STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

MEMORIAL HOME INC: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
MEMORIAL HOME INC (EIN 48-0643239)
Tax period
2018-01-01 to 2018-12-31
Filed
2019-11-11
IRS object ID
201923159349302847
Schema version
2018v3.1
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)
Return2019-11-11T16:06:25-06:00ReturnTs
Tax Period End2018-12-31TaxPeriodEndDt

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 Begin2018-01-01TaxPeriodBeginDt

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
Signature2019-10-17SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKEITH S JANZEN CPAPreparerPersonNm
PTINP00027809PTIN
Phone6202411826PhoneNum
Preparation2019-10-17PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address74.204.122.132IPv4AddressTxt
FieldValueIRS element (for citing)
IP2019-11-11IPDt
IP Tm16:06:25IPTm
IP TimezoneCSIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdE6EC61BEACD4D230F357A9E294628E9E251AE7F3AtSubmissionCreationDeviceId
At Submission Filing Device Id41D41D300968790C1CDC9120CA9FFB2A589D3EC7AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2020-03-31 21:24:44ZBuildTS

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$7,824,189GrossReceiptsAmt
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 Body10VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee239TotalEmployeeCnt
Total Volunteers245TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$394,558PYContributionsGrantsAmt
CY Contributions Grants$845,057CYContributionsGrantsAmt
PY Program Service Revenue$6,590,683PYProgramServiceRevenueAmt
CY Program Service Revenue$6,898,738CYProgramServiceRevenueAmt
PY Investment Income-$14,368PYInvestmentIncomeAmt
CY Investment Income$26,232CYInvestmentIncomeAmt
PY Other Revenue$68,752PYOtherRevenueAmt
CY Other Revenue$54,162CYOtherRevenueAmt
PY Total Revenue$7,039,625PYTotalRevenueAmt
CY Total Revenue$7,824,189CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$4,352,714PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$4,670,457CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$12,084PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$2,668CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$44,588CYTotalFundraisingExpenseAmt
PY Other Expenses$2,549,864PYOtherExpensesAmt
CY Other Expenses$2,441,800CYOtherExpensesAmt
PY Total Expenses$6,914,662PYTotalExpensesAmt
CY Total Expenses$7,114,925CYTotalExpensesAmt
PY Revenues Less Expenses$124,963PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$709,264CYRevenuesLessExpensesAmt
Total Assets BOY$10,952,744TotalAssetsBOYAmt
Total Assets EOY$11,867,543TotalAssetsEOYAmt
Total Liabilities BOY$6,315,060TotalLiabilitiesBOYAmt
Total Liabilities EOY$6,658,980TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$4,637,684NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$5,208,563NetAssetsOrFundBalancesEOYAmt
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$4,773,107ExpenseAmt
Revenue$5,335,533RevenueAmt
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$678,886ExpenseAmt
Revenue$758,882RevenueAmt
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$719,536ExpenseAmt
Revenue$804,323RevenueAmt
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$6,171,529TotalProgramServiceExpensesAmt
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
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
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 With Officer EntfalseBusinessRlnWithOfficerEntInd
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 Document16IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee239EmployeeCnt
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 Members10GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
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 (12 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt
BRUCE STUCKY
PRESIDENT1.00Yes (X)Yes (X)$0$0$0
CRAIG MILLER
VICE PRESIDE1.00Yes (X)Yes (X)$0$0$0
RON AUERNHEIMER
TREASURER1.00Yes (X)Yes (X)$0$0$0
CINDY BARTELL
SECRETARY1.00Yes (X)Yes (X)$0$0$0
BRION FENSKY
MEMBER1.00Yes (X)$0$0$0
JODI GINGERICH
MEMBER1.00Yes (X)$0$0$0
KEN NEUFELD
MEMBER1.00Yes (X)$0$0$0
ERIN ROSFELD
MEMBER1.00Yes (X)$0$0$0
DAVE WEDEL
MEMBER1.00Yes (X)$0$0$0
RICHARD ZERGER
MEMBER1.00Yes (X)$0$0$0
JASON T STUCKY
CFO40.00Yes (X)$75,262$0$01.00
SHELBY SHAW
ADMINISTRATO40.00Yes (X)$78,693$0$01.00
FieldValueIRS element (for citing)
Total Reportable Comp From Org$153,955TotalReportableCompFromOrgAmt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Related Organizations$16,250RelatedOrganizationsAmt
All Other Contributions$828,807AllOtherContributionsAmt
Total Contributions$845,057TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
HC ROOM CHARGES - MEDICAID$2,595,699$2,595,699
HC ROOM CHARGES - PRIVATE$2,061,097$2,061,097
AL ROOM CHARGES - PRIVATE$596,698$596,698
PV & KA ENTRANCE FEE AMORTIZA$404,262$404,262
HC ROOM CHARGES - MED. A$395,500$395,500

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$845,482TotalRevenueColumnAmt
Related Or Exempt Func Income$845,482RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$6,898,738TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$26,232TotalRevenueColumnAmt
Exclusion$26,232ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CHANGE IN SPLIT-INT AGREEMENT$23,865$23,865
WORKMANS COMP. DIVIDENDS$8,646$8,646
WELLNESS CENTER MEMBERSHIPS$8,287$8,287

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$13,364TotalRevenueColumnAmt
Related Or Exempt Func Income$13,364RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$54,162OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,824,189TotalRevenueColumnAmt
Related Or Exempt Func Income$6,952,900RelatedOrExemptFuncIncomeAmt
Exclusion$26,232ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$153,955TotalAmt
Management And General$153,955ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$3,831,004TotalAmt
Program Services$3,602,118ProgramServicesAmt
Management And General$195,290ManagementAndGeneralAmt
Fundraising$33,596FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$31,877TotalAmt
Program Services$24,830ProgramServicesAmt
Management And General$7,047ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$362,872TotalAmt
Program Services$331,626ProgramServicesAmt
Management And General$31,246ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$290,749TotalAmt
Program Services$260,604ProgramServicesAmt
Management And General$27,575ManagementAndGeneralAmt
Fundraising$2,570FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$5,182TotalAmt
Management And General$5,182ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$66,464TotalAmt
Management And General$66,464ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$2,668TotalAmt
Fundraising$2,668FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$46,448TotalAmt
Program Services$46,448ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$47,392TotalAmt
Management And General$43,924ManagementAndGeneralAmt
Fundraising$3,468FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$113,355TotalAmt
Program Services$30,515ProgramServicesAmt
Management And General$81,300ManagementAndGeneralAmt
Fundraising$1,540FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$56,846TotalAmt
Management And General$56,846ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$3,885TotalAmt
Program Services$150ProgramServicesAmt
Management And General$3,735ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$475,024TotalAmt
Program Services$387,981ProgramServicesAmt
Management And General$87,043ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$8,750TotalAmt
Program Services$5,623ProgramServicesAmt
Management And General$2,881ManagementAndGeneralAmt
Fundraising$246FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$26,889TotalAmt
Program Services$23,182ProgramServicesAmt
Management And General$3,707ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$47,662TotalAmt
Management And General$47,662ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$722,978TotalAmt
Program Services$722,978ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$77,054TotalAmt
Management And General$77,054ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
FOOD$281,236$281,236
SUPPLIES - GENERAL$189,459$189,459
MEDICARE CONTRACT SERVICE$151,609$151,609
FOOD - BEVERAGES$39,921$39,921

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$81,646TotalAmt
Program Services$73,249ProgramServicesAmt
Management And General$7,897ManagementAndGeneralAmt
Fundraising$500FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$7,114,925TotalAmt
Program Services$6,171,529ProgramServicesAmt
Management And General$898,808ManagementAndGeneralAmt
Fundraising$44,588FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$3,048,441BOYAmt
EOY$1,840,140EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$215,477BOYAmt
EOY$2,221,510EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
EOY$132,424EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$200,722BOYAmt
EOY$314,885EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$42,275BOYAmt
EOY$45,110EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$21,925,516LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$14,612,042LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$7,445,829BOYAmt
EOY$7,313,474EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$10,952,744BOYAmt
EOY$11,867,543EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$441,853BOYAmt
EOY$649,051EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$4,416,318BOYAmt
EOY$4,931,871EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,111,575BOYAmt
EOY$896,073EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$345,314BOYAmt
EOY$181,985EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$6,315,060BOYAmt
EOY$6,658,980EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$4,294,890BOYAmt
EOY$4,342,987EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$342,794BOYAmt
EOY$865,576EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$4,637,684BOYAmt
EOY$5,208,563EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$10,952,744BOYAmt
EOY$11,867,543EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$709,264ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$3,385NetUnrlzdGainsLossesInvstAmt
Prior Period Adjustments-$168,750PriorPeriodAdjustmentsAmt
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$459,475CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$169,207CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$323,959CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$394,558CurrentTaxYearMinus1YearAmt
Current Tax Year$845,057CurrentTaxYearAmt
Total$2,192,256TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$6,408,742CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,245,061CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,463,342CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,659,435CurrentTaxYearMinus1YearAmt
Current Tax Year$6,952,900CurrentTaxYearAmt
Total$32,729,480TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$6,868,217CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,414,268CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,787,301CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$7,053,993CurrentTaxYearMinus1YearAmt
Current Tax Year$7,797,957CurrentTaxYearAmt
Total$34,921,736TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$34,921,736PublicSupportTotal509Amt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,000CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,606CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,012CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,399CurrentTaxYearMinus1YearAmt
Current Tax Year$25,232CurrentTaxYearAmt
Total$35,249TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$6,870,217CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,415,874CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,790,313CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$7,057,392CurrentTaxYearMinus1YearAmt
Current Tax Year$7,823,189CurrentTaxYearAmt
Total$34,956,985TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99900PublicSupportCY509Pct
Public Support PY5090.99960PublicSupportPY509Pct
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$1,353,434BeginningYearBalanceAmt
Contributions$227,219ContributionsAmt
Investment Earnings Or Losses-$94,334InvestmentEarningsOrLossesAmt
Grants Or Scholarships$16,250GrantsOrScholarshipsAmt
End Year Balance$1,470,069EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,298,301BeginningYearBalanceAmt
Contributions$31,305ContributionsAmt
Investment Earnings Or Losses-$34,221InvestmentEarningsOrLossesAmt
Grants Or Scholarships$25,000GrantsOrScholarshipsAmt
End Year Balance$1,270,385EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,255,056BeginningYearBalanceAmt
Contributions$53,160ContributionsAmt
Investment Earnings Or Losses$25,085InvestmentEarningsOrLossesAmt
Grants Or Scholarships$35,000GrantsOrScholarshipsAmt
End Year Balance$1,298,301EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.10000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.90000PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,536,888OtherCostOrOtherBasisAmt
Book Value$1,536,888BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$17,510,595OtherCostOrOtherBasisAmt
Depreciation$14,612,042DepreciationAmt
Book Value$2,898,553BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,878,033OtherCostOrOtherBasisAmt
Book Value$2,878,033BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$7,313,474TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescDEMAND CERTIFICATESDesc
Amt$181,985Amt
FieldValueIRS element (for citing)
Total Liability$181,985TotalLiabilityAmt

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
Total Proceeds$2,600,000TotalProceedsAmt
Refunding Escrow$213,649RefundingEscrowAmt
Capital Expenditures$2,386,351CapitalExpendituresAmt
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

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 9RESTRICTED TRANSFER FOR PV LAND 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 TypeATransactionTypeTxt
Involved$16,250InvolvedAmt
Method Of Amount DeterminationCASH RECEIVEDMethodOfAmountDeterminationTxt