2020-11-09T13:31:20-06:00 2020-06-30 470625816 LUTZ AND COMPANY PC 3320 JAMES ROAD SUITE 100 GRAND ISLAND NE 68803 990 2019-07-01 470397679 MIDWEST COVENANT HOME INC MIDW 4027642711 615 E 9TH STREET STROMSBURG NE 686664053 SANDRA RYSTROM BOARD PRESIDENT 4027545993 2020-11-02 1 STEVEN K PLACKE P00078534 3083827850 2020-10-30 74.51.217.130 2020-11-02 09:10:39 CS P B71BDB945B9FE8369E4E6DB4C476ACCAA5A3B540 4234F2B261740BFC3141C475C431891D18F9DEFF 2019 2021-01-29 14:40:06Z SANDRA RYSTROM 615 SEMINARY STREET STROMSBURG NE 68666 4361002 0 X WWW.MIDWESTCOVENANTHOME.ORG X 1957 NE NURSING HOME CARE AND ASSISTED LIVING FOR THE ELDERLY. 11 11 117 54 0 0 14168 102529 4242521 4057399 31237 10658 124630 137638 4412556 4308224 0 0 0 0 3171408 2928054 0 0 0 1594997 2077825 4766405 5005879 -353849 -697655 6261712 7186319 2235484 3860497 4026228 3325822 NURSING HOME CARE AND ASSISTED LIVING FOR THE ELDERLY. 0 0 4689757 4194537 NURSING HOME CARE AND ASSISTED LIVING FOR THE ELDERLY. 4689757 1 0 0 0 0 0 0 0 0 0 1 0 0 1 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 24 0 1 117 0 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 JAN RANDELL DIRECTOR-AT-LARGE 0.00 X 0 0 0 CRAIG BEEBE VICE-PRESIDENT 0.00 X X 0 0 0 DAN CRAMER DIRECTOR-AT-LARGE 0.00 X 0 0 0 CONNIE NUTTELMAN TREASURER 0.00 X X 0 0 0 LYLE PERSON SECRETARY 0.00 X X 0 0 0 SANDY RYSTROM PRESIDENT 0.00 X X 0 0 0 JIM SMALL DIRECTOR-AT-LARGE 0.00 X 0 0 0 TAMMY SWANSON-DRAHEIM EX-OFFICIO MEMBER 0.00 X 0 0 0 MERLIN FELT DIRECTOR-AT-LARGE 0.00 X 0 0 0 NELDA RILEY DIRECTOR-AT-LARGE 0.00 X 0 0 0 JILL CRAIG DIRECTOR-AT-LARGE 0.00 X 0 0 0 RACHEL TWOGODD DIRECTOR-AT-LARGE 0.00 X 0 0 0 0 0 0 0 0 0 0 ONESTAFF MEDICAL LLC PO BOX 3544 OMAHA NE 681030544 215736 MEDICAL STAFFING NETWORK PO BOX 840292 DALLAS TX 752840292 100313 2 76321 26208 102529 MEDICAID/DHHS 623000 1435047 1435047 PRIVATE PAY RESIDENTS 623000 1098633 1098633 ASSISTED LIVING 623000 908125 908125 MEDICARE 623000 480830 480830 HOME HEALTH SERVICES 623000 109893 109893 24871 24871 4057399 18351 18351 148933 37410 111523 111523 111523 7675 15368 -7693 -7693 -7693 EMPLOYEE & GUEST MEALS 623000 19957 19957 MISCELLANEOUS 623000 7636 7636 CROP INCOME 623000 500 500 -1978 -1978 26115 4308224 4194537 0 11158 2462495 2291362 171133 301203 287727 13476 164356 148746 15610 33457 33457 15420 14683 737 10383 10383 104612 94664 9948 160843 160843 14394 13653 741 391635 391635 76697 48102 28595 NURSING AGENCY LABOR 469792 469792 SUPPLIES 311952 311952 FOOD 178630 178630 CONSULTANTS 177477 177477 132533 100491 32042 5005879 4689757 316122 0 772032 829506 328733 305329 6352 40001 12959721 7700161 4571511 5259560 583084 751923 6261712 7186319 481446 330303 130579 1754038 3399615 2235484 3860497 X 4026228 3325822 4026228 3325822 6261712 7186319 -697655 -2751 0 X 0 1 X 1 0 X 79128 9882 9467 14168 26208 138853 3690089 4050111 4204904 4290254 4148270 20383628 500 1040 500 500 500 3040 3769717 4061033 4214871 4304922 4174978 20525521 0 0 0 20525521 111715 151053 143719 406487 111715 151053 143719 406487 3881432 4212086 4358590 4304922 4174978 20932008 0.98060 0.97640 0.01940 0.02360 X 74100 74100 11597470 6628306 4969164 1288151 1071855 216296 5259560 CONSTRUCTION IN PROGRESS 751833 DEPOSITS 90 751923 4305473 -2751 -2751 4308224 0 4308224 5005879 0 5005879 0 5005879 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.