2011-07-11T16:46:25-05:00 2010-12-31 BKD LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2010-01-01 430834159 KABUL NURSING HOME INC KABU 4179623713 1000 MAIN STREET CABOOL MO 65689 TOM COATS 4179623713 2011-07-05 true Brian D Todd 4178658701 2010 2016-02-24 21:20:13Z DEBRA DOTSON 1000 MAIN STREET CABOOL MO 65689 5186381 false X kabulnh.com X 1966 MO TO PLAN, BUILD & OPERATE A NURSING CONVALESCENT HOME IN THE CABOOL, MO AREA; TO CARE FOR THE AGED, INFIRM, AFFLICTED & CONVALESCENT, REGARD- LESS OF RACE, COLOR, CREED, SEX, RELIGION, OR ABILITY TO PAY. 7 7 195 8 0 0 0 0 4134058 5163307 7126 13074 519372 0 4660556 5176381 0 0 0 0 3085145 3080827 0 0 0 1724543 1864779 4809688 4945606 -149132 230775 3951190 3698878 1987728 1504641 1963462 2194237 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 3188725 3769793 KABUL NURSING HOME - A FULL SERVICE SKILLED NURSING HOME FOR SHORT & LONG TERM STAYS. KABUL OFFERS A RANGE OF SERVICES INCLUDING: PHYSICAL, SPEECH, & OCCUPATIONAL THERAPY, IN-HOUSE BEAUTY SHOP, SOCIAL SERVICES, PHYSICIAN VISITS, PHARMACY SERVICES & A DIETICIAN, AS WELL AS, NUMEROUS OTHER ITEMS TO HELP MAKE PATIENTS STAY MORE ENJOYABLE. APPROXIMATELY 64 RESIDENTS WERE SERVED DURING THE YEAR. 622910 719569 LANDMARK VILLA - A 24-HOUR STAFFED ASSISTED LIVING FACILITY. LANDMARK VILLA OFFERS PRIVATE ROOMS, MEDICATION ADMINISTRATION, FREE LAUNDRY & HOUSEKEEPING SERVICES, THREE BALANCED MEALS A DAY, IN-HOUSE BEAUTY SHOP, DAILY & EXTRACURRICULAR ACTIVITIES, ON-SITE NURSE, EMERGENCY PULL CORDS IN EACH APARTMENT, AND CHURCH SERVICES. APPROXIMATELY 37 RESIDENTS WERE SERVED DURING THE YEAR. 368197 673945 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 66 RESIDENTS WERE SERVED DURING THE YEAR. 4179832 true false false true 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 false true true true false false true 6 0 true 195 true 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 X DEBRA DOTSON 4179623713 1000 MAIN ST CABOOL MO 65689 TOM COATS 1.0 X X 0 0 0 BETTY PERRY 1.0 X X 0 0 0 GARY MAGGARD 1.0 X X 0 0 0 ROBERTA TAYLOR 1.0 X 0 0 0 EVELYN WHETSTINE 1.0 X 0 0 0 GARRY BRANDT 1.0 X X 0 0 0 SUZANNE CLARK 1.0 X 0 0 0 DEBRA DOTSON 40.0 X 60320 0 0 60320 0 0 0 false false false SPRINGFIELD GROCER CO INC FOOD/JANITOR SERVICE 100248 BKD LLP 910 E ST LOUIS ST SPFD MO 658011190 AUDIT & BILLING 203838 2 0 PATIENT SERVICE 623000 4547423 4547423 OTHER OPERATING 623000 89938 89938 RENTAL INCOME 531110 525946 525946 5163307 5074 5074 0 0 18000 10000 8000 8000 8000 0 0 0 0 5176381 5163307 13074 0 0 0 0 60320 60320 0 2725605 2479378 246227 0 70682 63769 6913 224220 200864 23356 0 2458 2458 107178 107178 0 0 0 150900 145333 5567 8032 8032 202640 113930 88710 23131 23131 0 262153 205302 56851 13685 3419 10266 0 6549 1795 4754 80521 64541 15980 0 189461 154606 34855 41459 1744 39715 BAD DEBT 18538 