MIDWEST COVENANT HOME INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: MIDWEST COVENANT HOME INC (EIN 47-0397679)
Tax period: 2011-07-01 to 2012-06-30
Filed: 2012-11-13
IRS object ID: 201223189349301987
Schema version: 2011v1.2
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule D
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2012-11-13T10:54:31-06:00	Timestamp
Tax Period End Date	2012-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SHONSEY PLACKE MARUSKA & STAVA PC	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	403 LEXINGTON CIRCLE	AddressLine1
City	GRAND ISLAND	City
State	NE	State
ZIP Code	68803	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2011-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	470397679	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	MIDWEST COVENANT HOME INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	MIDW	NameControl
Phone	4027642711	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	615 E 9TH ST	AddressLine1
City	STROMSBURG	City
State	NE	State
ZIP Code	68666	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	SCOTT LANGEMEIER	Name
Title	PRESIDENT	Title
Phone	4027642711	Phone
Date Signed	2012-10-29	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	STEVE PLACKE CPA	Name
Phone	3083849910	Phone
Date Prepared	2012-11-05	DatePrepared

Field	Value	IRS element (for citing)
Tax Year	2011	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Gross Receipts	4507554	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	MIDWESTCOVENANTHOME.COM	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1957	YearFormation
State Legal Domicile	NE	StateLegalDomicile
Activity Or Mission Description	NURSING HOME CARE AND ASSISTED LIVING FOR THE ELDERLY	ActivityOrMissionDescription
Nbr Voting Members Governing Body	10	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	10	NbrIndependentVotingMembers
Total Nbr Employees	132	TotalNbrEmployees
Total Nbr Volunteers	40	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Contributions Grants Prior Year	2433	ContributionsGrantsPriorYear
Contributions Grants Current Year	13930	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	4468243	ProgramServiceRevenuePriorYear
Program Service Revenue CY	4187377	ProgramServiceRevenueCY
Investment Income Prior Year	25049	InvestmentIncomePriorYear
Investment Income Current Year	10123	InvestmentIncomeCurrentYear
Other Revenue Prior Year	58686	OtherRevenuePriorYear
Other Revenue Current Year	65504	OtherRevenueCurrentYear
Total Revenue Prior Year	4554411	TotalRevenuePriorYear
Total Revenue Current Year	4276934	TotalRevenueCurrentYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	2615552	SalariesEtcPriorYear
Salaries Etc Current Year	2845070	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	1626793	OtherExpensePriorYear
Other Expenses Current Year	1612244	OtherExpensesCurrentYear
Total Expenses Prior Year	4242345	TotalExpensesPriorYear
Total Expenses Current Year	4457314	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	312066	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	-180380	RevenuesLessExpensesCY
Total Assets BOY	5987699	TotalAssetsBOY
Total Assets EOY	5783828	TotalAssetsEOY
Total Liabilities BOY	313059	TotalLiabilitiesBOY
Total Liabilities EOY	269927	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	5674640	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	5513901	NetAssetsOrFundBalancesEOY
Mission Description	NURSING HOME CARE AND ASSISTED LIVING FOR THE ELDERLY	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	4029611	Expense
Description	NURSING HOME CARE AND ASSISTED LIVING FOR THE ELDERLY	Description
Total Program Service Expense	4029611	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	false	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	false	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	false	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	false	ReportOtherAssets
Report Other Liabilities	false	ReportOtherLiabilities
Report Fin48 Footnote	false	ReportFin48Footnote
Independent Audit Financial Stmt	true	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	false	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	false	Hospital
Grants To Organizations	false	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	false	ScheduleJRequired
Tax Exempt Bonds	false	TaxExemptBonds
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	false	RelatedEntity
Related Org Controlled Entity	false	RelatedOrgControlledEntity
Transaction Related Entity	false	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	27	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	132	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	false	UnrelatedBusinessIncome
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	10	NbrVotingGoverningBodyMembers
Number Independent Voting Members	10	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	true	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	false	MembersOrStockholders
Election Of Board Members	false	ElectionOfBoardMembers
Decisions Subject To Approval	false	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	false	ConflictOfInterestPolicy
Whistleblower Policy	false	WhistleblowerPolicy
Document Retention Policy	false	DocumentRetentionPolicy
Compensation Process CEO	false	CompensationProcessCEO
Compensation Process Other	false	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	CHRIS YOUNG	NamePerson
Telephone Number	4027642711	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	615 E 9TH ST	AddressLine1
City	STROMSBURG	City
State	NE	State
ZIP Code	68666	ZIPCode

