2017-04-05T11:50:06-05:00 2016-08-31 410746749 CLIFTONLARSONALLEN LLP 600 WASHINGTON AVENUE SUITE 1800 ST LOUIS MO 63101 990 2015-09-01 430797126 GEORGE J & HILDA MEYER FOUNDATION INC GEOR 6605847111 1201 WEST 19TH STREET HIGGINSVILLE MO 64037 DAVID SCHMIDT PRESIDENT 6605847111 2017-04-03 1 AMANDA TINNEY P01587658 3149254300 2015 2021-01-29 14:40:06Z DAVID SCHMIDT 1201 WEST 19TH STREET HIGGINSVILLE MO 64037 6687223 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 7 168 66 0 0 0 0 5622369 4777950 268873 107645 386817 588365 6278059 5473960 0 100 0 0 2635206 2708207 0 0 0 3810087 3149821 6445293 5858128 -167234 -384168 9262629 11628622 6631318 9440305 2631311 2188317 PROVIDES A HOME FOR THE AGED AND A NURSING FACILITY FOR THE MEDICAL CARE OF COMMUNITY. THE CENTER ALSO PROVIDES SKILLED NURSING AND RESIDENTIAL CARE SERVICES. 0 0 4863038 100 5012690 PROVIDES A HOME FOR THE AGED AND A NURSING FACILITY FOR THE COMMUNITY. THE CENTER ALSO PROVIDES SKILLED NURSING AND ASSISTED LIVING SERVICES. 4863038 1 0 0 0 0 0 0 0 1 0 1 0 0 0 0 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 35 0 168 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 SUE FOWLER EXECUTIVE DIRECTOR 39.00 1.00 X 0 0 0 PAIGE WHEELER EXECUTIVE DIRECTOR 39.00 1.00 X 0 0 0 0 0 0 0 0 0 0 REHABCARE GROUP PO BOX 503534 ST LOUIS MO 63150 THERAPY SERVICES 274363 GRAPETREE MEDICAL STAFFING INC 1003 23RD STREET MILFORD IA 51351 NURSING AGENCY 271849 LIBERTY ROOFING INC 109 S MAIN STREET LIBERTY MO 64068 REPLACE ROOFING 269824 LIFE CARE SERVICES 400 LOCUST STREET DES MOINES IA 50309 MANAGEMENT COMPANY 252416 CASCADE HEALTH SERVICES 1045 SWIFT AVE KANSAS CITY MO 64116 NURSING AGENCY 207858 5 RESIDENT FEES 623000 4777950 4777950 4777950 62114 62114 1258794 1142256 71007 116538 -71007 45531 45531 MEALS/VENDING 623000 254511 254511 INSURANCE PROCEEDS 623000 235823 233394 2429 BEAUTY SHOP 623000 41466 41466 56565 1346 55219 588365 5473960 5012690 0 461270 X 100 100 257760 257760 2046519 1777683 268836 983 758 225 253712 237192 16520 149233 128859 20374 167278 167278 19333 19333 35157 35157 687372 687177 195 60434 60434 405920 303405 102515 22651 22419 232 267922 265181 2741 20752 12392 8360 125 125 42980 42540 440 520246 514924 5322 247531 244999 2532 DIETARY EXPENSE 318606 318606 DUES, LICENSES & FEES 272301 263815 8486 BEAUTY & BARBER 32771 32771 BAD DEBT EXPENSE 18350 18350 10092 10092 5858128 4863038 995090 0 172259 60067 1494968 24002 269728 309514 56979 44586 172224 169488 20836160 11379583 5163091 9456577 1634957 1294387 271868 239816 26555 30185 9262629 11628622 328156 969921 3355361 2902948 1445000 15002 21934 1487799 5545502 6631318 9440305 X 2631311 2188317 2631311 2188317 9262629 11628622 -384168 -58826 0 X X 0 1 X 1 0 X 5965839 5842357 6442132 5623043 4777950 28651321 5965839 5842357 6442132 5623043 4777950 28651321 0 0 0 28651321 71471 70788 71555 71738 62114 347666 71471 70788 71555 71738 62114 347666 43334 113268 425922 386817 353625 1322966 6080644 6026413 6939609 6081598 5193689 30321953 0.94490 0.95740 0.01150 0.01130 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS - 2011 AMOUNT: $ 42,472. 2012 AMOUNT: $ 25,135. 2013 AMOUNT: $ 56,497. 2014 AMOUNT: $ 39,902. 2015 AMOUNT: $ -3,747. MEAL/VENDING - 2011 AMOUNT: $ 862. 2012 AMOUNT: $ 1,098. 2013 AMOUNT: $ 249,281. 2014 AMOUNT: $ 239,871. 2015 AMOUNT: $ 254,511. TRANSPORTATION - 2012 AMOUNT: $ 18,333. 2013 AMOUNT: $ 24,514. 2014 AMOUNT: $ 22,455. 2015 AMOUNT: $ 15,894. LAUNDRY - 2012 AMOUNT: $ 17,660. 2013 AMOUNT: $ 20,526. 2014 AMOUNT: $ 17,833. 2015 AMOUNT: $ 18,111. GUEST ROOM - 2012 AMOUNT: $ 11,770. 2013 AMOUNT: $ 17,935. 2014 AMOUNT: $ 20,135. 2015 AMOUNT: $ 22,220. BEAUTY BARBER - 2012 AMOUNT: $ 39,272. 2013 AMOUNT: $ 57,169. 2014 AMOUNT: $ 46,621. 2015 AMOUNT: $ 41,466. GIFT SHOP - 2015 AMOUNT: $ 2,741. INSURANCE PROCEEDS - 2015 AMOUNT: $ 2,429. 0 1 X 192239 192239 13335048 9411942 3923106 415879 337796 78083 1751446 1629845 121601 5141548 5141548 9456577 X 5415134 -58826 -58826 5473960 0 5473960 5858128 0 5858128 0 5858128 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. 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 $516,386 AND $537,632 FOR THE YEARS ENDED AUGUST 31, 2016 AND 2015, RESPECTIVELY. DURING THE 2015 CALENDAR YEAR, THE FOLLOWING INDIVIDUALS WERE COMPENSATED FOR PROVIDING SERVICES TO THE FOUNDATION IN THE FOLLOWING AMOUNTS: SUE FOWLER, EXECUTIVE DIRECTOR: $164,462 PAIGE WHEELER, EXECUTIVE DIRECTOR: $113,948 KRISTEN KALLAS, HEALTH CENTER ADMINISTRATOR: $55,297 FORM 990, PART VI, SECTION B, LINE 11 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 CEO 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 347,210. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 347,210. THERAPY SERVICES: PROGRAM SERVICE EXPENSES 293,486. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 293,486. CONSULTING: PROGRAM SERVICE EXPENSES 46,481. MANAGEMENT AND GENERAL EXPENSES 195. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 46,676. 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