CHRISTIAN HOMES INC: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- CHRISTIAN HOMES INC (EIN 47-0378776)
- Tax period
- 2011-07-01 to 2012-06-30
- Filed
- 2012-11-09
- IRS object ID
- 201213149349300901
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-11-09T08:26:49-06:00 | Timestamp |
| Tax Period End Date | 2012-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KOSKI PROFESSIONAL GROUP PC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10516 BURT CIR | AddressLine1 |
| City | OMAHA | City |
| State | NE | State |
| ZIP Code | 681142062 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 470378776 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHRISTIAN HOMES INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | CHRI | NameControl |
| Phone | 3089954493 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1923 WEST 4TH AVENUE | AddressLine1 |
| City | HOLDREGE | City |
| State | NE | State |
| ZIP Code | 68949 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | STEVE BERGSTROM | Name |
| Title | CHAIRMAN | Title |
| Phone | 3089954493 | Phone |
| Date Signed | 2012-10-30 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | ROBERT J DICK JR | Name |
| Phone | 4024454040 | Phone |
| Date Prepared | 2012-11-09 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 6504165 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.CHRISOMA.COM | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1889 | YearFormation |
| State Legal Domicile | NE | StateLegalDomicile |
| Activity Or Mission Description | PROVIDE HOUSING AND SERVICES TO THE ELDERLY AND INFIRMED IN A MANNER THAT PROVIDES FOR THE PHYSICAL, MENTAL, SOCIAL, AND SPIRITUAL WELFARE OF THE RESIDENTS. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 15 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 0 | NbrIndependentVotingMembers |
| Total Nbr Employees | 196 | TotalNbrEmployees |
| Total Nbr Volunteers | 50 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Contributions Grants Prior Year | 234845 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 56755 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 6278769 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 6014811 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 94934 | InvestmentIncomePriorYear |
| Investment Income Current Year | 23084 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 312652 | OtherRevenuePriorYear |
| Other Revenue Current Year | 258880 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 6921200 | TotalRevenuePriorYear |
| Total Revenue Current Year | 6353530 | TotalRevenueCurrentYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 3982815 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 4415126 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 2543969 | OtherExpensePriorYear |
| Other Expenses Current Year | 2382893 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 6526784 | TotalExpensesPriorYear |
| Total Expenses Current Year | 6798019 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 394416 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -444489 | RevenuesLessExpensesCY |
| Total Assets BOY | 14794167 | TotalAssetsBOY |
| Total Assets EOY | 14324568 | TotalAssetsEOY |
| Total Liabilities BOY | 10726704 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 10701594 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 4067463 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 3622974 | NetAssetsOrFundBalancesEOY |
| Mission Description | PROVIDE HOUSING AND SERVICES TO THE ELDERLY AND INFIRMED IN A MANNER THAT PROVIDES FOR THE PHYSICAL, MENTAL, SOCIAL, AND SPIRITUAL WELFARE OF THE RESIDENTS. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 6328283 | Expense |
| Revenue | 6014811 | Revenue |
| Description | NURSING HOME CARE AND ASSISTED LIVING FOR THE ELDERLY | Description |
| Total Program Service Expense | 6328283 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | true | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | true | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | false | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | false | Hospital |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | false | ScheduleJRequired |
| Tax Exempt Bonds | true | TaxExemptBonds |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBonds |
| Escrow Account | false | EscrowAccount |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transaction Related Entity | false | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 1 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 196 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 15 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 0 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | false | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | true | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | false | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | false | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | DONALD BAKKE | NamePerson |
| Telephone Number | 3089954493 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1923 WEST 4TH AVENUE | AddressLine1 |
| City | HOLDREGE | City |
| State | NE | State |
| ZIP Code | 68949 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | X | NoListedPersonsCompensated |
Form990 Part VII Section A Form990PartVIISectionA (15 entries)
| TitleTitle | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Average Hours Per WeekAverageHoursPerWeek |
|---|---|---|---|---|---|---|
| CHARLIE REESER | ||||||
