STRATEGY STUDIO / PUBLIC DATA EXPLORER

MIDWEST CHRISTIAN VILLAGES INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
MIDWEST CHRISTIAN VILLAGES INC (EIN 26-0275009)
Tax period
2012-07-01 to 2013-06-30
Filed
2013-12-18
IRS object ID
201323529349300117
Schema version
2012v2.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-12-18T10:48:06-06:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN410746749EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1600 WASHINGTON AVENUE SUITE 1800AddressLine1
CityST LOUISCity
StateMOState
ZIP Code63101ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN260275009EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1MIDWEST CHRISTIAN VILLAGESBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlMIDWNameControl
Phone3145877903Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1622 EMERSON ROAD NO 310AddressLine1
CityST LOUISCity
StateMOState
ZIP Code63141ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameSUSAN MCGHEEName
TitleCFOTitle
Phone3145877903Phone
Date Signed2013-12-17DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJEFF PARKERName
PTINP00970069PTIN
Phone3149254300Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonSUSAN MCGHEENameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1622 EMERSON ROAD NO 310AddressLine1
CityST LOUISCity
StateMOState
ZIP Code63141ZIPCode
FieldValueIRS element (for citing)
Gross Receipts10020055GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.CHRISTIANHOMES.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2008YearFormation
State Legal DomicileILStateLegalDomicile
Activity Or Mission DescriptionMIDWEST 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.ActivityOrMissionDescription
Nbr Voting Members Governing Body14NbrVotingMembersGoverningBody
Nbr Independent Voting Members14NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers14TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year10126482ProgramServiceRevenuePriorYear
Program Service Revenue CY9934760ProgramServiceRevenueCY
Investment Income Prior Year6217InvestmentIncomePriorYear
Investment Income Current Year14649InvestmentIncomeCurrentYear
Other Revenue Prior Year20459OtherRevenuePriorYear
Other Revenue Current Year70506OtherRevenueCurrentYear
Total Revenue Prior Year10153158TotalRevenuePriorYear
Total Revenue Current Year10019915TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year6083763SalariesEtcPriorYear
Salaries Etc Current Year5814433SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year2694039OtherExpensePriorYear
Other Expenses Current Year2759324OtherExpensesCurrentYear
Total Expenses Prior Year8777802TotalExpensesPriorYear
Total Expenses Current Year8573757TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1375356RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1446158RevenuesLessExpensesCY
Total Assets BOY7862189TotalAssetsBOY
Total Assets EOY9570891TotalAssetsEOY
Total Liabilities BOY1629220TotalLiabilitiesBOY
Total Liabilities EOY1151938TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY6232969NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY8418953NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE 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.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense445395Expense
Revenue10005630Revenue
DescriptionMIDWEST 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.Description
Total Program Service Expense445395TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip0ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity1DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109634NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees0NumberOfEmployees
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Form8899 Filed0Form8899Filed
Form1098 C Filed0Form1098CFiled
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members14NbrVotingGoverningBodyMembers
Number Independent Voting Members14NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledILStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1MIDWEST CHRISTIAN VILLAGESBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number3145877903TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1622 EMERSON ROAD SUITE 310AddressLine1
CityST LOUISCity
StateMOState
ZIP Code63141ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (23 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
MARK A BEHRENDS
BOARD MEMBER0.302.00X100000
JIMMIE BLALOCK
BOARD MEMBER0.302.00X000
MAURINE COLLETT
BOARD MEMBER0.302.00X75000
ROBERT CROSBY
BOARD MEMBER - CHAIRMAN0.302.00X100000X
BILLY D CARTER
BOARD MEMBER - TREASURER0.302.00X100000X
RANDY CLARK
BOARD MEMBER0.302.00X100000
NICHOLAS A FILING
BOARD MEMBER0.302.00X100000
JAMES FRASURE MD
BOARD MEMBER0.302.00X100000
TERRY GOODNER
BOARD MEMBER - SECRETARY0.302.00X125000X
BILIE W LASH
BOARD MEMBER0.302.00X75000
PATRICIA M LINCOLN
BOARD MEMBER0.302.00X100000
