2012-03-02T09:35:56-06:00 2011-06-30 CLIFTONLARSONALLEN LLP 600 WASHINGTON AVENUE SUITE 1800 ST LOUIS MO 63101 990 2010-07-01 431341462 SPRING RIVER CHRISTIAN VILLAGE SPRI 3145877903 622 EMERSON ROAD NO 310 ST LOUIS MO 63141 SUSAN MCGHEE 3145877903 2012-03-02 1 3149254300 2010 2016-02-24 21:20:13Z SUSAN MCGHEE 622 EMERSON ROAD NO 310 ST LOUIS MO 63141 12233070 0 X WWW.CHRISTIANHOMES.ORG X 1985 MO TO PROVIDE QUALITY CARE TO SENIORS IN A CHRISTIAN ENVIRONMENT. 16 16 308 700 0 0 73063 93833 11933905 12038260 18572 9939 63779 67271 12089319 12209303 0 0 0 0 5627437 5616074 0 0 0 5890258 6258784 11517695 11874858 571624 334445 14287448 14412200 16662783 16417381 -2375335 -2005181 X THE MISSION OF SPRING RIVER 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 COMMIMENT TO EXCELLENCE IS MOTIVATED BY OUR CHRISTIAN BELIEF THAT ALL ARE PRECIOUS IN THE SIGHT OF GOD. 0 0 10164492 12041100 SPRING RIVER 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. SPRING RIVER CHRISTIAN VILLAGE PROVIDED 65,848 PATIENT DAYS OF SERVICE IN THEIR SKILLED NURSING AND ASSISTED LIVING AREAS OF THE CAMPUS. SPRING RIVER CHRISTIAN VILLAGE SERVED AN AVERAGE OF 30 SENIOR APARTMENT RESIDENTS IN FISCAL 2011. 31 INDEPENDENT LIVING RESIDENTS WERE SERVED ON THE CAMPUS OF SPRING RIVER CHRISTIAN VILLAGE IN FISCAL 2011. 10164492 1 1 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 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 27 0 1 308 1 0 0 0 0 0 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 1 1 0 X X MIDWEST CHRISTIAN VILLAGES 3145877903 622 EMERSON ROAD SUITE 310 ST LOUIS MO 63141 JIM BLALOCK 3.00 X 0 0 0 BOB CROSBY 3.00 X X 0 0 0 BILLY D CARTER 3.00 X X 0 0 0 GARY W EDWARDS 3.00 X X 0 0 0 RANDY CLARK 3.00 X 0 0 0 JAMES S FRASURE MD 3.00 X 0 0 0 MAURINE COLLETT 3.00 X 0 0 0 TERRY GOODNER 3.00 X 0 0 0 NICHOLAS A FILING 3.00 X 0 0 0 LARRY PERIMAN 3.00 X 0 0 0 AMY HANSON 3.00 X 0 0 0 MARYLYN ROWE 3.00 X 0 0 0 DICK HART 3.00 X 0 0 0 RONALD F SEWELL 3.00 X X 0 0 0 BILL LASH 3.00 X 0 0 0 PATRICIA LINCOLN 3.00 X 0 0 0 TIMOTHY PHILLIPPE 40.00 X 0 439802 5442 MARK LONGENECKER 40.00 X 0 63606 5442 SUSAN MCGHEE 40.00 X 0 232755 12442 SHERRY GUTERMUTH 40.00 X 0 204840 12442 DAVID STEELE 40.00 X 0 154995 8442 LAURIE BROWN 40.00 X 0 161692 11942 JOHN RUPKEY 40.00 X 0 166356 11942 BRIAN MILLER 40.00 X 0 165953 11442 LARRY BRANDON 40.00 X 0 141967 12442 KELLY KELLEY 40.00 X 0 137051 12442 LARRY KUESTER 40.00 X 0 132409 12442 0 2001426 116862 0 0 1 0 KINDRED REHAB SERVICES BOX 277365 ATLANTA GA 303847365 THERAPY SERVICES 1179216 1 93833 93833 NURSING HOME OPERATION 623000 11138704 11138704 SENIOR LIVING UNITS(CO 623990 660755 660755 INDEPENDENT RETIREMENT 623990 238801 238801 12038260 31291 31291 2415 23767 2415 -23767 -21352 -21352 BEAUTY SHOP 900099 51183 51183 CABLE TV 900099 12685 12685 MISCELLANEOUS 900099 2840 2840 563 563 67271 12209303 12041100 0 74370 4387760 3931826 455934 893860 800979 92881 334454 299701 34753 723978 97824 626154 4937 4937 1242433 1240733 1700 65172 65172 1087496 783677 303819 345847 345847 15236 7240 7996 5591 4866 725 810344 810344 454994 454994 229941 229941 RAW FOOD 498261 498261 MEDICAID PARTICIPATION 347351 347351 PURCHASED SERVICES 237340 237340 BAD DEBT EXPENSE 72110 72110 MISCELLANEOUS 66600 36862 29738 51153 36706 14447 11874858 10164492 1710366 0 3493240 3762853 950941 1022452 67500 16739 12706 12577 18495 15201722 7383442 8123644 7818280 1690307 1709914 14287448 14412200 848332 819476 747895 808545 12340000 12040000 1871267 1758788 855289 990572 16662783 16417381 X -2375361 -2005181 26 0 -2375335 -2005181 14287448 14412200 X 334445 35709 X X 0 1 1 X 0 X 101067 96431 62605 73063 93833 426999 10139123 10611079 11637717 11933905 12038260 56360084 10240190 10707510 11700322 12006968 12132093 56787083 0 0 0 56787083 25340 90339 101098 60086 31291 308154 25340 90339 101098 60086 31291 308154 71910 137644 66296 63779 67271 406900 10337440 10935493 11867716 12130833 12230655 57502137 0.98760 0.98820 0.00540 0.00550 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 297903 297903 13914067 6673423 7240644 989252 710019 279233 500 500 7818280 ENTRANCE DEPOSIT 29072 RESIDENT TRUST 33428 ENDOWMENT FUND 121331 BOND FUND 1257654 DEFERRED FINANCING COSTS 268429 1709914 CURRENT PORTION OF REFUNDABLE ENTRANCE FEES 109600 REFUNDABLE ENTRANCE FEES 870251 OTHER LIABILITIES 9321 DUE TO - CORP OFFICE 1400 990572 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: 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 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. X 1 1 X X X X 0 0 0 0 0 0 0 1 0 TIMOTHY PHILLIPPE 0 331857 0 77945 0 30000 0 0 0 5442 0 445244 0 0 SUSAN MCGHEE 0 182705 0 30050 0 20000 0 0 0 12442 0 245197 0 0 SHERRY GUTERMUTH 0 174712 0 30128 0 0 0 0 0 12442 0 217282 0 0 DAVID STEELE 0 146620 0 8375 0 0 0 0 0 8442 0 163437 0 0 LAURIE BROWN 0 140638 0 21054 0 0 0 0 0 11942 0 173634 0 0 JOHN RUPKEY 0 145356 0 21000 0 0 0 0 0 11942 0 178298 0 0 BRIAN MILLER 0 155005 0 10948 0 0 0 0 0 11442 0 177395 0 0 LARRY BRANDON 0 141967 0 0 0 0 0 0 0 12442 0 154409 0 0 PART I, LINE 1A TIMOTHY PHILLIPPE RECEIVED A HOUSING ALLOWANCE OF $14,000 AND LARRY BRANDON RECEIVED A HOUSING ALLOWANCE OF $24,000. PART I, LINE 7 TIM 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. INDUSTRIAL DEVELOPMENT AUTHORITY OF THE CITY OF JOPLIN MISSOURI 521299414 480642CS4 2007-06-28 12463367 REFINANCE 0 0 0 300000 12463367 1254042 123433 557660 10528232 2010 1 0 1 1 0 0 0 0 1 0 0 0 0 0 0 PROCEEDS OF 2007F BONDS: THE PROCEEDS OF THE 2007F BONDS WERE USED TO REFUND THE $10,000,000 SERIES 2002A BONDS OF SPRING RIVER CHRISTIAN VILLAGE AND REFUND THE $1,695,000 SERIES 2002B BONDS OF SPRING RIVER CHRISTIAN VILLAGE. SCH K, PART II, LINE 7: SPRING RIVER CHRISTIAN VILLAGE HAS ELECTED TO AMORTIZE THE ISSUANCE COST OVER THE LIFE OF THE BOND. THIS HAS LED TO A DIFFERENCE BETWEEN THE ISSUANCE COST PER THE 8038 AND THE CURENT BOOK VALUE OF ISSUANCE COST. 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 GETS A DRAFT OF THE 990S 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 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 19 THE ORGANIZATION POSTS ITS FINANCIAL STATEMENTS ON ITS WEBSITE MONTHLY. FINANCIAL STATEMENTS CAN ALSO BE OBTAINED ON REQUEST. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 35,709. AUDIT COMMITTEE OVERSIGHT / REVIEW FORM 990, PAGE 12, PART XII, LINE 2C THE ORGANIZATION DID NOT CHANGE ITS OVERSIGHT OR SELECTION PROCESS DURING THE CURRENT FILING YEAR. CHRISTIAN HOMES INC 200 N POSTVILLE DR LINCOLN IL 62656 370841562 SKILLED NURSING FACILITY & RETIREMENT APARTMENTS IL 501(C)(3) 509(A)(2) N/A 0 FAIR HAVENS CHRISTIAN HOMES 1790 S FAIRVIEW AVE DECATUR IL 62521 370987659 SKILLED NURSING FACILITY & RETIREMENT APARTMENTS IL 501(C)(3) 509(A)(2) N/A 0 LEWIS MEMORIAL CHRISTIAN VILLAGE 3400 W WASHINGTON ST SPRINGFIELD IL 62711 510173104 SKILLED NURSING FACILITY & RETIREMENT APARTMENTS IL 501(C)(3) 509(A)(2) N/A 0 HOOSIER CHRISTIAN VILLAGE 621 S SUGAR ST BROWNSTOWN IN 47220 237423749 SKILLED NURSING FACILITY & RETIREMENT APARTMENTS IN 501(C)(3) 509(A)(2) N/A 0 CHICAGOLAND CHRISTIAN VILLAGE 6685 E 117TH ST CROWN POINT IN 46307 311114614 SKILLED NURSING FACILITY & RETIREMENT APARTMENTS IN 501(C)(3) 509(A)(2) 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) 509(A)(2) N/A 0 VILLAGE CHRISTIAN PARKE 675 SOUTH FORD RD ZIONSVILLE IN 46077 311172227 RETIREMENT APARTMENTS IN 501(C)(3) 509(A)(2) N/A 0 MIDWEST SENIOR MINISTRIES 111 E WASHINGTON BENSENVILLE IL 60106 201053401 SKILLED NURSING FACILITY, RETIREMENT APARTMENTS & PHARMACY IL 501(C)(3) 509(A)(2) N/A 0 MIDWEST CHRISTIAN VILLAGES 622 EMERSON ROAD SUITE 310 ST LOUIS MO 63141 260275009 MGMT NURSING AND RETIREMENT COMMUNITIES MO 501(C)(3) 509(A)(2) N/A 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 MIDWEST CHRISTIAN VILLAGES L 723978 CHRISTIAN HOMES INC O 104242 CHRISTIAN HOMES INC O 474240