2023-11-07T15:05:45-05:00 2022-12-31 481041128 SWINDOLL JANZEN HAWK & LOYD LLC 220 W DOUGLAS AVE SUITE 300 WICHITA KS 67202 990 2022-01-01 480643239 MEMORIAL HOME INC MEMO 6203452901 86 22ND AVENUE MOUNDRIDGE KS 67107 JASON T STUCKY CEO AFTER 11/22 6203452901 2023-11-05 true JASON STUCKY XXX-XX-XXXX true ADAM L GRILLIOT CPAPFS P00930960 3162655600 2023-11-05 2022 2023-04-26 12:10:37Z PINE VILLAGE BRUCE STUCKY 86 22ND AVENUE MOUNDRIDGE KS 67107 9012977 false X WWW.PINEVILLAGEKS.ORG X 1958 KS TO PROVIDE A CONTINUUM OF LONG-TERM CARE SERVICES FOR THE AGED AND HANDICAPPED PERSONS WHO COME TO OUR FACILITIES, AND TO DO SO WITHIN A FRAMEWORK OF CHRISTIAN CONCERN. 9 9 200 25 0 723077 445795 7470097 8541990 8538 5630 15686 19562 8217398 9012977 0 0 5306961 5635271 0 7192 2737555 2887256 8044516 8522527 172882 490450 12119055 12359416 6677442 6416185 5441613 5943231 TO PROVIDE A CONTINUUM OF LONG-TERM CARE SERVICES FOR THE AGED AND HANDICAPPED PERSONS WHO COME TO OUR FACILITIES, AND TO DO SO WITHIN A FRAMEWORK OF CHRISTIAN CONCERN. false false 5960000 6845417 SKILLED NURSING - PROVIDE FULL SERVICE HEALTHCARE INCLUDING DEMENTIA CARE TO RESIDENTS IN NEED OF CARE AND SERVICES. 760079 872998 ASSISTED LIVING - PROVIDE ALL MEALS, ASSISTANCE WITH MEDICATION AND OTHER SERVICES FOR THOSE NOT NEEDING FULL HEALTHCARE. 717092 823575 INDEPENDENT LIVING - ON CAMPUS ARE 75 INDEPENDENT LIVING UNITS FROM CONGREGATE APARTMENTS TO SINGLE HOMES FOR THOSE THAT WANT SERVICES SUCH AS LAWN CARE, SNOW REMOVAL, REPAIR AND UPKEEP ON HOMES, ETC. 7437171 true true false false false false false false false true true false false false true true 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 true false false false true 16 0 200 true false false false false false false false false X 9 9 false false false false false false false true true false false true true true true false false false false false X JASON STUCKY 6203452901 86 22ND AVENUE MOUNDRIDGE KS 67107 BRUCE STUCKY PRESIDENT 1.50 X X 0 0 0 CRAIG MILLER VICE PRESIDE 1.50 X X 0 0 0 ERIN ROSFELD SECRETARY 1.50 X X 0 0 0 RICHARD ZERGER TREASURER 1.50 X X 0 0 0 CINDY BARTELL MEMBER 1.00 X 0 0 0 LARRY LOGANBILL MEMBER 1.00 X 0 0 0 JODI GINGERICH MEMBER 1.00 X 0 0 0 SARA SMOKER MEMBER 1.00 X 0 0 0 JORDAWN RAMIREZ MEMBER 1.00 X 0 0 0 JASON T STUCKY CEO AFTER 11 40.00 1.00 X 94381 0 3196 ALEJANDRO NIETO CEO UNTIL 11 40.00 X 139170 0 0 HEATHER ELMORE EXEC DIR OF 40.00 X 81055 0 1301 314606 4497 1 false false false 179255 266540 445795 RESIDENT & RENTAL FEES 8155096 8155096 DEFERRED REV FROM LIFE LEASES 386894 386894 8541990 5630 5630 WORKMANS COMP DIVIDENDS 10706 10706 EMPLOYEE MEALS REVENUE 3642 3642 MISC INCOME 1905 1905 3309 3309 19562 9012977 8561552 5630 314606 69457 245149 4429125 4198474 223970 6681 34071 30110 3961 508092 439249 68843 349377 315269 33597 511 2645 2645 70459 70459 242960 239320 3640 10180 10180 374106 242252 131854 516927 500495 16432 1961 1534 427 12824 8 12816 851551 831466 20085 168935 168935 FOOD 421127 421127 MEDICAL SUPPLIES 134213 134213 OTHER OPERATING EXPENSES 69321 4150 65171 BENEFIT DAY EXPENSE 10047 10047 8522527 7437171 1078164 7192 1139699 1993704 2327977 993055 371818 410809 72433 76715 25412981 17620461 8207128 7792520 1058237 34376 12119055 