2022-11-14T16:17:18-06:00 2021-12-31 410746749 CLIFTONLARSONALLEN LLP 5001 SPRING VALLEY ROAD SUITE 600W DALLAS TX 75244 990 2021-01-01 741459599 WESLEYAN HOMES INC WESL 5128695800 263 WHITE HERON DRIVE 140 GEORGETOWN TX 78628 FRANK WOODS CHIEF FINANCIAL OFFICER 5128695800 2022-11-14 1 FRANK WOODS 999009999 MICHAEL SIEGEL P01587323 9723835700 2022-11-14 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z FRANK WOODS 263 WHITE HERON DRIVE 140 GEORGETOWN TX 78628 32412628 0 X WWW.WESLEYANHOMES.ORG X 1955 TX THE WESLEYAN IS CALLED TO CREATE A NEW, BOUNTIFUL EXPERIENCE OF AGING THAT ENSURES THAT LIFE IS LIVED ABUNDANTLY IN BODY, MIND AND SPIRIT. 24 23 616 23 0 0 3803353 3458800 29815114 27280315 185294 731478 1133652 942035 34937413 32412628 0 0 0 0 20713833 16998660 0 0 68994 16907281 17053830 37621114 34052490 -2683701 -1639862 105418838 102254340 92441912 90915013 12976926 11339327 THE WESLEYAN IS CALLED TO CREATE A MINISTRY OF HEALTH AND AGING SERVICES THAT NOURISHES BODY, MIND AND SPIRIT SO THAT ALL THOSE THAT THE WESLEYAN SERVES LIVE ABUNDANTLY. 0 0 30392005 0 27280315 WESLEYAN HOMES, INC. CURRENTLY PROVIDES HOSPICE AND HOME HEALTH SERVICES AND OPERATES THREE FACILITIES LOCATED IN GEORGETOWN, TEXAS. (1) THE WESLEYAN AT ESTRELLA INDEPENDENT LIVING, A 246-UNIT INDEPENDENT LIVING RETIREMENT COMMUNITY, PROVIDING HOUSING, DIETARY AND OTHER RELATED SERVICES, (2) THE WESLEYAN AT ESTRELLA ASSISTED LIVING, A 84-UNIT ASSISTED LIVING RETIREMENT COMMUNITY, PROVIDING CERTIFIED MEMORY CARE SERVICES, AND (3) THESE PROFESSIONAL PATIENT CARE AND BENEFITS ARE PROVIDED REGARDLESS OF FINANCIAL CONSIDERATIONS AND QUALIFICATIONS. WESLEYAN HOMES SERVED OVER 1,000 RESIDENTS IN 2021. 30392005 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 74 0 616 0 0 0 0 0 0 0 0 0 0 0 0 0 X 24 23 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X FRANK WOODS 5128695800 2100 SCENIC DRIVE SUITE 140 GEORGETOWN TX 78626 MARK LENHARD PRESIDENT & CEO 39.00 1.00 X X 282571 0 29804 EDMOND KOMANDOSKY BOARD CHAIR 1.00 1.00 X X 0 0 0 GENE LAWHON BOARD TREASURER 1.00 1.00 X X 0 0 0 JEFFREY SMITH EX OFFICIO BOARD MEMBER 1.00 1.00 X 0 0 0 PATTY LEE BOARD SECRETARY 1.00 1.00 X X 0 0 0 WILLIAM BOOTH BOARD MEMBER 1.00 0.00 X 0 0 0 GEORGE BRIGHTWELL BOARD MEMBER 1.00 0.00 X 0 0 0 WILLIAM CONNOR JR BOARD MEMBER 1.00 1.00 X 0 0 0 LINDA GUSNOWSKI BOARD MEMBER 1.00 0.00 X 0 0 0 JACKIE HAMMAR BOARD MEMBER 1.00 0.00 X 0 0 0 RICHARD LACAGNINA BOARD MEMBER 1.00 0.00 X 0 0 0 CORLISS MCBRIDE BOARD MEMBER 1.00 0.00 X 0 0 0 STEVEN MCCAIN EX OFFICIO BOARD MEMBER 1.00 0.00 X 0 0 0 ALAN MCGRATH EX OFFICIO BOARD MEMBER 1.00 0.00 X 0 0 0 JEFFREY MILLER BOARD MEMBER 1.00 0.00 X 0 0 0 KANTRICE ROBINSON BOARD MEMBER 1.00 0.00 X 0 0 0 PAMELA PINKERTON EX OFFICIO BOARD MEMBER 1.00 0.00 X 0 0 0 TRAVIS SUMMERLIN BOARD MEMBER 1.00 0.00 X 0 0 0 DARREN WALKER EX OFFICIO BOARD MEMBER 1.00 0.00 X 0 0 0 GLENDA WHITEHEAD BOARD MEMBER 1.00 0.00 X 0 0 0 NANCY WOODS BOARD MEMBER 1.00 0.00 X 0 0 0 JEANNINE FAIRBURN BOARD MEMBER 1.00 0.00 X 0 0 0 MICHAEL LOWRY BOARD MEMBER 1.00 0.00 X 0 0 0 ROBERT SOULEN BOARD MEMBER 1.00 0.00 X 0 0 0 BRAD BRITTAIN BOARD MEMBER (TERM ENDED 1/2021) 1.00 0.00 X 0 0 0 YVONNE COON BOARD MEMBER (TERM ENDED 6/2021) 1.00 0.00 X 0 0 0 BETHANY SISNEROZ CHIEF OPERATING OFFICER 39.00 1.00 X 203491 0 25935 KEVIN BYRNE CHIEF FINANCIAL OFFICER 39.00 1.00 X 180816 0 12081 KELLY GOETZ CHIEF COMPLIANCE OFFICER 39.00 1.00 X 147707 0 24915 GEORGIANNE HEWETT VP OF ADVANCEMENT 39.00 1.00 X 118907 0 9736 MAMIE LISTER HOME HEALTH ADMINISTRATOR 40.00 0.00 X 126186 0 11679 LAURA PLACKE SKILLED NURSING ADMINISTRATOR 40.00 0.00 X 112507 0 6256 MICHAEL PARKER DIRECTOR OF PLANT OPERATIONS 40.00 0.00 X 100890 0 13200 1273075 0 133606 8 0 1 0 MORRISON COMMUNITY LIVING PO BOX 102289 ATLANTA GA 30368 FOOD SERVICE 2794460 FUNCTIONAL PATHWAYS 10133 SHERRILL BLVD SUITE 200 KNOXVILLE TN 37932 OUTSOURCED THERAPY 1176301 COVEY RISE ROOFING LLC 2915 COUNTY ROAD 255 GEORGETOWN TX 78633 CONTRACTOR 380077 KARE TECHNOLOGIES LLC PO BOX 4738 HOUSTON TX 77210 CONTRACT NURSES 323874 SINGLE SOURCE SECURITY LLC 90 TOWN CENTER ST STE 202 DATEVILLE VA 24083 SECURITY SERVICES 260678 15 105150 3317435 36215 3458800 PROGRAM SERVICE REVENUE 623000 27280315 27280315 27280315 108248 108248 623230 0 623230 623230 623230 OTHER RESIDENT SERVICES 812900 378035 378035 QIPP REVENUE 812900 316428 316428 BARBER/BEAUTY SHOP 812900 126962 126962 120610 120610 942035 32412628 27280315 0 1673513 X 814585 814585 13619035 12139600 1476999 2436 378534 318371 60099 64 1176244 989296 186749 199 1010262 849695 160396 171 62727 62727 36923 36923 69260 69260 4382370 4382370 230175 170745 55067 4363 691450 512922 165423 13105 277709 206006 66439 5264 995464 738441 238155 18868 44896 33304 10741 851 3566876 3524648 42228 3108237 3092474 15763 465013 344949 111250 8814 DIETARY 1529047 1529047 OTHER EXPENSES 644073 477780 154089 12204 MAINTENANCE AND EQUIPME 501087 501087 BAD DEBT 308462 308462 140061 103898 33508 2655 34052490 30392005 3591491 68994 2860711 1998784 13295912 13209046 3429653 1108665 126323 145074 98232327 25171376 74293992 73060951 4927227 5451803 1466125 1341838 5018895 5938179 105418838 102254340 8777491 5374885 966026 2440049 76994986 76228792 10586 1177072 5692823 5694215 92441912 90915013 X 12976926 11339327 12976926 11339327 105418838 102254340 X -1639862 -159465 161728 X X 0 1 X 1 0 X 184434 187357 113292 129572 141365 756020 29082328 31057635 29838331 29815114 27280315 147073723 29266762 31244992 29951623 29944686 27421680 147829743 0 0 0 147829743 119409 139677 206525 120198 108248 694057 119409 139677 206525 120198 108248 694057 302434 804860 937933 4807433 4259470 11112130 29688605 32189529 31096081 34872317 31789398 159635930 0.92600 0.94880 0.00430 0.00480 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: EMPLOYEE/GUEST MEALS - 2017 AMOUNT: $ 65,383. 2018 AMOUNT: $ 86,089. 2019 AMOUNT: $ 105,712. 2020 AMOUNT: $ 21,814. 2021 AMOUNT: $ 44,660. BARBER/BEAUTY SHOP - 2017 AMOUNT: $ 155,543. 