CROWELL MEMORIAL HOME: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization: CROWELL MEMORIAL HOME (EIN 47-0378987)
Tax period: 2010-07-01 to 2011-06-30
Filed: 2011-09-27
IRS object ID: 201132709349300303
Schema version: 2010v3.4
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
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2011-09-27T08:20:23-05:00	Timestamp
Tax Period End Date	2011-06-30	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	2010-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	470378987	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	CROWELL MEMORIAL HOME	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	CROW	NameControl
Phone	4024262177	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	245 SOUTH 22ND STREET	AddressLine1
City	BLAIR	City
State	NE	State
ZIP Code	68008	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	WILLIAM WILLIARD	Name
Title	EXECUTIVE DIRECTOR	Title
Phone	4024262177	Phone
Date Signed	2011-09-15	DateSigned

Preparer Preparer

Field	Value	IRS element (for citing)
Name	STEVE PLACKE CPA	Name
Phone	3083849910	Phone
Date Prepared	2011-09-26	DatePrepared

Field	Value	IRS element (for citing)
Tax Year	2010	TaxYear
Build TS	2016-03-07 17:11:31Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	WILLIAM WILLIARD	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	245 SOUTH 22ND STREET	AddressLine1
City	BLAIR	City
State	NE	State
ZIP Code	68008	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	6494287	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.CROWELLMEMORIALHOME.COM	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1975	YearFormation
State Legal Domicile	NE	StateLegalDomicile
Activity Or Mission Description	NURSING HOME AND ASSISTED LIVING CARE FOR THE ELDERLY AND DISABLED, INCLUDING PRIVATE PAY, MEDICAID, AND MEDICARE ELIGIBLE RESIDENTS.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	19	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	19	NbrIndependentVotingMembers
Total Nbr Employees	178	TotalNbrEmployees
Total Gross UBI	0	TotalGrossUBI
Contributions Grants Prior Year	20300	ContributionsGrantsPriorYear
Contributions Grants Current Year	9191	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	6041708	ProgramServiceRevenuePriorYear
Program Service Revenue CY	6447112	ProgramServiceRevenueCY
Investment Income Prior Year	311	InvestmentIncomePriorYear
Investment Income Current Year	422	InvestmentIncomeCurrentYear
Other Revenue Prior Year	34854	OtherRevenuePriorYear
Other Revenue Current Year	37562	OtherRevenueCurrentYear
Total Revenue Prior Year	6097173	TotalRevenuePriorYear
Total Revenue Current Year	6494287	TotalRevenueCurrentYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	4118945	SalariesEtcPriorYear
Salaries Etc Current Year	4367718	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	1851005	OtherExpensePriorYear
Other Expenses Current Year	1918569	OtherExpensesCurrentYear
Total Expenses Prior Year	5969950	TotalExpensesPriorYear
Total Expenses Current Year	6286287	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	127223	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	208000	RevenuesLessExpensesCY
Total Assets BOY	4821014	TotalAssetsBOY
Total Assets EOY	5026622	TotalAssetsEOY
Total Liabilities BOY	1460100	TotalLiabilitiesBOY
Total Liabilities EOY	1457669	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	3360914	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	3568953	NetAssetsOrFundBalancesEOY
Mission Description	NURSING HOME AND ASSISTED LIVING CARE FOR THE ELDERLY AND DISABLED, INCLUDING PRIVATE PAY, MEDICAID, AND MEDICARE ELIGIBLE RESIDENTS.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	5806899	Expense
Revenue	6447112	Revenue
Description	NURSING HOME AND ASSISTED LIVING CARE FOR THE ELDERLY AND DISABLED. RESIDENTS INCLUDE PRIVATE PAY, MEDICAID, AND MEDICARE ELIGIBLE RESIDENTS.	Description
Total Program Service Expense	5806899	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	true	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	0	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	false	ComplianceWithBackupWitholding
Number Of Employees	178	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
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Form8899 Filed	false	Form8899Filed
Form1098 C Filed	false	Form1098CFiled
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	19	NbrVotingGoverningBodyMembers
Number Independent Voting Members	19	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	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
Other Website	X	OtherWebsite
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	WILLIAM WILLIARD	NamePerson
Telephone Number	4024262177	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	245 S 22ND ST	AddressLine1
City	BLAIR	City
State	NE	State
ZIP Code	68008	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (19 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation
DON BOSWELL
SECRETARY	5.00	X	X	0	0	0
MARTY BUCKINGHAM
BOARD MEMBER	5.00	X		0	0	0
DENNIS CARLSON
TREASURER	5.00	X	X	0	0	0
DAVID DREW
BOARD MEMBER	5.00	X		0	0	0
CHESTON FIELD
BOARD MEMBER	5.00	X		0	0	0
ROGER HOWLAND
BOARD MEMBER	5.00	X		0	0	0
JASON FOWLER
BOARD MEMBER	5.00	X		0	0	0
ROBERT JOHNSON
V. PRESIDENT	5.00	X	X	0	0	0
DANE LIVERMORE
BOARD MEMBER	5.00	X		0	0	0
ROGER LORSCH
BOARD MEMBER	5.00	X		0	0	0
JOLENE REWERTS
BOARD MEMBER	5.00	X		0	0	0
TAWNYA ROBERTS
BOARD MEMBER	5.00	X		0	0	0
RAYMOND RUSSIN
BOARD MEMBER	5.00	X		0	0	0
THERESA OLSEN
BOARD MEMBER	5.00	X		0	0	0
DENNY SILK
BOARD MEMBER	5.00	X		0	0	0
BOB SWEENEY
PRESIDENT	5.00	X	X	0	0	0
DEBRA TOMPSETT-WELCH
BOARD MEMBER	5.00	X		0	0	0
ARDELLE WACHTER
BOARD MEMBER	5.00	X		0	0	0
BILL WILLIARD
EXECUTIVE DI	40.00		X	101150	0	0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	101150	TotalReportableCompFromOrg
Number Individuals GT100 K	1	NumberIndividualsGT100K
Formers Listed	false	FormersListed
Total Comp GT150 K	false	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources
All Other Contributions	9191	AllOtherContributions
Total Contributions	9191	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MEDICAID	623000	3235304	3235304
PRIVATE PAY RESIDENTS	623000	1757192	1757192
MEDICARE	623000	835637	835637
ASSISTED LIVING MEDICAID	623000	262336	262336
ASSISTED LIVING PRIVATE RES.	623000	248523	248523