| VICE CHAIRMA | X | X | 0 | 0 | 0 | |
| DON HOLEN | ||||||
| BOARD MEMBER | X | 0 | 0 | 0 | ||
| DONALD BAKKE | ||||||
| EXEC. DIRECT | X | X | 0 | 0 | 0 | 40.00 |
| DOUG GUSTAFSON | ||||||
| BOARD MEMBER | X | 0 | 0 | 0 | ||
| JIM SWANSON | ||||||
| BOARD MEMBER | X | 0 | 0 | 0 | ||
| LARRY LINDSTROM | ||||||
| BOARD MEMBER | X | 0 | 0 | 0 | ||
| MARLYS ANDERSON | ||||||
| SECRETARY | X | X | 0 | 0 | 0 | |
| REVEREND CRAIG CEDAR | ||||||
| BOARD MEMBER | X | 0 | 0 | 0 | ||
| REVEREND WES HOLEN | ||||||
| BOARD MEMBER | X | 0 | 0 | 0 | ||
| REVEREND WILLIAM SMITH | ||||||
| EX-OFFICIO | X | X | 0 | 0 | 0 | |
| STEVE BERGSTROM | ||||||
| CHAIRMAN | X | X | 0 | 0 | 0 | |
| STEVE STROUP | ||||||
| BOARD MEMBER | X | 0 | 0 | 0 | ||
| DR KEVIN CARNES | ||||||
| EX-OFFICIO | X | X | 0 | 0 | 0 | |
| WAYNE COWAN | ||||||
| BOARD MEMBER | X | 0 | 0 | 0 | ||
| TERRY WOOLLEN | ||||||
| BOARD MEMBER | X | 0 | 0 | 0 | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | false | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (2 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| NEW WEST ORTHOPAEDIC & SPORTS REHAB | |||||
| 2810 WEST 35TH STREET SUITE 2 | KEARNEY | NE | 68845 | THERAPY SERVICE | 185590 |
| MEDICAL STAFFING NETWORK | |||||
| PO BOX 202996 | DALLAS | TX | 75320 | STAFFING AGENCY | 184625 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 2 | NumberOfContractorsGT100K |
| All Other Contributions | 56755 | AllOtherContributions |
| Total Contributions | 56755 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|
| PRIVATE REVENUE | 3201725 | 3201725 |
| MEDICARE & MEDICAID REVENUE | 2813086 | 2813086 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 6014811 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 23084 | TotalRevenueColumn |
| Exclusion | $23,084 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 357185 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 150635 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 206550 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 206550 | TotalRevenueColumn |
| Exclusion | $206,550 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (2 entries)
| DescriptionDescription | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|
| MEALS | 44435 | $44,435 |
| MISCELLANEOUS | 7895 | $7,895 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 52330 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 6353530 | TotalRevenueColumn |
| Related Or Exempt Function Income | 6014811 | RelatedOrExemptFunctionIncome |
| Exclusion | $281,964 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 101460 | Total |
| Management And General | 101460 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3195496 | Total |
| Program Services | 3023956 | ProgramServices |
| Management And General | 171540 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 866858 | Total |
| Program Services | 795288 | ProgramServices |
| Management And General | 71570 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 251312 | Total |
| Program Services | 230505 | ProgramServices |
| Management And General | 20807 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 48280 | Total |
| Management And General | 48280 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11983 | Total |
| Program Services | 3746 | ProgramServices |
| Management And General | 8237 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 21425 | Total |
| Program Services | 6396 | ProgramServices |
| Management And General | 15029 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 295117 | Total |
| Program Services | 295117 | ProgramServices |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 15811 | Total |
| Program Services | 12789 | ProgramServices |
| Management And General | 3022 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 160234 | Total |
| Program Services | 160234 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 557522 | Total |
| Program Services | 557522 | ProgramServices |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices |
|---|---|---|
| SUPPLIES | 569402 | 569402 |
| CONTRACT LABOR | 448543 | 448543 |
| MEDICAL ASSESSMENT FEE | 80675 | 80675 |
| EQUIP. RENTAL & MAINT. | 59771 | 59771 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 114130 | Total |
| Program Services | 84339 | ProgramServices |
| Management And General | 29791 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6798019 | Total |
| Program Services | 6328283 | ProgramServices |
| Management And General | 469736 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 570383 | BOY |
| EOY | 591693 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 934245 | BOY |
| EOY | 161721 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 525232 | BOY |
| EOY | 622594 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19553 | BOY |
| EOY | 19553 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4624 | BOY |
| EOY | 1006 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 17668249 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 6636298 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8459056 | BOY |
| EOY | 11031951 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 544595 | BOY |
| EOY | 864282 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3736479 | BOY |
| EOY | 1031768 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14794167 | BOY |
| EOY | 14324568 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 384862 | BOY |
| EOY | 508971 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 18629 | BOY |
| EOY | 19746 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10271139 | BOY |
| EOY | 10133356 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 52074 | BOY |
| EOY | 39521 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10726704 | BOY |
| EOY | 10701594 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4067463 | BOY |
| EOY | 3622974 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4067463 | BOY |
| EOY | 3622974 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14794167 | BOY |
| EOY | 14324568 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | -444489 | ReconcilationRevenueExpenses |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 79352 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 412757 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 46922 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 234845 | CurrentTaxYearMinus1Year |
| Current Tax Year | 56755 | CurrentTaxYear |
| Total | 830631 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 5427168 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 6182062 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 6215481 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 6277716 | CurrentTaxYearMinus1Year |
| Current Tax Year | 5917449 | CurrentTaxYear |
| Total | 30019876 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 5506520 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 6594819 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 6262403 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 6512561 | CurrentTaxYearMinus1Year |
| Current Tax Year | 5974204 | CurrentTaxYear |
| Total | 30850507 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 30850507 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 107170 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 51525 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 35514 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 35188 | CurrentTaxYearMinus1Year |
| Current Tax Year | 23084 | CurrentTaxYear |
| Total | 252481 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 107170 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 51525 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 35514 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 35188 | CurrentTaxYearMinus1Year |
| Current Tax Year | 23084 | CurrentTaxYear |
| Total | 252481 | Total |
Other Income509 OtherIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 50605 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 60788 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 29745 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 25022 | CurrentTaxYearMinus1Year |
| Current Tax Year | 52330 | CurrentTaxYear |
| Total | 218490 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 5664295 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 6707132 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 6327662 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 6572771 | CurrentTaxYearMinus1Year |
| Current Tax Year | 6049618 | CurrentTaxYear |
| Total | 31321478 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.98500 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.98280 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.01000 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.01000 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Disclosed Orgs Legal Control | false | DisclosedOrgsLegalControl |
| Disclosed For Charitable Purposes | false | DisclosedForCharitablePurposes |
| Written Policy Monitoring | false | WrittenPolicyMonitoring |
| Sect170h Requirements Satisfied | false | Sect170hRequirementsSatisfied |
| Solicited Assets For Sale | false | SolicitedAssetsForSale |
| Agent Trustee Etc | false | AgentTrusteeEtc |
| Included On FS | false | IncludedOnFS |
| Endowments Held By Unrelated Orgs | false | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | false | EndowmentsHeldByRelatedOrgs |
| Are Related Orgs Listed Schedule R | false | AreRelatedOrgsListedScheduleR |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 68747 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 61952 | OtherCostOrOtherBasis |
| Book Value | 130699 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 33071 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 14757274 | OtherCostOrOtherBasis |
| Depreciation | 4934009 | Depreciation |
| Book Value | 9856336 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 546203 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 2201002 | OtherCostOrOtherBasis |
| Depreciation | 1702289 | Depreciation |
| Book Value | 1044916 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 11031951 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (7 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| CONSTRUCTION ESCROW | 666165 |
| DEBT SERVICE RESERVE | 250191 |
| LOAN SERVICE FEE NET OF AMORT | 85827 |
| CASH VALUE - LIFE INSURANCE | 21504 |
| NOTE RECEIVABLE - EMPLOYEES | 6539 |
| UNREALIZED GAIN/LOSS | 1185 |
| INTEREST RECEIVABLE | 357 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 1031768 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| SECURITY DEPOSITS | $36,063 |
| MISCELLANEOUS ADJUSTMENT | $3,458 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 39521 | TotalOfAmounts |
| Total Revenue | 6353530 | TotalRevenue |
| Total Expenses | 6798019 | TotalExpenses |
| Excess Or Deficit For Year | -444489 | ExcessOrDeficitForYear |
| Excess Or Deficit Per FS | -444489 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 6353530 | TotRevenueEtcAuditedFinclStmt |
| Revenue Subtotal | 6353530 | RevenueSubtotal |
| Total Revenue Per Form990 | 6353530 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 6798019 | TotExpensesEtcAuditedFinclStmt |
| Expenses Subtotal | 6798019 | ExpensesSubtotal |
| Total Expenses Per Form990 | 6798019 | TotalExpensesPerForm990 |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HOSP AUTH NO 1 OF PHELPS COUNTY | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Issuer EIN | 410777710 | IssuerEIN |
| Date Issued | 2010-10-27 | DateIssued |
| Issue Price | 10360000 | IssuePrice |
| Description Of Purpose | REFUND PRIOR ISSUE (10/1/98) CONSTRUCT/RENOVATE EXISTING FACILITIES. | DescriptionOfPurpose |
| Defeased | false | Defeased |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| Pool Financing | false | PoolFinancing |
Form990 Schedule K Part II Form990ScheduleKPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amount Retired | 226644 | AmountRetired |
| Total Proceeds | 10363140 | TotalProceeds |
| Amount In Reserve Fund | 250191 | AmountInReserveFund |
| Capitalized Interest | 510418 | CapitalizedInterest |
| Issuance Costs From Proceeds | 207200 | IssuanceCostsFromProceeds |
| Capital Expenditures | 5183893 | CapitalExpenditures |
| Other Spent Proceeds | 3545273 | OtherSpentProceeds |
| Amount Unspent | 666165 | AmountUnspent |
| Current Refunding | true | CurrentRefunding |
| Advance Refunding | false | AdvanceRefunding |
| Final Allocation Made | false | FinalAllocationMade |
| Adequate Books And Recds Maintaind | true | AdequateBooksAndRecdsMaintaind |
Form990 Schedule K Part III Form990ScheduleKPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Owning Bond Financed Property | false | OwningBondFinancedProperty |
| Any Lease Arrangements | false | AnyLeaseArrangements |
| Mngment Cntrct Bond Financd Prprty | false | MngmentCntrctBondFinancdPrprty |
| Engage Bond Counsel Contracts | false | EngageBondCounselContracts |
| Any Research Agreements | false | AnyResearchAgreements |
| Engage Bond Counsel Research | false | EngageBondCounselResearch |
| Post Issuance Compliance Procdrs | false | PostIssuanceComplianceProcdrs |
Form990 Schedule K Part IV Form990ScheduleKPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8038 T Filed | false | Form8038TFiled |
| Variable Rate Issue | true | VariableRateIssue |
| Hedge Identified In Books And Recds | false | HedgeIdentifiedInBooksAndRecds |
| Gross Proceeds Invested In GIC | false | GrossProceedsInvestedInGIC |
| Gross Proceeds Invested | false | GrossProceedsInvested |
| Exception To Rebate | true | ExceptionToRebate |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fed Tax Requirements Compliance | X | FedTaxRequirementsCompliance |
Form990 Schedule K Part VI Form990ScheduleKPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | ADDITIONAL INFORMATION | Identifier |
| Return Reference | SCHEDULE K | ReturnReference |
| Explanation | HOSP AUTH NO 1 OF PHELPS COUNTY PART I COLUMN F REFUND PRIOR ISSUE 10198 CONSTRUCTRENOVATE EXISTING FACILITIES PART II LINE 3 THE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE PRICE IN PART I COLUMN E DUE TO INVESTMENT EARNINGS | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (7 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| ELECTION OF MEMBERS AND THEIR RIGHTS | FORM 990, PAGE 6, PART VI, LINE 7A | BOARD 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. |
| DECISIONS SUBJECT TO APPROVAL OF MEMBERS | FORM 990, PAGE 6, PART VI, LINE 7B | IF A LOAN REQUIRES THE PLEDGING OF ASSETS, PERMISSION IS REQUIRED OF THE BOARD OF THE MIDWEST DISTRICT OF THE EVANGELICAL FREE CHURCH OF AMERICA. |
| OFFICERS WHO CANNOT BE REACHED | FORM 990, PAGE 6, PART VI, LINE 9 | CHARLIE 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 LARRY LINDSTROM 74361 M RD ELM CREEK, NE 68836 MARLYS ANDERSON 73984 I RD LOOMIS, NE 68958 REVEREND CRAIG CEDAR PO BOX 66 WILCOX, NE 68982 REVEREND WES HOLEN PO BOX 291 OXFORD, NE 68967 REVEREND WILLIAM SMITH 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 WAYNE COWAN 43395 RD 725 OXFORD, NE 68967 TERRY WOOLLEN 71361 US HWY 183 ALMA, NE 68920 |
| ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 | FORM 990, PAGE 6, PART VI, LINE 11B | THE 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. |
| ENFORCEMENT OF CONFLICTS POLICY | FORM 990, PAGE 6, PART VI, LINE 12C | THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY. |
| COMPENSATION PROCESS FOR TOP OFFICIAL | FORM 990, PAGE 6, PART VI, LINE 15A | COMPARABILITY 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. |
| GOVERNING DOCUMENTS DISCLOSURE EXPLANATION | FORM 990, PAGE 6, PART VI, LINE 19 | GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MIDWEST DISTRICT OF THE EVANGELICAL | BusinessNameLine1 |
| Business Name Line2 | FREE CHURCH OF AMERICA | BusinessNameLine2 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 218 W 18TH ST | AddressLine1 |
| City | KEARNEY | City |
| State | NE | State |
| ZIP Code | 68845 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 410721672 | EIN |
| Primary Activities | CHURCH | PrimaryActivities |
| Legal Domicile State | NE | LegalDomicileState |
| Exempt Code Section | 501(C) | ExemptCodeSection |
| Public Charity Status | 1 | PublicCharityStatus |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
| Controlled Org | false | ControlledOrg |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | false | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | false | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |