2011-10-06T16:35:16-05:00 2010-12-31 990 2010-01-01 383026594 HAVEN PARK CHRISTIAN HOUSING AND NURSING ASSOCIATION OF ZEELAND HAVE 7083428100 18601 NORTH CREEK DRIVE TINLEY PARK IL 60477 WILLIAM DEYOUNG 7083428100 2011-09-30 false 2011-10-06 2010 2016-03-07 17:11:31Z 11159422 false X HAVENPARK.COM X 1991 MI CARE OF THE ELDERLY AND SICK 8 8 239 25 0 18964 11993 10746468 10292012 45445 111780 432156 743637 11243033 11159422 0 0 5955003 5946187 0 0 5228521 5728785 11183524 11674972 59509 -515550 17892847 17978243 10297359 10616204 7595488 7362039 CARE OF THE ELDERLY AND SICK false false 10898097 10087465 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 48,014 WHICH IS AN OCCUPANCY OF 86%. 10898097 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 false true false false false false false false false false false false false false false false false false false false false false true 6 0 true 239 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 false true false false false MI X PROVIDENCE MGMT 7083428100 18601 NORTH CREEK DRIVE TINLEY PARK IL 60477 X 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 VAN KUIKEN DR JERRY L 1.00 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 false false false PRIORITY HEALTH 3915 MOMEMTUM PLACE CHICAGO IL 60689 HEALTH INS 638487 PROVIDENCE MANAGEMENT & DEVELOPMENT 18601 NORTH CREEK DR TINLEY PARK IL 60477 MANAGEMENT 613672 AGILITY HEALTH PROFESSIONALS PO BOX 5805 DETROIT MI 48279 REHAB 418558 GORDON FOOD SERVICE 520 79TH ST SE GRAND RAPIDS MI 49508 FOOD & SUPPLY 402722 PROVIDENCE LIFE SERVICES 18601 NORTH CREEK DR TINLEY PARK IL 60477 MARKETING&EDUC 206598 7 11993 11993 HEALTHCARE 10292012 10292012 10292012 39737 39737 72043 72043 72043 72043 RENTAL INCOME 743637 743637 743637 11159422 11107692 39737 4866913 4866913 44295 44295 677883 677883 357096 357096 776875 776875 11797 11797 5142 5142 67290 67290 203508 203508 44968 44968 170907 170907 593811 593811 578503 578503 173984 173984 PROVIDER TAXES 992142 992142 NURSING SUPPLIES 783494 783494 BAD DEBT EXPENSE 385766 385766 DIETARY 372719 372719 MEDICARE B THERAPY 117074 117074 450805 450805 11674972 10898097 776875 0 3650 59939 2627438 1090269 1950078 2386005 14500 11724 4243 3173 18732054 7648213 11460858 11083841 1758159 3226719 73921 116573 17892847 17978243 1365074 1979962 5607630 5406626 3324655 3229616 10297359 10616204 X 7591217 7357768 4271 4271 7595488 7362039 17892847 17978243 -515550 282101 X false false X 12041 20522 19900 18964 11993 83420 10609487 11275108 10903186 10746468 11035649 54569898 10621528 11295630 10923086 10765432 11047642 54653318 54653318 64869 221907 91748 45445 39737 463706 64869 221907 91748 45445 39737 463706 10686397 11517537 11014834 10810877 11087379 55117024 0.99160 0.99130 0.01000 0.01000 X false false false false false false false false false false 750814 750814 269877 153650 116227 2115928 1907590 208338 1075379 MICHIGAN STATEGIC FUND SERIES 2004A 521417332 59469YAF2 2004-11-18 9585000 PROCEEDS USED TO REFUND PRIOR ISSUE. false false false 5607630 191700 166000 true false true true 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.