2020-01-09T08:49:43-06:00 2019-06-30 410746749 CLIFTONLARSONALLEN LLP 600 WASHINGTON AVENUE SUITE 1800 ST LOUIS MO 63101 990 2018-07-01 820986068 FV SERVICES INC FVSE 3124636320 12563 VILLAGE CIRCLE DRIVE ST LOUIS MO 63127 J TERRY WALSH PRESIDENT 3124636320 2020-01-08 1 JEFF PARKER P00970069 3149254300 67.137.57.251 2020-01-08 14:33:54 CS P 3504379F24C0DE3CDF94D2B924EA8FE5CB423EB9 B5B8FA94E5B04F96FCC7FCBD52173CF39B670B04 2018 2020-09-23 17:36:50Z J TERRY WALSH 12563 VILLAGE CIRCLE DRIVE ST LOUIS MO 63127 4208349 0 X WWW.FRIENDSHIPVILLAGESTL.COM X 2017 MO TO PERFORM THE FUNCTIONS OF, AND/OR TO CARRY OUT THE PURPOSES OF FRIENDSHIP VILLAGE OF SOUTH COUNTY, FRIENDSHIP VILLAGE OF WEST COUNTY AND ANY OTHER CONTROLLED AFFILIATE OF THE CORPORATION. 11 8 29 2 0 0 0 0 1581521 4204012 1 77 711 4260 1582233 4208349 0 0 0 0 1531630 3535155 0 0 0 230125 639512 1761755 4174667 -179522 33682 4002828 4616667 4182350 4374368 -179522 242299 GUIDED BY BIBLICAL VALUES, FV SERVICES, INC. AIMS TO CONTINUALLY SERVE THE SENIOR COMMUNITY WITH QUALITY OFFERINGS THAT PROMOTE LIFELONG WELL-BEING. 0 0 321911 3501175 FV MANAGEMENT PROVIDES STRATEGIC DEVELOPMENT AND MANAGEMENT FOCUS TO IMPROVE EFFECTIVENESS AND QUALITY OF THE SERVICES PROVIDED BY ITS SUPPORTED ORGANIZATIONS WITHIN THE FRIENDSHIP VILLAGE SYSTEM. 86591 219308 FRIENDSHIP VILLAGE AT HOME - FOR THOSE NOT LIVING ON ONE OF OUR CAMPUSES, BRINGING EXTENSIVE EXPERIENCE AND QUALITY CARE TO MEDICARE HOME HEALTH AND PRIVATE DUTY. WHETHER YOU NEED PRIVATE DUTY HOME CARE OR MEDICARE HOME HEALTH, YOU CAN TRUST FRIENDSHIP VILLAGE AND ITS PARTNERS TO DELIVER THE BEST CARE TO YOU OR YOUR LOVES ONES.FV AT HOME, CAN STEP IN TO ALLOW YOU TO REMAIN INDEPENDENT WHILE RECEIVING A LITTLE EXTRA ASSISTANCE. FROM COMPANIONSHIP TO HELP WITH HOUSEWORK AND PERSONAL GROOMING, OUR MANAGED HOME CARE SERVICES PROVIDE THE SUPPORT NEEDED TO ALLOW YOU TO REMAIN SAFE AND COMFORTABLE AT HOME, WHEREVER HOME IS. 378149 483529 FV AT HOME - SUPPORTIVE SERVICES, LLC - OUR EXPERIENCED TEAM PROVIDES A RANGE OF SUPPORTIVE SERVICES TO HELP YOU LIVE THE LIFE YOU LOVE IN YOUR CHESTERFIELD OR SUNSET HILLS INDEPENDENT LIVING APARTMENT. THESE SERVICES ARE CUSTOMIZED AND DESIGNED AROUND YOU AT AN AFFORDABLE RATE TO HELP YOU REMAIN INDEPENDENT AS LONG AS POSSIBLE. SERVICES INCLUDE MEAL PREPARATION, LIGHT HOUSEKEEPING, COMPANIONSHIP, ASSISTANCE WITH BATHING, DRESSING AND GROOMING, LAUNDRY AND LINEN SERVICE, MEDICATION REMINDERS, SHOPPING AND ERRANDS, TRANSPORTATION AND MORE. 786651 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 1 122 0 29 1 0 0 0 0 0 0 0 0 0 0 0 0 X 11 8 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X TIM VOSSE 3148426840 12563 VILLAGE CIRCLE DRIVE ST LOUIS MO 63127 LYDIA SEIBERT CHAIR 5.00 3.00 X X 15000 0 0 JAMES S DIEL III VICE-PRESIDENT 2.00 0.00 X X 12000 0 0 JEFFERY KLINGER SECRETARY 2.00 3.00 X X 0 0 0 RICK VANDERWAL TREASURER 2.00 