Field	Value	IRS element (for citing)
No Listed Persons Compensated	X	NoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (10 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer
REV TAMMY SWANSON-DRAHEIM
BOARD	1.00	X	0	0	0
DAVID NORLEN
BOARD	1.00	X	0	0	0
RUBY ANDERSEN
BOARD	1.00	X	0	0	0
RODNEY HALSTEAD
BOARD	1.00	X	0	0	0
GRACE GERRARD
BOARD	1.00	X	0	0	0
LYLE PERSON
BOARD	1.00	X	0	0	0
SCOTT LANGEMEIER
PRESIDENT	1.00		0	0	0	X
ELLIOT YUNGDAHL
SECRETARY	1.00		0	0	0	X
PATRICIA SUNDBERG
TREASURER	1.00		0	0	0	X
BEN BERGGREN
VICE PRESIDE	1.00		0	0	0	X

Field	Value	IRS element (for citing)
Formers Listed	false	FormersListed
Total Comp GT150 K	false	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Field	Value	IRS element (for citing)
Name Person	RURAL HEALTH DEVELOPMENT	NamePerson

Address Of Contractor AddressOfContractor

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	1115 NASBY STREET	AddressLine1
City	CAMBRIDGE	City
State	NE	State
ZIP Code	69022	ZIPCode

Field	Value	IRS element (for citing)
Description Of Services	MANAGEMENT	DescriptionOfServices
Compensation	166675	Compensation

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	1	NumberOfContractorsGT100K
All Other Contributions	13930	AllOtherContributions
Total Contributions	13930	TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescription	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	ExclusionExclusionAmount
PRIVATE PAY RESIDENTS	1772809	1772809
MEDICARE/MEDICAID	1675361	1675361
ASSISTED LIVING	715247	715247
MEALS	23960		$23,960

Field	Value	IRS element (for citing)
Total Program Service Revenue	4187377	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	26891	TotalRevenueColumn
Exclusion	$26,891	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	109688	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	45404	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	64284	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	64284	TotalRevenueColumn
Exclusion	$64,284	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	166648	Securities
Other	1800	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	183564	Securities
Other	1652	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	-16916	Securities
Other	148	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	-16768	TotalRevenueColumn
Related Or Exempt Function Income	-16768	RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc

Field	Value	IRS element (for citing)
Description	MISCELLANEOUS	Description
Total Revenue Column	1220	TotalRevenueColumn
Exclusion	$1,220	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	1220	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	4276934	TotalRevenueColumn
Related Or Exempt Function Income	4146649	RelatedOrExemptFunctionIncome
Exclusion	$116,355	ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	2309953	Total
Program Services	2189911	ProgramServices
Management And General	120042	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	359998	Total
Program Services	332225	ProgramServices
Management And General	27773	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	175119	Total
Program Services	166613	ProgramServices
Management And General	8506	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	166675	Total
Management And General	166675	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	14114	Total
Management And General	14114	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	34149	Total
Program Services	28423	ProgramServices
Management And General	5726	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	163873	Total
Program Services	163172	ProgramServices
Management And General	701	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	28132	Total
Program Services	22176	ProgramServices
Management And General	5956	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	335676	Total
Program Services	335676	ProgramServices

