CROWELL MEMORIAL HOME: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- CROWELL MEMORIAL HOME (EIN 47-0378987)
- Tax period
- 2016-07-01 to 2017-06-30
- Filed
- 2017-11-06
- IRS object ID
- 201743109349301264
- Schema version
- 2016v3.0
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-11-06T14:39:22-06:00 | ReturnTs |
| Tax Period End | 2017-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 205640426 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SHONSEY PLACKE MARUSKA & STAVA PC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 403 LEXINGTON CIRCLE | AddressLine1Txt |
| City | GRAND ISLAND | CityNm |
| State Abbreviation | NE | StateAbbreviationCd |
| ZIP | 68803 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 470378987 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CROWELL MEMORIAL HOME | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CROW | BusinessNameControlTxt |
| Phone | 4024262177 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 245 SOUTH 22ND STREET | AddressLine1Txt |
| City | BLAIR | CityNm |
| State Abbreviation | NE | StateAbbreviationCd |
| ZIP | 68008 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DOUG ANDERSON | PersonNm |
| Person Title | VICE-PRESIDENT | PersonTitleTxt |
| Phone | 4024262177 | PhoneNum |
| Signature | 2017-10-19 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | STEVEN K PLACKE CPA | PreparerPersonNm |
| PTIN | P00078534 | PTIN |
| Phone | 3083849910 | PhoneNum |
| Preparation | 2017-10-24 | PreparationDt |
Filing Security Information FilingSecurityInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| At Submission Creation Device Id | 17574B39D21C3103FEA39676ECCE358C60620C3F | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 17574B39D21C3103FEA39676ECCE358C60620C3F | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | DOUG ANDERSON | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1523 WASHINGTON ST | AddressLine1Txt |
| City | BLAIR | CityNm |
| State Abbreviation | NE | StateAbbreviationCd |
| ZIP | 68008 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $6,711,930 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.CROWELLMEMORIALHOME.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1975 | FormationYr |
| Legal Domicile State | NE | LegalDomicileStateCd |
| Activity Or Mission | NURSING HOME AND ASSISTED LIVING CARE FOR THE ELDERLY AND DISABLED, INCLUDING PRIVATE PAY, MEDICAID, AND MEDICARE ELIGIBLE RESIDENTS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 13 | VotingMembersIndependentCnt |
| Total Employee | 153 | TotalEmployeeCnt |
| Total Volunteers | 28 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $30,186 | PYContributionsGrantsAmt |
| CY Contributions Grants | $12,631 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $6,217,803 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $6,324,447 | CYProgramServiceRevenueAmt |
| PY Investment Income | $420 | PYInvestmentIncomeAmt |
| CY Investment Income | $276,963 | CYInvestmentIncomeAmt |
| PY Other Revenue | $43,413 | PYOtherRevenueAmt |
| CY Other Revenue | $39,269 | CYOtherRevenueAmt |
| PY Total Revenue | $6,291,822 | PYTotalRevenueAmt |
| CY Total Revenue | $6,653,310 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $4,380,041 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $4,136,387 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $2,218,599 | PYOtherExpensesAmt |
| CY Other Expenses | $1,932,243 | CYOtherExpensesAmt |
| PY Total Expenses | $6,598,640 | PYTotalExpensesAmt |
| CY Total Expenses | $6,068,630 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$306,818 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $584,680 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $4,404,884 | TotalAssetsBOYAmt |
| Total Assets EOY | $4,406,461 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,582,716 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $999,812 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $2,822,168 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $3,406,649 | NetAssetsOrFundBalancesEOYAmt |
| Mission | NURSING HOME AND ASSISTED LIVING CARE FOR THE ELDERLY AND DISABLED, INCLUDING PRIVATE PAY, MEDICAID, AND MEDICARE ELIGIBLE RESIDENTS. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $5,541,604 | ExpenseAmt |
| Revenue | $6,324,447 | RevenueAmt |
| Desc | NURSING HOME AND ASSISTED LIVING CARE FOR THE ELDERLY AND DISABLED. RESIDENTS INCLUDE PRIVATE PAY, MEDICAID, AND MEDICARE ELIGIBLE RESIDENTS. | Desc |
| Total Program Service Expenses | $5,541,604 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | false | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 11 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 153 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Form8899 Filedind | false | Form8899Filedind |
| Form1098 C Filed | false | Form1098CFiledInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 13 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | false | ConflictOfInterestPolicyInd |
| Whistleblower Policy | false | WhistleblowerPolicyInd |
| Document Retention Policy | false | DocumentRetentionPolicyInd |
| Compensation Process CEO | false | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | TERRY WULF | PersonNm |
| Phone | 4024262177 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 245 S 22ND ST | AddressLine1Txt |
| City | BLAIR | CityNm |
| State Abbreviation | NE | StateAbbreviationCd |
| ZIP | 68008 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | Yes (X) | NoListedPersonsCompensatedInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (14 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| STEVEN PECK | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| DR STEVEN SHANAHAN | ||||||||
| PRESIDENT | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| JENNY WILKINS-SWENSEN | ||||||||
