﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" returnVersion="2023v6.0">
  <ReturnHeader binaryAttachmentCnt="0">
    <ReturnTs>2025-06-06T08:20:06-04:00</ReturnTs>
    <TaxPeriodEndDt>2023-12-31</TaxPeriodEndDt>
    <PreparerFirmGrp>
      <PreparerFirmEIN>431109768</PreparerFirmEIN>
      <PreparerFirmName>
        <BusinessNameLine1Txt>KPM CPAS PC</BusinessNameLine1Txt>
      </PreparerFirmName>
      <PreparerUSAddress>
        <AddressLine1Txt>1445 E REPUBLIC RD</AddressLine1Txt>
        <CityNm>SPRINGFIELD</CityNm>
        <StateAbbreviationCd>MO</StateAbbreviationCd>
        <ZIPCd>65804</ZIPCd>
      </PreparerUSAddress>
    </PreparerFirmGrp>
    <ReturnTypeCd>990EZ</ReturnTypeCd>
    <TaxPeriodBeginDt>2023-01-01</TaxPeriodBeginDt>
    <Filer>
      <EIN>831957414</EIN>
      <BusinessName>
        <BusinessNameLine1Txt>JACOB'S LADDER CARE SERVICES INC</BusinessNameLine1Txt>
      </BusinessName>
      <BusinessNameControlTxt>JACO</BusinessNameControlTxt>
      <PhoneNum>4178448635</PhoneNum>
      <USAddress>
        <AddressLine1Txt>2343 N DELAWARE AVE</AddressLine1Txt>
        <CityNm>SPRINGFIELD</CityNm>
        <StateAbbreviationCd>MO</StateAbbreviationCd>
        <ZIPCd>65803</ZIPCd>
      </USAddress>
    </Filer>
    <BusinessOfficerGrp>
      <PersonNm>CAMELIA JACOB</PersonNm>
      <PersonTitleTxt>PRESIDENT</PersonTitleTxt>
      <PhoneNum>4178448635</PhoneNum>
      <SignatureDt>2025-06-05</SignatureDt>
      <DiscussWithPaidPreparerInd>true</DiscussWithPaidPreparerInd>
    </BusinessOfficerGrp>
    <IRSResponsiblePrtyInfoCurrInd>false</IRSResponsiblePrtyInfoCurrInd>
    <PreparerPersonGrp>
      <PreparerPersonNm>BARBARA J HOUSER CPA</PreparerPersonNm>
      <PTIN>P00227583</PTIN>
      <PhoneNum>4178824300</PhoneNum>
      <PreparationDt>2025-06-05</PreparationDt>
    </PreparerPersonGrp>
    <TaxYr>2023</TaxYr>
    <BuildTS>2025-03-06 01:10:19Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCnt="5">
    <IRS990EZ documentId="RetDoc3" referenceDocumentId="RetDoc4 RetDoc5">
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <WebsiteAddressTxt>WWW.JACOBSLADDERCARE.ORG</WebsiteAddressTxt>
      <Organization501c3Ind referenceDocumentId="RetDoc6">X</Organization501c3Ind>
      <TypeOfOrganizationCorpInd>X</TypeOfOrganizationCorpInd>
      <GrossReceiptsAmt>91240</GrossReceiptsAmt>
      <InfoInScheduleOPartIInd>X</InfoInScheduleOPartIInd>
      <ContributionsGiftsGrantsEtcAmt>90315</ContributionsGiftsGrantsEtcAmt>
      <InvestmentIncomeAmt>925</InvestmentIncomeAmt>
      <TotalRevenueAmt>91240</TotalRevenueAmt>
      <FeesAndOtherPymtToIndCntrctAmt>19595</FeesAndOtherPymtToIndCntrctAmt>
      <OccupancyRentUtltsAndMaintAmt>54950</OccupancyRentUtltsAndMaintAmt>
      <PrintingPublicationsPostageAmt>2326</PrintingPublicationsPostageAmt>
      <OtherExpensesTotalAmt>36897</OtherExpensesTotalAmt>
      <TotalExpensesAmt>113768</TotalExpensesAmt>
      <ExcessOrDeficitForYearAmt>-22528</ExcessOrDeficitForYearAmt>
      <NetAssetsOrFundBalancesBOYAmt>131116</NetAssetsOrFundBalancesBOYAmt>
      <NetAssetsOrFundBalancesEOYAmt>108588</NetAssetsOrFundBalancesEOYAmt>
      <InfoInScheduleOPartIIInd>X</InfoInScheduleOPartIIInd>
      <CashSavingsAndInvestmentsGrp>
        <BOYAmt>29744</BOYAmt>
        <EOYAmt>18774</EOYAmt>
      </CashSavingsAndInvestmentsGrp>
      <OtherAssetsTotalDetail>
        <BOYAmt>110630</BOYAmt>
        <EOYAmt>106415</EOYAmt>
      </OtherAssetsTotalDetail>
      <Form990TotalAssetsGrp>
        <BOYAmt>140374</BOYAmt>
        <EOYAmt>125189</EOYAmt>
      </Form990TotalAssetsGrp>
      <SumOfTotalLiabilitiesGrp>
        <BOYAmt>9258</BOYAmt>
        <EOYAmt>16601</EOYAmt>
      </SumOfTotalLiabilitiesGrp>
      <NetAssetsOrFundBalancesGrp>
        <BOYAmt>131116</BOYAmt>
        <EOYAmt>108588</EOYAmt>
