FURP.ORG / PUBLIC DATA EXPLORER

LACOBA HOMES INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
LACOBA HOMES INC (EIN 43-0863738)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-10-29
IRS object ID
201213039349300041
Schema version
2011v1.2
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

FieldValueIRS element (for citing)
Timestamp2012-10-29T17:02:50-05:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1910 E ST LOUIS 200/PO BOX 1190AddressLine1
CitySPRINGFIELDCity
StateMOState
ZIP Code658062523ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN430863738EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1LACOBA HOMES INCBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% MICHAEL D BALDUSInCareOfName
Name ControlLACONameControl
Phone4172357895Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 885AddressLine1
CityMONETTCity
StateMOState
ZIP Code65708ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMICHAEL D BALDUSName
TitleEXECUTIVE DIRECTORTitle
Date Signed2012-09-04DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameBrian D ToddName
Phone4178658701Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonMICHAEL D BALDUSNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1PO BOX 885AddressLine1
CityMONETTCity
StateMOState
ZIP Code65708ZIPCode
FieldValueIRS element (for citing)
Gross Receipts5480117GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1966YearFormation
State Legal DomicileMOStateLegalDomicile
Activity Or Mission DescriptionLACOBA HOMES, INC., IS A 72 BED, 28 CHURCHES AFFILIATED, NOT-FOR-PROFIT SKILLED NURSING FACILITY. SEE SCHEDULE O FOR ADDITIONAL INFORMATION.ActivityOrMissionDescription
Nbr Voting Members Governing Body13NbrVotingMembersGoverningBody
Nbr Independent Voting Members13NbrIndependentVotingMembers
Total Nbr Employees164TotalNbrEmployees
Total Nbr Volunteers78TotalNbrVolunteers
Total Gross UBI-13287TotalGrossUBI
Net Unrelated Business Txbl Income-13287NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year8111ContributionsGrantsPriorYear
Contributions Grants Current Year255922ContributionsGrantsCurrentYear
Program Service Revenue Prior Year4797942ProgramServiceRevenuePriorYear
Program Service Revenue CY5194524ProgramServiceRevenueCY
Investment Income Prior Year208InvestmentIncomePriorYear
Investment Income Current Year-6353InvestmentIncomeCurrentYear
Other Revenue Prior Year6191OtherRevenuePriorYear
Other Revenue Current Year-13287OtherRevenueCurrentYear
Total Revenue Prior Year4812452TotalRevenuePriorYear
Total Revenue Current Year5430806TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year2250758SalariesEtcPriorYear
Salaries Etc Current Year2367693SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year2294678OtherExpensePriorYear
Other Expenses Current Year2319398OtherExpensesCurrentYear
Total Expenses Prior Year4545436TotalExpensesPriorYear
Total Expenses Current Year4687091TotalExpensesCurrentYear
Revenues Less Expenses Prior Year267016RevenuesLessExpensesPriorYear
Revenues Less Expenses CY743715RevenuesLessExpensesCY
Total Assets BOY6174292TotalAssetsBOY
Total Assets EOY6883348TotalAssetsEOY
Total Liabilities BOY315608TotalLiabilitiesBOY
Total Liabilities EOY280949TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY5858684NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY6602399NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE 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.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense3703191Expense
Revenue5188470Revenue
DescriptionSKILLED 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 64 RESIDENTS, WITH AN 89% OCCUPANCY RATE.Description
Total Program Service Expense3703191TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingtrueCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntitytrueDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10965NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees164NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members13NbrVotingGoverningBodyMembers
Number Independent Voting Members13NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiestrueDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonMICHAEL D BALDUSNamePerson
Telephone Number4172357895TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 885AddressLine1
CityMONETTCity
StateMOState
ZIP Code65708ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (14 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
LEE MILLER
PRESIDENT1.0XX000
WILLARD BENBROOK
VICE PRESIDENT1.0XX000
JANE JOHNSON
SECRETARY1.0XX000
CW PHILLIPS
TREASURER1.0XX000
WAYNE CONWAY
BOARD MEMBER1.0X000
JOE BEAVER
BOARD MEMBER1.0X000
DORIS COLWELL
BOARD MEMBERX
ANTHONY GRIPKA
BOARD MEMBER1.0X000
LOREN GILLASPY
BOARD MEMBER1.0X000
JOHN WELDY
BOARD MEMBER1.0X000
STEVEN STRAUCH
BOARD MEMBER1.0X000
RONNIE CROUCH
BOARD MEMBER1.0X000
MARILYN KNIGHT
BOARD MEMBER1.0X000
MICHAEL D BALDUS
EXECUTIVE DIRECTOR60.0X180546014076
FieldValueIRS element (for citing)
Total Reportable Comp From Org180546TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation14076TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (4 entries)