| SECRETARY | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| RODNEY THIEMANN | ||||||||
| TREASURER | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| DOUG ANDERSON | ||||||||
| VICE-PRESIDE | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| AMY COATES | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| REV DR DAN FLANAGAN | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| RUSS FOUST | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| TIM KASTRUP | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| KIM QUICK | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| DR RAY RUSSIN | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| ANN THEIL | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| SUSAN UDEY | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| WILLIAM WILLIARD | ||||||||
| EXECUTIVE DI | 40.00 | $108,678 | $0 | $16,735 | 1.00 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $108,678 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $16,735 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 1 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | false | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| Related Organizations | $12,463 | RelatedOrganizationsAmt |
| All Other Contributions | $168 | AllOtherContributionsAmt |
| Total Contributions | $12,631 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| MEDICAID | 623000 | $3,369,246 | $3,369,246 |
| PRIVATE PAY RESIDENTS | 623000 | $1,389,958 | $1,389,958 |
| MEDICARE | 623000 | $824,240 | $824,240 |
| ASSISTED LIVING PRIVATE RES. | 623000 | $388,636 | $388,636 |
| ASSISTED LIVING MEDICAID | 623000 | $215,755 | $215,755 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $136,612 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $128,647 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $7,965 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $6,324,447 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $583 | TotalRevenueColumnAmt |
| Exclusion | $583 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $335,000 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $58,620 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $276,380 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $276,380 | TotalRevenueColumnAmt |
| Exclusion | $276,380 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| CORPORATE OFFICE INCOME | 531120 | $36,600 | $36,600 |
| MISCELLANEOUS INCOME | 623000 | $1,427 | $1,427 |
| BEAUTY SHOP INCOME | 623000 | $1,242 | $1,242 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $39,269 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $6,653,310 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $6,316,482 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $324,197 | ExclusionAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,379,614 | TotalAmt |
| Program Services | $3,054,833 | ProgramServicesAmt |
| Management And General | $324,781 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $520,744 | TotalAmt |
| Program Services | $471,080 | ProgramServicesAmt |
| Management And General | $49,664 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $236,029 | TotalAmt |
| Program Services | $213,518 | ProgramServicesAmt |
| Management And General | $22,511 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,039 | TotalAmt |
| Management And General | $11,039 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,835 | TotalAmt |
| Management And General | $13,835 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $596,637 | TotalAmt |
| Program Services | $570,943 | ProgramServicesAmt |
| Management And General | $25,694 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,639 | TotalAmt |
| Program Services | $8,412 | ProgramServicesAmt |
| Management And General | $19,227 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $280,545 | TotalAmt |
| Program Services | $280,545 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,269 | TotalAmt |
| Program Services | $10,316 | ProgramServicesAmt |
| Management And General | $11,953 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,934 | TotalAmt |
| Program Services | $28,934 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $353,883 | TotalAmt |
| Program Services | $353,883 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $94,644 | TotalAmt |
| Program Services | $94,644 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| FOOD | $228,261 | $228,261 | |
| SUPPLIES | $223,854 | $217,523 | $6,331 |
| TELEPHONE | $26,041 | $8,712 | $17,329 |
| DUES AND SUBSCRIPTIONS | $14,001 | $14,001 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,661 | TotalAmt |
| Management And General | $10,661 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,068,630 | TotalAmt |
| Program Services | $5,541,604 | ProgramServicesAmt |
| Management And General | $527,026 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $514 | BOYAmt |
| EOY | $582 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $86,558 | BOYAmt |
| EOY | $252,463 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $561,764 | BOYAmt |
| EOY | $607,366 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,147 | BOYAmt |
| EOY | $11,094 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,918 | BOYAmt |
| EOY | $36,506 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $9,918,395 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $6,460,781 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,708,036 | BOYAmt |
| EOY | $3,457,614 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,033 | BOYAmt |
| EOY | $9,833 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,044 | BOYAmt |
| EOY | $1,533 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,870 | BOYAmt |
| EOY | $29,470 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,404,884 | BOYAmt |
