FURP.ORG / PUBLIC DATA EXPLORER

CHRISTIAN HOMES INC: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
CHRISTIAN HOMES INC (EIN 47-0378776)
Tax period
2015-07-01 to 2016-06-30
Filed
2016-11-14
IRS object ID
201613199349304266
Schema version
2015v2.1
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)
Return2016-11-14T10:45:11-06:00ReturnTs
Tax Period End2016-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN470742720PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1KOSKI PROFESSIONAL GROUP PCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line110516 BURT CIRAddressLine1Txt
CityOMAHACityNm
State AbbreviationNEStateAbbreviationCd
ZIP681142062ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN470378776EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CHRISTIAN HOMES INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCHRIBusinessNameControlTxt
Phone3089954493PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11923 WEST 4TH AVENUEAddressLine1Txt
CityHOLDREGECityNm
State AbbreviationNEStateAbbreviationCd
ZIP68949ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSTEVE BERGSTROMPersonNm
Person TitleCHAIRMANPersonTitleTxt
Phone3089954493PhoneNum
Signature2016-11-11SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonADRIAN LAPE-BRINKMANPreparerPersonNm
PTINP01348828PTIN
Phone4024454040PhoneNum
Preparation2016-11-14PreparationDt
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerSTEVE BERGSTROMPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line173171 RD 20AddressLine1Txt
CityAXTELLCityNm
State AbbreviationNEStateAbbreviationCd
ZIP68924ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$8,000,671GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.CHRISOMA.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1889FormationYr
Legal Domicile StateNELegalDomicileStateCd
Activity Or MissionPROVIDE HOUSING AND SERVICES TO THE ELDERLY AND INFIRMED IN A MANNER THAT PROVIDES FOR THE PHYSICAL, MENTAL, SOCIAL, AND SPIRITUAL WELFARE OF THE RESIDENTS.ActivityOrMissionDesc
Voting Members Governing Body15VotingMembersGoverningBodyCnt
Voting Members Independent0VotingMembersIndependentCnt
Total Employee231TotalEmployeeCnt
Total Volunteers25TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$151,684PYContributionsGrantsAmt
CY Contributions Grants$88,642CYContributionsGrantsAmt
PY Program Service Revenue$7,917,017PYProgramServiceRevenueAmt
CY Program Service Revenue$7,585,472CYProgramServiceRevenueAmt
PY Investment Income$29,727PYInvestmentIncomeAmt
CY Investment Income$29,585CYInvestmentIncomeAmt
PY Other Revenue$111,102PYOtherRevenueAmt
CY Other Revenue$107,988CYOtherRevenueAmt
PY Total Revenue$8,209,530PYTotalRevenueAmt
CY Total Revenue$7,811,687CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$4,900,088PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$5,367,526CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$2,868,076PYOtherExpensesAmt
CY Other Expenses$3,250,407CYOtherExpensesAmt
PY Total Expenses$7,768,164PYTotalExpensesAmt
CY Total Expenses$8,617,933CYTotalExpensesAmt
PY Revenues Less Expenses$441,366PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$806,246CYRevenuesLessExpensesAmt
Total Assets BOY$13,959,842TotalAssetsBOYAmt
Total Assets EOY$12,833,292TotalAssetsEOYAmt
Total Liabilities BOY$9,832,636TotalLiabilitiesBOYAmt
Total Liabilities EOY$9,547,495TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$4,127,206NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$3,285,797NetAssetsOrFundBalancesEOYAmt
MissionPROVIDE HOUSING AND SERVICES TO THE ELDERLY AND INFIRMED IN A MANNER THAT PROVIDES FOR THE PHYSICAL, MENTAL, SOCIAL, AND SPIRITUAL WELFARE OF THE RESIDENTS.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$8,082,447ExpenseAmt
Revenue$7,585,472RevenueAmt
DescNURSING HOME CARE AND ASSISTED LIVING FOR THE ELDERLYDesc
Total Program Service Expenses$8,082,447TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredfalseScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document16IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee231EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members15GoverningBodyVotingMembersCnt
Independent Voting Member0IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressYes (true)OfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyfalseForm990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonDONALD BAKKEPersonNm
Phone3089954493PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11923 WEST 4TH AVENUEAddressLine1Txt
CityHOLDREGECityNm
State AbbreviationNEStateAbbreviationCd
ZIP68949ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (15 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
DONALD BAKKE
EXEC. DIRECT40.00Yes (X)Yes (X)$102,373$0$0
CHARLIE REESER
VICE CHAIRMAYes (X)Yes (X)$0$0$0
DOUG GUSTAFSON
BOARD MEMBERYes (X)$0$0$0
JIM SWANSON
BOARD MEMBERYes (X)$0$0$0
REV TOM THOMPSON
