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MIDWEST CARE CENTER II INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
MIDWEST CARE CENTER II INC (EIN 43-1710786)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-11-15
IRS object ID
201103199349308690
Schema version
2010v3.4
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)
Timestamp2011-11-15T16:31:44-06:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1MARKSNELSON VOHLAND CAMPBELL RADETIC LLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11310 E 104TH ST SUITE 300AddressLine1
CityKANSAS CITYCity
StateMOState
ZIP Code64131ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN431710786EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1MIDWEST CARE CENTER II INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlMIDWNameControl
Phone8169413977Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1225 WEST 124TH STREETAddressLine1
CityKANSAS CITYCity
StateMOState
ZIP Code641451183ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameW TERRENCE BROWNName
TitleDIRECTORTitle
Phone8169413977Phone
Date Signed2011-11-09DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameLINDA A CAMPBELLName
Phone8167437700Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1FAIR OAKS REHABILITATION & HEALTHBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonW TERRENCE BROWNNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1225 WEST 124TH STREETAddressLine1
CityKANSAS CITYCity
StateMOState
ZIP Code64145ZIPCode
FieldValueIRS element (for citing)
Gross Receipts5664315GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1995YearFormation
State Legal DomicileMOStateLegalDomicile
Activity Or Mission DescriptionOPERATION OF A SKILLED NURSING CENTERActivityOrMissionDescription
Termination Or ContractionXTerminationOrContraction
Nbr Voting Members Governing Body5NbrVotingMembersGoverningBody
Nbr Independent Voting Members5NbrIndependentVotingMembers
Total Nbr Employees132TotalNbrEmployees
Total Nbr Volunteers10TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year93083ContributionsGrantsCurrentYear
Program Service Revenue Prior Year4573937ProgramServiceRevenuePriorYear
Program Service Revenue CY2329022ProgramServiceRevenueCY
Investment Income Prior Year8089InvestmentIncomePriorYear
Investment Income Current Year699918InvestmentIncomeCurrentYear
Other Revenue Prior Year1319OtherRevenuePriorYear
Other Revenue Current Year11061OtherRevenueCurrentYear
Total Revenue Prior Year4583345TotalRevenuePriorYear
Total Revenue Current Year3133084TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY297087GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year2378744SalariesEtcPriorYear
Salaries Etc Current Year1226437SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year2143685OtherExpensePriorYear
Other Expenses Current Year1165880OtherExpensesCurrentYear
Total Expenses Prior Year4522429TotalExpensesPriorYear
Total Expenses Current Year2689404TotalExpensesCurrentYear
Revenues Less Expenses Prior Year60916RevenuesLessExpensesPriorYear
Revenues Less Expenses CY443680RevenuesLessExpensesCY
Total Assets BOY3081901TotalAssetsBOY
Total Assets EOY2617343TotalAssetsEOY
Total Liabilities BOY2951991TotalLiabilitiesBOY
Total Liabilities EOY2043753TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY129910NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY573590NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO PROVIDE QUALITY PROFESSIONAL HEALTH AND REHABILITATION SERVICESMissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change1SignificantChange
Expense2608493Expense
Revenue2340083Revenue
DescriptionMIDWEST CARE CENTERS II, INC. DBA FAIR OAKS REHABILITATION AND HEALTHCARE CENTER, IS A SKILLED NURSING FACILITY WHICH HAS 78 LICENSED BEDS WHICH ARE BOTH MEDICARE AND MEDICAID CERTIFIED. FAIR OAKS STRIVES TO PROVIDE RESIDENTS WITH AN ENVIRONMENT THAT FEELS LIKE HOME IN COMBINATION WITH EXCELLENT PHYSICAL, EMOTIONAL AND SPIRITUAL WELL-BEING. FAIR OAKS CONTINUES TO PROVIDE A CONTINUUM OF CARE THROUGH ITS INPATIENT SKILLED THERAPY SERVICES AND ITS OUTPATIENT PROGRAM. THE FACILITY HAS BECOME A TRAINING SITE FOR NURSING STUDENTS OF THE LOCAL COLLEGE AND HOPES TO ENRICH THE EXPERIENCE OF THE STUDENT BY DEMONSTRATING QUALITY CARE IN A SKILLED NURSING FACILITY.Description
Total Program Service Expense2608493TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip0ReportLandBldgEquip
Report Invest Oth Securities1ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required0ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation1PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109610NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees132NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Form8899 Filed0Form8899Filed
Form1098 C Filed0Form1098CFiled
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members5NbrVotingGoverningBodyMembers
Number Independent Voting Members5NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties1DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO0CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledILStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledMOStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonW TERRENCE BROWNNamePerson
Telephone Number8169413977TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1225 W 124TH STAddressLine1
CityKANSAS CITYCity
StateMOState
ZIP Code641451183ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (6 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
EDWARD T WEAVER
PRESIDENT/DIRECTOR1.00XX0145000
W TERRENCE BROWN
TREASURER/DIRECTOR1.00XX0289690
MICHAEL A MICHAUD
SECRETARY/DIRECTOR1.00XX0145000
MERLE SPRINGER
DIRECTOR1.00X0145000
MARK BRYANT
DIRECTOR1.00X0132500
SHEILA STOREY
ADMINISTRATOR40.00X3544500
FieldValueIRS element (for citing)
Total Reportable Comp From Org35445TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs85719TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
ILLINOIS HEALTHCARE MANAGEMENT II LLC
7611 STATE LINEKANSAS CITYMO64114MANAGEMENT SERVICES140206
AEGIS THERAPIES INC
PO BOX 8103FORT SMITHAR72902THERAPY SERVICES126823
ONR INC
1101 S CAPITAL OF TX HWYAUSTINTX78746THERAPY SERVICES101573
FieldValueIRS element (for citing)
Number Of Contractors GT100 K3NumberOfContractorsGT100K
All Other Contributions93083AllOtherContributions
Total Contributions93083TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionNEW PATIENT SERVICE REDescription
Business Code623990BusinessCode
Total Revenue Column2329022TotalRevenueColumn
Related Or Exempt Function Income2329022RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue2329022TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column3688TotalRevenueColumn
Exclusion$3,688ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other3227461Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other2531231Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other696230Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column696230TotalRevenueColumn
Exclusion$696,230ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMISCELLANEOUS INCOMEDescription
Business Code900099BusinessCode
Total Revenue Column11061TotalRevenueColumn
Related Or Exempt Function Income11061RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue11061TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column3133084TotalRevenueColumn
Related Or Exempt Function Income2340083RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$699,918ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total297087Total
Program Services297087ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total35445Total
Program Services35445ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total981059Total
Program Services981059ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total75015Total
Program Services75015ProgramServices

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total134918Total
Program Services134918ProgramServices

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total140206Total
Program Services140206ProgramServices

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total38960Total
Management And General38960ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total36667Total
Management And General36667ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total327671Total
Program Services327671ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total13815Total
Program Services13815ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total43841Total
Program Services43841ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total5284Total
Management And General5284ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total8235Total
Program Services8235ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total75921Total
Program Services75921ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total49233Total
Program Services49233ProgramServices

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
SUPPLIES224433224433
UTILITIES6676466764
BAD DEBT6370663706
MISCELLANEOUS3116431164
MAINTENANCE2326923269

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total16711Total
Program Services16711ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total2689404Total
Program Services2608493ProgramServices
Management And General80911ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
EOY476308EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY197855BOY
EOY1470865EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY703665BOY
EOY204148EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY12182BOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY40029BOY
EOY34636EOY

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY2122215BOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
EOY431386EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY5955BOY
EOY0EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY3081901BOY
EOY2617343EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY459935BOY
EOY234945EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY2492056BOY
EOY1808808EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY2951991BOY
EOY2043753EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY129910BOY
EOY573590EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY129910BOY
EOY573590EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY3081901BOY
EOY2617343EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses443680ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year93083CurrentTaxYear
Total93083Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3805399CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4095809CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4487825CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4573937CurrentTaxYearMinus1Year
Current Tax Year2329022CurrentTaxYear
Total19291992Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3805399CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4095809CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4487825CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4573937CurrentTaxYearMinus1Year
Current Tax Year2422105CurrentTaxYear
Total19385075Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year161468CurrentTaxYearMinus1Year
Current Tax Year4920CurrentTaxYear
Total166388Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year161468CurrentTaxYearMinus1Year
Current Tax Year4920CurrentTaxYear
Total166388Total
FieldValueIRS element (for citing)
Public Support Total50919218687PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years72CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3120CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3978CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8089CurrentTaxYearMinus1Year
Current Tax Year699918CurrentTaxYear
Total715177Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years72CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3120CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3978CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8089CurrentTaxYearMinus1Year
Current Tax Year699918CurrentTaxYear
Total715177Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2314CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1419CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1715CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1319CurrentTaxYearMinus1Year
Current Tax Year11061CurrentTaxYear
Total17828Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3807785CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4100348CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4493518CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4583345CurrentTaxYearMinus1Year
Current Tax Year3133084CurrentTaxYear
Total20118080Total
FieldValueIRS element (for citing)
Public Support Percentage5090.95530PublicSupportPercentage509
Prior Year Support Percentage0.99100PriorYearSupportPercentage
Investment Income Percentage0.03550InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00080PriorYrInvestIncomePercentage
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 D IRS990ScheduleD

FieldValueIRS element (for citing)
Total Of Book Value Land Buildings0TotalOfBookValueLandBuildings

Other Securities OtherSecurities

FieldValueIRS element (for citing)
DescriptionCD - NONCURRENTDescription
Book Value431386BookValue
Method Of ValuationCMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities431386TotalOfBookValueSecurities

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDUE TO AFFILIATESDescription
Amount$1,808,808Amount
FieldValueIRS element (for citing)
Total Of Amounts1808808TotalOfAmounts
Total Revenue3133084TotalRevenue
Total Expenses2689404TotalExpenses
Excess Or Deficit For Year443680ExcessOrDeficitForYear
Total Adjustments0TotalAdjustments
Excess Or Deficit Per FS443680ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt18504085TotRevenueEtcAuditedFinclStmt
Other Revenues15371001OtherRevenues
Revenue Not Rptd F99015371001RevenueNotRptdF990
Revenue Subtotal3133084RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form9903133084TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt12652205TotExpensesEtcAuditedFinclStmt
Other Expenses Included9962801OtherExpensesIncluded
Expenses Not Rptd F9909962801ExpensesNotRptdF990
Expenses Subtotal2689404ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form9902689404TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifierExplanationExplanation
PART XII, LINE 2D - OTHER ADJUSTMENTS:REVENUE FROM RELATED ORGANIZATIONS
PART XIII, LINE 2D - OTHER ADJUSTMENTS:EXPENSES FROM RELATED ORGANIZATIONS
SCHEDULE D, PART X, LINE 2: MIDWEST CARE CENTER II, INC. HAS BEEN RECOGNIZED AS EXEMPT FROM INCOME TAXES UNDER SECTION 501 OF THE INTERNAL REVENUE CODE AND A SIMILAR PROVISION OF STATE LAW. HOWEVER, MIDWEST CARE CENTER II, INC. IS SUBJECT TO FEDERAL INCOME TAX ON ANY UNRELATED BUSINESS TAXABLE INCOME. MIDWEST CARE CENTER II, INC. FILES TAX RETURNS IN THE U.S. FEDERAL JURISDICTION. MIDWEST CARE CENTER II, INC. IS NO LONGER SUBJECT TO U.S. FEDERAL EXAMINATIONS BY TAX AUTHORITIES FOR YEARS BEFORE 2007.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained0RecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1MAC HEALTHCARE CORPORATIONBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1225 WEST 124TH STREETAddressLine1
CityKANSAS CITYCity
StateMOState
ZIP Code641451183ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient431818627EINOfRecipient
IRC Section501(C)(3)IRCSection
Amount Of Cash Grant297087AmountOfCashGrant
Method Of ValuationFMVMethodOfValuation
Purpose Of GrantTO ASSIST IN ITS MISSION TO PROVIDE QUALITY AFFORDABLE SENIOR LIVINGPurposeOfGrant
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations1TotalNbrOfOtherOrganizations

Schedule N IRS990ScheduleN

Disposition Table DispositionTable

FieldValueIRS element (for citing)
Description Of AssetSOLD PROPERTY USED FOR NURSING CENTERDescriptionOfAsset
Date Of Distribution2010-06-24DateOfDistribution
FMV Of Asset3227461FMVOfAsset
Method Of FMV DeterminationSALE PRICEMethodOfFMVDetermination
EIN272514439EIN

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1TI-SOUTH BELOIT LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line17611 STATE LINE ROAD SUITE 30AddressLine1
CityKANSAS CITYCity
StateMOState
ZIP Code64114ZIPCode
FieldValueIRS element (for citing)
IRC SectionLIMITED LIABILITY CORPORATIONIRCSection
FieldValueIRS element (for citing)
Director Of Successor20DirectorOfSuccessor2
Employee Of Successor20EmployeeOfSuccessor2
Owner Of Successor20OwnerOfSuccessor2
Receive Compensation20ReceiveCompensation2

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
CHANGES IN PROGRAM SERVICESFORM 990, PART III, LINE 3FAIR OAKS MADE A SIGNIFICANT CHANGE IN THE WAY THEY CONDUCTED BUSINESS IN 2010. THEY SOLD THE PROPERTY THAT WAS USED FOR PROVIDING SERVICES TO FULFILL THEIR CHARITABLE MISSION. CURRENTLY, THEY ARE IN THE PROCESS OF LOOKING FOR A REPLACEMENT.
FORM 990, PART VI, SECTION A, LINE 3THE ORGANIZATION ENTERED INTO A MANAGEMENT AGREEMENT FOR THE OPERATION AND MANAGEMENT OF THE NURSING HOME FACILITIES. THE MANAGEMENT AGREEMENTS GIVE DAILY OPERATING AUTHORITY TO THE MANAGEMENT COMPANY, HOWEVER, ALWAYS SUBJECT TO THE UTLIMATE AUTHORITY OF THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 6THE MEMBERS OF THE CORPORATION SHALL CONSIST OF THE INDIVIDUALS WHO ARE IN GOOD STANDING AND ARE SERVING ON THE BOARD OF DIRECTORS. THE SOLE DUTY OF THE MEMBERS SHALL BE TO VOTE ON THE BOARD OF DIRECTORS CANDIDATES.
FORM 990, PART VI, SECTION A, LINE 7AA MAJORITY OF THE MEMBERS SHALL CONSTITUTE A QUORUM FOR THE TRANSACTION OF BUSINESS AT ANY MEETINGS OF THE MEMBERS; PROVIDED, HOWEVER, THAT IF LESS THAN A MAJORITY OF THE MEMBERS ARE PRESENT AT SAID MEETING, A MAJORITY OF THE MEMBERS PRESENT MAY ADJOURN THE MEETING FROM TIME TO TIME WITHOUT FURTHER NOTICE. EACH MEMBER PRESENT SHALL BE ENTITLED TO ONE VOTE UPON EACH MATTER SUBMITTED TO A VOTE AT ANY SUCH MEETING. MEMBERS MAY BE REMOVED, FOR CAUSE, UPON THE AFFIRMATIVE VOTE OF A MAJORITY OF THE REMAINING MEMBERS. IN THE EVENT OF THE REMOVAL OF A MEMBER, THE REMAINING MEMBERS MAY FILL SUCH VACANCY OR VACANCIES UPON THE AFFIRMATIVE VOTE OF A MAJORITY OF THE REMAINING MEMBERS.
FORM 990, PART VI, SECTION A, LINE 7BTHE ACT OF THE MAJORITY OF THE MEMBERS PRESENT AT A MEETING OF THE MEMBERS AT WHICH A QUORUM IS PRESENT SHALL BE THE ACT OF THE MEMBERS.
FORM 990, PART VI, SECTION B, LINE 11THE BOARD OF DIRECTORS OF THE ORGANIZATION DETERMINED THAT A COPY OF THE FORM 990 WOULD BE PROVIDED TO A COMMITTEE OF THE BOARD SO THAT THE COMMITTEE COULD REVIEW THE 990 IN DETAIL AND THEN ADVISE THE ENTIRE BOARD REGARDING ANY ISSUES THAT NEED TO BE DETERMINED BY, OR DISCLOSED TO, THE ENTIRE BOARD OF DIRECTORS. IN ADDITION, THE ENTIRE FORM 990 WAS PROVIDED TO EACH MEMBER OF THE BOARD OF DIRECTORS SUFFICIENTLY PRIOR TO FILING THE FORM SO THAT ANY COMMENTS COULD BE PROVIDED TO THE ORGANIZATION IN TIME TO PERMIT ANY NECESSARY REVISIONS.
FORM 990, PART VI, SECTION B, LINE 12CTHE ORGANIZATION HAS A CONFLICT OF INTEREST POLICY THAT REQUIRES ANNUAL EXECUTION OF A CERTIFICATION WITH RESPECT TO CONFLICTS AND ROUTINE DISCLOSURE IF THERE IS A CONFLICT IN CONNECTION WITH A MATTER THAT COMES BEFORE THE BOARD. THE BOARD MONITORS AND ENFORCES COMPLIANCE WITH THIS POLICY BY REQUIRING THE ANNUAL CERTIFICATION AND BY REMINDING BOARD MEMBERS OF THEIR OBLIGATIONS WITH RESPECT TO CONFLICTS ON AN ONGOING BASIS. IF A BOARD MEMBER HAS A CONFLICT OF INTEREST, THEN THEY DO NOT VOTE ON THE MATTER AT HAND.
FORM 990, PART VI, SECTION C, LINE 19THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST.
AVERAGE HOURS WORKED FOR RELATED ORGANIZATIONSFORM 990, PART VII, SECTION A, LINE 1AEDWARD T. WEAVER 3 W TERRENCE BROWN 3 MICHAEL A MICHAUD 3 MERLE SPRINGER 3 MARK BRYANT 3

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrg
MIDAMERICA CARE FOUNDATION INC
225 W 124TH STKANSAS CITYMO641451183510271905NURSINGMO501(C)(3)LINE 9N/A0
MIDWEST CARE CENTER INC
225 W 124TH STKANSAS CITYMO641451183431629475NURSINGMO501(C)(3)LINE 9N/A0
MIDWEST CARE CENTER VIII INC
225 W 124TH STKANSAS CITYMO641451183431821818NURSINGMO501(C)(3)LINE 9N/A0
MIDWEST CARE CENTER IX INC
225 W 124TH STKANSAS CITYMO641451183431710786NURSINGMO501(C)(3)LINE 9N/A0
MAC HEALTHCARE INCORPORATED
225 W 124TH STKANSAS CITYMO641451183431818627PRIVATE FOUNDATIONMO501(C)(3)PFN/A0
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org1LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg