2016-01-13T21:09:02-06:00 2015-06-30 410746749 CLIFTONLARSONALLEN LLP 600 WASHINGTON AVENUE SUITE 1800 ST LOUIS MO 63101 990 2014-07-01 260275009 MIDWEST CHRISTIAN VILLAGES MIDW 3145877903 622 EMERSON ROAD NO 310 ST LOUIS MO 63141 SUSAN MCGHEE CFO 3145877903 2016-01-11 1 JEFF PARKER P00970069 3149254300 2014 2016-04-25 22:37:26Z SUSAN MCGHEE 622 EMERSON ROAD NO 310 ST LOUIS MO 63141 13400069 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 86 74 0 0 12669 31307 11930357 13252168 16461 34973 93490 77549 12052977 13395997 0 0 0 0 7067414 8150602 0 0 0 4477389 5014823 11544803 13165425 508174 230572 13857435 13935458 2003233 1337451 11854202 12598007 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 CHRISTIAN BELIEF THAT ALL ARE PRECIOUS IN THE SIGHT OF GOD. 1 0 7409513 13329717 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. 7409513 1 0 0 0 0 0 0 0 0 0 1 0 0 0 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 0 0 0 1 66 0 86 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 1 1 0 IL IN X MIDWEST CHRISTIAN VILLAGES 3145877903 622 EMERSON ROAD SUITE 310 ST LOUIS MO 63141 MARK A BEHRENDS BOARD MEMBER 0.30 2.00 X 1000 0 0 TIMOTHY BURRELL BOARD MEMBER 0.30 2.00 X 0 0 0 ROBERT CROSBY BOARD MEMBER 0.30 2.00 X 1000 0 0 BILLY D CARTER BOARD MEMBER - TREASURER 0.30 2.00 X X 1000 0 0 RANDY CLARK BOARD MEMBER 0.30 2.00 X 750 0 0 NICHOLAS A FILING BOARD MEMBER - VICE CHAIRMAN 0.30 2.00 X X 750 0 0 JAMES FRASURE MD BOARD MEMBER 0.30 2.00 X 1000 0 0 TERRY GOODNER BOARD MEMBER - SECRETARY 0.30 2.00 X X 1000 0 0 BILLIE W LASH BOARD MEMBER 0.30 2.00 X 750 0 0 PATRICIA M LINCOLN BOARD MEMBER 0.30 2.00 X 1000 0 0 DON FITZGERALD BOARD MEMBER 0.30 2.00 X 1000 0 0 RONALD F SEWELL BOARD MEMBER - CHAIRMAN 0.30 2.00 X X 1000 0 0 VICTOR S WILLIAMS BOARD MEMBER 0.30 2.00 X 0 0 0 THOMAS KERINS BOARD MEMBER 0.30 2.00 X 0 0 0 STEVE GNUSE BOARD MEMBER 0.30 2.00 X 0 0 0 DEBRA VINCENT BOARD MEMBER 0.30 2.00 X 0 0 0 TIMOTHY PHILLIPPE PRESIDENT/CEO 2.00 38.00 X 0 455590 25727 SUSAN MCGHEE CFO 2.00 38.00 X 0 278599 13080 SHERRY GUTERMUTH VICE PRESIDENT OF OPERATIONS 2.00 38.00 X 0 259618 13080 JOHN RUPKEY PHARMACY MANAGER 2.00 38.00 X 0 185744 5500 GREGORY PATTERSON EXECUTIVE DIRECTOR 40.00 0.00 X 178335 0 8330 GREG WITTE EXECUTIVE DIRECTOR 0.00 40.00 X 0 171336 12580 LAURIE BROWN REGIONAL DIRECTOR OF OPERATIONS 2.00 38.00 X 0 169218 12580 ELLEN ONEIL VP OF CLINICAL SERVICES 2.00 38.00 X 0 149806 13080 188585 1669911 103957 1 0 1 0 CLIFTONLARSONALLEN LLP 600 WASHINGTON SUITE 1800 ST LOUIS MO 63101 ACCOUNTING & CONSULTING 284583 I&G DIRECT REAL ESTATE 18 LP 15006 COLLECTION CENTER DRIVE CHICAGO IL 60693 REAL ESTATE BROKER 164678 2 31307 31307 MANAGEMENT FEES 623000 9011726 9011726 NURSING REVENUE 623000 3444581 3444581 ASSISTED LIVING 623000 795861 795861 13252168 39045 39045 55937 0 55937 55937 55937 2593 1479 -2593 -1479 -4072 -4072 MISCELLANEOUS 900099 17878 17878 BEAUTY SHOP 900099 2171 2171 DISCOUNTS 900099 1563 1563 21612 13395997 13329717 0 34973 11750 11750 6819476 4012556 2806920 105625 62149 43476 780905 459482 321423 432846 254685 178161 68000 68000 143021 143021 244040 244040 995734 646172 349562 73952 73952 2103269 1185349 917920 34343 34343 89363 89363 603205 403233 199972 166124 37733 128391 368 368 125382 125382 41588 41588 LICENSE, DUES AND SUBSC 108077 33551 74526 MISCELLANEOUS 92046 3072 88974 BAD DEBT EXPENSE 71481 71481 RAW FOOD 54830 54830 13165425 7409513 5755912 0 14877 19179 9770709 6812420 1333362 2080721 5763 8878 175986 242277 3049825 134532 709888 2915293 1841168 1848802 5682 7888 13857435 13935458 1248091 1167237 755142 170214 2003233 1337451 X 11854202 12598007 11854202 12598007 13857435 13935458 X 230572 -24560 269 537524 X X 0 1 X 1 0 X 12669 17128 29797 8950450 10126482 9934760 11930357 12512244 53454293 8950450 10126482 9934760 11943026 12529372 53484090 0 0 0 53484090 28481 56416 14789 16461 39045 155192 28481 56416 14789 16461 39045 155192 10681 20459 70506 93490 19441 214577 8989612 10203357 10020055 12052977 12587858 53853859 0.99310 0.99360 0.00290 0.00240 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS - 2010 AMOUNT $ 5,795. 2011 AMOUNT $ 17,066. 2012 AMOUNT $ 30,944. 2013 AMOUNT $ 43,360. 2014 AMOUNT $ 17,878. DISCOUNTS - 2011 AMOUNT $ 2,802. 2012 AMOUNT $ 39,926. 2013 AMOUNT $ 36,605. 2014 AMOUNT $ 1,563. VENDING REVENUE - 2010 AMOUNT $ 615. 2011 AMOUNT $ 591. 2012 AMOUNT $ -364. SPACE RENTAL - 2010 AMOUNT $ 4,271. 2013 AMOUNT $ 13,525. 80000 80000 2610945 75911 2535034 29506 1133 28373 310264 57488 252776 19110 19110 2915293 INTERCOMPANY PAYABLES 170214 170214 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 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 X X X 0 0 0 0 0 0 0 1 0 TIMOTHY PHILLIPPE PRESIDENT/CEO 0 382871 0 69048 0 3671 0 0 0 25727 0 481317 0 0 SUSAN MCGHEE CFO 0 232599 0 46000 0 0 0 0 0 13080 0 291679 0 0 SHERRY GUTERMUTH VICE PRESIDENT OF OPERATIONS 0 219699 0 34000 0 5919 0 0 0 13080 0 272698 0 0 JOHN RUPKEY PHARMACY MANAGER 0 152887 0 21000 0 11857 0 0 0 5500 0 191244 0 0 GREGORY PATTERSON EXECUTIVE DIRECTOR 163893 0 11000 0 3442 0 0 0 8330 0 186665 0 0 0 GREG WITTE EXECUTIVE DIRECTOR 0 150336 0 21000 0 0 0 0 0 12580 0 183916 0 0 LAURIE BROWN REGIONAL DIRECTOR