BOARD MEMBERYes (X)$0$0$0
MARLYS ANDERSON
SECRETARYYes (X)Yes (X)$0$0$0
DR MARK ADAM
BOARD MEMBERYes (X)$0$0$0
REV NOAH PALMER
EX-OFFICIOYes (X)$0$0$0
STEVE BERGSTROM
CHAIRMANYes (X)Yes (X)$0$0$0
STEVE STROUP
BOARD MEMBERYes (X)$0$0$0
DR KEVIN CARNES
EX-OFFICIOYes (X)$0$0$0
LARRY NYBERG
BOARD MEMBERYes (X)$0$0$0
JEFF MOON
BOARD MEMBERYes (X)$0$0$0
CRAIG HADLEY
BOARD MEMBERYes (X)$0$0$0
TERRY WOOLLEN
BOARD MEMBERYes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$102,373TotalReportableCompFromOrgAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (2 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
SELECT REHABILITATION
PO BOX 809056CHICAGOIL60680REHAB SERVICE$335,452
NURSES INC
70988 ROAD 426BEAVER CITYNE68926AGENCY STAFFING$289,186
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K2CntrctRcvdGreaterThan100KCnt
All Other Contributions$88,642AllOtherContributionsAmt
Total Contributions$88,642TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PRIVATE REVENUE$3,936,135$3,936,135
MEDICARE & MEDICAID REVENUE$3,649,337$3,649,337
FieldValueIRS element (for citing)
Total Program Service Revenue$7,585,472TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$29,347TotalRevenueColumnAmt
Exclusion$29,347ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$266,190RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$188,984RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$77,206RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$77,206TotalRevenueColumnAmt
Exclusion$77,206ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$238OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$238OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$238TotalRevenueColumnAmt
Related Or Exempt Func Income$238RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MISCELLANEOUS$17,209$17,209
MEALS$14,516$14,516
BEAUTY SHOP INCOME-$943-$943
FieldValueIRS element (for citing)
Other Revenue Total$30,782OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,811,687TotalRevenueColumnAmt
Related Or Exempt Func Income$7,584,767RelatedOrExemptFuncIncomeAmt
Exclusion$138,278ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$129,672TotalAmt
Management And General$129,672ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$3,927,432TotalAmt
Program Services$3,742,746ProgramServicesAmt
Management And General$184,686ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,019,403TotalAmt
Program Services$940,416ProgramServicesAmt
Management And General$78,987ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$291,019TotalAmt
Program Services$268,470ProgramServicesAmt
Management And General$22,549ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$3,233TotalAmt
Management And General$3,233ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$34,762TotalAmt
Management And General$34,762ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$24,410TotalAmt
Program Services$4,090ProgramServicesAmt
Management And General$20,320ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$33,846TotalAmt
Program Services$4,012ProgramServicesAmt
Management And General$29,834ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$286,153TotalAmt
Program Services$286,153ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$15,923TotalAmt
Program Services$13,129ProgramServicesAmt
Management And General$2,794ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$428,620TotalAmt
Program Services$428,620ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$698,841TotalAmt
Program Services$698,841ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
CONTRACT LABOR$684,285$684,285
DIETARY SUPPLIES$301,317$301,317
SUPPLIES$294,024$294,024
EQUIP. RENTAL & MAINT.$103,020$103,020

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$341,973TotalAmt
Program Services$313,324ProgramServicesAmt
Management And General$28,649ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$8,617,933TotalAmt
Program Services$8,082,447ProgramServicesAmt
Management And General$535,486ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$793,344BOYAmt
EOY$464,086EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$267,729BOYAmt
EOY$332,809EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$652,983BOYAmt
EOY$542,056EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$39,757BOYAmt
EOY$54,889EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$18,345,032LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$8,555,326LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$10,292,614BOYAmt
EOY$9,789,706EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$1,453,574BOYAmt
EOY$1,201,531EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$459,841BOYAmt
EOY$448,215EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$13,959,842BOYAmt
EOY$12,833,292EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$524,159BOYAmt
EOY$582,563EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$29,271BOYAmt
EOY$37,732EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$9,213,104BOYAmt
EOY$8,860,552EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$66,102BOYAmt
EOY$66,648EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$9,832,636BOYAmt
EOY$9,547,495EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$4,127,206BOYAmt
EOY$3,285,797EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$4,127,206BOYAmt
EOY$3,285,797EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$13,959,842BOYAmt
EOY$12,833,292EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$806,246ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$35,163NetUnrlzdGainsLossesInvstAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$56,755CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$243,620CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$95,529CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$151,684CurrentTaxYearMinus1YearAmt
Current Tax Year$88,642CurrentTaxYearAmt
Total$636,230TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$5,917,449CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,515,458CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$7,512,191CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$7,944,697CurrentTaxYearMinus1YearAmt
Current Tax Year$7,696,399CurrentTaxYearAmt
Total$35,586,194TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$5,974,204CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,759,078CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$7,607,720CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$8,096,381CurrentTaxYearMinus1YearAmt
Current Tax Year$7,785,041CurrentTaxYearAmt
Total$36,222,424TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$36,222,424PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$23,084CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$38,935CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$88,793CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$29,377CurrentTaxYearMinus1YearAmt
Current Tax Year$29,347CurrentTaxYearAmt
Total$209,536TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$23,084CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$38,935CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$88,793CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$29,377CurrentTaxYearMinus1YearAmt
Current Tax Year$29,347CurrentTaxYearAmt
Total$209,536TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$52,330CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$49,129CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$16,040CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$40,045CurrentTaxYearMinus1YearAmt
Current Tax Year$30,782CurrentTaxYearAmt
Total$188,326TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$6,049,618CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,847,142CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$7,712,553CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$8,165,803CurrentTaxYearMinus1YearAmt
Current Tax Year$7,845,170CurrentTaxYearAmt
Total$36,620,286TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.98910PublicSupportCY509Pct
Public Support PY5090.98870PublicSupportPY509Pct
Investment Income CY0.01000InvestmentIncomeCYPct
Investment Income PY0.01000InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferencePART III, LINE 12FormAndLineReferenceDesc
ExplanationMEALS AND MISCELLANEOUS 188,326ExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$252,102InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$61,952OtherCostOrOtherBasisAmt
Book Value$314,054BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$33,071InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$15,166,322OtherCostOrOtherBasisAmt
Depreciation$6,624,179DepreciationAmt
Book Value$8,575,214BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$558,190InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$2,273,395OtherCostOrOtherBasisAmt
Depreciation$1,931,147DepreciationAmt
Book Value$900,438BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$9,789,706TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
SECURITY DEPOSITS$64,583
MISCELLANEOUS$2,065
FieldValueIRS element (for citing)
Total Liability$66,648TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$7,846,850TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$35,163NetUnrealizedGainsInvstAmt
Revenue Not Reported$35,163RevenueNotReportedAmt
Revenue Subtotal$7,811,687RevenueSubtotalAmt
Total Revenue Per Form990$7,811,687TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$8,617,933TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$8,617,933ExpensesSubtotalAmt
Total Expenses Per Form990$8,617,933TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE D, PAGE 3, PART XFormAndLineReferenceDesc
ExplanationTHE ORGANIZATION IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C) (3) OF THE INTERNAL REVENUE CODE AND THEREFORE HAS MADE NO PROVISION FOR FEDERAL INCOME TAXES IN THE ACCOMPANYING FINANCIAL STATEMENTS. IN ADDITION, THE ORGANIZATION HAS BEEN DETERMINED BY THE INTERNAL REVENUE SERVICE NOT TO BE A "PRIVATE FOUNDATION" WITHIN THE MEANING OF SECTION 509(A) OF THE INTERNAL REVENUE CODE. THERE WAS NO UNRELATED BUSINESS INCOME FOR THE YEARS ENDED JUNE 30, 2016 AND 2015. THE ORGANIZATION'S FORMS 990, RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX, FOR THE YEARS ENDING JUNE 30, 2016, 2015, 2014 AND 2013 ARE SUBJECT TO EXAMINATION BY THE IRS, GENERALLY FOR THREE YEARS AFTER THEY WERE FILED.ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1HOSP AUTH NO 1 OF PHELPS COUNTYBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN410777710BondIssuerEIN
Bond Issued2010-10-27BondIssuedDt
Issue Price$10,360,000IssuePriceAmt
PurposeREFUND PRIOR ISSUE (10/1/98) CONSTRUCT/RENOVATE EXISTING FACILITIES.PurposeDesc
DefeasedfalseDefeasedInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Pool FinancingfalsePoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$1,361,665RetiredAmt
Total Proceeds$10,363,140TotalProceedsAmt
In Reserve Fund$250,246InReserveFundAmt
Capitalized Interest$586,687CapitalizedInterestAmt
Issuance Costs From Proceeds$207,200IssuanceCostsFromProceedsAmt
Capital Expenditures$5,773,731CapitalExpendituresAmt
Other Spent Proceeds$3,545,273OtherSpentProceedsAmt
Current RefundingYes (true)CurrentRefundingInd
Advance RefundingfalseAdvanceRefundingInd
Final Allocation MadefalseFinalAllocationMadeInd
Adequate Books And Rec MaintYes (true)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed PropertyfalseOwningBondFinancedPropertyInd
Any Lease ArrangementsfalseAnyLeaseArrangementsInd
Mgmt Contract Bond Fincd PropfalseMgmtContractBondFincdPropInd
Any Research AgreementsfalseAnyResearchAgreementsInd
Bond Iss Meet Prvt Sec Pymt TestfalseBondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed PropfalseChangeInUseBondFinancedPropInd
Procs Nonqualified Bond RemdtdfalseProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T FiledfalseForm8038TFiledInd
Rebate Not Due YetYes (true)RebateNotDueYetInd
Exception To RebatefalseExceptionToRebateInd
No Rebate DuefalseNoRebateDueInd
Variable Rate IssueYes (true)VariableRateIssueInd
Hedge Identified In Bks And RecfalseHedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGICInd
Gross Proceeds InvestedfalseGrossProceedsInvestedInd
Written Proc To Monitor ReqsfalseWrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionfalseProceduresCorrectiveActionInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PAGE 6, PART VI, LINE 7ABOARD MEMBERS ARE FIRST NOMINATED BY A NOMINATING COMMITTEE COMPRISED OF CURRENT BOARD MEMBERS. THEY ARE THEN ELECTED DURING THE YEARLY MIDWEST EVANGELICAL FREE CHURCH CONFERENCE.
FORM 990, PAGE 6, PART VI, LINE 7BIF A LOAN REQUIRES THE PLEDGING OF ASSETS, PERMISSION IS REQUIRED OF THE BOARD OF THE MIDWEST DISTRICT OF THE EVANGELICAL FREE CHURCH OF AMERICA.
FORM 990, PAGE 6, PART VI, LINE 9CHARLIE REESER 717 HANCOCK HOLDREGE, NE 68949 DOUG GUSTAFSON 1123 GARFIELD ST HOLDREGE, NE 68949 JIM SWANSON 3210 11TH AVE KEARNEY, NE 68845 REV TOM THOMPSON PO BOX 160 LOOMIS, NE 68958 MARLYS ANDERSON 73984 I RD LOOMIS, NE 68958 DR. MARK ADAM 105 S HWY 44 WILCOX, NE 68982 REV NOAH PALMER 218 WEST 18TH ST KEARNEY, NE 68847 STEVE BERGSTROM 73171 RD 20 AXTELL, NE 68924 STEVE STROUP 1319 VALERIE AVENUE HOLDREGE, NE 68949 DR. KEVIN CARNES 1404 DEEP CREEK LANE MANHATTAN, KS 66502 LARRY NYBERG 102 SPRUCE DRIVE LOOMIS, NE 68958 JEFF MOON 11636 737 RD HOLDREGE, NE 68949 CRAIG HADLEY 73582 J RD LOOMIS, NE 68958 TERRY WOOLLEN 71361 US HWY 183 ALMA, NE 68920
FORM 990, PAGE 6, PART VI, LINE 11BTHE EXECUTIVE DIRECTOR REVIEWS THE FORM 990 AND NOTIFIES THE PREPARER OF ANY CHANGES. THE FORM 990 IS AVAILABLE FOR REVIEW BY BOARD MEMBERS AT THEIR REQUEST.
FORM 990, PAGE 6, PART VI, LINE 12CTHE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY.
FORM 990, PAGE 6, PART VI, LINE 15ACOMPARABILITY OF COMPENSATION FOR TOP MANAGEMENT OFFICIALS IS REVIEWED THROUGH AN INDEPENDENT CONSULTANT SPECIALIZING IN LONG-TERM CARE AS WELL AS BY AN INDUSTRY SURVEY CONDUCTED ON A STATE WIDE BASIS.
FORM 990, PAGE 6, PART VI, LINE 19GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1MIDWEST DISTRICT OF THE EVANGELICALBusinessNameLine1Txt
Business Name Line2FREE CHURCH OF AMERICABusinessNameLine2Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1218 W 18TH STAddressLine1Txt
CityKEARNEYCityNm
State AbbreviationNEStateAbbreviationCd
ZIP68845ZIPCd
FieldValueIRS element (for citing)
EIN410721672EIN
Primary ActivitiesCHURCHPrimaryActivitiesTxt
Legal Domicile StateNELegalDomicileStateCd
Exempt Code Section501CExemptCodeSectionTxt
Public Charity Status1PublicCharityStatusTxt
Direct Controlling NAN/ADirectControllingNACd
Controlled OrganizationfalseControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd