HOLLAND HOME: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
HOLLAND HOME (EIN 38-1366927)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-05-15
IRS object ID
201741359349312604
Schema version
2016v3.0
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

FieldValueIRS element (for citing)
Return2017-05-15T13:36:36-07:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN381366927EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Holland HomeBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlHOLLBusinessNameControlTxt
Phone6162355015PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12100 Raybrook St SE Suite 300AddressLine1Txt
CityGrand RapidsCityNm
State AbbreviationMIStateAbbreviationCd
ZIP49546ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonHermina BreukerPersonNm
Person TitleCEOPersonTitleTxt
Phone6162355005PhoneNum
Signature2017-05-08SignatureDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address50.200.18.74IPv4AddressTxt
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerHermina BreukerPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12100 Raybrook St SE Suite 300AddressLine1Txt
CityGrand RapidsCityNm
State AbbreviationMIStateAbbreviationCd
ZIP49546ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$76,776,428GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.hollandhome.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1892FormationYr
Legal Domicile StateMILegalDomicileStateCd
Activity Or MissionProvide nursing, therapy, and benevolent services for aged residents in skilled nursing, dementia nursing, assisted living and independent living centers.ActivityOrMissionDesc
Voting Members Governing Body14VotingMembersGoverningBodyCnt
Voting Members Independent13VotingMembersIndependentCnt
Total Employee1456TotalEmployeeCnt
Total Volunteers510TotalVolunteersCnt
Total Gross UBI$1,102TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$1,102NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$3,144,724PYContributionsGrantsAmt
CY Contributions Grants$7,049,198CYContributionsGrantsAmt
PY Program Service Revenue$60,587,159PYProgramServiceRevenueAmt
CY Program Service Revenue$62,310,981CYProgramServiceRevenueAmt
PY Investment Income$187,746PYInvestmentIncomeAmt
CY Investment Income$392,636CYInvestmentIncomeAmt
PY Other Revenue$233,091PYOtherRevenueAmt
CY Other Revenue$144,525CYOtherRevenueAmt
PY Total Revenue$64,152,720PYTotalRevenueAmt
CY Total Revenue$69,897,340CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$32,314,718PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$35,567,579CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$2,486PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$1,513CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$716,373CYTotalFundraisingExpenseAmt
PY Other Expenses$30,953,868PYOtherExpensesAmt
CY Other Expenses$31,917,794CYOtherExpensesAmt
PY Total Expenses$63,271,072PYTotalExpensesAmt
CY Total Expenses$67,486,886CYTotalExpensesAmt
PY Revenues Less Expenses$881,648PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$2,410,454CYRevenuesLessExpensesAmt
Total Assets BOY$229,618,100TotalAssetsBOYAmt
Total Assets EOY$232,447,095TotalAssetsEOYAmt
Total Liabilities BOY$235,760,458TotalLiabilitiesBOYAmt
Total Liabilities EOY$230,139,904TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$6,142,358NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$2,307,191NetAssetsOrFundBalancesEOYAmt
MissionIn fulfilling God's calling to serve others, the organization will serve aged persons (1) with love and compassion, (2) with a commitment to excellence, and (3) follow Christ's teachings and example in all that the organization does.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$60,371,165ExpenseAmt
Grant$0GrantAmt
Revenue$62,309,879RevenueAmt
