2011-11-15T16:31:44-06:00 2010-12-31 MARKSNELSON VOHLAND CAMPBELL RADETIC LLC 1310 E 104TH ST SUITE 300 KANSAS CITY MO 64131 990 2010-01-01 431710786 MIDWEST CARE CENTER II INC MIDW 8169413977 225 WEST 124TH STREET KANSAS CITY MO 641451183 W TERRENCE BROWN 8169413977 2011-11-09 1 LINDA A CAMPBELL 8167437700 2010 2016-02-24 21:20:13Z FAIR OAKS REHABILITATION & HEALTH W TERRENCE BROWN 225 WEST 124TH STREET KANSAS CITY MO 64145 5664315 0 X N/A X 1995 MO OPERATION OF A SKILLED NURSING CENTER X 5 5 132 10 0 0 0 93083 4573937 2329022 8089 699918 1319 11061 4583345 3133084 0 297087 0 0 2378744 1226437 0 0 0 2143685 1165880 4522429 2689404 60916 443680 3081901 2617343 2951991 2043753 129910 573590 X TO PROVIDE QUALITY PROFESSIONAL HEALTH AND REHABILITATION SERVICES 0 1 2608493 2340083 MIDWEST 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. 2608493 1 1 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 1 10 0 132 1 0 0 0 0 0 0 0 0 0 0 0 0 X 5 5 0 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 IL MO X W TERRENCE BROWN 8169413977 225 W 124TH ST KANSAS CITY MO 641451183 X EDWARD T WEAVER 1.00 X X 0 14500 0 W TERRENCE BROWN 1.00 X X 0 28969 0 MICHAEL A MICHAUD 1.00 X X 0 14500 0 MERLE SPRINGER 1.00 X 0 14500 0 MARK BRYANT 1.00 X 0 13250 0 SHEILA STOREY 40.00 X 35445 0 0 35445 85719 0 0 0 0 0 ILLINOIS HEALTHCARE MANAGEMENT II LLC 7611 STATE LINE KANSAS CITY MO 64114 MANAGEMENT SERVICES 140206 AEGIS THERAPIES INC PO BOX 8103 FORT SMITH AR 72902 THERAPY SERVICES 126823 ONR INC 1101 S CAPITAL OF TX HWY AUSTIN TX 78746 THERAPY SERVICES 101573 3 93083 93083 NEW PATIENT SERVICE RE 623990 2329022 2329022 2329022 3688 3688 3227461 2531231 696230 696230 696230 MISCELLANEOUS INCOME 900099 11061 11061 11061 3133084 2340083 0 699918 297087 297087 35445 35445 981059 981059 75015 75015 134918 134918 140206 140206 38960 38960 36667 36667 327671 327671 13815 13815 43841 43841 5284 5284 8235 8235 75921 75921 49233 49233 SUPPLIES 224433 224433 UTILITIES 66764 66764 BAD DEBT 63706 63706 MISCELLANEOUS 31164 31164 MAINTENANCE 23269 23269 16711 16711 2689404 2608493 80911 0 476308 197855 1470865 703665 204148 12182 40029 34636 2122215 431386 5955 0 3081901 2617343 459935 234945 2492056 1808808 2951991 2043753 X 129910 573590 129910 573590 3081901 2617343 443680 0 X 0 1 1 X 0 X 93083 93083 3805399 4095809 4487825 4573937 2329022 19291992 3805399 4095809 4487825 4573937 2422105 19385075 0 161468 4920 166388 161468 4920 166388 19218687 72 3120 3978 8089 699918 715177 72 3120 3978 8089 699918 715177 2314 1419 1715 1319 11061 17828 3807785 4100348 4493518 4583345 3133084 20118080 0.95530 0.99100 0.03550 0.00080 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 CD - NONCURRENT 431386 C 431386 DUE TO AFFILIATES 1808808 1808808 3133084 2689404 443680 0 443680 18504085 15371001 15371001 3133084 0 3133084 12652205 9962801 9962801 2689404 0 2689404 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. 0 MAC HEALTHCARE CORPORATION 225 WEST 124TH STREET KANSAS CITY MO 641451183 431818627 501(C)(3) 297087 FMV TO ASSIST IN ITS MISSION TO PROVIDE QUALITY AFFORDABLE SENIOR LIVING 1 1 SOLD PROPERTY USED FOR NURSING CENTER 2010-06-24 3227461 SALE PRICE 272514439 TI-SOUTH BELOIT LLC 7611 STATE LINE ROAD SUITE 30 KANSAS CITY MO 64114 LIMITED LIABILITY CORPORATION 0 0 0 0 CHANGES IN PROGRAM SERVICES FORM 990, PART III, LINE 3 FAIR 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 3 THE 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 6 THE 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 7A A 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 7B THE 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 11 THE 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 12C THE 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 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST. AVERAGE HOURS WORKED FOR RELATED ORGANIZATIONS FORM 990, PART VII, SECTION A, LINE 1A EDWARD T. WEAVER 3 W TERRENCE BROWN 3 MICHAEL A MICHAUD 3 MERLE SPRINGER 3 MARK BRYANT 3 MIDAMERICA CARE FOUNDATION INC 225 W 124TH ST KANSAS CITY MO 641451183 510271905 NURSING MO 501(C)(3) LINE 9 N/A 0 MIDWEST CARE CENTER INC 225 W 124TH ST KANSAS CITY MO 641451183 431629475 NURSING MO 501(C)(3) LINE 9 N/A 0 MIDWEST CARE CENTER VIII INC 225 W 124TH ST KANSAS CITY MO 641451183 431821818 NURSING MO 501(C)(3) LINE 9 N/A 0 MIDWEST CARE CENTER IX INC 225 W 124TH ST KANSAS CITY MO 641451183 431710786 NURSING MO 501(C)(3) LINE 9 N/A 0 MAC HEALTHCARE INCORPORATED 225 W 124TH ST KANSAS CITY MO 641451183 431818627 PRIVATE FOUNDATION MO 501(C)(3) PF N/A 0 0 0 0 0 1 0 0 0 0 0 1 1 0 0 1 1 0 0