HOOSIER CHRISTIAN VILLAGE INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
HOOSIER CHRISTIAN VILLAGE INC (EIN 23-7423749)
Tax period
2012-07-01 to 2013-06-30
Filed
2013-12-18
IRS object ID
201333529349300118
Schema version
2012v2.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-12-18T10:48:06-06:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN410746749EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1600 WASHINGTON AVENUE SUITE 1800AddressLine1
CityST LOUISCity
StateMOState
ZIP Code63101ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN237423749EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1HOOSIER CHRISTIAN VILLAGEBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlHOOSNameControl
Phone3145877903Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1622 EMERSON RD NO 310AddressLine1
CityST LOUISCity
StateMOState
ZIP Code63141ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameSUSAN MCGHEEName
TitleCFOTitle
Phone3145877903Phone
Date Signed2013-12-17DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJEFF PARKERName
PTINP00970069PTIN
Phone3149254300Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonSUSAN MCGHEENameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1622 EMERSON RD NO 310AddressLine1
CityST LOUISCity
StateMOState
ZIP Code63141ZIPCode
FieldValueIRS element (for citing)
Gross Receipts7874106GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.CHRISTIANHOMES.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1975YearFormation
State Legal DomicileINStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE QUALITY CARE FOR THE AGED IN A CHRISTIAN ENVIRONMENT.ActivityOrMissionDescription
Nbr Voting Members Governing Body14NbrVotingMembersGoverningBody
Nbr Independent Voting Members14NbrIndependentVotingMembers
Total Nbr Employees209TotalNbrEmployees
Total Nbr Volunteers411TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year45079ContributionsGrantsPriorYear
Contributions Grants Current Year33065ContributionsGrantsCurrentYear
Program Service Revenue Prior Year6806989ProgramServiceRevenuePriorYear
Program Service Revenue CY7815479ProgramServiceRevenueCY
Investment Income Prior Year21406InvestmentIncomePriorYear
Investment Income Current Year12411InvestmentIncomeCurrentYear
Other Revenue Prior Year12641OtherRevenuePriorYear
Other Revenue Current Year9252OtherRevenueCurrentYear
Total Revenue Prior Year6886115TotalRevenuePriorYear
Total Revenue Current Year7870207TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year3948522SalariesEtcPriorYear
Salaries Etc Current Year3924613SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year2542298OtherExpensePriorYear
Other Expenses Current Year2610173OtherExpensesCurrentYear
Total Expenses Prior Year6490820TotalExpensesPriorYear
Total Expenses Current Year6534786TotalExpensesCurrentYear
Revenues Less Expenses Prior Year395295RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1335421RevenuesLessExpensesCY
Total Assets BOY7321575TotalAssetsBOY
Total Assets EOY8454992TotalAssetsEOY
Total Liabilities BOY978467TotalLiabilitiesBOY
Total Liabilities EOY765747TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY6343108NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY7689245NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE MISSION OF HOOSIER CHRISTIAN VILLAGE 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.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense5798918Expense
Revenue7816851Revenue
DescriptionHOOSIER CHRISTIAN VILLAGE PROVIDES QUALITY CARE TO SENIORS IN A CHRISTIAN ENVIRONMENT. THE OPERATIONS INCLUDE SKILLED NURSING CARE AND INDEPENDENT LIVING APARTMENTS. THE SKILLED NURSING CARE FACILITY PROVIDED 34,072 PATIENT DAYS OF SERVICE, AND THE INDEPENDENT LIVING CARE FACILITY HAS 13 INDEPENDENT LIVING APARTMENTS ON THE CAMPUS THAT REMAIN FULL.Description
Total Program Service Expense5798918TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109613NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees209NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Form8899 Filed0Form8899Filed
Form1098 C Filed0Form1098CFiled
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members14NbrVotingGoverningBodyMembers
Number Independent Voting Members14NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties1DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledINStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1MIDWEST CHRISTIAN VILLAGESBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number3145877903TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1622 EMERSON RD SUITE 310AddressLine1
CityST LOUISCity
StateMOState
ZIP Code63141ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (23 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
ROBERT CROSBY
BOARD MEMBER - CHAIRMAN1.002.00XX010000
BILLY D CARTER
BOARD MEMBER - TREASURER1.002.00XX010000
RANDY CLARK
BOARD MEMBER1.002.00X010000
NICHOLAS A FILING
BOARD MEMBER1.002.00X010000
JAMES FRASURE MD
BOARD MEMBER1.002.00X010000
TERRY GOODNER
BOARD MEMBER - SECRETARY1.002.00XX012500
BILIE W LASH
BOARD MEMBER1.002.00X07500
PATRICIA M LINCOLN
BOARD MEMBER1.002.00X010000
MARYLYN ROWE
BOARD MEMBER1.002.00X010000
RONALD F SEWELL
BOARD MEMBER - VICE CHAIRMAN1.002.00XX010000
VICTOR S WILLIAMS
BOARD MEMBER1.002.00X000
MARK A BEHRENDS
BOARD MEMBER1.002.00X010000
JIMMIE BLALOCK
BOARD MEMBER1.002.00X000
MAURINE COLLETT
BOARD MEMBER1.002.00X07500
TIMOTHY PHILLIPPE
PRESIDENT/CEO2.0038.00X04227096840
SUSAN MCGHEE
CFO2.0038.00X021660512840
SHERRY GUTERMUTH
SENIOR REGIONAL VICE PRESIDENT2.0038.00018905112840X
MARK LONGENECKER
VICE PRESIDENT OF OPERATION2.0038.00022015212840X
JOHN RUPKEY
PHARMACIST/MANAGER2.0038.00018107812340X
JODI NYLIN
REGIONAL VICE PRESIDENT2.0038.0001791544500X
MICHAEL CARDENAS
VP OF LEGAL AFFAIRS AND GENERAL COUNSEL2.0038.0001597436840X
GREG WITTE
EXECUTIVE DIRECTOR0.0040.00015577612340X
ROBERT VINCENT
EXECUTIVE DIRECTOR0.0040.0001472666840X
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1883284TotalReportableCompFrmRltdOrgs
Total Other Compensation88220TotalOtherCompensation
Number Individuals GT100 K2NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (2 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
KINDRED REHAB SERVICES INC
BOX 277365ATLANTAGA30384THERAPY SERVICES661810
PRN PHARMACEUTICAL
BOX 715268COLUMBUSOH43271PHARMACY SERVICES422633
FieldValueIRS element (for citing)
Number Of Contractors GT100 K2NumberOfContractorsGT100K
All Other Contributions33065AllOtherContributions
Total Contributions33065TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NURSING HOME REVENUE (62300077332627733262
INDEPENDENT RETIREMENT6239908221782217
FieldValueIRS element (for citing)
Total Program Service Revenue7815479TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column8834TotalRevenueColumn
Exclusion$8,834ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities7476Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities0Securities
Other3899Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities7476Securities
Other-3899Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column3577TotalRevenueColumn
Exclusion$3,577ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmountRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
BARBER & BEAUTY SHOP9000997880$7,880
DISCOUNTS90009913071307
MISCELLANEOUS REVENUE9000996565
FieldValueIRS element (for citing)
Total Other Revenue9252TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column7870207TotalRevenueColumn
Related Or Exempt Function Income7816851RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$20,291ExclusionAmount
FieldValueIRS element (for citing)
Info In Schedule O Part IXXInfoInScheduleOPartIX

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total2959722Total
Program Services2832752ProgramServices
Management And General126970ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total726865Total
Program Services695683ProgramServices
Management And General31182ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total238026Total
Program Services227815ProgramServices
Management And General10211ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total404393Total
Management And General404393ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total54793Total
Management And General54793ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total662624Total
Program Services658598ProgramServices
Management And General4026ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total6557Total
Management And General6557ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total615392Total
Program Services577447ProgramServices
Management And General37945ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total36968Total
Management And General36968ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total192474Total
Program Services192474ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total8854Total
Program Services4098ProgramServices
Management And General4756ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total489Total
Program Services195ProgramServices
Management And General294ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total8141Total
Program Services8141ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total237110Total
Program Services237110ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total71596Total
Program Services71596ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
RAW FOOD216218216218
PURCHASED SERVICES7118671186
LICENSE, DUES, & SUBSCR1243554806955
BAD DEBT85368536

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total2407Total
Program Services125ProgramServices
Management And General2282ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total6534786Total
Program Services5798918ProgramServices
Management And General735868ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY4695353BOY
EOY13894EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY220713BOY
EOY5452283EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY580769BOY
EOY24201EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
EOY1189157EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY14692BOY
EOY16438EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY7579BOY
EOY27789EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis4959639LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec3604827LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY1451787BOY
EOY1354812EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY350682BOY
EOY376418EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY7321575BOY
EOY8454992EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY636146BOY
EOY579507EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY34924BOY
EOY29716EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY152727BOY
EOY143968EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY154670BOY
EOY12556EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY978467BOY
EOY765747EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY6335193BOY
EOY7681199EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY7915BOY
EOY8046EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY6343108BOY