DescProvide nursing and residential care in three facilities located in the greater Grand Rapids, Michigan area to an average of approximately 1,570 residents each day in skilled nursing (approximately 220 per day), assisted living (approximately 390 per day) and independent living (approximately 970 per day). Of the approximately 390 residents in assisted living, the organization provides financial assistance to approximately 20% or approximately 75 residents per day on average, which amounts to approximately $2.1 million in benevolence annually. In skilled nursing, the organization serves an average of 110 residents (50%) on Medicaid and 33 residents (15%) on Medicare. These services are provided at discounted rates, based upon contractual allowances. These contractual adjustments related to Medicaid & Medicare, reduce the organization's revenues by approximately $6.3 million in 2016. The organization provides uncompensated costs of private rooms to most of the 110 residents on Medicaid.Desc
Total Other Prog Srvc Expense$0TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$0TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$0TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$60,371,165TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related InvstYes (1)ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org MemYes (1)BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document46IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee1456EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Form8899 Filedind0Form8899Filedind
Form1098 C Filed0Form1098CFiledInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members14GoverningBodyVotingMembersCnt
Independent Voting Member13IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldMIStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonDavid TiesengaPersonNm
Phone6162355035PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12100 Raybrook St SE Suite 300AddressLine1Txt
CityGrand RapidsCityNm
State AbbreviationMIStateAbbreviationCd
ZIP49546ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
Hermina Breuker
President/CEO, Director500Yes (X)Yes (X)$295,582$0$18,170
Susan Vogel-Vanderson
Chairperson, Director20Yes (X)Yes (X)$0$0$0
Mary Ursul
Vice-Chairperson, Director20Yes (X)Yes (X)$0$0$0
Mark Eriks
Secretary, Director20Yes (X)Yes (X)$0$0$0
Gary Malburg
Treasurer, Director20Yes (X)Yes (X)$0$0$0
Paul Farr
Director20Yes (X)$0$0$0
Sister Myra Bergman
Director20Yes (X)$0$0$0
Jean Nagelkirk
Director20Yes (X)$0$0$0
Bruce Neckers
Director20Yes (X)$0$0$0
Luis Tomatis
Director20Yes (X)$0$0$0
James Tuinstra
Director20Yes (X)$0$0$0
Carl VerBeek
Director20Yes (X)$0$0$0
David Knibbe
Director20Yes (X)$0$0$0
Nick Thole
Director20Yes (X)$0$0$0
David Tiesenga
Chief Financial Officer500Yes (X)$254,839$0$21,251
H David Claus
President Emeritus320$364,345$0$22,506Yes (X)
Dr John Mulder
Chief Medical Consultant500$309,896$0$1,125Yes (X)
Carolyn Flietstra
Executive VP, Home and Community Services500$161,735$0$3,831Yes (X)
Troy Vugteveen
Executive VP, Operations500$141,487$0$3,517Yes (X)
Jeff Engle
VP, Information Technology500$132,190$0$3,341Yes (X)
Doug Himmelein
VP, Human Resources500$117,037$0$1,233Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,777,111TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$74,974TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K14IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Morrison Services
39395 W 12 Mile RdFarmington HillsMI48331dietary services$3,794,232
Erhardt Construction Co
6060 Fulton Street EastAdaMI49301construction services$2,035,926
RehabCare Group Inc
PO Box 503534St LouisMO63150rehabilitation therapy services$957,964
Foster Swift Collins and Smith PC
313 S Washington SquareLansingMI48933legal services$396,129
Authenticity Marketing Group
70 Ionia SW Suite 502Grand RapidsMI49503marketing consulting services$256,494
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K10CntrctRcvdGreaterThan100KCnt
Federated Campaigns$0FederatedCampaignsAmt
Membership Dues$0MembershipDuesAmt
Fundraising$37,825FundraisingAmt
Related Organizations$0RelatedOrganizationsAmt
Government Grants$0GovernmentGrantsAmt
All Other Contributions$7,011,373AllOtherContributionsAmt
Noncash Contributions$4,700,000NoncashContributionsAmt
Total Contributions$7,049,198TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
HFA, AFC and Independent Living623311$21,140,508$21,140,508$0$0
Medicare / Medicaid623311$10,445,531$10,445,531$0$0
Skilled Nursing623311$11,273,536$11,273,536$0$0
Amortization of Endowments623311$6,872,488$6,872,488$0$0
Ancillary Revenue623311$724,991$724,991$0$0

