2020-10-02T08:11:38-05:00 2019-12-31 BKD LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2019-01-01 430834159 KABUL NURSING HOME INC % DEBRA DOTSON KABU 4179623713 1000 MAIN STREET CABOOL MO 65689 TOM COATS PRESIDENT 4179623713 2020-08-25 true Brian D Todd P00422601 4178658701 167.68.126.162 43032920202765000003 2020-10-02 P 924B2A98979A186BB7133534B94B929F6E7F7EF2 34FEC733D9517700F77F9305E895A80725933709 2019 2021-01-29 14:40:06Z DEBRA DOTSON 1000 MAIN STREET CABOOL MO 65689 5068304 false X WWW.KABULNH.COM X 1966 MO KABUL NURSING HOME OFFERS 24-HOUR SKILLED CARE, PARTICIPATING INCARE. SERVICES ARE OFFERED REGARDLESS OF RACE, COLOR, CREED, SEX, RELIGIOUS AFFILIATION OR THE ABILITY TO PAY. 7 7 183 13 0 66457 68231 4803298 4998837 -6157 -6512 0 0 4863598 5060556 0 0 0 0 2589835 2797058 0 0 0 1996348 2165522 4586183 4962580 277415 97976 3326789 3369230 925552 870017 2401237 2499213 X TO PLAN, BUILD AND OPERATE A NURSING AND CONVALESCENT HOME IN THE CABOOL, MISSOURI AREA. SEE SCHEDULE O FOR THE FULL MISSION. false false 2786817 3585826 KABUL NURSING HOME - A FULL SERVICE SKILLED NURSING HOME FOR SHORT AND LONG TERM STAYS. KABUL OFFERS A RANGE OF SERVICES INCLUDING: PHYSICAL, SPEECH, AND OCCUPATIONAL THERAPY, IN-HOUSE BEAUTY SHOP, SOCIAL SERVICES, PHYSICIAN VISITS, PHARMACY SERVICES AND A DIETICIAN, AS WELL AS NUMEROUS OTHER ITEMS TO HELP MAKE PATIENTS STAY MORE ENJOYABLE. APPROXIMATELY 115 RESIDENTS WERE SERVED DURING THE YEAR. 707342 896036 LANDMARK VILLA - A 24-HOUR STAFFED ASSISTED LIVING FACILITY. LANDMARK VILLA OFFERS PRIVATE ROOMS, MEDICATION ADMINISTRATION, FREE LAUNDRY AND HOUSEKEEPING SERVICES, THREE BALANCED MEALS A DAY, IN-HOUSE BEAUTY SHOP, DAILY AND EXTRACURRICULAR ACTIVITIES, ON-SITE NURSE, EMERGENCY PULL CORDS IN EACH APARTMENT, AND CHURCH SERVICES. APPROXIMATELY 50 RESIDENTS WERE SERVED DURING THE YEAR. 513772 516975 PINEVIEW HEIGHTS SENIOR APARTMENTS AND PINEVIEW HEIGHTS RESIDENTIAL CARE - SENIOR INDEPENDENT LIVING WITH INCOME BASED RENT. PINEVIEW HEIGHTS OFFERS SOCIAL SERVICES, IN-HOUSE BEAUTY SHOP, GROCERY DELIVERY, TRANSPORTATION SERVICE, NOON MEAL SERVICE, EMERGENCY PULL CORDS IN EACH APARTMENT, AND DAILY ACTIVITIES. ADDITIONALLY, THE RESIDENTIAL CARE FACILITY IS A 16-BED RESIDENTIAL CARE II FACILITY LOCATED WITHIN THE APARTMENTS. APPROXIMATELY 72 RESIDENTS WERE SERVED DURING THE YEAR. 4007931 true true false true false false false false false true true false false false true false false false false false false false false false false false false false false false false false false false false false false false false false false false false true true true false false true 23 0 true 183 true false false false false false false false false false false false false X 7 7 false false false false true true true true true false false true true true true true