Insurance Insurance

Field	Value	IRS element (for citing)
Total	46392	Total
Program Services	24692	ProgramServices
Management And General	21700	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
SUPPLIES	526285	517611	8674
CONSULTING	158822	158822
COMPUTER/COPIER EXPENSE	59776	40592	19184
REPAIRS & MAINTENANCE	39551	39551

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	38799	Total
Program Services	10147	ProgramServices
Management And General	28652	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	4457314	Total
Program Services	4029611	ProgramServices
Management And General	427703	ManagementAndGeneral
Fundraising	0	Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	1215521	BOY
EOY	986243	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	332717	BOY
EOY	383807	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	11351	BOY
EOY	37339	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	8912826	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	4707724	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	4242100	BOY
EOY	4205102	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	183240	BOY
EOY	169167	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	2770	BOY
EOY	2170	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	5987699	BOY
EOY	5783828	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	313059	BOY
EOY	269927	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	313059	BOY
EOY	269927	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	5674640	BOY
EOY	5513901	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	5674640	BOY
EOY	5513901	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	5987699	BOY
EOY	5783828	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	-180380	ReconcilationRevenueExpenses
Reconcilation Other Changes	19641	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	true	AuditCommittee
Federal Grant Audit Required	false	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org509a2	X	PubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	7705	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	1814	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	2686	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	2433	CurrentTaxYearMinus1Year
Current Tax Year	13930	CurrentTaxYear
Total	28568	Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	3747649	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	3622351	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	3841447	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	4468243	CurrentTaxYearMinus1Year
Current Tax Year	4187377	CurrentTaxYear
Total	19867067	Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

Field	Value	IRS element (for citing)
Current Tax Year Minus2 Years	24919	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	28169	CurrentTaxYearMinus1Year
Current Tax Year	23346	CurrentTaxYear
Total	76434	Total

Total509 Total509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	3755354	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	3624165	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	3869052	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	4498845	CurrentTaxYearMinus1Year
Current Tax Year	4224653	CurrentTaxYear
Total	19972069	Total

Field	Value	IRS element (for citing)
Public Support Total509	19972069	PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	133441	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	130697	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	124788	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	124289	CurrentTaxYearMinus1Year
Current Tax Year	136579	CurrentTaxYear
Total	649794	Total

Investment Income And UBTI InvestmentIncomeAndUBTI

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	133441	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	130697	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	124788	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	124289	CurrentTaxYearMinus1Year
Current Tax Year	136579	CurrentTaxYear
Total	649794	Total

Total Support Total TotalSupportTotal

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	3888795	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	3754862	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	3993840	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	4623134	CurrentTaxYearMinus1Year
Current Tax Year	4361232	CurrentTaxYear
Total	20621863	Total

Field	Value	IRS element (for citing)
Public Support Percentage509	0.96850	PublicSupportPercentage509
Prior Year Support Percentage	0.97200	PriorYearSupportPercentage
Investment Income Percentage	0.03000	InvestmentIncomePercentage
Prior Yr Invest Income Percentage	0.03000	PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509	X	ThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Disclosed Orgs Legal Control	false	DisclosedOrgsLegalControl
Disclosed For Charitable Purposes	false	DisclosedForCharitablePurposes
Written Policy Monitoring	false	WrittenPolicyMonitoring
Sect170h Requirements Satisfied	false	Sect170hRequirementsSatisfied
Solicited Assets For Sale	false	SolicitedAssetsForSale
Agent Trustee Etc	false	AgentTrusteeEtc
Included On FS	false	IncludedOnFS
Endowments Held By Unrelated Orgs	false	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	false	EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R	false	AreRelatedOrgsListedScheduleR