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$11,853,927TotalRevenueColumnAmt
Related Or Exempt Func Income$11,852,825RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$1,102UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$62,310,981TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$408,371TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$408,371ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$6,761,976SecuritiesAmt
Other$0OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$6,777,711SecuritiesAmt
Other$0OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$15,735SecuritiesAmt
Other$0OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$15,735TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion-$15,735ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$245,902FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$37,825ContriRptFundraisingEventAmt
Fundraising Direct Expenses$101,377FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$144,525TotalRevenueColumnAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$144,525ExclusionAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$0OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$69,897,340TotalRevenueColumnAmt
Related Or Exempt Func Income$62,309,879RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$1,102UnrelatedBusinessRevenueAmt
Exclusion$537,161ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$914,766TotalAmt
Program Services$0ProgramServicesAmt
Management And General$914,766ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$27,647,000TotalAmt
Program Services$25,368,810ProgramServicesAmt
Management And General$1,808,164ManagementAndGeneralAmt
Fundraising$470,026FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,838,756TotalAmt
Program Services$1,534,888ProgramServicesAmt
Management And General$275,430ManagementAndGeneralAmt
Fundraising$28,438FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$3,065,976TotalAmt
Program Services$2,723,227ProgramServicesAmt
Management And General$292,294ManagementAndGeneralAmt
Fundraising$50,455FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$2,101,081TotalAmt
Program Services$1,866,199ProgramServicesAmt
Management And General$200,306ManagementAndGeneralAmt
Fundraising$34,576FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$324,240TotalAmt
Program Services$168,925ProgramServicesAmt
Management And General$152,315ManagementAndGeneralAmt
Fundraising$3,000FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$208,151TotalAmt
Program Services$2,970ProgramServicesAmt
Management And General$205,181ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$96,599TotalAmt
Program Services$0ProgramServicesAmt
Management And General$96,599ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$1,513TotalAmt
Fundraising$1,513FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$58,820TotalAmt
Program Services$0ProgramServicesAmt
Management And General$58,820ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,008,592TotalAmt
Program Services$982,312ProgramServicesAmt
Management And General$26,280ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,520,800TotalAmt
Program Services$1,334,005ProgramServicesAmt
Management And General$162,045ManagementAndGeneralAmt
Fundraising$24,750FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$678,921TotalAmt
Program Services$104,963ProgramServicesAmt
Management And General$573,958ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$4,685,234TotalAmt
Program Services$4,335,871ProgramServicesAmt
Management And General$349,363ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$262,374TotalAmt
Program Services$183,210ProgramServicesAmt
Management And General$67,274ManagementAndGeneralAmt
Fundraising$11,890FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$60,361TotalAmt
Program Services$31,637ProgramServicesAmt
Management And General$22,298ManagementAndGeneralAmt
Fundraising$6,426FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$6,231,484TotalAmt
Program Services$6,231,484ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$7,246,691TotalAmt
Program Services$6,849,086ProgramServicesAmt
Management And General$397,605ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$514,164TotalAmt
Program Services$480,414ProgramServicesAmt
Management And General$33,750ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
Purchased Services$4,770,355$4,716,674$425$53,256
Medicaid Quality Assurance Fees$1,693,843$1,693,843$0$0
Medical Supplies$900,666$900,666$0$0
Bad Debt$195,439$195,439$0$0

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,461,060TotalAmt
Program Services$666,542ProgramServicesAmt
Management And General$762,475ManagementAndGeneralAmt
Fundraising$32,043FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$67,486,886TotalAmt
Program Services$60,371,165ProgramServicesAmt
Management And General$6,399,348ManagementAndGeneralAmt
Fundraising$716,373FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,084,074BOYAmt
EOY$1,823,191EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$8,563,016BOYAmt
EOY$7,718,944EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$5,523,045BOYAmt
EOY$1,060,000EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,915,292BOYAmt
EOY$2,871,932EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$4,757,607BOYAmt
EOY$3,452,478EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$280,625BOYAmt
EOY$281,790EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$375,184BOYAmt
EOY$210,670EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$262,489,115LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$93,327,739LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$166,228,362BOYAmt
EOY$169,161,376EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$23,591,318BOYAmt
EOY$15,380,856EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$12,215,146BOYAmt
EOY$13,003,377EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$4,084,431BOYAmt
EOY$17,482,481EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$229,618,100BOYAmt
EOY$232,447,095EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$30,203,201BOYAmt
EOY$8,365,935EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$37,462,767BOYAmt
EOY$37,168,721EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$105,197,081BOYAmt
EOY$110,644,116EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$3,430,000BOYAmt
EOY$1,895,066EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$59,467,409BOYAmt
EOY$72,066,066EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$235,760,458BOYAmt
EOY$230,139,904EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$11,665,403BOYAmt
EOY$1,247,191EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$5,523,045BOYAmt
EOY$1,060,000EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$6,142,358BOYAmt
EOY$2,307,191EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$229,618,100BOYAmt
EOY$232,447,095EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$2,410,454ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$689,727NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts$0DonatedServicesAndUseFcltsAmt
Investment Expense$0InvestmentExpenseAmt
Prior Period Adjustments$0PriorPeriodAdjustmentsAmt
Other Changes In Net Assets$5,349,368OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,567,214CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,648,707CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,294,775CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,144,724CurrentTaxYearMinus1YearAmt
Current Tax Year$7,046,198CurrentTaxYearAmt
Total$18,701,618TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$55,784,173CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$57,098,359CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$58,721,435CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$60,587,159CurrentTaxYearMinus1YearAmt
Current Tax Year$62,310,981CurrentTaxYearAmt
Total$294,502,107TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$58,351,387CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$59,747,066CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$62,016,210CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$63,731,883CurrentTaxYearMinus1YearAmt
Current Tax Year$69,357,179CurrentTaxYearAmt
Total$313,203,725TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$313,203,725PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$495,718CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,009,991CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$323,090CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$469,364CurrentTaxYearMinus1YearAmt
Current Tax Year$408,371CurrentTaxYearAmt
Total$2,706,534TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$495,718CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,009,991CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$323,090CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$469,364CurrentTaxYearMinus1YearAmt
Current Tax Year$408,371CurrentTaxYearAmt
Total$2,706,534TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$58,847,105CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$60,757,057CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$62,339,300CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$64,201,247CurrentTaxYearMinus1YearAmt
Current Tax Year$69,765,550CurrentTaxYearAmt
Total$315,910,259TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99143PublicSupportCY509Pct
Public Support PY5090.9908PublicSupportPY509Pct
Investment Income CY0.00857InvestmentIncomeCYPct
Investment Income PY0.0092InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$13,985,037OtherCostOrOtherBasisAmt
Book Value$13,985,037BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$215,928,787OtherCostOrOtherBasisAmt
Depreciation$79,983,358DepreciationAmt
Book Value$135,945,429BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$1,080,376OtherCostOrOtherBasisAmt
Depreciation$327,979DepreciationAmt
Book Value$752,397BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$17,220,668OtherCostOrOtherBasisAmt
Depreciation$10,119,155DepreciationAmt
Book Value$7,101,513BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$14,274,247OtherCostOrOtherBasisAmt
Depreciation$2,897,247DepreciationAmt
Book Value$11,377,000BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$169,161,376TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp

FieldValueIRS element (for citing)
DescInterest in Net Assets of Charitable FoundationDesc
Book Value$13,003,377BookValueAmt
Method ValuationFMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Program Rltd$13,003,377TotalBookValueProgramRltdAmt

Other Assets Org OtherAssetsOrgGrp (6 entries)

DescDescBook ValueBookValueAmt
Series 2016 Debt Service Reserve Fund$3,511,561
Series 2012 Debt Service Reserve Fund$4,809,227
Series 2016 Designed Project Fund$8,060,469
Assets Held for 457b Plan$675,893
Invesment in Tandem365 and Others$275,057
Split-Dollar Agreement Receivable$150,274
FieldValueIRS element (for citing)
Total Book Value Other Assets$17,482,481TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
Note Payable to Reliance CCP$1,500,000
Net Accrued Pension Cost$12,061,877
Fair Value of Interest Rate Swap Agreements$7,758,533
Mortgage Notes and Refundable Entrance Fees$50,745,656
FieldValueIRS element (for citing)
Total Liability$72,066,066TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$62,810,985TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$689,727NetUnrealizedGainsInvstAmt
Donated Services And Use Fclts$0DonatedServicesAndUseFcltsAmt
Recoveries Prior Year Grants$0RecoveriesPriorYearGrantsAmt
Other Revenue$0OtherRevenueAmt
Revenue Not Reported$689,727RevenueNotReportedAmt
Revenue Subtotal$62,121,258RevenueSubtotalAmt
Investment Expenses Not Incld$0InvestmentExpensesNotIncldAmt
Other Revenues Not Included$7,776,082OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$7,776,082RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$69,897,340TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$66,904,443TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$0DonatedServicesUseFcltsAmt
Prior Year Adjustments$0PriorYearAdjustmentsAmt
Losses Reported$0LossesReportedAmt
Other Expenses Included$0OtherExpensesIncludedAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$66,904,443ExpensesSubtotalAmt
Investment Expenses Not Incld2$0InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$582,443OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$582,443ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$67,486,886TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule D, Part XI, Line 4bAmount includes in revenues, not included in audited revenues include: $408,371 in investment income; ($15,735) in realized loss on sale of investments; ($101,377) in costs related to fundraising events; and $6,795,096 in receipt of contributions (both receipt of pledges receivable and releases from restriction), all net of unrealized gains on investments of $689,727.
Schedule D, Part XII, Line 4bAmount includes $680,530 included in expenses related to loss on refinancing as well as reclassification of certain fundraising expenses, reclassified to revenues for Form 990 reporting purposes.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1Christmas DinnerEvent1Nm
Gross Receipts Event1$283,727GrossReceiptsEvent1Amt
Charitable Contri Event1$37,825CharitableContriEvent1Amt
Gross Revenue Event1$245,902GrossRevenueEvent1Amt
Cash Prizes Event1$0CashPrizesEvent1Amt
Non Cash Prizes Event1$1,679NonCashPrizesEvent1Amt
Rent Facility Costs Event1$10,012RentFacilityCostsEvent1Amt
Food And Beverage Event1$52,974FoodAndBeverageEvent1Amt
Entertainment Event1$8,000EntertainmentEvent1Amt
Other Direct Expenses Event1$28,712OtherDirectExpensesEvent1Amt
Food And Beverage Other Events$0FoodAndBeverageOtherEventsAmt
Entertainment Other Events$0EntertainmentOtherEventsAmt
Gross Receipts Total$283,727GrossReceiptsTotalAmt
Charitable Contributions Tot$37,825CharitableContributionsTotAmt
Gross Revenue Total Events$245,902GrossRevenueTotalEventsAmt
Cash Prizes Total Events$0CashPrizesTotalEventsAmt
Non Cash Prizes Total Events$1,679NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$10,012RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$52,974FoodAndBeverageTotalEventsAmt
Entertainment Total Events$8,000EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$28,712OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$101,377DirectExpenseSummaryEventsAmt
Net Income Summary$144,525NetIncomeSummaryAmt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E Expnss0WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (5 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Hermina Breuker
President/CEO, Director$295,582$0$0$0$0$0$10,918$0$7,252$0$313,752$0$0$0
David Tiesenga
Chief Financial Officer$254,839$0$0$0$0$0$15,583$0$5,668$0$276,090$0$0$0
H David Claus
President Emeritus$364,345$0$0$0$0$0$16,500$0$6,006$0$386,851$0$0$0
Dr John Mulder
Chief Medical Consultant$309,896$0$0$0$0$0$1,125$0$0$0$311,021$0$0$0
Carolyn Flietstra
Executive VP, Home and Community Services$161,735$0$0$0$0$0$3,831$0$0$0$165,566$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part I, Line 1aThe CFO is reimbursement on a monthly basis for health club dues that are paid for personally.
Schedule J, Part I, Line 1bThe CFO is reimbursement on a monthly basis for health club dues that are paid for personally.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
Econ Dev Corp of the City of Kentwood
A381844797491740DF02012-06-29$50,090,801See Part VI000
Michigan Strategic Fund
B5214173320000000002014-12-11$23,590,000Refund prior issue (12/18/2009)000
Econ Dev Corp of the City of Kentwood
C381844797491740EW22016-10-31$32,187,291Refund prior issue (8/31/2006)000
Michigan Strategic Fund
D521417332594698PM82016-10-31$9,483,642Renovate facility000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtBond DefeasedBondDefeasedAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtCapitalized InterestCapitalizedInterestAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCredit EnhancementCreditEnhancementAmtWorking Capital ExpendituresWorkingCapitalExpendituresAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtUnspentUnspentAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$515,000$0$50,278,251$4,753,186$0$0$1,001,816$0$0$0$45,435,529$02005Yes (1)0Yes (1)Yes (1)
B$1,545,834$0$23,590,000$0$0$0$0$0$0$0$23,590,000$02005Yes (1)0Yes (1)Yes (1)
C$0$0$32,187,291$2,579,644$0$0$651,160$0$0$0$28,956,053$4342005Yes (1)0Yes (1)Yes (1)
D$0$0$9,483,642$876,500$0$0$182,258$0$0$364,415$0$8,060,469000Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A0000000Yes (1)00
B0000000Yes (1)00
C0000000Yes (1)00
D0000000Yes (1)00

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndTerm Of GICTermOfGICPctRegulatory Safe Harbor StsfdRegulatorySafeHarborStsfdIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
Wachovia
A0Yes (1)Yes (1)000Yes (1)27.8Yes (1)00
(no name)
B00Yes (1)Yes (1)Yes (1)0000
(no name)
C0Yes (1)Yes (1)000000
(no name)
D0Yes (1)0000000

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
A0
B0
C0
D0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule K, Part I, Column f-06/29/2012 50,090,801 Econ Dev Corp of the City of KentwoodRefund prior bonds (8/2/2000, 8/31/2006, 10/3/2002)
Schedule K, Part II, Line 3-06/29/2012 50,090,801 Econ Dev Corp of the City of KentwoodThe total proceeds do not agree to the issue price in Part I, Column E, due to investment earnings / market value fluctuations.
Schedule K, Part II, Line 3-10/31/2016 32,187,291 Econ Dev Corp of the City of KentwoodThe total proceeds do not equal the summary of lines 4-12 due to transferred or replacement proceeds in line 4.
Schedule K, Part IV, Line 2c-12/11/2014 23,590,000 Michigan Strategic FundDate the rebate computation was performed: 6/11/2015. Note regarding the 6/11/2015 rebate computation: since the bond proceeds have been spent, a spending exception was met, and the debt service fund was operated on a bona fide basis, no further rebate calculations are necessary.

Schedule K IRS990ScheduleK

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
Carl VerBeek
Director$110,715legal services0
Mark Eriks
Secretary, Director$254,904food supplies0
Sister Myra Bergman
Director$593,759pharmacy, physician and lab services0

Schedule M IRS990ScheduleM

Real Estate Commercial RealEstateCommercialGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution2ContributionCnt
Noncash Contributions Rpt F990$4,700,000NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule M, Part IFormAndLineReferenceDesc
ExplanationThe organization received, as contribution, the entire membership interest in Raybrook Limited Partners, as of December 31, 2016. The organization recorded total contributions in 2016 of $4,700,000 related to the assessed value of the single asset held by Raybrook Limited Partners, the corporate office of the organization located at 2100 Raybrook St SE Suite 300, Grand Rapids, Michigan. The asset was appraised within 30 days of receipt of the contribution.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, Line 6Pursuant to its Articles of Incorporation, as amended, the corporation is organized on a membership basis.
Form 990, Part VI, Section A, Line 7bPursuant to its Bylaws, as amended, the corporation is a subsidiary of Christian Living Services (CLS) and not withstanding any other provision in their Bylaws to the contrary, the approval of Christian Living Services as the member of this corporation is required to:(1) change the purpose, philosophy, core values or mission of the corporation, (2) amend the Articles of Incorporation or Bylaws of the corporation, (3) make any change to the structure of operation of the corporation which would affect its status as a nonprofit entity, exempt from taxation under Section 501(c)(3) of the Internal Revenue Code, (4) dissolve or liquidate the corporation, (5) merge or consolidate with another entity, (6) remove a Director of the corporation, (7) create or acquire a new subsidiary entity or enter into a joint venture or partnership; (8) purchase, acquire or lease any real property or sell, lease, exchange, give as security, mortgage, or dispose of any personal property owned, held or leased by the corporation, (9) purchase, lease (as lessor or lessee), sell or otherwise dispose of any personal property that would be a capital asset of the corporation under generally accepted accounting principles, (10) borrow or enter into a guaranty, (11) adopt a budget, schedule of fees, marketing plan or long-range plan for the corporation, 12) enter into a material contract such as an employee lease arrangement or a contract to subcontract the provision for food service, facilities, maintenance or janitorial services, or (13) change accountants or attorneys.
Form 990, Part VI, Section B, Line 11bThe Form 990 and appropriate Schedules are prepared by the organization. The completion of the Form is reported to the organization's Finance Committee, which is given opportunity to review the form subsequent to its submission to the Internal Revenue Service. If there is believed to be a subsequent material modification from a previously submitted Form 990, the Committee would be notified of such a change.
Form 990, Part VI, Section B, Line 12cOn an annual basis each director, principal officer, and member of a committee with board delegated powers, must complete a statement that (1) they have received a copy of the Conflict of Interest Policy, (2) they have read and understand the policy, (3) they have agreed to comply with the policy, and (4) understand that the organization is charitable and in order to maintain its federal tax exemption it must engage primarily in activities which accomplish one or more of its tax-exempt purposes.
Form 990, Part VI, Section B, Line 15The organization purchases compensation surveys and establishes the executive compensation around the fiftieth percentile, (with some flexibility) of prevailing market rates for similar positions, market trends, and the financial resources of the organization. The organization is committed to balancing fiscal stewardship with a desire to competitively compensate its personnel. Executive compensation is reviewed within the compensation committee of the Board of Directors.
Form 990, Part VI, Section C, Line 19The organization does not generally make its governing documents or Conflict of Interest Policy available to the public; however, such documents would be subject to public inspection if so requested. A summary of the annual audited financial statements is made available each year within a quarterly publication of Holland Home called "New Horizons." This publication is made available to residents and key stakeholders.
Form 990, Part XI, Line 9Amount of other adjustments includes the following: transfers from affiliates: $9,362,096; pension-related changes other than net periodic benefit cost: ($414,990); change in fair value of interest rate swap agreements: $303,327; change in interest in net assets of the Foundation: $788,231; change in value of pledges receivable: ($4,689,296)

