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MEMORIAL HOME INC: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
MEMORIAL HOME INC (EIN 48-0643239)
Tax period
2020-01-01 to 2020-12-31
Filed
2021-11-12
IRS object ID
202143169349303969
Schema version
2020v4.0
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

FieldValueIRS element (for citing)
Return2021-11-12T10:20:19-06:00ReturnTs
Tax Period End2020-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN481041128PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1SWINDOLL JANZEN HAWK & LOYD LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1123 S MAIN ST PO BOX 1337AddressLine1Txt
CityMCPHERSONCityNm
State AbbreviationKSStateAbbreviationCd
ZIP674601337ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN480643239EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MEMORIAL HOME INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlMEMOBusinessNameControlTxt
Phone6203452901PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line186 22ND AVENUEAddressLine1Txt
CityMOUNDRIDGECityNm
State AbbreviationKSStateAbbreviationCd
ZIP67107ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJASON T STUCKYPersonNm
Person TitleCFOPersonTitleTxt
Phone6203452901PhoneNum
Signature2021-10-25SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstJASONPersonFirstNm
Person LastSTUCKYPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKEITH S JANZEN CPAPreparerPersonNm
PTINP00027809PTIN
Phone6202411826PhoneNum
Preparation2021-10-25PreparationDt
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1PINE VILLAGEBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerSHELBY SHAWPrincipalOfficerNm
Gross Receipts$8,050,593GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.PINEVILLAGEKS.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1958FormationYr
Legal Domicile StateKSLegalDomicileStateCd
Activity Or MissionTO 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.ActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee255TotalEmployeeCnt
Total Volunteers75TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$291,925PYContributionsGrantsAmt
CY Contributions Grants$1,485,106CYContributionsGrantsAmt
PY Program Service Revenue$7,122,812PYProgramServiceRevenueAmt
CY Program Service Revenue$6,509,453CYProgramServiceRevenueAmt
PY Investment Income$57,317PYInvestmentIncomeAmt
CY Investment Income$38,786CYInvestmentIncomeAmt
PY Other Revenue$31,296PYOtherRevenueAmt
CY Other Revenue$17,248CYOtherRevenueAmt
PY Total Revenue$7,503,350PYTotalRevenueAmt
CY Total Revenue$8,050,593CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$5,129,713PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$5,172,283CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$38,462CYTotalFundraisingExpenseAmt
PY Other Expenses$2,631,633PYOtherExpensesAmt
CY Other Expenses$2,544,087CYOtherExpensesAmt
PY Total Expenses$7,761,346PYTotalExpensesAmt
CY Total Expenses$7,716,370CYTotalExpensesAmt
PY Revenues Less Expenses-$257,996PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$334,223CYRevenuesLessExpensesAmt
Total Assets BOY$11,886,122TotalAssetsBOYAmt
Total Assets EOY$11,887,570TotalAssetsEOYAmt
Total Liabilities BOY$6,922,573TotalLiabilitiesBOYAmt
Total Liabilities EOY$6,619,491TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$4,963,549NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$5,268,079NetAssetsOrFundBalancesEOYAmt
MissionTO 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.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$5,191,415ExpenseAmt
Revenue$5,053,544RevenueAmt
DescSKILLED NURSING - PROVIDE FULL SERVICE HEALTHCARE INCLUDING DEMENTIA CARE TO RESIDENTS IN NEED OF CARE AND SERVICES.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$725,361ExpenseAmt
Revenue$706,098RevenueAmt
DescASSISTED LIVING - PROVIDE ALL MEALS, ASSISTANCE WITH MEDICATION AND OTHER SERVICES FOR THOSE NOT NEEDING FULL HEALTHCARE.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$770,266ExpenseAmt
Revenue$749,811RevenueAmt
DescINDEPENDENT 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.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$6,687,042TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (true)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredfalseScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document15IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee255EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members9GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyfalseWhistleblowerPolicyInd
Document Retention PolicyfalseDocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JASON STUCKYBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone6203452901PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line186 22ND AVENUEAddressLine1Txt
CityMOUNDRIDGECityNm
State AbbreviationKSStateAbbreviationCd
ZIP67107ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (11 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt
BRUCE STUCKY
PRESIDENT1.50Yes (X)Yes (X)$0$0$0
CRAIG MILLER
VICE PRESIDE1.50Yes (X)Yes (X)$0$0$0
ERIN ROSFELD
SECRETARY1.50Yes (X)Yes (X)$0$0$0
RICHARD ZERGER
TREASURER1.50Yes (X)Yes (X)$0$0$0
CINDY BARTELL
MEMBER1.00Yes (X)$0$0$0
LARRY LOGANBILL
MEMBER1.00Yes (X)$0$0$0
JODI GINGERICH
MEMBER1.00Yes (X)$0$0$0
SARA SMOKER
MEMBER1.00Yes (X)$0$0$0
JORDAWN RAMIREZ
MEMBER1.00Yes (X)$0$0$0
JASON T STUCKY
CFO40.00Yes (X)$100,153$0$01.00
SHELBY SHAW
ADMINISTRATO40.00Yes (X)$76,533$0$01.00
FieldValueIRS element (for citing)
Total Reportable Comp From Org$176,686TotalReportableCompFromOrgAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (2 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmtBusiness Name Line2ContractorName/BusinessName/BusinessNameLine2Txt
FUQUA CONSTRUCTION INC
118 S MAININMANKS67546CONSTRUCTION$1,135,870
GENESIS ELDERCARE REHAB SRVCS
PO BOX 821322PHILADELPHIAPA19182HEALTH CARE$154,295REHABILITATION SERVICES
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K2CntrctRcvdGreaterThan100KCnt
Related Organizations$45,000RelatedOrganizationsAmt
Government Grants$1,243,080GovernmentGrantsAmt
All Other Contributions$197,026AllOtherContributionsAmt
Total Contributions$1,485,106TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
RESIDENT & RENTAL FEES$6,161,179$6,161,179
DEFERRED REV FROM LIFE LEASES$348,274$348,274
FieldValueIRS element (for citing)
Total Program Service Revenue$6,509,453TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$37,781TotalRevenueColumnAmt
Exclusion$37,781ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$1,005OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$1,005OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,005TotalRevenueColumnAmt
Related Or Exempt Func Income$1,005RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
WORKMANS COMP. DIVIDENDS$9,896$9,896
WELLNESS CENTER MEMBERSHIPS$2,910$2,910
GUEST MEAL REVENUES$1,780$1,780

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,662TotalRevenueColumnAmt
Related Or Exempt Func Income$2,662RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$17,248OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$8,050,593TotalRevenueColumnAmt
Related Or Exempt Func Income$6,527,706RelatedOrExemptFuncIncomeAmt
Exclusion$37,781ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$176,686TotalAmt
Management And General$176,686ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$4,156,161TotalAmt
Program Services$3,897,030ProgramServicesAmt
Management And General$223,402ManagementAndGeneralAmt
Fundraising$35,729FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$43,622TotalAmt
Program Services$35,559ProgramServicesAmt
Management And General$8,063ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$480,985TotalAmt
Program Services$415,304ProgramServicesAmt
Management And General$65,681ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$314,829TotalAmt
Program Services$283,249ProgramServicesAmt
Management And General$28,847ManagementAndGeneralAmt
Fundraising$2,733FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$5,006TotalAmt
Management And General$5,006ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$48,896TotalAmt
Management And General$48,896ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$164,416TotalAmt
Program Services$162,916ProgramServicesAmt
Management And General$1,500ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$63,280TotalAmt
Management And General$63,280ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$390,800TotalAmt
Program Services$237,544ProgramServicesAmt
Management And General$153,256ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$453,066TotalAmt
Program Services$424,740ProgramServicesAmt
Management And General$28,326ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,185TotalAmt
Program Services$1,052ProgramServicesAmt
Management And General$133ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$29,035TotalAmt
Management And General$29,035ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$781,122TotalAmt
Program Services$781,122ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$140,181TotalAmt
Management And General$140,181ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
FOOD$277,879$277,879
MEDICAL SUPPLIES$161,012$161,012
BAD DEBT EXPENSE$8,860$8,860
FOOD & MEAL EXPENSE$6,807$6,807

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$12,542TotalAmt
Program Services$9,635ProgramServicesAmt
Management And General$2,907ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$7,716,370TotalAmt
Program Services$6,687,042ProgramServicesAmt
Management And General$990,866ManagementAndGeneralAmt
Fundraising$38,462FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,728,130BOYAmt
EOY$1,035,014EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$2,278,499BOYAmt
EOY$2,321,295EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$61,343BOYAmt
EOY$43EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$351,252BOYAmt
EOY$283,287EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$64,584BOYAmt
EOY$98,241EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$24,296,949LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$16,153,868LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$7,382,939BOYAmt
EOY$8,143,081EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$19,375BOYAmt
EOY$6,609EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$11,886,122BOYAmt
EOY$11,887,570EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$525,864BOYAmt
EOY$459,828EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$5,497,779BOYAmt
EOY$5,441,611EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$721,945BOYAmt
EOY$541,067EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$176,985BOYAmt
EOY$176,985EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$6,922,573BOYAmt
EOY$6,619,491EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$4,205,512BOYAmt
EOY$3,823,708EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$758,037BOYAmt
EOY$1,444,371EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$4,963,549BOYAmt
EOY$5,268,079EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$11,886,122BOYAmt
EOY$11,887,570EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$334,223ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$4,057NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$33,750OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$323,959CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$394,558CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$845,057CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$291,925CurrentTaxYearMinus1YearAmt
Current Tax Year$1,485,106CurrentTaxYearAmt
Total$3,340,605TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$6,463,342CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,659,435CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,952,900CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$7,154,108CurrentTaxYearMinus1YearAmt
Current Tax Year$6,526,701CurrentTaxYearAmt
Total$33,756,486TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$6,787,301CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$7,053,993CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$7,797,957CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$7,446,033CurrentTaxYearMinus1YearAmt
Current Tax Year$8,011,807CurrentTaxYearAmt
Total$37,097,091TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$37,097,091PublicSupportTotal509Amt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,012CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,399CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$25,232CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$53,842CurrentTaxYearMinus1YearAmt
Current Tax Year$37,781CurrentTaxYearAmt
Total$123,266TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$6,790,313CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$7,057,392CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$7,823,189CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$7,499,875CurrentTaxYearMinus1YearAmt
Current Tax Year$8,049,588CurrentTaxYearAmt
Total$37,220,357TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99670PublicSupportCY509Pct
Public Support PY5090.99760PublicSupportPY509Pct
Investment Income CY0.00000InvestmentIncomeCYPct
Investment Income PY0.00000InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,707,995BeginningYearBalanceAmt
Contributions$51,224ContributionsAmt
Investment Earnings Or Losses$155,711InvestmentEarningsOrLossesAmt
Grants Or Scholarships$45,000GrantsOrScholarshipsAmt
End Year Balance$1,869,930EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,470,069BeginningYearBalanceAmt
Contributions$29,333ContributionsAmt
Investment Earnings Or Losses$228,593InvestmentEarningsOrLossesAmt
Grants Or Scholarships$20,000GrantsOrScholarshipsAmt
End Year Balance$1,707,995EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,353,434BeginningYearBalanceAmt
Contributions$227,219ContributionsAmt
Investment Earnings Or Losses-$94,334InvestmentEarningsOrLossesAmt
Grants Or Scholarships$16,250GrantsOrScholarshipsAmt
End Year Balance$1,470,069EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,276,309BeginningYearBalanceAmt
Contributions$38,433ContributionsAmt
Investment Earnings Or Losses$173,067InvestmentEarningsOrLossesAmt
Grants Or Scholarships$134,375GrantsOrScholarshipsAmt
End Year Balance$1,353,434EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,270,385BeginningYearBalanceAmt
Contributions$31,023ContributionsAmt
Investment Earnings Or Losses$59,276InvestmentEarningsOrLossesAmt
Grants Or Scholarships$84,375GrantsOrScholarshipsAmt
End Year Balance$1,276,309EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY0.75340PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.24660TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,555,353OtherCostOrOtherBasisAmt
Book Value$1,555,353BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$19,573,986OtherCostOrOtherBasisAmt
Depreciation$16,153,868DepreciationAmt
Book Value$3,420,118BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,167,610OtherCostOrOtherBasisAmt
Book Value$3,167,610BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$8,143,081TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescDEMAND CERTIFICATESDesc
Amt$176,985Amt
FieldValueIRS element (for citing)
Total Liability$176,985TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE D, PAGE 3, PART XFormAndLineReferenceDesc
ExplanationTHE CORPORATION ADOPTED 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. THE CORPORATION DID NOT HAVE ANY MATERIAL UNCERTAIN TAX POSITIONS AS OF DECEMBER 31, 2020 AND 2019. TAX YEARS WITH OPEN STATUTES OF LIMITATIONS ARE 2017 AND FORWARD.ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1CITY OF MOUNDRIDGE KANSASBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN486020221BondIssuerEIN
Bond Issued2008-06-27BondIssuedDt
Issue Price$2,600,000IssuePriceAmt
PurposeCONSTRUCTION OF ASSISTED LIVING UNITSPurposeDesc
DefeasedfalseDefeasedInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Pool FinancingfalsePoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$2,058,933RetiredAmt
Total Proceeds$2,600,000TotalProceedsAmt
Capital Expenditures$2,386,351CapitalExpendituresAmt
Other Spent Proceeds$213,649OtherSpentProceedsAmt
Substantial Completion2008SubstantialCompletionYr
Refunding Tax Exempt BondsYes (true)RefundingTaxExemptBondsInd
Refunding Taxable BondsfalseRefundingTaxableBondsInd
Final Allocation MadeYes (true)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (true)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed PropertyfalseOwningBondFinancedPropertyInd
Any Lease ArrangementsfalseAnyLeaseArrangementsInd
Mgmt Contract Bond Fincd PropfalseMgmtContractBondFincdPropInd
Any Research AgreementsfalseAnyResearchAgreementsInd
Bond Iss Meet Prvt Sec Pymt TestYes (true)BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed PropfalseChangeInUseBondFinancedPropInd
Procs Nonqualified Bond RemdtdYes (true)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T FiledfalseForm8038TFiledInd
Rebate Not Due YetfalseRebateNotDueYetInd
Exception To RebatefalseExceptionToRebateInd
No Rebate DuefalseNoRebateDueInd
Variable Rate IssuefalseVariableRateIssueInd
Hedge Identified In Bks And RecfalseHedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGICInd
Gross Proceeds InvestedfalseGrossProceedsInvestedInd
Written Proc To Monitor ReqsfalseWrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionfalseProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePURPOSE OF ISSUE DESCRIPTIONFormAndLineReferenceDesc
ExplanationCITY OF MOUNDRIDGE, KANSAS CONSTRUCTION OF ASSISTED LIVING UNITSExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PAGE 6, PART VI, LINE 11BOFFICER REVIEWS FORM 990 BEFORE BEING FILED WITH THE IRS
FORM 990, PAGE 6, PART VI, LINE 12CBOARD 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 19PUBLIC INSPECTION OF FINANCIAL DOCUMENTS IS MADE AVAILABLE UPON REQUEST IN PERSON.
FORM 990, PART XI, LINE 9PINE VALLEY LAND RECLASSED TO ENDOWMENT -33,750

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1MEMORIAL HOME ENDOWMENT FOUNDATIONBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line186 22ND AVENUEAddressLine1Txt
CityMOUNDRIDGECityNm
State AbbreviationKSStateAbbreviationCd
ZIP67107ZIPCd
FieldValueIRS element (for citing)
EIN481243016EIN
Primary ActivitiesENDOWMENTPrimaryActivitiesTxt
Legal Domicile StateKSLegalDomicileStateCd
Exempt Code Section501C3ExemptCodeSectionTxt
Public Charity Status12CPublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1MEMORIAL HBusinessNameLine1Txt
Business Name Line2MEMORIAL HOME INCBusinessNameLine2Txt
FieldValueIRS element (for citing)
Controlled OrganizationfalseControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1MEMORIAL HOME ENDOWMENT FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypeCTransactionTypeTxt
Involved$45,000InvolvedAmt
Method Of Amount DeterminationCASH RECEIVEDMethodOfAmountDeterminationTxt