2017-01-30T17:35:22-06:00 2016-06-30 381357951 PLANTE & MORAN PLLC 10 S Riverside Plaza 9th Floor Chicago IL 60606 990 2015-07-01 201053401 MIDWEST SENIOR MINISTRIES MIDW 3145877903 622 EMERSON ROAD No 310 ST LOUIS MO 63141 CHUCK SCHMITZ CFO 3145877903 2017-01-27 1 David Lowenthal P00378651 3122071040 2017-01-09 2015 2021-01-29 14:40:06Z CHUCK SCHMITZ 622 EMERSON ROAD No 310 ST LOUIS MO 63141 9878250 0 X WWW.CHRISTIANHOMES.ORG X 2005 IL TO PROVIDE QUALITY CARE FOR THE AGED IN A CHRISTIAN ENVIRONMENT. 16 16 256 0 3553616 0 17221 0 18530734 9877014 2124525 -2025 -186035 1236 20486445 9876225 0 0 0 0 6274206 1578345 0 0 0 14479891 7671553 20754097 9249898 -267652 626327 9129343 9778454 358572 381356 8770771 9397098 X THE MISSION OF MIDWEST SENIOR MINISTRIES 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. 0 0 5506827 6323398 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. 5506827 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 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 23 0 1 256 1 1 1 0 0 0 0 0 0 0 X 16 16 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 IL X MIDWEST CHRISTIAN VILLAGES 3145877903 622 EMERSON ROAD SUITE 310 ST LOUIS MO 63141 Ron Sewell BOARD MEMBER - CHAIRMAN 0.30 2.00 X X 0 1000 0 Nicholas A Filing BOARD MEMBER - VICE CHAIRMAN 0.30 2.00 X X 0 1000 0 Terry Goodner BOARD MEMBER - SECRETARY 0.30 2.00 X X 0 750 0 Billy Carter BOARD MEMBER - TREASURER 0.30 2.00 X X 0 750 0 Mark Behrends BOARD MEMBER 0.30 2.00 X 0 750 0 Timothy Burrell BOARD MEMBER 0.30 2.00 X 0 500 0 ROBERT Crosby BOARD MEMBER 0.30 2.00 X 0 1000 0 Jim Frasure BOARD MEMBER 0.30 2.00 X 0 1000 0 Bill Lash BOARD MEMBER 0.30 2.00 X 0 750 0 Scott Williams BOARD MEMBER 0.30 2.00 X 0 750 0 Patricia Lincoln BOARD MEMBER 0.30 2.00 X 0 1000 0 Randy Clark BOARD MEMBER 0.30 2.00 X 0 1000 0 Don Fitzgerald BOARD MEMBER 0.30 2.00 X 0 750 0 Debra Vincent BOARD MEMBER 0.30 2.00 X 0 500 0 Thomas Kerins BOARD MEMBER 0.30 2.00 X 0 1000 0 Steve Gnuse BOARD MEMBER 0.30 2.00 X 0 1000 0 TIMOTHY PHILLIPPE CEO 2.00 38.00 X 0 417667 35580 SUSAN MCGHEE CFO 2.00 38.00 X 0 281498 14080 SHERRY GUTERMUTH VICE PRESIDENT OF OPERATIONS 2.00 38.00 X 0 246220 14080 JOHN P RUPKEY Pharmacy Manager 2.00 38.00 X 0 196323 5500 KEITH RAY Senior VP Church and Business Development 2.00 38.00 X 0 110507 79912 KATHRYN ABEL REGIONAL VP OF OPERATION 2.00 38.00 X 0 162887 13080 ELLEN O'NEIL VP of Clinical Services 2.00 38.00 X 0 163451 11580 MICHAEL SMAR PHARMACIST 2.00 38.00 X 0 156741 7080 CONNIE RHOADS VP OF COMPLIANCE 2.00 38.00 X 0 135365 13080 MICHAEL MERRICK PHARMACIST 2.00 38.00 X 0 139041 7080 KELLY WYSS PHARMACIST 2.00 38.00 X 0 135531 7080 CAROL HOULE VP OF HR 2.00 38.00 X 0 135213 6000 0 2293944 214132 4 0 1 0 0 PHARMACY OPERATIONS 446110 9877014 6323398 3553616 9877014 2025 -2025 -2025 -2025 INSURANCE GAIN 900099 1236 1236 1236 9876225 6323398 3553616 -789 1353659 994875 358784 5500 4042 1458 130446 95872 34574 88740 88740 484600 484600 820 820 250 250 368752 1390 367362 55457 55457 108889 44502 64387 50078 12143 37935 199 199 154408 154408 13490 13490 COST OF GOODS SOLD 6402133 4097365 2304768 BAD DEBT 20000 20000 LICENSES, DUES & SUBSCR 11330 11330 MISCELLANEOUS 1147 1147 9249898 5506827 3743071 0 1500 1500 838439 1071298 1064561 926009 40894 37279 1283107 794153 605349 488954 6578600 7253414 9129343 9778454 354992 222636 3580 158720 358572 381356 X 8770771 9397098 8770771 9397098 9129343 9778454 626327 0 X 0 1 X 1 0 X 32444 22754 16593 17221 0 89012 28367705 27862996 27825829 15933759 6323398 106313687 28400149 27885750 27842422 15950980 6323398 106402699 0 0 0 106402699 128020 1219244 130309 120682 0 1598255 128020 1219244 130309 120682 1598255 22951 22951 124491 97891 145307 43426 1236 412351 28675611 29202885 28118038 16115088 6324634 108436256 0.98120 0.98230 0.01470 0.01350 X Schedule A, Part III, Line 12, Explanation of Other Income: Beauty Shop - 2011 Amount: $ 1,070. 2012 Amount: $ 800. 2013 Amount: $ 400. 2014 Amount: $ 1,200. Space Rental - 2011 Amount: $ 1,407. 2012 Amount: $ 9,585. 2013 Amount: $ 10,270. 2014 Amount: $ 4,160. Miscellaneous - 2011 Amount: $ 116,706. 2012 Amount: $ 45,505. 2013 Amount: $ 12,011. 2014 Amount: $ -2,077. Discounts - 2011 Amount: $ 5,308. 2012 Amount: $ 2,287. Cable TV - 2012 Amount: $ 11,517. 2013 Amount: $ 8,750. 2014 Amount: $ 3,453. Garage Rental - 2012 Amount: $ 28,197. 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: $ 1,236. 215284 134835 80449 1067823 659318 408505 488954 INTERCOMPANY RECEIVABLES 7253414 7253414 INTERCOMPANY PAYABLES 158720 158720 X Part X, Line 2: THE 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 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. X 1 1 0 0 0 0 0 0 0 1 0 TIMOTHY PHILLIPPE CEO 0 341224 0 76443 0 0 0 0 0 35580 0 453247 0 0 SUSAN MCGHEE CFO 0 235998 0 45500 0 0 0 0 0 14080 0 295578 0 0 SHERRY GUTERMUTH VICE PRESIDENT OF OPERATIONS 0 208220 0 38000 0 0 0 0 0 14080 0 260300 0 0 JOHN P RUPKEY Pharmacy Manager 0 162229 0 22000 0 12094 0 0 0 5500 0 201823 0 0 KEITH RAY Senior VP Church and Business Develo 0 96507 0 14000 0 0 0 0 0 79912 0 190419 0 0 KATHRYN ABEL REGIONAL VP OF OPERATION 0 143887 0 19000 0 0 0 0 0 13080 0 175967 0 0 ELLEN O'NEIL VP of Clinical Services 0 149951 0 13500 0 0 0 0 0 11580 0 175031 0 0 MICHAEL SMAR PHARMACIST 0 145624 0 0 0 11117 0 0 0 7080 0 163821 0 0 Part I, Line 1a TIMOTHY PHILLIPE RECEIVED A HOUSING ALLOWANCE OF $13,000 AND KEITH RAY RECEIVED A HOUSING ALLOWANCE OF $65,832. THE HOUSING ALLOWANCE WAS NOT TREATED AS TAXABLE COMPENSATION AND IS REPORTED ON SCHEDULE J, PART II, COLUMN (D) AS A NONTAXABLE BENEFIT. 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 11 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. 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 2016 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 FINANCIAL STATEMENTS 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 9876225 9778454 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 9 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 9 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 9 N/A 0 HOOSIER CHRISTIAN VILLAGE 621 S SUGAR STREET BROWNSTOWN IN 47220 237423749 SKILLED NURSING FACILITY & RETIREMENT APARTMENTS IN 501(c)(3) Line 9 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 9 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 9 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 9 N/A 0 VILLAGE CHRISTIAN PARKE 675 SOUTH FORD ROAD ZIONSVILLE IN 46077 311172227 RETIREMENT APARTMENTS IN 501(c)(3) Line 9 N/A 0 MIDWEST CHRISTIAN VILLAGES 200 N POSTVILLE DRIVE LINCOLN IL 62656 260275009 MGMT NURSING AND RETIREMENT MO 501(c)(3) Line 9 N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0