2025-02-11T18:52:30-06:00 2024-03-31 410746749 CLIFTONLARSONALLEN LLP 600 WASHINGTON AVENUE SUITE 1800 ST LOUIS MO 63101 990 2023-04-01 237365138 JOHN KNOX VILLAGE JOHN 8163472859 400 NW MURRAY ROAD LEES SUMMIT MO 64081 RICHARD KIM KLOCKENGA VP OF FINANCE & TREASURER 8163472859 2025-02-07 1 0 AMBER ROGNAN-HAMILTON P01251012 3149254300 2025-02-07 2023 2025-03-06 01:10:19Z DANIEL REXROTH 400 NW MURRAY ROAD LEES SUMMIT MO 64081 104267779 0 X WWW.JKV.ORG X 1974 MO ENRICH THE LIVES OF OLDER ADULTS THROUGH COMMUNITY LIVING. "ENRICHING LIVES, BUILDING COMMUNITY" 9 9 1018 214 79452 0 233286 348007 65070145 73707380 1573004 1284663 1543238 1698063 68419673 77038113 0 0 0 0 39782732 45742457 0 0 0 39601037 39723534 79383769 85465991 -10964096 -8427878 192698383 197530788 278230522 287581108 -85532139 -90050320 X TO ENRICH THE LIVES OF OLDER ADULTS THROUGH COMMUNITY LIVING, "ENRICHING LIVES, BUILDING COMMUNITY." 0 0 33638042 0 31174636 HEALTH SERVICES - SEE SCHEDULE O 32109812 0 29758322 RESIDENT SERVICES - SEE SCHEDULE O 13783851 0 12774422 ASSISTED LIVING FACILITY AND ALZHEIMER'S ASSISTED LIVING FACILITY - SEE SCHEDULE O 79531705 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 1 176 0 1018 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X STEVE SEGGERMAN 8163472859 400 NW MURRAY ROAD LEES SUMMIT MO 64081 HELEN DARBY SECRETARY 1.00 1.00 X X 0 0 0 JIM HAM DIRECTOR 2.00 1.00 X 0 0 0 CHUCK ROBB VICE CHAIR 1.00 1.00 X X 0 0 0 DIANE DEMAREST DIRECTOR 1.00 0.00 X 0 0 0 MELVIN GROSS CHAIR 1.00 0.00 X X 0 0 0 LINDA HARRELSON DIRECTOR 1.00 0.00 X 0 0 0 GABRIEL CLEMENTS DIRECTOR 1.00 0.00 X 0 0 0 CARL CHINNERY DIRECTOR 1.00 0.00 X 0 0 0 JOE STASI DIRECTOR 1.00 0.00 X 0 0 0 DANIEL REXROTH PRESIDENT AND CEO 41.00 3.00 X 782161 0 39832 LAURIE JOHNSON VP OF HUMAN RESOURCES 40.00 0.00 X 234075 0 33108 RICHARD K KLOCKENGA VP OF FINANCE & CORPORATE TREASURER 41.00 3.00 X 396749 0 30870 MARIA TIMBERLAKE VP OF SENIOR LIVING 40.00 0.00 X 318641 0 37306 DONNA BARRON ASSISTANT SECRETARY 40.00 1.00 X 81360 0 9392 ANTHONY COLUMBATTO VP OF HEALTHCARE SERVICES 40.00 0.00 X 247022 0 39965 STEVE SEGGERMAN ASST. TREASURER & DIR OF FINANCE 40.00 1.00 X 146933 0 24939 RICHARD SCOTT DIR. OF OPERATIONS & DEVELOPMENT 40.00 0.00 X 156098 0 12877 TAMI HOVERSTEN ADMINISTRATOR 40.00 0.00 X 175966 0 13312 MARYBETH ROBERTS DIR. OF SALES & MARKETING 40.00 0.00 X 155725 0 8884 THERESA HERMAN IT DIRECTOR 40.00 0.00 X 127337 0 397 NATALIE CHISM MANAGER OF SALES 40.00 0.00 X 123036 0 0 2945103 0 250882 41 0 1 0 HARKRADER CONSTRUCTION 401B NW MURRAY ROAD LEES SUMMIT MO 64081 CONSTRUCTION 3631330 HARMON FLOOR COVERING INC 104 SW THIRD STREET LEES SUMMIT MO 64063 CONSTRUCTION 965515 RUSSELL CONSTRUCTION CO KC LLC 10901 LOWELL AVE SUITE 100 OVERALAND PARK KS 66210 CONSTRUCTION 878659 UNITED METHODIST HOMES & SERVICES 5145 N GLENWOOD AVE CHICAGO IL 60640 MEDICAL STAFFING 714272 CASCADE HEALTH SERVICES 1001 NW BARRY RD KANSAS CITY MO 64155 MEDICAL STAFFING 676221 45 235022 112985 97943 348007 NET PATIENT REVENUE 623000 73707380 73707380 73707380 1380292 1380292 273423 273423 284628 0 284628 284628 284628 26763316 97298 27155059 74607 -391743 22691 -369052 -369052 CAFETERIA & MEALS 721310 421618 79452 342166 BEAUTY SHOPS 623000 306237 306237 UTILITY REVENUE 623000 216954 216954 468626 468626 1413435 77038113 73707380 79452 2903274 2297202 2057374 239828 34797113 31865400 2931713 769237 482713 286524 5114840 4783392 331448 2764065 2556682 207383 332969 230477 102492 117393 28638 88755 3084 3084 164548 164548 5233662 4816026 417636 851424 767257 84167 5623070 5514525 108545 1257140 1227589 29551 4542106 4495662 46444 515445 509648 5797 50241 42039 8202 6315469 6033799 281670 10955202 10466600 488602 1682157 1609268 72889 MEDICAL SUPPLIES 745771 745771 MEDICAID TAX 552612 552612 BAD DEBT EXPENSE 390019 390019 RECRUITMENT 187656 168065 19591 203566 188149 15417 85465991 79531705 5934286 0 5995841 5372067 898790 1491712 5140579 4665306 609636 663359 721493 715458 294377354 166481388 128110134 127895966 47040362 52333857 1531194 1534393 735334 788049 1915020 2070621 192698383 197530788 10218168 10708361 99456821 105822812 122076875 119576822 5306758 5496970 41171900 45976143 278230522 287581108 X -85532139 -90050320 -85532139 -90050320 192698383 197530788 X -8427878 3844059 65638 X X 0 1 X 1 0 X 332396 5644332 7715338 233286 348007 14273359 69412221 63629186 62592003 65070145 73707380 334410935 963441 1127851 1233276 3324568 69744617 69273518 71270782 66431282 75288663 352008862 220175 252048 197774 209836 229396 1109229 0 220175 252048 197774 209836 229396 1109229 350899633 1306832 1264040 925799 1483436 1753575 6733682 1306832 1264040 925799 1483436 1753575 6733682 9566 9566 1821585 870130 211093 175714 100707 3179229 72882600 71407688 72407674 68090432 77142945 361931339 0.96950 0.96440 0.01860 0.01870 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: CAFETERIA - 2019 AMOUNT: $ 624,624. 2020 AMOUNT: $ 78,119. BEAUTY SHOPS - 2019 AMOUNT: $ 447,543. 2020 AMOUNT: $ 242,118. MISCELLANEOUS - 2019 AMOUNT: $ 249,219. 2020 AMOUNT: $ 229,169. 2021 AMOUNT: $ 211,093. 2022 AMOUNT: $ 175,714. 2023 AMOUNT: $ 100,707. TRANSPORTATION REVENUE - 2019 AMOUNT: $ 45,537. 2020 AMOUNT: $ 40. ROOM RENTAL - 2019 AMOUNT: $ 110,301. 2020 AMOUNT: $ 9,720. UTILITY REVENUE - 2019 AMOUNT: $ 344,361. 2020 AMOUNT: $ 310,964. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 3084 3084 0 PART II-B, LINE 1: THE PORTION OF DUES PAID TO VARIOUS TRADE ASSOCIATIONS WHICH ARE DESIGNATED BY THOSE ORGANIZATIONS FOR LOBBYING EXPENSES. 5187891 5187891 230278230 131820234 98457996 16686114 9021801 7664313 35695021 25639353 10055668 6530098 6530098 127895966 ASSET RETIREMENT OBLIGATION 5213693 DEPOSITS 40762450 45976143 X 80783262 3844059 65638 3909697 76873565 164548 164548 77038113 85301443 0 85301443 164548 164548 85465991 PART X, LINE 2: THE VILLAGE'S INCOME TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL, STATE, AND LOCAL AUTHORITIES. THE VILLAGE IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE ITS TAX EXEMPT STATUS AND IT 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: CHANGE IN FAIR VALUE OF INTEREST SWAP 65,638. CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS, 0 0 INVESTMENTS 200034 0 0 0 0 0 0 200034 0 200034 0 0 0 0 0 0 SCHEDULE F, PART I, LINE 3: THE INVESTMENTS ARE CARRIED AT FAIR MARKET VALUE IN THE FINANCIAL STATEMENTS OF JOHN KNOX VILLAGE. X X X X X 0 1 0 0 0 0 0 0 0 DANIEL REXROTH PRESIDENT AND CEO 510721 0 187240 0 84200 0 30750 0 9082 0 821993 0 0 0 RICHARD K KLOCKENGA VP OF FINANCE & CORPORATE TREASURER 308195 0 78368 0 10186 0 30473 0 397 0 427619 0 0 0 MARIA TIMBERLAKE VP OF SENIOR LIVING 251071 0 64252 0 3318 0 28422 0 8884 0 355947 0 0 0 ANTHONY COLUMBATTO VP OF HEALTHCARE SERVICES 201732 0 45119 0 171 0 25047 0 14918 0 286987 0 0 0 LAURIE JOHNSON VP OF HUMAN RESOURCES 198209 0 34679 0 1187 0 24026 0 9082 0 267183 0 0 0 TAMI HOVERSTEN ADMINISTRATOR 161073 0 14308 0 585 0 4428 0 8884 0 189278 0 0 0 STEVE SEGGERMAN ASST. TREASURER & DIR OF FINANCE 138124 0 8525 0 284 0 4018 0 20921 0 171872 0 0 0 RICHARD SCOTT DIR. OF OPERATIONS & DEVELOPMENT 144323 0 11500 0 275 0 4026 0 8851 0 168975 0 0 0 MARYBETH ROBERTS DIR. OF SALES & MARKETING 131302 0 23736 0 687 0 0 0 8884 0 164609 0 0 0 PART I, LINE 4B JOHN KNOX VILLAGE MADE THE FOLLOWING CONTRIBUTIONS TO NON-QUALIFIED RETIREMENT PLANS FOR THE FOLLOWING EMPLOYEES IN CALENDAR YEAR 2023: 457(B) SUPPLEMENTAL SAVINGS PLAN: DANIEL REXROTH - $22,500 RICHARD KLOCKENGA - $22,500 MARIA TIMBERLAKE - $22,500 LAURIE JOHNSON - $19,021 ANTHONY COLUMBATTO - $19,829 SUPPLEMENTAL EXECUTIVE COMPENSATION PROGRAM: DANIEL REXROTH - $80,033 RICHARD KLOCKENGA - $7,798 MARIA TIMBERLAKE - $1,701 JOHN KNOX VILLAGE SPONSORS A SECTION 457(F) DEFERRED COMPENSATION PLAN HEREINAFTER CALLED THE 457(F) PLAN. THE 457(F) PLAN WAS ESTABLISHED AND IS OVERSEEN BY THE JOHN KNOX VILLAGE EXECUTIVE COMMITTEE. THE 457(F) PLAN IS TIED TO ACHIEVING SPECIFIC CAMPUS DEVELOPMENT ACTIVITY PERFORMANCE INDICATORS AS ESTABLISHED, REVIEWED, AND APPROVED BY THE JOHN KNOX VILLAGE EXECUTIVE COMMITTEE. INDIVIDUALS WILL EARN THE INCENTIVE OVER A 3-YEAR PERIOD AND BECOME VESTED IN THE 457(F) PLAN IN 2024. NO AMOUNTS FROM THIS 457(F) PLAN ARE INCLUDED IN COLUMN C AS DEFERRED COMPENSATION, AS INDIVIDUALS ARE NOT VESTED AND DO NOT HAVE A RIGHT TO THESE MONIES UNTIL SPECIFIC PERFORMANCE INDICATORS HAVE BEEN MET. CURRENT YEAR ACCRUAL IS AS FOLLOWS: DANIEL REXROTH - $83,864 RICHARD KLOCKENGA - $52,172 ANTHONY COLUMBATTO - $34,145 LAURIE JOHNSON - $32,752 MARIA TIMBERLAKE - $41,673 SCHEDULE J, PART II JOHN KNOX VILLAGE IS A LARGE COMPLEX ORGANIZATION THAT IS COMPRISED OF 5 SEPARATE LEGAL ENTITIES, EACH OF WHICH FILES ITS OWN TAX RETURN. DUE TO THE REQUIREMENTS FOR COMPLETING THESE 990'S, SOME OF THE INFORMATION CONTAINED WITHIN THE FORM, SUCH AS REVENUE AND EXPENSES, IS RELATED ONLY TO THAT PARTICULAR ENTITY. HOWEVER, SOME OF THE INFORMATION, SUCH AS EXECUTIVE COMPENSATION, RELATES TO THE ENTIRE ORGANIZATION. A INDUSTRIAL DEV AUTHORITY - CITY OF LEE'S SUMMIT 431255189 524292AN9 2014-07-31 20576185 SEE SUPPLEMENTAL INFORMATION 0 0 0 B INDUSTRIAL DEV AUTHORITY - CITY OF LEE'S SUMMIT 431255189 524292AS8 2016-11-09 42643706 CAPITAL IMPROVEMENTS 0 0 0 C INDUSTRIAL DEV AUTHORITY - CITY OF LEE'S SUMMIT 431255189 524292BG3 2018-03-15 54327696 SEE SUPPLEMENTAL INFORMATION 0 0 0 D THE INDUSTRIAL DEVELOPMENT AUTHORITY OF THE CITY OF LEE'S SUMMIT MISSOURI 431255189 524292BH1 2021-04-29 30713423 CAPITAL IMPROVEMENTS AND REFUND PRIOR TAXABLE BONDS 0 0 0 A 20792513 2165557 388239 14721468 3593443 2015 1 0 1 1 B 1910000 42865584 3099329 789919 39225058 2018 0 0 1 1 C 11325000 54689005 5661129 1119918 7196255 41151446 2020 1 0 1 1 D 30794773 967030 609175 27395734 1741484 2024 0 1 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 B 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 C 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 D 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 0 1 0 0 0 0 1 B 0 0 0 1 0 0 0 0 1 C 0 0 0 1 0 0 0 0 1 D 0 1 0 0 1 0 0 0 1 A 1 B 1 C 1 D 1 