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MIDWEST CHRISTIAN VILLAGES INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
MIDWEST CHRISTIAN VILLAGES INC (EIN 26-0275009)
Tax period
2011-07-01 to 2012-06-30
Filed
2012-12-21
IRS object ID
201243569349300204
Schema version
2011v1.2
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)
Timestamp2012-12-21T08:20:27-06:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

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 Date2011-07-01TaxPeriodBeginDate

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 Signed2012-12-20DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameALLAN LARSONName
PTINP00028482PTIN
Phone3149254300Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

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 Receipts10203357GrossReceipts
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 Body15NbrVotingMembersGoverningBody
Nbr Independent Voting Members15NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers15TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year8950450ProgramServiceRevenuePriorYear
Program Service Revenue CY10126482ProgramServiceRevenueCY
Investment Income Prior Year23172InvestmentIncomePriorYear
Investment Income Current Year6217InvestmentIncomeCurrentYear
Other Revenue Prior Year10681OtherRevenuePriorYear
Other Revenue Current Year20459OtherRevenueCurrentYear
Total Revenue Prior Year8984303TotalRevenuePriorYear
Total Revenue Current Year10153158TotalRevenueCurrentYear
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 Year6052381SalariesEtcPriorYear
Salaries Etc Current Year6083763SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year2110503OtherExpensePriorYear
Other Expenses Current Year2694039OtherExpensesCurrentYear
Total Expenses Prior Year8162884TotalExpensesPriorYear
Total Expenses Current Year8777802TotalExpensesCurrentYear
Revenues Less Expenses Prior Year821419RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1375356RevenuesLessExpensesCY
Total Assets BOY5470554TotalAssetsBOY
Total Assets EOY7862189TotalAssetsEOY
Total Liabilities BOY1350073TotalLiabilitiesBOY
Total Liabilities EOY1629220TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY4120481NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY6232969NetAssetsOrFundBalancesEOY
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
Expense230264Expense
Revenue10146350Revenue
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 Expense230264TotalProgramServiceExpense
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
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109637NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
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 Members15NbrVotingGoverningBodyMembers
Number Independent Voting Members15NumberIndependentVotingMembers
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 (25 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
JIM BLALOCK
BOARD MEMBER3.00X000
BOB CROSBY
BOARD MEMBER - CHAIRMAN3.00X000X
BILLY D CARTER
BOARD MEMBER TREASURER3.00X000X
RANDY CLARK
BOARD MEMBER3.00X000
JAMES S FRASURE MD
BOARD MEMBER3.00X000
MAURINE COLLETT
BOARD MEMBER3.00X000
TERRY GOODNER
BOARD MEMBER - SECRETARY3.00X000X
NICHOLAS A FILING
BOARD MEMBER3.00X000
MARYLYN ROWE
BOARD MEMBER3.00X000
DICK HART
BOARD MEMBER3.00X000
RONALD F SEWELL
BOARD MEMBER - VICE CHAIRMAN3.00X000X
BILL LASH
BOARD MEMBER3.00X000
PATRICIA LINCOLN
BOARD MEMBER3.00X000
MARK A BEHRENDS
BOARD MEMBER3.00X000
VICTOR S WILLIAMS
BOARD MEMBER3.00X000
TIMOTHY PHILLIPPE
PRESIDENT / CEO40.0004352716156X
SUSAN MCGHEE
CFO40.00023597913656X
MARK LONGENECKER
SENIOR VP OF OPERATIONS40.0002011199156X
SHERRY GUTERMUTH
VP OF OPERATIONS40.00020068313656X
LAURIE BROWN
OPERATIONS DIRECTOR40.00015494913031X
JOHN RUPKEY
PHARMACIST/MANAGER40.00017338113031X
KELLY KELLEY
VP OF CLINICAL SERVICES40.00018130613656X
MARK CANTY
MEDICAL DIRECTOR40.0001699991500X
ROBERT VINCENT
DIRECTOR OF SPECIAL PROJECTS40.0001530636156X
GREG WITTE
EXECUTIVE DIRECTOR40.00015277213031X
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs2058522TotalReportableCompFrmRltdOrgs
Total Other Compensation103029TotalOtherCompensation
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 & CONSULTING267285
I&G DIRECT REAL ESTATE 18 LP
15006 COLLECTION CENTER DRIVECHICAGOIL60693REAL ESTATE BROKER150820
FieldValueIRS element (for citing)
Number Of Contractors GT100 K2NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionMANAGEMENT FEESDescription
Business Code623000BusinessCode
Total Revenue Column10126482TotalRevenueColumn
Related Or Exempt Function Income10126482RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue10126482TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column56416TotalRevenueColumn
Exclusion$56,416ExclusionAmount

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities50199Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-50199Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-50199TotalRevenueColumn
Exclusion-$50,199ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmount
MISCELLANEOUS9000991706617066
DISCOUNTS90009928022802
VENDING REVENUE900099591$591
FieldValueIRS element (for citing)
Total Other Revenue20459TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column10153158TotalRevenueColumn
Related Or Exempt Function Income10146350RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$6,808ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total5161750Total
Management And General5161750ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total595121Total
Management And General595121ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total326892Total
Management And General326892ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total395914Total
Management And General395914ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total267285Total
Management And General267285ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total315948Total
Management And General315948ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total113380Total
Management And General113380ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total981292Total
Program Services174787ProgramServices
Management And General806505ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total31749Total
Program Services31749ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total279873Total
Management And General279873ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total55167Total
Management And General55167ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total23728Total
Program Services23728ProgramServices

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalManagement And GeneralManagementAndGeneral
MISCELLANEOUS115876115876
LICENSE, DUES AND SUBSC8200582005
PURCHASED SERVICES3182231822

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total8777802Total
Program Services230264ProgramServices
Management And General8547538ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1881009BOY
EOY2014197EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY292892BOY
EOY3720011EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY89399BOY
EOY155681EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY6768BOY
EOY6768EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY199641BOY
EOY144529EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY2975076BOY
EOY1820511EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY25769BOY
EOY492EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY5470554BOY
EOY7862189EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1350073BOY
EOY915011EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY714209EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1350073BOY
EOY1629220EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY4120481BOY
EOY6232969EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY4120481BOY
EOY6232969EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY5470554BOY
EOY7862189EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses1375356ReconcilationRevenueExpenses
Reconcilation Other Changes737132ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
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 Minus3 Years8045072CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years8192547CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8950450CurrentTaxYearMinus1Year
Current Tax Year10126482CurrentTaxYear
Total35314551Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years8045072CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years8192547CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8950450CurrentTaxYearMinus1Year
Current Tax Year10126482CurrentTaxYear
Total35314551Total

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 Total50935314551PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years4826CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year28481CurrentTaxYearMinus1Year
Current Tax Year56416CurrentTaxYear
Total89723Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years4826CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year28481CurrentTaxYearMinus1Year
Current Tax Year56416CurrentTaxYear
Total89723Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years5025CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1008CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year10681CurrentTaxYearMinus1Year
Current Tax Year20459CurrentTaxYear
Total37173Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years8050097CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years8198381CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8989612CurrentTaxYearMinus1Year
Current Tax Year10203357CurrentTaxYear
Total35441447Total
FieldValueIRS element (for citing)
First5 Years509XFirst5Years509

Schedule D IRS990ScheduleD

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

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionINTERCOMPANY PAYABLESDescription
Amount$714,209Amount
FieldValueIRS element (for citing)
Total Of Amounts714209TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X: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 2009 TO 2011 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 Payment0SeverancePayment
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 Payments1AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (10 entries)

Base 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
0366959060800075120006156044142700
SUSAN MCGHEE
02099790260000000013656024963500
MARK LONGENECKER
0160030035700053890009156021027500
SHERRY GUTERMUTH
01606190357000436400013656021433900
LAURIE BROWN
01234700289610251800013031016798000
JOHN RUPKEY
01428220250000555900013031018641200
KELLY KELLEY
01585800227260000013656019496200
MARK CANTY
016999900000001500017149900
ROBERT VINCENT
0130774017932043570006156015921900
GREG WITTE
01261370244530218200013031016580300

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanation
PART I, LINE 1ATIMOTHY PHILLIPPE RECEIVED A HOUSING ALLOWANCE OF $14,500 AND ROBERT VINCENT RECEIVED A HOUSING ALLOWANCE OF $28,600.
PART I, LINE 7TIM PHILLIPPEE, MARK LONGENECKER, SHERRY GUTERMUTH, LAURIE BROWN, JOHN RUPKEY, ROBERT VINCENT AND GREG WITTE RECEIVED $7,512, $5,389, $4,364, $2,518, $5,559, $4,357 AND $2,182, RESPECTIVELY, FOR SELLBACK OF PTO AND IS INCLUDED IN OTHER REPORTABLE COMPENSATION FROM A RELATED ORGANIZATION.

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 5:NET UNREALIZED GAINS ON INVESTMENTS: 16,380. EQUITY TRANSFER FROM OG 720,752. TOTAL TO FORM 990, PART XI, LINE 5: 737,132.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 Income-457294TotalIncome
EOY Assets32983EOYAssets

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
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

Transactions Related Orgs Table TransactionsRelatedOrgsTable (9 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
FAIR HAVENS CHRISTIAN HOME
K1120192FMV
LEWIS MEMORIAL CHRISTIAN VILLAGE
K889301FMV
HOOSIER CHRISTIAN VILLAGE
K406512FMV
SPRING RIVER CHRISTIAN VILLAGE
K750528FMV
CHICAGOLAND CHRISTIAN VILLAGE
K809916FMV
RISEN SON CHRISTIAN VILLAGE
K784296FMV
MIDWEST SENIOR MINISTRIES
K1611521FMV
CHRISTIAN HOMES INC
K3092312FMV
CHRISTIAN HOMES INC
O299274FMV