2017-09-06T09:02:52-05:00 2016-12-31 410746749 CLIFTONLARSONALLEN LLP 5001 SPRING VALLEY ROAD SUITE 600W DALLAS TX 75244 990 2016-01-01 741501375 WESTMINSTER MANOR WEST 5124544711 4100 JACKSON AUSTIN TX 78731 CHARLES BORST EXECUTIVE DIRECTOR 5124544711 2017-09-01 1 MICHAEL SIEGEL P01587323 9723835700 67.137.57.251 2017-09-01 07:38:59 CD P 620CE377AB574A82531DB92133EAAE39445EB33D 3E979F80BB8F399C9CB7D5D916B34B85DDD844F4 2016 2021-01-29 14:40:06Z CHARLES BORST 4100 JACKSON AUSTIN TX 78731 30277796 0 X WWW.WESTMINSTERMANOR.ORG X 1967 TX THE GOAL OF WESTMINSTER MANOR IS TO RELIEVE THE RETIRED PERSON OF THE RESPONSIBILITY OF HOME MANAGEMENT AND TO PROVIDE ECONOMICAL SUPPORT AND NURSING CARE IN THE COMPANY'S HEALTH FACILITY FOR THE RESIDENTS.THE GOAL OF WESTMINSTER MANOR IS TO RELIEVE THE RETIRED PERSON OF THE RESPONSIBILITY OF HOME MANAGEMENT AND TO PROVIDE ECONOMICAL SUPPORT AND NURSING CARE IN THE COMPANY'S HEALTH FACILITY FOR THE RESIDENTS. 12 12 446 45 0 0 42155 28144 27011090 27662102 1526382 1664926 881157 912600 29460784 30267772 0 0 0 0 11633943 12263643 0 0 0 16726276 30925890 28360219 43189533 1100565 -12921761 144214505 147209463 160762892 175889020 -16548387 -28679557 X THE GOAL OF WESTMINSTER MANOR IS TO RELIEVE THE RETIRED PERSON OF THE RESPONSIBILITY OF HOME MANAGEMENT AND TO PROVIDE ECONOMICAL SUPPORT AND NURSING CARE IN THE COMPANY'S HEALTH FACILITY FOR THE RESIDENTS. 0 0 18769652 19845939 MANOR APARTMENTS - THE ORGANIZATION PROVIDES APARTMENTS AND ASSISTED LIVING SERVICES TO ITS RESIDENTS. 11447571 6396162 MEDICAL CENTER - THE ORGANIZATION MAINTAINS A SKILLED NURSING CARE FACILITY TO MEET THE HEALTH NEEDS OF ITS RESIDENTS. 10586038 334918 FOOD SERVICE - THE ORGANIZATION PROVIDES FOOD SERVICES TO MAINTAIN THE HEALTH AND WELL BEING OF ITS RESIDENTS. 863697 1085083 ASSISTED LIVING - THE ORGANIZATION OBTAINED A STATE LICENSE FOR AN ASSISTED LIVING UNIT IN APRIL 2012. THE UNIT HAS 22 BEDS. 863697 1085083 41666958 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 100 0 446 1 0 0 0 0 0 0 0 0 0 0 X 12 12 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 1 0 X SARAH LOYD & SCOTT THOMPSON 5124544711 4100 JACKSON AUSTIN TX 78731 WILLIAM BROWN BOARD CHAIRMAN 0.50 X X 0 0 0 DAVID QUINTANILLA BOARD VICE CHAIRMAN 0.50 X X 0 0 0 EDWIN SHARPE SECRETARY 0.50 X X 0 0 0 DIANA DINITTO MEMBER 0.50 X 0 0 0 MIKE ELEDGE MEMBER 0.50 X 0 0 0 JAMES FLIELLER MEMBER 0.50 X 0 0 0 DAVID FOWLER MEMBER 0.50 X 0 0 0 PAUL HILGERS MEMBER 0.50 X 0 0 0 NICK MOORE MEMBER 0.50 X 0 0 0 DAVID REDDING MEMBER 0.50 X 0 0 0 SUSAN SHARLOT RESIDENT MEMBER 0.50 X 0 0 0 JAMES WOODWORTH MEMBER 0.50 X 0 0 0 CHARLES BORST EXECUTIVE DIRECTOR 50.00 X 0 0 0 SARAH LOYD ASSOC. EXE. DIRECTOR 40.00 X 128396 0 12900 RONALD BRIAN HADDOCK HEALTH CENTER DIRECTOR 50.00 X 0 0 0 HEATHER POTTS MARKETING DIRECTOR 40.00 X 130333 0 12702 258729 0 25602 2 0 0 0 CENTRAL TX COMMERCIAL ACHTG 7909 ROSSEN RD AUSTIN TX 78736 AC/HEATING MAINTENANCE LABOR 764195 