2014-12-23T12:05:05-06:00 2014-06-30 410746749 CLIFTONLARSONALLEN LLP 600 WASHINGTON AVENUE SUITE 1800 ST LOUIS MO 63101 990 2013-07-01 260275009 MIDWEST CHRISTIAN VILLAGES MIDW 3145877903 622 EMERSON ROAD NO 310 ST LOUIS MO 63141 SUSAN MCGHEE CFO 3145877903 2014-12-19 1 AMANDA TINNEY P01587658 3149254300 2013 2015-11-30 17:44:51Z SUSAN MCGHEE 622 EMERSON ROAD NO 310 ST LOUIS MO 63141 12052977 0 X WWW.CHRISTIANHOMES.ORG X 2008 IL 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, AND A PHARMACY. MANAGING INCLUDES PAYROLL, ACCOUNTS PAYABLE, BILLING, CLINICAL RESOURCES AND MANAGEMENT, OPERATIONS RESOURCES AND MANAGEMENT, AND HUMAN RESOURCES FOR EMPLOYEES AND RESIDENTS. 14 14 21 14 0 0 0 12669 9934760 11930357 14649 16461 70506 93490 10019915 12052977 0 0 0 0 5814433 7067414 0 0 0 2759324 4477389 8573757 11544803 1446158 508174 9570891 13857435 1151938 2003233 8418953 11854202 X THE 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. 0 0 3112562 12008223 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. 3112562 1 0 0 0 0 0 0 0 0 0 1 0 0 0 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 48 0 21 1 0 0 0 0 0 0 0 0 0 0 X 14 14 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 IL X MIDWEST CHRISTIAN VILLAGES 3145877903 622 EMERSON ROAD SUITE 310 ST LOUIS MO 63141 MARK A BEHRENDS BOARD MEMBER 0.30 2.00 X 1000 0 0 JIMMIE BLALOCK BOARD MEMBER 0.30 2.00 X 0 0 0 MAURINE COLLETT BOARD MEMBER 0.30 2.00 X 1000 0 0 ROBERT CROSBY BOARD MEMBER - CHAIRMAN 0.30 2.00 X X 1000 0 0 BILLY D CARTER BOARD MEMBER - TREASURER 0.30 2.00 X X 1000 0 0 RANDY CLARK BOARD MEMBER 0.30 2.00 X 1000 0 0 NICHOLAS A FILING BOARD MEMBER 0.30 2.00 X 1000 0 0 JAMES FRASURE MD BOARD MEMBER 0.30 2.00 X 750 0 0 TERRY GOODNER BOARD MEMBER - SECRETARY 0.30 2.00 X X 1000 0 0 BILL W LASH BOARD MEMBER 0.30 2.00 X 1000 0 0 PATRICIA M LINCOLN BOARD MEMBER 0.30 2.00 X 1000 0 0 DON FITZGERALD BOARD MEMBER 0.30 2.00 X 500 0 0 RONALD F SEWELL BOARD MEMBER - VICE CHAIRMAN 0.30 2.00 X X 1000 0 0 VICTOR S WILLIAMS BOARD MEMBER 0.30 2.00 X 0 0 0 TIMOTHY PHILLIPPE PRESIDENT/CEO 2.00 38.00 X 0 501346 22340 SUSAN MCGHEE CFO 2.00 38.00 X 0 302234 12840 SHERRY GUTERMUTH VICE PRESIDENT OF OPERATIONS 2.00 38.00 X 0 264628 12840 TROY BAUMANN VP OF BUSINESS OPERATIONS 2.00 38.00 X 0 289720 8340 JOHN RUPKEY PHARMACIST/MANAGER 2.00 38.00 X 0 201424 5500 LAURIE BROWN EXECUTIVE DIRECTOR 0.00 40.00 X 0 190224 12340 MICHAEL CARDENAS VP OF LEGAL AFFAIRS AND GENERAL COUNSEL 2.00 38.00 X 0 292456 3000 GREG WITTE EXECUTIVE DIRECTOR 0.00 40.00 X 0 185681 12340 11250 2227713 89540 0 0 1 0 CLIFTONLARSONALLEN LLP 600 WASHINGTON SUITE 1800 ST LOUIS MO 63101 ACCOUNTING & CONSULTING 272216 HOSPICE HAND LLC 3570 ANTIOCH ROAD PARIS KY 40361 CONSULTANT 177066 I&G DIRECT REAL ESTATE 18 LP 15006 COLLECTION CENTER DRIVE CHICAGO IL 60693 REAL ESTATE BROKER 113082 3 12669 12669 MANAGEMENT FEES 623000 9326161 9326161 NURSING REVENUE 623000 2604196 2604196 11930357 16461 16461 MISCELLANEOUS 900099 41261 41261 DISCOUNTS 900099 36605 36605 SPACE RENTAL 900099 13525 13525 2099 2099 93490 12052977 12008223 0 32085 12000 12000 5909351 684602 5224749 88750 2946 85804 695393 68166 627227 361920 45370 316550 205932 205932 318096 318096 460054 242942 217112 41366 41366 1938547 1222274 716273 19129 19129 37156 37156 451909 148220 303689 54386 904 53482 26 26 7523 7523 45147 45147 BAD DEBT EXPENSE 614809 614809 MISCELLANEOUS 163344 163344 LICENSE, DUES AND SUBSC 119965 119965 11544803 3112562 8432241 0 11734 8846570 5701064 939016 1513282 1333362 337896 6072 5763 141820 175986 720336 10448 0 709888 1834023 1841168 25000 5682 9570891 13857435 909981 1248091 241957 755142 1151938 2003233 X 8418953 11854202 8418953 11854202 9570891 13857435 X 508174 -1881 2928956 X X 0 1 X 1 0 X 12669 12669 8192547 8950450 10126482 9934760 11930357 49134596 8192547 8950450 10126482 9934760 11943026 49147265 0 0 0 49147265 4826 28481 56416 14789 16461 120973 4826 28481 56416 14789 16461 120973 1008 10681 20459 70506 93490 196144 8198381 8989612 10203357 10020055 12052977 49464382 0.99360 0.00240 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS - 2009 AMOUNT: $ 641. 2010 AMOUNT: $ 5,795. 2011 AMOUNT: $ 17,066. 2012 AMOUNT: $ 30,944. 2013 AMOUNT: $ 43,360. DISCOUNTS - 2011 AMOUNT: $ 2,802. 2012 AMOUNT: $ 39,926. 2013 AMOUNT: $ 36,605. VENDING REVENUE - 2009 AMOUNT: $ 367. 2010 AMOUNT: $ 615. 2011 AMOUNT: $ 591. 2012 AMOUNT: $ -364. 2013 AMOUNT: $ 0. SPACE RENTAL - 2010 AMOUNT: $ 4,271. 2013 AMOUNT: $ 13,525. 543045 1857 541188 11363 72 11291 165928 8519 157409 709888 INTERCOMPANY PAYABLES 755142 755142 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' INCOME TAX RETURNS FOR THE YEARS 2011 TO 2013 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. X 1 1 X X X X 1 0 0 0 0 0 0 0 0 TIMOTHY PHILLIPPE PRESIDENT/CEO 0 441644 0 59702 0 0 0 0 0 22340 0 523686 0 0 SUSAN MCGHEE CFO 0 263234 0 39000 0 0 0 0 0 12840 0 315074 0 0 SHERRY GUTERMUTH VICE PRESIDENT OF OPERATIONS 0 221161 0 35445 0 8022 0 0 0 12840 0 277468 0 0 TROY BAUMANN VP OF BUSINESS OPERATIONS 0 262420 0 27300 0 0 0 0 0 8340 0 298060 0 0 JOHN RUPKEY PHARMACIST/MANAGER 0 165145 0 29000 0 7279 0 0 0 5500 0 206924 0 0 LAURIE BROWN EXECUTIVE DIRECTOR 0 164769 0 18990 0 6465 0 0 0 12340 0 202564 0 0 MICHAEL CARDENAS VP OF LEGAL AFFAIRS AND GENERAL COUN 0 222539 0 30000 0 39917 0 0 0 3000 0 295456 0 0 GREG WITTE EXECUTIVE DIRECTOR 0 166681 0 19000 0 0 0 0 0 12340 0 198021 0 0 PART I, LINE 1A TIMOTHY PHILLIPPE RECEIVED A HOUSING ALLOWANCE OF $18,200. PART I, LINE 4A MICHAEL CARDENAS RECEIVED A TAXABLE SEVERANCE PAYMENT OF $39,917. FORM 990, PART VI, SECTION B, LINE 11 THE BOARD GETS A DRAFT OF THE 990 ELECTRONICALLY SENT TO THEM FOR REVIEW PRIOR TO SUBMISSION. 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 THE 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 19 THE ORGANIZATION POSTS ITS FINANCIAL STATEMENTS ON ITS WEBSITE MONTHLY. FINANCIAL STATEMENTS CAN ALSO BE OBTAINED UPON REQUEST. FORM 990, PART XI, LINE 9: EQUITY TRANSFER FROM OG 3,668,197. EQUITY TRANSFER FROM SHH -739,241. FORM 990, PAGE 12, PART XII, LINE 2C - AUDIT COMMITTEE OVERSIGHT & REVIEW THE ORGANIZATION HAS NOT CHANGED ITS OVERSIGHT OR SELECTION PROCESS DURING THE FILING YEAR. SAFE HAVEN HOSPICE 622 EMERSON ROAD ST LOUIS MO 63141 275346886 HOSPICE SERVICES MO 2616865 407695 MIDWEST CHRISTIAN VILLAGES WABASH THERAPY CLINIC 622 EMERSON ROAD ST LOUIS MO 63141 383922894 THERAPY SERVICES MO 13525 709388 MIDWEST CHRISTIAN VILLAGES CHRISTIAN HOMES INC 200 N POSTVILLE DR 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 AVE 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 ST SPRINGFIELD IL 62711 510173104 SKILLED NURSING FACILITY & RETIREMENT APARTMENTS IL 501(C)(3) LINE 9 N/A 0 HOOSIER CHRISTIAN VILLAGE 621 S SUGAR ST 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 ST 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 RD ZIONSVILLE IN 46077 311172227 RETIREMENT APARTMENTS IN 501(C)(3) LINE 9 N/A 0 MIDWEST SENIOR MINISTRIES 111 E WASHINGTON BENSENVILLE IL 60106 201053401 SKILLED NURSING FACILITY, RETIREMENT APARTMENTS & PHARMACY IL 501(C)(3) LINE 9 N/A 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0