EOY7689245EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY7321575BOY
EOY8454992EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses1335421ReconcilationRevenueExpenses
Reconciliation Unrealized Invest10716ReconciliationUnrealizedInvest
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years80237CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years70755CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years54813CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year49339CurrentTaxYearMinus1Year
Current Tax Year33065CurrentTaxYear
Total288209Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years5882081CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years6042594CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years6500052CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6806989CurrentTaxYearMinus1Year
Current Tax Year7815479CurrentTaxYear
Total33047195Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years5962318CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years6113349CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years6554865CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6856328CurrentTaxYearMinus1Year
Current Tax Year7848544CurrentTaxYear
Total33335404Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years515426CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years223868CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year332714CurrentTaxYearMinus1Year
Current Tax Year348836CurrentTaxYear
Total1420844Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years515426CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years223868CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year332714CurrentTaxYearMinus1Year
Current Tax Year348836CurrentTaxYear
Total1420844Total
FieldValueIRS element (for citing)
Public Support Total50931914560PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years15793CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years9739CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years9217CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year14666CurrentTaxYearMinus1Year
Current Tax Year8834CurrentTaxYear
Total58249Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years15793CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years9739CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years9217CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year14666CurrentTaxYearMinus1Year
Current Tax Year8834CurrentTaxYear
Total58249Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years13546CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years13929CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years14525CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year12641CurrentTaxYearMinus1Year
Current Tax Year9252CurrentTaxYear
Total63893Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years5991657CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years6137017CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years6578607CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6883635CurrentTaxYearMinus1Year
Current Tax Year7866630CurrentTaxYear
Total33457546Total
FieldValueIRS element (for citing)
Public Support Percentage5090.95390PublicSupportPercentage509
Prior Year Support Percentage0.96120PriorYearSupportPercentage
Investment Income Percentage0.00170InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00280PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509
General ExplanationSCHEDULE A, PART II, LINE 12, EXPLANATION OF OTHER INCOME: BARBER AND BEAUTY SHOP - 2008 AMOUNT: $ 11,125. 2009 AMOUNT: $ 10,296. 2010 AMOUNT: $ 10,750. 2011 AMOUNT: $ 9,252. 2012 AMOUNT: $ 7,880. MISCELLANEOUS - 2008 AMOUNT: $ 2,645. 2009 AMOUNT: $ 3,633. 2010 AMOUNT: $ 3,775. 2011 AMOUNT: $ 3,389. 2012 AMOUNT: $ 1,372. ACTIVITY - 2008 AMOUNT: $ -224.GeneralExplanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance326325BeginningOfYearBalance
Investment Earnings Or Losses15654InvestmentEarningsOrLosses
End Of Year Balance341979EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance310567BeginningOfYearBalance
Investment Earnings Or Losses15758InvestmentEarningsOrLosses
End Of Year Balance326325EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance297154BeginningOfYearBalance
Investment Earnings Or Losses13413InvestmentEarningsOrLosses
End Of Year Balance310567EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance297679BeginningOfYearBalance
Investment Earnings Or Losses-525InvestmentEarningsOrLosses
End Of Year Balance297154EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance310432BeginningOfYearBalance
Investment Earnings Or Losses-12753InvestmentEarningsOrLosses
End Of Year Balance297679EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance1.00000BoardDesignatedEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis27135OtherCostOrOtherBasis
Book Value27135BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis3524366OtherCostOrOtherBasis
Depreciation2535135Depreciation
Book Value989231BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1408138OtherCostOrOtherBasis
Depreciation1069692Depreciation
Book Value338446BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings1354812TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
DUE TO AUXILIARY$12,394
DUE TO CORP OFFICE$162
FieldValueIRS element (for citing)
Total Of Amounts12556TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:PART V, LINE 4:ORGANIZATION HOLDS FUNDS IN ENDOWMENT DESIGNATED BY THE BOARD OF DIRECTORS TO BE USED FOR RESIDENT CARE.
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X, LINE 2:THE ORGANIZATION QUALIFIES AS A TAX-EXEMPT CORPORATION DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, THE ORGANIZATION IS NOT SUBJECT TO FEDERAL INCOME TAXES UNDER SECTION 501(A) OF THE CODE. THE ORGANIZATION IS CLASSIFIED AS A PUBLICLY-SUPPORTED CHARITABLE ORGANIZATION UNDER THE CODE AND CONTRIBUTIONS TO THE ORGANIZATION QUALIFY AS A CHARITABLE TAX DEDUCTION FOR THE CONTRIBUTOR. THE ORGANIZATION FOLLOWS THE INCOME TAX STANDARD FOR UNCERTAIN TAX POSITIONS. THIS STANDARD CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ORGANIZATION'S FINANCIAL STATEMENTS. IT ALSO PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT PRINCIPLES FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN ON A TAX RETURN THAT ARE NOT CERTAIN TO BE REALIZED. THIS STANDARD HAS NO IMPACT ON THE ORGANIZATIONS' FINANCIAL STATEMENTS. THE ORGANIZATIONS' INCOME TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL, STATE, AND LOCAL AUTHORITIES. THE ORGANIZATION IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE THEIR TAX-EXEMPT STATUS. THE ORGANIZATION IS 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. THE TAX RETURNS FOR THE YEARS 2010 TO 2012 ARE OPEN TO EXAMINATION BY FEDERAL, LOCAL, AND STATE AUTHORITIES.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Housing Allowance Or ResidenceXHousingAllowanceOrResidence
Written Policy Re T And E Expenses1WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Compensation CommitteeXCompensationCommittee
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment1SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (9 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
TIMOTHY PHILLIPPE
PRESIDENT/CEO0373209049500000006840042954900
SUSAN MCGHEE
CFO0216605000000012840022944500
SHERRY GUTERMUTH
SENIOR REGIONAL VICE PRESIDENT01633040210000474700012840020189100
MARK LONGENECKER
VICE PRESIDENT OF OPERATION01774550400000269700012840023299200
JOHN RUPKEY
PHARMACIST/MANAGER01474080280000567000012340019341800
JODI NYLIN
REGIONAL VICE PRESIDENT01438850150000202690004500018365400
MICHAEL CARDENAS
VP OF LEGAL AFFAIRS AND GENERAL COUN015974300000006840016658300
GREG WITTE
EXECUTIVE DIRECTOR01329360215000134000012340016811600
ROBERT VINCENT
EXECUTIVE DIRECTOR0132845010000044210006840015410600

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanation
PART I, LINE 1ATIMOTHY PHILLIPPE RECEIVED A HOUSING ALLOWANCE OF $16,478 AND ROBERT VINCENT RECEIVED A HOUSING ALLOWANCE OF $25,480.
PART I, LINE 4AJODI NYLIN RECEIVED TAXABLE SEVERANCE PAYMENT OF $20,269.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 3THE 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 11THE BOARD GETS A DRAFT OF THE 990 ELECTRONICALLY SENT TO THEM FOR REVIEW PRIOR TO SUBMISSION.
FORM 990, PART VI, SECTION B, LINE 12CTHE 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 15THE 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 DETERMINED 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 19THE ORGANIZATION POSTS ITS FINANCIAL STATEMENTS ON ITS WEBSITE QUARTERLY. FINANCIAL STATEMENTS CAN ALSO BE OBTAINED ON REQUEST.
FORM 990, PART IX, LINE 11GPROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 658,598. MANAGEMENT AND GENERAL EXPENSES 4,026. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 662,624.OTHER FEES
FORM 990, PAGE 12, PART XII, LINE 2CTHE ORGANIZATION HAS NOT CHANGED ITS OVERSIGHT OR SELECTION PROCESS DURING THE FILING YEAR.AUDIT COMMITTEE OVERSIGHT & REVIEW

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (9 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrg
CHRISTIAN HOMES INC
200 N POSTVILLE DRLINCOLNIL62656370841562SKILLED NURSING FACILITY & RETIREMENT APARTMENTSIL501(C)(3)LINE 9N/A0
FAIR HAVENS CHRISTIAN HOMES
1790 S FAIRVIEW AVEDECATURIL62521370987659SKILLED NURSING FACILITY & RETIREMENT APARTMENTSIL501(C)(3)LINE 9N/A0
LEWIS MEMORIAL CHRISTIAN VILLAGE
3400 W WASHINGTON STSPRINGFIELDIL62711510173104SKILLED NURSING FACILITY & RETIREMENT APARTMENTSIL501(C)(3)LINE 9N/A0
SPRING RIVER CHRISTIAN VILLAGE
201 S NORTHPARK LANEJOPLINMO64801431341462SKILLED NURSING FACILITY & RETIREMENT APARTMENTSMO501(C)(3)LINE 9N/A0
CHICAGOLAND CHRISTIAN VILLAGE
6685 E 117TH STCROWN POINTIN46307311114614SKILLED NURSING FACILITY & RETIREMENT APARTMENTSIN501(C)(3)LINE 9N/A0
RISEN SON CHRISTIAN VILLAGE
3000 RISEN SON BLVDCOUNCIL BLUFFSIA51503421279738SKILLED NURSING FACILITY & RETIREMENT APARTMENTSIA501(C)(3)LINE 9N/A0
VILLAGE CHRISTIAN PARKE
675 SOUTH FORD RDZIONSVILLEIN46077311172227RETIREMENT APARTMENTSIN501(C)(3)LINE 9N/A0
MIDWEST SENIOR MINISTRIES
111 E WASHINGTONBENSENVILLEIL60106201053401SKILLED NURSING FACILITY, RETIREMENT APARTMENTS & PHARMACYIL501(C)(3)LINE 9N/A0
MIDWEST CHRISTIAN VILLAGES
200 N POSTVILLE DRLINCOLNIL62656260275009MGMT NURSING AND RETIREMENT COMMUNITIESIL501(C)(3)LINE 9N/A0
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

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