHICAGO IL 60693 SECURITY SERVICES 160238 SCHMELING CONSTRUCTION CO 315 HARRISON AVENUE ROCKFORD IL 61104 CONSTRUCTION SERVICES 132658 4 271589 271589 NURSING CARE REVENUE 623000 5900143 5900143 INDEPENDENT LIVING REVENUE 623000 4742232 4742232 SUPPORTIVE CARE REVENUE 623000 2529540 2529540 13171915 111147 111147 283343 283343 283343 13837994 13171915 0 394490 294601 294601 6377609 5874692 502917 64507 64507 618940 555800 63140 484781 429092 55689 2515 2515 42191 42191 522628 522628 30100 30100 213587 213587 954003 954003 3968 3968 9457 9457 308256 308256 1691820 1691820 231865 231865 FOOD 739936 739936 SUPPLIES 246602 246602 REPAIRS & MAINTENANCE 246338 246338 OCCUPIED BED TAX 244031 244031 131146 29355 96147 5644 13458881 12090296 1362941 5644 1400 1400 2737289 1496530 2326032 998293 63729 63785 76194 76284 53463123 31249174 22913479 22213949 0 1136100 0 288418 0 1289618 28118123 27564377 552527 1170815 0 3614713 0 12990 7280379 6904983 7436319 3019131 15269225 14722632 X 11407679 11535898 1412000 1276628 29219 29219 12848898 12841745 28118123 27564377 X 379113 -250894 -135372 X 0 1 X 1 0 X 146836 181462 134718 86171 271589 820776 12783639 13079883 12826305 12724994 13171915 64586736 12930475 13261345 12961023 12811165 13443504 65407512 3635 5390 2230 2095 7455 20805 0 3635 5390 2230 2095 7455 20805 65386707 49576 52247 55746 90739 111147 359455 49576 52247 55746 90739 111147 359455 297012 289623 283343 869978 12980051 13313592 13313781 13191527 13837994 66636945 0.98120 0.98600 0.00540 0.00470 X 0 1 X 1339187 80678 -102540 10729 1306596 1091127 72500 184798 9238 1339187 1045431 28797 25185 8286 1091127 908377 147612 -2964 7594 1045431 797608 75500 40384 5115 908377 0.97760 0.02240 0.00000 0 0 473880 473880 42454397 23679051 18775346 10501339 7570123 2931216 33507 33507 22213949 ADVANCED DEPOSITS 139181 REFUNDABLE FOUNDERS' FEES 2879950 3019131 13587100 -250894 -250894 13837994 0 13837994 13458881 0 13458881 0 13458881 PART IV, LINE 2B: THE ACCOUNT THAT THE ORGANIZATION IS A CUSTODIAN FOR IS RESIDENT TRUST FUNDS, WHICH ARE FOR RESIDENTS TO USE AS THEY WISH FOR PERSONAL EXPENSES. PART V, LINE 4: THE CENTER HAS ADOPTED AN INVESTMENT POLICY FOR ITS ENDOWMENT ASSETS THAT REQUIRES THE INVESTMENT PORTFOLIO TO BE MAINTAINED FOR LONG-TERM INVESTMENT PURPOSES. X X 0 0 0 0 0 0 0 0 0 TOM BLEED EXECUTIVE DIRECTOR 149468 0 0 0 229 0 5380 0 5591 0 160668 0 0 0 PART I, LINE 3 THE COMPENSATION OF THE EXECUTIVE DIRECTOR IS REVIEWED AND INCREASED DIRECTLY BY A COMMITTEE ON THE BOARD. THEY DO A PEER, SELF, AND BOARD EVALUATION TO DETERMINE PERFORMANCE AND PROVIDE A BASE FOR ADJUSTMENTS IN COMPENSATION. THE COMMITTEE ALSO