2018 AMOUNT: $ 188,074. 2019 AMOUNT: $ 166,506. 2020 AMOUNT: $ 42,446. 2021 AMOUNT: $ 126,962. OTHER RESIDENT SERVICES - 2017 AMOUNT: $ 81,508. 2018 AMOUNT: $ 2,518. 2019 AMOUNT: $ 70,571. 2020 AMOUNT: $ 216,149. 2021 AMOUNT: $ 3,695,470. QIPP REVENUE - 2018 AMOUNT: $ 337,479. 2019 AMOUNT: $ 507,044. 2020 AMOUNT: $ 784,443. 2021 AMOUNT: $ 316,428. NON-REFUNDABLE FEE INCOME - 2018 AMOUNT: $ 190,700. 2019 AMOUNT: $ 88,100. 2020 AMOUNT: $ 68,800. 2021 AMOUNT: $ 75,950. STIMULUS REVENUE - 2020 AMOUNT: $ 3,673,781. 2021 AMOUNT: $ 0. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 5620022 5620022 83578892 20932463 62646429 9033413 4238913 4794500 73060951 OTHER ASSETS 168067 INVESTMENT IN HOME HEALTH 577114 INTERCOMPANY 31622 CONSTRUCTION IN PROGRESS 5161376 5938179 SECURITY DEPOSITS 44000 REFUNDABLE ENTRANCE FEES 5650215 5694215 X 32412329 -159465 161728 2263 32410066 2562 2562 32412628 34049928 0 34049928 2562 2562 34052490 PART X, LINE 2: THE ORGANIZATION'S INCOME TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL AND STATE AUTHORITIES. THE ORGANIZATION IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE ITS TAX-EXEMPT STATUS. THE ORGANIZATION REPORTS ANY ACTIVITIES THAT ARE SUBJECT TO TAX ON UNRELATED BUSINESS INCOME OR EXCISE OR OTHER TAXES, AND FILES PROPER RETURNS RELATED TO THESE ACTIVITIES. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN INVESTMENT IN RISK RETENTION GROUP 161,728. PART XI, LINE 4B - OTHER ADJUSTMENTS: INVESTMENT MANAGEMENT FEES 2,562. PART XII, LINE 4B - OTHER ADJUSTMENTS: INVESTMENT MANAGEMENT FEES 2,562. X X 0 0 0 0 0 0 0 0 0 MARK LENHARD PRESIDENT & CEO 282571 0 0 0 0 0 8250 0 21554 0 312375 0 0 0 BETHANY SISNEROZ CHIEF OPERATING OFFICER 203491 0 0 0 0 0 11984 0 13951 0 229426 0 0 0 KEVIN BYRNE CHIEF FINANCIAL OFFICER 180816 0 0 0 0 0 5469 0 6612 0 192897 0 0 0 KELLY GOETZ CHIEF COMPLIANCE OFFICER 147707 0 0 0 0 0 4521 0 20394 0 172622 0 0 0 A NEW HOPE CULTURAL EDUCATION FACILITIES FINANCE CORPORATION 261604618 64542UAG9 2014-12-03 53550122 REFINANCE CERTAIN TAX-EXEMPT NOTES & FINANCE CONSTRUCTION AND CERTAIN FUNDS 0 0 0 B NEW HOPE CULTURAL EDUCATION FACILITIES FINANCE CORPORATION 261604618 64542UFA7 2019-12-04 31943125 ACQUISITION AND REFURBISHMENT OF A SKILLED NURSING FACILITY 0 0 0 A 7215846 3423950 53550122 3469452 1071002 26981049 22028619 2016 1 0 1 1 B 160000 31943125 1449718 638862 22471991 3423950 3958604 2020 1 0 0 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 A 0 1 0 0 0 0 0 0 1 B 0 0 0 1 0 0 0 0 1 A 1 B 1 SCHEDULE K, PAGE 2, PART IV, LINE 3 ALTHOUGH THE SERIES 2014 BOND ISSUE CONTAINS BONDS WITH VARYING TERMS AND DIFFERENT RATES, THE OVERALL YIELD IS FIXED AND DETERMINABLE AS OF THE ISSUE DATE AS ALL THE BONDS HAVE A FIXED RATE. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED BY THE BOARD, CEO AND CFO PRIOR TO FILING. THE RETURN IS REVIEWED FOR ACCURACY WITH ANY CHANGES BEING DISCUSSED AND SUBMITTED TO THE CPA FIRM PREPARING THE RETURN. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY APPLIES TO ALL MEMBERS AND OFFICERS OF THE BOARD OF TRUSTEES AS WELL AS KEY MANAGEMENT EMPLOYEES. UPON DATE OF EMPLOYMENT OR APPOINTMENT ONTO BOARD, THESE INDIVIDUALS MUST SIGN A CONFLICT OF INTEREST STATEMENT STATING THAT THEY HAVE READ AND ARE FAMILIAR WITH THE BY-LAWS AND, IN PARTICULAR, ARTICLE 66 REGARDING CONFLICT OF INTEREST, AND THAT THEY WILL COMPLY WITH REQUIREMENT TO REPORT, IN WRITING, ANY APPARENT CONFLICT OF INTEREST TO THE BOARD CHAIR. THE BOARD CHAIR IN CONSULTATION WITH APPROPRIATE BOARD MEMBERS AND KEY MANAGEMENT WILL DETERMINE IF A CONFLICT EXISTS AND DETERMINE APPROPRIATE RESTRICTIONS ON A CASE-BY-CASE BASIS FOR AN INDIVIDUAL WITH A CONFLICT OF INTEREST. THE CONFLICT OF INTEREST POLICY WAS REVIEWED AND UPDATED STATEMENTS WERE SIGNED BY ALL BOARD MEMBERS DURING A 2020 BOARD MEETING. FORM 990, PART VI, SECTION B, LINE 15 THE SALARIES FOR THE CEO AND OTHER KEY EMPLOYEES ARE SET BY THE EXECUTIVE COMMITTEE OF THE BOARD EACH OCTOBER FOR THE FOLLOWING YEAR. EACH COMMITTEE MEMBER IS PROVIDED WITH THE SALARY HISTORY OF EACH OF THESE EMPLOYEES SINCE HIS/HER EMPLOYMENT DATE. THE HUMAN RESOURCE MANAGER PARTICIPATES EACH YEAR IN THE SALARY SURVEYS FOR LEADING AGE AND LEADING AGE TEXAS. THE RESULTS OF THESE SURVEYS ARE PROVIDED TO THE CEO TO PRESENT TO THE EXECUTIVE COMMITTEE. THE CEO DISCUSSES EACH EMPLOYEE'S STRENGTHS, WEAKNESSES, ACCOMPLISHMENTS, AND OVERALL PERFORMANCE WITH THIS COMMITTEE. THE COMMITTEE TAKES ALL OF THIS INFORMATION, ALONG WITH THEIR PERCEPTION OF THE EMPLOYEE BASED ON THEIR OWN INTERACTIONS, AND DETERMINES, BY EMPLOYEE, THE SALARY ADJUSTMENT TO BE MADE. THEN, THE CEO LEAVES THE MEETING, AND THE COMMITTEE GOES THROUGH THE SAME PROCEDURE TO EVALUATE HIM. THE BOARD CHAIR GATHERS ALL OF THE INFORMATION ON RAISES AND SIGNS OFF. THE DOCUMENTATION IS THEN FORWARDED TO THE CFO FOR PROCESSING AFTER THE LAST PAYROLL OF THE YEAR. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, POLICIES, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST FROM MANAGEMENT. FORM 990, PART IX, LINE 11G CONTRACT LABOR: PROGRAM SERVICE EXPENSES 4,382,370. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,382,370. FORM 990, PART XI, LINE 9: CHANGE IN INVESTMENT VALUE OF RISK RETENTION GROUP 161,728. FORM 990, PAGE 5, PART V, LINE 2C THE ORGANIZATION HAS A COMMITEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT FROM THE AUDIT. THE PROCESS FOR THE OVERSIGHT OF THE AUDIT HAS NOT CHANGED FROM THE PRIOR YEAR. WESLEYAN HOMES PROPERTIES 2100 SCENIC DRIVE STE 140 GEORGETOWN TX 78626 900085004 ACQUIRING, HOLDING TITLE TO, CONSTRUCTION & MAINTAINING REAL PROPERTY TX 501(C)(3) LINE 12A, I WESLEYAN HOMES INC 1 WESLEYAN HOMES FOUNDATION 2100 SCENIC DRIVE STE 140 GEORGETOWN TX 78626 900085021 PROVIDE SUPPORT FOR WESLEYAN HOMES, INC. TX 501(C)(3) LINE 12A, I WESLEYAN HOMES INC 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 WESLEYAN HOMES FOUNDATION C 105150 FMV OF CHARITABLE CARE