12359416 370816 394973 5827517 5810777 303194 175915 210435 6677442 6416185 X 3928541 4361783 1513072 1581448 5441613 5943231 12119055 12359416 490450 11168 X false true X true false X 845057 291925 1485106 723077 445795 3790960 6952900 7154108 6526701 7485783 8561552 36681044 7797957 7446033 8011807 8208860 9007347 40472004 40472004 25232 53842 37781 5873 4630 127358 7823189 7499875 8049588 8214733 9011977 40599362 0.99690 0.99670 0.00000 0.00000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2022177 19991 -299646 1148 1741374 1869930 44258 61989 46000 2022177 1707995 51224 155711 45000 1869930 1470069 29333 228593 20000 1707995 1353434 227219 -94334 16250 1470069 0.82800 0.17200 false false 1656631 1656631 20395058 17620461 2774597 3361292 3361292 7792520 DEMAND CERTIFICATES 176985 FINANCE LEASE LIABILITIES 34520 SPLIT-INTEREST AGREEMENT PAYABLE -1070 210435 X 8744490 11168 -279655 -268487 9012977 9012977 8523675 1148 1148 8522527 8522527 SCHEDULE D, PAGE 3, PART X THE ORGANIZATION IS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501 (C)(3) OF THE INTERNAL REVENUE CODE (THE CODE) WHEREBY ONLY UNRELATED BUSINESS INCOME, AS DEFINED BY SECTION 512 (A)(1) OF THE CODE, IS SUBJECT TO FEDERAL INCOME TAX. THE ORGANIZATION IS ANNUALLY REQUIRED TO FILE A RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX (FORM 990) WITH THE IRS. IN ADDITION, THE ORGANIZATION IS SUBJECT TO INCOME TAX ON NET INCOME THAT IS DERIVED FROM BUSINESS ACTIVITIES THAT ARE UNRELATED TO THEIR EXEMPT PURPOSES. MANAGEMENT HAS DETERMINED THE ORGANIZATION IS NOT SUBJECT TO UNRELATED BUSINESS INCOME TAX AND HAS NOT FILED AN EXEMPT ORGANIZATION BUSINESS INCOME TAX RETURN (FORM 990-T) WITH THE IRS. THE ORGANIZATION FOLLOWS FASB ASC TOPIC 740, INCOME TAXES RELATED TO UNCERTAIN TAX POSITIONS,WHICH PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTABLE FOR FINANCIAL STATEMENT RECOGNITION OF UNCERTAIN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. MANAGEMENT HAS DETERMINED THAT NO MATERIAL TAX POSITIONS EXIST AS OF DECEMBER 31, 2022 AND 2021 FOR WHICH IT IS REASONABLY POSSIBLE THAT THE TOTAL AMOUNTS OF AN UNRECOGNIZED TAX LIABILITY WILL SIGNIFICANTLY INCREASE OR DECREASE WITHIN THE NEXT 12 MONTHS. TAX YEARS WITH OPEN STATUTES OF LIMITATIONS ARE 2019 AND FORWARD. SCHEDULE D, PAGE 4, PART XI, LINE 2D MH EDOWMENT FOUNDATION REVENUE -279,655 SCHEDULE D, PAGE 4, PART XII, LINE 2D MH EDOWMENT FOUNDATION EXP 1,148 FORM 990, PAGE 6, PART VI, LINE 11B OFFICER REVIEWS FORM 990 BEFORE BEING FILED WITH THE IRS FORM 990, PAGE 6, PART VI, LINE 12C BOARD POLICIES AND EMPLOYEE POLICIES STATE THAT AN ANNUAL REVIEW AND SELF REPORTING OF ANY CONFLICT OF INTEREST IS REQUIRED. A CORPORATE COMPLIANCE OFFICER IS IN PLACE TO MONITOR ANY REPORTED CONFLICTS AND PRESENT THEM TO THE BOARD OF DIRECTORS IF NECESSARY. FORM 990, PAGE 6, PART VI, LINE 19 PUBLIC INSPECTION OF FINANCIAL DOCUMENTS IS MADE AVAILABLE UPON REQUEST IN PERSON. MEMORIAL HOME ENDOWMENT FOUNDATION 86 22ND AVENUE MOUNDRIDGE KS 67107 481243016 ENDOWMENT KS 501C3 12C MEMORIAL H MEMORIAL HOME INC false false false true false false false false false false false false false false false false false false false false MEMORIAL HOME ENDOWMENT FOUNDATION C 1148 CASH RECEIVED