2018-05-15T15:07:02-05:00 2017-08-31 410746749 CLIFTONLARSONALLEN LLP 600 WASHINGTON AVENUE SUITE 1800 ST LOUIS MO 63101 990 2016-09-01 430797126 GEORGE J & HILDA MEYER FOUNDATION INC GEOR 6605847111 1201 WEST 19TH STREET HIGGINSVILLE MO 64037 DAVID SCHMIDT PRESIDENT 6605847111 2018-05-11 1 AMANDA VALLERO P01587658 3149254300 2016 2022-09-23 18:48:47Z DAVID SCHMIDT 1201 WEST 19TH STREET HIGGINSVILLE MO 64037 6597349 0 X WWW.JOHNKNOXVILLAGEEAST.COM X 1963 MO PROVIDES A HOME FOR THE AGED AND A NURSING FACILITY FOR THE MEDICAL CARE OF COMMUNITY. THE CENTER ALSO PROVIDES SKILLED NURSING AND ASSISTED LIVING SERVICES. 7 7 171 72 0 0 0 0 4777950 5062494 107645 22150 588365 858618 5473960 5943262 100 0 0 0 2708207 2704759 0 0 0 3149821 3918120 5858128 6622879 -384168 -679617 11628622 12197736 9440305 10694943 2188317 1502793 PROVIDES A HOME FOR THE AGED AND A NURSING FACILITY FOR THE MEDICAL CARE OF COMMUNITY. THE CENTER ALSO PROVIDES SKILLED NURSING AND ASSISTED LIVING SERVICES. 0 0 5602563 5459367 PROVIDES A HOME FOR THE AGED AND A NURSING FACILITY FOR THE COMMUNITY. THE CENTER ALSO PROVIDES SKILLED NURSING AND ASSISTED LIVING SERVICES. 5602563 1 0 0 0 0 0 0 0 1 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 31 0 171 1 0 0 0 0 0 0 0 0 0 0 X 7 7 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 0 1 1 0 0 X MEYER FOUNDATION INC 6605847111 WEST 19TH STREET HIGGINSVILLE MO 64037 X DAVID SCHMIDT PRESIDENT 0.90 0.10 X X 0 0 0 MARY LOU BUCKLER VICE PRESIDENT/SECRETARY 0.90 0.10 X X 0 0 0 MICHELLE ALUMBAUGH TREASURER 0.90 0.10 X X 0 0 0 DAVID LIMBACK ALTERNATIVE SECRETARY 0.90 0.10 X X 0 0 0 LEE BARKER MEMBER 0.90 0.10 X 0 0 0 TRUDY FISHER MEMBER 0.90 0.10 X 0 0 0 JIMMY URFER MEMBER 0.90 0.10 X 0 0 0 PAIGE WHEELER EXECUTIVE DIRECTOR 39.00 1.00 X 0 0 0 0 0 0 0 0 0 0 LIBERTY ROOFING INC 109 S MAIN STREET LIBERTY MO 64068 REPLACE ROOFING 409504 REHABCARE GROUP PO BOX 503534 ST LOUIS MO 63150 THERAPY SERVICES 385507 GRAPETREE MEDICAL STAFFING INC 1003 23RD STREET MILFORD IA 51351 NURSING AGENCY 366317 CASCADE HEALTH SERVICES 1045 SWIFT AVE KANSAS CITY MO 64116 NURSING AGENCY 256576 LIFE CARE SERVICES 400 LOCUST STREET DES MOINES IA 50309 MANAGEMENT COMPANY 199372 5 RESIDENT FEES 623000 5062494 5062494 5062494 47766 47766 628471 564443 89644 64028 -89644 -25616 -25616 INSURANCE PROCEEDS 623000 402223 396873 5350 MEALS/VENDING 623000 232224 232224 MISCELLANEOUS 623000 120874 120874 103297 103297 858618 5943262 5459367 0 483895 X 228351 228351 2117245 1912566 204679 2763 2515 248 211289 192800 18489 145111 134241 10870 167999 167999 18545 18545 41787 41787 1123570 1085384 38186 97699 97699 496522 348820 147702 36003 35524 479 458752 452651 6101 29070 10267 18803 145989 144048 1941 687525 678382 9143 244837 241581 3256 DIETARY EXPENSE 312485 312485 BEAUTY & BARBER 32961 32961 DUES, LICENSES & FEES 14281 9521 4760 ACTIVITIES 8217 8217 1878 600 1278 6622879 5602563 1020316 0 60067 93802 24002 5683 309514 440636 44586 35616 169488 185667 21548551 11330350 9456577 10218201 1294387 1123625 239816 0 30185 94506 11628622 12197736 969921 1489091 2902948 2611249 21934 10038 5545502 6434565 0 150000 9440305 10694943 X 2188317 1502793 2188317 1502793 11628622 12197736 -679617 -5907 0 X X 0 1 X 1 1 1 X 5842357 6442132 5623043 4777950 5062494 27747976 5842357 6442132 5623043 4777950 5062494 27747976 0 0 0 27747976 70788 71555 71738 62114 47766 323961 70788 71555 71738 62114 47766 323961 113268 425922 386817 353625 461745 1741377 6026413 6939609 6081598 5193689 5572005 29813314 0.93070 0.94490 0.01090 0.01150 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS - 2012 AMOUNT: $ 25,135. 