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	74100	OtherCostOrOtherBasis
Book Value	74100	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	7661848	OtherCostOrOtherBasis
Depreciation	4153717	Depreciation
Book Value	3508131	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1176878	OtherCostOrOtherBasis
Depreciation	554007	Depreciation
Book Value	622871	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	4205102	TotalOfBookValueLandBuildings
Total Revenue	4276934	TotalRevenue
Total Expenses	4457314	TotalExpenses
Excess Or Deficit For Year	-180380	ExcessOrDeficitForYear
Net Unrealized GL On Investments	19641	NetUnrealizedGLOnInvestments
Total Adjustments	19641	TotalAdjustments
Excess Or Deficit Per FS	-160739	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	4296575	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	19641	NetUnrealizedGainsInvestments
Revenue Not Rptd F990	19641	RevenueNotRptdF990
Revenue Subtotal	4276934	RevenueSubtotal
Total Revenue Per Form990	4276934	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	4457314	TotExpensesEtcAuditedFinclStmt
Expenses Subtotal	4457314	ExpensesSubtotal
Total Expenses Per Form990	4457314	TotalExpensesPerForm990

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
MANAGEMENT DELEGATED	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.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990	FORM 990, PAGE 6, PART VI, LINE 11B	BOARD RECEIVES A COPY OF FORM 990 TO REVIEW BEFORE IT IS FILED.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATION	FORM 990, PAGE 6, PART VI, LINE 19	GOVERNING DOCUMENTS AND FINACIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. THE ORGANIZATION DOES NOT HAVE A CONFLICT OF INTEREST POLICY.
OTHER CHANGES IN NET ASSETS EXPLANATION	FORM 990, PART XI, LINE 5	THE OTHER CHANGES IN NET ASSETS IS THE UNREALIZED GAIN ON INVESTMENTS AT JUNE 30, 2012

MIDWEST COVENANT HOME INC: Form 990, tax year 2011

Return header ReturnHeader

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Preparer Firm US Address PreparerFirmUSAddress

Filer Filer

Name Name

US Address USAddress

Officer Officer

Preparer Preparer

Form 990 IRS990

The Books Are In Care Of TheBooksAreInCareOf

Address US AddressUS

Form990 Part VII Section A Form990PartVIISectionA (10 entries)

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Address Of Contractor AddressOfContractor

Address US AddressUS

Program Service Revenue ProgramServiceRevenue (4 entries)

Investment Income InvestmentIncome

Gross Rents GrossRents

Less Rental Expenses LessRentalExpenses

Rental Income Or Loss RentalIncomeOrLoss

Net Rental Income Or Loss NetRentalIncomeOrLoss

Gross Amount Sales Assets GrossAmountSalesAssets

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Gain Or Loss GainOrLoss

Net Gain Or Loss Investments NetGainOrLossInvestments

Other Revenue Misc OtherRevenueMisc

Total Revenue TotalRevenue

Other Salaries And Wages OtherSalariesAndWages

Other Employee Benefits OtherEmployeeBenefits

Payroll Taxes PayrollTaxes

Fees For Services Management FeesForServicesManagement

Fees For Services Accounting FeesForServicesAccounting

Advertising Advertising

Occupancy Occupancy

Conferences Meetings ConferencesMeetings

Depreciation Depletion DepreciationDepletion

Insurance Insurance

Other Expenses OtherExpenses (4 entries)

All Other Expenses AllOtherExpenses

Total Functional Expenses TotalFunctionalExpenses

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Accounts Receivable AccountsReceivable

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Other Assets Total OtherAssetsTotal

Total Assets TotalAssets

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Total Liabilities TotalLiabilities

Unrestricted Net Assets UnrestrictedNetAssets

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Schedule A IRS990ScheduleA

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

Gross Receipts From Admissions GrossReceiptsFromAdmissions

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

Total509 Total509

Gross Investment Income509 GrossInvestmentIncome509

Investment Income And UBTI InvestmentIncomeAndUBTI

Total Support Total TotalSupportTotal

Schedule D IRS990ScheduleD

Land Land

Buildings Buildings

Equipment Equipment

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

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