      </NetAssetsOrFundBalancesGrp>
      <InfoInScheduleOPartIIIInd>X</InfoInScheduleOPartIIIInd>
      <PrimaryExemptPurposeTxt>PROVIDE QUALITY, END OF LIFE CARE TO THOSE IN NEED IN A LOVING HOME ENVIRONMENT AND TO PROVIDE SUPPORT AND RESOURCES TO THEIR FAMILIES AND CAREGIVERS.</PrimaryExemptPurposeTxt>
      <ProgramSrvcAccomplishmentGrp>
        <DescriptionProgramSrvcAccomTxt>JACOBS LADDER END OF LIFE LEGACY HOME SERVES TO EASE THE CAREGIVER BURDEN AND BECOME A LOVING HOME AND FAMILY FOR PEOPLE IN NEED BY PROVIDING TERMINALLY ILL PATIENTS WITH A FULL TIME RESIDENCE AND NONMEDICAL COMFORT CARE, WHILE MEDICAL MANAGEMENT NEEDS ARE MET BY AREA HOSPICES. THIS PATIENT-CENTERED COOPERATIVE CARE APPROACH RESULTS IN HIGH QUALITY, COMPLETE END-OF-LIFE CARE FOR THOSE WHO CAN NO LONGER REMAIN IN THEIR HOME, YET DESERVE COMPASSIONATE CARE AND A PEACEFUL DEATH IN COMFORTABLE SURROUNDINGS.</DescriptionProgramSrvcAccomTxt>
        <ProgramServiceExpensesAmt>96236</ProgramServiceExpensesAmt>
      </ProgramSrvcAccomplishmentGrp>
      <TotalProgramServiceExpensesAmt>96236</TotalProgramServiceExpensesAmt>
      <OfficerDirectorTrusteeEmplGrp>
        <PersonNm>CAMELIA JACOB</PersonNm>
        <TitleTxt>PRESIDENT</TitleTxt>
        <AverageHrsPerWkDevotedToPosRt>5.00</AverageHrsPerWkDevotedToPosRt>
        <CompensationAmt>0</CompensationAmt>
      </OfficerDirectorTrusteeEmplGrp>
      <OfficerDirectorTrusteeEmplGrp>
        <PersonNm>TANYA FEIES</PersonNm>
        <TitleTxt>SECRETARY</TitleTxt>
        <AverageHrsPerWkDevotedToPosRt>5.00</AverageHrsPerWkDevotedToPosRt>
        <CompensationAmt>0</CompensationAmt>
      </OfficerDirectorTrusteeEmplGrp>
      <OfficerDirectorTrusteeEmplGrp>
        <PersonNm>IDA SUE OBERT</PersonNm>
        <TitleTxt>TREASURER</TitleTxt>
        <AverageHrsPerWkDevotedToPosRt>2.00</AverageHrsPerWkDevotedToPosRt>
        <CompensationAmt>0</CompensationAmt>
      </OfficerDirectorTrusteeEmplGrp>
      <OfficerDirectorTrusteeEmplGrp>
        <PersonNm>MYNDY RASMUSSEN</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHrsPerWkDevotedToPosRt>5.00</AverageHrsPerWkDevotedToPosRt>
        <CompensationAmt>0</CompensationAmt>
      </OfficerDirectorTrusteeEmplGrp>
      <ActivitiesNotPreviouslyRptInd>false</ActivitiesNotPreviouslyRptInd>
      <ChgMadeToOrgnzngDocNotRptInd>false</ChgMadeToOrgnzngDocNotRptInd>
      <OrganizationHadUBIInd>false</OrganizationHadUBIInd>
      <SubjectToProxyTaxInd>false</SubjectToProxyTaxInd>
      <OrganizationDissolvedEtcInd>false</OrganizationDissolvedEtcInd>
      <Form1120PolFiledInd>false</Form1120PolFiledInd>
      <MadeLoansToFromOfficersInd>false</MadeLoansToFromOfficersInd>
      <EngagedInExcessBenefitTransInd>false</EngagedInExcessBenefitTransInd>
      <ProhibitedTaxShelterTransInd>false</ProhibitedTaxShelterTransInd>
      <BooksInCareOfDetail>
        <PersonNm>CAMELIA JACOB</PersonNm>
        <USAddress>
          <AddressLine1Txt>2343 N DELAWARE AVE</AddressLine1Txt>
          <CityNm>SPRINGFIELD</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>65803</ZIPCd>
        </USAddress>
        <PhoneNum>4178448635</PhoneNum>
      </BooksInCareOfDetail>
      <ForeignFinancialAccountInd>false</ForeignFinancialAccountInd>
      <ForeignOfficeInd>false</ForeignOfficeInd>
      <DonorAdvisedFndsInd>false</DonorAdvisedFndsInd>
      <OperateHospitalInd>false</OperateHospitalInd>
      <TanningServicesProvidedInd>false</TanningServicesProvidedInd>
      <RelatedOrganizationCtrlEntInd>false</RelatedOrganizationCtrlEntInd>
      <TransactionWithControlEntInd>false</TransactionWithControlEntInd>
      <PoliticalCampaignActyInd>false</PoliticalCampaignActyInd>
      <LobbyingActivitiesInd>false</LobbyingActivitiesInd>
      <SchoolOperatingInd>false</SchoolOperatingInd>
      <TrnsfrExmptNonChrtblRltdOrgInd>false</TrnsfrExmptNonChrtblRltdOrgInd>
      <PartVIOfCompOfHghstPdEmplTxt>NONE</PartVIOfCompOfHghstPdEmplTxt>
      <PartVIHghstPdCntrctProfSrvcTxt>NONE</PartVIHghstPdCntrctProfSrvcTxt>
      <FiledScheduleAInd>true</FiledScheduleAInd>
    </IRS990EZ>
    <IRS990ScheduleA documentId="RetDoc6">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>86006</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>143467</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>148840</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>106354</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>90315</CurrentTaxYearAmt>
        <TotalAmt>574982</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>86006</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>143467</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>148840</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>106354</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>90315</CurrentTaxYearAmt>
        <TotalAmt>574982</TotalAmt>
      </TotalCalendarYear170Grp>
      <SubstantialContributorsTotAmt>32934</SubstantialContributorsTotAmt>
      <PublicSupportTotal170Amt>542048</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>178</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>614</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>290</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>242</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>925</CurrentTaxYearAmt>
        <TotalAmt>2249</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <TotalSupportAmt>577231</TotalSupportAmt>
      <PublicSupportCY170Pct>0.93900</PublicSupportCY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleO documentId="RetDoc4">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990-EZ, PART I, LINE 16</FormAndLineReferenceDesc>
        <ExplanationTxt>EXPENSES ADVERTISING AND PROMOTION 1,656 OFFICE 5,936 INTEREST 2,627 INSURANCE 1,732 PROGRAM SUPPLIES 20,731 NON-INVESTMENT DEPRECIATION 4,215 TOTAL 36,897</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990-EZ, PART II, LINE 24</FormAndLineReferenceDesc>
        <ExplanationTxt>116,560 116,560 LESS ACCUMULATED DEPRECIATION 5,930 10,145 TOTAL 110,630 106,415</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990-EZ, PART II, LINE 26</FormAndLineReferenceDesc>
        <ExplanationTxt>ACCOUNTS PAYABLE AND ACCRUED EXPENSES 605 7,948 MORTGAGE AND OTHER NOTES PAYABLE 8,653 8,653</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990-EZ, PART III</FormAndLineReferenceDesc>
        <ExplanationTxt>PROVIDE QUALITY, END OF LIFE CARE TO THOSE IN NEED IN A LOVING HOME ENVIRONMENT AND TO PROVIDE SUPPORT AND RESOURCES TO THEIR FAMILIES AND CAREGIVERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990-EZ, PART III, LINE 28</FormAndLineReferenceDesc>
        <ExplanationTxt>JACOBS LADDER END OF LIFE LEGACY HOME SERVES TO EASE THE CAREGIVER BURDEN AND BECOME A LOVING HOME AND FAMILY FOR PEOPLE IN NEED BY PROVIDING TERMINALLY ILL PATIENTS WITH A FULL TIME RESIDENCE AND NONMEDICAL COMFORT CARE, WHILE MEDICAL MANAGEMENT NEEDS ARE MET BY AREA HOSPICES. THIS PATIENT-CENTERED COOPERATIVE CARE APPROACH RESULTS IN HIGH QUALITY, COMPLETE END-OF-LIFE CARE FOR THOSE WHO CAN NO LONGER REMAIN IN THEIR HOME, YET DESERVE COMPASSIONATE CARE AND A PEACEFUL DEATH IN COMFORTABLE SURROUNDINGS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <TransferPrsnlBnftContractsDecl documentId="RetDoc5">
      <DeclarationDesc>DURING THE YEAR, THE ORGANIZATION DID NOT RECEIVE ANY FUNDS, DIRECTLY OR INDIRECTLY, TO PAY PREMIUMS ON A PERSONAL BENEFIT CONTRACT. DURING THE YEAR, THE ORGANIZATION DID NOT PAY ANY PREMIUMS, DIRECTLY OR INDIRECTLY, ON A PERSONAL BENEFIT CONTRACT.</DeclarationDesc>
    </TransferPrsnlBnftContractsDecl>
  </ReturnData>
</Return>