2017-01-30T17:35:22-06:00 2016-06-30 381357951 PLANTE & MORAN PLLC 10 S Riverside Plaza 9th Floor Chicago IL 60606 990 2015-07-01 260275009 MIDWEST CHRISTIAN VILLAGES MIDW 3145877903 622 EMERSON ROAD 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 ROAD No 310 ST LOUIS MO 63141 15148538 0 X WWW.CHRISTIANHOMES.ORG X 2008 IL MIDWEST CHRISTIAN VILLAGES, INC., THE CORPORATE OFFICE OF CHRISTIAN HOMES, INC. AND AFFILIATES, MANAGES THIRTEEN SKILLED NURSING CAMPUSES, TWELVE OF WHICH INCLUDE INDEPENDENT LIVING, AND THREE OF WHICH ALSO INCLUDE ASSISTED LIVING. IN ADDITION, MIDWEST CHRISTIAN VILLAGES, INC. MANAGES A CAMPUS THAT INCLUDES ASSISTED LIVING AND INDEPENDENT LIVING, TWO SUPPORTIVE LIVING FACILITIES, AND A PHARMACY. MANAGING INCLUDES PAYROLL, ACCOUNTS PAYABLE, BILLING, CLINICAL RESOURCES AND MANAGEMENT, OPERATIONS RESOURCES AND MANAGEMENT, AND HUMAN RESOURCES FOR EMPLOYEES AND RESIDENTS. 16 16 136 100 0 0 31307 14900 13252168 15011998 34973 -3244 77549 87248 13395997 15110902 0 0 0 0 8150602 10640522 0 0 0 5014823 6463645 13165425 17104167 230572 -1993265 13935458 15911027 1337451 4748765 12598007 11162262 X THE MISSION OF MIDWEST CHRISTIAN VILLAGES, 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 NEEDS OF SENIORS PHYSICALLY, MENTALLY, AND SPIRITUALLY. OUR COMMITMENT TO EXCELLENCE IS MOTIVATED BY OUR CHRISITAN BELIEF THAT ALL ARE PRECIOUS IN THE SIGHT OF GOD. 0 0 12333436 15058498 MIDWEST CHRISTIAN VILLAGES, INC., THE CORPORATE OFFICE OF CHRISTIAN HOMES, INC. AND AFFILIATES, MANAGES THIRTEEN SKILLED NURSING CAMPUSES, TWELVE OF WHICH INCLUDE INDEPENDENT LIVING, AND THREE OF WHICH ALSO INCLUDE ASSISTED LIVING. IN ADDITION, MIDWEST CHRISTIAN VILLAGES, INC. MANAGES A CAMPUS THAT INCLUDES ASSISTED LIVING AND INDEPENDENT LIVING, TWO SUPPORTIVE LIVING FACILITIES, A HOSPICE FACILITY, AN OUTPATIENT THERAPY CLINIC, AND A PHARMACY. MANAGING INCLUDES PAYROLL, ACCOUNTS PAYABLE, BILLING, CLINICAL RESOURCES AND MANAGEMENT, OPERATIONS RESOURCES AND MANAGEMENT, AND HUMAN RESOURCES FOR EMPLOYEES AND RESIDENTS. SAFE HAVEN HOSPICE IS A MINISTRY OF PROVIDING END-OF-LIFE SERVICES TO THOSE IN NEED. WABASH OUTPATIENT THERAPY CLINIC PROVIDES OUTPATIENT THERAPY TO THE COMMUNITY AND SURROUNDING AREAS. ADDITIONAL SERVICES THAT ARE AVAILABLE AT THE CLINIC INCLUDE PRIMARY CARE PHYSICIANS, SPECIALISTS, LABS, AND X-RAYS. 12333436 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 0 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 84 0 1 136 1 0 0 0 0 0 0 0 0 0 0 X 16 16 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 IL IN 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 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 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 2293944 214132 1 0 1 0 REHABCARE GROUP EAST INC PO BOX 503534 ST LOUIS MO 63150 THERAPY 570038 CLIFTONLARSONALLEN LLP 600 WASHINGTON AVE SUITE 1800 ST LOUIS MO 63101 ACCOUNTING & CONSULTING 299746 I & G DIRECT REAL ESTATE 18 LP 15006 COLLECTION CENTER DRIVE CHICAGO IL 60693 REAL ESTATE BROKER 104009 3 14900 14900 MANAGEMENT FEES 623000 8888981 8888981 NURSING REVENUE 623000 5130826 5130826 ASSISTED LIVING 623000 992191 992191 15011998 34392 34392 46500 0 46500 46500 46500 37636 -37636 -37636 -37636 MISCELLANEOUS REVENUE 900099 33452 33452 BEAUTY SHOP 900099 4145 4145 DISCOUNTS 900099 3151 3151 40748 15110902 15058498 0 37504 9222735 7262780 1959955 113375 89281 24094 729144 574191 154953 575268 575268 322000 322000 341218 341218 859815 859815 273616 235388 38228 2902600 1297180 1605420 50759 50759 443030 443030 706873 565920 140953 86607 61498 25109 -204 -204 164981 164981 42220 42220 LICENSE, DUES, AND SUBS 107303 81553 25750 BAD DEBT 82292 82292 RAW FOOD (DIETARY) 80535 80535 17104167 12333436 4770731 0 19179 277 6812420 1361769 2080721 2976262 8878 9995 242277 207945 3475694 298515 2915293 3177179 1848802 3597246 1989000 7888 2591354 13935458 15911027 1167237 1147762 170214 3601003 1337451 4748765 X 12598007 11162262 12598007 11162262 13935458 15911027 X -1993265 32908 524612 X 0 1 X 1 0 X 12669 17128 14900 44697 10126482 9934760 11930357 12512244 15058498 59562341 10126482 9934760 11943026 12529372 15073398 59607038 0 0 0 59607038 56416 14789 16461 39045 34392 161103 56416 14789 16461 39045 34392 161103 20459 70506 93490 19441 40748 244644 10203357 10020055 12052977 12587858 15148538 60012785 0.99320 0.99310 0.00270 0.00290 X Schedule A, Part III, Line 12, Explanation of Other Income: MISCELLANEOUS - 2011 Amount: $ 17,066. 2012 Amount: $ 30,944. 2013 Amount: $ 43,360. 2014 Amount: $ 17,878. 2015 Amount: $ 33,452. DISCOUNTS - 2011 Amount: $ 2,802. 2012 Amount: $ 39,926. 2013 Amount: $ 36,605. 2014 Amount: $ 1,563. 2015 Amount: $ 3,151. VENDING REVENUE - 2011 Amount: $ 591. 2012 Amount: $ -364. 2013 Amount: $ 0. 2014 Amount: $ 0. 2015 Amount: $ 0. SPACE RENTAL - 2011 Amount: $ 0. 2012 Amount: $ 0. 2013 Amount: $ 13,525. 2014 Amount: $ 0. 2015 Amount: $ 0. BEAUTY SHOP - 2011 Amount: $ 0. 2012 Amount: $ 0. 2013 Amount: $ 0. 2014 Amount: $ 0. 2015 Amount: $ 4,145. 80000 80000 2640419 168032 2472387 29506 33132 -3626 349379 97351 252028 376390 376390 3177179 ACCRUED INTEREST 7130 INTERCOMPANY RECEIVABLES 2584224 2591354 INTERCOMPANY PAYABLES 3601003 3601003 X 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 OGRANIZATIONS 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 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 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 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 3 COMPENSATION OF THE ORGANIZATION'S CEO IS ESTABLISHED BY A RELATED ORGANIZATION, CHRISTIAN HOMES, INC. CHRISTIAN HOMES, INC. USES THE FOLLOWING METHODS TO DETERMINE COMPENSATION: COMPENSATION COMMITTEE, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. 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. 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 COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL, OFFICERS AND KEY EMPLOYEES IS DETERMINED BY A RELATED ORGANIZATION, CHRISTIAN HOMES, INC. OFFICERS ARE NOT PRESENT AT ANY MEETING DISCUSSING THEIR COMPENSATION. THE COMPENSATION COMMITTEE DOCUMENTS ITS FINDINGS IN WRITING. CHRISTIAN HOMES, INC. 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. 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 XI, line 9: TRANSFER OF EQUITY 524,881. OTHER ADJUSTMENT -269. SAFE HAVEN HOSPICE 622 EMERSON ROAD ST LOUIS MO 63141 275346886 HOSPICE SERVICES MO 3217455 642050 MIDWEST CHRISTIAN VILLAGES WABASH THERAPY CLINIC 622 EMERSON ROAD ST LOUIS MO 63141 383922894 THERAPY SERVICES MO 893382 400483 MIDWEST CHRISTIAN VILLAGES JOHNSON CHRISTIAN VILLAGE CARE CENTER LLC 622 EMERSON ROAD ST LOUIS MO 63141 471908262 ELDERLY HOUSING IN 996536 2148949 MIDWEST CHRISTIAN VILLAGES BARBER CHRISTIAN HOME CARE LLC 622 EMERSON ROAD ST LOUIS MO 63141 364822892 HOME CARE SERVICES MO 1083186 2284728 MIDWEST CHRISTIAN VILLAGES CHRISTIAN HOMES INC 200 N POSTVILLE DRIVE LINCOLN IL 62656 370841562 SKILLED NURSING FACILITY & RETIREMENT APARTMENTS IL 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 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 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 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 MIDWEST SENIOR MINISTRIES 622 EMERSON ROAD ST LOUIS MO 63141 201053401 PHARMACY SERVICES IL 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 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 VILLAGE CHRISTIAN PARKE 675 SOUTH FORD ROAD ZIONSVILLE IN 46077 311172227 RETIREMENT APARTMENTS IN 501(c)(3) Line 9 N/A 0 CARELINK INC PO BOX 3552 QUINCY IL 62305 364148578 HOME CARE SERVICES IL MIDWEST CHRISTIAN VILLAGES C 2040180 1702703 1.00000 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0