HOOSIER CHRISTIAN VILLAGE INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
HOOSIER CHRISTIAN VILLAGE INC (EIN 23-7423749)
Tax period
2011-07-01 to 2012-06-30
Filed
2012-12-21
IRS object ID
201223569349300007
Schema version
2011v1.2
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)
Timestamp2012-12-21T08:20:27-06:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

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 Date2011-07-01TaxPeriodBeginDate

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 Signed2012-12-20DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameALLAN LARSONName
PTINP00028482PTIN
Phone3149254300Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
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 RD NO 310AddressLine1
CityST LOUISCity
StateMOState
ZIP Code63141ZIPCode
FieldValueIRS element (for citing)
Gross Receipts6886212GrossReceipts
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 Body15NbrVotingMembersGoverningBody
Nbr Independent Voting Members15NbrIndependentVotingMembers
Total Nbr Employees197TotalNbrEmployees
Total Nbr Volunteers2683TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year54813ContributionsGrantsPriorYear
Contributions Grants Current Year45079ContributionsGrantsCurrentYear
Program Service Revenue Prior Year6500052ProgramServiceRevenuePriorYear
Program Service Revenue CY6806989ProgramServiceRevenueCY
Investment Income Prior Year12775InvestmentIncomePriorYear
Investment Income Current Year21406InvestmentIncomeCurrentYear
Other Revenue Prior Year14525OtherRevenuePriorYear
Other Revenue Current Year12641OtherRevenueCurrentYear
Total Revenue Prior Year6582165TotalRevenuePriorYear
Total Revenue Current Year6886115TotalRevenueCurrentYear
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 Year3625018SalariesEtcPriorYear
Salaries Etc Current Year3948522SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year2325338OtherExpensePriorYear
Other Expenses Current Year2542298OtherExpensesCurrentYear
Total Expenses Prior Year5950356TotalExpensesPriorYear
Total Expenses Current Year6490820TotalExpensesCurrentYear
Revenues Less Expenses Prior Year631809RevenuesLessExpensesPriorYear
Revenues Less Expenses CY395295RevenuesLessExpensesCY
Total Assets BOY6679081TotalAssetsBOY
Total Assets EOY7321575TotalAssetsEOY
Total Liabilities BOY730461TotalLiabilitiesBOY
Total Liabilities EOY978467TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY5948620NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY6343108NetAssetsOrFundBalancesEOY
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
Expense5699753Expense
Revenue6810002Revenue
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 34,825 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 Expense5699753TotalProgramServiceExpense
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
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109617NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees197NumberOfEmployees
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 Members15NbrVotingGoverningBodyMembers
Number Independent Voting Members15NumberIndependentVotingMembers
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 (25 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
JIM BLALOCK
BOARD MEMBER3.00X000
BILLY D CARTER
BOARD MEMBER TREASURER3.00X000X
RANDY CLARK
BOARD MEMBER3.00X000
JAMES S FRASURE MD
BOARD MEMBER3.00X000
MAURINE COLLETT
BOARD MEMBER3.00X000
TERRY GOODNER
BOARD MEMBER - SECRETARY3.00X000X
NICHOLAS A FILING
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
MARK A BEHRENDS
BOARD MEMBER3.00X000
ROBERT CROSBY
BOARD MEMBER - CHAIRMAN3.00X000X
VICTOR S WILLIAMS
BOARD MEMBER3.00X000
TIMOTHY PHILLIPPE
PRESIDENT / CEO40.0004352716156X
SUSAN MCGHEE
CFO40.00023597913656X
MARK LONGENECKER
SENIOR VP OF OPERATIONS40.0002011199156X
SHERRY GUTERMUTH
VP OF OPERATIONS40.00020068313656X
LAURIE BROWN
OPERATIONS DIRECTOR40.00015494913031X
JOHN RUPKEY
PHARMACIST/MANAGER40.00017338113031X
KELLY KELLEY
VP OF CLINICAL SERVICES40.00018130613656X
GREG WITTE
EXECUTIVE DIRECTOR40.00015277213031X
MARK CANTY
MEDICAL DIRECTOR40.0001699991500X
ROBERT VINCENT
DIRECTOR OF SPECIAL PROJECTS40.0001530636156X
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs2058522TotalReportableCompFrmRltdOrgs
Total Other Compensation103029TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
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 SERVICES421434
PRN PHARMACEUTICAL
BOX 715268COLUMBUSOH43271PHARMACY SERVICES262368
FieldValueIRS element (for citing)
Number Of Contractors GT100 K2NumberOfContractorsGT100K
All Other Contributions45079AllOtherContributions
Total Contributions45079TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NURSING HOME REVENUE (62300067233246723324
INDEPENDENT RETIREMENT6239908366583665
FieldValueIRS element (for citing)
Total Program Service Revenue6806989TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column14666TotalRevenueColumn
Exclusion$14,666ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities6837Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities0Securities
Other97Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities6837Securities
Other-97Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column6740TotalRevenueColumn
Exclusion$6,740ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmountRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
BARBER & BEAUTY SHOP9000999252$9,252
MISCELLANEOUS9000993389$3763013
FieldValueIRS element (for citing)
Total Other Revenue12641TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column6886115TotalRevenueColumn
Related Or Exempt Function Income6810002RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$31,034ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total3058411Total
Program Services2907919ProgramServices
Management And General150492ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total652450Total
Program Services620346ProgramServices
Management And General32104ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total237661Total
Program Services225967ProgramServices
Management And General11694ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total406511Total
Management And General406511ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total13131Total
Management And General13131ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total629145Total
Program Services615349ProgramServices
Management And General13796ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total4666Total
Management And General4666ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total589234Total
Program Services548197ProgramServices
Management And General41037ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total204168Total
Program Services204168ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total11794Total
Program Services2437ProgramServices
Management And General9357ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total7301Total
Program Services4890ProgramServices
Management And General2411ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total9038Total
Program Services9038ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total234234Total
Program Services234234ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total64373Total
Program Services64373ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
RAW FOOD199083199083
BAD DEBT7205472054
PURCHASED SERVICES6039960399
MISCELLANEOUS29022277726245

