2014-11-14T16:56:31-06:00 2014-06-30 205640426 SHONSEY PLACKE MARUSKA & STAVA PC 403 LEXINGTON CIRCLE GRAND ISLAND NE 68803 990 2013-07-01 470397679 MIDWEST COVENANT HOME INC MIDW 4027642711 615 E 9TH ST STROMSBURG NE 68666 DIANE ROSS ADMINISTRATOR 4027642711 2014-10-30 true STEVEN K PLACKE CPA P00078534 3083849910 2014-11-14 2013 2015-11-30 17:44:51Z DIANE ROSS 615 E 9TH ST STROMSBURG NE 68666 4169369 false X MIDWESTCOVENANTHOME.COM X 1957 NE NURSING HOME CARE AND ASSISTED LIVING FOR THE ELDERLY 11 11 123 40 0 4368 10452 3632340 4065832 27407 16425 55040 36718 3719155 4129427 0 0 2579340 2624679 0 0 1534353 1609622 4113693 4234301 -394538 -104874 5371630 5307406 233570 246730 5138060 5060676 NURSING HOME CARE AND ASSISTED LIVING FOR THE ELDERLY false false 3880444 4065832 NURSING HOME CARE AND ASSISTED LIVING FOR THE ELDERLY 3880444 true true false false false false false false false false true false false false false false true false false false false false false false false false false false false false false false false false false false false false false false false false false false false false false true 19 0 true 123 true false false false false false false X 11 11 false true false false false false false true true false false true false false false false false false X X DIANE ROSS 4027642711 615 E 9TH ST STROMSBURG NE 68666 X BARBARA COTTER BOARD 1.00 X 0 0 0 DAVID NORLEN BOARD 1.00 X 0 0 0 REV TAMMY SWANSON-DRAHEIM BOARD 1.00 X 0 0 0 RODNEY HALSTEAD BOARD 1.00 X 0 0 0 CATHY JOHNSON BOARD 1.00 X 0 0 0 RENEE SCHNIEDER BOARD 1.00 X 0 0 0 LYLE PERSON BOARD 1.00 X 0 0 0 BEN BERGGREN PRESIDENT 1.00 X 0 0 0 ELLIOT YUNGDAHL VICE PRESIDE 1.00 X 0 0 0 GRACE GERRARD SECRETARY 1.00 X 0 0 0 ELEANOR GREENWALL TREASURER 1.00 X 0 0 0 false false false RURAL HEALTH DEVELOPMENT 1115 NASBY STREET CAMBRIDGE NE 69022 MANAGEMENT 158408 1 10452 10452 MEDICAID/DHHS 623000 1536735 1536735 PRIVATE PAY RESIDENTS 623000 1470087 1470087 MEDICARE 623000 566682 566682 ASSISTED LIVING 623000 467761 467761 OTHER 623000 24567 24567 4065832 16425 16425 74326 39942 34384 34384 34384 MISCELLANEOUS 623000 2334 2334 2334 4129427 4065832 53143 2107686 2028792 78894 363058 346020 17038 153935 148365 5570 158408 158408 11295 11295 19252 16861 2391 71835 60018 11817 164476 164476 10513 10513 13898 12131 1767 355769 355769 49730 27140 22590 SUPPLIES 286666 278842 7824 CONSULTING 203012 203012 FOOD 168129 168129 OUTSIDE SERVICES 25438 22574 2864 71201 37802 33399 4234301 3880444 353857 0 508746 868937 280126 195093 11427 11934 9509571 5461816 4391377 4047755 179684 183338 270 349 5371630 5307406 233570 246730 233570 246730 X 5138060 5060676 5138060 5060676 5371630 5307406 -104874 27490 X false true true false X 2686 2433 13930 4368 10452 33869 3841447 4468243 4187377 2388476 4065832 18951375 24919 28169 23346 1249729 2334 1328497 3869052 4498845 4224653 3642573 4078618 20313741 20313741 124788 124289 136579 119063 90751 595470 124788 124289 136579 119063 90751 595470 3993840 4623134 4361232 3761636 4169369 20909211 0.97150 0.96900 0.03000 0.03000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 74100 74100 8337647 4736722 3600925 1097824 725094 372730 4047755 4156917 27490 27490 4129427 4129427 4234301 4234301 4234301 FORM 990, PAGE 6, PART VI, LINE 3 THE ORGANIZATION DELEGATED CONTROL OVER MANAGEMENT DUTIES CUSTOMARILY PERFORMED BY OR UNDER THE DIRECT SUPERVISION OF OFFICERS, DIRECTORS OR TRUSTEES, OR KEY EMPLOYEES TO A MANAGEMENT COMPANY. FORM 990, PAGE 6, PART VI, LINE 11B BOARD RECEIVES A COPY OF FORM 990 TO REVIEW BEFORE IT IS FILED. FORM 990, PAGE 6, PART VI, LINE 19 GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. THE ORGANIZATION DOES NOT HAVE A CONFLICT OF INTEREST POLICY.