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 311114614 CROWN POINT CHRISTIAN VILLAGE CROW 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 12:11:37 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 F51046F0BD5714FDBFEEE435C204D6AFFC186FF5 2017 2019-02-21 02:37:17Z CHUCK SCHMITZ 622 EMERSON ROAD NO 310 ST LOUIS MO 63141 12114263 0 X HTTPS://CHRISTIANHORIZONSLIVING.ORG/ X 1980 IN WE EXIST TO HONOR GOD BY PROVIDING A CONTINUUM OF EXCELLENT CARE AND SUPPORT SERVICES, PRIMARILY FOR OLDER ADULTS. 15 15 336 80 0 0 102844 32039 13042990 12050525 1795 3076 65153 28623 13212782 12114263 0 0 0 0 6506480 6367445 0 0 0 5389533 5397632 11896013 11765077 1316769 349186 12621028 12117292 22476815 21623158 -9855787 -9505866 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 10142890 0 12050525 CROWN POINT CHRISTIAN VILLAGE PROVIDES QUALITY CARE FOR THE AGED IN A CHRISTIAN ENVIRONMENT. THE CAMPUS INCLUDES OPERATION OF A SKILLED NURSING FACILITY WITH 42,595 PATIENT DAYS OF SERVICE, OPERATION OF AN INDEPENDENT RETIREMENT COMMUNITY WITH AN AVERAGE OF 22 INDEPENDENT LIVING UNITS OCCUPIED, AND OPERATION OF A SENIOR LIVING APARTMENT BUILDING WITH AN AVERAGE OF 37 SENIOR APARTMENTS OCCUPIED DURING THE YEAR. 10142890 1 1 0 0 0 0 0 0 1 1 1 0 0 1 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 0 1 0 0 0 1 0 0 1 336 1 0 0 0 0 0 0 0 0 0 0 X 15 15 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 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 F PHILLIPPE CHIEF EXECUTIVE OFFICER (UNTIL 12/17) 2.00 38.00 X 0 418430 35996 DONALD J BELL CHIEF EXECUTIVE OFFICER 2.00 38.00 X 0 347526 22946 CHUCK SCHMITZ CHIEF FINANCIAL OFFICER 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 J ABEL REGIONAL VICE PRESIDENT OF OPERATION 2.00 38.00 X 0 190924 13446 ELIZABETH A HUCK VICE PRESEIDENT OF SALES 2.00 38.00 X 0 176075 13446 THERESA POOLE VICE PREISDENT OF CLINICAL SERVICES 2.00 38.00 X 0 152255 13446 MICHAEL W SMAR PHARMACIST 0.40 39.60 X 0 152104 0 0 2466163 142868 1 0 1 0 0 32039 32039 NURSING HOME REVENUE 623000 10316712 10316712 ASSISTED LIVING REVENUE 623000 1374055 1374055 INDEPENDENT LIVING REVENUE 623000 359758 359758 12050525 1809 1809 1267 0 1267 1267 1267 BARBER & BEAUTY REVENUE 900099 36416 36416 DISCOUNTS 900099 16135 16135 MEAL REVENUE 900099 6259 6259 -30187 -30187 28623 12114263 12050525 0 31699 5465054 4999038 466016 9500 8690 810 492003 450049 41954 400888 366703 34185 806477 806477 224 224 862397 839338 23059 32808 32808 406457 372219 34238 54302 54302 533233 476806 56427 26201 13246 12955 1289 310 979 790952 790952 956726 950398 6328 148207 148207 MEDICAL EXPENESES 376988 376988 RAW FOOD (DIETARY) 349946 349946 LICENSES, DUES & SUBSCR 35993 35993 BAD DEBT 11892 11892 3540 3540 11765077 10142890 1622187 0 17595 809 129538 154250 446761 -6398 12852 13300 30975 16142 27580451 16948460 11305734 10631991 81846 86253 595727 1220945 12621028 12117292 538741 522452 727373 622241 6719173 7682730 105166 0 10178790 9129980 4207572 3665755 22476815 21623158 X -9886882 -9545838 31095 39972 -9855787 -9505866 12621028 12117292 349186 735 0 X 0 1 X 1 0 X 55976 229109 58289 102844 32039 478257 11853922 12267163 12934469 13042990 12050525 62149069 11909898 12496272 12992758 13145834 12082564 62627326 0 0 0 62627326 1660 4239 1769 1927 1809 11404 1660 4239 1769 1927 1809 11404 232083 346620 -94079 65153 28623 578400 12143641 12847131 12900448 13212914 12112996 63217130 0.99070 0.97920 0.00020 0.00340 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: BEAUTY AND BARBER - 2013 AMOUNT: $ 45,217. 