2024-11-13T14:06:21-06:00 2024-06-30 470625816 LUTZ AND COMPANY PC 3320 JAMES ROAD SUITE 100 GRAND ISLAND NE 68803 990 2023-07-01 470378987 CROWELL MEMORIAL HOME CROW 4024262177 245 SOUTH 22ND STREET BLAIR NE 68008 GLENN COATES PRESIDENT 4024262177 2024-11-05 1 0 STEVEN K PLACKE P00078534 3083827850 2024-11-05 2023 2024-10-15 13:58:12Z GLENN COATES 1049 N 20TH AVE CIR BLAIR NE 68008 6889013 0 X WWW.CROWELLMEMORIALHOME.COM X 1975 NE NURSING HOME AND ASSISTED LIVING CARE FOR THE ELDERLY AND DISABLED, INCLUDING PRIVATE PAY, MEDICAID, AND MEDICARE ELIGIBLE RESIDENTS. 8 8 156 0 0 0 207415 135567 5952659 6743602 1966 2028 12205 7066 6174245 6888263 0 0 0 0 4446851 4780419 0 0 0 2090713 2381179 6537564 7161598 -363319 -273335 3145266 3129963 407337 663930 2737929 2466033 NURSING HOME AND ASSISTED LIVING CARE FOR THE ELDERLY AND DISABLED, INCLUDING PRIVATE PAY, MEDICAID, AND MEDICARE ELIGIBLE RESIDENTS. 0 0 6601426 6750668 NURSING HOME AND ASSISTED LIVING CARE FOR THE ELDERLY AND DISABLED. RESIDENTS INCLUDE PRIVATE PAY, MEDICAID, AND MEDICARE ELIGIBLE RESIDENTS. 6601426 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 11 0 1 156 1 0 0 0 0 0 0 0 0 0 0 X 8 8 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 X X JACLYN SVENDGARD 4024262177 245 S 22ND ST BLAIR NE 68008 X LISA COX BOARD MEMBER 1.00 X 0 0 0 GLENN COATES BOARD MEMBER 1.00 X X 0 0 0 MIKE MACKIE BOARD MEMBER 1.00 X 0 0 0 TAWNYA ROBERTS BOARD MEMBER 1.00 X 0 0 0 JACLYN SVENDGARD ADMINISTRATOR 1.00 X 0 0 0 DAVID DREW PRESIDENT 1.00 X 0 0 0 JOAN BRYANT BOARD MEMBER 1.00 X 0 0 0 CHAD LEGGOTT TREASURER 1.00 X X 0 0 0 JAY WOLFF BOARD MEMBER 1.00 X 0 0 0 0 0 0 0 0 0 0 FUSION MEDICAL STAFFING LLC PO BOX 30131 OMAHA NE 68103 AGENCY STAFFING 268254 INNOVATE REHAB AND WELLNESS 1902 HARLAN DR BELLEVUE NE 68005 THERAPY SERVICES 168893 RTG MEDICAL 4611 EAST 22ND STREET FREMONT NE 68025 AGENCY STAFFING 131760 CORNERSTONE CAREGIVING 2612 WASHINGTON AVE WACO TX 76710 AGENCY STAFFING 114509 4 135567 135567 MEDICAID 623000 4859027 4859027 PRIVATE PAY RESIDENTS 623000 1062589 1062589 ASSISTED LIVING MEDICA 623000 367976 367976 MEDICARE 623000 347671 347671 ASSISTED LIVING PRIVAT 623000 106339 106339 6743602 2778 2778 750 -750 -750 -750 MISCELLANEOUS INCOME 623000 7066 7066 7066 6888263 6750668 0 2028 X 4097682 3806144 291538 373556 346979 26577 309181 287184 21997 1079483 1006532 72951 19185 19185 22163 22163 268500 268500 21935 13941 7994 4950 4950 282402 282402 69413 69413 FOOD 260991 260991 SUPPLIES 222187 222187 PROFESSIONAL SERVICES 64995 64995 CONTRACTED SERVICES-COM 26155 26155 38820 32203 6617 7161598 6601426 560172 0 263848 267320 53032 57105 635063 875198 10137 10713 59668 29113 9574022 7690648 2116378 1883374 7140 7140 3145266 3129963 407337 663930 407337 663930 X 2730789 2458893 7140 7140 2737929 2466033 3145266 3129963 -273335 1439 0 X X 0 1 X 1 0 X 265882 221545 98078 33564 135567 754636 5843042 5205019 5254139 5952659 6743602 28998461 6108924 5426564 5352217 5986223 6879169 29753097 0 0 0 29753097 652 190 271 1966 2778 5857 652 190 271 1966 2778 5857 6109576 5426754 5352488 5988189 6881947 29758954 0.99980 0.99980 0.00020 0.00020 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 6888 6888 8218112 6458742 1759370 1230130 1164570 65560 118892 67336 51556 1883374 X 6889702 1439 1439 6888263 0 6888263 7161598 0 7161598 0 7161598 PART X, LINE 2: THE HOME IS EXEMPT FROM INCOME TAXES UNDER INTERNAL REVENUE CODE SECTION 501(C)(3). HOWEVER, INCOME FROM CERTAIN ACTIVITIES NOT DIRECTLY RELATED TO THE HOME'S TAX-EXEMPT PURPOSE IS SUBJECT TO TAXATION AS UNRELATED BUSINESS INCOME. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE THE HOME'S MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE HOME AND RECOGNIZE A TAX LIABILITY (OR ASSET) IF THE HOME HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE. THE HOME IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. THE HOME'S MANAGEMENT BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO 2021. THE HOME'S POLICY IS TO INCLUDE PENALTIES AND INTEREST ASSOCIATED WITH INCOME TAXES AS INCOME TAX EXPENSE AND INTEREST EXPENSE, RESPECTIVELY. THE HOME DID NOT INCUR ANY PENALTIES OR INTEREST ON INCOME TAXES FOR THE PERIODS BEING REPORTED. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PRESENTED AT A BOARD MEETING AND REVIEWED ALONG WITH THE ORGANIZATION'S FINANCIAL STATEMENTS. FOLLOWING THE REVIEW, THE FORM IS SIGNED FOR FILING. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC THROUGH INDIVIDUAL REQUEST. FORM 990, PART IX, LINE 11G CONSULTANTS: PROGRAM SERVICE EXPENSES 68,320. MANAGEMENT AND GENERAL EXPENSES 72,951. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 141,271. CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 251,923. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 251,923. DIETITIAN: PROGRAM SERVICE EXPENSES 66,908. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 66,908. POOL NURSING: PROGRAM SERVICE EXPENSES 619,381. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 619,381. FORM 990, PART XII, LINE 2C: THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. CROWELL MEMORIAL HOME FOUNDATION 245 S 22ND STREET BLAIR NE 68008 470810702 SUPPORT NE 501(C)(3) LINE 10 N/A 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 CROWELL MEMORIAL HOME FOUNDATION E