MARYLYN ROWE
BOARD MEMBER0.302.00X100000
RONALD F SEWELL
BOARD MEMBER - VICE CHAIRMAN0.302.00X100000X
VICTOR S WILLIAMS
BOARD MEMBER0.302.00X000
TIMOTHY PHILLIPPE
PRESIDENT/CEO2.0038.0004227096840X
SUSAN MCGHEE
CFO2.0038.00021660512840X
SHERRY GUTERMUTH
SENIOR REGIONAL VICE PRESIDENT2.0038.00018905112840X
MARK LONGENECKER
VICE PRESIDENT OF OPERATION2.0038.00022015212840X
JOHN RUPKEY
PHARMACIST/MANAGER2.0038.00018107812340X
JODI NYLIN
REGIONAL VICE PRESIDENT2.0038.0001791544500X
MICHAEL CARDENAS
VP OF LEGAL AFFAIRS AND GENERAL COUNSEL2.0038.0001597436840X
GREG WITTE
EXECUTIVE DIRECTOR0.0040.00015577612340X
ROBERT VINCENT
EXECUTIVE DIRECTOR0.0040.0001472666840X
FieldValueIRS element (for citing)
Total Reportable Comp From Org11750TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1871534TotalReportableCompFrmRltdOrgs
Total Other Compensation88220TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (2 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
CLIFTONLARSONALLEN LLP
600 WASHINGTON SUITE 1800ST LOUISMO63101ACCOUNTING & CONSULTING337532
I&G DIRECT REAL ESTATE 18 LP
15006 COLLECTION CENTER DRIVECHICAGOIL60693REAL ESTATE BROKER130253
FieldValueIRS element (for citing)
Number Of Contractors GT100 K2NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionMANAGEMENT FEESDescription
Business Code623000BusinessCode
Total Revenue Column9934760TotalRevenueColumn
Related Or Exempt Function Income9934760RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue9934760TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column14789TotalRevenueColumn
Exclusion$14,789ExclusionAmount

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities140Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-140Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-140TotalRevenueColumn
Exclusion-$140ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmount
DISCOUNTS9000993992639926
MISCELLANEOUS9000993094430944
VENDING REVENUE900099-364-$364
FieldValueIRS element (for citing)
Total Other Revenue70506TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column10019915TotalRevenueColumn
Related Or Exempt Function Income10005630RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$14,285ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total13750Total
Management And General13750ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total4482283Total
Management And General4482283ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1011207Total
Management And General1011207ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total307193Total
Management And General307193ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total291934Total
Management And General291934ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total434715Total
Management And General434715ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total197795Total
Management And General197795ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total992079Total
Program Services164542ProgramServices
Management And General827537ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total28389Total
Program Services28389ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total286748Total
Management And General286748ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total69641Total
Management And General69641ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total179334Total
Program Services179334ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalManagement And GeneralManagementAndGeneralProgram ServicesProgramServices
MISCELLANEOUS102192102192
BAD DEBT EXPENSE7313073130
LICENSE, DUES AND SUBSC5958359583
PURCHASED SERVICES4378443784

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total8573757Total
Program Services445395ProgramServices
Management And General8128362ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY2014197BOY
EOY5712798EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY3720011BOY
EOY1513282EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY155681BOY
EOY337896EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY6768BOY
EOY6072EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY144529BOY
EOY141820EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY1820511BOY
EOY1834023EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY492BOY
EOY25000EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY7862189BOY
EOY9570891EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY915011BOY
EOY909981EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY714209BOY
EOY241957EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1629220BOY
EOY1151938EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY6232969BOY
EOY8418953EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY6232969BOY
EOY8418953EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY7862189BOY
EOY9570891EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses1446158ReconcilationRevenueExpenses
Reconciliation Unrealized Invest55ReconciliationUnrealizedInvest
Reconcilation Other Changes739771ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years8045072CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years8192547CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years8950450CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year10126482CurrentTaxYearMinus1Year
Current Tax Year9934760CurrentTaxYear
Total45249311Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years8045072CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years8192547CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years8950450CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year10126482CurrentTaxYearMinus1Year
Current Tax Year9934760CurrentTaxYear
Total45249311Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total50945249311PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years4826CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years28481CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year56416CurrentTaxYearMinus1Year
Current Tax Year14789CurrentTaxYear
Total104512Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years4826CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years28481CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year56416CurrentTaxYearMinus1Year
Current Tax Year14789CurrentTaxYear
Total104512Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years5025CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1008CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years10681CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year20459CurrentTaxYearMinus1Year
Current Tax Year70506CurrentTaxYear
Total107679Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years8050097CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years8198381CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years8989612CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year10203357CurrentTaxYearMinus1Year
Current Tax Year10020055CurrentTaxYear
Total45461502Total
FieldValueIRS element (for citing)
First5 Years509XFirst5Years509
General ExplanationSCHEDULE A, PART II, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS - 2008 AMOUNT: $ 5,226. 2009 AMOUNT: $ 641. 2010 AMOUNT: $ 5,795. 2011 AMOUNT: $ 17,066. 2012 AMOUNT: $ 30,944. DISCOUNTS - 2008 AMOUNT: $ 166. 2011 AMOUNT: $ 2,802. 2012 AMOUNT: $ 39,926. VENDING REVENUE - 2008 AMOUNT: $ -367. 2009 AMOUNT: $ 367. 2010 AMOUNT: $ 615. 2011 AMOUNT: $ 591. 2012 AMOUNT: $ -364. SPACE RENTAL - 2010 AMOUNT: $ 4,271.GeneralExplanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Total Of Book Value Land Buildings0TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionINTERCOMPANY PAYABLESDescription
Amount$241,957Amount
FieldValueIRS element (for citing)
Total Of Amounts241957TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X, LINE 2:ReturnReference
ExplanationTHE 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 FOLLOW THE INCOME TAX STANDARD FOR UNCERTAIN TAX POSITIONS. THIS STANDARD CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ORGANIZATIONS FINANCIAL STATEMENTS. IT ALSO PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT PRINCIPLES FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN ON A TAX RETURN THAT ARE NOT CERTAIN TO BE REALIZED. THIS STANDARD HAS NO IMPACT ON THE ORGANIZATIONS' FINANCIAL STATEMENTS. THE ORGANIZATIONS' INCOME TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL, STATE, AND LOCAL AUTHORITIES. 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. THE TAX RETURNS FOR THE YEARS 2010 TO 2012 ARE OPEN TO EXAMINATION BY FEDERAL, LOCAL, AND STATE AUTHORITIES.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Housing Allowance Or ResidenceXHousingAllowanceOrResidence
Written Policy Re T And E Expenses1WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Compensation CommitteeXCompensationCommittee
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment1SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (9 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
TIMOTHY PHILLIPPE
PRESIDENT/CEO0373209049500000006840042954900
SUSAN MCGHEE
CFO0216605000000012840022944500
SHERRY GUTERMUTH
SENIOR REGIONAL VICE PRESIDENT01633040210000474700012840020189100
MARK LONGENECKER
VICE PRESIDENT OF OPERATION01774550400000269700012840023299200
JOHN RUPKEY
PHARMACIST/MANAGER01474080280000567000012340019341800
JODI NYLIN
REGIONAL VICE PRESIDENT01438850150000202690004500018365400
MICHAEL CARDENAS
VP OF LEGAL AFFAIRS AND GENERAL COUN015974300000006840016658300
GREG WITTE
EXECUTIVE DIRECTOR01329360215000134000012340016811600
ROBERT VINCENT
EXECUTIVE DIRECTOR0132845010000044210006840015410600

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanation
PART I, LINE 1ATIMOTHY PHILLIPPE RECEIVED A HOUSING ALLOWANCE OF $16,478 AND ROBERT VINCENT RECEIVED A HOUSING ALLOWANCE OF $25,480.
PART I, LINE 4AJODI NYLIN RECEIVED TAXABLE SEVERANCE PAYMENT OF $20,269.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION B, LINE 11THE BOARD GETS A DRAFT OF THE 990 ELECTRONICALLY SENT TO THEM FOR REVIEW PRIOR TO SUBMISSION.
FORM 990, PART VI, SECTION B, LINE 12CTHE 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 15THE 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 ORGANIZATION'S 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.
FORM 990, PART VI, SECTION C, LINE 19THE 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 739,771.CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PAGE 12, PART XII, LINE 2CTHE ORGANIZATION HAS NOT CHANGED ITS OVERSIGHT OR SELECTION PROCESS DURING THE FILING YEAR.AUDIT COMMITTEE OVERSIGHT & REVIEW
FORM 990, PAGE 10, PART IX, LINE 5 AND FORM 990, PAGES 7-8, PART VIIALTHOUGH OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION WERE PAID VIA W-2S ISSUED UNDER THE TAX IDENTIFICIATION NUMBER OF CHRISTIAN HOMES, INC., A RELATED TAX-EXEMPT ORGANIZATION, THE ACTUAL EXPENSE OF THESE SALARIES IS REPORTED ON THIS ENTITY.OFFICERS AND KEY EMPLOYEES COMPENSATION

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1SAFE HAVEN HOSPICEBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1622 EMERSON ROADAddressLine1
CityST LOUISCity
StateMOState
ZIP Code63141ZIPCode
FieldValueIRS element (for citing)
EIN275346886EIN
Primary ActivitiesHOSPICE SERVICESPrimaryActivities
Legal Domicile StateMOLegalDomicileState
Total Income1141535TotalIncome
EOY Assets-449054EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1MIDWEST CHRISTIAN VILLAGESBusinessNameLine1

Form990 Schedule R Part II Form990ScheduleRPartII (9 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrg
CHRISTIAN HOMES INC
200 N POSTVILLE DRLINCOLNIL62656370841562SKILLED NURSING FACILITY & RETIREMENT APARTMENTSIL501(C)(3)LINE 9N/A0
FAIR HAVENS CHRISTIAN HOMES
1790 S FAIRVIEW AVEDECATURIL62521370987659SKILLED NURSING FACILITY & RETIREMENT APARTMENTSIL501(C)(3)LINE 9N/A0
LEWIS MEMORIAL CHRISTIAN VILLAGE
3400 W WASHINGTON STSPRINGFIELDIL62711510173104SKILLED NURSING FACILITY & RETIREMENT APARTMENTSIL501(C)(3)LINE 9N/A0
HOOSIER CHRISTIAN VILLAGE
621 S SUGAR STBROWNSTOWNIN47220237423749SKILLED NURSING FACILITY & RETIREMENT APARTMENTSIN501(C)(3)LINE 9N/A0
SPRING RIVER CHRISTIAN VILLAGE
201 S NORTHPARK LANEJOPLINMO64801431341462SKILLED NURSING FACILITY & RETIREMENT APARTMENTSMO501(C)(3)LINE 9N/A0
CHICAGOLAND CHRISTIAN VILLAGE
6685 E 117TH STCROWN POINTIN46307311114614SKILLED NURSING FACILITY & RETIREMENT APARTMENTSIN501(C)(3)LINE 9N/A0
RISEN SON CHRISTIAN VILLAGE
3000 RISEN SON BLVDCOUNCIL BLUFFSIA51503421279738SKILLED NURSING FACILITY & RETIREMENT APARTMENTSIA501(C)(3)LINE 9N/A0
VILLAGE CHRISTIAN PARKE
675 SOUTH FORD RDZIONSVILLEIN46077311172227RETIREMENT APARTMENTSIN501(C)(3)LINE 9N/A0
MIDWEST SENIOR MINISTRIES
111 E WASHINGTONBENSENVILLEIL60106201053401SKILLED NURSING FACILITY, RETIREMENT APARTMENTS & PHARMACYIL501(C)(3)LINE 9N/A0
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg