RISEN SON CHRISTIAN VILLAGE INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
RISEN SON CHRISTIAN VILLAGE INC (EIN 42-1279738)
Tax period
2010-07-01 to 2011-06-30
Filed
2012-03-02
IRS object ID
201200629349301255
Schema version
2010v3.4
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)
Timestamp2012-03-02T09:34:55-06:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

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 Date2010-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN421279738EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1RISEN SON CHRISTIAN VILLAGEBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlRISENameControl
Phone3145877903Phone

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NameSUSAN MCGHEEName
TitleCFOTitle
Phone3145877903Phone
Date Signed2012-03-02DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone3149254300Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

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 ROAD NO 310AddressLine1
CityST LOUISCity
StateMOState
ZIP Code63141ZIPCode
FieldValueIRS element (for citing)
Gross Receipts12975418GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.CHRISTIANHOMES.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1984YearFormation
State Legal DomicileIAStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE QUALITY CARE FOR THE AGED IN A CHRISTIAN ENVIRONMENT.ActivityOrMissionDescription
Nbr Voting Members Governing Body16NbrVotingMembersGoverningBody
Nbr Independent Voting Members16NbrIndependentVotingMembers
Total Nbr Employees241TotalNbrEmployees
Total Nbr Volunteers350TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year37645ContributionsGrantsPriorYear
Contributions Grants Current Year85034ContributionsGrantsCurrentYear
Program Service Revenue Prior Year12054549ProgramServiceRevenuePriorYear
Program Service Revenue CY12802402ProgramServiceRevenueCY
Investment Income Prior Year41149InvestmentIncomePriorYear
Investment Income Current Year-97342InvestmentIncomeCurrentYear
Other Revenue Prior Year50894OtherRevenuePriorYear
Other Revenue Current Year47620OtherRevenueCurrentYear
Total Revenue Prior Year12184237TotalRevenuePriorYear
Total Revenue Current Year12837714TotalRevenueCurrentYear
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 Year5549630SalariesEtcPriorYear
Salaries Etc Current Year5455531SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year6477959OtherExpensePriorYear
Other Expenses Current Year6019546OtherExpensesCurrentYear
Total Expenses Prior Year12027589TotalExpensesPriorYear
Total Expenses Current Year11475077TotalExpensesCurrentYear
Revenues Less Expenses Prior Year156648RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1362637RevenuesLessExpensesCY
Total Assets BOY14591300TotalAssetsBOY
Total Assets EOY14984824TotalAssetsEOY
Total Liabilities BOY25165545TotalLiabilitiesBOY
Total Liabilities EOY24190871TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-10574245NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-9206047NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE MISSION OF RISEN SON 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 SPRITUALLY. 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
Expense10031368Expense
Revenue12804107Revenue
DescriptionRISEN SON CHRISTIAN VILLAGE PROVIDES QUALITY CARE TO SENIORS IN A CHRISTIAN ENVIRONMENT. THE OPERATIONS INCLUDE SKILLED NURSING CARE, ASSISTED LIVING, SENIOR APARTMENTS, AND INDEPENDENT LIVING APARTMENTS. RISEN SON CHRISTIAN VILLAGE PROVIDED 53,107 PATIENT DAYS OF SERVICE IN THE SKILLED NURSING AND ASSISTED LIVING AREAS OF THE CAMPUS. RISEN SON CHRISTIAN VILLAGE CAMPUS HAS 45 SENIOR APARTMENTS WHERE RESIDENTS LIVE INDEPENDENTLY AND ARE PROVIDED MEALS IN COMMON AREAS AS WELL AS USE OF THE COMMON AREAS. THE CAMPUS AVERAGED 42 UNITS OCCUPIED DURING FISCAL YEAR 2011. RISEN SON CHRISTIAN VILLAGE HAS 50 INDEPENDENT GARDEN HOMES WHERE RESIDENTS LIVE INDEPENDENTLY AND ENJOY THE BENEFITS OF LIVING ON A CAMPUS WITH OTHER SENIORS. THE CAMPUS AVERAGED 47 OF THESE UNITS OCCUPIED DURING FISCAL YEAR 2011.Description
Total Program Service Expense10031368TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
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 Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
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
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109632NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees241NumberOfEmployees
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 Members16NbrVotingGoverningBodyMembers
Number Independent Voting Members16NumberIndependentVotingMembers
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
Own WebsiteXOwnWebsite
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 ROAD SUITE 310AddressLine1
CityST LOUISCity
StateMOState
ZIP Code63141ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (27 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
JIM BLALOCK
BOARD MEMBER3.00X000
BOB CROSBY
BOARD MEMBER - CHAIRMAN3.00X000X
BILLY D CARTER
BOARD MEMBER TREASURER3.00X000X
GARY W EDWARDS
BOARD MEMBER - SECRETARY3.00X000X
RANDY CLARK
BOARD MEMBER3.00X000
JAMES S FRASURE MD
BOARD MEMBER3.00X000
MAURINE COLLETT
BOARD MEMBER3.00X000
TERRY GOODNER
BOARD MEMBER3.00X000
NICHOLAS A FILING
BOARD MEMBER3.00X000
LARRY PERIMAN
BOARD MEMBER3.00X000
AMY HANSON
BOARD MEMBER3.00X000
MARYLYN ROWE
BOARD MEMBER3.00X000
DICK HART
BOARD MEMBER3.00X000
RONALD F SEWELL
BOARD MEMBER - VICE CHAIRMAN3.00X000X
BILL LASH
BOARD MEMBER3.00X000
PATRICIA LINCOLN
BOARD MEMBER3.00X000
TIMOTHY PHILLIPPE
PRESIDENT / CEO40.0004398025442X
MARK LONGENECKER
SENIOR VP OF OPERATIONS40.000636065442X
SUSAN MCGHEE
CFO40.00023275512442X
SHERRY GUTERMUTH
VP OF OPERATIONS40.00020484012442X
DAVID STEELE
VP OF BUSINESS OPERATIONS40.0001549958442X
LAURIE BROWN
OPERATIONS DIRECTOR40.00016169211942X
JOHN RUPKEY
PHARMACIST/MANAGER40.00016635611942X
BRIAN MILLER
EXECUTIVE DIRECTOR40.00016595311442X
LARRY BRANDON
VP OF CHAPLAIN SERVICES40.00014196712442X
KELLY KELLEY
VP OF CLINICAL SERVICES40.00013705112442X
LARRY KUESTER
VP OF HUMAN RESOURCES40.00013240912442X
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs2001426TotalReportableCompFrmRltdOrgs
Total Other Compensation116862TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1KINDRED REHAB SERVICES INCBusinessNameLine1

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1BOX 277365AddressLine1
CityATLANTACity
StateGAState
ZIP Code30384ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesTHERAPY SERVICESDescriptionOfServices
Compensation958536Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
All Other Contributions85034AllOtherContributions
Total Contributions85034TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NURSING HOME OPERATION6230001156065111560651
SENIOR LIVING UNITS(CO623990791344791344
INDEPENDENT RETIREMENT623990450407450407
FieldValueIRS element (for citing)
Total Program Service Revenue12802402TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column38962TotalRevenueColumn
Exclusion$38,962ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities1400Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other137704Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities1400Securities
Other-137704Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-136304TotalRevenueColumn
Exclusion-$136,304ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmountRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
CABLE TV REVENUE90009928794$28,794
MISCELLANEOUS90009918826$17,1211705
FieldValueIRS element (for citing)
Total Other Revenue47620TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column12837714TotalRevenueColumn
Related Or Exempt Function Income12804107RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion-$51,427ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total4324098Total
Program Services3898728ProgramServices
Management And General425370ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total805712Total
Program Services726453ProgramServices
Management And General79259ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total325721Total
Program Services293679ProgramServices
Management And General32042ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total717514Total
Program Services137948ProgramServices
Management And General579566ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total17370Total
Management And General17370ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1009263Total
Program Services985888ProgramServices
Management And General23375ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total23407Total
Management And General23407ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total934165Total
Program Services834537ProgramServices
Management And General99628ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total469854Total
Program Services469854ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total9267Total
Program Services3311ProgramServices
Management And General5956ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total5256Total
Program Services3881ProgramServices
Management And General1375ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total1151389Total
Program Services1151389ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total707260Total
Program Services707260ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total131184Total
Program Services131184ProgramServices

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
RAW FOOD437809437809
REAL ESTATE TAXES129398129398
PURCHASED SERVICES110907110907
MISCELLANEOUS9550495504
LICENSE, DUES, & SUBSCR4441013044280

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total25589Total
Program Services9012ProgramServices
Management And General16577ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total11475077Total
Program Services10031368ProgramServices
Management And General1443709ManagementAndGeneral
Fundraising0Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY2500278BOY
EOY3484030EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY812112BOY
EOY701776EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY12329BOY
EOY13038EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY24239BOY
EOY30755EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis21022330LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec10527336LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY10922874BOY
EOY10494994EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY319468BOY
EOY260231EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY14591300BOY
EOY14984824EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1368198BOY
EOY1331852EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY1847315BOY
EOY1918860EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY8100000BOY
EOY7885000EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY12481071BOY
EOY11757875EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1368961BOY
EOY1297284EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY25165545BOY
EOY24190871EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-10576195BOY
EOY-9210026EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1950BOY
EOY3979EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-10574245BOY
EOY-9206047EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY14591300BOY
EOY14984824EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses1362637ReconcilationRevenueExpenses
Reconcilation Other Changes5561ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
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 Years34268CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years26446CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years34272CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year37645CurrentTaxYearMinus1Year
Current Tax Year85034CurrentTaxYear
Total217665Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10246692CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10762581CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years11464959CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year12054549CurrentTaxYearMinus1Year
Current Tax Year12802402CurrentTaxYear
Total57331183Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10280960CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10789027CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years11499231CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year12092194CurrentTaxYearMinus1Year
Current Tax Year12887436CurrentTaxYear
Total57548848Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years171862CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year246781CurrentTaxYearMinus1Year
Current Tax Year380989CurrentTaxYear
Total799632Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years171862CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year246781CurrentTaxYearMinus1Year
Current Tax Year380989CurrentTaxYear
Total799632Total
FieldValueIRS element (for citing)
Public Support Total50956749216PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years33756CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years84551CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years69008CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year44863CurrentTaxYearMinus1Year
Current Tax Year38962CurrentTaxYear
Total271140Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years33756CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years84551CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years69008CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year44863CurrentTaxYearMinus1Year
Current Tax Year38962CurrentTaxYear
Total271140Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years116991CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years120510CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years60213CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year50894CurrentTaxYearMinus1Year
Current Tax Year47620CurrentTaxYear
Total396228Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10431707CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10994088CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years11628452CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year12187951CurrentTaxYearMinus1Year
Current Tax Year12974018CurrentTaxYear
Total58216216Total
FieldValueIRS element (for citing)
Public Support Percentage5090.97480PublicSupportPercentage509
Prior Year Support Percentage0.98110PriorYearSupportPercentage
Investment Income Percentage0.00470InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00460PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis426135OtherCostOrOtherBasis
Book Value426135BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis19191204OtherCostOrOtherBasis
Depreciation9610559Depreciation
Book Value9580645BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1404991OtherCostOrOtherBasis
Depreciation916777Depreciation
Book Value488214BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings10494994TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
REFUNDABLE ENTRANCE FEES$1,292,592
DUE TO AUXILIARY$3,528
DUE TO - CORP OFFICE$1,164
FieldValueIRS element (for citing)
Total Of Amounts1297284TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X:ReturnReference
ExplanationTHE 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 FOLLOW THE INCOME TAX STANDARD FOR UNCERTAIN TAX POSITIONS. THIS STANDARD CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ORGANIZATIONS 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 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. THE TAX RETURNS FOR THE YEARS 2008 TO 2010 ARE OPEN TO EXAMINATION BY FEDERAL, LOCAL, AND STATE AUTHORITIES.Explanation

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 Payment0SeverancePayment
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 Payments1AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (8 entries)

Base 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
03318570779450300000005442044524400
SUSAN MCGHEE
018270503005002000000012442024519700
SHERRY GUTERMUTH
01747120301280000012442021728200
DAVID STEELE
014662008375000008442016343700
LAURIE BROWN
01406380210540000011942017363400
JOHN RUPKEY
01453560210000000011942017829800
BRIAN MILLER
01550050109480000011442017739500
LARRY BRANDON
0141967000000012442015440900

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanation
PART I, LINE 1ATIMOTHY PHILLIPPE RECEIVED A HOUSING ALLOWANCE OF $14,000 AND LARRY BRANDON RECEIVED A HOUSING ALLOWANCE OF $24,000.
PART I, LINE 7TIM PHILLIPPEE AND SUSAN MCGHEE RECEIVED $30,000 AND $20,000, RESPECTIVELY, FOR RELOCATING EXPENSE AND IS INCLUDED IN OTHER REPORTABLE COMPENSATION FROM A RELATED ORGANIZATION.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1COUNTY OF POTTAWATTAMIE IOWABusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN426004433IssuerEIN
CUSIP Number73787PAD2CUSIPNumber
Date Issued2007-06-28DateIssued
Issue Price8364117IssuePrice
Description Of PurposeREFINANCEDescriptionOfPurpose
Defeased0Defeased
On Behalf Of Issuer0OnBehalfOfIssuer
Pool Financing0PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Amount Retired200000AmountRetired
Total Proceeds8364117TotalProceeds
Amount In Reserve Fund842980AmountInReserveFund
Issuance Costs From Proceeds93133IssuanceCostsFromProceeds
Capital Expenditures575314CapitalExpenditures
Other Spent Proceeds6852690OtherSpentProceeds
Year Of Subst Completion2010YearOfSubstCompletion
Current Refunding1CurrentRefunding
Advance Refunding0AdvanceRefunding
Final Allocation Made1FinalAllocationMade
Adequate Books And Recds Maintaind1AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed Property0OwningBondFinancedProperty
Any Lease Arrangements0AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty0MngmentCntrctBondFinancdPrprty
Any Research Agreements0AnyResearchAgreements
Post Issuance Compliance Procdrs1PostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T Filed0Form8038TFiled
Variable Rate Issue0VariableRateIssue
Hedge Identified In Books And Recds0HedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGIC
Gross Proceeds Invested0GrossProceedsInvested
Exception To Rebate0ExceptionToRebate