OF OPERATIONS 0 146541 0 16109 0 6568 0 0 0 12580 0 181798 0 0 ELLEN ONEIL VP OF CLINICAL SERVICES 0 140406 0 9400 0 0 0 0 0 13080 0 162886 0 0 PART I, LINE 7 THE ORGANIZATION PAID PERFORMANCE BASED BONUSES. FORM 990, PART III, LINE 2 ON OCTOBER 15, 2014, CHI CLOSED ON THE PURCHASE OF CERTAIN ASSETS USED IN THE OPERATION OF JOHNSON CHRISTIAN VILLAGE CARE CENTER, LLC (JCV), A 35-BED ELDERLY HOUSING COMMUNITY LOCATED IN BEDFORD, INDIANA. THE TOTAL PURCHASE PRICE OF $2,200,000 WAS PAID IN CASH. JCV IS NOT A MEMBER OF THE OBLIGATED GROUP. FORM 990, PART VI, SECTION B, LINE 11 THE BOARD GETS A DRAFT OF THE 990 ELECTRONICALLY SENT TO THEM FOR REVIEW PRIOR TO SUBMISSION. 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 OUR 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 ORGANIZATIONS VICE PRESIDENT OF HUMAN RESOURCES AS WELL AS A FEW OTHER BOARD MEMBERS. OTHER OFFICERS AND KEY EMPLOYEES SALARIES ARE DETERMED 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 ORGANIZATIONS INDUSTRY. AT THE SEPTMEBER 2014 BOARD MEETING THE COO, 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 CAN ALSO BE OBTAINED UPON REQUEST. FORM 990, PART XI, LINE 9: EQUITY TRANSFER FROM OG 537,524. FORM 990, PAGE 12, PART XII, LINE 2C - AUDIT COMMITTEE OVERSIGHT & REVIEW THE ORGANIZATION HAS NOT CHANGED ITS OVERSIGHT OR SELECTION PROCESS DURING THE FILING YEAR. SAFE HAVEN HOSPICE 622 EMERSON ROAD ST LOUIS MO 63141 275346886 HOSPICE SERVICES MO 2800837 412798 MIDWEST CHRISTIAN VILLAGES WABASH THERAPY CLINIC 622 EMERSON ROAD ST LOUIS MO 63141 383922894 THERAPY SERVICES MO 717525 935904 MIDWEST CHRISTIAN VILLAGES JOHNSON CHRISTIAN VILLAGE CARE CENTER LLC 7102 EAST STATE ROAD 158 BEDFORD IN 47421 471908262 ELDERLY HOUSING IN 810040 2150976 MIDWEST CHRISTIAN VILLAGES CHRISTIAN HOMES INC 200 N POSTVILLE DR LINCOLN IL 62656 370841562 SKILLED NURSING FACILITY & RETIREMENT APARTMENTS IL 501(C)(3) LINE 9 N/A 0 FAIR HAVENS CHRISTIAN HOMES 1790 S FAIRVIEW AVE DECATUR IL 62521 370987659 SKILLED NURSING FACILITY & RETIREMENT APARTMENTS IL 501(C)(3) LINE 9 N/A 0 LEWIS MEMORIAL CHRISTIAN VILLAGE 3400 W WASHINGTON ST SPRINGFIELD IL 62711 510173104 SKILLED NURSING FACILITY & RETIREMENT APARTMENTS IL 501(C)(3) LINE 9 N/A 0 HOOSIER CHRISTIAN VILLAGE 621 S SUGAR ST 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 RD ZIONSVILLE IN 46077 311172227 RETIREMENT APARTMENTS IN 501(C)(3) LINE 9 N/A 0 MIDWEST SENIOR MINISTRIES 111 E WASHINGTON BENSENVILLE IL 60106 201053401 SKILLED NURSING FACILITY, RETIREMENT APARTMENTS & PHARMACY IL 501(C)(3) LINE 9 N/A 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0