2017-01-30T17:33:32-06:00 2016-06-30 381357951 PLANTE & MORAN PLLC 10 S Riverside Plaza 9th Floor Chicago IL 60606 990 2015-07-01 370841562 CHRISTIAN HOMES INC CHRI 3145877903 622 EMERSON RD No 310 ST LOUIS MO 63141 CHUCK SCHMITZ CFO 3145877903 2017-01-27 1 David Lowenthal P00378651 3122071040 2017-01-09 2015 2021-01-29 14:40:06Z CHUCK SCHMITZ 622 EMERSON RD No 310 ST LOUIS MO 63141 50295086 0 X WWW.CHRISTIANHOMES.ORG X 1962 IL TO PROVIDE QUALITY CARE FOR THE AGED IN A CHRISTIAN ENVIRONMENT. 16 16 1135 3007 0 0 1215985 585187 39685050 38050504 3550648 2514024 8480561 9078996 52932244 50228711 170580 1161 0 0 20722544 21079577 0 0 0 30120561 27633504 51013685 48714242 1918559 1514469 98384310 140107114 81576572 132372893 16807738 7734221 X THE MISSION OF CHRISTIAN HOMES, INC. IS TO CREATE AN EXCITING LIFESTYLE AND TO PROVIDE HIGH QUALITY CARE FOR SENIORS ON A CONTINUUM OF CARE CAMPUS. PROVIDING CARE IN A CHRISTIAN ENVIRONMENT PROVIDES A UNIQUE OPPORTUNITY TO MEET THE NEED OF SENIORS PHYSICALLY, MENTALLY, AND SPIRITUALLY. OUR COMMITMENT TO EXCELLENCE IS MOTIVATED BY OUR CHRISTIAN BELIEF THAT ALL ARE PRECIOUS IN THE SIGHT OF GOD. 0 0 36440627 1161 38050504 CHRISTIAN HOMES, INC. PROVIDES QUALITY CARE TO SENIORS IN A CHRISTIAN ENVIRONMENT. THE OPERATIONS INCLUDE SKILLED NURSING CARE, ASSISTED LIVING, SENIOR APARTMENTS, AND INDEPENDENT LIVING APARTMENTS ON SIX CAMPUSES. 175,463 PATIENT DAYS OF SERVICES WERE PROVIDED IN FISCAL YEAR 2016 TO SKILLED NURSTING AND ASSISTED LIVING RESIDENTS ON THE CAMPUSES. THE CHRISTIAN HOMES, INC. CAMPUSES ALSO SERVED 84 RESIDENTS IN INDEPENDENT LIVING UNITS DURING FISCAL YEAR 2016. 36440627 1 1 0 0 0 0 0 0 1 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 305 0 1 1135 1 0 0 0 0 0 0 0 0 0 0 X 16 16 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 IL X MIDWEST CHRISTIAN VILLAGES 3145877903 622 EMERSON ROAD SUITE 310 ST LOUIS MO 63141 Ron Sewell BOARD MEMBER - CHAIRMAN 0.30 2.00 X X 0 1000 0 Nicholas A Filing BOARD MEMBER - VICE CHAIRMAN 0.30 2.00 X X 0 1000 0 Terry Goodner BOARD MEMBER - SECRETARY 0.30 2.00 X X 0 750 0 Billy Carter BOARD MEMBER - TREASURER 0.30 2.00 X X 0 750 0 Mark Behrends BOARD MEMBER 0.30 2.00 X 0 750 0 Timothy Burrell BOARD MEMBER 0.30 2.00 X 0 500 0 ROBERT Crosby BOARD MEMBER 0.30 2.00 X 0 1000 0 Jim Frasure BOARD MEMBER 0.30 2.00 X 0 1000 0 Bill Lash BOARD MEMBER 0.30 2.00 X 0 750 0 Scott Williams BOARD MEMBER 0.30 2.00 X 0 750 0 Patricia Lincoln BOARD MEMBER 0.30 2.00 X 0 1000 0 Randy Clark BOARD MEMBER 0.30 2.00 X 0 1000 0 Don Fitzgerald BOARD MEMBER 0.30 2.00 X 0 750 0 Debra Vincent BOARD MEMBER 0.30 2.00 X 0 500 0 Thomas Kerins BOARD MEMBER 0.30 2.00 X 0 1000 0 Steve Gnuse BOARD MEMBER 0.30 2.00 X 0 1000 0 TIMOTHY PHILLIPPE CEO 2.00 38.00 X 0 417667 35580 SUSAN MCGHEE CFO 2.00 38.00 X 0 281498 14080 SHERRY GUTERMUTH VICE PRESIDENT OF OPERATIONS 2.00 38.00 X 0 246220 14080 JOHN P RUPKEY Pharmacy Manager 2.00 38.00 X 0 196323 5500 LAURIE BROWN EXECUTIVE DIRECTOR 2.00 38.00 X 0 180162 13080 KEITH RAY Senior VP Church and Business Development 2.00 38.00 X 0 110507 79912 KATHRYN ABEL REGIONAL VP OF OPERATION 2.00 38.00 X 0 162887 13080 ELLEN O'NEIL VP of Clinical Services 2.00 38.00 X 0 163451 11580 MICHAEL SMAR PHARMACIST 2.00 38.00 X 0 156741 7080 SANDRA BRYANT EXECUTIVE DIRECTOR 2.00 38.00 X 0 138139 12580 CONNIE RHOADS VP OF COMPLIANCE 2.00 38.00 X 0 135365 13080 MICHAEL MERRICK PHARMACIST 2.00 38.00 X 0 139041 7080 KELLY WYSS PHARMACIST 2.00 38.00 X 0 135531 7080 CAROL HOULE VP OF HR 2.00 38.00 X 0 135213 6000 0 2612245 239792 14 0 1 0 RehabCare Group East Inc PO Box 503534 St Louis MO 63150 THERAPY 3493345 Davis & Campbell LLC 401 Main St Suite 1600 Peoria IL 61602 LEGAL 262900 LeaderStat 1322 - B Manning Parkway Powell OH 43065 CONTRACTED STAFFING 176195 Midwest Internal Medicine 2975 No Water Street Decatur IL 62526 MEDICAL DIRECTOR 101969 4 585187 7800 585187 NURSING HOME REVENUE 623000 37469548 37469548 SENIOR LIVING UNITS 623000 393410 393410 INDEPENDENT RETIREMENT APARTMENTS 623000 187546 187546 38050504 2423134 2423134 157265 0 66375 157265 -66375 90890 90890 INTERCOMPANY HEALTH FUND REIMBURS 900099 8743154 8743154 BEAUTY SHOP 900099 89654 89654 INSURANCE GAIN 900099 13998 13998 232190 232190 9078996 50228711 38050504 0 11593020 X 1161 1161 1007753 920773 86980 16068613 14681711 1386902 34250 31294 2956 2749067 2511792 237275 1219894 1219894 2692035 2692035 205201 205201 5476014 5476014 153922 153922 1272254 41810 1230444 211456 211456 1504859 1504859 94537 44902 49635 15321 8404 6917 2611928 2611928 2404409 2404409 2018079 2018079 CLAIMS PAID 6142359 6142359 RAW FOOD (DIETARY) 1305611 1305611 MEDICAID PARTICIPATION 1269006 1269006 BAD DEBT EXPENSE 388980 388980 -132467 -132467 48714242 36440627 12273615 0 707449 835836 1326008 26072678 322250 217900 5726981 6178899 651870 500000 66864 61311 214803 185773 51595804 30128042 16972593 21467762 29130504 29947289 1984955 948540 41280033 53691126 98384310 140107114 12615401 13544537 444004 484175 11404879 21441860 145625 81842 36990831 41053975 19975832 55766504 81576572 132372893 