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (11 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
Christian Living Services
2100 Raybrook St SE Suite 300Grand RapidsMI49546261126816Admin ServicesMI501(c)(3)12bN/A0
Faith Hospice
2100 Raybrook St SE Suite 300Grand RapidsMI49546383062893Hospice CareMI501(c)(3)12b0Christian Living Services
Reliance Community Care Partners
2100 Raybrook St SE Suite 300Grand RapidsMI49546382295909Community ServicesMI501(c)(3)100Christian Living Services
Helpers of Holland Home
2100 Raybrook St SE Suite 300Grand RapidsMI49546271062997In-Home ServicesMI501(c)(3)12b0Christian Living Services
Home Health Care Agency of Holland Home
2100 Raybrook St SE Suite 300Grand RapidsMI49546382660300Home Health CareMI501(c)(3)12b0Christian Living Services
Trillium Institute
2100 Raybrook St SE Suite 300Grand RapidsMI49546471295260Education ServicesMI501(c)(3)12b0Christian Living Services
Rehab Dimensions
2100 Raybrook St SE Suite 300Grand RapidsMI49546383337881Rehabilitation ServicesMI501(c)(3)12b0Christian Living Services
Atrio Home Care
2100 Raybrook St SE Suite 300Grand RapidsMI49546813166606In-Home ServicesMI501(c)(3)100Christian Living Services
Atrio Home Health Lakeshore
2100 Raybrook St SE Suite 300Grand RapidsMI49546814839696Home Health CareMI501(c)(3)12b0Christian Living Services
Holland Home Foundation
2100 Raybrook St SE Suite 300Grand RapidsMI49546382663466Mission FundraisingMI501(c)(3)7Yes (1)Holland Home
Care Resources
1471 Grace St SEGrand RapidsMI49506300166828PACE ServicesMI501(c)(3)12bN/A0

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndUBI Code VUBICodeVAmtGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPctDirect Controlling NADirectControllingNACd
Raybrook Limited Partners
2100 Raybrook St SE Suite 300Grand RapidsMI49546Property OwnershipMIHolland HomeExcluded$100$1000$0Yes (1)1
Facility Management Services of Holland Home LLC
2100 Raybrook St SE Suite 300Grand RapidsMI49546Grounds MaintenanceMIHolland HomeUnrelated$100$1000$0Yes (1)1
ECHO Group LLC dba Tandem365
2100 Raybrook St SE Suite 300Grand RapidsMI49546Health ManagementMIRelated$20$200$0Yes (1)0.2N/A
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (1)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (1)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (24 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
Rehab Dimensions
l$101,136set fee for management services
Rehab Dimensions
q$69,708reimbursement for expenses
Home Health Care Agency of Holland Home
l$737,693set fee for management services
Home Health Care Agency of Holland Home
p$490,065reimbursement for expenses
Home Health Care Agency of Holland Home
m$30,576services based upon set fee
Rehab Dimensions
s$554,879amount of receivable forgiveness
Home Health Care Agency of Holland Home
s$7,220,270amount of receivable forgiveness
Holland Home Foundation
c$250,000analysis of benevolent need
Trillium Institute
l$45,000fixed monthly management fee
Trillium Institute
q$344,773reimbursement for expenses
Trillium Institute
r$500,000funding investment
Reliance Community Care Partners
l$949,279set fee for management services
Reliance Community Care Partners
e$1,500,000amount of cash advanced
Helpers of Holland Home
l$56,583set management fee
Helpers of Holland Home
q$208,138reimbursement for expenses
Helpers of Holland Home
r$732,047amount of forgiveness
Faith Hospice
l$2,182,751set fee for management services
Faith Hospice
s$414,000repayment of note payable
Faith Hospice
q$1,409,862reimbursement for expenses
Faith Hospice
l$856,026amount paid for room and board
Care Resources
l$2,756,167payment for room and board services
Care Resources
q$3,733,802reimbursement for expenses
ECHO Group LLC dba Tandem365
q$1,480,261reimbursement for expenses
Facility Management Services of Holland Home LLC
q$150,018reimbursement for expenses

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