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 201053401 MIDWEST SENIOR MINISTRIES 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 67.59.56.30 2019-05-13 11:16:19 CD P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 FDBF5755ADEBBA880A0E5370086EB71C611A9D4F 2017 2019-02-21 02:37:17Z CHUCK SCHMITZ 622 EMERSON ROAD NO 310 ST LOUIS MO 63141 10460975 0 X HTTPS://CHRISTIANHORIZONSLIVING.ORG/ X 2005 IL WE EXIST TO HONOR GOD BY PROVIDING A CONTINUUM OF EXCELLENT CARE AND SUPPORT SERVICES, PRIMARILY FOR OLDER ADULTS. 15 15 36 0 2533098 0 0 0 10361421 10460205 -11643 720 10764 50 10360542 10460975 0 0 0 0 1575331 1664529 0 0 0 8006489 7990204 9581820 9654733 778722 806242 10352558 11162229 176738 180167 10175820 10982062 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 5993170 0 7927157 MIDWEST CHRISTIAN MINISTRIES PROVIDES PHARMACY SERVICES, INCLUDING PHARMACEUTICALS, CONSULTING AND SUPPLIES, TO RESIDENTS OF RELATED NON-PROFIT NURSING CAMPUSES AND AFFILIATES PROVIDING CARE IN A CHRISTIAN ENVIRONMENT. 5993170 1 0 0 0 0 0 0 0 0 0 1 0 0 1 0 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 36 1 1 1 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 IL 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 CEO (UNTIL 12/17) 2.00 38.00 X 0 418430 35996 DONALD J 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 37.60 2.40 X 220137 0 5500 KATHRYN J ABEL REGIONAL VP OF OPERATION 2.00 38.00 X 0 190924 13446 ELIZABETH A 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 W SMAR PHARMACIST 37.60 2.40 X 152104 0 7446 372241 2093922 150314 4 0 1 0 0 PHARMACY OPERATIONS 446110 10460205 7927107 2533098 10460205 720 720 DISCOUNTS 900099 50 50 50 10460975 7927107 2533098 770 1446193 1105085 341108 5500 4203 1297 115547 88293 27254 97289 74342 22947 518520 518520 59 59 87254 1297 85957 1622 1622 44634 4078 40556 96044 96044 117112 49916 67196 56274 22846 33428 896 149 747 119357 119357 17758 17758 COST OF GOODS SOLD 6466677 4138673 2328004 COURIER EXPENSE 254785 163062 91723 BAD DEBT 195040 195040 LICENSES, DUES & SUBSCR 13925 8912 5013 247 159 88 9654733 5993170 3661563 0 500 500 1268411 1139644 856487 810556 35106 36631 1287791 961624 432262 326167 7759792 8848731 10352558 11162229 176738 180167 176738 180167 X 10175820 10982062 10175820 10982062 10352558 11162229 806242 0 X 0 1 X 1 0 X 16593 17221 0 0 0 33814 27825829 15933759 6323398 7636504 7927107 65646597 27842422 15950980 6323398 7636504 7927107 65680411 0 0 0 65680411 130309 120682 0 0 720 251711 130309 120682 720 251711 145307 43426 1236 10764 50 200783 28118038 16115088 6324634 7647268 7927877 66132905 0.99320 0.97980 0.00380 0.01680 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: BEAUTY SHOP - 2013 AMOUNT: $ 400. 2014 AMOUNT: $ 1,200. SPACE RENTAL - 2013 AMOUNT: $ 10,270. 2014 AMOUNT: $ 4,160. MISCELLANEOUS - 2013 AMOUNT: $ 12,011. 2014 AMOUNT: $ -2,077. DISCOUNTS - CABLE TV - 2013 AMOUNT: $ 8,750. 2014 AMOUNT: $ 3,453. GARAGE RENTAL - 2013 AMOUNT: $ 27,412. 2014 AMOUNT: $ 12,213. MANAGEMENT FEES - 2013 AMOUNT: $ 36,000. VENDING/MEAL - 2013 AMOUNT: $ 49,720. 2014 AMOUNT: $ 17,629. INSURANCE GAIN - 2013 AMOUNT: $ 744. 2014 AMOUNT: $ 6,848. 2015 AMOUNT: $ 1,215. 2016 AMOUNT: $ 10,734. DISCOUNTS - 2015 AMOUNT: $ 21. 2016 AMOUNT: $ 30. 2017 AMOUNT: $ 50. 215284 151366 63918 1064126 810258 253868 8381 8381 326167 INTERCOMPANY RECEIVABLES 8848731 8848731 0 0 0 0 0 0 0 1 0 TIMOTHY F PHILLIPPE CEO (UNTIL 12/17) 0 327332 0 85226 0 5872 0 7750 0 28246 0 454426 0 0 DONALD J 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 163167 0 28500 0 28470 0 5500 0 0 0 225637 0 0 0 KATHRYN J ABEL REGIONAL VP OF OPERATION 0 157782 0 27000 0 6142 0 6000 0 7446 0 204370 0 0 ELIZABETH A 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 W SMAR PHARMACIST 146379 0 0 0 5725 0 0 0 7446 0 159550 0 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. PART I, LINE 7 AS INDICATED IN SCHEDULE J, PART II, CERTAIN INDIVIDUALS RECEIVED BONUSES BASED UPON THE ORGANIZATION'S OR A RELATED ORGANIZATION'S FINANCIAL POSITION. 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 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. SENIOR CARE PHARMACY SERVICES LLC 1204 BEAR LANE MONTICELLO IL 61856 201053401 PHARMACY SERVICES IL 10460975 11162229 MIDWEST SENIOR MINISTRIES INC 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 CROWN POINT CHRISTIAN VILLAGE 6685 E 117TH STREET CROWN POINT IN 46307 311114614 SKILLED NURSING FACILITY & RETIREMENT APARTMENTS IN 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 CHRISTIAN VILLAGES 200 N POSTVILLE DRIVE LINCOLN IL 62656 260275009 MGMT NURSING AND RETIREMENT MO 501(C)(3) LINE 10 N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0