X 16371782 7673383 435956 60838 16807738 7734221 98384310 140107114 X 1514469 -45133 -10542853 X 0 1 X 1 0 X 1142079 742619 794587 1215985 585187 4480457 48511123 48268636 43812070 39685050 38050504 218327383 49653202 49011255 44606657 40901035 38635691 222807840 21470 21470 0 21470 21470 222786370 3305000 2805833 2783997 2608860 2423134 13926824 3305000 2805833 2783997 2608860 2423134 13926824 6974092 6663428 7242532 359773 335842 21575667 59932294 58480516 54633186 43869668 41394667 258310331 0.86250 0.84490 0.05390 0.05500 X Schedule A, Part III, Line 12, Explanation of Other Income: Management Fees - 2011 Amount: $ 21,578. 2012 Amount: $ 22,030. 2013 Amount: $ 22,290. 2014 Amount: $ 21,701. 2015 Amount: $ 20,787. Barber Beauty Shop - 2011 Amount: $ 124,008. 2012 Amount: $ 130,186. 2013 Amount: $ 108,306. 2014 Amount: $ 90,823. 2015 Amount: $ 89,654. Miscellaneous - 2011 Amount: $ 6,761,701. 2012 Amount: $ 6,447,152. 2013 Amount: $ 6,900,522. 2014 Amount: $ 7,687. 2015 Amount: $ 82,932. Cable TV - 2011 Amount: $ 9,620. 2012 Amount: $ 9,615. 2013 Amount: $ 8,388. 2014 Amount: $ 6,008. 2015 Amount: $ 5,203. Transportation - 2011 Amount: $ 57,185. 2012 Amount: $ 54,445. 2013 Amount: $ 47,195. 2014 Amount: $ 51,796. 2015 Amount: $ 37,428. Insurance Gain - 2013 Amount: $ 95,031. 2014 Amount: $ 101,408. 2015 Amount: $ 13,998. Space Rental - 2013 Amount: $ 2,538. 2014 Amount: $ 3,109. 2015 Amount: $ 2,473. Vending Meal - 2013 Amount: $ 44,306. 2014 Amount: $ 41,803. 2015 Amount: $ 53,031. Laundry Housekeeping - 2013 Amount: $ 13,956. 2014 Amount: $ 24,484. 2015 Amount: $ 25,559. Activity Revenue - 2014 Amount: $ 5,101. 2015 Amount: $ 400. Telephone - 2014 Amount: $ 35. 2015 Amount: $ 1,882. Garage Rental - 2014 Amount: $ 2,160. 2015 Amount: $ 1,765. Room Rental - 2014 Amount: $ 3,658. 2015 Amount: $ 730. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 7245094 277444 7522538 6617501 627593 7245094 6211863 405638 6617501 5933270 278593 6211863 5621933 311337 5933270 1.00000 0 0 833392 833392 33345961 21142196 12203765 1464556 898358 566198 10986826 8087488 2899338 4965069 4965069 21467762 ACCRUED INTEREST 61095 BOND FUNDS 3773370 INTERCOMPANY RECEIVABLES 48925207 HUD ESCROWS 931454 53691126 DUE TO APARTMENT RESIDENTS 526739 ANNUITIES PAYABLE 655047 DUE TO AUXILIARY 44545 SECURITY DEPOSITS 25390 UNCLAIMED PROPERTY 30 INTERCOMPANY PAYABLES 54514753 55766504 X Part IV, Line 2b: RESIDENT FUNDS ARE AGENCY FUNDS HELD LOCALLY AT THE COMMUNITIES FOR INDIVIDUAL RESIDENTS' PERSONAL USE, RESIDENT SECURITY