SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
MediumBullet Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.
OMB No. 1545-0047
2016
Open to Public
Inspection
Name of the organization
LEWIS MEMORIAL CHRISTIAN VILLAGE
 
Employer identification number

51-0173104
Return Reference Explanation
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 11b THE BOARD IS PROVIDED A COPY OF FORM 990 PRIOR TO ITS FILING.
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. THE BOARD OF DIRECTORS HAS ADOPTED A CONFLICT OF INTEREST POLICY. ANNUALLY EVERY BOARD MEMBER COMPLETES A CONFLICT OF INTEREST DISCLOSURE FORM AND IDENTIFIES ANY POTENTIAL CONFLICTS. THEY ALSO CERTIFY THAT THEY HAVE REVIEWED AND AGREE TO ABIDE BY THE CURRENT POLICY IN PLACE. IF A POTENTIAL CONFLICT ARISES IT IS REVIEWED BY THE BOARD OF DIRECTORS AND DISCUSSED AND VOTED ON.
Form 990, Part VI, Section B, line 15 COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL, OFFICERS AND KEY EMPLOYEES IS DETERMINED BY A RELATED ORGANIZATION, CHRISTIAN HOMES, INC. OFFICERS ARE NOT PRESENT AT ANY MEETING DISCUSSING THEIR COMPENSATION. THE COMPENSATION COMMITTEE DOCUMENTS ITS FINDINGS IN WRITING. CHRISTIAN HOMES, INC. PARTICIPATES IN SEVERAL (MINIMUM OF 3) INDUSTRY SPECIFIC, EXECUTIVE SALARY SURVEYS EACH YEAR TO HELP DETERMINE COMPETITIVENESS OF THE ORGANIZATION'S 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. THE ORGANIZATION REVIEWS THE COMPENSATION REVIEW THROUGH A BOARD COMMITTEE. THE VP OF HR IS ALSO ON THIS COMMITTEE. THEY REVIEW THE EXECUTIVE TEAM COMPENSATION ON AN ANNUAL BASIS AND THEY USE SALARY SURVEYS FROM EXTERNAL SOURCES THAT RELATE TO THE ORGANIZATION'S INDUSTRY. AT THE MARCH 2017 BOARD MEETING THE CFO AND CEO SALARIES WERE REVIEWED. THE ITEMS THAT ARE DISCUSSED DURING THE COMPENSATION MEETING ARE SUMMARIZED IN THE FULL BOARD MEETING, WHERE MINUTES ARE TAKEN.
Form 990, Part VI, Section C, line 19 THE ORGANIZATION POSTS ITS MONTHLY FINANCIAL STATEMENTS ON ITS WEBSITE. MONTHLY FINANCIAL STATEMENTS, GOVERNING DOCUMENTS, AND CONFLICT OF INTEREST POLICY ARE ALSO AVAILABLE UPON REQUEST.
Form 990, Part IX, line 11g PROFESSIONAL FEES/CONSULTANTS: Program service expenses 2,505,510. Management and general expenses 329. Fundraising expenses 0. Total expenses 2,505,839.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2016


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