2014 AMOUNT: $ 46,862. 2015 AMOUNT: $ 43,960. 2016 AMOUNT: $ 41,778. 2017 AMOUNT: $ 36,416. VENDING/MEAL - 2013 AMOUNT: $ 12,381. 2014 AMOUNT: $ 10,425. 2015 AMOUNT: $ 7,309. 2016 AMOUNT: $ 6,239. 2017 AMOUNT: $ 6,259. MISCELLANEOUS - 2013 AMOUNT: $ 6,509. 2014 AMOUNT: $ 223,587. 2015 AMOUNT: $ 18,980. 2016 AMOUNT: $ 17,136. 2017 AMOUNT: $ -30,187. ACTIVITY - DISCOUNTS - 2013 AMOUNT: $ 1. 2017 AMOUNT: $ 16,135. INSURANCE GAIN - 2013 AMOUNT: $ 167,975. 2014 AMOUNT: $ 65,746. MANAGEMENT FEES - DEBT EXTINGUISHMENT - 2015 AMOUNT: $ -164,328. 0 1 X 78882 3671 82553 74690 4192 78882 68014 6676 74690 62013 6001 68014 56483 5530 62013 1.00000 0.00000 0.00000 0 0 205479 205479 21552082 12581072 8971010 2643719 1604288 1039431 3096271 2763100 333171 82900 82900 10631991 ENTRANCE DEPOSITS 18208 BOND FUNDS 577497 ACCRUED INTEREST RECEIVABLE 232 INTERCOMPANY RECEIVABLES 625008 1220945 SECURITY DEPOSIT PAYABLE 175694 DUE TO APARTMENT RESIDENTS 618197 DUE TO AUXILARY 12690 INTERCOMPANY PAYABLE 2859174 3665755 PART IV, LINE 2B: RESIDENT FUNDS ARE AGENCY FUNDS HELD LOCALLY AT THE FACILITIES FOR INDIVIDUAL RESIDENTS PERSONAL USE, RESIDENT SECURITY DEPOSITS, AND OTHER MISCELLANEOUS DEPOSITS. PART V, LINE 4: ORGANIZATION HOLDS FUNDS IN ENDOWMENT DESIGNATED BY THE BOARD OF DIRECTORS TO BE USED FOR RESIDENT CARE. 0 0 0 0 0 0 0 0 0 TIMOTHY F PHILLIPPE CHIEF EXECUTIVE OFFICER (UNTIL 12/17 0 327332 0 85226 0 5872 0 7750 0 28246 0 454426 0 0 DONALD J BELL CHIEF EXECUTIVE OFFICER 0 299226 0 48300 0 0 0 15500 0 7446 0 370472 0 0 CHUCK SCHMITZ CHIEF FINANCIAL OFFICER 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 J ABEL REGIONAL VICE PRESIDENT OF OPERATION 0 157782 0 27000 0 6142 0 6000 0 7446 0 204370 0 0 ELIZABETH A HUCK VICE PRESEIDENT OF SALES 0 153919 0 15000 0 7156 0 6000 0 7446 0 189521 0 0 THERESA POOLE VICE PREISDENT OF CLINICAL SERVICES 0 140755 0 11500 0 0 0 6000 0 7446 0 165701 0 0 MICHAEL W 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 A, LINE 3 THE ORGANIZATION DELEGATES MANAGEMENT DUTIES INCLUDING SUPERVISING PERSONNEL, OPERATIONS, AND BUDGETING TO MIDWEST CHRISTIAN VILLAGES, A MANAGEMENT COMPANY AND RELATED EXEMPT ORGANIZATION. 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 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 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. 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 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 LEWIS MEMORIAL CHRISTIAN VILLAGE 3400 W WASHINGTON STREET SPRINGFIELD IL 62711 510173104 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 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 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 MIDWEST SENIOR MINISTRIES 622 EMERSON ROAD ST LOUIS MO 63141 201053401 PHARMACY SERVICES IL 501(C)(3) LINE 10 N/A 0 MIDWEST CHRISTIAN VILLAGES 200 N POSTVILLE DRIVE LINCOLN IL 62656 260275009 MGMT NURSING AND RETIREMENT COMMUNITIES MO 501(C)(3) LINE 10 N/A 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0