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	108120	TotalRevenueColumn
Related Or Exempt Function Income	63691	RelatedOrExemptFunctionIncome
Exclusion	$44,429	ExclusionAmount

Field	Value	IRS element (for citing)
Total Program Service Revenue	6447112	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	422	TotalRevenueColumn
Exclusion	$422	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount
CORPORATE OFFICE INCOME	531120	32880	$32,880
MISCELLANEOUS INCOME	623000	4682	$4,682

Field	Value	IRS element (for citing)
Total Other Revenue	37562	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	6494287	TotalRevenueColumn
Related Or Exempt Function Income	6402683	RelatedOrExemptFunctionIncome
Exclusion	$82,413	ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	101150	Total
Management And General	101150	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	3548579	Total
Program Services	3354171	ProgramServices
Management And General	194408	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	435824	Total
Program Services	401358	ProgramServices
Management And General	34466	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	282165	Total
Program Services	259850	ProgramServices
Management And General	22315	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	696	Total
Management And General	696	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	11900	Total
Management And General	11900	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	119574	Total
Program Services	100048	ProgramServices
Management And General	19526	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	309942	Total
Program Services	309942	ProgramServices

Travel Travel

Field	Value	IRS element (for citing)
Total	23486	Total
Program Services	9250	ProgramServices
Management And General	14236	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	3697	Total
Program Services	3697	ProgramServices

Interest Interest

Field	Value	IRS element (for citing)
Total	57557	Total
Program Services	57557	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	281792	Total
Program Services	281281	ProgramServices
Management And General	511	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	97395	Total
Program Services	97395	ProgramServices

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
MEDICARE THERAPY EXPENSES	401870	401870
FOOD	264098	264098
SUPPLIES	257897	244606	13291
TELEPHONE	22930	13123	9807
PUBLIC RELATIONS	21013	731	20282

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	44722	Total
Program Services	7922	ProgramServices
Management And General	36800	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	6286287	Total
Program Services	5806899	ProgramServices
Management And General	479388	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	422	BOY
EOY	1780	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	289816	BOY
EOY	106773	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	547392	BOY
EOY	898973	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	12930	BOY
EOY	14489	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	53377	BOY
EOY	53102	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	9129730	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	5205982	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	3905759	BOY
EOY	3923748	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	4912	BOY
EOY	4951	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	5110	BOY
EOY	4599	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	1296	BOY
EOY	18207	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	4821014	BOY
EOY	5026622	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	423514	BOY
EOY	504912	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	1036586	BOY
EOY	952757	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	1460100	BOY
EOY	1457669	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	3360914	BOY
EOY	3568953	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	3360914	BOY
EOY	3568953	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	4821014	BOY
EOY	5026622	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	208000	ReconcilationRevenueExpenses
Reconcilation Other Changes	39	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	true	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
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	6950	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	5978	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	8575	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	20300	CurrentTaxYearMinus1Year
Current Tax Year	9191	CurrentTaxYear
Total	50994	Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	5707684	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	5909968	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	5802270	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	5993192	CurrentTaxYearMinus1Year
Current Tax Year	6402683	CurrentTaxYear
Total	29815797	Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	46268	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	44789	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	51718	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	50490	CurrentTaxYearMinus1Year
Current Tax Year	49111	CurrentTaxYear
Total	242376	Total

Total509 Total509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	5760902	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	5960735	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	5862563	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	6063982	CurrentTaxYearMinus1Year
Current Tax Year	6460985	CurrentTaxYear
Total	30109167	Total

Field	Value	IRS element (for citing)
Public Support Total509	30109167	PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	1708	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	2293	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	480	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	311	CurrentTaxYearMinus1Year
Current Tax Year	422	CurrentTaxYear
Total	5214	Total

Investment Income And UBTI InvestmentIncomeAndUBTI

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	1708	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	2293	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	480	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	311	CurrentTaxYearMinus1Year
Current Tax Year	422	CurrentTaxYear
Total	5214	Total

Net Income From Other UBI NetIncomeFromOtherUBI

Field	Value	IRS element (for citing)
Current Tax Year Minus1 Year	31880	CurrentTaxYearMinus1Year
Current Tax Year	31880	CurrentTaxYear
Total	63760	Total

Total Support Total TotalSupportTotal

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	5762610	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	5963028	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	5863043	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	6096173	CurrentTaxYearMinus1Year
Current Tax Year	6493287	CurrentTaxYear
Total	30178141	Total

Field	Value	IRS element (for citing)
Public Support Percentage509	0.99770	PublicSupportPercentage509
Prior Year Support Percentage	0.99390	PriorYearSupportPercentage
Investment Income Percentage	0.00000	InvestmentIncomePercentage
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	19372	OtherCostOrOtherBasis
Book Value	19372	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	7356493	OtherCostOrOtherBasis
Depreciation	3877432	Depreciation
Book Value	3479061	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1563125	OtherCostOrOtherBasis
Depreciation	1196528	Depreciation
Book Value	366597	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	190740	OtherCostOrOtherBasis
Depreciation	132022	Depreciation
Book Value	58718	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	3923748	TotalOfBookValueLandBuildings
Total Revenue	6494287	TotalRevenue
Total Expenses	6286287	TotalExpenses
Excess Or Deficit For Year	208000	ExcessOrDeficitForYear
Net Unrealized GL On Investments	39	NetUnrealizedGLOnInvestments
Total Adjustments	39	TotalAdjustments
Excess Or Deficit Per FS	208039	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	6494326	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	39	NetUnrealizedGainsInvestments
Revenue Not Rptd F990	39	RevenueNotRptdF990
Revenue Subtotal	6494287	RevenueSubtotal
Total Revenue Per Form990	6494287	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	6286287	TotExpensesEtcAuditedFinclStmt
Expenses Subtotal	6286287	ExpensesSubtotal
Total Expenses Per Form990	6286287	TotalExpensesPerForm990

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990	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.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATION	FORM 990, PAGE 6, PART VI, LINE 19	GOVERNING DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC THROUGH INDIVIDUAL REQUEST.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

Field	Value	IRS element (for citing)
Business Name Line1	CROWELL MEMORIAL HOME FOUNDATION	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	245 S 22ND STREET	AddressLine1
City	BLAIR	City
State	NE	State
ZIP Code	68008	ZIPCode

Field	Value	IRS element (for citing)
EIN	470810702	EIN
Primary Activities	SUPPORT	PrimaryActivities
Legal Domicile State	NE	LegalDomicileState
Exempt Code Section	501C3	ExemptCodeSection
Public Charity Status	9	PublicCharityStatus
Direct Controlling Entity NA	N/A	DirectControllingEntityNA
Controlled Org	false	ControlledOrg

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	false	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	false	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	true	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	false	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	false	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	false	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	false	ExchangeOfAssets
Rental Of Facilities To Other Orgs	true	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	false	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	false	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	false	PerformOfServicesByOtherOrgs
Sharing Of Facilities	false	SharingOfFacilities
Sharing Of Paid Employees	false	SharingOfPaidEmployees
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	false	OtherTransferToOtherOrg
Other Transfer From Other Org	false	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)

CROWELL MEMORIAL HOME FOUNDATION
CROWELL MEMORIAL HOME FOUNDATION