Description Of ServicesDescriptionOfServicesCompensationCompensation
AEGIS THERAPIES
THERAPIES PT.OT.ST664386
ANTHEM
HEALTH INSURANCE204204
MANAGED CARE ALLIANCE
MGMT COMPANY200011
BKD LLP
BILLING/CONSULTING128060
FieldValueIRS element (for citing)
Number Of Contractors GT100 K4NumberOfContractorsGT100K
All Other Contributions255922AllOtherContributions
Total Contributions255922TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmount
ROOM & BOARD62300046310864631086
ANCILLIARY SERVICES623000548270548270
MEALS6230006054$6,054
OTHER62300091149114
FieldValueIRS element (for citing)
Total Program Service Revenue5194524TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column4756TotalRevenueColumn
Exclusion$4,756ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real18738Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real32025Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real-13287Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column-13287TotalRevenueColumn
Unrelated Business Revenue-13287UnrelatedBusinessRevenue

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other6177Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other17286Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-11109Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-11109TotalRevenueColumn
Exclusion-$11,109ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column5430806TotalRevenueColumn
Related Or Exempt Function Income5188470RelatedOrExemptFunctionIncome
Unrelated Business Revenue-13287UnrelatedBusinessRevenue
Exclusion-$299ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total194622Total
Management And General194622ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total1839608Total
Program Services1688800ProgramServices
Management And General150808ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total21996Total
Program Services18448ProgramServices
Management And General3548ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total148455Total
Program Services136316ProgramServices
Management And General12139ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total163012Total
Program Services136719ProgramServices
Management And General26293ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total200011Total
Management And General200011ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total560Total
Management And General560ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total20281Total
Management And General20281ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total982045Total
Program Services805339ProgramServices
Management And General176706ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total3743Total
Program Services732ProgramServices
Management And General3011ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total397019Total
Program Services325664ProgramServices
Management And General71355ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total9100Total
Management And General9100ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total121663Total
Program Services90374ProgramServices
Management And General31289ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total18292Total
Program Services11325ProgramServices
Management And General6967ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total1158Total
Program Services645ProgramServices
Management And General513ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total51Total
Program Services38ProgramServices
Management And General13ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total192578Total
Program Services143052ProgramServices
Management And General49526ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total18122Total
Management And General18122ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
NFRA FEES217514217514
MEDICAL SUPPLIES & DRUGS113268113268
NFAC FEES1495714957
LICENSES, DUES, SUBSCRIPTIONS61146114

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total2922Total
Management And General2922ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total4687091Total
Program Services3703191ProgramServices
Management And General983900ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1064716BOY
EOY540244EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1162581BOY
EOY2536968EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY746766BOY
EOY726021EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY15160BOY
EOY16127EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY9537BOY
EOY9537EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis4985197LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1930746LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY3175532BOY
EOY3054451EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY6174292BOY
EOY6883348EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY301955BOY
EOY270306EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY5895BOY
EOY4259EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY7758BOY
EOY6384EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY315608BOY
EOY280949EOY
FieldValueIRS element (for citing)
Do Not Follow SFAS117XDoNotFollowSFAS117

Cap Stck Trst Prin Current Funds CapStckTrstPrinCurrentFunds

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Paid In Cap Srpls Land Bldg Eqp Fund PaidInCapSrplsLandBldgEqpFund

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc

FieldValueIRS element (for citing)
BOY5858684BOY
EOY6602399EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY5858684BOY
EOY6602399EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY6174292BOY
EOY6883348EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses743715ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedfalseFSAudited
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years21020CurrentTaxYearMinus4Years
Current Tax Year Minus2 Years14576CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8111CurrentTaxYearMinus1Year
Current Tax Year255922CurrentTaxYear
Total299629Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years4537969CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4825653CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5076289CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4797942CurrentTaxYearMinus1Year
Current Tax Year5194524CurrentTaxYear
Total24432377Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years4558989CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4825653CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5090865CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4806053CurrentTaxYearMinus1Year
Current Tax Year5450446CurrentTaxYear
Total24732006Total
FieldValueIRS element (for citing)
Public Support Total50924732006PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years38514CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years13488CurrentTaxYearMinus3Years
Current Tax Year Minus1 Year208CurrentTaxYearMinus1Year
Current Tax Year4756CurrentTaxYear
Total56966Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years38514CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years13488CurrentTaxYearMinus3Years
Current Tax Year Minus1 Year208CurrentTaxYearMinus1Year
Current Tax Year4756CurrentTaxYear
Total56966Total

Net Income From Other UBI NetIncomeFromOtherUBI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years18100CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3475CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years6684CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6191CurrentTaxYearMinus1Year
Current Tax Year-13287CurrentTaxYear
Total21163Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years4615603CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4842616CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5097549CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4812452CurrentTaxYearMinus1Year
Current Tax Year5441915CurrentTaxYear
Total24810135Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99685PublicSupportPercentage509
Prior Year Support Percentage0.99522PriorYearSupportPercentage
Investment Income Percentage0.00230InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00259PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$962OtherActivitiesAmount
Total Lobbying Expenditures IIB962TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierLOBBYING ACTIVITIESIdentifier
Return ReferenceSCHEDULE C, PART II, LINE 1IReturnReference
ExplanationTHE ORGANIZATION PAYS DUES TO MISSOURI HEALTH CARE ASSOCIATION. $962 OF THESE DUES ARE ATTRIBUTABLE TO LOBBYING ACTIVITIES.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
Agent Trustee EtcfalseAgentTrusteeEtc
Included On FStrueIncludedOnFS
Current Year Minus3 YearsCurrentYearMinus3Years

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis68278OtherCostOrOtherBasis
Book Value68278BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis4168831OtherCostOrOtherBasis
Depreciation1483822Depreciation
Book Value2685009BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis0OtherCostOrOtherBasis
Depreciation0Depreciation
Book Value0BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis714108OtherCostOrOtherBasis
Depreciation446924Depreciation
Book Value267184BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis33980OtherCostOrOtherBasis
Depreciation0Depreciation
Book Value33980BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings3054451TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDEPOSITSDescription
Amount$6,384Amount
FieldValueIRS element (for citing)
Total Of Amounts6384TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierESCROW ACCOUNTIdentifier
Return ReferenceSCHEDULE D, PART IV, LINE 2BReturnReference
ExplanationTHE 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.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII

FieldValueIRS element (for citing)
Name PersonMICHAEL D BALDUSNamePerson
Base Compensation Filing Org180546BaseCompensationFilingOrg
Comp Based On Related Orgs0CompBasedOnRelatedOrgs
Bonus Filing Org0BonusFilingOrg
Bonus Related Orgs0BonusRelatedOrgs
Other Compensation Filing Org0OtherCompensationFilingOrg
Other Compensation Related Orgs0OtherCompensationRelatedOrgs
Deferred Comp Filing Org0DeferredCompFilingOrg
Deferred Comp Related Orgs0DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org14076NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs0NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org194622TotalCompensationFilingOrg
Total Compensation Related Orgs0TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org0CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ORGANIZATION'S MISSIONFORM 990, PART III, LINE 1THE 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 DUTIESFORM 990, PART VI, SECTION A, LINE 3THE 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.
MEMBERSFORM 990, PART VI, SECTION A, LINE 6 & 7ATHE ORGANIZATION HAS MEMBERS WHO MEET ANNUALLY FOR THE PURPOSE OF ELECTING DIRECTORS.
FORM 990 REVIEW PROCESSFORM 990, PART VI, SECTION B, LINE 11BTHE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. THE EXECUTIVE DIRECTOR THOROUGHLY REVIEWS THE 990. AFTER THIS REVIEW, THE FORM 990 IS PRESENTED TO THE BOARD WHO IS GIVEN THE OPPORTUNITY TO MAKE COMMENTS AND ASK QUESTIONS BEFORE THE RETURN IS FILED.
CONFLICT OF INTEREST POLICY COMPLIANCEFORM 990, PART VI, SECTION B, LINE 12CBIDS 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 OFFICERSFORM 990, PART VI, SECTION B, LINE 15ACOMPARABILITY 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 CALENDAR YEAR ENDING 12/31/2011. 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 DOCUMENTSFORM 990, PART VI, SECTION C, LINE 19A 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.

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1BRIDLE LANE LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 885AddressLine1
CityMONETTCity
StateMOState
ZIP Code65708ZIPCode
FieldValueIRS element (for citing)
EIN203157670EIN
Primary ActivitiesSTORAGE RENTPrimaryActivities
Legal Domicile StateMOLegalDomicileState
Total Income18739TotalIncome
EOY Assets315917EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1