2018-05-02T12:22:46-05:00 2017-12-31 381357951 PLANTE & MORAN PLLC 750 TRADE CENTRE WAY STE 300 PORTAGE MI 49002 990 2017-01-01 381387113 RESTHAVEN REST 6167963504 948 WASHINGTON AVE HOLLAND MI 494235205 CHARLES VANDER BROEK PRESIDENT/CEO 6167963504 2018-04-20 1 CAROL LALONDE CPA P00181637 2695674500 2018-04-20 2017 2022-09-23 18:48:47Z X RESTHAVEN CARE COMMUNITY CHARLES VANDER BROEK 948 WASHINGTON AVE HOLLAND MI 494235205 20667891 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. 11 11 551 500 0 0 3156881 682829 20108783 19764483 45283 53776 119576 115280 23430523 20616368 0 0 0 0 13078855 12942467 60500 22000 172865 7145677 7429980 20285032 20394447 3145491 221921 22808893 24069730 8642329 9763712 14166564 14306018 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 1 13789000 14612985 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 A SMALL HOUSE MODEL OF 10 RESIDENTS. 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 69.8% 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. 3128724 3215501 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 11.8% OF RESIDENTS AT THIS TIME. BY KEEPING RENTAL RATES LOW, RESIDENTS AT 50% AMI FOR THE AREA ARE ABLE TO AFFORD TO LIVE AT MAPLE WOODS. 1280001 1566355 THE WARM FRIEND- AN INDEPENDENT LIVING FACILITY WITH 65 APARTMENTS FOR SENIORS, SERVING APPROXIMATELY 70 RESIDENTS. THE WARM FRIEND PROVIDES LIFE ENRICHMENT AND SUPPORTS TO HELP SENIORS REMAIN INDEPENDENT FOR AS LONG AS POSSIBLE. THE WARM FRIEND IS PART OF THE RESTHAVEN CONTINUUM OF CARE AND SERVICES WHICH INCLUDES ASSISTED LIVING, SKILLED NURSING FACILITY, AND HOME CARE. 709659 369642 OTHER SERVICES 709659 369642 18907384 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 1 0 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 56 0 1 551 1 0 0 0 0 0 0 0 0 0 0 X 11 11 0 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 RICK ZWEERING BOARD CHAIR 1.00 0.00 X X 0 0 0 CRAIG JANUSZ BOARD VICE CHAIR 1.00 0.00 X X 0 0 0 MATT AHEARN BOARD TREASURER 1.00 0.00 X X 0 0 0 MARIANNE BOUWENS BOARD SECRETARY 1.00 0.00 X X 0 0 0 WILLIAM RYCKBOST BOARD CHAIR - PART YEAR 1.00 0.00 X X 0 0 0 GRETCHEN COSBY TRUSTEE 1.00 0.00 X 0 0 0 KAITLIN DEMAAGD TRUSTEE 1.00 0.00 X 0 0 0 JACK GISINGER TRUSTEE 1.00 0.00 X 0 0 0 SAM MARTIN TRUSTEE 1.00 0.00 X 0 0 0 ANDY MULDER TRUSTEE 1.00 0.00 X 0 0 0 VICTOR OROZCO TRUSTEE 1.00 0.00 X 0 0 0 SCOTT PATCHIN TRUSTEE 1.00 0.00 X 0 0 0 MOLLY TRUTTMAN TRUSTEE - PART YEAR 1.00 0.00 X 0 0 0 DAVID LUTZ TRUSTEE - PART YEAR 1.00 0.00 X 0 0 0 CHARLES VANDER BROEK PRESIDENT/CEO 40.00 0.00 X 184983 0 4270 BEVERLY DONAHUE CHIEF FINANCIAL OFFICER 40.00 0.00 X 106885 0 9629 MICHAEL JALACKI NURSING HOME ADMINISTRATOR 40.00 0.00 X 102895 0 15237 394763 0 29136 3 0 1 0 CL CONSTRUCTION 39 VETERANS DR SUITE 340 HOLLAND MI 49423 CONSTRUCTION FIRM 2229413 AGILITY PHYSICAL THERAPY LLC PO BOX 5509 CAROL STREAM IL 60197 THERAPY SERVICE PROVIDER 509699 CREATIVE DINING SERVICES INC ONE ROYAL PARK DRIVE SUITE 3 ZEELAND MI 49464 CONTRACT DINING SERVICE PROVIDER 385873 GEOFFREY A SCHUUR 619 CLINTON AVE NW GRAND RAPIDS MI 49534 CONSTRUCTION FIRM 116378 4 682829 3608 682829 ROOM AND BOARD 624310 14874430 14874430 ANCILLIARY SERVICES 900099 4342104 4342104 HOME CARE SERVICES 621610 361940 361940 OTHER OPERATING INCOME 900099 186009 186009 19764483 64740 64740 153339 38059 115280 115280 115280 2500 13464 -10964 -10964 -10964 20616368 19764483 0 169056 308989 308989 10299906 9882608 323786 93512 128892 118545 8453 1894 1437307 1319350 113337 4620 767373 715793 44806 6774 75275 48533 26742 33350 2300 31050 22000 22000 2688 2688 1466464 1265085 201379 154656 116564 38092 196939 146273 48433 2233 168245 151707 14177 2361 1047294 1040578 6716 43891 38201 5690 78869 69115 9754 1347117 1306621 40113 383 166072 166072 DUES & LICENSES 1168248 1165674 2574 FOOD 661496 651553 8947 996 RESIDENT SUPPLIES 647488 647488 BAD DEBTS 171888 171888 20394447 18907384 1314198 172865 1525 1375 4856370 6291286 1751881 865614 2251341 1631480 8045 6030 47908 50152 217614 198948 31976908 17874110 12927509 14102798 437729 472408 221196 349639 87775 100000 22808893 24069730 2266546 1626135 660000 660000 4357000 7082750 1358783 394827 8642329 9763712 X 11886465 11524909 2196389 2697399 83710 83710 14166564 14306018 22808893 24069730 X 221921 45087 -127554 X X 0 1 X 1 0 X 280635 283961 407856 3156881 682829 4812162 19115730 19421594 19596108 20108783 19764483 98006698 19396365 19705555 20003964 23265664 20447312 102818860 10000 10000 0 10000 10000 102808860 164562 157640 167707 168047 218079 876035 164562 157640 167707 168047 218079 876035 19560927 19863195 20171671 23433711 20665391 103694895 0.99150 0.99030 0.00840 0.00800 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 922982 922982 25883571 14808116 11075455 1192432 690691 501741 3865386 2375303 1490083 112537 112537 14102798 20533901 45087 -127554 -82467 20616368 0 20616368 20394447 0 20394447 0 20394447 PART XI, LINE 2D - OTHER ADJUSTMENTS: LOSS ON EARNINGS OF JOINT VENTURE -127,554. X X X X 1 HOPKINS FUNDRAISING CONSULTING 5712 HIGHBURY ADA MI 49301 CAPITAL CAMPAIGN CONSULTING SERVICES 0 0 22000 -22000 22000 -22000 MI X X X X X 0 1 0 0 0 0 0 0 0 CHARLES VANDER BROEK PRESIDENT/CEO 163069 0 0 0 21914 0 1118 0 3152 0 189253 0 0 0 PART I, LINE 4B CHARLES VANDER BROEK RECEIVED $18,000 TOWARDS A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN. 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 973500 5100000 5100000 2013 1 0 1 1 B 43750 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 8 150306 SELLING PRICE X FURNITURE 1 258903 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 AT HOME DBA: RESTHAVEN MAPLE WOODS DBA: RESTHAVEN CARE CENTER DBA: THE WARM FRIEND DBA: VERN AND LOIS BOERSMA COTTAGE DBA: GOOD SHEPHERD HOME DBA: RESTHAVEN REHABILITATION DBA: HOME CARE BY RESTHAVEN DBA: MEMORY SUPPORT DBA: RESTHAVEN HOME CARE DBA: MAPLE WOOD COTTAGES FORM 990, PART III, LINE 3 RESTHAVEN HOME CARE BECAME PART OF ATRIO HOME CARE, A SEPARATE 501(C)(3) COMPANY 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 2017. 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 -127,554. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM PRIOR YEAR.