2019-07-11T13:50:18-05:00 2018-06-30 381357951 PLANTE & MORAN PLLC 10 S RIVERSIDE PLAZA 9TH FLOOR CHICAGO IL 60606 990 2017-07-01 260275009 MIDWEST CHRISTIAN VILLAGES MIDW 3145877903 622 EMERSON ROAD NO 310 ST LOUIS MO 63141 CHUCK SCHMITZ CFO 3145877903 2019-05-13 1 DAVID LOWENTHAL P00378651 3122071040 2019-05-09 67.59.56.32 2019-05-13 12:13:32 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 F51046F0BD5714FDBFEEE435C204D6AFFC186FF5 2017 2019-02-21 02:37:17Z CHRISTIAN HORIZONS CHUCK SCHMITZ 622 EMERSON ROAD NO 310 ST LOUIS MO 63141 16740849 0 X HTTPS://CHRISTIANHORIZONSLIVING.ORG/ X 2008 IL WE EXIST TO HONOR GOD BY PROVIDING A CONTINUUM OF EXCELLENT CARE AND SUPPORT SERVICES, PRIMARILY FOR OLDER ADULTS. 15 15 481 9 0 0 19279 5913 17831696 16546484 23982 32648 135827 136282 18010784 16721327 0 0 0 0 13667738 13323779 0 0 0 5892219 5404494 19559957 18728273 -1549173 -2006946 16075948 14803651 6223080 6407830 9852868 8395821 X OUR MISSION IS TO HONOR GOD BY PROVIDING A CONTINUUM OF EXCELLENT CARE AND SUPPORT SERVICES FOR OLDER ADULTS, OUR SERVICES ARE DRIVEN BY THREE GUIDING PRINCIPALS: GOD HONORING CARE - WE UPHOLD CHRISTIAN VALUES AND PROACTIVELY MEET THE CONTINUING NEEDS OF OLDER ADULTS FROM EVERY BACKGROUND IN A SAFE, SECURE AND CARING ENVIRONMENT; KEEPING THE PROMISE - BELIEVING THAT GOD'S PROMISE OF ABUNDANT LIFE EXTENDS TO EVERYONE, WE DEMONSTRATE LOVE, COMPASSION AND HOPE AT EVERY OPPORTUNITY; MEETING YOUR NEEDS - WITH A FOCUS ON RESPONSIVE AND COMPASSIONATE CARE, WE ARE CONTINUOUSLY IMPROVING TO ENSURE WE ALWAYS MEET YOUR NEEDS AND TRUST. 0 0 14115584 0 16660484 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. 14115584 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 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 0 0 1 481 1 0 0 0 0 0 0 0 0 0 0 X 15 15 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 IL IN X CHUCK SCHMITZ 3145877903 622 EMERSON ROAD SUITE 310 ST LOUIS MO 63141 RON SEWELL BOARD MEMBER - CHAIRMAN 0.30 2.00 X X 0 750 0 NICK FILING BOARD MEMBER - VICE CHAIRMAN 0.30 2.00 X X 0 1000 0 BILLY CARTER BOARD MEMBER - TREASURER 0.30 2.00 X X 0 1000 0 TERRY GOODNER BOARD MEMBER - SECRETARY 0.30 2.00 X X 0 1000 0 MARK BEHRENDS BOARD MEMBER (PART YEAR) 0.30 2.00 X 0 1000 0 PATRICIA LINCOLN BOARD MEMBER (PART YEAR) 0.30 2.00 X 0 1000 0 DON FITZGERALD BOARD MEMBER 0.30 2.00 X 0 750 0 DOUG WILEY BOARD MEMBER 0.30 2.00 X 0 750 0 JIM FRASURE BOARD MEMBER 0.30 2.00 X 0 1000 0 MIKE DUNAWAY BOARD MEMBER 0.30 2.00 X 0 1000 0 RANDY CLARK BOARD MEMBER 0.30 2.00 X 0 1000 0 ROBERT CROSBY BOARD MEMBER 0.30 2.00 X 0 750 0 SCOTT WILLIAMS BOARD MEMBER 0.30 2.00 X 0 1000 0 STEVE GNUSE BOARD MEMBER 0.30 2.00 X 0 750 0 SUSAN KLEIN BOARD MEMBER (BEGAN 2018) 0.30 2.00 X 0 0 0 THOMAS KERINS BOARD MEMBER 0.30 2.00 X 0 1000 0 TIMOTHY BURRELL BOARD MEMBER 0.30 2.00 X 0 1000 0 TIMOTHY PHILLIPPE CEO (UNTIL 12/17) 2.00 38.00 X 0 418430 35996 DONALD BELL CEO 2.00 38.00 X 0 347526 22946 CHUCK SCHMITZ CFO 2.00 38.00 X 0 263372 9196 SHERRY GUTERMUTH VICE PRESIDENT OF OPERATIONS 2.00 38.00 X 0 256689 14446 JENELLE BERTOLINO-ISHMAEL CHIEF STRATEGY OFFICER 2.00 38.00 X 0 273901 14446 JOHN P RUPKEY PHARMACY MANAGER 0.40 39.60 X 0 220137 5500 KATHRYN ABEL REGIONAL VP OF OPERATION 2.00 38.00 X 0 190924 13446 ELIZABETH HUCK VP OF SALES 2.00 38.00 X 0 176075 13446 THERESA POOLE VP OF CLINICAL SERVICES 2.00 38.00 X 0 152255 13446 MICHAEL SMAR PHARMACIST 0.40 39.60 X 0 152104 0 0 2466163 142868 0 0 1 0 0 5913 5913 MANAGEMENT FEES 623000 9288645 9288645 HOME CARE REVENUE 623000 3767143 3767143 HOSPICE REVENUE 623000 1949298 1949298 ASSISTED LIVING REVENUE 623000 833794 833794 OUTPATIENT THERAPY REVENUE 623000 707604 707604 16546484 52170 52170 114000 0 114000 114000 114000 14829 4693 -14829 -4693 -19522 -19522 DISCOUNTS 900099 8403 8403 SECURITY DEPOSIT 900099 8000 8000 MEAL REVENUE 900099 1957 1957 3922 3922 22282 16721327 16660484 0 54930 11314119 9078254 2235865 174250 139815 34435 1088437 873343 215094 746973 599358 147615 687512 687512 58587 58587 1032345 747776 284569 235964 211204 24760 1027241 710240 317001 70881 70881 724839 337554 387285 704828 639609 65219 92831 86743 6088 222240 222240 74493 74493 LICENSE, DUES, AND SUBS 179746 117039 62707 MEDICAL EXPENSES 117967 117967 RAW FOOD (DIETARY) 55166 55166 BAD DEBT 36454 36454 83400 68329 15071 18728273 14115584 4612689 0 26935 29706 405232 1127628 3963987 4197050 10167 13810 179094 146936 4040905 738626 3439604 3302279 3607024 3597301 2013664 2009231 2430241 379710 16075948 14803651 1824690 1850912 4398390 4556918 6223080 6407830 X 9852868 8395711 110 9852868 8395821 16075948 14803651 X -2006946 -35171 585070 X 0 1 X 1 0 X 12669 17128 14900 19279 5913 69889 11930357 12512244 15058498 17831696 16546484 73879279 11943026 12529372 15073398 17850975 16552397 73949168 200 200 0 200 200 73948968 16461 39045 34392 130132 166170 386200 16461 39045 34392 130132 166170 386200 93490 19441 40748 36976 22282 212937 12052977 12587858 15148538 18018083 16740849 74548305 0.99200 0.99270 0.00520 0.00350 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS - 2013 AMOUNT: $ 43,360. 2014 AMOUNT: $ 17,878. 2015 AMOUNT: $ 33,452. 2016 AMOUNT: $ 12,309. 2017 AMOUNT: $ 3,922. DISCOUNTS - 2013 AMOUNT: $ 36,605. 2014 AMOUNT: $ 1,563. 2015 AMOUNT: $ 3,151. 2016 AMOUNT: $ 18,439. 2017 AMOUNT: $ 8,403. MEAL REVENUE - 2016 AMOUNT: $ 1,828. 2017 AMOUNT: $ 1,957. SPACE RENTAL - 2013 AMOUNT: $ 13,525. BEAUTY SHOP - 2015 AMOUNT: $ 4,145. 2016 AMOUNT: $ 4,400. SECURITY DEPOSIT - 2017 AMOUNT: $ 8,000. 139567 139567 3283175 399097 2884078 110166 14205 95961 484044 325324 158720 23953 23953 3302279 INTERCOMPANY PAYABLES 4557068 SECURITY DEPOSITS -150 4556918 0 0 0 0 0 0 0 0 0 TIMOTHY PHILLIPPE CEO (UNTIL 12/17) 0 327332 0 85226 0 5872 0 7750 0 28246 0 454426 0 0 DONALD BELL CEO 0 299226 0 48300 0 0 0 15500 0 7446 0 370472 0 0 CHUCK SCHMITZ CFO 0 230872 0 32500 0 0 0 1750 0 7446 0 272568 0 0 SHERRY GUTERMUTH VICE PRESIDENT OF OPERATIONS 0 225689 0 31000 0 0 0 7000 0 7446 0 271135 0 0 JENELLE BERTOLINO-ISHMAEL CHIEF STRATEGY OFFICER 0 237301 0 36600 0 0 0 7000 0 7446 0 288347 0 0 JOHN P RUPKEY PHARMACY MANAGER 0 163167 0 28500 0 28470 0 5500 0 0 0 225637 0 0 KATHRYN ABEL REGIONAL VP OF OPERATION 0 157782 0 27000 0 6142 0 6000 0 7446 0 204370 0 0 ELIZABETH HUCK VP OF SALES 0 153919 0 15000 0 7156 0 6000 0 7446 0 189521 0 0 THERESA POOLE VP OF CLINICAL SERVICES 0 140755 0 11500 0 0 0 6000 0 7446 0 165701 0 0 MICHAEL SMAR PHARMACIST 0 152104 0 0 0 0 0 0 0 0 0 152104 0 0 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. FORM 990, PART VI, SECTION B, LINE 11B 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. THE BOARD OF DIRECTORS HAS ADOPTED A CONFLICT OF INTEREST POLICY. ANNUALLY EVERY BOARD MEMBER COMPLETES A CONFLICT OF INTEREST DISCLOSURE FORM AND IDENTIFIES ANY POTENTIAL CONFLICTS. THEY ALSO CERTIFY THAT THEY HAVE REVIEWED AND AGREE TO ABIDE BY THE CURRENT POLICY IN PLACE. IF A POTENTIAL CONFLICT ARISES IT IS REVIEWED BY THE BOARD OF DIRECTORS AND DISCUSSED AND VOTED ON. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIALS, 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 2018 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 ANNUAL AUDIT REPORT 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 585,070. SAFE HAVEN HOSPICE 622 EMERSON ROAD ST LOUIS MO 63141 275346886 HOSPICE SERVICES MO 1926734 299689 MIDWEST CHRISTIAN VILLAGES WABASH THERAPY CLINIC 622 EMERSON ROAD ST LOUIS MO 63141 383922894 THERAPY SERVICES MO 821652 1292154 MIDWEST CHRISTIAN VILLAGES JOHNSON CHRISTIAN VILLAGE CARE CENTER LLC 622 EMERSON ROAD ST LOUIS MO 63141 471908262 ELDERLY HOUSING IN 848414 2048509 MIDWEST CHRISTIAN VILLAGES BARBER CHRISTIAN HOME CARE LLC 622 EMERSON ROAD ST LOUIS MO 63141 364822892 HOME CARE SERVICES MO 1381743 2433517 MIDWEST CHRISTIAN VILLAGES MCV CARELINK LLC 622 EMERSON ROAD ST LOUIS MO 63141 364148578 HOME CARE SERVICES IL 2392907 575152 MIDWEST CHRISTIAN VILLAGES CHRISTIAN HOMES INC 200 N POSTVILLE DRIVE LINCOLN IL 62656 370841562 SKILLED NURSING FACILITY & RETIREMENT APARTMENTS IL 501(C)(3) LINE 10 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 10 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 10 N/A 0 HOOSIER CHRISTIAN VILLAGE 621 S SUGAR STREET BROWNSTOWN IN 47220 237423749 SKILLED NURSING FACILITY & RETIREMENT APARTMENTS IN 501(C)(3) LINE 10 N/A 0 LEWIS MEMORIAL CHRISTIAN VILLAGE 3400 WASHINGTON STREET SPRINGFIELD IL 62711 510173104 SKILLED NURSING FACILITY & RETIREMENT APARTMENTS IL 501(C)(3) LINE 10 N/A 0 MIDWEST SENIOR MINISTRIES 622 EMERSON ROAD ST LOUIS MO 63141 201053401 PHARMACY SERVICES IL 501(C)(3) LINE 10 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 10 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 10 N/A 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 1