MEMORIAL HOME INC: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- MEMORIAL HOME INC (EIN 48-0643239)
- Tax period
- 2010-01-01 to 2010-12-31
- Filed
- 2011-11-04
- IRS object ID
- 201113089349300716
- Schema version
- 2010v3.4
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-11-04T10:56:22-05:00 | Timestamp |
| Tax Period End Date | 2010-12-31 | 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 PO BOX 1337 | AddressLine1 |
| City | MCPHERSON | City |
| State | KS | State |
| ZIP Code | 67460 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-01-01 | 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 AVE | 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 | CHIEF FINANCIAL OFFICER | Title |
| Phone | 6203452901 | Phone |
| Date Signed | 2011-10-31 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | KEITH S JANZEN CPA | Name |
| Phone | 6202411826 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | JIM HUXMAN | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| 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) |
|---|---|---|
| Gross Receipts | 5204081 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.MEMORIALHOME.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1958 | YearFormation |
| State Legal Domicile | KS | StateLegalDomicile |
| Activity Or Mission Description | TO SERVE ELDERS IN ALL LEVELS OF SERVICE FROM INDEPENDENT TO FULL SERVICE HEALTHCARE, IN A CARING, RESIDENT-CENTERED ENVIRONMENT, TO PROVIDE THE BEST QUALITY OF LIFE POSSIBLE FOR ALL RESIDENTS. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 11 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 11 | NbrIndependentVotingMembers |
| Total Nbr Employees | 190 | TotalNbrEmployees |
| Total Nbr Volunteers | 125 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 109463 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 103934 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 5552411 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 5043207 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 17876 | InvestmentIncomePriorYear |
| Investment Income Current Year | 2941 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 49029 | OtherRevenuePriorYear |
| Other Revenue Current Year | 47396 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 5728779 | TotalRevenuePriorYear |
| Total Revenue Current Year | 5197478 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 3459438 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 3259987 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 2530 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 88 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 70068 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 2334844 | OtherExpensePriorYear |
| Other Expenses Current Year | 2255530 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 5796812 | TotalExpensesPriorYear |
| Total Expenses Current Year | 5515605 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -68033 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -318127 | RevenuesLessExpensesCY |
| Total Assets BOY | 10802700 | TotalAssetsBOY |
| Total Assets EOY | 10280565 | TotalAssetsEOY |
| Total Liabilities BOY | 6890832 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 6686824 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 3911868 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 3593741 | 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 WITHIN A FRAMEWORK OF CHRISTIAN CONCERN. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 3706263 | Expense |
| Revenue | 4059996 | Revenue |
| Description | SKILLED NURSING-PROVIDED FULL SERVICE HEALTHCARE INCLUDING DEMENTIA CARE TO RESIDENTS IN NEED OF CARE AND SERVICES. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 428235 | Expense |
| Revenue | 469106 | 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 | 512580 | Expense |
| Revenue | 561501 | 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 OR HOMES, ETC. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 4647078 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 1 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 0 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 0 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 14 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 190 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 1 | QuidProQuoContributions |
| Quid Pro Quo Disclosure | 1 | QuidProQuoDisclosure |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 11 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 11 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 0 | DocumentRetentionPolicy |
| Compensation Process CEO | 0 | CompensationProcessCEO |
| Compensation Process Other | 0 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | KS | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
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 (13 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer |
|---|---|---|---|---|---|---|
| STEVE KAUFMAN | ||||||
| PRESIDENT | 1.00 | X | 0 | 0 | 0 | |
| KEN STUCKY | ||||||
