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← REST HAVEN ILLIANA CHRISTIAN CONVALESCENT HOME

Form 990 for tax year 2023

Filed by REST HAVEN ILLIANA CHRISTIAN CONVALESCENT HOME.

Totals

Total revenue
$41,176,901
Total expenses
$46,892,607
Contributions and grants received
$1,870,729
Grants paid
$0
Program service revenue
$40,622,131
Investment income
-$1,224,733
Other revenue
-$91,226
Total assets, end of year
$57,755,855
Total liabilities, end of year
$42,021,309
Net assets or fund balances, end of year
$15,734,546
Program services expenses (Part IX)
$38,574,073
Management and general expenses
$7,825,907
Fundraising expenses
$492,627
Program service expenses (Part III)
$38,574,073

Program services were 82.3% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1c · Fundraising events

    $301,772

  • 1e · Government grants (contributions)

    $367,567

  • 1f · All other contributions, gifts and grants

    $1,201,390

  • 2a · Program service revenue: ROUTINE REVENUE

    total $36,995,123 · related or exempt $36,995,123

  • 2b · Program service revenue: ANCILLARY REVENUE

    total $3,627,008 · related or exempt $2,994,168 · unrelated business $632,840

  • 3 · Investment income

    total $596,451 · excluded $596,451

  • 7a · Gross sales of assets other than inventory

    securities $16,509,808

  • 7b · Less cost or other basis and sales expenses

    securities $16,509,808 · other assets $1,821,184

  • 7c · Gain or loss

    securities $0 · other assets -$1,821,184

  • 7d · Net gain or loss

    total -$1,821,184 · related or exempt -$1,821,184

  • 8a · Fundraising events: gross income

    $143,500

  • 8a · Fundraising events: contributions included on line 1c

    $301,772

  • 8b · Fundraising events: direct expenses

    $234,726

  • 8c · Net income from fundraising events

    total -$91,226 · excluded -$91,226

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $1,704,872 · management and general $1,704,872

  • 7 · Other salaries and wages

    total $18,164,175 · program services $14,086,327 · management and general $3,685,152 · fundraising $392,696

  • 8 · Pension plan contributions

    total $305,595 · program services $203,465 · management and general $86,622 · fundraising $15,508

  • 9 · Other employee benefits

    total $1,449,158 · program services $1,321,389 · management and general $71,676 · fundraising $56,093

  • 10 · Payroll taxes

    total $1,400,528 · program services $1,103,922 · management and general $268,276 · fundraising $28,330

  • 11b · Fees: legal

    total $10,590 · management and general $10,590

  • 11g · Fees: other

    total $3,388,218 · program services $2,688,848 · management and general $699,370

  • 12 · Advertising and promotion

    total $515,412 · program services $515,412

  • 13 · Office expenses

    total $704,721 · program services $523,029 · management and general $181,692

  • 14 · Information technology

    total $1,146,343 · program services $1,146,343

  • 16 · Occupancy

    total $2,239,098 · program services $2,086,109 · management and general $152,989

  • 20 · Interest

    total $1,737,291 · program services $1,638,308 · management and general $98,983

  • 22 · Depreciation, depletion and amortization

    total $1,964,773 · program services $1,858,220 · management and general $106,553

  • 23 · Insurance

    total $1,666,634 · program services $1,280,674 · management and general $385,960

  • 24a · Other expenses: NURSING EXPENSE

    total $2,792,243 · program services $2,792,243

  • 24b · Other expenses: FOOD & DIETARY EXPENSE

    total $2,098,292 · program services $2,098,292

  • 24c · Other expenses: PHARMACY EXPENSE

    total $850,882 · program services $817,187 · management and general $33,695

  • 24d · Other expenses: SOCIAL SERVICES & ACTIV

    total $330,181 · program services $330,181

  • 24e · All other expenses

    total $4,423,601 · program services $4,084,124 · management and general $339,477

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $1,038,773 · end of year $472,065

  • 2 · Savings and temporary cash investments

    beginning of year $226,837 · end of year $127,528

  • 4 · Accounts receivable

    beginning of year $4,694,019 · end of year $2,054,775

  • 9 · Prepaid expenses and deferred charges

    beginning of year $578,637 · end of year $691,059

  • 10a · Land, buildings and equipment: cost or other basis

    $51,876,430

  • 10b · Land, buildings and equipment: accumulated depreciation

    $23,947,953

  • 10c · Land, buildings and equipment, net

    beginning of year $30,964,207 · end of year $27,928,477

  • 11 · Investments: publicly traded securities

    beginning of year $12,156,943 · end of year $6,277,743

  • 12 · Investments: other securities

    beginning of year $652,869 · end of year $318,932

  • 15 · Other assets

    beginning of year $26,454,811 · end of year $19,885,276

  • 17 · Accounts payable and accrued expenses

    beginning of year $4,006,671 · end of year $6,186,912

  • 19 · Deferred revenue

    beginning of year $577,894 · end of year $627,285

  • 23 · Secured mortgages and notes payable

    beginning of year $32,795,687 · end of year $32,086,314

  • 25 · Other liabilities

    beginning of year $5,987,203 · end of year $3,120,798

  • 27 · Net assets without donor restrictions

    beginning of year $32,973,350 · end of year $15,223,469

  • 28 · Net assets with donor restrictions

    beginning of year $426,291 · end of year $511,077

Mission and programs · 2023

Mission

REST HAVEN ILLIANA CHRISTIAN CONVALESCENT HOME D/B/A PROVIDENCE LIFE SERVICES (REST HAVEN) IS A NOT-FOR-PROFIT ILLINOIS CORPORATION WHOSE PURPOSE IS TO PROVIDE NURSING AND RESIDENTIAL LIVING ARRANGEMENTS FOR THE AGED INCLUDING SKILLED NURSING AND REHABILITATION SERVICES, HOME HEALTH CARE, TOWNHOME LIVING, INDEPENDENT LIVING, AND ASSISTED LIVING.

Activities or mission (Part I)

REST HAVEN'S PURPOSE IS TO PROVIDE SERVICES FOR THE AGED INCLUDING SKILLED NURSING AND REHAB SERVICES, HOME HEALTH CARE, TOWN HOME LIVING, INDEPENDENT AND ASSISTED LIVING.

  • TO PROVIDE PROPER CARE FOR THE SICK AND ELDERLY. 379 BEDS/UNITS WITH OCCUPANCY OVER 94% ON THE FULL CONTINUUM OF CARE.

    Expenses $38,574,073 · Revenue $38,168,107

As filed on the 2023 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • RICH SCHUTT

    DIRECTOR & CEO

    Total calculated
    $714,672
    From this org
    $686,133
    From related orgs
    $0
    Other
    $28,539
    Hours/week
    40 + 5 related

    Schedule J breakdown matched by us

    Base
    $581,196
    Bonus
    $85,135
    Other
    $19,802
    Deferred
    $13,200
    Nontaxable benefits
    $15,339
    Filer's total
    $714,672
  • JAKE GROENEWOLD

    CHAIR

    Total calculated
    $0
    Hours/week
    1 + 2 related
  • PAUL BUIKEMA

    VICE CHAIR

    Total calculated
    $0
    Hours/week
    1 + 2 related
  • KAREN HUIZENGA

    SECRETARY/TREASURER

    Total calculated
    $0
    Hours/week
    1 + 2 related
  • KEN HOVING

    ASST. SECRETARY/TREASURER

    Total calculated
    $0
    Hours/week
    1 + 2 related
  • EDWARD DAMSTRA III

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 2 related
  • TED FEENSTRA

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 2 related
  • SHERYL HAMMER

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 2 related
  • PATTI JABAAY

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 2 related
  • EMILY MCMASTER

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 2 related
  • GARY LEO

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 2 related
  • DARREN VAN ESSEN

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 2 related
  • DAVID VOSS

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 2 related
  • KYLE YONKER

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 2 related
  • ARNOLD KOLDENHOVEN

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 2 related
  • ERIC WOO

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 2 related
  • PAUL KATS

    DIRECTOR - PART YEAR

    Total calculated
    $0
    Hours/week
    1 + 2 related
  • ROGER BOERMA

    DIRECTOR - PART YEAR

    Total calculated
    $0
    Hours/week
    1 + 2 related
  • BILL ZANDSTRA

    DIRECTOR - PART YEAR

    Total calculated
    $0
    Hours/week
    1 + 2 related
  • WILLIAM DEYOUNG

    COO

    Total calculated
    $557,125
    From this org
    $473,238
    From related orgs
    $0
    Other
    $83,887
    Hours/week
    40 + 5 related

    Schedule J breakdown matched by us

    Base
    $402,881
    Bonus
    $56,242
    Other
    $14,115
    Deferred
    $62,590
    Nontaxable benefits
    $21,297
    Filer's total
    $557,125
  • BARRY VANDERGENUGTEN

    CFO

    Total calculated
    $433,073
    From this org
    $403,100
    From related orgs
    $0
    Other
    $29,973
    Hours/week
    40 + 5 related

    Schedule J breakdown matched by us

    Base
    $336,360
    Bonus
    $46,956
    Other
    $19,784
    Deferred
    $12,937
    Nontaxable benefits
    $17,036
    Filer's total
    $433,073
  • SUSAN ENRIGHT

    VP HOME & COMMUNITY BASED

    Total calculated
    $235,672
    From this org
    $219,595
    From related orgs
    $0
    Other
    $16,077
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $216,300
    Bonus
    $0
    Other
    $3,295
    Deferred
    $8,652
    Nontaxable benefits
    $7,425
    Filer's total
    $235,672
  • JOHANNA ZANDSTRA

    VP OF OPERATIONS

    Total calculated
    $221,554
    From this org
    $191,645
    From related orgs
    $0
    Other
    $29,909
    Hours/week
    40 + 5 related

    Schedule J breakdown matched by us

    Base
    $174,157
    Bonus
    $6,500
    Other
    $10,988
    Deferred
    $6,966
    Nontaxable benefits
    $22,943
    Filer's total
    $221,554
  • MEGAN TENGERSTROM

    VP OF OPERATIONS

    Total calculated
    $237,453
    From this org
    $219,057
    From related orgs
    $0
    Other
    $18,396
    Hours/week
    40 + 5 related

    Schedule J breakdown matched by us

    Base
    $207,194
    Bonus
    $10,063
    Other
    $1,800
    Deferred
    $8,690
    Nontaxable benefits
    $9,706
    Filer's total
    $237,453
  • SCOTT STUDEBAKER

    VP MINISTRY ADVANCEMENT & DEVELOPMENT

    Total calculated
    $209,523
    From this org
    $189,131
    From related orgs
    $0
    Other
    $20,392
    Hours/week
    40 + 5 related

    Schedule J breakdown matched by us

    Base
    $174,069
    Bonus
    $5,000
    Other
    $10,062
    Deferred
    $6,963
    Nontaxable benefits
    $13,429
    Filer's total
    $209,523
  • LARRY OTTE

    VP OF FINANCE

    Total calculated
    $226,505
    From this org
    $196,210
    From related orgs
    $0
    Other
    $30,295
    Hours/week
    40 + 5 related

    Schedule J breakdown matched by us

    Base
    $177,648
    Bonus
    $5,300
    Other
    $13,262
    Deferred
    $7,138
    Nontaxable benefits
    $23,157
    Filer's total
    $226,505

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 1a · Travel for companions
  • 1b · Written policy on the line-1a expenses
  • 2 · Substantiation required before reimbursing expenses
  • 3 · Compensation committee
  • 3 · Independent compensation consultant
  • 3 · Form 990 of other organizations
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 4b · Supplemental nonqualified retirement plan
  • 7 · Other non-fixed payments

Answered no

  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 1A
THE ORGANIZATION PROVIDES AN ALLOWANCE FOR UP TO 10 BOARD MEMBERS TO ATTEND THE ANNUAL ASSOCIATION CONVENTION TO PROVIDE MORE IN DEPTH KNOWLEDGE OF THE SENIOR CARE INDUSTRY. THE COST OF TRAVEL FOR SPOUSES IS PERMITTED AS LONG AS THE TOTAL DOES NOT EXCEED THE ESTABLISHED ALLOWANCE AMOUNT. THE BENEFIT OF SPOUSAL TRAVEL IS INCLUDED IN TAXABLE COMPENSATION. DOCUMENTATION OF ATTENDANCE AT THE ANNUAL CONVENTION IS REQUIRED.
PART I, LINE 4B
REST HAVEN HAS ESTABLISHED A NONQUALIFIED DEFERRED COMPENSATION PLAN IN AN EFFORT TO RETAIN SELECTED OFFICERS ON A LONG TERM BASIS. WILLIAM DEYOUNG PARTICIPATES IN THE PLAN. IN 2023, THERE WERE NO DISTRIBUTIONS FROM OR AMOUNTS VESTED IN THE ACCOUNT. THE PLAN WAS ORIGINALLY SET UP IN 2005 BY THE BOARD OF DIRECTORS TO ESTABLISH A RETENTION INITIATIVE FOR CERTAIN OFFICERS. THIS PLAN RECOGNIZES THE HISTORIC CONTRIBUTION OF THE EXECUTIVES AND ESTABLISHES AN INCENTIVE FOR THEM TO CONTINUE THEIR EMPLOYMENT WITH THE ORGANIZATION UNTIL NORMAL RETIREMENT AGE. AMONG VARIOUS CRITERIA, IN ORDER TO QUALIFY FOR THE BENEFIT, THE EXECUTIVE WILL NEED TO BE CONTINUOUSLY EMPLOYED THRU AND UNTIL A FUTURE DATE. THE ORGANIZATION'S PAYMENTS INTO THE PLAN ARE RECORDED ON THE 990 AS DEFERRED COMPENSATION. HOWEVER, THESE MONIES ARE ONLY ELIGIBLE TO BE RECEIVED BASED UPON THE ACHIEVEMENT OR SATISFACTION OF SOME FUTURE EVENTS. THE PLAN CONTRIBUTIONS ARE NOT UNDER THE CONTROL OF THE EXECUTIVE, THEY REMAIN THE ASSET OF THE ORGANIZATION, AND THE ENTIRE PLAN IS SUBJECT TO A FULL RISK OF FORFEITURE BY THE INDIVIDUAL.
PART I, LINE 7
THE EXECUTIVE COMPENSATION PROGRAM HAS TWO MAJOR ELEMENTS, SALARY, OR BASE PAY, AND VARIABLE PAY. THE SALARY REFLECTS THE VALUE OF AN EXECUTIVE'S CAPABILITIES AND EXPERIENCE. THE VARIABLE PAY REFLECTS THE ORGANIZATION'S COMMITMENT TO PAY FOR SPECIFIC PERFORMANCE TOWARDS THE ORGANIZATION'S GOALS. THE VARIABLE PAY IS AWARDED SEMI-ANNUALLY BASED UPON A SPECIFIC REVIEW OF GOALS AND OBJECTIVES (INCLUDING THOSE WHICH RELATE TO MISSION, OPERATIONAL EFFICIENCY, FINANCIAL EFFECTIVENESS, AND STRATEGIC GOALS). THE COMPENSATION COMMITTEE REVIEWS, ASSESSES AND DETERMINES ANY AWARD UNDER THE VARIABLE PAY COMPONENT. EXECUTIVE EMPLOYEES ARE REVIEWED BY THE COMPENSATION COMMITTEE AND OUTSIDE CONSULTANTS TO ENSURE THEY ARE COMPETITIVE AND IN LINE WITH COMMON PRACTICE FOR SIMILAR POSITIONS IN SIMILARLY SIZED AND TYPE ORGANIZATIONS. THE COMMITTEE ROUTINELY RECEIVES AN EXECUTIVE COMPENSATION OPINION NOTING THAT THE ORGANIZATION'S EXECUTIVE COMPENSATION FALLS WITHIN THE RANGE OF COMPARABLE POSITIONS WITHIN THE SAME INDUSTRY AND SCALE OF OPERATIONS. THE REPORT/OPINION ALSO NOTES THAT THE STATED REQUIREMENTS OF ENSURING INDEPENDENCE OF COMPENSATION DELIBERATIONS FOR SENIOR EXECUTIVES ARE MET.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Disregarded entities

Part I: entities that legally are the filer and file no return of their own.

  • PROVIDENCE DEVELOPMENT GROUP

    DEVELOPMENT · IL · income $0 · assets $1,828,934

    Directly controlled by REST HAVEN

  • PARK PLACE REALTY GROUP LLC

    REAL ESTATE · IL · income $8,235 · assets $201,027

    Directly controlled by REST HAVEN

  • PROVIDENCE OPERATIONS LLC

    OPERATIONS · IL · income $0 · assets -$331,961

    Directly controlled by REST HAVEN

  • PROVIDENCE TENANT LLC

    REAL ESTATE · IL · income $0 · assets $0

    Directly controlled by REST HAVEN

  • PROVIDENCE DOWNERS GROVE LLC

    REAL ESTATE · IL · income $0 · assets $0

    Directly controlled by PROVIDENCE TENANT LLC

  • PROVIDENCE GRAND RAPIDS LLC

    REAL ESTATE · IL · income $0 · assets $0

    Directly controlled by PROVIDENCE TENANT LLC

  • ROYAL PARK PLACE II LLC

    OPERATIONS · IL · income $254,156 · assets -$5,279,271

    Directly controlled by REST HAVEN

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • PROVIDENCE MGMT & DEVELOPMENT

    C · IT SERVICES · IL · 100% owned · share of income $665,608 · share of assets $883,798 · controlled entity

  • PROVIDENCE HOUSING CORPORATION

    C · HOUSING · IL · 100% owned · share of income $94,098 · share of assets $1,432,858 · controlled entity

    Directly controlled by REST HAVEN

Provenance

Return type
form_990
Tax year
2023
Filed
13 November 2024
IRS schema version
2023v5.1
Source object
202443199349312519

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