18538 LICENSES, DUES & SUBSCRIPTIONS 25027 25027 NRFA & NFAC FEES 247453 247453 MEDICAL SUPPLIES & DRUGS 453784 453784 REPAIRS & MAINTENANCE 26498 21351 5147 5312 4025 1287 4945606 4179832 765774 0 569327 409176 326611 360107 23926 27516 39951 38372 8786595 5938225 2981375 2848370 10000 15337 3951190 3698878 255596 292438 1700696 1195952 31436 16251 1987728 1504641 X 1953462 2184237 10000 10000 1963462 2194237 3951190 3698878 230775 X true false true X false X 70 550 3650 0 0 4270 5169019 5021100 5118357 4653430 5163307 25125213 5169089 5021650 5122007 4653430 5163307 25129483 25129483 34415 30254 13696 7126 5074 90565 34415 30254 13696 7126 5074 90565 5203504 5051904 5135703 4660556 5168381 25220048 0.99641 0.99571 0.00359 0.00429 X false false false false false false false false true 1404 1404 false false OTHER LOBBYING ACTIVITIES PART II-B, LINE 1(I) THE ORGANIZATION PAYS DUES TO AHCA AND MHCA. A PORTION OF THESE DUES ARE USED FOR LOBBYING PURPOSES. 10000 277 277 10000 10000 413 413 10000 10000 641 641 10000 1.00000 false false 352840 352840 6204636 4237411 1967225 843678 544877 298801 631074 549305 81769 754367 606632 147735 2848370 0 TENANT SECURITY DEPOSITS 16251 16251 ENDOWMENT FUNDS SCHEDULE D, PART V, LINE 4 THIS ENDOWMENT IS A CD, MAINTAINED IN THE AMOUNT OF $10,000, AT THE REQUEST OF THE CONTRIBUTOR OF THE FUNDS. THE CD IS PERPETUAL AND THE INTEREST IS TRANSFERRED ANNUALLY TO AN UNRESTRICTED CASH ACCOUNT THAT IS DESIGNATED TO BE USED FOR THE BENEFIT OF KABUL NURSING HOME. UNCERTAIN TAX POSITION SCHEDULE D, PART X, LINE 2 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. VOLUNTEERS FORM 990, PART I, LINE 6 THE ORGANIZATION'S BOARD MEMBERS ARE VOLUNTEERS TO THE ORGANIZATION. IN ADDITION, THE ORGANIZATION HAS AN INDIVIDUAL WHO VOLUNTEERS AT THE NURSING HOME FACILITY. ORGANIZATION'S MISSION FORM 990, PART III, LINE 1 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. MEMBERS/STOCKHOLDERS FORM 990, PART VI, SECTION A, LINES 6, 7A & 7B 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 REVIEW PROCESS FORM 990, PART VI, SECTION B, LINE 11A 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. CONFLICT OF INTEREST FORM 990, PART VI, SECTION B, LINE 12C 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. ADMINISTRATOR COMPENSATION FORM 990, PART VI, SECTION B, LINE 15A THE BOARD OF DIRECTORS ANNUALLY REVIEWS THE COMPENSATION OF THE ADMINISTRATOR. THE REVIEW IS BASED ON PERFORMANCE AND IS DOCUMENTED IN THE BOARD MINUTES. DOCUMENT DISCLOSURE FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE FOR VIEWING AT THE FACILITY UPON REQUEST. THE ERNEST C & ANORA L LOCKWOOD TRUST PO BOX H CABOOL MO 65689 TRUST MO NA TRUST 277 10000 1.00000 true false false false false false false false false false false false false false false false false THE ERNEST C & ANORA L LOCKWOOD TRUST A 277