| VICE PRESIDENT | 1.00 | X | 0 | 0 | 0 | |
| JOHN WILL | ||||||
| TREASURER | 1.00 | X | 0 | 0 | 0 | |
| ALLEN SEEBER | ||||||
| TREASURER | 1.00 | X | 0 | 0 | 0 | |
| JEFF KOLLER | ||||||
| MEMBER | 1.00 | X | 0 | 0 | 0 | |
| KEN PREHEIM | ||||||
| MEMBER | 1.00 | X | 0 | 0 | 0 | |
| LLOYD VOGT | ||||||
| SECRETARY | 1.00 | X | 0 | 0 | 0 | |
| ROBERT SWAN | ||||||
| MEMBER | 1.00 | X | 0 | 0 | 0 | |
| MICHAEL DUNN | ||||||
| MEMBER | 1.00 | X | 0 | 0 | 0 | |
| RUTH OLTMANNS | ||||||
| MEMBER | 1.00 | X | 0 | 0 | 0 | |
| NADA WEDEL | ||||||
| MEMBER | 1.00 | X | 0 | 0 | 0 | |
| JASON T STUCKY | ||||||
| CFO | 40.00 | 62793 | 0 | 2078 | X | |
| JAMES N HUXMAN | ||||||
| ADMINISTRATOR | 40.00 | 69122 | 0 | 1610 | X | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 131915 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 3688 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 0 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
| Number Of Contractors GT100 K | 0 | NumberOfContractorsGT100K |
| All Other Contributions | 103934 | AllOtherContributions |
| Total Contributions | 103934 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | NET RESIDENT SERVICES | Description |
| Business Code | 900099 | BusinessCode |
| Total Revenue Column | 5043207 | TotalRevenueColumn |
| Related Or Exempt Function Income | 5043207 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 5043207 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 9144 | TotalRevenueColumn |
| Exclusion | $9,144 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 400 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 6603 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -6203 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -6203 | TotalRevenueColumn |
| Exclusion | -$6,203 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| WELLNESS CENTER | 900099 | 18359 | 18359 |
| MISCELLANEOUS INCOME | 900099 | 10892 | 10892 |
| CAFETERIA | 900099 | 9364 | 9364 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 8781 | TotalRevenueColumn |
| Related Or Exempt Function Income | 8781 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 47396 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 5197478 | TotalRevenueColumn |
| Related Or Exempt Function Income | 5090603 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $2,941 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 131915 | Total |
| Management And General | 131915 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2590688 | Total |
| Program Services | 2436430 | ProgramServices |
| Management And General | 117892 | ManagementAndGeneral |
| Fundraising | 36366 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2449 | Total |
| Program Services | 1878 | ProgramServices |
| Management And General | 571 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 337681 | Total |
| Program Services | 306707 | ProgramServices |
| Management And General | 25206 | ManagementAndGeneral |
| Fundraising | 5768 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 197254 | Total |
| Program Services | 176895 | ProgramServices |
| Management And General | 18004 | ManagementAndGeneral |
| Fundraising | 2355 | Fundraising |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6822 | Total |
| Management And General | 6822 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 61839 | Total |
| Management And General | 61839 | ManagementAndGeneral |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 88 | Total |
| Fundraising | 88 | Fundraising |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9723 | Total |
| Program Services | 9723 | ProgramServices |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 23626 | Total |
| Management And General | 7 | ManagementAndGeneral |
| Fundraising | 23619 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 93706 | Total |
| Program Services | 47410 | ProgramServices |
| Management And General | 44424 | ManagementAndGeneral |
| Fundraising | 1872 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 29086 | Total |
| Management And General | 29086 | ManagementAndGeneral |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3669 | Total |
| Program Services | 3590 | ProgramServices |
| Management And General | 79 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 365877 | Total |
| Program Services | 287023 | ProgramServices |
| Management And General | 78854 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2937 | Total |
| Program Services | 1576 | ProgramServices |
| Management And General | 1361 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 53254 | Total |
| Program Services | 18680 | ProgramServices |
| Management And General | 34574 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 129630 | Total |
| Management And General | 129630 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 707397 | Total |
| Management And General | 707397 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 125133 | Total |
| Management And General | 125133 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| FOOD | 240383 | 240383 | |
| MEDICARE SERVICE EXPENS | 223283 | 223283 | |
