2021-08-26T10:31:29-05:00 2020-12-31 BKD LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2020-01-01 430863738 LACOBA HOMES INC % MICHAEL D BALDUS LACO 4172357895 PO BOX 885 MONETT MO 65708 MICHAEL D BALDUS EXECUTIVE DIRECTOR 4172357895 2021-05-11 true MICHAEL D BALDUS 999009999 Brian D Todd P00422601 4178658701 2021-07-15 2 2020 2022-09-23 18:48:47Z MICHAEL D BALDUS PO BOX 885 MONETT MO 65708 5191657 false X N/A X 1966 MO LACOBA HOMES, INC., IS A 72 BED,28 CHURCHES AFFILIATED, NOT-FOR-PROFIT SKILLED NURSING FACILITY. 15 15 169 15 -1293 0 3712 4206 5268207 4845677 15886 73553 -8504 236420 5279301 5159856 0 0 0 0 2404651 2541855 0 0 0 2463351 2306742 4868002 4848597 411299 311259 8725564 9712483 239772 943799 8485792 8768684 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 3560459 4519986 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 AND LANGUAGE PATHOLOGY, AND X-RAY SERVICES. 256552 325691 THE VILLAS AT LACOBA HOMES - THE VILLAS OFFER INDEPENDENT LIVING IN UPSCALE ONE OR TWO BEDROOM APARTMENTS. THE APARTMENTS PROVIDE AN ENVIRONMENT WHERE A RESIDENT CAN MAKE HIS OR HER OWN CHOICES AND TAKE ADVANTAGE OF A VARIETY OF ACTIVITIES AND AMENITIES. THE PRIVATE RESIDENCES AT THE VILLAS INCLUDE WASHERS AND DRYERS IN EVERY APARTMENT, FULL BATH WITH SAFETY FEATURES, PATIOS IN EVERY APARTMENT, ATTACHED GARAGE AVAILABLE AND 24 HOUR EMERGENCY CALL SERVICE. ADDITIONAL AMENITIES INCLUDE BEAUTY PARLOR AND BARBER SHOP, BUILDING AND LAWN MAINTENANCE INCLUDED, CHURCH SERVICES, SOCIAL PROGRAMS AND SCHEDULED TRANSPORTATION. 3817011 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 169 true true true false false false false false false false false false false false X 15 15 false false 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 X MICHAEL BALDUS EXECUTIVE DIRECTOR 40.0 0.0 X 187222 0 0 JOHN D HOLT ADMINISTRATOR 40.0 0.0 X 118539 0 0 LARRY BROWN PRESIDENT 1.0 0.0 X X 0 0 0 TIM RICE VICE PRESIDENT 1.0 0.0 X X 0 0 0 JOEL JUSTUS SECRETARY 1.0 0.0 X X 0 0 0 PAUL WIESE TREASURER 0.2 0.0 X 0 0 0 JOE BEAVER MEMBER 0.2 0.0 X 0 0 0 MARK PHILLIPS MEMBER 0.2 0.0 X 0 0 0 TERRY LASALLE MEMBER 0.2 0.0 X 0 0 0 LOREN GILLASPY MEMBER 0.2 0.0 X 0 0 0 SHIRLEY ANDRUS MEMBER 0.2 0.0 X 0 0 0 RONNIE CROUCH MEMBER 0.2 0.0 X 0 0 0 DEBI HERNDON MEMBER 0.2 0.0 X 0 0 0 KEN HAWKINS MEMBER 0.2 0.0 X 0 0 0 305761 0 0 2 false true false AEGIS THERAPIES PO BOX 1190 SPRINGFIELD MO 658011190 THERAPY 511062 HEALTHCARE SERVICES GROUP 2103 E ROCKHURST SPRINGFIELD MO 65802 HOUSEKEEPING 246441 BKD LLP PO BOX 40 OLATHE KS 66051 COST RPT/TAX/ACCTG 143230 GUARDIAN PHARMACY OF MISSOURI 2103 E ROCKHURST SPRINGFIELD MO 65802 PHARMACY 142714 SYSCO FOOD SERVICES PO BOX 1190 SPRINGFIELD MO 658011190 FOOD SERVICES 115594 5 4206 4206 ROOM & BOARD 623000 4139016 4139016 ANCILLARY SERVICES 623000 696399 696399 MEALS 621910 6109 6109 OTHER 623000 4153 4153 4845677 73553 73553 0 0 30508 31801 -1293 0 -1293 -1293 0 0 0 0 0 0 0 0 0 0 GAIN ON INVOLUNTARY CONVERSION 900099 237713 237713 237713 5159856 5077281 -1293 79662 0 0 0 0 187222 187222 0 1990613 1743912 246701 28999 23248 5751 171847 137770 34077 163174 130817 32357 0 9823 9823 64981 64981 0 0 0 920315 732910 187405 486 486 421141 329873 91268 32385 32385 0 149074 110564 38510 14069 9278 4791 0 0 0 0 243899 188324 55575 28559 28559 NFRA FEES 269568 269568 MEDICAL SUPPLIES & DRUGS 136306 136306 LICENSES, DUES, SUBSCRIPTIONS 11695 11695 NFAC FEES 4441 4441 4848597 3817011 1031586 0 920681 2102304 2782663 2943525 0 0 596393 429751 0 0 0 0 0 0 13440 19090 26077 9537 8195987 3987711 4386310 4208276 0 0 0 0 0 0 0 0 0 0 8725564 9712483 224174 932092 0 0 0 0 0 0 523 3707 0 0 0 0 0 0 15075 8000 239772 943799 X 0 0 0 0 8485792 8768684 8485792 8768684 8725564 9712483 311259 -28367 X false false false X 9636 7208 14881 3712 4206 39643 5331147 5183357 4865880 5268207 5242005 25890596 0 0 0 5340783 5190565 4880761 5271919 5246211 25930239 0 0 0 25930239 98 8900 15886 73553 98437 0 98 8900 15886 73553 98437 5242 4769 9382 -8504 -1293 9596 0 5346025 5195432 4899043 5279301 5318471 26038272 0.99585 0.99843 0.00378 0.00095 X false false false false false false false false true 1072 1072 false SCHEDULE C, PART II, LINE 1I LOBBYING ACTIVITIES: THE ORGANIZATION PAYS DUES TO MISSOURI HEALTH CARE ASSOCIATION. $1,072 OF THESE DUES ARE ATTRIBUTABLE TO LOBBYING ACTIVITIES. false true X 68278 68278 7133460 3173045 3960415 994249 814666 179583 4208276 0 VILLA DEPOSITS 8000 8000 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. false false false false false false false false false MICHAEL BALDUS EXECUTIVE DIRECTOR 187222 0 0 0 0 0 0 0 0 0 187222 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 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 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 FORM 990 PRIOR TO FILING THE RETURN WITH THE IRS. THE BOARD OF DIRECTORS IS ALSO PROVIDED WITH A FULL COPY OF THE FORM 990 BEFORE THE RETURN IS FILED WITH THE IRS. 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 12/31/2020. 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 DESCRIPTION:PURCHASED SERVICES TOTAL FEES:753676 FORM 990 PART IX LINE 11G DESCRIPTION:BILLLING SERVICES TOTAL FEES:86400 FORM 990 PART IX LINE 11G DESCRIPTION:CONSULTING TOTAL FEES:62146 FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACT LABOR TOTAL FEES:18093 BRIDLE LANE LLC PO BOX 885 MONETT MO 65708 203157670 STORAGE RENT MO 30508 23309 LACOBA HOMES