| EOY | $4,406,461 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $882,152 | BOYAmt |
| EOY | $549,155 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $700,564 | BOYAmt |
| EOY | $450,657 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,582,716 | BOYAmt |
| EOY | $999,812 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,822,168 | BOYAmt |
| EOY | $3,406,649 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,822,168 | BOYAmt |
| EOY | $3,406,649 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,404,884 | BOYAmt |
| EOY | $4,406,461 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $584,680 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$199 | NetUnrlzdGainsLossesInvstAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $257,732 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $351,098 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $358,065 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $30,186 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $12,631 | CurrentTaxYearAmt |
| Total | $1,009,712 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,950,710 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,833,283 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,494,594 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $6,164,792 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,316,482 | CurrentTaxYearAmt |
| Total | $30,759,861 | TotalAmt |
Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $89,405 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $89,890 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $95,143 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $96,424 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $47,234 | CurrentTaxYearAmt |
| Total | $418,096 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $6,297,847 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $6,274,271 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,947,802 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $6,291,402 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,376,347 | CurrentTaxYearAmt |
| Total | $32,187,669 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $32,187,669 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $356 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $378 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $430 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $420 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $583 | CurrentTaxYearAmt |
| Total | $2,167 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $356 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $378 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $430 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $420 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $583 | CurrentTaxYearAmt |
| Total | $2,167 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $6,298,203 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $6,274,649 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,948,232 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $6,291,822 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,376,930 | CurrentTaxYearAmt |
| Total | $32,189,836 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99990 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99880 | PublicSupportPY509Pct |
| Investment Income CY | 0.00000 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00000 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,888 | OtherCostOrOtherBasisAmt |
| Book Value | $6,888 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,865,963 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,759,607 | DepreciationAmt |
| Book Value | $3,106,356 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,837,219 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,546,754 | DepreciationAmt |
| Book Value | $290,465 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $208,325 | OtherCostOrOtherBasisAmt |
| Depreciation | $154,420 | DepreciationAmt |
| Book Value | $53,905 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $3,457,614 | TotalBookValueLandBuildingsAmt |
| Total Rev Etc Audited Fincl Stmt | $6,653,111 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$199 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | -$199 | RevenueNotReportedAmt |
| Revenue Subtotal | $6,653,310 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $6,653,310 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $6,068,630 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $6,068,630 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $6,068,630 | TotalExpensesPerForm990Amt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PAGE 6, PART VI, 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, PAGE 6, PART VI, LINE 19 | GOVERNING DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC THROUGH INDIVIDUAL REQUEST. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CROWELL MEMORIAL HOME FOUNDATION | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 245 S 22ND STREET | AddressLine1Txt |
| City | BLAIR | CityNm |
| State Abbreviation | NE | StateAbbreviationCd |
| ZIP | 68008 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 470810702 | EIN |
| Primary Activities | SUPPORT | PrimaryActivitiesTxt |
| Legal Domicile State | NE | LegalDomicileStateCd |
| Exempt Code Section | 501C3 | ExemptCodeSectionTxt |
| Public Charity Status | 10 | PublicCharityStatusTxt |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Controlled Organization | false | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (true) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (2 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt |
|---|---|
| CROWELL MEMORIAL HOME FOUNDATION | |
| C | $12,463 |
| CROWELL MEMORIAL HOME FOUNDATION | |
| J | $36,600 |