2012-11-15T15:09:27-06:00 2011-12-31 990 2011-01-01 383026594 HAVEN PARK CHRISTIAN HOUSING AND NURSING ASSOCIATION OF ZEELAND HAVE 7083428100 18601 NORTH CREEK DRIVE TINLEY PARK IL 60477 WILLIAM DEYOUNG 7083428100 2012-11-14 false 2012-11-15 2011 2016-02-24 21:20:13Z 11533890 false X HAVENPARK.COM X 1991 MI CARE OF THE ELDERLY AND SICK 8 8 249 0 11993 11901 10292012 10755738 111780 72478 743637 693773 11159422 11533890 0 0 5946187 5909256 0 0 5728785 5541061 11674972 11450317 -515550 83573 17978243 17736849 10616204 10599056 7362039 7137793 CARE OF THE ELDERLY AND SICK false false 10696748 TO PROVIDE THE GENERAL PUBLIC LONG-TERM HEALTHCARE FACILITIES AND SERVICES FOR THE SICK, INJURED &/OR AGED. THE FACILITY HAS 153 LICENSED NURSING HOME BEDS, FOR A TOTAL OF 55,845 ANNUAL PATIENT DAYS. THE FACILITY ACTUAL PATIENT DAYS WERE 46,287 WHICH IS AN OCCUPANCY OF 83%. 10696748 true false false false false false false false false false true false false false false false false true false false false false false false false false false false false true true false false false false false false false false false false false false false false false true false false false false true 7 7 true 249 true false false false false false false X 8 8 false true false false false false false true true false false false true true true true true false false false MI X PROVIDENCE MGMT 7083428100 18601 NORTH CREEK DRIVE TINLEY PARK IL 60477 BING KEN 1.00 X 0 0 0 MANNES DON 1.00 X 0 0 0 SNOEK DEAN 1.00 X 0 0 0 VAN KOEVERING PAUL 1.00 X 0 0 0 VACANT 0.00 X 0 0 0 VAN ZOEREN KEITH 1.00 X 0 0 0 ELLENS GARY 1.00 X 0 0 0 DEBOER JAN 1.00 X 0 0 0 SCHUTT RICHARD 60.00 X 0 452204 119315 HOLWERDA DAN 60.00 X 0 272645 39334 DEYOUNG WILLLIAM X 0 264350 49550 989199 208199 false true false PRIORITY HEALTH 3915 MOMEMTUM PLACE CHICAGO IL 60689 HEALTH INS 510163 PROVIDENCE MANAGEMENT & DEVELOPMENT 18601 NORTH CREEK DR TINLEY PARK IL 60477 MANAGEMENT 446446 AGILITY HEALTH PROFESSIONALS PO BOX 5805 DETROIT MI 48279 REHAB 393976 GORDON FOOD SERVICE 520 79TH ST SE GRAND RAPIDS MI 49508 FOOD & SUPPLY 359332 PROVIDENCE LIFE SERVICES 18601 NORTH CREEK DR TINLEY PARK IL 60477 MARKETING&EDUC 274297 7 11901 11901 HEALTHCARE 10755738 10755738 10755738 36415 36415 36063 36063 36063 36063 RENTAL INCOME 693773 693773 693773 11533890 11485574 36415 4852820 4852820 35738 35738 661039 661039 359659 359659 753569 753569 24691 24691 5710 5710 63974 63974 106189 106189 32193 32193 168942 168942 514350 514350 577107 577107 133873 133873 PROVIDER TAXES 982510 982510 NURSING SUPPLIES 773803 773803 BAD DEBT EXPENSE 410000 410000 DIETARY 372660 372660 621490 621490 11450317 10696748 753569 0 59939 338283 1090269 1085220 2386005 2266620 11724 12628 3173 4435 19028468 8299240 11083841 10729228 3226719 3196810 116573 103625 17978243 17736849 1979962 2186791 5406626 5283622 3229616 3128643 10616204 10599056 X 7357768 7133522 4271 4271 7362039 7137793 17978243 17736849 83573 -307819 X false false X 20522 19900 18964 11993 11901 83280 11275108 10903186 10746468 11035649 11449511 55409922 11295630 10923086 10765432 11047642 11461412 55493202 55493202 221907 91748 45445 39737 36415 435252 221907 91748 45445 39737 36415 435252 11517537 11014834 10810877 11087379 11497827 55928454 0.99220 0.99160 0.01000 0.01000 X false false false false false false false false false false 750814 750814 15695360 6103406 9591954 269877 172828 97049 2312417 2023006 289411 10729228 X X true true X X X X X X false false false false false false false false false SCHUTT RICHARD 391587 51960 8657 82375 36940 571519 524077 HOLWERDA DAN 236930 31250 4465 9800 29534 311979 260935 DEYOUNG WILLLIAM 219276 34438 10636 19506 30044 313900 315138 MICHIGAN STATEGIC FUND SERIES 2004A 521417332 59469YAF2 2004-11-18 9585000 PROCEEDS USED TO REFUND PRIOR ISSUE. false false false true false true true false false false false false false false false false false false false false EXPLANATION ON VOLUNTEERS AND TYPES OF SERVICES OR BENEFITS FORM 990, PAGE 1, PART I, LINE 6 PROVIDE LIMITED ASSISTANCE TO RESIDENTS MAINLY IN RELATION TO RESIDENT ACTIVITIES. MANAGEMENT DELEGATED FORM 990, PAGE 6, PART VI, LINE 3 RESPONSIBILITIES PAID THROUGH MANAGEMENT FEES TO PROVIDENCE MANAGEMENT AND DEVELOPMENT. ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 FORM 990, PAGE 6, PART VI, LINE 11B A DRAFT OF THE 990 WAS PRPEARED AND AN INITIAL REVIEW WAS MADE BY THE CONTROLLER, CFO AND CEO. UPON REVIEW AND APPROVAL, A COMPLETED COPY OF THE 990 IS PROVIDED TO THE FULL BOARD AT THE SUBSEQUENT BOARD MEETING, AFTER FILING. ENFORCEMENT OF CONFLICTS POLICY FORM 990, PAGE 6, PART VI, LINE 12C BOARD MEMBERS ANNUALLY REVIEW AND UPDATE THEIR CONFLICT OF INTEREST STATEMENTS. GOVERNING DOCUMENTS DISCLOSURE EXPLANATION FORM 990, PAGE 6, PART VI, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. PROVIDENCE LIFE SERVICES 18601 N CREEK DRIVE TINLEY PARK IL 60477 362382853 HEALTHCARE IL 501C3 7 N/A false PROVIDENCE MANAGMENT & DEVELOPMENT 18601 N CREEK DR TINLEY PARK IL 60477 363774205 MGMT & IT IL N/A C CORP false false false false false false false false false false false false false false true false false false PROVIDENCE MGMT & DEVELOPMENT O 753569 FMV