DEPOSITS, AND OTHER MISCELLANEOUS DEPOSITS. Part V, Line 4: ORGANIZATION HOLDS FUNDS IN ENDOWMENT DESIGNATED BY THE BOARD OF DIRECTORS TO BE USED FOR RESIDENT CARE. Part X, Line 2: THE ORGANIZATIONS, EXCEPT FOR THE LIMITED PARTNERSHIPS, QUALIFY AS TAX-EXEMPT CORPORATIONS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, THE ORGANIZATIONS, EXCEPT FOR THE LIMITED PARTNERSHIPS, ARE NOT SUBJECT TO FEDERAL INCOME TAXES UNDER SECTION 501(A) OF THE CODE. THE ORGANIZATIONS ARE CLASSIFIED AS PUBLICLY-SUPPORTED CHARITABLE ORGANIZATIONS UNDER THE CODE AND CONTRIBUTIONS TO THE ORGANIZATIONS QUALIFY AS A CHARITABLE TAX DEDUCTION FOR THE CONTRIBUTOR. THE ORGANIZATIONS ARE NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE THEIR TAX-EXEMPT STATUS. THE ORGANIZATIONS ARE NOT AWARE OF ANY ACTIVITIES THAT ARE SUBJECT TO TAX ON UNRELATED BUSINESS INCOME OR EXCISE OR OTHER TAXES OTHER THAN WHAT IS ALREADY BEING REPORTED. X 1 1 X X X 0 0 0 0 0 0 0 1 0 TIMOTHY PHILLIPPE CEO 0 341224 0 76443 0 0 0 0 0 35580 0 453247 0 0 SUSAN MCGHEE CFO 0 235998 0 45500 0 0 0 0 0 14080 0 295578 0 0 SHERRY GUTERMUTH VICE PRESIDENT OF OPERATIONS 0 208220 0 38000 0 0 0 0 0 14080 0 260300 0 0 JOHN P RUPKEY Pharmacy Manager 0 162229 0 22000 0 12094 0 0 0 5500 0 201823 0 0 LAURIE BROWN EXECUTIVE DIRECTOR 0 154242 0 20500 0 5420 0 0 0 13080 0 193242 0 0 KEITH RAY Senior VP Church and Business Develo 0 96507 0 14000 0 0 0 0 0 79912 0 190419 0 0 KATHRYN ABEL REGIONAL VP OF OPERATION 0 143887 0 19000 0 0 0 0 0 13080 0 175967 0 0 ELLEN O'NEIL VP of Clinical Services 0 149951 0 13500 0 0 0 0 0 11580 0 175031 0 0 MICHAEL SMAR PHARMACIST 0 145624 0 0 0 11117 0 0 0 7080 0 163821 0 0 SANDRA BRYANT EXECUTIVE DIRECTOR 0 113715 0 21250 0 3174 0 0 0 12580 0 150719 0 0 Part I, Line 1a TIMOTHY PHILLIPE RECEIVED A HOUSING ALLOWANCE OF $13,000 AND KEITH RAY RECEIVED A HOUSING ALLOWANCE OF $65,832. THE HOUSING ALLOWANCE WAS NOT TREATED AS TAXABLE COMPENSATION AND IS REPORTED ON SCHEDULE J, PART II, COLUMN (D) AS A NONTAXABLE BENEFIT. Part I, Line 7 AS INDICATED IN SCHEDULE J, PART II, CERTAIN INDIVIDUALS RECEIVED BONUSES BASED UPON THE ORGANIZATION'S OR A RELATED ORGANIZATION'S FINANCIAL POSITION. A ILLINOIS FINANCE AUTHORITY 861091967 45200B6K9 2007-06-28 37578378 REFINANCE AND FUND CONSTRUCTION 1 0 0 B ILLINOIS FINANCE AUTHORITY 861091967 45200F5E5 2010-07-29 24614950 REFINANCE SERIES 2007C AND FUND CONSTRUCTION 1 0 0 C ILLINOIS FINANCE AUTHORITY 861091967 45203H7B2 2016-03-10 32675561 REFINANCE AND FUND CONSTRUCTION 0 0 0 A 6765000 14385000 37578378 3299859 