true false false false X DEBRA DOTSON 4179623713 1000 MAIN STREET CABOOL MO 65689 DEBRA DOTSON ADMINISTRATOR 40.0 0.0 X 75961 0 13846 TOM COATS PRESIDENT 1.0 0.0 X X 0 0 0 GARY MAGGARD VICE-PRESIDENT 1.0 0.0 X X 0 0 0 LINDA EVERETT TREASURER 1.0 0.0 X X 0 0 0 ROBERTA TAYLOR SECRETARY 1.0 0.0 X X 0 0 0 EVELYN WHETSTINE BOARD MEMBER 1.0 0.0 X 0 0 0 JIM PERRY BOARD MEMBER 1.0 0.0 X 0 0 0 LARRY BAKER BOARD MEMBER BEG 04/19 1.0 0.0 X 0 0 0 GARRY BRANDT BOARD MEMBER END 04/19 1.0 0.0 X 0 0 0 75961 0 13846 0 false false false BKD LLP 910 E ST LOUIS STREET SPRINGFIELD MO 658011190 COST RPT/RVW/TAX 122311 QUALITY CARE REHAB INC 8477 S SUNCOAST BLVD HOMOSASSA FL 34446 THERAPY 407005 2 66296 1935 68231 NET PATIENT SERVICE REVENUE 623000 4603858 4603858 RENTAL INCOME 531110 374311 374311 OTHER OPERATING REVENUE 623000 20668 20668 4998837 1236 1236 0 0 0 0 0 7748 -7748 -7748 -7748 0 0 0 0 0 0 0 0 0 0 5060556 4998837 -6512 0 0 0 0 89807 89807 0 2489337 2161379 327958 0 53511 53511 164403 135029 29374 0 473 473 123086 123086 0 0 0 432968 429457 3511 17394 17394 472725 389895 82830 73676 73676 0 262438 206360 56078 12002 3845 8157 0 13372 2060 11312 21809 18209 3600 0 207783 168786 38997 38109 4460 33649 NFRA & NFAC FEES 247827 247827 MEDICAL SUPPLIES & DRUGS 148335 148335 LICENSES, DUES, SUBSCRIPTIONS 48810 2070 46740 REPAIRS & MAINTENANCE 16973 13608 3365 27742 23100 4642 4962580 4007931 954649 0 530 530 697298 774117 0 0 399181 347905 0 0 0 0 0 0 41399 43710 17762 24091 9017003 6882049 2115085 2134954 0 0 0 0 0 0 0 0 55534 43923 3326789 3369230 345644 367039 0 0 0 0 0 0 0 0 0 0 562860 479491 0 0 17048 23487 925552 870017 X 2391237 2489213 10000 10000 2401237 2499213 3326789 3369230 97976 X true X false true false X 65044 71183 69066 66457 68231 339981 4512405 4318802 4388854 4803298 4998837 23022196 0 0 0 4577449 4389985 4457920 4869755 5067068 23362177 0 0 0 23362177 1977 1777 1206 1194 1236 7390 0 1977 1777 1206 1194 1236 7390 0 0 4579426 4391762 4459126 4870949 5068304 23369567 0.99968 0.99965 0.00032 0.00035 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 1343 1343 false SCHEDULE C, PART II-B, LINE 1(I) OTHER LOBBYING ACTIVITIES: THE ORGANIZATION PAYS DUES TO AHCA AND MHCA. A PORTION OF THESE DUES ARE USED FOR LOBBYING PURPOSES. 15506 78 15584 15429 77 15506 15352 77 15429 15290 62 15352 15229 61 15290 1.00000 false false 352840 352840 5795328 5072445 722883 1193177 786338 406839 1615390 976581 638809 60268 46685 13583 2134954 0 TENANT SECURITY DEPOSITS 23487 23487 SCHEDULE D, PART V, LINE 4 ENDOWMENT FUNDS: THIS ENDOWMENT IS A CD, WITH A PRINCIPAL AMOUNT OF $10,000, AT THE REQUEST OF THE CONTRIBUTOR OF THE FUNDS. THE CD IS PERPETUAL AND THE INTEREST IS ROLLED BACK INTO THE CD. SCHEDULE D, PART X, LINE 2 UNCERTAIN TAX POSITION: MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. FORM 990, PART I, LINE 6 VOLUNTEERS: THE ORGANIZATION'S BOARD MEMBERS ARE VOLUNTEERS TO THE ORGANIZATION. IN ADDITION, THE ORGANIZATION HAS FIVE INDIVIDUALS WHO VOLUNTEER AT THE NURSING HOME FACILITY. FORM 990, PART III, LINE 1 ORGANIZATION'S MISSION: TO PLAN, BUILD AND OPERATE A NURSING AND CONVALESCENT HOME IN THE CABOOL, MISSOURI AREA ON A NON-PROFIT PLAN, TO CARE FOR THE AGED, INFIRM, AFFLICTED AND CONVALESCENT, REGARDLESS OF RACE, COLOR, CREED, SEX, RELIGIOUS AFFILIATION OR ABILITY TO PAY, WITH NO PART OF NET EARNINGS OR ASSETS INURING TO THE BENEFIT OF AN OFFICER, MEMBER, DIRECTOR OR INDIVIDUAL WHATSOEVER. TO BE A PROVIDER OF PATIENT-CENTERED CARE BY OFFERING HIGH QUALITY, CARING, HOME-LIKE, LONG TERM CARE SERVICES TO ITS RESIDENTS IN AN INNOVATIVE, THERAPEUTIC AND SAFE ENVIRONMENT WHERE ACTIONS ARE DIRECTED TO THE ULTIMATE GOOD OF THE PATIENT. FORM 990, PART VI, SECTION A, LINE 6, 7A, & 7B MEMBERS/STOCKHOLDERS: THE ORGANIZATION'S MEMBERS CONSIST OF DELEGATES FROM THE VARIOUS CIVIC, SERVICES, SOCIAL AND RELIGIOUS CLUBS, ORGANIZATION AND CHURCHES IN AND AROUND THE CITY OF CABOOL, MO. MEMBERS ARE SELECTED BY EACH INDIVIDUAL'S CLUB, ORGANIZATION, OR CHURCH AND THEN SUBMITTED TO THE CORPORATION. THE MEMBERS ELECT THE BOARD OF DIRECTORS. THE MEMBERS HAVE THE POWER TO ALTER, AMEND, OR REPEAL THE BYLAWS. FORM 990, PART VI, SECTION B, LINE 11B FORM 990 REVIEW PROCESS: THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM USING THE REVIEWED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ORGANIZATION'S MANAGEMENT. THE RETURN IS REVIEWED BY THE ADMINISTRATOR AND DISTRIBUTED TO ALL BOARD MEMBERS PRIOR TO THE RETURN'S SUBMISSION. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST: PERSONS COVERED UNDER THIS POLICY ARE DIRECTORS, OFFICERS, AND ALL EMPLOYEES SUCH AS MANAGEMENT AND PURCHASING, WHO CAN INFLUENCE THE ACTIONS OF THE COMPANY. IT SHALL BE THE BOARD, OFFICER'S AND MANAGEMENT'S RESPONSIBILITY TO SCRUTINIZE TRANSACTIONS AND RELATIONSHIPS FOR POTENTIAL CONFLICTS AND TO IMMEDIATELY MAKE SUCH DISCLOSURES BEFORE ANY TRANSACTION IS CONSUMMATED. ANY BOARD MEMBER WITH A CONFLICT OR POTENTIAL CONFLICT OF INTEREST WILL ABSTAIN FROM VOTING ON ANY ISSUE RELATED TO THAT CONFLICT. FORM 990, PART VI, SECTION B, LINE 15A ADMINISTRATOR COMPENSATION: THE BOARD OF DIRECTORS ANNUALLY REVIEWS THE COMPENSATION OF THE ADMINISTRATOR. THE REVIEW IS BASED ON PERFORMANCE AND IS DOCUMENTED IN THE BOARD MINUTES. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENT DISCLOSURE: THE ORGANIZATION'S DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE FOR VIEWING AT THE FACILITY UPON REQUEST. PERPETUAL TRUST TRUST MO NA TRUST 78 15584 1.00000 true true false false false false false false false false false false false false false false false false false false PERPETUAL TRUST A 78 FMV