2014-10-06T09:26:13-05:00 2013-12-31 BKD LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2013-01-01 430863738 LACOBA HOMES INC % MICHAEL D BALDUS LACO 4172357895 PO BOX 885 Suite MONETT MO 65708 MICHAEL D BALDUS EXECUTIVE DIRECTOR 4172357895 2014-09-10 true Brian D Todd 4178658701 2013 2015-11-30 17:44:51Z MICHAEL D BALDUS PO BOX 885 MONETT MO 65708 5036109 false X N/A X 1966 MO LACOBA HOMES, INC., IS A 72 BED, 28 CHURCHES AFFILIATED, NOT-FOR-PROFIT SKILLED NURSING FACILITY. 12 12 177 73 3915 3890 10753 5119659 5004044 -1715 -1955 7361 3915 5129195 5016757 0 0 0 0 2399452 2327812 0 0 0 2440138 2387419 4839590 4715231 289605 301526 7253755 7459894 361751 262628 6892004 7197266 X THE MISSION OF LACOBA IS TO ENABLE RESIDENTS TO RECOGNIZE AND ACHIEVE THEIR HIGHEST POTENTIAL ABILITY AFTER THE ONSET OF A DISABLING DISEASE OR THE NATURAL AGING PROCESS. SEE SCHEDULE O FOR MORE INFORMATION. false false 3738629 4994867 SKILLED NURSING AND REHABILITATION SERVICES - ON-SITE SERVICES INCLUDE ACTIVITIES, CLINICAL LAB, DENTAL, DIETARY, HOUSEKEEPING, MENTAL HEALTH, NURSING, OCCUPATIONAL THERAPY, PHARMACY, PHYSICAL THERAPY, PHYSICIAN, PODIATRY, SOCIAL WORK, SPEECH & LANGUAGE PATHOLOGY, AND X-RAY SERVICES. LACOBA HOMES SERVED 68 RESIDENTS, WITH A 79% OCCUPANCY RATE. 3738629 true false false true false false false false true false true false false false true false false false false false false false false false false false false false false true false false false false false false false false false false false false true false false false false true 7 0 true 177 true true true false false false false false false false false false X 12 12 false true false false true true false true true false false true true true true true true true false false X MICHAEL D BALDUS 4172357895 PO BOX 885 MONETT MO 65708 JANE JOHNSON SECRETARY 1.0 0.0 X X CW PHILLIPS BOARD MEMBER 1.0 0.0 X WAYNE CONWAY BOARD MEMBER 1.0 0.0 X JOE BEAVER BOARD MEMBER 1.0 0.0 X DORIS COLWELL BOARD MEMBER 1.0 0.0 X ANTHONY GRIPKA PRESIDENT 1.0 0.0 X X LOREN GILLASPY BOARD MEMBER 1.0 0.0 X JOHN WELDY BOARD MEMBER 1.0 0.0 X RONNIE CROUCH VICE PRESIDENT 1.0 0.0 X X MARILYN KNIGHT TREASURER 1.0 0.0 X X TIM RICE BOARD MEMBER 1.0 0.0 X LARRY BROWN BOARD MEMBER 1.0 0.0 X MICHAEL D BALDUS EXECUTIVE DIRECTOR 60.0 0.0 X 186130 0 0 186130 0 0 1 false true false AEGIS THERAPIES THERAPIES PT.OT.ST 629582 MANAGED CARE ALLIANCE MGMT COMPANY 204492 HEALTHCARE SERVICES HOUSEKEEPING/LAUNDRY 191004 UVANTA PHARMACY PHARMACY 164567 BKD LLP BILLING/CONSULTING 123078 5 10753 10753 ROOM & BOARD 623000 4656383 4656383 ANCILLIARY SERVICES 623000 296782 296782 MEALS 623000 9177 9177 OTHER 623000 41702 41702 5004044 1902 1902 0 0 19410 15495 3915 0 3915 3915 3857 -3857 -3857 -3857 0 0 0 0 5016757 4994867 3915 7222 X 0 0 0 0 186130 0 186130 0 0 1837468 1699734 137734 0 21996 0 21996 0 139450 131161 8289 0 142768 121240 21528 0 190697 0 190697 0 0 22855 0 22855 0 0 0 0 964302 786197 178105 0 7037 596 6441 0 395046 322273 72773 0 10350 0 10350 0 0 112204 83962 28242 0 21721 10421 11300 0 0 943 943 0 0 0 0 196838 147293 49545 0 24207 0 24207 0 NFAC FEES 15950 15950 LICENSES, DUES, SUBSCRIPTIONS 6410 6410 MEDICAL SUPPLIES & DRUGS 157274 157274 NFRA FEES 261585 261585 4715231 3738629 976602 0 806932 1079339 2536446 2496646 0 0 966772 1043351 0 0 0 0 0 0 14732 16785 9537 9537 5111572 2297336 2919336 2814236 0 0 0 0 0 0 0 0 0 0 7253755 7459894 353516 252901 0 0 0 0 0 0 2660 3652 0 0 0 0 0 0 5575 6075 361751 262628 X 0 0 0 0 6892004 7197266 6892004 7197266 7253755 7459894 301526 3736 X false false false X 14576 8111 255922 3890 10753 293252 5076289 4797942 5194524 5119659 5004044 25192458 0 0 0 5090865 4806053 5450446 5123549 5014797 25485710 0 0 0 25485710 208 4756 1902 6866 0 208 4756 1902 6866 6684 6191 -13287 7361 3915 10864 0 5097549 4812452 5441915 5130910 5020614 25503440 0.99931 0.99886 0.00027 0.00073 X false false false false false false false false true 932 932 false SCHEDULE C, PART II, LINE 1I THE ORGANIZATION PAYS DUES TO MISSOURI HEALTH CARE ASSOCIATION. $932 OF THESE DUES ARE ATTRIBUTABLE TO LOBBYING ACTIVITIES. false true X 68278 68278 4211844 1761142 2450702 768059 536194 231865 63391 63391 2814236 0 DEPOSITS 6075 6075 SCHEDULE D, PART IV, LINE 2B ESCROW ACCOUNT: THE ORGANIZATION IS THE TRUSTEE OF FUNDS RECEIVED ON BEHALF OF VARIOUS RESIDENTS. THE ORGANIZATION HAS A FIDUCIARY RESPONSIBILITY FOR THE ADMINISTRATION OF THE BANK ACCOUNT AND THE DISTRIBUTION OF THE FUNDS TO RESIDENTS. X false false false false false false false false false MICHAEL D BALDUS EXECUTIVE DIRECTOR 171130 0 15000 0 0 0 0 0 0 0 186130 0 0 0 FORM 990, PART III, LINE 1 ORGANIZATION'S MISSION: THE MISSION OF LACOBA IS TO ENABLE RESIDENTS TO RECOGNIZE AND ACHIEVE THEIR HIGHEST POTENTIAL ABILITY AFTER THE ONSET OF A DISABLING DISEASE OR THE NATURAL AGING PROCESS. LACOBA STRIVES TO PROVIDE RESIDENTS WITH A SAFE, COMFORTABLE, AND PLEASANT LIVING ENVIRONMENT THAT ENCOURAGES INDEPENDENCE AND PROMOTES QUALITY OF LIFE. FORM 990, PART VI, SECTION A, LINE 3 MANAGEMENT DUTIES: THE ORGANIZATION HAS CONTRACTED WITH MANAGED CARE ALLIANCE TO PERFORM CERTAIN MANAGEMENT FUNCTIONS. MANAGED CARE ALLIANCE WORKS CLOSELY WITH THE EXECUTIVE DIRECTOR WITH VARIOUS DUTIES INCLUDING BUDGETING, STRATEGIC PLANNING, AND OTHER MANAGEMENT FUNCTIONS. FORM 990, PART VI, SECTION A, LINE 6 & 7A MEMBERS: THE ORGANIZATION HAS MEMBERS WHO MEET ANNUALLY FOR THE PURPOSE OF ELECTING DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11B FORM 990 REVIEW PROCESS: THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. THE EXECUTIVE DIRECTOR THOROUGHLY REVIEWS THE 990. AFTER THIS REVIEW, THE BOARD RECEIVES A COPY OF THE FORM 990 AND IS GIVEN THE OPPORTUNITY TO MAKE COMMENTS AND ASK QUESTIONS BEFORE THE RETURN IS FILED. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST POLICY COMPLIANCE: BIDS ARE INTERNALLY TESTED FOR ANY CONFLICT OF INTEREST WITH CURRENT BOARD MEMBERS. THE GOVERNING BOARD IS AWARE AND ADVISED OF ANY POTENTIAL CONFLICT. A PERSON WHO HAS A CONFLICT OF INTEREST IS NOT PERMITTED TO VOTE ON THE TRANSACTION, CONTRACT, OR ITEM IN CONFLICT, AND IS REQUIRED TO RECUSE FROM ANY DECISIONS REGARDING THE CONFLICT. FORM 990, PART VI, SECTION B, LINE 15A PROCESS FOR DETERMINING COMPENSATION OF OFFICERS: COMPARABILITY DATA AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION OF DETERMINING COMPENSATION OF OFFICERS WERE RECORDED IN THE MINUTES OF THE BOARD MEETING. THIS OCCURS EACH CALENDAR YEAR, INCLUDING THE CALENDAR YEAR ENDING 12/31/2013. THE ANNUAL REVIEW IS CONDUCTED ALONGSIDE THE MANAGEMENT COMPANY AND THE RECOMMENDATIONS PROVIDED BY THE MANAGEMENT COMPANY ARE PROVIDED TO THE BOARD. THE COMPENSATION IS THEN APPROVED BY THE BOARD. FORM 990, PART VI, SECTION C, LINE 19 AVAILABILITY OF GOVERNING DOCUMENTS: A COPY OF THE CONFLICT OF INTEREST, GOVERNING DOCUMENTS, AND/OR FINANCIAL STATEMENTS WILL BE MADE AVAILABLE ON THE SAME DAY (MONDAY THROUGH FRIDAY) REQUEST IS MADE IN PERSON. IF A REQUEST IS MADE VIA US MAIL, OR PRIVATE CARRIER, LACOBA HOMES, INC., WILL RETURN A COPY WITHIN 30 DAYS OF THE RECEIPT OF THE REQUEST. FORM 990, PART IX, LINE 11G OTHER FEES: PURCHASED SERVICES 808,697 BILLING SERVICES 100,931 CONSULTING 46,098 CONTRACT LABOR 8,576 --------- TOTAL OTHER FEES 964,302 BRIDLE LANE LLC PO BOX 885 MONETT MO 65708 203157670 STORAGE RENT MO 3915 332127 LACOBA HOMES