2143354 13026726 19108439 2010 1 0 1 1 B 14000000 3895000 24614950 933033 1219023 12547399 9915495 2012 1 0 1 1 C 32675561 3619568 17380063 797736 4590948 1614683 4672563 1 1 0 1 A 0 1 0 0 0.00220 0.00000 0.00220 0 0 1 B 0 1 0 0 0.00220 0.00000 0.00220 0 0 1 C 0 1 0 0 0.00220 0.00000 0.00220 0 0 1 A 0 0 0 1 0 0 0 0 1 B 0 0 0 1 0 0 0 0 1 C 0 1 0 0 0 0 0 0 1 A 1 B 1 C 1 Date Rebate Computation Performed Issuer Name: ILLINOIS FINANCE AUTHORITY Date the Rebate Computation was Performed: 06/28/2012 Issuer Name: ILLINOIS FINANCE AUTHORITY Date the Rebate Computation was Performed: 07/29/2015 SCHEDULE K, PART II, LINE 7: CHRISTIAN HOMES, INC. HAS ELECTED TO AMORTIZE THE ISSUANCE COST OVER THE LIFE OF THE BOND. THIS HAS LED TO A DIFFERENCE BETWEEN THE AMOUNT PER FORM 8038 AND THE CURRENT BOOK VALUE OF THE ISSUANCE COSTS. SCHEDULE K, PART III, LINE 7: THE BONDS ARE NOT PRIVATE ACTIVITY BONDS AS THEY DO NOT MEET THE PRIVATE BUSINESS USE TEST. Form 990, Part VI, Section A, line 3 THE ORGANIZATION DELEGATES MANAGEMENT DUTIES INCLUDING SUPERVISING PERSONNEL, OPERATIONS, AND BUDGETING TO MIDWEST CHRISTIAN VILLAGES, A MANAGEMENT COMPANY AND RELATED EXEMPT ORGANIZATION. Form 990, Part VI, Section B, line 11 THE BOARD IS PROVIDED A COPY OF FORM 990 PRIOR TO ITS FILING. Form 990, Part VI, Section B, line 12c THE CONFLICT OF INTEREST STATEMENT IS INCLUDED IN THE EMPLOYEE HANDBOOK, WHICH EVERY EMPLOYEE IS GIVEN A COPY OF AND SIGNS AN ACKNOWLEDGEMENT FOR ON THEIR FIRST DAY OF EMPLOYMENT. IF A VIOLATION OCCURS, EMPLOYEES CAN REPORT DIRECTLY TO THEIR SUPERVISOR OR USE THE 800 NUMBERS WHICH ARE POSTED AT EACH LOCATION. VIOLATIONS ARE INVESTIGATED BY INDIVIDUALS AT THE VICE PRESIDENT LEVEL AND AT LEAST TWO INDIVIDUALS WOULD MAKE THE FINAL DETERMINATION AS TO THE APPROPRIATE ACTION TO BE TAKEN. Form 990, Part VI, Section B, line 15 THE ORGANIZATION PARTICIPATES IN SEVERAL (MINIMUM OF 3) INDUSTRY SPECIFIC, EXECUTIVE SALARY SURVEYS EACH YEAR TO HELP DETERMINE COMPETITIVENESS OF THE ORGANIZATION'S EXECUTIVE AND SENIOR MANAGEMENT POSITIONS. THE SALARIES ARE DISCUSSED AND REVIEWED BY THE PRESIDENT AND VICE PRESIDENT OF HUMAN RESOURCES. IF A NEW HIRE IS BEING CONSIDERED FOR AN EXECUTIVE LEVEL POSITION, IT MAY ALSO BE DISCUSSED WITH THE BOARD. IN 2010, THE ORGANIZATION ESTABLISHED A COMPENSATION COMMITTEE OF THE BOARD HEADED BY A PERSON WHOSE ENTIRE CAREER WAS IN HUMAN RESOURCES AND INCLUDES THE ORGANIZATION'S VICE PRESIDENT OF HUMAN RESOURCES AS WELL AS A FEW OTHER BOARD MEMBERS. OTHER OFFICERS AND KEY EMPLOYEES SALARIES ARE DETERMINED BASED ON A REVIEW AND PARTICIPATION IN SEVERAL INDUSTRY SPECIFIC SALARY SURVEYS WHICH PROVIDE DATA ON OTHER EXECUTIVES. THE ORGANIZATION REVIEWS THE COMPENSATION REVIEW THROUGH A BOARD COMMITTEE. THE VP OF HR IS ALSO ON THIS COMMITTEE. THEY REVIEW THE EXECUTIVE TEAM COMPENSATION ON AN ANNUAL BASIS AND THEY USE SALARY SURVEYS FROM EXTERNAL SOURCES THAT RELATE TO THE ORGANIZATION'S INDUSTRY. AT THE MARCH 2016 BOARD MEETING THE CFO AND CEO SALARIES WERE REVIEWED. THE ITEMS THAT ARE DISCUSSED DURING THE COMPENSATION MEETING ARE SUMMARIZED IN THE FULL BOARD MEETING, WHERE MINUTES ARE TAKEN. OFFICERS ARE NOT PRESENT AT ANY MEETING DISCUSSING THEIR COMPENSATION. THE COMPENSATION COMMITTEE DOCUMENTS ITS FINDINGS IN WRITING Form 990, Part VI, Section C, line 19 THE ORGANIZATION POSTS ITS FINANCIAL STATEMENTS ON ITS WEBSITE. MONTHLY FINANCIAL STATEMENTS, GOVERNING DOCUMENTS, AND CONFLICT OF INTEREST POLICY ARE ALSO AVAILABLE UPON REQUEST. Form 990, Part IX, line 11g PROFESSIONAL & CONSULTING FEES: Program service expenses 5,476,014. Management and general expenses 0. Fundraising expenses 0. Total expenses 5,476,014. Form 990, Part XI, line 9: EQUITY TRANSFER FROM LIQUIDATED VILLAGE CHRISTIAN PARKE -7,810,228. ACTUARIAL GAIN 36,875. MCV EQUITY TRANSFER -524,881. CHANGE IN IBNR 660,000. OTHER ADJUSTMENT -2,904,619. HEARTLAND CHRISTIAN VILLAGE LLC 101 TROWBRIDGE ROAD NEOGA IL 62447 205130196 SKILLED NURSING FACILITY & RETIREMENT APARTMENTS IL 5224986 4208287 CHRISTIAN HOMES INC SHAWNEE CHRISTIAN NURSING CENTER LLC 1901 NORTH 13TH STREET HERRIN IL 62948 205130068 SKILLED NURSING FACILITY & RETIREMENT APARTMENTS IL 7309514 3703604 CHRISTIAN HOMES INC CH WABASH ESTATES LLC 622 EMERSON ROAD SUITE 310 ST LOUIS MO 63141 205108686 GENERAL AND MANAGING PARTNER OF A 49-UNIT SUPPORTIVE LIVING FACILITY IL 0 0 CHRISTIAN HOMES INC CH WASHINGTON VILLAGE ESTATES LLC 622 EMERSON ROAD SUITE 310 ST LOUIS MO 63141 205108936 GENERAL AND MANAGING PARTNER OF A 60-UNIT SUPPORTIVE LIVING FACILITY IL 0 0 CHRISTIAN HOMES INC WASHINGTON CHRISTIAN VILLAGE 1201 NEWCASTLE RD WASHINGTON IL 61571 SKILLED NURSING FACILITY & RETIREMENT APARTMENTS IL 6733939 9409257 CHRISTIAN HOMES INC WABASH CHRISTIAN RETIREMENT CENTER 216 COLLEGE BLVD CARMI IL 62821 SKILLED NURSING FACILITY & RETIREMENT APARTMENTS IL 9711950 11777432 CHRISTIAN HOMES INC THE CHRISTIAN VILLAGE 1507 7TH STREET LINCOLN IL 62656 SKILLED NURSING FACILITY & RETIREMENT APARTMENTS IL 8665142 18943198 CHRISTIAN HOMES INC FAIR HAVENS CHRISTIAN HOMES 1790 S FAIRVIEW AVENUE DECATUR IL 62521 370987659 SKILLED NURSING FACILITY & RETIREMENT APARTMENTS IL 501(c)(3) Line 9 N/A 0 LEWIS MEMORIAL CHRISTIAN VILLAGE 3400 WASHINGTON STREET SPRINGFIELD IL 62711 510173104 SKILLED NURSING FACILITY & RETIREMENT APARTMENTS IL 501(c)(3) Line 9 N/A 0 HOOSIER CHRISTIAN VILLAGE 621 S SUGAR STREET BROWNSTOWN IN 47220 237423749 SKILLED NURSING FACILITY & RETIREMENT APARTMENTS IN 501(c)(3) Line 9 N/A 0 SPRING RIVER CHRISTIAN VILLAGE 201 S NORTHPARK LANE JOPLIN MO 64801 431341462 SKILLED NURSING FACILITY & RETIREMENT APARTMENTS MO 501(c)(3) Line 9 N/A 0 CROWN POINT CHRISTIAN VILLAGE 6685 E 117TH ST CROWN POINT IN 46307 311114614 SKILLED NURSING FACILITY & RETIREMENT APARTMENTS IN 501(c)(3) Line 9 N/A 0 RISEN SON CHRISTIAN VILLAGE 3000 RISEN SON BLVD COUNCIL BLUFFS IA 51503 421279738 SKILLED NURSING FACILITY & RETIREMENT APARTMENTS IA 501(c)(3) Line 9 N/A 0 VILLAGE CHRISTIAN PARKE 675 SOUTH FORD ROAD ZIONSVILLE IN 46077 311172227 RETIREMENT APARTMENTS IN 501(c)(3) Line 9 N/A 0 MIDWEST SENIOR MINISTRIES 622 EMERSON ROAD ST LOUIS MO 63141 201053401 PHARMACY SERVICES IL 501(c)(3) Line 9 N/A 0 MIDWEST CHRISTIAN VILLAGES 200 N POSTVILLE LINCOLN IL 62656 260275009 MGMT NURSING AND RETIREMENT COMMUNITIES IL 501(c)(3) Line 9 N/A 0 WASHINGTON VILLAGE ESTATES LP 622 EMERSON ROAD SUITE 310 ST LOUIS MO 63141 205109088 GENERAL AND MANAGING PARTNER OF A 60-UNIT SUPPORTIVE LIVING FACILITY IL CHRISTIAN HOMES INC RELATED 154 531 0 1 0.00010 WABASH ESTATES LP 622 EMERSON ROAD SUITE 310 ST LOUIS MO 63141 205108743 GENERAL AND MANAGING PARTNER OF A 49-UNIT SUPPORTIVE LIVING FACILITY IL CHRISTIAN HOMES INC RELATED 197 703 0 1 0.00010 WABASH CHRISTIAN APARTMENTS LP 200 N POSTVILLE LINCOLN IL 62656 371351236 GENERAL AND MANAGING PARTNER OF A 49-UNIT SUPPORTIVE LIVING FACILITY IL CHRISTIAN HOMES INC RELATED 91302 591195 1 1 0.99000 WABASH CHRISTIAN APARTMENTS INC 200 N POSTVILLE LINCOLN IL 62656 371349239 HOLDING COMPANY IL CHRISTIAN HOMES INC C 128702 597167 1.00000 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 1 VILLAGE CHRISTIAN PARKE S 34647 ACTUAL COST SCHEDULE R, PAGE 2, PART III, COLUMN H: WABASH CHRISTIAN APARTMENTS, INC. IS THE 1% OWNER OF WABASH CHRISTIAN APARTMENTS, LP, SO EFFECTIVELY CHRISTIAN HOMES, INC. OWNS 100% OF WABASH CHRISTIAN APARTMENTS, LP WHEN COMBINED WITH ITS 99% DIRECT OWNERSHIP, AS REPORTED ON SCHEDULE R, PAGE 2, PART III. ALTHOUGH THERE IS A DISPROPORTIONATE ALLOCATION OF INCOME ON THE K-1'S, THE EFFECT OF THAT ALLOCATION IS INCONSEQUENTIAL DUE TO THE ABOVE MENTIONED OWNERSHIP STRUCTURE.