2024-11-04T15:45:39-06:00 2024-06-30 470625816 LUTZ AND COMPANY PC 3320 JAMES ROAD SUITE 100 GRAND ISLAND NE 68803 990 2023-07-01 470378776 CHRISTIAN HOMES INC CHRI 3089954493 1923 WEST 4TH AVENUE HOLDREGE NE 68949 REV TOM THOMPSON CHAIRMAN 3089954493 2024-10-23 1 0 STEVEN K PLACKE P00078534 3083827850 2024-10-23 2023 2024-10-15 13:58:12Z REV TOM THOMPSON 1923 WEST 4TH AVENUE HOLDREGE NE 68949 10491141 0 X N/A 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. 13 0 99 6 0 0 147197 127841 7069528 7939031 2430454 2141310 134788 134645 9781967 10342827 0 0 0 0 5260744 5188673 0 0 0 4277711 5244359 9538455 10433032 243512 -90205 8578827 8329236 7734137 7555859 844690 773377 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. 0 0 9633371 7939031 NURSING HOME CARE AND ASSISTED LIVING FOR THE ELDERLY. 9633371 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 20 0 1 99 1 0 0 0 0 0 0 0 0 0 0 X 13 0 0 0 0 0 0 1 1 1 1 0 0 0 1 1 1 1 1 1 0 0 X CHERLYN HUNT 3089954493 1923 WEST 4TH AVE HOLDREGE NE 68949 REV TOM THOMPSON CHAIRMAN 0.00 X X 0 0 0 TROY URBOM VICE-CHAIRMAN 0.00 X X 0 0 0 PATTY FREBURG BOARD MEMBER 0.00 X X 0 0 0 DR MARK ADAM BOARD MEMBER 0.00 X 0 0 0 DR COLBY KINSER EX-OFFICIO 0.00 X 0 0 0 JEFF MOON BOARD MEMBER 0.00 X 0 0 0 JEFF CARLSON BOARD MEMBER 0.00 X 0 0 0 CHERLYN HUNT EXEC DIRECTOR 40.00 X 134267 0 0 MATT SAMUELSON BOARD MEMBER 0.00 X 0 0 0 TIM PETERSON BOARD MEMBER 0.00 X 0 0 0 LOUIS STRYDOM BOARD MEMBER 0.00 X 0 0 0 RON HAFLICH BOARD MEMBER 0.00 X 0 0 0 JIM BOWEN BOARD MEMBER 0.00 X 0 0 0 134267 0 0 1 0 0 0 NEW HORIZON FOODS INC 2670 106TH STREET URBANDALE IA 50322 FOOD SERVICES 1243968 LAWRENCE RECRUITING SPECIALISTS 1120 N 103RD PLAZA SUITE 300 OMAHA NE 68114 STAFFING 698093 INSPIRE REHAB 8181 ARISTA PL UNIT 100 BROOMFIELD CO 800217916 THERAPY SERVICES 283324 MERITAIN HEALTH PO BOX 223881 PITTSBURGH PA 152502881 HEALTH BENEFITS 232021 NURSES INCORPORATED 42665 RD 716 BEAVER CITY NE 68926 STAFFING 220543 5 92301 35540 127841 NURSING HOME - DHHS 623000 3121077 3121077 NURSING HOME - PRIVATE 623000 2418864 2418864 NURSING HOME - MEDICARE 623000 1353555 1353555 ASSISTED & INDEPENDENT LIVING - P 623000 897428 897428 ASSISTED & INDEPENDENT LIVING - D 623000 148107 148107 7939031 70699 70699 144012 47667 96345 96345 96345 741 2170517 0 100647 741 2069870 2070611 2070611 NE REAL ESTATE TAX CREDIT 623000 28331 28331 LAUNDRY REIMBURSEMENT 623000 7096 7096 MANAGEMENT FEES 623000 2860 2860 13 13 38300 10342827 7939031 0 2275955 134267 134267 3931553 3637695 293858 827135 735014 92121 295718 264333 31385 83888 83888 13691 470 13221 28032 28032 9581 9581 156143 156143 321466 321466 564588 564588 141554 97026 44528 POOL NURSING 1520950 1520950 DIETARY CONTRACTED SERV 1204201 1204201 CONTRACT SERVICES-OTHER 373876 373876 SUPPLIES-NURSING 251342 251342 575047 496686 78361 10433032 9633371 799661 0 663137 1160974 466351 756825 2293 16018 4065 18603800 13168934 5905728 5434866 821022 237221 704278 735285 8578827 8329236 773887 808233 6910713 6685811 49537 61815 7734137 7555859 X 844690 773377 844690 773377 8578827 8329236 -90205 18892 0 X X 0 1 X 1 0 X 20491 15454 81582 147197 127841 392565 7916466 7993489 6987623 7069528 7939031 37906137 7936957 8008943 7069205 7216725 8066872 38298702 8000 8000 16000 7000 7000 15000 8000 23000 38275702 6404 2280 58710 53660 70699 191753 6404 2280 58710 53660 70699 191753 22987 16688 13759 11720 9970 75124 7966348 8027911 7141674 7282105 8147541 38565579 0.99250 0.99410 0.00500 0.00330 X PART III, LINE 12 - OTHER INCOME DETAIL: MANAGEMENT FEES, MEALS, MISCELLANEOUS, AND LAUNDRY INCOME - $9,970 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 188591 188591 15472589 10574459 4898130 2942620 2594475 348145 5434866 CASH SURRENDER VALUE OF LIFE INSURANCE 6418 DEBT SERVICE RESERVE FUND 728462 RESIDENT FUNDS 405 735285 SECURITY DEPOSITS 43211 CHRISOMA TRUST LIABLITY 6222 DHHS PAYABLE 11977 RESIDENT TRUST LIABILITY 405 61815 X 10361719 18892 18892 10342827 0 10342827 10433032 0 10433032 0 10433032 PART X, LINE 2: THE HOME 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 HOME 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 2024 OR 2023. THE HOME IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS BY FEDERAL, STATE, OR LOCAL TAX AUTHORITIES FOR YEARS BEFORE JUNE 30, 2021. A HOSPITAL AUTHORITY NO 1 OF PHELPS COUNTY 2020 A & B 410777710 2020-09-01 7545000 REFUNDING OF PRIOR ISSUE 0 0 0 A 685000 7545000 430000 212056 1 0 0 1 A 0 1 0 0 1 0 0 0 0 A 0 FORM 990, PART VI, SECTION A, LINE 7A ELECTION OF MEMBERS AND THEIR RIGHTS 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. FORM 990, PART VI, SECTION A, LINE 7B DECISIONS SUBJECT TO APPROVAL OF MEMBERS IF A LOAN REQUIRES THE PLEDING OF ASSETS, PERMISSION IS REQUIRED OF THE BOARD OF THE MIDWEST DISTRICT OF THE EVANGELICAL FREE CHURCH OF AMERICA. FORM 990, PART VI, SECTION B, LINE 11B ORGANIZATION'S PROCESS TO REVIEW FORM 990 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. FORM 990, PART VI, SECTION B, LINE 12C ENFORCEMENT OF CONFLICTS POLICY THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY. FORM 990, PART VI, SECTION B, LINE 15A COMPENSATION PROCESS FOR TOP OFFICIAL 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. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS DISCLOSURE EXPLANATION GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XII, LINE 2C: THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. MIDWEST DISTRICT OF THE EVANGELICAL 218 W 18TH ST KEARNEY NE 68845 410721672 CHURCH NE 501(C)(1) LINE 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0