2014-04-15T10:24:21-05:00 2013-08-31 470677245 HBE BECKER MEYER LOVE LLP 7140 STEPHANIE LANE PO BOX 23110 LINCOLN NE 685423110 990 2012-09-01 476041813 CHRISTIAN RETIREMENT HOMES CHRI 4024896591 6315 O STREET LINCOLN NE 68510 CAROL ERNST 4024896591 2014-04-14 1 KRYSTAL L SIEBRANDT CPA CFE P00543870 4024234343 2014-04-14 2012 2015-11-30 17:44:51Z CAROL ERNST 6315 O STREET LINCOLN NE 68510 11325234 0 X EASTMONTTOWERS.COM X 1965 NE TO PROVIDE CARE ACROSS THE CONTINUUM IN A RETIREMENT COMMUNITY ENVIRONMENT 13 10 290 0 0 0 895227 559106 10282611 10727683 34741 37488 0 0 11212579 11324277 0 3301 0 0 5935132 6102774 0 0 0 5114040 5045373 11049172 11151448 163407 172829 15940774 15539569 12624537 12046251 3316237 3493318 EASTMONT TOWERS, A NOT-FOR-PROFIT CONTINUING CARE RETIREMENT COMMUNITY, PROVIDES COMPREHENSIVE SENIOR LIVING SERVICES WITH THE SECURITY OF EXCEPTIONAL HEALTH CARE WHILE GIVING CHARITABLE SERVICE TO OTHERS. 0 0 2137580 2443686 THE EASTMONT TOWERS CARE CENTER HAS A TOTAL OF 42 BEDS. OF THESE BEDS, 20 ARE LICENSED FOR MEDICARE REHABILITATION, WHILE 22 BEDS ARE DESIGNATED LONG TERM CARE. THE CARE CENTER PROVIDES SKILLED NURSING, PHYSICAL, OCCUPATIONAL, SPEECH, AND ACTIVITY THERAPY IN AN INTERDISCIPLINARY ENVIRONMENT. ADDITIONALLY, SPIRITUAL GUIDANCE, SOCIAL WORK, CASE MANAGEMENT, AND CARE SERVICES ARE PROVIDED FOR THE OVERALL PSYCHOSOCIAL WELLBEING OF THE PATIENTS. THE CARE CENTER IS GUIDED BY A MEDICAL DIRECTOR, LICENSED NURSING HOME ADMINISTRATOR, AND DIRECTOR OF NURSING. 698860 2373346 EASTMONT TOWERS PROVIDES ASSISTED LIVING FOR THOSE INDIVIDUALS NEEDING ASSISTANCE WITH ACTIVITIES OF DAILY LIVING. THE TWO AREAS ON THE MAIN CAMPUS LICENSED AS ASSISTED LIVING (THE SEASONS AND THE LIVE IN CENTER) HAVE A TOTAL OF 69 BEDS AND USE AN ACTIVITY DRIVEN SOCIAL MODEL WITH AN EMPHASIS ON FELLOWSHIP, ENRICHMENT, AND EDUCATIONAL OPPORTUNITIES. RESIDENTS HAVE ACCESS TO LICENSED PROFESSIONAL NURSING STAFF ON CAMPUS 24 HOURS/DAY. INDIVIDUALS HAVE TAILORED PROGRAMS WHICH CAN INCLUDE ASSISTANCE WITH: ACTIVITIES OF DAILY LIVING, MEDICATION MANAGEMENT, HEALTH MAINTENACE ACTIVITIES, TRANSFERS OR AMBULATION, OXYGEN, AND ADDITIONAL COMPANION OR HOME HEALTH NEEDS. 483354 382685 THE MONARCH IS A FREESTANDING SIX BED FACILITY, LICENSED AS ASSISTED LIVING, WITH PRIMARY EMPHASIS ON HOSPICE TO ENHANCE THE CONTINUITY AND QUALITY OF HOSPICE CARE DELIVERED TO TERMINALLY ILL PEOPLE IN THE COMMUNITY. THE MONARCH PROVIDES A BEAUTIFUL HOME-LIKE ENVIRONMENT WITH SPACE FOR FAMILY AND FRIENDS TO GATHER. TRAINED PROFESSIONAL STAFF PARTNER WITH ALL AREA HOSPICE AGENCIES TO PROVIDE COMFORT/PALLIATIVE CARE TO RESIDENTS AND THEIR FAMILIES. RESIDENTS MUST BE ESTABLISHED WITH A HOSPICE CARE PROVIDER AND NEED PARTIAL OR TOTAL ASSISTANCE WITH THE ACTIVITIES OF DAILY LIVING. MEDICAL SUPERVISION IS ARRANGED FOR BY THE RESIDENT, FAMILY, OR OTHER PERSONS BEFORE ADMISSION. 6040499 3301 5527966 6040499 3301 5527966 9360293 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 1 0 0 0 1 17 0 1 290 1 0 0 0 0 0 0 0 0 0 1 1 0 X 13 10 0 0 0 0 0 0 0 1 1 0 0 0 1 0 0 1 1 1 0 0 X CHRISTIAN RETIREMENT HOMES 4024896591 6315 O STREET LINCOLN NE 685101276 JOHN WALTERS 1.00 X X 0 0 0 JILL G JENSEN 1.00 X X 0 0 0 KATHRYN J CAMPBELL 1.00 X X 0 0 0 JIM ESSAY 1.00 X X 0 0 0 DR DAVID R DYKE MD 1.00 X 0 0 0 TIMOTHY J GAY 1.00 X 0 0 0 LADONNA VAN ENGEN 1.00 X 0 0 0 JIM WAGNER 1.00 X 0 0 0 JON WELLES 1.00 X 0 0 0 DICK DELORM 1.00 X 0 0 0 LAUREN HOLCOMBE 1.00 X 0 0 0 ANITA FUSSELL 1.00 X 0 0 0 CAROL ERNST 40.00 X 97302 0 14142 97302 0 14142 0 0 0 0 BLUE CROSS BLUE SHIELD PO BOX 3248 OMAHA NE 68180 INSURANCE 790225 PEGLER SYSCO PO BOX 82605 LINCOLN NE 68512 FOOD & FOOD SUPPLY 611421 LINCOLN ELECTRIC COMPANY 1040 O STREET LINCOLN NE 68510 POWER 262948 BRYANT AIR CONDITIONING & HEATING 5401 CORNHUSKER HWY LINCOLN NE 68504 HEAT & AIR SERVICE 249185 GUIDEONE INSURANCE PO BOX 14599 DES MOINES IA 50306 INSURANCE 219558 13 559106 559106 OTHER SERVICES 623000 5527966 5527966 NURSING CARE 623000 2443686 2443686 ASSISTED LIVING SERVICES 623000 2373346 2373346 MONARCH HOSPICE SERVICES 623000 382685 382685 10727683 21259 21259 17186 0 957 17186 -957 16229 16229 11324277 10727683 0 37488 3301 3301 145408 145408 4948088 4333780 614308 619071 51432 567639 390207 341237 48970 42629 42629 2656 2656 98360 98360 131348 123019 8329 687803 687803 12198 12198 259522 255444 4078 1373911 1373911 288762 276734 12028 FOOD 570947 570947 EQUIPMENT RENTAL 442651 404803 37848 SUPPLIES 273124 253165 19959 DRUG EXPENSE 178363 178363 683099 506354 176745 11151448 9360293 1791155 0 707922 716991 705563 589760 22754 22753 2977 69572 28681990 16347530 12759184 12334460 1590397 1665132 151977 140901 15940774 15539569 816099 776237 5123371 4936467 5590000 5290000 630192 738257 464875 305290 12624537 12046251 X 2970332 3133956 345905 359362 3316237 3493318 15940774 15539569 172829 4252 0 X X 0 1 X 1 0 X 401686 524994 626347 895227 559106 3007360 9718330 9959985 10377204 10282611 10727683 51065813 10120016 10484979 11003551 11177838 11286789 54073173 111749 163907 178860 180916 218363 853795 0 111749 163907 178860 180916 218363 853795 53219378 67800 48606 34323 34154 37488 222371 67800 48606 34323 34154 37488 222371 10187816 10533585 11037874 11211992 11324277 54295544 0.98020 0.98140 0.00410 0.00470 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 0 0 0 0 EXPLANATION OF LOBBYING ACTIVITIES: PART II-B, LINE 1: INFLUENCE IS ATTEMPTED THROUGH MEMBERSHIPS IN VARIOUS HEALTH CARE ORGANIZATIONS, ON LEGISLATIVE ISSUES AFFECTING THE INDUSTRY, AND CORRESPONDENCE TO REPRESENTATIVES OF GOVERNMENT. 0 0 596850 596850 23118905 12966676 10152229 4322827 3380854 941973 643408 643408 12334460 DEPOSITS ON ENTRANCE FEE 305290 305290 X 11329486 4252 4252 11325234 -957 -957 11324277 11152405 957 957 11151448 0 11151448 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: FOR THE YEAR ENDED AUGUST 31, 2013, CHRISTIAN RETIREMENT HOMES HAD NO TAX LIABILITY ON UNRELATED BUSINESS ACTIVITY. CHRISTIAN RETIREMENT HOMES BELIEVES THAT IT HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN, AND AS SUCH, DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE CONSOLIDATED FINANCIAL STATEMENTS. PART XI, LINE 4B - OTHER ADJUSTMENTS: LOSS ON SALE OF FIXED ASSETS -957. PART XII, LINE 2D - OTHER ADJUSTMENTS: LOSS ON SALE OF FIXED ASSETS 957. A HOSP AUTH NO 1 OF LANCASTER CNTY NE 470721900 513886TK7 2011-04-26 3390000 REFUND PRIOR BONDS (5/12/04) 0 0 0 B HOSP AUTH NO 1 OF LANCASTER CNTY NE 470721900 513886UB5 2011-11-29 2475000 REFUND PRIOR BONDS (3/15/06) 0 0 0 A 185000 3390000 331450 67800 3322200 2001 1 0 1 1 B 90000 2475000 193426 41350 2433650 2008 1 0 1 1 A 0 0 0 0 0 0 0 B 0 0 0 0 0 0 0 A 0 0 1 0 0 0 0 0 0 B 0 0 1 0 0 0 0 0 0 A 1 B 1 PART II, LINE 3 THE TOTAL PROCEEDS DO NOT EQUAL THE SUMMATION OF LINES 4-12 DUE TO TRANSFERRED OR REPLACEMENT PROCEEDS IN LINE 4. ANNABETH GAY MOTHER OF TIMOTHY GAY 33960 RESIDENT FEES 0 DICK DELORM BOARD MEMBER 27840 RESIDENT FEES 0 LAUREN HOLCOMBE BOARD MEMBER 49129 RESIDENT FEES 0 ANITA FUSSELL BOARD MEMBER 25745 RESIDENT FEES 0 EDNA GATES MOTHER-IN-LAW OF CAROL ERNST 36520 RESIDENT FEES 0 PAT SINKEY MOTHER-IN-LAW OF JOHN WALTERS 39670 RESIDENT FEES 0 JOHN BOOTH UNCLE OF MICHELE KELLY 5500 RESIDENT FEES 0 FORM 990, PART VI, SECTION B, LINE 11 THE 990 IS REVIEWED BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 15A THE 2013 EXECUTIVE COMMITTEE REVIEWED COMPARABLE DATA FOR CCRC'S NATIONALLY AND HEALTHCARE COMPENSATION REGIONALLY. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. PROCESS HAS NOT CHANGED SINCE PRIOR YEAR. EASTMONT TOWERS FOUNDATION INC 6315 O STREET LINCOLN NE 68510 911767080 RAISE FUNDS NE 501(C)(3) LINE 9 CRH INC 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 1 0 1 0 0 EASTMONT TOWERS FOUNDATION INC C 559106 FAIR MKT VALUE EASTMONT TOWERS FOUNDATION INC Q 107740 FAIR MKT VALUE