2013 AMOUNT: $ 56,497. 2014 AMOUNT: $ 39,902. 2015 AMOUNT: $ -3,747. 2016 AMOUNT: $ 120,874. MEAL/VENDING - 2012 AMOUNT: $ 1,098. 2013 AMOUNT: $ 249,281. 2014 AMOUNT: $ 239,871. 2015 AMOUNT: $ 254,511. 2016 AMOUNT: $ 232,224. TRANSPORTATION - 2012 AMOUNT: $ 18,333. 2013 AMOUNT: $ 24,514. 2014 AMOUNT: $ 22,455. 2015 AMOUNT: $ 15,894. 2016 AMOUNT: $ 19,191. LAUNDRY - 2012 AMOUNT: $ 17,660. 2013 AMOUNT: $ 20,526. 2014 AMOUNT: $ 17,833. 2015 AMOUNT: $ 18,111. 2016 AMOUNT: $ 19,063. GUEST ROOM - 2012 AMOUNT: $ 11,770. 2013 AMOUNT: $ 17,935. 2014 AMOUNT: $ 20,135. 2015 AMOUNT: $ 22,220. 2016 AMOUNT: $ 22,421. BEAUTY BARBER - 2012 AMOUNT: $ 39,272. 2013 AMOUNT: $ 57,169. 2014 AMOUNT: $ 46,621. 2015 AMOUNT: $ 41,466. 2016 AMOUNT: $ 39,767. GIFT SHOP - 2015 AMOUNT: $ 2,741. 2016 AMOUNT: $ 2,310. INSURANCE PROCEEDS - 2015 AMOUNT: $ 2,429. 2016 AMOUNT: $ 5,350. NFRA REVENUE - 2016 AMOUNT: $ 545. 0 1 X 192239 192239 19254491 9875698 9378793 522449 338478 183971 1579372 1116174 463198 10218201 LINE OF CREDIT 150000 150000 X 6026999 -5907 89644 83737 5943262 0 5943262 6712523 89644 89644 6622879 0 6622879 PART IV, LINE 2B: ESCROW DEPOSITS CONSIST OF AMOUNTS RECEIVED FROM PROSPECTIVE RESIDENTS TO SECURE OR HOLD AN APARTMENT UNIT UNTIL THEY ARE READY TO MOVE IN OR WHEN A UNIT BECOMES AVAILABLE. PART X, LINE 2: THE ORGANIZATION'S INCOME TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL, STATE AND LOCAL AUTHORITIES. THE ORGANIZATION IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE ITS TAX EXEMPT STATUS. THE ORGANIZATION IS NOT AWARE OF ANY ACTIVITIES THAT ARE SUBJECT TO TAX ON UNRELATED BUSINESS INCOME OR EXCISE OR OTHER TAX EXCEPT FOR THOSE THAT ARE ALREADY REPORTED ANNUALLY. PART XI, LINE 2D - OTHER ADJUSTMENTS: LOSS ON DISPOSAL OF ASSETS 89,644. PART XII, LINE 2D - OTHER ADJUSTMENTS: LOSS ON DISPOSAL OF ASSETS 89,644. FORM 990, PART VI, SECTION A, LINE 3 ON AUGUST 1, 2008, THE FOUNDATION ENTERED INTO A TEN-YEAR MANAGEMENT AGREEMENT WITH LIFE CARE SERVICES, LLC (LCS). UNDER THE TERMS OF THE AGREEMENT, LCS ASSUMES RESPONSIBILITY TO IMPLEMENT THE POLICIES, BUDGET AND GOALS ESTABLISHED BY THE FOUNDATION. LCS WILL PROVIDE MARKETING SOFTWARE, TRAINING, ESTABLISH AND MAINTAIN FINANCIAL SOFTWARE AND ASSIST IN THE RELATED CONTROLS. THE FOUNDATION WILL PAY A MONTHLY MANAGEMENT FEE OF 3.75% OF THE CURRENT MONTH'S GROSS OPERATING REVENUE. THE FOUNDATION SHALL PAY LCS AN INCENTIVE FEE OF $1,000 FOR THE SALE OF EACH APARTMENT UPON CLOSING. THE FOUNDATION SHALL PAY LCS A SERVICE PROVIDER FEE FOR THE USE OF LCS ACCOUNTING, PAYROLL, AND BILLING TECHNOLOGY IN THE AMOUNT OF $600 PER MONTH. IN THE EVENT THIS AGREEMENT IS TERMINATED PRIOR TO FORTY-EIGHT MONTHS, THE REMAINING BALANCE OF THIS SERVICE PROVIDER FEE SHALL BE DUE AND PAYABLE. EITHER PARTY MAY TERMINATE THE AGREEMENT, WITHOUT CAUSE AT ANY TIME BY GIVING THE OTHER PARTY AT LEAST SIX MONTHS WRITTEN NOTICE OF ITS DESIRE TO TERMINATE, AND USING A SCHEDULED SEVERANCE AGREEMENT. THE EXECUTIVE DIRECTOR AND THE HEALTH CENTER ADMINISTRATOR SHALL BE EMPLOYEES OF LCS, AND THE FOUNDATION SHALL REIMBURSE LCS FOR THE EXECUTIVE DIRECTOR'S AND ADMINISTRATOR'S COMPENSATION AND RELATED EXPENSES. THE FOUNDATION PAID MANAGEMENT FEES, THE EXECUTIVE DIRECTOR'S AND ADMINISTRATOR'S COMPENSATION AND EMPLOYEE BENEFITS AND OTHER RELATED EXPENSES TO LCS TOTALING $560,281 AND $516,386 FOR THE YEARS ENDED AUGUST 31, 2017 AND 2016, RESPECTIVELY. DURING THE 2016 CALENDAR YEAR, THE FOLLOWING INDIVIDUALS WERE COMPENSATED FOR PROVIDING SERVICES TO THE FOUNDATION IN THE FOLLOWING AMOUNTS: PAIGE WHEELER, EXECUTIVE DIRECTOR: $155,012 KRISTEN KALLAS, HEALTH CENTER ADMINISTRATOR, $89,792 FORM 990, PART VI, SECTION B, LINE 11B THE EXECUTIVE DIRECTOR AND ACCOUNTING DIRECTOR REVIEW FORM 990 AND THEN A COMPLETE COPY IS PROVIDED TO ALL BOARD MEMBERS BEFORE IT IS FILED. FORM 990, PART VI, SECTION B, LINE 12C OFFICERS AND DIRECTORS ARE REQUIRED TO ANNUALLY DISCLOSE CONFLICTS OF INTEREST TO THE FOUNDATION. FORM 990, PART VI, SECTION B, LINE 15A THE ORGANIZATION'S EXECUTIVE DIRECTOR AND TOP MANAGEMENT OFFICIALS ARE EMPLOYEES OF LIFE CARE SERVICES CORP. LIFE CARE SERVICES IS A MANAGER OF SENIOR LIVING COMMUNITIES. LIFE CARE SERVICES DETERMINES THE COMPENSATION FOR THE EXECUTIVE DIRECTOR AND HEALTH CARE ADMINISTRATOR. LCS USES COMPARABILITY DATA AND THE EMPLOYEES ANNUAL REVIEW INFORMATION TO DETERMINE COMPENSATION. THE BOARD OF DIRECTORS HAS FINAL APPROVAL OF ANY COMPENSATION. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G OUTSIDE SERVIES: PROGRAM SERVICE EXPENSES 661,065. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 661,065. THERAPY SERVICES: PROGRAM SERVICE EXPENSES 375,065. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 375,065. CONSULTING: PROGRAM SERVICE EXPENSES 49,254. MANAGEMENT AND GENERAL EXPENSES 38,186. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 87,440. FORM 990, PAGE 12 PART XII LINE 2C PROCESSES HAVE NOT CHANGED FROM THE PRIOR YEAR. FORM 990 PAGE 7 PART VII THE EXECUTIVE DIRECTOR IS AN EMPLOYEE OF LIFE CARE SERVICES CORP. AND THE FOUNDATION REIMBURSES LIFE CARE SERVICES CORP. FOR THE EXECUTIVE DIRECTOR'S COMPENSATION AND RELATED EXPENSES FOR THEIR MANAGEMENT SERVICES, BUT LIFE CARE SERVICES CORP ISSUES THE W-2S, NOT THE FOUNDATION, SO NO COMPENSATION IS LISTED. FORM 990, PAGE 10, PART IX, LINE 5 THE EXECUTIVE DIRECTOR IS AN EMPLOYEE OF LIFE CARE SERVICES CORP. AND THE FOUNDATION REIMBURSES LIFE CARE SERVICES CORP. FOR THE EXECUTIVE DIRECTOR'S COMPENSATION AND RELATED EXPENSES FOR THEIR MANAGEMENT SERVICES, BUT LIFE CARE SERVICES CORP ISSUES THE W-2S, NOT THE FOUNDATION, SO NO COMPENSATION IS LISTED ON PAGE 7 OF FORM 990 ALTHOUGH FISCAL YEAR COMPENSATION IS SHOWN ON PAGE 10, LINE 5 FOR THE REIMBURSED EXPENSE AMOUNT. MEYER FOUNDATION TRUST 1201 WEST 19TH STREET HIGGINSVILLE MO 64037 431563735 PROMOTE & SUPPORT AREA NURSE TRAINING PROGRAMS & SCHOOLS MO 501(C)(3) LINE 9 N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0