FURP.ORG / PUBLIC DATA EXPLORER

CHRISTIAN HOMES INC: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
CHRISTIAN HOMES INC (EIN 47-0378776)
Tax period
2013-07-01 to 2014-06-30
Filed
2014-11-14
IRS object ID
201443189349304184
Schema version
2013v3.1
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)
Return2014-11-14T11:24:03-06:00ReturnTs
Tax Period End2014-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN470742720PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1KOSKI PROFESSIONAL GROUP PCBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line110516 BURT CIRAddressLine1
CityOMAHACity
StateNEState
ZIP Code681142062ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN470378776EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CHRISTIAN HOMES INCBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlCHRIBusinessNameControlTxt
Phone3089954493PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11923 WEST 4TH AVENUEAddressLine1
CityHOLDREGECity
StateNEState
ZIP Code68949ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSTEVE BERGSTROMPersonNm
Person TitleCHAIRMANPersonTitleTxt
Phone3089954493PhoneNum
Signature2014-10-28SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonROBERT J DICK JRPreparerPersonNm
PTINP00825204PTIN
Phone4024454040PhoneNum
Preparation2014-11-14PreparationDt
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Gross Receipts$7,806,380GrossReceiptsAmt
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 Employee232TotalEmployeeCnt
Total Volunteers35TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$243,620PYContributionsGrantsAmt
CY Contributions Grants$95,529CYContributionsGrantsAmt
PY Program Service Revenue$6,694,088PYProgramServiceRevenueAmt
CY Program Service Revenue$7,391,630CYProgramServiceRevenueAmt
PY Investment Income$56,673PYInvestmentIncomeAmt
CY Investment Income$88,925CYInvestmentIncomeAmt
PY Other Revenue$484,372PYOtherRevenueAmt
CY Other Revenue$48,914CYOtherRevenueAmt
PY Total Revenue$7,478,753PYTotalRevenueAmt
CY Total Revenue$7,624,998CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$4,705,398PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$4,830,006CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$2,723,913PYOtherExpensesAmt
CY Other Expenses$2,832,735CYOtherExpensesAmt
PY Total Expenses$7,429,311PYTotalExpensesAmt
CY Total Expenses$7,662,741CYTotalExpensesAmt
PY Revenues Less Expenses$49,442PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$37,743CYRevenuesLessExpensesAmt
Total Assets BOY$14,295,082TotalAssetsBOYAmt
Total Assets EOY$14,054,311TotalAssetsEOYAmt
Total Liabilities BOY$10,564,571TotalLiabilitiesBOYAmt
Total Liabilities EOY$10,326,376TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$3,730,511NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$3,727,935NetAssetsOrFundBalancesEOYAmt
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$7,144,385ExpenseAmt
Revenue$7,391,762RevenueAmt
DescNURSING HOME CARE AND ASSISTED LIVING FOR THE ELDERLYDesc
Total Program Service Expenses$7,144,385TotalProgramServiceExpensesAmt
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 FootnotefalseIncludeFIN48FootnoteInd
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 Document1IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee232EmployeeCnt
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 AVENUEAddressLine1
CityHOLDREGECity
StateNEState
ZIP Code68949ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (15 entries)

TitleTitleTxtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtAverage Hours Per WeekAverageHoursPerWeekRt
CHARLIE REESER
VICE CHAIRMAYes (X)Yes (X)$0$0$0
DON HOLEN
BOARD MEMBERYes (X)$0$0$0
DONALD BAKKE
EXEC. DIRECTYes (X)Yes (X)$0$0$040.00
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
MIKE THORELL
BOARD MEMBERYes (X)$0$0$0
REVEREND WES HOLEN
BOARD MEMBERYes (X)$0$0$0
REVEREND NOAH PALMER
EX-OFFICIOYes (X)Yes (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)Yes (X)$0$0$0
LARRY NYBERG
BOARD MEMBERYes (X)$0$0$0
TERRY WOOLLEN
BOARD MEMBERYes (X)$0$0$0
FieldValueIRS element (for citing)
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SELECT REHABILITATIONBusinessNameLine1

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 809506AddressLine1
CityCHICAGOCity
StateILState
ZIP Code60680ZIPCode
FieldValueIRS element (for citing)
ServicesREHAB SERVICEServicesDesc
Compensation$177,838CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt
All Other Contributions$95,529AllOtherContributionsAmt
Total Contributions$95,529TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PRIVATE REVENUE$4,025,161$4,025,161
MEDICARE & MEDICAID REVENUE$3,366,469$3,366,469
FieldValueIRS element (for citing)
Total Program Service Revenue$7,391,630TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$88,793TotalRevenueColumnAmt
Exclusion$88,793ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$214,256RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$181,382RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$32,874RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$32,874TotalRevenueColumnAmt
Exclusion$32,874ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$132OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$132OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$132TotalRevenueColumnAmt
Related Or Exempt Func Income$132RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
MISCELLANEOUS$10,334$10,334
MEALS$5,706$5,706
FieldValueIRS element (for citing)
Other Revenue Total$16,040OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,624,998TotalRevenueColumnAmt
Related Or Exempt Func Income$7,391,762RelatedOrExemptFuncIncomeAmt
Exclusion$137,707ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$121,514TotalAmt
Management And General$121,514ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$3,545,489TotalAmt
Program Services$3,360,895ProgramServicesAmt
Management And General$184,594ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$900,991TotalAmt
Program Services$825,713ProgramServicesAmt
Management And General$75,278ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$262,012TotalAmt
Program Services$240,131ProgramServicesAmt
Management And General$21,881ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$50,161TotalAmt
Management And General$50,161ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$20,672TotalAmt
Program Services$10,081ProgramServicesAmt
Management And General$10,591ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$24,297TotalAmt
Program Services$4,543ProgramServicesAmt
Management And General$19,754ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$333,235TotalAmt
Program Services$333,235ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$14,533TotalAmt
Program Services$11,918ProgramServicesAmt
Management And General$2,615ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$443,815TotalAmt
Program Services$443,815ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$725,683TotalAmt
Program Services$725,683ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
SUPPLIES$644,934$644,934
CONTRACT LABOR$272,146$272,146
MEDICAL ASSESSMENT FEE$93,965$93,965
EQUIP. RENTAL & MAINT.$58,574$58,574

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$150,720TotalAmt
Program Services$118,752ProgramServicesAmt
Management And General$31,968ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$7,662,741TotalAmt
Program Services$7,144,385ProgramServicesAmt
Management And General$518,356ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$446,690BOYAmt
EOY$761,103EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$112,066BOYAmt
EOY$207,664EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$801,224BOYAmt
EOY$680,663EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$19,553BOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$22,587BOYAmt
EOY$36,751EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$18,313,090LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$7,485,133LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$11,436,008BOYAmt
EOY$10,827,957EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$968,481BOYAmt
EOY$1,062,195EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$488,473BOYAmt
EOY$477,978EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$14,295,082BOYAmt
EOY$14,054,311EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$593,870BOYAmt
EOY$672,252EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$41,455BOYAmt
EOY$39,347EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$9,876,756BOYAmt
EOY$9,551,348EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$52,490BOYAmt
EOY$63,429EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$10,564,571BOYAmt
EOY$10,326,376EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,730,511BOYAmt
EOY$3,727,935EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,730,511BOYAmt
EOY$3,727,935EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$14,295,082BOYAmt
EOY$14,054,311EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$37,743ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$35,167NetUnrlzdGainsLossesInvstAmt
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$46,922CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$234,845CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$56,755CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$243,620CurrentTaxYearMinus1YearAmt
Current Tax Year$95,529CurrentTaxYearAmt
Total$677,671TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$6,215,481CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,277,716CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$5,917,449CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,515,458CurrentTaxYearMinus1YearAmt
Current Tax Year$7,512,191CurrentTaxYearAmt
Total$32,438,295TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$6,262,403CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,512,561CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$5,974,204CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,759,078CurrentTaxYearMinus1YearAmt
Current Tax Year$7,607,720CurrentTaxYearAmt
Total$33,115,966TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$33,115,966PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$35,514CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$35,188CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$23,084CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$38,935CurrentTaxYearMinus1YearAmt
Current Tax Year$88,793CurrentTaxYearAmt
Total$221,514TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$35,514CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$35,188CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$23,084CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$38,935CurrentTaxYearMinus1YearAmt
Current Tax Year$88,793CurrentTaxYearAmt
Total$221,514TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$29,745CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$25,022CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$52,330CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$49,129CurrentTaxYearMinus1YearAmt
Current Tax Year$16,040CurrentTaxYearAmt
Total$172,266TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$6,327,662CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,572,771CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,049,618CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,847,142CurrentTaxYearMinus1YearAmt
Current Tax Year$7,712,553CurrentTaxYearAmt
Total$33,509,746TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.98820PublicSupportCY509Pct
Public Support PY5090.98770PublicSupportPY509Pct
Investment Income CY0.01000InvestmentIncomeCYPct
Investment Income PY0.01000InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Form990 Schedule A Part IV Form990ScheduleAPartIVGrp

FieldValueIRS element (for citing)
Form And Line ReferencePART II, LINE 12FormAndLineReferenceDesc
ExplanationMEALS AND MISCELLANEOUS 172,266ExplanationTxt

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$15,178,034OtherCostOrOtherBasisAmt
Depreciation$5,752,773DepreciationAmt
Book Value$9,458,332BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$568,930InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$2,219,001OtherCostOrOtherBasisAmt
Depreciation$1,732,360DepreciationAmt
Book Value$1,055,571BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$10,827,957TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
SECURITY DEPOSITS$55,957
SECUITY DEPOSITS$5,000
MISCELLANEOUS ADJUSTMENT$2,472
FieldValueIRS element (for citing)
Total Liability$63,429TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$7,660,165TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$35,167NetUnrealizedGainsInvstAmt
Revenue Not Reported$35,167RevenueNotReportedAmt
Revenue Subtotal$7,624,998RevenueSubtotalAmt
Total Revenue Per Form990$7,624,998TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$7,662,741TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$7,662,741ExpensesSubtotalAmt
Total Expenses Per Form990$7,662,741TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE D, PAGE 4, PART XIIIFormAndLineReferenceDesc
ExplanationPART X - FIN 48 FOOTNOTE THE 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, 2014 AND 2013. THE ORGANIZATION'S FORMS 990, RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX, FOR THE YEARS ENDING JUNE 30, 2014, 2013, 2012, AND 2011 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 COUNTYBusinessNameLine1
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$670,868RetiredAmt
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
Unspent$3UnspentAmt
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

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 DON HOLEN 302 STABLE DRIVE BERTRAND, NE 68927 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 MIKE THORELL PO BOX 244 LOOMIS, NE 68958 REVEREND WES HOLEN PO BOX 291 OXFORD, NE 68967 REVEREND 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 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 EVANGELICALBusinessNameLine1
Business Name Line2FREE CHURCH OF AMERICABusinessNameLine2

US Address USAddress

FieldValueIRS element (for citing)
Address Line1218 W 18TH STAddressLine1
CityKEARNEYCity
StateNEState
ZIP Code68845ZIPCode
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