2012-11-09T08:26:49-06:00 2012-06-30 KOSKI PROFESSIONAL GROUP PC 10516 BURT CIR OMAHA NE 681142062 990 2011-07-01 470378776 CHRISTIAN HOMES INC CHRI 3089954493 1923 WEST 4TH AVENUE HOLDREGE NE 68949 STEVE BERGSTROM 3089954493 2012-10-30 true ROBERT J DICK JR 4024454040 2012-11-09 2011 2016-02-24 21:20:13Z 6504165 false X WWW.CHRISOMA.COM X 1889 NE 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. 15 0 196 50 0 234845 56755 6278769 6014811 94934 23084 312652 258880 6921200 6353530 0 0 3982815 4415126 0 0 2543969 2382893 6526784 6798019 394416 -444489 14794167 14324568 10726704 10701594 4067463 3622974 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. false false 6328283 6014811 NURSING HOME CARE AND ASSISTED LIVING FOR THE ELDERLY 6328283 true true false false false false false false false false true false false true true false true false false false false false false false false false false false false false true false false false false false false false false false false false false false false false true false false false false true 1 0 196 true false false false false false false false false false false X 15 0 false false false false false true true true true true false false true true true true true true false false X DONALD BAKKE 3089954493 1923 WEST 4TH AVENUE HOLDREGE NE 68949 X CHARLIE REESER X X 0 0 0 DON HOLEN X 0 0 0 DONALD BAKKE 40.00 X X 0 0 0 DOUG GUSTAFSON X 0 0 0 JIM SWANSON X 0 0 0 LARRY LINDSTROM X 0 0 0 MARLYS ANDERSON X X 0 0 0 REVEREND CRAIG CEDAR X 0 0 0 REVEREND WES HOLEN X 0 0 0 REVEREND WILLIAM SMITH X X 0 0 0 STEVE BERGSTROM X X 0 0 0 STEVE STROUP X 0 0 0 DR KEVIN CARNES X X 0 0 0 WAYNE COWAN X 0 0 0 TERRY WOOLLEN X 0 0 0 false false false 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 2 56755 56755 PRIVATE REVENUE 3201725 3201725 MEDICARE & MEDICAID REVENUE 2813086 2813086 6014811 23084 23084 357185 150635 206550 206550 206550 MEALS 44435 44435 MISCELLANEOUS 7895 7895 52330 6353530 6014811 281964 101460 101460 3195496 3023956 171540 866858 795288 71570 251312 230505 20807 48280 48280 11983 3746 8237 21425 6396 15029 295117 295117 15811 12789 3022 160234 160234 557522 557522 SUPPLIES 569402 569402 CONTRACT LABOR 448543 448543 MEDICAL ASSESSMENT FEE 80675 80675 EQUIP. RENTAL & MAINT. 59771 59771 114130 84339 29791 6798019 6328283 469736 0 570383 591693 934245 161721 525232 622594 19553 19553 4624 1006 17668249 6636298 8459056 11031951 544595 864282 3736479 1031768 14794167 14324568 384862 508971 18629 19746 10271139 10133356 52074 39521 10726704 10701594 X 4067463 3622974 4067463 3622974 14794167 14324568 -444489 X false true true X false X 79352 412757 46922 234845 56755 830631 5427168 6182062 6215481 6277716 5917449 30019876 5506520 6594819 6262403 6512561 5974204 30850507 30850507 107170 51525 35514 35188 23084 252481 107170 51525 35514 35188 23084 252481 50605 60788 29745 25022 52330 218490 5664295 6707132 6327662 6572771 6049618 31321478 0.98500 0.98280 0.01000 0.01000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false false false 68747 61952 130699 33071 14757274 4934009 9856336 546203 2201002 1702289 1044916 11031951 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 1031768 SECURITY DEPOSITS 36063 MISCELLANEOUS ADJUSTMENT 3458 39521 6353530 6798019 -444489 -444489 6353530 6353530 6353530 6798019 6798019 6798019 HOSP AUTH NO 1 OF PHELPS COUNTY 410777710 2010-10-27 10360000 REFUND PRIOR ISSUE (10/1/98) CONSTRUCT/RENOVATE EXISTING FACILITIES. false false false 226644 10363140 250191 510418 207200 5183893 3545273 666165 true false false true false false false false false false false false true false false false true X ADDITIONAL INFORMATION SCHEDULE K 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 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. MIDWEST DISTRICT OF THE EVANGELICAL FREE CHURCH OF AMERICA 218 W 18TH ST KEARNEY NE 68845 410721672 CHURCH NE 501(C) 1 N/A false false false false false false false false false false false false false false false false false false false