0.00 X X 17000 0 0 JOSH WRIGHT ASSISTANT TREASURER 2.00 2.00 X X 12833 0 0 JOHN FASICK BOARD MEMBER 2.00 1.00 X 10019 0 0 DAVID GIFFIN BOARD MEMBER / HR CONSULTANT 1.00 0.00 X 73051 0 0 GEORGE POLAND BOARD MEMBER 4.00 2.00 X 0 0 0 FRED SUTTON BOARD MEMBER 4.00 2.00 X 10000 0 0 KEITH UTLEY BOARD MEMBER 1.00 3.00 X 10000 0 0 J TERRY WALSH PRESIDENT, CEO, EXECUTIVE DIRECTOR 14.00 28.00 X X 309495 0 37076 TIM VOSSE CFO 14.00 28.00 X 263540 0 16843 GAYLE RANDS CCO 14.00 28.00 X 60615 0 9045 SUZI SHELDON-KRIEGER CCO (TERM ENDED JULY 2018) 14.00 28.00 X 205930 0 19489 CARMEN FRONCZAK CHIEF STRATEGY OFFICER 14.00 28.00 X 237004 0 26808 MICHAEL HAMBLEY FVC EXECUTIVE DIRECTOR 2.00 40.00 X 193542 0 35162 JEFF LEWIS SR. DIRECTOR OF FINANCE 14.00 28.00 X 113517 0 25510 JOANNA JONES-RAYMOND SR. DIRECTOR OF MARKETING 14.00 28.00 X 172021 0 26606 1715567 0 196539 15 0 1 0 REHABCARE GROUP EAST INC PO BOX 503534 ST LOUIS MO 63150 REHAB THERAPY 1626879 SAWGRASS PARTNERS LLC 1721 DEL OGIER DR GLENVIEW IL 60025 DEVELOPMENT & CONSULTING 825000 POLSINELLI PC PO BOX 878861 KANSAS CITY MO 64187 LEGAL 439133 CLIFTONLARSONALLEN LLP PO BOX 679342 DALLAS TX 75267 CONSULTING, AUDIT, TAX 309930 SALON PS 55 PUBLIC SQUARE 1180 CLEVELAND OH 44113 SALON SERVICES 108276 5 MANAGEMENT FEES 541610 3501175 3501175 SUPPORTIVE SERVICES IN 621610 483529 483529 HOME HEALTH INCOME 621610 219308 219308 4204012 77 77 MEAL INCOME 623000 4255 4255 ARTS AND CRAFTS 623000 5 5 4260 4208349 4204012 0 4337 1109279 1109279 2043745 314595 1729150 28862 3668 25194 167715 29930 137785 185554 22625 162929 390829 375371 15458 75167 75167 69331 34174 35157 18795 18795 12251 2895 9356 4500 4500 1250 1250 49636 3293 46343 4197 4197 9389 9389 100 100 298 298 PROFESSIONAL DUES AND F 2734 2734 LICENSES AND FEES 1035 1035 4174667 786651 3388016 0 81883 1692249 2003482 2463 125221 102941 1799 100 0 1699 400000 3918482 291075 4002828 4616667 810454 1101893 3371896 3272475 4182350 4374368 X -179522 242299 -179522 242299 4002828 4616667 X 33682 388139 X X 0 1 X 1 0 X X X 2 FRIENDSHIP VILLAGE OF WEST COUNTY 237333148 10 1 0 2087334 FRIENDSHIP VILLAGE OF SOUTH COUNTY 431155242 10 1 0 2087333 2 0 4174667 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1799 100 1699 1699 DUE FROM RELATED PARTY 291075 291075 DUE TO RELATED PARTY 3272475 3272475 X PART X, LINE 2: THE ORGANIZATION'S INCOME TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL, STATE, AND LOCAL AUTHORITIES. THE ORGANIZATION IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE ITS TAX-EXEMPT STATUS AND IS NOT AWARE OF ANY ACTIVITIES THAT ARE SUBJECT TO TAX ON UNRELATED BUSINESS INCOME OR EXCISE OR OTHER TAXES. X X X 0 0 0 0 0 0 0 0 0 J TERRY WALSH PRESIDENT, CEO, EXECUTIVE DIRECTOR 214217 0 95278 0 0 0 17992 0 19084 0 346571 0 0 0 TIM VOSSE CFO 208190 0 55350 0 0 0 16483 0 360 0 280383 0 0 0 SUZI SHELDON-KRIEGER CCO (TERM ENDED JULY 2018) 205930 0 0 0 0 0 4832 0 14657 0 225419 0 0 0 CARMEN FRONCZAK CHIEF STRATEGY OFFICER 215004 0 22000 0 0 0 7458 0 19350 0 263812 0 0 0 MICHAEL HAMBLEY FVC EXECUTIVE DIRECTOR 154402 0 39140 0 0 0 14494 0 20668 0 228704 0 0 0 JOANNA JONES-RAYMOND SR. DIRECTOR OF MARKETING 138021 0 34000 0 0 0 7182 0 19424 0 198627 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE 990 IS REVIEWED BY THE BOARD PRESIDENT. AFTER THE INITIAL REVIEW THE FINAL RETURN IS THEN SENT TO THE BOARD. FORM 990, PART VI, SECTION B, LINE 12C THE BOARD OF DIRECTORS AND KEY EMPLOYEES ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST POLICY ANNUALLY. FORM 990, PART VI, SECTION B, LINE 15 TO DETERMINE SALARIES, EVERY TWO YEARS THE MANAGEMENT COMPANY HIRES AN INDEPENDENT COMPANY TO PREPARE A SALARY SURVEY AND COMPARE THOSE SALARIES WITH THE SALARIES THAT ARE ACTUALLY BEING PAID. THIS SURVEY COMPRISES DATA OF COMPARABLE COMPENSATION FOR SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS AT SIMILARLY SITUATED ORGANIZATIONS. THE LAST SURVEY WAS 2018. THIS IS THEN REVIEWED AND APPROVED BY THE EXECUTIVE COMMITTEE TO DETERMINE APPROPRIATE SALARIES. THIS COMMITTEE IS COMPRISED OF ONLY INDEPENDENT BOARD MEMBERS. CONTEMPORANEOUS DOCUMENTATION AND RECORDKEEPING FOR DELIBERATIONS AND DECISIONS REGARDING THE COMPENSATION ARRANGEMENT ARE KEPT. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: INTERCOMPANY EQUITY TRANSFER 388,139. FORM 990, PART XII, LINE 2C PROCESSES HAVE NOT CHANGED FROM PRIOR YEARS. PART V, LINE 1A 1099'S ARE ISSUED BY A DISREGARDED ENTITY, FV OPERATIONS. FRIENDSHIP VILLAGE AT HOME LLC 12563 VILLAGE CIRCLE DR SUNSET HILLS MO 63127 364871531 AT HOME CARE SERVICES MO FV SERVICES INC FV MANAGEMENT LLC 12563 VILLAGE CIRCLE DR SUNSET HILLS MO 63127 364871317 MANAGEMENT SERVICES MO 3506179 302169 FV SERVICES INC FV OPERATIONS LLC 12563 VILLAGE CIRCLE DR SUNSET HILLS MO 63127 301006223 HOLDING COMPANY MO 0 3567793 FV SERVICES INC FV VENTURES LLC 12563 VILLAGE CIRCLE DR SUNSET HILLS MO 63127 301006196 DEVELOPMENT COMPANY MO 0 0 FV SERVICES INC FV AT HOME - SUPPORTIVE SERVICES LLC 12563 VILLAGE CIRCLE DR SUNSET HILLS MO 63127 320558669 PRIVATE DUTY AT HOME CARE SERVICES MO 482846 116838 FV SERVICES INC FV AT HOME - HOME HEALTH LLC 12563 VILLAGE CIRCLE DR SUNSET HILLS MO 63127 352621672 MEDICARE HOME HEALTH SERVICES MO 219324 627923 FV SERVICES INC FRIENDSHIP VILLAGE OF WEST COUNTY 15201 OLIVE BOULEVARD ST LOUIS MO 63017 237333148 PROVIDE SENIOR CITIZENS WITH QUALITY HOUSING AND HOME CARE MO 501(C)(3) LINE 10 FV SERVICES INC 1 FRIENDSHIP VILLAGE OF SOUTH COUNTY 12563 VILLAGE CIRCLE DRIVE ST LOUIS MO 63127 431155242 PROVIDE SENIOR CITIZENS WITH QUALITY HOUSING AND HOME CARE MO 501(C)(3) LINE 10 FV SERVICES INC 1 0 0 0 1 1 0 0 0 0 0 0 1 0 0 1 0 0 0 0 FRIENDSHIP VILLAGE CHESTERFIELD D 139267 GL FRIENDSHIP VILLAGE SUNSET HILLS D 151808 GL FRIENDSHIP VILLAGE SUNSET HILLS E 3272475 GL