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: INDUSTRIAL DEV AUTHORITY - CITY OF LEE'S SUMMIT DATE THE REBATE COMPUTATION WAS PERFORMED: 07/01/2019 ISSUER NAME: INDUSTRIAL DEV AUTHORITY - CITY OF LEE'S SUMMIT DATE THE REBATE COMPUTATION WAS PERFORMED: 08/15/2022 ISSUER NAME: INDUSTRIAL DEV AUTHORITY - CITY OF LEE'S SUMMIT DATE THE REBATE COMPUTATION WAS PERFORMED: 05/23/2023 SCHEDULE K, PART I, LINE A, COLUMN F: THE SERIES 2014A BONDS WERE ISSUED FOR THE FOLLOWING PURPOSES: (1) REFUND A BANK LOAN DATED 9/1/2013 (2) FINANCE COSTS OF EXPANSIONS, RENOVATIONS, AND IMPROVEMENTS TO THE CORPORATION'S SENIOR LIVING FACILITIES SCHEDULE K, PART I, LINE C, COLUMN F: THE SERIES 2018A BONDS WERE ISSUED FOR THE FOLLOWING PURPOSES: (1) REFUND THE EXISTING SERIES 2007A REVENUE BONDS ISSUED ON MAY 24, 2007 (2) REPAY A PORTION OF AN EXISTING CONSTRUCTION LOAN (3) FINANCE COSTS OF EXPANSIONS, RENOVATIONS, AND IMPROVEMENTS TO THE CORPORATION'S SENIOR LIVING FACILITIES SCHEDULE K, PART I, LINE 3 - 2014, 2016, 2018 BONDS AND 2021 BONDS THE TOTAL PROCEEDS OF ISSUE DIFFER FROM THE ISSUE PRICE DUE TO INVESTMENT EARNINGS ON CERTAIN PROCEEDS. SCHEDULE K, PART III LINE 2 THE ORGANIZATION'S MISSION IS TO ENRICH OLDER ADULT LIVES THROUGH COMMUNITY LIVING. AS PART OF THIS MISSION, THE ORGANIZATION LEASES RESIDENTIAL LIVING FACILITIES TO THESE OLDER ADULTS. X BOWLING ALLEY RENOVATION 1 50000 FMV X PAVILION RISERS 1 30629 FMV X SUCTION DEVICE 1 4982 FMV X RAIZER II CHAIR 1 4798 FMV X GARDEN LUMBER 1 4229 FMV X DINING EQUIPMENT 1 3305 FMV 0 0 0 FORM 990, PAGE 2, PART III, LINES 4A, 4B, AND 4C: A LEADING PROVIDER OF CARE AND SERVICES FOR OLDER ADULTS, JOHN KNOX VILLAGE IS COMMITTED TO ACHIEVING ITS MISSION OF "ENRICHING LIVES, BUILDING COMMUNITY" IN LEE'S SUMMIT AND BEYOND. EVERY YEAR, THE VILLAGE CHALLENGES ITSELF TO MAKE THE MOST OF ITS COMMUNITY INVOLVEMENT EFFORTS. * FOUNDED IN 1970, THE VILLAGE IS ONE OF THE FIRST LIFE PLAN COMMUNITIES IN THE NATION. * NOT-FOR-PROFIT ORGANIZATION 501(C)(3), RUN BY A NINE-MEMBER VOLUNTEER BOARD OF DIRECTORS. * MISSION: TO ENRICH THE LIVES OF OLDER ADULTS THROUGH COMMUNITY LIVING "ENRICHING LIVES, BUILDING COMMUNITY." * LOCATED IN LEE'S SUMMIT, MISSOURI, WITH HOME HEALTH OFFICES IN PRAIRIE VILLAGE, KANSAS. * PROVIDES A FULL CONTINUUM OF CARE THAT INCLUDES INDEPENDENT LIVING, ASSISTED LIVING, ASSISTED LIVING MEMORY CARE, HOME HEALTH, PRIVATE DUTY IN-HOME CARE, SKILLED NURSING (LONG-TERM CARE, REHABILITATION AND MEMORY CARE) AND HOSPICE SERVICES, AS WELL AS AMBULANCE AND BEHAVIORAL HEALTH TRANSPORTATION SERVICES. * ANNUALLY SERVES ABOUT 1,200 RESIDENTS ON ITS CAMPUS AND ABOUT 5,000 COMMUNITY MEMBERS WHO LIVE IN WESTERN MISSOURI AND EASTERN KANSAS. * WITH ABOUT 850 ASSOCIATES ON STAFF, THE VILLAGE IS ONE OF THE LARGEST EMPLOYERS IN LEE'S SUMMIT. THE VILLAGE'S LARGE SIZE AND ITS DIVERSE SERVICES AND AMENITIES ENABLES IT TO ALLOCATE MULTIPLE RESOURCES TOWARD ITS COMMUNITY INVOLVEMENT COMMITMENTS. IT SHARES FACILITIES; FACILITATES THE GIVING OF TIME AND TALENTS VIA A VARIETY OF VOLUNTEER OPPORTUNITIES; OFFERS LEADERSHIP AND/OR MODEST FINANCIAL SUPPORT TO OTHER NOT-FOR-PROFIT ORGANIZATIONS; SHARES ENTERTAINMENT; AND PROMOTES EDUCATION AND INTERGENERATIONAL ACTIVITIES. VILLAGE RESIDENTS AND ASSOCIATES VOLUNTEER THEIR TIME AND TALENTS ON THE CAMPUS AS WELL AS IN THE SURROUNDING COMMUNITY. IN 2023, 214 VOLUNTEERS CONTRIBUTED 17,815.50 HOURS TO THE VILLAGE. OF THOSE HOURS, VILLAGE HOSPICE VOLUNTEERS LOGGED 917 HOURS BY MAKING MEMORY BEARS AND LAP BLANKETS AS WELL AS ASSISTING IN THE AREAS OF PATIENT CARE, ADMINISTRATIVE AND COMMUNITY IMPACT THROUGHOUT THE YEAR. THE VILLAGE ALSO DONATES EVENT SPACES (IN THE AMOUNT OF $50,000) AS WELL AS EQUIPMENT, SUPPLIES OR GENTLY USED ITEMS TO OTHER NOT-FOR-PROFIT ORGANIZATIONS, SUCH AS THE SURPLUS EXCHANGE, HABITAT FOR HUMANITY AND THE LEE'S SUMMIT HOPE HOUSE. SCHOOLS, CAMPS, CHILDCARE FACILITIES, NURSING HOMES AND CHURCHES ALSO HAVE RECEIVED SURPLUS SUPPLIES. FOR EXAMPLE, BECAUSE OF THE PANDEMIC, THE VILLAGE RECEIVED AN OVERABUNDANCE OF HAND SANITIZER AND DONATED THE EXCESS TO CHURCHES, SCHOOLS, FOOD BANKS AND OTHER ORGANIZATIONS. FINALLY, JOHN KNOX VILLAGE PUBLIC SAFETY SERVES VILLAGE RESIDENTS, ASSOCIATES AND CAMPUS GUESTS AS WELL AS MEMBERS OF SURROUNDING COMMUNITIES, WHICH HELPS ALLEVIATE FINANCIAL AND STAFFING TENSION FROM STRESSED CITY AND STATE PROGRAMS. PARTNERSHIPS WITH LOCAL, STATE, REGIONAL AND NATIONAL PUBLIC SERVICE ORGANIZATIONS ENABLE JKV PUBLIC SAFETY TO PROVIDE SECURITY ASSISTANCE, EMERGENCY MEDICAL SERVICES/AMBULANCE SERVICES (EMS), EMERGENCY SERVICE ADMINISTRATION AND MORE. EMS PROVIDES SERVICES TO LEE'S SUMMIT, HARRISONVILLE, AND KANSAS CITY FOR INTERFACILITY TRANSPORTS FOR EMERGENCY AND NON-EMERGENCY TRANSPORTS. FURTHERMORE, JKV EMS HAS MUTUAL AID AGREEMENTS WITH THE CITIES OF LEE'S SUMMIT, MISSOURI, AND RAYTOWN, MISSOURI THAT ENABLE JKV EMS TO RESPOND IF A NEED ARISES DURING AN EMERGENCY. JKV EMS ALSO ADDED A BEHAVIORAL HEALTH VAN IN 2023 TO PROVIDE TRANSPORTATION FROM 12 EMERGENCY ROOMS ACROSS THE KC METRO AREA TO INPATIENT BEHAVIORAL HEALTH FACILITIES FOR THOSE WHO DO NOT NEED AMBULANCE TRANSPORT. FORM 990, PART VI, SECTION A, LINE 1A THE EXECUTIVE COMMITTEE SHALL CONSIST OF THE CHAIR OF THE BOARD, THE VICE-CHAIR OF THE BOARD, THE SECRETARY, AND ONE (1) DIRECTOR SELECTED "AT LARGE" BY THE AFFIRMATIVE VOTE OF A MAJORITY OF THE FULL BOARD. AT LEAST ONE (1) MEMBER OF THE EXECUTIVE COMMITTEE SHALL BE A RESIDENT DIRECTOR. THE EXECUTIVE COMMITTEE SHALL SERVE ONE (1) YEAR TERMS EXPIRING AT THE ANNUAL MEETING OF THE BOARD OF DIRECTORS EACH YEAR. THE VICE CHAIR OF THE BOARD SHALL PRESIDE AT ALL MEETINGS OF THE EXECUTIVE COMMITTEE, AND THE SECRETARY SHALL KEEP THE MINUTES. THE EXECUTIVE COMMITTEE SHALL EXERCISE SUCH RIGHTS, POWERS AND AUTHORITY OF THE BOARD OF DIRECTORS WHILE THE BOARD IS NOT IN SESSION AS ARE CONSISTENT WITH THE POLICIES, DIRECTIVES AND RESOLUTIONS OF THE BOARD OF DIRECTORS, THE ARTICLES OF INCORPORATION, AND THESE BYLAWS. THE EXECUTIVE COMMITTEE SHALL MEET FROM TIME TO TIME AT THE CALL OF THE CHAIR OR VICE CHAIR OF THE BOARD AS NECESSARY AND APPROPRIATE TO DISCHARGE ITS RESPONSIBILITIES. THE EXECUTIVE COMMITTEE SHALL MEET NOT LESS THAN ONCE EACH YEAR FOR PURPOSES OF EVALUATING THE PERFORMANCE OF THE PRESIDENT AND HIS OR HER LEADERSHIP OF MANAGEMENT IN MEETING THE NEEDS AND STATED OBJECTIVES OF THE CORPORATION. A MAJORITY OF THE EXECUTIVE COMMITTEE SHALL CONSTITUTE A QUORUM FOR THE TRANSACTION OF ANY BUSINESS, AND THE ACT OF A MAJORITY OF THE EXECUTIVE COMMITTEE PRESENT AT ANY MEETING AT WHICH A QUORUM IS PRESENT SHALL BE THE ACT OF THE EXECUTIVE COMMITTEE. THE EXECUTIVE COMMITTEE SHALL REGULARLY REPORT ITS ACTIONS AND PROVIDE MINUTES OF ITS MEETINGS TO THE BOARD OF DIRECTORS. FOR ALL SEATS ON THE EXECUTIVE COMMITTEE WHICH ARE EX OFFICIO, REMOVAL FROM OFFICE BY THE BOARD OF DIRECTORS PURSUANT TO SECTION 4.3 OF THESE BYLAWS OF ANY OFFICER SHALL CONSTITUTE REMOVAL FROM THE EXECUTIVE COMMITTEE. ANY VACANCY ON THE EXECUTIVE COMMITTEE SHALL BE FILLED BY THE BOARD OF DIRECTORS FOR THE UNEXPIRED PORTION OF THE TERM BY REPLACEMENT OF THE BOARD OFFICER NO LONGER SERVING OR BY AN AT LARGE ELECTION, AS APPROPRIATE. FORM 990, PART VI, SECTION A, LINE 6 PREMIERLIFE, A MISSOURI NONPROFIT CORPORATION, IS THE SOLE MEMBER OF JOHN KNOX VILLAGE. PREMIERLIFE IS DESIGNATED AS THE SOLE MEMBER SO LONG AS PREMIERLIFE SHALL CONTINUE TO QUALIFY AS A TAX EXEMPT, NONPROFIT ENTITY RECOGNIZED UNDER SECTION 501 (C)(3) OF THE IRC. PREMIERLIFE HAS THE RIGHT TO ELECT THE MEMBERS OF JOHN KNOX VILLAGE'S GOVERNING BODY. PREMIERLIFE HAS THE RESERVED POWER TO APPROVE SIGNIFICANT DECISIONS OF JOHN KNOX VILLAGE'S GOVERNING BODY. PREMIERLIFE IS NOT ENTITLED TO RECEIVE A SHARE OF JOHN KNOX VILLAGE'S PROFITS, EXCESS DUES OR A SHARE OF JOHN KNOX VILLAGE'S NET ASSETS UPON DISSOLUTION. FORM 990, PART VI, SECTION A, LINE 7A PREMIERLIFE, BEING THE SOLE MEMBER OF JOHN KNOX VILLAGE, HAS THE RIGHT TO ELECT ALL MEMBERS OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B THE CORPORATE BYLAWS OF JOHN KNOX VILLAGE IDENTIFY CERTAIN RIGHTS AND POWERS WHICH ARE RESERVED TO PREMIERLIFE, THE SOLE MEMBER IN EACH INSTANCE, THE RIGHTS AND POWERS RESERVED TO THE SOLE MEMBER MAY BE SUMMARIZED AS FOLLOWS: 1. ELECTION OF DIRECTORS THE SOLE MEMBER ELECTS ALL DIRECTORS OF JOHN KNOX VILLAGE BASED UPON NOMINATIONS SUBMITTED BY JOHN KNOX VILLAGE'S BOARD OF DIRECTORS TERMS OF OFFICE ARE STAGGERED ON JOHN KNOX VILLAGE'S BOARD SUCH THAT APPROXIMATELY 1/3 OF THE DIRECTORS' TERMS EXPIRE EACH YEAR. 2. ARTICLES OF INCORPORATION AND BYLAWS JOHN KNOX VILLAGE'S ARTICLES OF INCORPORATION AND BYLAWS MAY NOT BE AMENDED, RESTATED, ALTERED OR REPEALED BY THE CORPORATION UNLESS AND UNTIL SUCH ACTION IS RATIFIED AND APPROVED BY THE SOLE MEMBER. 3. ANNUAL BUDGETS/FINANCIAL POLICIES/INVESTMENT JOHN KNOX VILLAGE'S ANNUAL OPERATING AND CAPITAL BUDGETS PREPARED AND RECOMMENDED BY THE CORPORATE BOARD ARE SUBJECT TO REVIEW AND APPROVAL OF THE SOLE MEMBER CORPORATE FINANCIAL POLICIES AND INVESTMENT STRATEGIES RECOMMENDED BY JOHN KNOX VILLAGE'S BOARD ALSO ARE SUBJECT TO PRIOR REVIEW AND APPROVAL OF THE SOLE MEMBER. 4. SALE OF ASSETS/MERGER, CONSOLIDATION/DISSOLUTION ANY SALE, LEASE OR OTHER DISPOSITION OF SUBSTANTIALLY ALL OF THE ASSETS OF JOHN KNOX VILLAGE, AND ANY MERGER, CONSOLIDATION, REORGANIZATION OR OTHER NOT-IN-THE- ORDINARY-COURSE TRANSACTION IS SUBJECT TO THE PRIOR REVIEW, RATIFICATION AND APPROVAL OF THE SOLE MEMBER JOHN KNOX VILLAGE SHALL NOT BE DISSOLVED OR LIQUIDATED NOR ANY PLAN OF DISSOLUTION ADOPTED BY THE CORPORATION'S BOARD OF DIRECTORS WITHOUT THE RATIFICATION AND APPROVAL OF THE SOLE MEMBER, 5. LONG-TERM DEBT/LEASES ALL LONG-TERM DEBT OBLIGATIONS AND LONG-TERM LEASE OBLIGATIONS IN EXCESS OF ONE YEAR ARE SUBJECT TO PRIOR REVIEW/APPROVAL OF THE SOLE MEMBER 6. CHIEF EXECUTIVE OFFICER: ALL ACTIONS OF THE BOARD OF DIRECTORS OF JOHN KNOX VILLAGE TO EMPLOY OR TERMINATE THE EMPLOYMENT OF THE CEO OF THE CORPORATION ARE SUBJECT TO REVIEW AND APPROVAL BY THE SOLE MEMBER. FORM 990, PART VI, SECTION B, LINE 11B AN INDEPENDENT ACCOUNTING FIRM PREPARES AND REVIEWS THE 990. THE 990 IS THEN REVIEWED BY THE ORGANIZATION'S OFFICERS AND ACCOUNTING PERSONNEL. ANY QUESTIONS OR CONCERNS THE ORGANIZATION'S OFFICERS AND ACCOUNTING PERSONNEL HAVE ARE ADDRESSED AND ANY CORRECTIONS OR CLARIFICATIONS THAT NEED TO BE MADE ARE MADE. THE 990 IS THEN PROVIDED TO THE AUDIT COMMITTEE OF THE PREMIERLIFE BOARD FOR THEIR REVIEW. ANY QUESTIONS OR CONCERNS THE AUDIT COMMITTEE HAVE ARE ADDRESSED AND ANY CORRECTIONS OR CLARIFICATIONS THAT NEED TO BE MADE ARE MADE. THE 990 IS THEN PROVIDED TO THE JOHN KNOX VILLAGE EXECUTIVE COMMITTEE, WHO OVERSEES EXECUTIVE COMPENSATION, FOR THEIR REVIEW. ANY QUESTIONS OR CONCERNS THE EXECUTIVE COMMITTEE HAVE ARE ADDRESSED AND ANY CORRECTIONS OR CLARIFICATIONS THAT NEED TO BE MADE ARE MADE. THE 990 IS THEN PROVIDED TO ALL VOTING MEMBERS OF THE BOARD FOR THEIR REVIEW. ANY QUESTIONS OR CONCERNS THE VOTING MEMBERS OF THE BOARD HAVE ARE ADDRESSED AND ANY CORRECTION OR CLARIFICATIONS THAT NEED TO BE MADE ARE MADE. ONCE ALL THESE REVIEWS ARE COMPLETE, THE FINAL 990 IS THEN FILED WITH THE IRS, AND SUBSEQUENTLY POSTED ON THE WEBSITE WWW.GUIDESTAR.ORG BY THE COMPANY GUIDESTAR. FORM 990, PART VI, SECTION B, LINE 12C AT THE TIME OF HIRE (OR ELECTION IN THE CASE OF CORPORATE DIRECTORS AND TRUSTEES) AND ANNUALLY THEREAFTER, THE CEO OR HIS/HER DESIGNEE SHALL PROVIDE TO THE BOARD AND TO ALL EXECUTIVE OFFICERS, ADMINISTRATIVE STAFF, ASSOCIATES AND VOLUNTEERS A COPY OF THE CONFLICT OF INTEREST POLICY AND THE APPLICABLE CONFLICT OF INTEREST DISCLOSURE FORM AND QUESTIONNAIRE, WHICH SHALL BE COMPLETED TO IDENTIFY ANY RELATIONSHIPS, POSITIONS OR CIRCUMSTANCES WITH RESPECT TO WHICH IT IS BELIEVED A CONFLICT MAY ARISE. SUCH ANNUAL MONITORING AND REVIEW PROCEDURES SHALL BE PART OF THE CORPORATE COMPLIANCE PLAN. AN APPROPRIATE REPORT SHALL BE SUBMITTED TO THE AUDIT COMMITTEE CONCERNING ANY INTEREST SO DISCLOSED. EACH MEMBER OF THE BOARD OF DIRECTORS AND ALL MANAGEMENT ASSOCIATES SHALL DISCLOSE FULLY AND FRANKLY ANY AND ALL ACTUAL OR POTENTIAL CONFLICTS OR DUALITY OF INTEREST OR RESPONSIBILITY, WHETHER INDIVIDUAL, PERSONAL OR BUSINESS, WHICH MAY EXIST OR APPEAR AS TO PREMIERLIFE OR ANY SYSTEM ENTITY OR ANY MATTER OR BUSINESS WHICH MAY COME BEFORE THE BOARD (INCLUDING ITS COMMITTEES). THREE OF NINE BOARD OF DIRECTORS ARE RESIDENTS AND APPROVE THE VILLAGE'S ANNUAL BUDGET, WHICH INCLUDES APPROVAL OF THE INCREASES IN RESIDENTS' MONTHLY SERVICE FEES SINCE THOSE RESIDENT DIRECTORS ONLY REPRESENT ONE THIRD OF THE VOTING BOARD OF DIRECTORS, THIS PARTICIPATORY ACTION BY THE RESIDENT DIRECTORS IS BELIEVED TO BE IN COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY ALSO, MISSOURI LAW REQUIRES CERTAIN SYSTEM ENTITIES TO HAVE AT LEAST ONE MEMBER OF ITS BOARD OF DIRECTORS WHO IS A RESIDENT. THE DISCLOSING INDIVIDUAL SHALL NEITHER VOTE NOR ENDEAVOR TO INFLUENCE CORPORATE ACTION IN ANY SUCH MATTER UPON REQUEST OF THE SUBJECT BOARD, THE AFFECTED INDIVIDUAL SHALL LEAVE THE BOARDROOM WHILE THE MATTER IS DISCUSSED AND A VOTE, IF ANY, SHALL BE RECORDED IN THE MINUTES OF THE BOARD OR ITS COMMITTEE. FORM 990, PART VI, SECTION B, LINE 15 JOHN KNOX VILLAGE USES THE FOLLOWING: 1. PEER GROUP: THE PEER GROUP WILL INCLUDE CONTINUING-CARE COMMUNITIES, NURSING HOMES AND CLOSELY RELATED ORGANIZATIONS, NATIONALLY. 2. BASE SALARIES WILL BE POSITIONED SO THAT MIDPOINTS TARGET THE 60TH PERCENTILE EXECUTIVE SALARIES WILL BE ADMINISTERED WITHIN RANGES BUILT AROUND THE 60TH PERCENTILE AND BASED ON PERFORMANCE, EXPERIENCE AND OTHER RELEVANT FACTORS. 3. INCENTIVES WILL BE POSITIONED TO PROVIDE TOTAL CASH COMPENSATION AT THE 60TH PERCENTILE OF THE PEER GROUP FOR ON-PLAN PERFORMANCE ACHIEVING MAXIMUM INCENTIVES MAY RAISE TOTAL COMPENSATION TO APPROXIMATELY THE 65TH TO 75TH PERCENTILE. 4. BENEFITS WILL BE POSITIONED AT MARKET COMPETITIVE LEVELS, APPROXIMATING THE 60TH TO 75TH PERCENTILE OF THE PEER GROUP. 5. TOTAL COMPENSATION WILL BE POSITIONED AT APPROXIMATELY THE 60TH PERCENTILE FOR ON-PLAN PERFORMANCE WITH TARGET INCENTIVE AWARDS AND APPROXIMATELY THE 65TH TO 75TH PERCENTILE FOR OUTSTANDING PERFORMANCE WITH MAXIMUM INCENTIVE AWARDS. JOHN KNOX VILLAGE EXECUTIVE COMMITTEE WILL DETERMINE THE TOTAL COMPENSATION PACKAGE FOR THE CEO. THE CEO SHALL MAKE RECOMMENDATIONS FOR THE SALARIES AND INCENTIVE PAYMENTS FOR OTHER EXECUTIVES. THESE AMOUNTS WILL BE PROVIDED ANNUALLY TO THE EXECUTIVE COMMITTEE FOR THEIR REVIEW AND APPROVAL. THE EXECUTIVE COMMITTEE WILL REPORT THE AGGREGATE INCREASES AND PERCENTAGE COMPARISON TO THE PHILOSOPHY TO THE BOARD OF DIRECTORS FOR APPROVAL. A SALARY REVIEW WAS LAST CONDUCTED BY AN INDEPENDENT ACCOUNTING FIRM IN FY2024. A WRITTEN OPINION FROM THE CONSULTANT WAS RECEIVED STATING THAT THE EXECUTIVE COMPENSATION PACKAGES ARE REASONABLE AND DO NOT CONSTITUTE EXCESS BENEFIT TRANSACTIONS. THE LETTER ALSO OUTLINES THE STEPS THE COMMITTEE TOOK TOWARD ESTABLISHING A REBUTTABLE PRESUMPTION THAT TOTAL PAY LEVELS ARE REASONABLE. THE CONSULTANT REVIEWED THE MINUTES TO ENSURE THE STEPS TAKEN SATISFIED THE IRS REQUIREMENTS. THE LETTER IS ON FILE AT THE FACILITY. JOHN KNOX VILLAGE'S PHILOSOPHY REGARDING EXECUTIVE COMPENSATION IS TO PAY AT APPROXIMATELY THE 60TH PERCENTILE OF THE MARKET, AND IT IS OUR PRACTICE TO ENSURE THE SALARIES ARE CONSISTENT WITH THE VILLAGE'S GOAL. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS (BYLAWS) ARE AVAILABLE FOR PUBLIC INSPECTION IN THE ADMINSTRATIVE CENTER BUILDING, THE CONFLICT OF INTEREST POLICY IS AVAILABLE FOR PUBLIC INSPECTION IN THE ADMINISTRATIVE CENTER BUILDING, A COPY OF THE MOST RECENTLY FILED IRS FORM 990 AND AUDITED FINANCIAL STATEMENTS ARE AVAILABLE FOR PUBLIC INSPECTION AT THE ADMINISTRATIVE CENTER BUILDING, SECOND FLOOR. AUDITED FINANCIALS ARE ALSO AVAILABLE AT THE MARKETING OFFICE. FORM 990, PART XI, LINE 9: CHANGE IN FAIR VALUE OF INTEREST SWAP 65,638. FORM 990, PART XII, LINE 2C THE ORGANIZATION DID NOT CHANGE ITS OVERSIGHT OR SELECTION PROCESSES DURING THE YEAR. PREMIERLIFE 400 NW MURRAY ROAD LEES SUMMIT MO 64081 203587205 SUPPORTING ORGANIZATION MO 501(C)(3) LINE 12B, II N/A 0 THE JOHN KNOX VILLAGE FOUNDATION 400 NW MURRAY ROAD LEES SUMMIT MO 64081 431304714 SUPPORTING ORGANIZATION MO 501(C)(3) LINE 7 PREMIERLIFE 0 PREMIERLIFE REAL ESTATE HOLDING 400 NW MURRAY ROAD LEES SUMMIT MO 64081 203587252 REAL ESTATE MO 501(C)(2) PREMIERLIFE 0 JOHN KNOX VILLAGE AUXILIARY 400 NW MURRAY ROAD LEES SUMMIT MO 64081 431528124 SUPPORTING ORGANIZATION MO 501(C)(3) LINE 10 PREMIERLIFE 0 THE JKV REDEVELOPMENT CORPORATION 400 NW MURRAY ROAD LEES SUMMIT MO 64081 200528072 REAL ESTATE MO JOHN KNOX VILLAGE C 1000 1.00000 1 WOODSIDE RIDGE COMMERCIAL PARK OWNERS ASSOCIATION 400 NW MURRAY ROAD LEES SUMMIT MO 64081 932774257 HOMEOWNER'S ASSOCIATION MO N/A C 0 0 1 0 1 1 0 0 0 0 0 0 1 0 1 1 0 1 1 0