MEMORIAL HOME INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: MEMORIAL HOME INC (EIN 48-0643239)
Tax period: 2012-01-01 to 2012-12-31
Filed: 2013-11-15
IRS object ID: 201313199349303696
Schema version: 2012v2.3
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 B
Schedule D
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-11-15T10:26:09-06:00	Timestamp
Tax Period End Date	2012-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SWINDOLL JANZEN HAWK & LOYD LLC	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	123 S MAIN ST PO BOX 1337	AddressLine1
City	MCPHERSON	City
State	KS	State
ZIP Code	674601337	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	480643239	EIN

Name Name

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

Field	Value	IRS element (for citing)
Name Control	MEMO	NameControl
Phone	6203452901	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	86 22ND AVENUE	AddressLine1
City	MOUNDRIDGE	City
State	KS	State
ZIP Code	67107	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	JASON T STUCKY	Name
Title	CFO	Title
Phone	6203452901	Phone
Date Signed	2013-11-15	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	KEITH S JANZEN CPA	Name
Phone	6202411826	Phone
Date Prepared	2013-11-14	DatePrepared

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2016-03-07 17:11:31Z	BuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

Field	Value	IRS element (for citing)
Business Name Line1	PINE VILLAGE	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	JIM HUXMAN	NameOfPrincipalOfficerPerson
Gross Receipts	6515587	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.PINEVILLAGEKS.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1958	YearFormation
State Legal Domicile	KS	StateLegalDomicile
Activity Or Mission Description	TO PROVIDE A CONTINUUM OF LONG-TERM CARE SERVICES FOR THE AGED AND HANDICAPPED PERSONS WHO COME TO OUR FACILITIES, AND TO DO SO WITHING A FRAMEWORK OF CHRISTIAN CONCERN.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	10	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	10	NbrIndependentVotingMembers
Total Nbr Employees	189	TotalNbrEmployees
Total Nbr Volunteers	38	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Contributions Grants Prior Year	183794	ContributionsGrantsPriorYear
Contributions Grants Current Year	187893	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	6159445	ProgramServiceRevenuePriorYear
Program Service Revenue CY	6277837	ProgramServiceRevenueCY
Investment Income Prior Year	6108	InvestmentIncomePriorYear
Investment Income Current Year	-1967	InvestmentIncomeCurrentYear
Other Revenue Prior Year	54468	OtherRevenuePriorYear
Other Revenue Current Year	44402	OtherRevenueCurrentYear
Total Revenue Prior Year	6403815	TotalRevenuePriorYear
Total Revenue Current Year	6508165	TotalRevenueCurrentYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	3505008	SalariesEtcPriorYear
Salaries Etc Current Year	3726575	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	806	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	82734	TotalFundrsngExpCurrentYear
Other Expense Prior Year	2359607	OtherExpensePriorYear
Other Expenses Current Year	2411939	OtherExpensesCurrentYear
Total Expenses Prior Year	5864615	TotalExpensesPriorYear
Total Expenses Current Year	6139320	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	539200	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	368845	RevenuesLessExpensesCY
Total Assets BOY	10765414	TotalAssetsBOY
Total Assets EOY	11585367	TotalAssetsEOY
Total Liabilities BOY	6632473	TotalLiabilitiesBOY
Total Liabilities EOY	7083581	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	4132941	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	4501786	NetAssetsOrFundBalancesEOY
Mission Description	TO PROVIDE A CONTINUUM OF LONG-TERM CARE SERVICES FOR THE AGED AND HANDICAPPED PERSONS WHO COME TO OUR FACILITIES, AND TO DO SO WITHING A FRAMEWORK OF CHRISTIAN CONCERN.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	4038896	Expense
Revenue	4908114	Revenue
Description	SKILLED NURSING-PROVIDED FULL SERVICE HEALTHCARE INCLUDING DEMNTIA CARE TO RESIDENTS IN NEED OF CARE AND SERVICES	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	554784	Expense
Revenue	674180	Revenue
Description	ASSISTED LIVING - PROVIDES ALL MEALS, ASSISTANCE WITH MEDICATION AND OTHER SERVICES FOR THOSE NOT NEEDING FULL HEALTHCARE.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	519875	Expense
Revenue	631759	Revenue
Description	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.	Description

Field	Value	IRS element (for citing)
Total Program Service Expense	5113555	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	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	true	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	true	ReportOtherLiabilities
Report Fin48 Footnote	false	ReportFin48Footnote
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	true	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
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	13	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Number Of Employees	189	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
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	10	NbrVotingGoverningBodyMembers
Number Independent Voting Members	10	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	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
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

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	JASON STUCKY	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	6203452901	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	86 22ND AVENUE	AddressLine1
City	MOUNDRIDGE	City
State	KS	State
ZIP Code	67107	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (12 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation
ALLEN SEEBER
PRESIDENT	1.00	X	X	0	0	0
RANDY STUCKY
VICE-PRESIDE	1.00	X	X	0	0	0
TIM GOERING
TREASURER	1.00	X	X	0	0	0
JEFF KOLLER
SECRETARY	1.00	X	X	0	0	0
KEN PREHEIM
MEMBER	1.00	X		0	0	0
DAVE WEDEL
MEMBER	1.00	X		0	0	0
YVONNE FAST
MEMBER	1.00	X		0	0	0
DALE ORTMAN
MEMBER	1.00	X		0	0	0
RUTH OLTMANNS
MEMBER	1.00	X		0	0	0
LOU FENSKY
MEMBER	1.00	X		0	0	0
JAMES N HUXMAN
ADMINISTRATO	40.00		X	70976	0	0
JASON T STUCKY
CFO	40.00		X	64676	0	0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	135652	TotalReportableCompFromOrg
Formers Listed	false	FormersListed
Total Comp GT150 K	false	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources
Related Organizations	25000	RelatedOrganizations
All Other Contributions	162893	AllOtherContributions
Total Contributions	187893	TotalContributions

Program Service Revenue ProgramServiceRevenue

Field	Value	IRS element (for citing)
Description	NET RESIDENT SERVICES	Description
Total Revenue Column	6277837	TotalRevenueColumn
Related Or Exempt Function Income	6277837	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	6277837	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	5455	TotalRevenueColumn
Exclusion	$5,455	ExclusionAmount

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Other	7422	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Other	-7422	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	-7422	TotalRevenueColumn
Related Or Exempt Function Income	-7422	RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
WELLNESS CENTER	16322	16322
CAFETERIA	11857	11857
TRANSPORTATION	8903	8903

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	7320	TotalRevenueColumn
Related Or Exempt Function Income	7320	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Other Revenue	44402	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	6508165	TotalRevenueColumn
Related Or Exempt Function Income	6314817	RelatedOrExemptFunctionIncome
Exclusion	$5,455	ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	135652	Total
Management And General	135652	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	2992169	Total
Program Services	2741566	ProgramServices
Management And General	193144	ManagementAndGeneral
Fundraising	57459	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	30696	Total
Program Services	25512	ProgramServices
Management And General	5184	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	337913	Total
Program Services	287230	ProgramServices
Management And General	47051	ManagementAndGeneral
Fundraising	3632	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	230145	Total
Program Services	200978	ProgramServices
Management And General	25036	ManagementAndGeneral
Fundraising	4131	Fundraising

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	6228	Total
Management And General	6228	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	57525	Total
Management And General	57525	ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	806	Total
Fundraising	806	Fundraising

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	5070	Total
Program Services	5070	ProgramServices

Advertising Advertising

Field	Value	IRS element (for citing)
Total	19319	Total
Management And General	17660	ManagementAndGeneral
Fundraising	1659	Fundraising

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	90853	Total
Program Services	29071	ProgramServices
Management And General	57800	ManagementAndGeneral
Fundraising	3982	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	38123	Total
Management And General	38123	ManagementAndGeneral

Royalties Royalties

Field	Value	IRS element (for citing)
Total	3773	Total
Program Services	3349	ProgramServices
Management And General	424	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	386781	Total
Program Services	302567	ProgramServices
Management And General	84214	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	4272	Total
Program Services	2031	ProgramServices
Management And General	2035	ManagementAndGeneral
Fundraising	206	Fundraising

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	49416	Total
Program Services	33834	ProgramServices
Management And General	6529	ManagementAndGeneral
Fundraising	9053	Fundraising

Interest Interest

Field	Value	IRS element (for citing)
Total	117450	Total
Management And General	117450	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	757681	Total
Program Services	757681	ProgramServices

Insurance Insurance

Field	Value	IRS element (for citing)
Total	128096	Total
Management And General	128096	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral	FundraisingFundraising
FOOD	291719	291719
SUPPLIES AND EXPENSES	246349	237070	7473	1806
MEDICARE SERVICE EXPENSE	209284	209284
ALLOCATE FUNCTIONAL EXPEN		-13407	13407

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	6139320	Total
Program Services	5113555	ProgramServices
Management And General	943031	ManagementAndGeneral
Fundraising	82734	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	1062135	BOY
EOY	1761010	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	227905	BOY
EOY	230669	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
EOY	10000	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	673690	BOY
EOY	662751	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	73127	BOY
EOY	85528	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	19238255	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	10402846	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	8728557	BOY
EOY	8835409	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	10765414	BOY
EOY	11585367	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	299897	BOY
EOY	297330	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	3860230	BOY
EOY	4431282	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	2472346	BOY
EOY	2354969	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	6632473	BOY
EOY	7083581	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	4115083	BOY
EOY	4432780	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	17858	BOY
EOY	69006	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	4132941	BOY
EOY	4501786	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	10765414	BOY
EOY	11585367	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	368845	ReconcilationRevenueExpenses
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Consolidated	X	FinancialStatementConsolidated

Field	Value	IRS element (for citing)
Audit Committee	true	AuditCommittee
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	165559	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	109463	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	103934	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	183794	CurrentTaxYearMinus1Year
Current Tax Year	187893	CurrentTaxYear
Total	750643	Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	5076973	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	5552411	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	5043208	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	6213913	CurrentTaxYearMinus1Year
Current Tax Year	6322239	CurrentTaxYear
Total	28208744	Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	57875	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	93811	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	44134	CurrentTaxYearMinus2Years
Total	195820	Total

Total509 Total509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	5300407	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	5755685	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	5191276	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	6397707	CurrentTaxYearMinus1Year
Current Tax Year	6510132	CurrentTaxYear
Total	29155207	Total

Field	Value	IRS element (for citing)
Public Support Total509	29155207	PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	4986	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	17876	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	9144	CurrentTaxYearMinus2Years
Total	32006	Total

Investment Income And UBTI InvestmentIncomeAndUBTI

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	4986	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	17876	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	9144	CurrentTaxYearMinus2Years
Total	32006	Total

Net Income From Other UBI NetIncomeFromOtherUBI

Field	Value	IRS element (for citing)
Current Tax Year Minus1 Year	4563	CurrentTaxYearMinus1Year
Current Tax Year	4455	CurrentTaxYear
Total	9018	Total

Total Support Total TotalSupportTotal

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	5305393	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	5773561	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	5200420	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	6402270	CurrentTaxYearMinus1Year
Current Tax Year	6514587	CurrentTaxYear
Total	29196231	Total

Field	Value	IRS element (for citing)
Public Support Percentage509	0.99860	PublicSupportPercentage509
Prior Year Support Percentage	0.99840	PriorYearSupportPercentage
Investment Income Percentage	0.00000	InvestmentIncomePercentage
Thirty Three Percnt Tests CY509	X	ThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule D IRS990ScheduleD

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	1063191	BeginningOfYearBalance
Contributions	13859	Contributions
Investment Earnings Or Losses	75262	InvestmentEarningsOrLosses
End Of Year Balance	1152312	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	1066223	BeginningOfYearBalance
Contributions	-20469	Contributions
Investment Earnings Or Losses	17437	InvestmentEarningsOrLosses
End Of Year Balance	1063191	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	929490	BeginningOfYearBalance
Contributions	118845	Contributions
Investment Earnings Or Losses	17887	InvestmentEarningsOrLosses
End Of Year Balance	1066222	EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	690976	BeginningOfYearBalance
Contributions	161407	Contributions
Investment Earnings Or Losses	77107	InvestmentEarningsOrLosses
End Of Year Balance	929490	EndOfYearBalance

Field	Value	IRS element (for citing)
Permanent Endowment EOY Balance	0.93000	PermanentEndowmentEOYBalance
Term Endowment EOY Balance	0.07000	TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs	false	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	false	EndowmentsHeldByRelatedOrgs

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1206899	OtherCostOrOtherBasis
Book Value	1206899	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	15724395	OtherCostOrOtherBasis
Depreciation	8782532	Depreciation
Book Value	6941863	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	2306961	OtherCostOrOtherBasis
Depreciation	1620314	Depreciation
Book Value	686647	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	8835409	TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescription	AmountAmount
TAX EXEMPT BOND LIABILITIES	$2,128,611
DEMAND CERTIFICATES - 4.25%	$226,358

Field	Value	IRS element (for citing)
Total Of Amounts	2354969	TotalOfAmounts

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990	FORM 990, PAGE 6, PART VI, LINE 11B	OFFICER REVIEWS FORM 990 BEFORE BEING FILED WITH THE IRS
ENFORCEMENT OF CONFLICTS POLICY	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.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATION	FORM 990, PAGE 6, PART VI, LINE 19	PUBLIC INSPECTION OF FINANCIAL DOCUMENTS IS MADE AVAILABLE UPON REQUEST IN PERSON.
RECONCILIATION OF CHANGES - OTHER	FORM 990, PART XI, LINE 9	REVENUE FROM ENDOWMENT FUND CONSOLIDATION 0 EXPENSES PAID BY ENDOWMENT FUND CONSOLIDATION 0

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

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

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	86 22ND AVENUE	AddressLine1
City	MOUNDRIDGE	City
State	KS	State
ZIP Code	67107	ZIPCode

Field	Value	IRS element (for citing)
EIN	481243016	EIN
Primary Activities	ENDOWMENT	PrimaryActivities
Legal Domicile State	KS	LegalDomicileState
Exempt Code Section	501C3	ExemptCodeSection
Public Charity Status	11C	PublicCharityStatus

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	MEMORIAL H	BusinessNameLine1
Business Name Line2	MEMORIAL HOME INC	BusinessNameLine2

Field	Value	IRS element (for citing)
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
Dividends Related Organization	false	DividendsRelatedOrganization
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	false	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

Name Of Other Organization NameOfOtherOrganization

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

Field	Value	IRS element (for citing)
Transaction Type	R	TransactionType
Amount Involved	25000	AmountInvolved
Method Of Amt Determination	CASH RECEIVED	MethodOfAmtDetermination