Form990 Schedule K Part V Form990ScheduleKPartV (2 entries)

IdentifierIdentifierExplanationExplanation
2007E BONDS:THE PROCEEDS OF THE 2007E BONDS WERE USED TO REFUND THE $9,250,000 SERIES 1992 BONDS OF RISEN SON CHRISTIAN VILLAGE.
SCH K, PART II, LINE 7:RISEN SON CHRISTIAN VILLAGE HAS ELECTED TO AMORTIZE THE ISSUANCE COST OVER THE LIFE OF THE BOND. THIS HAS LED TO A DIFFERENCE BETWEEN THE ISSUED 8038 AND THE BOOK VALUE OF ISSUANCE COST.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
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.
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 12C
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 DETERMINED BASED ON A REVIEW AND PARTICIPATION IN SEVERAL INDUSTRY SPECIFIC SALARY SURVEYS WHICH PROVIDE DATA ON OTHER EXECUTIVES.FORM 990, PART VI, SECTION B, LINE 15
THE ORGANIZATION POSTS ITS FINANCIAL STATEMENTS ON ITS WEBSITE MONTHLY. FINANCIAL STATEMENTS CAN ALSO BE OBTAINED ON REQUEST.FORM 990, PART VI, SECTION C, LINE 19
CHANGES IN NET ASSETS OR FUND BALANCES:NET UNREALIZED GAINS ON INVESTMENTS: 5,561.FORM 990, PART XI, LINE 5:
THE ORGANIZATION DID NOT CHANGE ITS OVERSIGHT OR SELECTION PROCESS FROM THE PRIOR YEAR.FORM 990, PAGE 12, PART XII, LINE 2C- 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)509(A)(2)N/A0
FAIR HAVENS CHRISTIAN HOMES
1790 S FAIRVIEW AVEDECATURIL62521370987659SKILLED NURSING FACILITY & RETIREMENT APARTMENTSIL501(C)(3)509(A)(2)N/A0
LEWIS MEMORIAL CHRISTIAN VILLAGE
3400 W WASHINGTON STSPRINGFIELDIL62711510173104SKILLED NURSING FACILITY & RETIREMENT APARTMENTSIL501(C)(3)509(A)(2)N/A0
HOOSIER CHRISTIAN VILLAGE
621 S SUGAR STBROWNSTOWNIN47220237423749SKILLED NURSING FACILITY & RETIREMENT APARTMENTSIN501(C)(3)509(A)(2)N/A0
SPRING RIVER CHRISTIAN VILLAGE
201 S NORTHPARK LANEJOPLINMO64801431341462SKILLED NURSING FACILITY & RETIREMENT APARTMENTSMO501(C)(3)509(A)(2)N/A0
CHICAGOLAND CHRISTIAN VILLAGE
6685 E 117TH STCROWN POINTIN46307311114614SKILLED NURSING FACILITY & RETIREMENT APARTMENTSIN501(C)(3)509(A)(2)N/A0
VILLAGE CHRISTIAN PARKE
675 SOUTH FORD RDZIONSVILLEIN46077311172227RETIREMENT APARTMENTSIN501(C)(3)509(A)(2)N/A0
MIDWEST SENIOR MINISTRIES
111 E WASHINGTONBENSENVILLEIL60106201053401SKILLED NURSING FACILITY, RETIREMENT APARTMENTS & PHARMACYIL501(C)(3)509(A)(2)N/A0
MIDWEST CHRISTIAN VILLAGES
200 N POSTVILLE DRLINCOLNIL62656260275009MGMT NURSING AND RETIREMENT COMMUNITIESIL501(C)(3)509(A)(2)N/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
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

Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
MIDWEST CHRISTIAN VILLAGES
L717514
CHRISTIAN HOMES INC
O684139
CHRISTIAN HOMES INC
O392616

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