2017-07-26T09:14:07-05:00 2016-12-31 470742720 KOSKI PROFESSIONAL GROUP PC 10516 BURT CIR OMAHA NE 681142062 990 2016-01-01 480686394 THE NICOL HOME INC NICO 7855682251 303 EAST BUFFALO STREET GLASCO KS 67445 STEPHANIE MCALISTER PRESIDENT 7855682251 2017-07-24 true ADRIAN LAPE-BRINKMAN P01348828 4024454040 2017-07-26 70F9F5C34D8028D8D09363B100C0F34F3A542F17 0D0269667F68520787470D444A0806C1F5C9CA95 2016 2021-01-29 14:40:06Z STEPHANIE MCALISTER 303 EAST BUFFALO STREET GLASCO KS 67445 1928428 false X WWW.NICOLHOME.ORG X 1962 KS THE NICOL HOME IS A 32 BED SKILLED NURSING FACILITY PROVIDING LONG-TERM CARE TO THE ELDERLY. 7 7 72 15 0 1886 806 1884806 1921585 16 0 2773 6037 1889481 1928428 0 0 875363 928112 0 0 959043 975084 1834406 1903196 55075 25232 707612 741435 157271 160066 550341 581369 NONE. false false 1593656 1921585 LONG-TERM CARE SKILLED NURSING FACILITY 1593656 true false false false false false false false false false 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 false false false true 20 0 false 72 true false false false false false false X 7 7 false false false false false true false true false false false true true false false true true false false false X X KENDRA UNRUH 7855682251 303 EAST BUFFALO STREET GLASCO KS 67445 X STEPHANIE MCALISTER PRESIDENT 1.00 X X 0 0 0 MIKE DOVE VICE-PRESIDE 1.00 X X 0 0 0 DR HARWOOD TREASURER 1.00 X X 0 0 0 ANN MILLER SECRETARY 1.00 X X 0 0 0 JEAN DARNALL DIRECTOR 1.00 X 0 0 0 MARVIN HENNING DIRECTOR 1.00 X 0 0 0 JAN MCCLELLAN DIRECTOR 1.00 X 0 0 0 false false false 806 806 MEDICAID REVENUE 623000 766134 766134 PRIVATE REVENUE 623000 748143 748143 MEDICARE REVENUE 623000 407308 407308 1921585 MEALS INCOME 623000 3256 3256 MISCELLANEOUS INCOME 623000 2781 2781 6037 1928428 1921585 6037 851998 851998 76114 76114 103151 103151 15168 15168 60876 60876 133836 83067 50769 2549 1790 759 3613 3613 31736 31736 63164 63164 17790 17790 1270 1270 57180 57180 44255 22874 21381 CONTRACT SERVICES 146670 146670 SUPPLIES 107805 107805 FOOD & SUPPLEMENTS 67352 67352 REPAIRS AND MAINTENANCE 28442 28442 90227 68140 22087 1903196 1593656 309540 0 155219 23162 70269 70269 175416 276607 23220 31853 1197242 857698 283488 339544 707612 741435 87221 70733 55410 55410 14640 33923 157271 160066 X 19 19 550322 581350 550341 581369 707612 741435 25232 5796 X false false false X 126763 121329 269912 1889 806 520699 874650 842850 1346952 1884805 1921585 6870842 1001413 964179 1616864 1886694 1922391 7391541 7391541 1272 1155 455 16 2898 1272 1155 455 16 2898 2773 6037 8810 1002685 965334 1617319 1889483 1928428 7403249 0.99840 0.99880 0.00000 0.00000 X PART III, LINE 12 MEALS INCOME 5,953 MISCELLANEOUS INCOME 2,857 19831 19831 606839 459215 147624 570572 398483 172089 339544 LINE OF CREDIT 25000 RESIDENT REFUNDS 8923 33923 FORM 990, PAGE 6, PART VI, LINE 7A THE GENERAL BOARD OF DIRECTORS CONSISTS OF 15-20 VOLUNTEER MEMBERS. THE GENERAL BOARD ELECTS 7 OF ITS MEMBERS TO SERVE AS THE EXECUTIVE BOARD. FORM 990, PAGE 6, PART VI, LINE 8B NO COMMITTEES WITH SUCH AUTHORITY EXIST. FORM 990, PAGE 6, PART VI, LINE 11B THE PRESIDENT OF THE BOARD IS GIVEN THE 990 TO REVIEW AND SIGN BEFORE SUBMISSION TO THE IRS. IT IS AVAILABLE TO OTHER BOARD MEMBERS UPON REQUEST. FORM 990, PAGE 6, PART VI, LINE 19 DOCUMENTS ARE AVAILABLE AT THE FACILITY UPON REQUEST.