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total8145Total
Program Services576ProgramServices
Management And General7569ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total6490820Total
Program Services5699753ProgramServices
Management And General791067ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY4098360BOY
EOY4695353EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
EOY220713EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY630391BOY
EOY580769EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY14689BOY
EOY14692EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY9951BOY
EOY7579EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis4827646LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec3375859LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY1590235BOY
EOY1451787EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY335455BOY
EOY350682EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY6679081BOY
EOY7321575EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY503848BOY
EOY636146EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY47646BOY
EOY34924EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY160835BOY
EOY152727EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY18132BOY
EOY154670EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY730461BOY
EOY978467EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY5941449BOY
EOY6335193EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY7171BOY
EOY7915EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY5948620BOY
EOY6343108EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY6679081BOY
EOY7321575EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses395295ReconcilationRevenueExpenses
Reconcilation Other Changes-807ReconcilationOtherChanges
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 Years73938CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years80237CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years70755CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year54813CurrentTaxYearMinus1Year
Current Tax Year49339CurrentTaxYear
Total329082Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years5911562CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years5882081CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years6042594CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6500052CurrentTaxYearMinus1Year
Current Tax Year6806989CurrentTaxYear
Total31143278Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years5985500CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years5962318CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years6113349CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6554865CurrentTaxYearMinus1Year
Current Tax Year6856328CurrentTaxYear
Total31472360Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years515426CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year223868CurrentTaxYearMinus1Year
Current Tax Year332714CurrentTaxYear
Total1072008Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years515426CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year223868CurrentTaxYearMinus1Year
Current Tax Year332714CurrentTaxYear
Total1072008Total
FieldValueIRS element (for citing)
Public Support Total50930400352PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years37983CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years15793CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years9739CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year9217CurrentTaxYearMinus1Year
Current Tax Year14666CurrentTaxYear
Total87398Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years37983CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years15793CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years9739CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year9217CurrentTaxYearMinus1Year
Current Tax Year14666CurrentTaxYear
Total87398Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years12678CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years13546CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years13929CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year14525CurrentTaxYearMinus1Year
Current Tax Year12641CurrentTaxYear
Total67319Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years6036161CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years5991657CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years6137017CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6578607CurrentTaxYearMinus1Year
Current Tax Year6883635CurrentTaxYear
Total31627077Total
FieldValueIRS element (for citing)
Public Support Percentage5090.96120PublicSupportPercentage509
Prior Year Support Percentage0.96960PriorYearSupportPercentage
Investment Income Percentage0.00280InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00350PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

Current Year CurrentYear

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

Current Year Minus1 Year CurrentYearMinus1Year

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

Current Year Minus2 Years CurrentYearMinus2Years

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

Current Year Minus3 Years CurrentYearMinus3Years

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 Basis3449166OtherCostOrOtherBasis
Depreciation2432903Depreciation
Book Value1016263BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1351345OtherCostOrOtherBasis
Depreciation942956Depreciation
Book Value408389BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings1451787TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
DUE TO AUXILIARY$9,808
DUE TO CORP OFFICE$144,862
FieldValueIRS element (for citing)
Total Of Amounts154670TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (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: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 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 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 2009 TO 2011 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 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 (10 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
0366959060800075120006156044142700
SUSAN MCGHEE
02099790260000000013656024963500
MARK LONGENECKER
0160030035700053890009156021027500
SHERRY GUTERMUTH
01606190357000436400013656021433900
LAURIE BROWN
01234700289610251800013031016798000
JOHN RUPKEY
01428220250000555900013031018641200
KELLY KELLEY
01585800227260000013656019496200
GREG WITTE
01261370244530218200013031016580300
MARK CANTY
016999900000001500017149900
ROBERT VINCENT
0130774017932043570006156015921900

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanation
PART I, LINE 1ATIMOTHY PHILLIPPE RECEIVED A HOUSING ALLOWANCE OF $14,500 AND ROBERT VINCENT HAS A HOUSING ALLOWANCE OF $28,600.
PART I, LINE 7TIM PHILLIPPEE, MARK LONGENECKER, SHERRY GUTERMUTH, LAURIE BROWN, JOHN RUPKEY, ROBERT VINCENT AND GREG WITTE RECEIVED $7,512, $5,389, $4,364, $2,518, $5,559, $4,357 AND $2,182, RESPECTIVELY, FOR SELLBACK OF PTO AND IS INCLUDED IN OTHER REPORTABLE COMPENSATION FROM A RELATED ORGANIZATION.

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 XI, LINE 5:NET UNREALIZED LOSSES ON INVESTMENTS: -807.CHANGES IN NET ASSETS OR FUND BALANCES:
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
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 (2 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
MIDWEST CHRISTIAN VILLAGES
L406512FMV
CHRISTIAN HOMES INC
O313500FMV

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