LOOKS AT THE LEADING AGE (NATIONAL LONG-TERM CARE ORGANIZATION) COMPENSATION TO VERFIY THAT HE IS PAID COMPARABLY TO OTHER EXECUTIVE DIRECTORS WHO ARE EMPLOYED AT FACILITIES SIMILAR IN SIZE AND GEOGRAPHICAL LOCATION. A CITY OF ROCKFORD WINNEBAGO COUNTY ILLINOIS 366006082 2009-06-17 8000000 REPAY LINE OF CREDIT, BUILDING IMPROVEMENTS 0 0 0 A 2143331 8000000 880666 140108 4130749 2848477 2010 1 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 A 0 0 0 0 0 0 0 0 0 A 0 FORM 990, PART VI, SECTION A, LINE 6 THE MEMBERS OF THE ORGANIZATION SHALL BE THOSE PERSONS WHO FROM TIME TO TIME ARE ELECTED DIRECTORS OF THE GREAT LAKES DISTRICT CONFERENCE OF THE EVANGELICAL FREE CHURCH OF AMERICA OR ITS SUCCESSOR DISTRICT IN WHICH FAIRHAVEN CHRISTIAN RETIREMENT CENTER IS LOCATED. FORM 990, PART VI, SECTION A, LINE 7A THE MEMBERS OF THE ORGANIZATION SHALL ELECT THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATION POLICY IS TO EXTEND THE 990 RETURN BUT HAVE A FINAL COPY READY FOR REVIEW AT THEIR BOARD MEETING IN JULY. ONCE IT HAS BEEN REVIEWED AND APPROVED IT WILL BE TIMELY FILED BEFORE THE EXTENDED TAX RETURN DUE DATE. FORM 990, PART VI, SECTION B, LINE 12C THE COMPANY'S BOARD MEMBERS ARE REQUIRED TO COMPLETE THE CONFLICT OF INTEREST STATEMENT. THE POLICY IS REVIEWED BY THE BOARD ANNUALLY AND GIVEN TO EACH NEW BOARD MEMBER FOR SIGNATURE DURING ORIENTATION. RESTRICTION - ONE MEMBER IS EXCUSED WHEN VOTING ON ISSUES RELATED TO THE ENDOWMENT AND BTS INVESTMENTS. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION OF THE EXECUTIVE DIRECTOR OF THE ORGANIZATION IS REVIEWED AND INCREASED DIRECTLY BY A COMMITTEE ON THE BOARD. THEY DO A PEER, SELF, AND BOARD EVALUATION TO DETERMINE PERFORMANCE AND PROVIDE A BASE FOR ADJUSTMENTS IN COMPENSATION. THE COMMITTEE ALSO LOOKS AT THE LEADING AGE (NATIONAL LONG-TERM CARE ORGANIZATION) COMPENSATION TO VERIFY THAT HE IS PAID COMPARABLY TO OTHER EXECUTIVE DIRECTORS WHO ARE EMPLOYED AT FACILITIES SIMILAR IN SIZE AND GEOGRAPHICAL LOCATION. MANAGERS' COMPENSATION IS EVALUATED BY THE EXECUTIVE DIRECTOR OR HIS MANAGEMENT TEAM. THEY USE PEER, SELF, AND MANAGER EVALUATIONS TO DETERMINE PERFORMANCE AND PROVIDE A BASE FOR ADJUSTMENTS IN COMPENSATION. THEIR COMPENSATION IS ALSO BASED ON COMPARISONS BETWEEN LEADING AGE AND AN INTERNAL HUMAN RESOURCES WAGE RANGE ANALYSIS CALCULATED EACH YEAR BY JOB CLASS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. INDIVIDUALS ARE ALLOWED TO REVIEW THE FINANCIAL STATEMENTS AND FORM 990 IN THE ORGANIZATION'S OFFICE. FORM 990, PART XI, LINE 9: INCREASE IN BENEFICIAL INTEREST IN ANNUITY CONTRACT 3,000. NET ASSETS RELEASED FROM RESTRICTIONS -138,372.