2022-02-08T13:30:16-06:00 2021-06-30 470625816 LUTZ AND COMPANY PC 3320 JAMES ROAD SUITE 100 GRAND ISLAND NE 68803 990 2020-07-01 470397679 MIDWEST COVENANT HOME INC MIDW 4027642711 615 E 9TH ST STROMSBURG NE 686660367 DAN CRAMER BOARD PRESIDENT 4027642711 2022-02-08 1 DAN CRAMER 999009999 STEVEN K PLACKE P00078534 3083827850 2022-02-08 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z DAN CRAMER 615 EAST 9TH STREET STROMSBURG NE 68666 5641645 0 X WWW.MIDWESTCOVENANTHOME.ORG X 1957 NE NURSING HOME CARE AND ASSISTED LIVING FOR THE ELDERLY. 11 11 122 1 0 0 102529 1152585 4057399 3813648 10658 199645 137638 144988 4308224 5310866 0 0 0 0 2928054 2925660 0 0 0 2077825 2191831 5005879 5117491 -697655 193375 7186319 7248285 3860497 3789404 3325822 3458881 NURSING HOME CARE AND ASSISTED LIVING FOR THE ELDERLY. 0 0 4771289 3977177 NURSING HOME CARE AND ASSISTED LIVING FOR THE ELDERLY. 4771289 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 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 0 0 0 0 1 27 0 1 122 1 0 0 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 X X SHEILA BJERRUM 4027642711 615 E 9TH STREET STROMSBURG NE 68666 X DAN CRAMER PRESIDENT 0.00 X X 0 0 0 LYLE PERSON DIRECTOR-AT-LARGE 0.00 X 0 0 0 SANDY RYSTROM VICE-PRESIDENT 0.00 X X 0 0 0 ROBERT SMALL DIRECTOR-AT-LARGE 0.00 X 0 0 0 MERLIN FELT DIRECTOR-AT-LARGE 0.00 X 0 0 0 NELDA RILEY TREASURER 0.00 X X 0 0 0 JILL CRAIG SECRETARY/CONFERENCE LIASON 0.00 X X 0 0 0 RACHEL TWOGODD DIRECTOR-AT-LARGE 0.00 X 0 0 0 GRACE GERRARD DIRECTOR-AT-LARGE 0.00 X 0 0 0 ANNE BREMER DIRECTOR-AT-LARGE 0.00 X 0 0 0 SUSAN ROSENBAUM DIRECTOR-AT-LARGE 0.00 X 0 0 0 TAMMY SWANSON-DRAHEIM CONFERENCE SUPERINTENDENT 0.00 X 0 0 0 0 0 0 0 0 0 0 CARIANT HEALTH PARTNERS 11623 ARBOR STREET SUITE 100 OMAHA NE 68144 AGENCY 155649 FUNCTION FOREVER OT SERVICES 1005 FARNUM STREET ST PAUL NE 68873 THERAPY 105255 2 560806 591779 1152585 PRIVATE PAY RESIDENTS 623000 1045542 1045542 MEDICAID/DHHS 623000 1028553 1028553 ASSISTED LIVING 623000 886129 886129 MEDICARE 623000 752968 752968 HOME HEALTH SERVICES 623000 62291 62291 38165 38165 3813648 14497 14497 149364 22291 127073 127073 127073 463636 30000 297779 10709 165857 19291 185148 19291 165857 EMPLOYEE & GUEST MEALS 623000 9864 9864 MISCELLANEOUS 623000 7301 7301 CROP INCOME 623000 750 750 17915 5310866 3977177 0 181104 2414871 2207764 207107 352792 340400 12392 157997 145019 12978 24408 24408 15994 15603 391 4398 4398 104720 93767 10953 167590 167590 5368 5140 228 134046 134046 429467 429467 102689 66497 36192 NURSING AGENCY LABOR 353407 353407 SUPPLIES 324214 324214 CONSULTANTS 223798 223798 FOOD 157464 157464 144268 107113 37155 5117491 4771289 346202 0 829506 776657 501460 305329 333637 40001 40912 13721281 8125752 5259560 5595529 751923 90 7186319 7248285 330303 322939 130579 31695 3399615 3434770 3860497 3789404 X 3325822 3458881 3325822 3458881 7186319 7248285 193375 -60316 0 X 0 1 X 1 0 X 9882 9467 14168 26208 897985 957710 4050111 4204904 4290254 4148270 3792648 20486187 1040 500 500 500 750 3290 4061033 4214871 4304922 4174978 4691383 21447187 0 0 0 21447187 151053 143719 14497 309269 151053 143719 14497 309269 4212086 4358590 4304922 4174978 4705880 21756456 0.98580 0.98060 0.01420 0.01940 X 63809 63809 12367978 7227916 5140062 1289494 897836 391658 5595529 5310866 0 5310866 0 5310866 5177807 60316 60316 5117491 0 5117491 FORM 990, PART VI, SECTION B, LINE 11B ORGANIZATION'S PROCESS TO REVIEW FORM 990 BOARD RECEIVES A COPY OF FORM 990 TO REVIEW BEFORE IT IS FILED. FORM 990, PART VI, SECTION C, LINE 19 GOVERING DOCUMENTS DISCLOSURE EXPLANATION GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. THE ORGANIZATION DOES NOT HAVE A CONFLICT OF INTEREST POLICY.