2023-10-25T09:02:27-05:00 2023-06-30 470625816 LUTZ AND COMPANY PC 3320 JAMES ROAD SUITE 100 GRAND ISLAND NE 68803 990 2022-07-01 470378776 CHRISTIAN HOMES INC CHRI 3089954493 1923 WEST 4TH AVENUE HOLDREGE NE 68949 REV TOM THOMPSON CHAIRMAN 3089954493 2023-10-24 1 REV TOM THOMPSON 999009999 0 STEVEN K PLACKE P00078534 3083827850 2023-10-24 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z REV TOM THOMPSON 1923 WEST 4TH AVENUE HOLDREGE NE 68949 10310545 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 0 150 0 0 0 1259756 147197 6987623 7069528 41319 2430454 146449 134788 8435147 9781967 0 0 0 0 6904889 5260744 0 0 0 2739758 4277711 9644647 9538455 -1209500 243512 8366128 8578827 7814553 7734137 551575 844690 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 8818743 7069528 NURSING HOME CARE AND ASSISTED LIVING FOR THE ELDERLY. 8818743 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 1 150 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 MARLYS ANDERSON SECRETARY 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 123684 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 123684 0 0 1 0 0 0 NEW HORIZON FOODS INC 2670 106TH STREET URBANDALE IA 50322 FOOD SERVICES 736222 LAWRENCE RECRUITING SPECIALISTS 1120 N 103RD PLAZA SUITE 300 OMAHA NE 68114 STAFFING 502389 MERITAIN HEALTH PO BOX 223881 PITTSBURGH PA 152502881 HEALTH BENEFITS 199296 INSPIRE REHAB 8181 ARISTA PL UNIT 100 BROOMFIELD CO 800217916 THERAPY SERVICES 173934 NURSES INCORPORATED 42665 RD 716 BEAVER CITY NE 68926 STAFFING 148626 6 105013 42184 147197 NURSING HOME - DHHS 623000 3033404 3033404 NURSING HOME - PRIVATE 623000 2333069 2333069 ASSISTED & INDEPENDENT LIVING - P 623000 834956 834956 NURSING HOME - MEDICARE 623000 712753 712753 ASSISTED & INDEPENDENT LIVING - D 623000 155346 155346 7069528 53660 53660 194440 71372 123068 123068 123068 234000 2600000 271075 186131 -37075 2413869 2376794 2376794 LAUNDRY REIMBURSEMENT 623000 5298 5298 MEAL INCOME 623000 2534 2534 MISCELLANEOUS INCOME 623000 2196 2196 1692 1692 11720 9781967 7069528 0 2565242 123684 123684 3952681 3661421 291260 872861 782904 89957 311518 279913 31605 41515 41515 18410 2769 15641 49870 49870 9657 9657 92902 92902 320196 320196 610922 610922 100509 61783 38726 POOL NURSING 1121995 1121995 DIETARY CONTRACTED SERV 1089234 1089234 SUPPLIES 327350 327350 UTILITIES 224482 224482 270669 233215 37454 9538455 8818743 719712 0 341051 663137 394203 466351 2293 2293 13558 16018 18503507 12597779 6549779 5905728 373234 821022 692010 704278 8366128 8578827 628219 773887 7130615 6910713 55719 49537 7814553 7734137 X 551575 844690 551575 844690 8366128 8578827 243512 49603 0 X 0 1 X 1 0 X 146407 20491 15454 81582 147197 411131 7632195 7916466 7993489 6987623 7069528 37599301 7778602 7936957 8008943 7069205 7216725 38010432 8000 8000 0 8000 8000 38002432 6153 6404 2280 58710 53660 127207 6153 6404 2280 58710 53660 127207 24372 22987 16688 13759 11720 89526 7809127 7966348 8027911 7141674 7282105 38227165 0.99410 0.99490 0.00330 0.00240 X PART III, LINE 12 - OTHER INCOME DETAIL MANAGEMENT FEES, MEALS, MISCELLANEOUS, AND LAUNDRY INCOME - $11,720 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 239985 239985 15376611 10084418 5292193 2886911 2513361 373550 5905728 CASH SURRENDER VALUE OF LIFE INSURANCE 6418 DEBT SERVICE RESERVE FUND 697860 704278 SECURITY DEPOSITS 49537 49537 X 9831570 49603 49603 9781967 0 9781967 9538455 0 9538455 0 9538455 PART X, LINE 2: 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 INTERNATIONAL 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, 2023 AND 2022. THE ORGANIZATION'S FORMS 990, RETURN OF ORGANIZATION EXEMPT FOR INCOME TAX, FOR THE YEARS ENDING JUNE 30, 2023, 2022, 2021, AND 2020 ARE SUBJECT TO EXAMINATION BY THE IRS, GENERALLY FOR THREE YEARS AFTER THEY WERE FILED. A HOSPITAL AUTHORITY NO 1 OF PHELPS COUNTY 2020 A & B 410777710 2020-09-01 7545000 REFUNDING OF PRIOR ISSUE 0 0 0 A 7545000 7566962 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. 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