| SUPPLIES AND EXPENSES | 179165 | 174583 | 4582 |
| ALLOCATE FUNCTIONAL EXP | 0 | 718917 | -718917 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5515605 | Total |
| Program Services | 4647078 | ProgramServices |
| Management And General | 798459 | ManagementAndGeneral |
| Fundraising | 70068 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 865344 | BOY |
| EOY | 655445 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 230561 | BOY |
| EOY | 229888 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 319489 | BOY |
| EOY | 413059 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 75605 | BOY |
| EOY | 66103 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 17899110 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 8983040 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9311701 | BOY |
| EOY | 8916070 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10802700 | BOY |
| EOY | 10280565 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 282334 | BOY |
| EOY | 303666 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3943792 | BOY |
| EOY | 3817021 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2523469 | BOY |
| EOY | 2334900 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 141237 | BOY |
| EOY | 231237 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6890832 | BOY |
| EOY | 6686824 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3818711 | BOY |
| EOY | 3549694 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 93157 | BOY |
| EOY | 44047 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3911868 | BOY |
| EOY | 3593741 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10802700 | BOY |
| EOY | 10280565 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | -318127 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 0 | FSAudited |
| Federal Grant Audit Required | 0 | 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 | 121567 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 74642 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 165559 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 109463 | CurrentTaxYearMinus1Year |
| Current Tax Year | 103934 | CurrentTaxYear |
| Total | 575165 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 4853589 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 5063047 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 5076973 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 5552411 | CurrentTaxYearMinus1Year |
| Current Tax Year | 5043208 | CurrentTaxYear |
| Total | 25589228 | Total |
Gross Receipts From Non UBI GrossReceiptsFromNonUBI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 83621 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 100752 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 57875 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 93811 | CurrentTaxYearMinus1Year |
| Current Tax Year | 44134 | CurrentTaxYear |
| Total | 380193 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 5058777 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 5238441 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 5300407 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 5755685 | CurrentTaxYearMinus1Year |
| Current Tax Year | 5191276 | CurrentTaxYear |
| Total | 26544586 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 26544586 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 7204 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 7007 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 4986 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 17876 | CurrentTaxYearMinus1Year |
| Current Tax Year | 9144 | CurrentTaxYear |
| Total | 46217 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 7204 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 7007 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 4986 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 17876 | CurrentTaxYearMinus1Year |
| Current Tax Year | 9144 | CurrentTaxYear |
| Total | 46217 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 5065981 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 5245448 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 5305393 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 5773561 | CurrentTaxYearMinus1Year |
| Current Tax Year | 5200420 | CurrentTaxYear |
| Total | 26590803 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.99830 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.99850 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.00170 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.00150 | PriorYrInvestIncomePercentage |
| 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 | 929490 | BeginningOfYearBalance |
| Contributions | 118845 | Contributions |
| Investment Earnings Or Losses | 17887 | InvestmentEarningsOrLosses |
| End Of Year Balance | 1066222 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| 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 |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 728075 | BeginningOfYearBalance |
| Contributions | 97047 | Contributions |
| Investment Earnings Or Losses | -134146 | InvestmentEarningsOrLosses |
| End Of Year Balance | 690976 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 0.03010 | BoardDesignatedEOYBalance |
| Permanent Endowment EOY Balance | 0.03370 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0.93620 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 0 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 1 | EndowmentsHeldByRelatedOrgs |
| Are Related Orgs Listed Schedule R | 1 | AreRelatedOrgsListedScheduleR |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 993715 | OtherCostOrOtherBasis |
| Book Value | 993715 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 14783548 | OtherCostOrOtherBasis |
| Depreciation | 7574737 | Depreciation |
| Book Value | 7208811 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2121847 | OtherCostOrOtherBasis |
| Depreciation | 1408303 | Depreciation |
| Book Value | 713544 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 8916070 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | DEMAND CERTIFICATES - 4.25% | Description |
| Amount | $231,237 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 231237 | TotalOfAmounts |
| Total Revenue | 5197478 | TotalRevenue |
| Total Expenses | 5515605 | TotalExpenses |
| Excess Or Deficit For Year | -318127 | ExcessOrDeficitForYear |
| Total Adjustments | 0 | TotalAdjustments |
| Excess Or Deficit Per FS | -318127 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 5336735 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 11888 | NetUnrealizedGainsInvestments |
| Other Revenues | 127369 | OtherRevenues |
| Revenue Not Rptd F990 | 139257 | RevenueNotRptdF990 |
| Revenue Subtotal | 5197478 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 5197478 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 5518130 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 2525 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 2525 | ExpensesNotRptdF990 |
| Expenses Subtotal | 5515605 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 5515605 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: | PART V, LINE 4: | TO USE THE INVESTMENT INCOME FROM ENDOWMENT FUNDS TO SUPPLEMENT THE INCOME FROM RESIDENTS AND KEEP CHARGES AFFORDABLE FOR RESIDENTS. |
| PART XI, LINE 8 - OTHER ADJUSTMENTS: | CHANGES IN VALUE OF SPLIT-INTEREST AGREEMENTS | |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | REVENUE FROM ENDOWMENT FUND CONSOLIDATION 127,369. | |
| PART XIII, LINE 2D - OTHER ADJUSTMENTS: | EXPENSES PAID BY ENDOWMENT FUND CONSOLIDATION 2,525. |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CITY OF MOUNDRIDGE KANSAS | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Issuer EIN | 486020221 | IssuerEIN |
| Date Issued | 2008-06-27 | DateIssued |
| Issue Price | 2600000 | IssuePrice |
| Description Of Purpose | CONSTRUCTION OF NEW ASSISTED LIVING UNITS. | DescriptionOfPurpose |
| Defeased | 0 | Defeased |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Pool Financing | 0 | PoolFinancing |
Form990 Schedule K Part II Form990ScheduleKPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Year Of Subst Completion | 2008 | YearOfSubstCompletion |
| Current Refunding | 0 | CurrentRefunding |
| Advance Refunding | 0 | AdvanceRefunding |
| Final Allocation Made | 0 | FinalAllocationMade |
| Adequate Books And Recds Maintaind | 0 | AdequateBooksAndRecdsMaintaind |
Form990 Schedule K Part III Form990ScheduleKPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Owning Bond Financed Property | 0 | OwningBondFinancedProperty |
| Any Lease Arrangements | 0 | AnyLeaseArrangements |
| Mngment Cntrct Bond Financd Prprty | 0 | MngmentCntrctBondFinancdPrprty |
| Any Research Agreements | 0 | AnyResearchAgreements |
| Post Issuance Compliance Procdrs | 1 | PostIssuanceComplianceProcdrs |
Form990 Schedule K Part IV Form990ScheduleKPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8038 T Filed | 0 | Form8038TFiled |
| Variable Rate Issue | 0 | VariableRateIssue |
| Hedge Identified In Books And Recds | 0 | HedgeIdentifiedInBooksAndRecds |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGIC |
| Gross Proceeds Invested | 0 | GrossProceedsInvested |
| Exception To Rebate | 0 | ExceptionToRebate |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (3 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | OFFICER REVIEWS FORM 990 BEFORE BEING FILED WITH THE IRS. | |
| BOARD POLICIES AND EMPLOYEE POLICIES STATE THAT AN ANNUAL REVIEW AND SELF REPORTING OF ANY CONFLICT OF INTEREST IS REQUIRED. A CORPORATE COMPLIANCE OFFICER IS IN PLACE TO MONITOR ANY REPORTED CONFLICTS AND PRESENT THEM TO THE BOARD OF DIRECTORS IF NECESSARY. | FORM 990, PART VI, SECTION B, LINE 12C | |
| PUBLIC INSPECTION OF FINANCIAL DOCUMENTS IS MADE AVAILABLE UPON REQUEST IN PERSON. | FORM 990, PART VI, SECTION C, LINE 19 |
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 | 501(C)(3) | ExemptCodeSection |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MEMORIAL HOME INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Org | 0 | ControlledOrg |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |