2013-11-08T14:30:05-06:00 2012-12-31 BKD LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2012-01-01 430863738 LACOBA HOMES INC % MICHAEL D BALDUS LACO 4172357895 PO BOX 885 Suite MONETT MO 65708 MICHAEL D BALDUS 4172357895 2013-10-17 true Brian D Todd 4178658701 2012 2016-02-25 16:41:14Z MICHAEL D BALDUS PO BOX 885 MONETT MO 65708 5144209 false X N/A X 1966 MO LACOBA HOMES, INC., IS A 72 BED, 28 CHURCHES AFFILIATED, NOT-FOR-PROFIT SKILLED NURSING FACILITY. 13 13 146 73 7361 255922 3890 5194524 5119659 -6353 -1715 -13287 7361 5430806 5129195 0 0 0 0 2367693 2399452 0 0 0 2319398 2440138 4687091 4839590 743715 289605 6883348 7253755 280949 361751 6602399 6892004 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 3847286 5111535 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 140 RESIDENTS, WITH AN 65% OCCUPANCY RATE. 3847286 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 5 0 true 146 true true true false false false false false false false false false X 13 13 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 LEE MILLER 1.0 X WILLARD BENBROOK 1.0 X JANE JOHNSON 1.0 X X CW PHILLIPS 1.0 X WAYNE CONWAY 1.0 X JOE BEAVER 1.0 X DORIS COLWELL 1.0 X ANTHONY GRIPKA 1.0 X X LOREN GILLASPY 1.0 X JOHN WELDY 1.0 X STEVEN STRAUCH 1.0 X RONNIE CROUCH 1.0 X X MARILYN KNIGHT 1.0 X X MICHAEL D BALDUS 60.0 X 161625 0 15558 161625 0 15558 1 false true false AEGIS THERAPIES THERAPIES PT.OT.ST 586200 MANAGED CARE ALLIANCE MGMT COMPANY 193974 HEALTHCARE SERVICES HOUSEKEEPING/LAUNDRY 193014 UVANTA PHARMACY PHARMACY 163986 BKD LLP BILLING/CONSULTING 127219 6 3890 3890 ROOM & BOARD 623000 4883012 4883012 ANCILLIARY SERVICES 623000 226958 226958 MEALS 623000 8124 8124 OTHER 623000 1565 1565 5119659 0 0 0 20660 13299 7361 0 7361 7361 1715 -1715 -1715 -1715 0 0 0 0 5129195 5111535 7361 6409 0 0 0 0 177183 177183 0 1880012 1676681 203331 23829 23829 170423 152985 17438 148005 121746 26259 193791 193791 0 21702 21702 0 0 0 992997 853275 139722 0 3722 739 2983 399156 326592 72564 9093 9093 0 101728 79038 22690 20421 10092 10329 0 2908 1319 1589 432 336 96 0 192314 149419 42895 20573 20573 NFAC FEES 10285 10285 LICENSES, DUES, SUBSCRIPTIONS 6237 6237 MEDICAL SUPPLIES & DRUGS 185106 185106 NFRA FEES 279673 279673 4839590 3847286 992304 0 540244 806932 2536968 2536446 0 0 726021 966772 0 0 0 0 0 0 16127 14732 9537 9537 5046582 2127246 3054451 2919336 0 0 0 0 0 0 0 0 0 0 6883348 7253755 270306 353516 0 0 0 0 0 0 4259 2660 0 0 0 0 0 0 6384 5575 280949 361751 X 0 0 0 0 6602399 6892004 6602399 6892004 6883348 7253755 289605 X false false false X 0 14576 8111 255922 3890 282499 4825653 5076289 4797942 5194524 5119659 25014067 0 0 0 4825653 5090865 4806053 5450446 5123549 25296566 0 0 0 25296566 13488 208 4756 18452 0 13488 208 4756 18452 3475 6684 6191 -13287 7361 10424 0 4842616 5097549 4812452 5441915 5130910 25325442 0.99886 0.99685 0.00073 0.00230 X false false false false false false false false true 992 992 false LOBBYING ACTIVITIES SCHEDULE C, PART II, LINE 1I THE ORGANIZATION PAYS DUES TO MISSOURI HEALTH CARE ASSOCIATION. $992 OF THESE DUES ARE ATTRIBUTABLE TO LOBBYING ACTIVITIES. false true 68278 68278 4232612 1632019 2600593 731917 495227 236690 13775 13775 2919336 0 DEPOSITS 5575 5575 ESCROW ACCOUNT SCHEDULE D, PART IV, LINE 2B 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 161625 0 0 0 0 0 0 0 15558 0 177183 0 0 0 ORGANIZATION'S MISSION FORM 990, PART III, LINE 1 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. MANAGEMENT DUTIES FORM 990, PART VI, SECTION A, LINE 3 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. MEMBERS FORM 990, PART VI, SECTION A, LINE 6 & 7A THE ORGANIZATION HAS MEMBERS WHO MEET ANNUALLY FOR THE PURPOSE OF ELECTING DIRECTORS. FORM 990 REVIEW PROCESS FORM 990, PART VI, SECTION B, LINE 11B 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. CONFLICT OF INTEREST POLICY COMPLIANCE FORM 990, PART VI, SECTION B, LINE 12C 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. PROCESS FOR DETERMINING COMPENSATION OF OFFICERS FORM 990, PART VI, SECTION B, LINE 15A 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 12/31/2012. 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. AVAILABILITY OF GOVERNING DOCUMENTS FORM 990, PART VI, SECTION C, LINE 19 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. BRIDLE LANE LLC PO BOX 885 MONETT MO 65708 203157670 STORAGE RENT MO 7361 325696 LACOBA HOMES