FURP.ORG / PUBLIC DATA EXPLORER

HOLLAND HOME: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
HOLLAND HOME (EIN 38-1366927)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-05-14
IRS object ID
201211359349304101
Schema version
2011v1.2
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

FieldValueIRS element (for citing)
Timestamp2012-05-14T11:33:19-07:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN381366927EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1HOLLAND HOMEBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlHOLLNameControl
Phone6162355034Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12100 Raybrook St SE Suite 300AddressLine1
CityGrand RapidsCity
StateMIState
ZIP Code495465783ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameH David ClausName
TitlePresident & CEOTitle
Phone6162355000Phone
Date Signed2012-05-11DateSigned
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonH David ClausNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line12100 Raybrook St SEAddressLine1
CityGrand RapidsCity
StateMIState
ZIP Code49546ZIPCode
FieldValueIRS element (for citing)
Gross Receipts62010622GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.hollandhome.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1892YearFormation
State Legal DomicileMIStateLegalDomicile
Activity Or Mission DescriptionProvide nursing therapy and benevolent services for aged residents in skilled nursing, dementia nursing, assisted living and independent living centers.ActivityOrMissionDescription
Nbr Voting Members Governing Body12NbrVotingMembersGoverningBody
Nbr Independent Voting Members11NbrIndependentVotingMembers
Total Nbr Employees1253TotalNbrEmployees
Total Nbr Volunteers733TotalNbrVolunteers
Total Gross UBI54072TotalGrossUBI
Net Unrelated Business Txbl Income37657NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1172857ContributionsGrantsPriorYear
Contributions Grants Current Year857441ContributionsGrantsCurrentYear
Program Service Revenue Prior Year52814769ProgramServiceRevenuePriorYear
Program Service Revenue CY55046905ProgramServiceRevenueCY
Investment Income Prior Year644588InvestmentIncomePriorYear
Investment Income Current Year496265InvestmentIncomeCurrentYear
Other Revenue Prior Year99825OtherRevenuePriorYear
Other Revenue Current Year132761OtherRevenueCurrentYear
Total Revenue Prior Year54732039TotalRevenuePriorYear
Total Revenue Current Year56533372TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year29364804SalariesEtcPriorYear
Salaries Etc Current Year29092866SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year16076TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY44368TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year439917TotalFundrsngExpCurrentYear
Other Expense Prior Year26925213OtherExpensePriorYear
Other Expenses Current Year28383794OtherExpensesCurrentYear
Total Expenses Prior Year56306093TotalExpensesPriorYear
Total Expenses Current Year57521028TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-1574054RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-987656RevenuesLessExpensesCY
Total Assets BOY227785696TotalAssetsBOY
Total Assets EOY220943764TotalAssetsEOY
Total Liabilities BOY240421212TotalLiabilitiesBOY
Total Liabilities EOY244547593TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-12635516NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-23603829NetAssetsOrFundBalancesEOY
Mission DescriptionIn 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.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense51578067Expense
Grants0Grants
Revenue55028532Revenue
DescriptionProvide nursing and residential care at three facilities located in Grand Rapids, Michigan to an average of 1,266 residents each day in skilled nursing (231), assisted living (387), and independent living (648). Of the 387 residents in assisted living, the organization provides financial assistance to 17% or 65 residents on average which amounts to $2.2 million in benevolence. In skilled nursing, the organization serves an average of 130 residents (56%) on Medicaid and 33 residents (14%) on Medicare. These contractual allowances cost the organization $5.3 million in 2011. The organization provides uncompensated costs of private rooms to most of the 130 residents on Medicaid.Description
Total Of Other Program Service Exp0TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt0TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev0TotalOfOtherProgramServiceRev
Total Program Service Expense51578067TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising1ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization1BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109662NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees1253NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions1QuidProQuoContributions
Quid Pro Quo Disclosure1QuidProQuoDisclosure
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members12NbrVotingGoverningBodyMembers
Number Independent Voting Members11NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body0Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledMIStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonDavid TiesengaNamePerson
Telephone Number6162355035TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12100 Raybrook St SE Suite 300AddressLine1
CityGrand RapidsCity
StateMIState
ZIP Code495465783ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (16 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
Robert Smedes
Treasurer/Director2XX000
Robert Israels
Director2X000
Bruce Jelsema
Assistant Treasurer/Director2XX000
H David Claus
President/CEO/Director50XX312788016500
Carl VerBeek
Chair/Director2XX000
Lynwood VandenBosch
Director2X000
Karen Helder
Director2X000
Bruce Neckers
Vice Chair/Director2XX000
John Steigenga
Director2X000
Paul Farr
Director2X000
Max Smith
Director2X000
Susan Vogel-Vanderson
Secretary/Director2XX000
David Tiesenga
CFO50X199498016500
Hermina Breuker
COO50160757013910X
Chris Nicely
Vice President of Marketing5010986402984X
Scott Hull
Director of Facility Services5010095202601X
FieldValueIRS element (for citing)
Total Reportable Comp From Org883859TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation52495TotalOtherCompensation
Number Individuals GT100 K5NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Morrison Services
39395 W 12 Mile RdFarmington HillsMI48331Dietary Services3499234
Plante & Moran
27400 Northwestern HighwaySouthfieldMI48037Accountants135365
Rehab Care Group Inc
PO Box 503534St LouisMO63150Therapy Services1270731
FieldValueIRS element (for citing)
Number Of Contractors GT100 K3NumberOfContractorsGT100K
Federated Campaigns0FederatedCampaigns
Membership Dues0MembershipDues
Fundraising Events29475FundraisingEvents
Related Organizations0RelatedOrganizations
Government Grants0GovernmentGrants
All Other Contributions827966AllOtherContributions
Noncash Contributions0NoncashContributions
Total Contributions857441TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
HFA & Independent Living62300018100398181003980$0
Medicare/Medicaid62300012980140129801400$0
Skilled Nursing623000705384470538440$0
Amortization of Endowments623000668362066836200$0
Ancillary Revenue6230009083329083320$0

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column9320571TotalRevenueColumn
Related Or Exempt Function Income9302198RelatedOrExemptFunctionIncome
Unrelated Business Revenue18373UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Program Service Revenue55046905TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column403223TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue35699UnrelatedBusinessRevenue
Exclusion$367,524ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities4907732Securities
Other587044Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities4751334Securities
Other650400Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities156398Securities
Other-63356Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column93042TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$93,042ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events208277GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events29475CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses75516FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column132761TotalRevenueColumn
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$132,761ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column56533372TotalRevenueColumn
Related Or Exempt Function Income55028532RelatedOrExemptFunctionIncome
Unrelated Business Revenue54072UnrelatedBusinessRevenue
Exclusion$593,327ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total512286Total
Program Services0ProgramServices
Management And General512286ManagementAndGeneral
Fundraising0Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total23170391Total
Program Services20892831ProgramServices
Management And General1999640ManagementAndGeneral
Fundraising277920Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1058731Total
Program Services878071ProgramServices
Management And General168980ManagementAndGeneral
Fundraising11680Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total2683516Total
Program Services2367395ProgramServices
Management And General284630ManagementAndGeneral
Fundraising31491Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1667942Total
Program Services1471456ProgramServices
Management And General176912ManagementAndGeneral
Fundraising19574Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total286635Total
Program Services264919ProgramServices
Management And General18801ManagementAndGeneral
Fundraising2915Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total197308Total
Program Services0ProgramServices
Management And General197308ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total78800Total
Program Services0ProgramServices
Management And General78800ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total44368Total
Fundraising44368Fundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total60314Total
Program Services0ProgramServices
Management And General60314ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total534476Total
Program Services0ProgramServices
Management And General534476ManagementAndGeneral
Fundraising0Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total2334378Total
Program Services2164921ProgramServices
Management And General141980ManagementAndGeneral
Fundraising27477Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total366937Total
Program Services0ProgramServices
Management And General366937ManagementAndGeneral
Fundraising0Fundraising

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total4571822Total
Program Services3967799ProgramServices
Management And General604023ManagementAndGeneral
Fundraising0Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total237218Total
Program Services212521ProgramServices
Management And General21089ManagementAndGeneral
Fundraising3608Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total56697Total
Program Services34125ProgramServices
Management And General16971ManagementAndGeneral
Fundraising5601Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total5460009Total
Program Services5460009ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total6641861Total
Program Services6437122ProgramServices
Management And General204739ManagementAndGeneral
Fundraising0Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
Purchased Services4616282461628200
Medicaid Quality Assurance Fees1677589167758900
Bad Debt43384343384300
Miscellaneous2474901332781087605452

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total582135Total
Program Services565906ProgramServices
Management And General6398ManagementAndGeneral
Fundraising9831Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total57521028Total
Program Services51578067ProgramServices
Management And General5503044ManagementAndGeneral
Fundraising439917Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY2093829BOY
EOY2127639EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1577551BOY
EOY2429360EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY12362750BOY
EOY3969840EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY990204BOY
EOY6820350EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY407620BOY
EOY417253EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY158826BOY
EOY359028EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis236463312LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec59762804LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY181799649BOY
EOY176700508EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY16687103BOY
EOY16611301EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY8518848BOY
EOY8389406EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY3189316BOY
EOY3119079EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY227785696BOY
EOY220943764EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY26722260BOY
EOY30289261EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY38774127BOY
EOY37231085EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY103495000BOY
EOY101855000EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY3500000BOY
EOY3440000EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY67929825BOY
EOY71732247EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY240421212BOY
EOY244547593EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-12635516BOY
EOY-23603829EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-12635516BOY
EOY-23603829EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY227785696BOY
EOY220943764EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-987656ReconcilationRevenueExpenses
Reconcilation Other Changes-9980657ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1596529CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2252316CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2188947CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1272682CurrentTaxYearMinus1Year
Current Tax Year990202CurrentTaxYear
Total8300676Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years43530697CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years44406576CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years49211439CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year52814769CurrentTaxYearMinus1Year
Current Tax Year55046905CurrentTaxYear
Total245010386Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total0Total

Tax Rev Levied For Org Benefit509 TaxRevLeviedForOrgBenefit509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total0Total

Value Of Svcs Fclts Furnishd By Govt ValueOfSvcsFcltsFurnishdByGovt

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total0Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years45127226CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years46658892CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years51400386CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year54087451CurrentTaxYearMinus1Year
Current Tax Year56037107CurrentTaxYear
Total253311062Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total0Total
FieldValueIRS element (for citing)
Public Support Total509253311062PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1557288CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years871768CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years602482CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year644588CurrentTaxYearMinus1Year
Current Tax Year496265CurrentTaxYear
Total4172391Total

Post1975 UBTI Post1975UBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total0Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1557288CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years871768CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years602482CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year644588CurrentTaxYearMinus1Year
Current Tax Year496265CurrentTaxYear
Total4172391Total

Net Income From Other UBI NetIncomeFromOtherUBI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total0Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total0Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years46684514CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years47530660CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years52002868CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year54732039CurrentTaxYearMinus1Year
Current Tax Year56533372CurrentTaxYear
Total257483453Total
FieldValueIRS element (for citing)
Public Support Percentage5090.98380PublicSupportPercentage509
Prior Year Support Percentage0.98027PriorYearSupportPercentage
Investment Income Percentage0.01620InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.01973PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis13680206OtherCostOrOtherBasis
Book Value13680206BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis200837419OtherCostOrOtherBasis
Depreciation52871440Depreciation
Book Value147965979BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis484280OtherCostOrOtherBasis
Depreciation192191Depreciation
Book Value292089BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis10846265OtherCostOrOtherBasis
Depreciation5240740Depreciation
Book Value5605525BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis10615142OtherCostOrOtherBasis
Depreciation1458433Depreciation
Book Value9156709BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings176700508TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
Mortgage Notes Payable$1,233,413
Refundable Amounts Payable$54,779,078
Fair Value Interest Rate SWAP$15,719,756
FieldValueIRS element (for citing)
Total Of Amounts71732247TotalOfAmounts

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Mail SolicitationsXMailSolicitations
Phone SolicitationsXPhoneSolicitations
In Person SolicitationsXInPersonSolicitations
Special Fundraising EventsXSpecialFundraisingEvents
Agreement Ref Fundraising1AgreementRefFundraising

Fundraiser Activity Information FundraiserActivityInformation

Name Of Organization NameOfOrganization

FieldValueIRS element (for citing)
Business Name Line1The Breton GroupBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12504 Ardmore St SEAddressLine1
CityGrand RapidsCity
StateMIState
ZIP Code49546ZIPCode
FieldValueIRS element (for citing)
ActivityConsults with the development department on fundraising procedures.Activity
Fundraiser Control Of Funds0FundraiserControlOfFunds
Gross Receipts0GrossReceipts
Amount Retained By Contractor42000AmountRetainedByContractor
Net To Organization-42000NetToOrganization
FieldValueIRS element (for citing)
Total Gross Receipts0TotalGrossReceipts
Total Retained By Contractors42000TotalRetainedByContractors
Total Net To Organization-42000TotalNetToOrganization
Licensed StatesMILicensedStates

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1Christmas DinnerNameOfEvent1
Gross Receipts Event1237752GrossReceiptsEvent1
Charitable Contributions Event129475CharitableContributionsEvent1
Gross Revenue Event1208277GrossRevenueEvent1
Cash Prizes Event10CashPrizesEvent1
Non Cash Prizes Event13950NonCashPrizesEvent1
Rent Facility Costs Event19775RentFacilityCostsEvent1
Food And Beverage Event135337FoodAndBeverageEvent1
Entertainment Event12845EntertainmentEvent1
Other Direct Expenses Event123609OtherDirectExpensesEvent1
Food And Beverage Other Events0FoodAndBeverageOtherEvents
Entertainment Other Events0EntertainmentOtherEvents
Gross Receipts Total237752GrossReceiptsTotal
Charitable Contributions Total29475CharitableContributionsTotal
Gross Revenue Total Events208277GrossRevenueTotalEvents
Cash Prizes Total Events0CashPrizesTotalEvents
Non Cash Prizes Total Events3950NonCashPrizesTotalEvents
Rent Facility Costs Total Events9775RentFacilityCostsTotalEvents
Food And Beverage Total Events35337FoodAndBeverageTotalEvents
Entertainment Total Events2845EntertainmentTotalEvents
Other Direct Expenses Total Events23609OtherDirectExpensesTotalEvents
Direct Expense Summary Events75516DirectExpenseSummaryEvents
Net Income Summary132761NetIncomeSummary

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E Expenses0WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Compensation CommitteeXCompensationCommittee
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (3 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
H David Claus
312788000001650006471033575903055220
David Tiesenga
199498000001650007281022327902032720
Hermina Breuker
160757000001391000017466701587800

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SchJ_P01_S00_L01aSchedule J, Part I, Line 1aThe CEO and CFO are reimbursed on a monthly basis for health club dues they pay for personally.
SchJ_P01_S00_L01bSchedule J, Part I, Line 1bThe CEO and CFO are reimbursed on a monthly basis for health club dues they pay for personally.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancingBusiness Name Line2IssuerName/BusinessNameLine2
Michigan Strategic Fund
52141733259469C6U22004-01-309940000Construction and equipping of facility000
Michigan Strategic Fund
52141733259470FAC72005-12-0110795000Refund prior issue from 07/15/1998000
Economic Development Corporation of the City
381844797491740DW32006-08-3150590705See Part VI000of Kentwood
Michigan Strategic Fund
52141733259470FAD52009-01-087320000See Part VI000

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Amount RetiredAmountRetiredAmount Bond DefeasedAmountBondDefeasedTotal ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundCapitalized InterestCapitalizedInterestRefunding EscrowRefundingEscrowIssuance Costs From ProceedsIssuanceCostsFromProceedsCredit EnhancementCreditEnhancementWorking Capital ExpendituresWorkingCapitalExpendituresCapital ExpendituresCapitalExpendituresOther Spent ProceedsOtherSpentProceedsAmount UnspentAmountUnspentYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
0010013092029772301988003490125498692266820020050011
174000001205209400021590066010011829593019990111
32750000522140003171581001002277683711136973316450614693567020050111
7350000732000000000007320000019991011

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyEngage Bond Counsel ContractsEngageBondCounselContractsAny Research AgreementsAnyResearchAgreementsPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUsePost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
001100001
001100001
001100001
001100001

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebateTerm Of HedgeTermOfHedgeSuperintegrated HedgeSuperintegratedHedgeHedge TerminatedHedgeTerminated
(no name)
010001
See Part VI
01100022.900
See Part VI
01100026.200
See Part VI
01100119.800

Form990 Schedule K Part VI Form990ScheduleKPartVI (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SchK_P01_S00_L00fSchedule K, Part I, Column fPart I, Line C, Coulmn (f) - Construction of facility, land purchase, refund prior issue (10/3/02). Part I, Line D, Column (f) - Conversion of Taxable Bonds (issued 12/1/05) to Tax Exempt Bonds.
SchK_P02_S00_L03Schedule K, Part II, Line 3The total proceeds do not agree to the issue price in Part I, Column (e) due to investment earnings.
SchK_P03_S00_L03aSchedule K, Part III, Line 3aThe management contract qualifies for the safe harbor under Rev. Prog. 97-13
SchK_P04_S00_L03bSchedule K, Part IV, Line 3bColumn B - The Swap entered into with Lehman Brothers Special Financing, Inc. on 12/1/2005 was assigned to the 1271 Counterparty Company LLC on 11/29/2011 on terms essentially similar to the Lehman Swap. Column C - Morgan Stanley Capital Services, Inc. Column D - The Swap entered into with Lehman Brothers Special Financing, Inc. on 12/1/2005 was assigned to the 1271 Counterparty Company LLC on 11/29/2011 on terms essentially similar to the Lehman Swap.

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
Robert Israels
Director110842Purchase of Assets0
Lynwood VandenBosch
Director205833Legal Services0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
F990_P06_S0A_L06Form 990, Part VI, Section A, Line 6Pursuant to its Articles of Incorporation as amended, the corporation is organized on a "nonstock membership basis."
F990_P06_S0A_L07bForm 990, Part VI, Section A, Line 7bPursuant to its Bylaws as amended, the corporation is a subsidiary of Christian Living Services 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 real 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 purposes, (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 emloyee lease arrangement or a contract to subcontract the provision of food service, facilities maintenance or janitorial service, or (13) change accounts or attorneys.
F990_P06_S0B_L11bForm 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 Audit Committee. The Form 990 and appropriate Schedules are then submitted to the Internal Revenue Service.
F990_P06_S0B_L12cForm 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) understands 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.
F990_P06_S0B_L15Form 990, Part VI, Section B, Line 15The organization puchases compensation surveys and bases the executive compensation on the fiftieth percentile of prevailing market rates for similar positions, market trends and the financial capabilities of the organization. The organization continuously strives to balance financial realities with the desire to pay people fairly. Then the executive pay is reviewed with a subgroup of the Board of Directors.
F990_P06_S0C_L19Form 990, Part VI, Section C, Line 19The organization does not make its governing documents or Conflict of Interest Policy available to the public. However, a summary of the annual financial statment is printed once each year in the New Horizons, a publication of the organization which is sent to residents, residents' family members and donors on a quarterly basis. A copy of the audited financial statement is available upon request and this is also communicated in the New Horizons.
F990_P11_S00_L05Form 990, Part XI, Line 5Other Changes in Net Assets of Fund Balances: Change in Fair Market Value of Interest Rate SWAP Agreements: $(5,292,371); Net Unrealized Gain on Sale of Investments: $132,358; Change in Interest in New Asset of Foundation: $(129,442); Pension Related Changes in Other Then Net Periodic Benefit Cost: $(4,691,202); Total: $(9,980,657)

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (7 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrg
Holland Home Foundation
2100 Raybrook St SE Suite 300Grand RapidsMI495465783382663466Receive and manage fundsMI501(c)(3)7N/A0
Home Health Care Agency of Holland Home
2100 Raybrook St SE Suite 300Grand RapidsMI495465783382660300Home careMI501(c)(3)9N/A0
Rehab Dimensions
2100 Raybrook St SE Suite 300Grand RapidsMI495465783383337881Rehabilitation servicesMI501(c)(3)9N/A0
Christian Living Services
2100 Raybrook St SE Suite 300Grand RapidsMI495465783261126816Administrative servicesMI501(c)(3)11bN/A0
HHS Health Options
2100 Raybrook St SE Suite 203Grand RapidsMI495465783382295909Care managementMI501(c)(3)9N/A0
Faith Hospice
2100 Raybrook St SE Suite 300Grand RapidsMI495465783383062893Hospice careMI501(c)(3)9N/A0
Helpers of Holland Home
2100 Raybrook St SEGrand RapidsMI49546271062997Private Duty AssistanceMI501(c)(3)11bN/A0
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (9 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
Holland Home Foundation
c249989Cash Receipts
Holland Home Foundation
p144135Accounts Payable
Home Health Care Agency of Holland Home
p291291Accounts Payable
Faith Hospice
p109734Accounts Payable
Home Health Care Agency of Holland Home
o1010731Accounts Payable
Rehab Dimensions
o52047Accounts Payable
HHS Health Options
o694044Accounts Payable
Faith Hospice
o2601866Accounts Payable
Helpers of Holland Home
o346701Accounts Payable