REHABCARE GROUP 7733 FORSYTH BLVD ST LOUIS MO 63150 THERAPY SERVICES - OT, PT, ST 751344 LIFE CARE SERVICES 400 LOCUST ST 820 DES MOINES IA 50309 MANAGEMENT CONSULTING 731638 ALAN HEINE PAINTING CONTRACTORS INC 6001 BULLARD AUSTIN TX 78757 PAINTING SERVICES 253809 GLYNNDEVINS MARKETING & ADVERTISING 11230 COLLEGE BLVD OVERLAND PARK KS 66210 ADVERTISING/MARKETING CONSULTANT 228270 8 28144 28144 NET SERVICE REVENUE 623000 22432125 22432125 ENTRANCE FEE AMORTIZATION 623990 5229977 5229977 27662102 921436 921436 753514 0 10024 753514 -10024 743490 743490 MEAL REVENUE 812900 527001 527001 RENTALS AND GUEST ROOMS 623990 169190 169190 OTHER REVENUE 812900 116547 116547 99862 99862 912600 30267772 27662102 0 2577526 128396 123870 4526 9773710 9429154 344556 1440659 1389871 50788 920878 888414 32464 582373 561842 20531 49817 48061 1756 47365 45695 1670 219282 211552 7730 412850 398296 14554 41340 39883 1457 137689 132835 4854 1356883 1309048 47835 36646 35354 1292 11411 11009 402 3208369 3095263 113106 4040661 3898214 142447 405966 391654 14312 LOSS ON EARLY EXTINGUIS 15406503 14863372 543131 FOOD 1744031 1682548 61483 MEDICAL/THERAPY EXPENSE 833938 804539 29399 SUPPLIES 817077 788272 28805 1573689 1518212 55477 43189533 41666958 1522575 0 299256 489485 58933139 63810721 1111802 951317 62905 78718 400302 379560 121435345 41439071 83022839 79996274 384262 1503388 144214505 147209463 2172171 2288144 34295701 33886653 59620000 74886631 1429981 1479384 63245039 63348208 160762892 175889020 X -16548387 -28679557 -16548387 -28679557 144214505 147209463 X -12921761 791573 -982 X X 0 1 X 1 0 X 16322 16590 84999 42155 28144 188210 24043536 24422946 27072198 27011090 27652102 130201872 24059858 24439536 27157197 27053245 27680246 130390082 0 0 0 130390082 221828 546984 812821 881104 921436 3384173 221828 546984 812821 881104 921436 3384173 46439 36652 14818 97909 881157 922600 1803757 24328125 25023172 27984836 28815506 29524282 135675921 0.96100 0.97030 0.02490 0.02160 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MEAL REVENUE - 2015 AMOUNT: $ 503,668. 2016 AMOUNT: $ 527,001. RENTALS/GUEST ROOMS - 2015 AMOUNT: $ 143,380. 2016 AMOUNT: $ 169,190. OTHER INCOME - 2015 AMOUNT: $ 135,038. 2016 AMOUNT: $ 126,547. BEAUTY BARBER AND GIFT SHOP - 2015 AMOUNT: $ 99,071. 2016 AMOUNT: $ 99,862. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1195084 1195084 106163652 32485141 73678511 1786819 417501 1369318 12289790 8536429 3753361 79996274 ANNUITIES PAYABLE 10970 ENTRANCE FEE DEPOSITS 906309 REFUNDABLE ENTRANCE FEES 60150597 REFUNDS IN PROCESS 3325784 DEFERRED FINANCING COSTS -1045452 63348208 X 31058363 791573 -982 790591 30267772 0 30267772 43189533 0 43189533 0 43189533 PART X, LINE 2: WESTMINSTER MANOR'S INCOME TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL, STATE, AND LOCAL AUTHORITIES. WESTMINSTER MANOR IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE ITS TAX-EXEMPT STATUS. WESTMINSTER MANOR IS NOT AWARE OF ANY ACTIVITIES THAT ARE SUBJECT TO TAX ON UNRELATED BUSINESS INCOME OR EXCISE OR OTHER TAXES. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN VALUE OF ANNUITIES PAYABLE -982. A TRAVIS COUNTY HEALTH FACILITIES DEVELOPMENT CORP 742251752 89438LCB2 2010-02-23 64620000 LT FINANCING CONSTRUCTION OF 75 APTS AND NEW HEALTH CENTER 1 0 0 B NEW HOPE CULTURAL EDUCATION FACILITIES FINANCE CORPORATION 261604618 64542UCL6 2016-09-15 70475514 REFINANCING OF THE SERIES 2010 BONDS 0 0 0 A 5000000 55085000 64620000 480870 1292400 57819069 5027661 2013 0 0 1 1 B 70475514 66760402 1018797 2696315 0 1 0 1 A 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 B 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 0 1 1 0 0 0 1 B 0 1 0 0 0 0 0 0 1 A 1 B 1 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: TRAVIS COUNTY HEALTH FACILITIES DEVELOPMENT CORP. DATE THE REBATE COMPUTATION WAS PERFORMED: 02/23/2015 SCHEDULE K, PART II, COLUMN B, LINE 11 THIS AMOUNT REPRSENTS PROCEEDS USED TO ADVANCE REFUND THE 2/23/2010 ISSUANCE. SCHEDULE K, PAGE 1, PART II, COLUMN B, LINE 3 INCLUDED IN THE TOTAL PROCEEDS FIGURE IS AN ORIGINAL ISSUE PREMIUM OF $8,950,514. FORM 990, PART VI, SECTION A, LINE 3 ACCORDING TO A SIGNED AGREEMENT ENTERED INTO JANUARY 1, 2004, WESTMINSTER MANOR PAYS MANAGEMENT FEES TO AN UNRELATED ORGANIZATION, LIFE CARE SERVICES, A MANAGEMENT COMPANY, TO PROVIDE THE ORGANIZATION WITH DIRECTORS AS WELL AS OTHER SERVICES. THE DIRECTORS ARE COMPENSATED BY THE MANAGEMENT COMPANY, AND WESTMINSTER MANOR REIMBURSES LIFE CARE SERVICES WITH MONTHLY MANAGEMENT FEES FOR THE COMPENSATION PAID AND OTHER SERVICES PROVIDED. CHARLES BORST AND BRIAN HADDOCK ARE ON-SITE EMPLOYEES/ADMIN MANAGERS OF MANAGEMENT COMPANY, LIFE CARE SERVICES. FORM 990, PART VI, SECTION B, LINE 11B A COPY OF THE FORM 990 IS PROVIDED TO THE ENTIRE GOVERNING BODY BEFORE IT IS FILED. THE FORM 990 IS REVIEWED BY THE ACCOUNTING DIRECTOR AND THE EXECUTIVE DIRECTOR BEFORE IT IS FILED WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION RELIES ON THE INTEGRITY AND HONESTY OF THOSE WHO MUST COMPLY WITH THE CONFLICT OF INTEREST POLICY. FORM 990, PART VI, SECTION B, LINE 15B EXECUTIVE DIRECTOR AND HEALTH CARE ADMINISTRATOR ARE EMPLOYEES OF LIFE CARE SERVICES MANAGEMENT CO. AS PART OF THE CURRENT MANAGEMENT CONTRACT, THE ADMINISTRATOR IS COMPENSATED THROUGH LIFE CARE SERVICES. THIS IS PART OF MANAGEMENT COMPANY CONTRACT. FORM 990, PART VI, SECTION C, LINE 19 WESTMINSTER MANOR DOES NOT MAKE THEIR GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC. MONTHLY AND OUARTERLY FINANCIAL STATEMENTS ARE POSTED TO THE EMMA WEBSITE. FORM 990, PART VI, SECTION B, LINE 15A EXECUTIVE DIRECTOR IS AN EMPLOYEE OF LIFE CARE SERVICES MANAGEMENT CO. AS PART OF THE CURRENT MANAGEMENT CONTRACT THE DIRECTOR IS COMPENSATED THROUGH LIFE CARE SERVICES. THE LAST CONTRACT RENEWAL WAS IN 2014. FORM 990, PART XI, LINE 9: CHANGE IN VALUE OF SPLIT INTEREST -982. FORM 990, PART XII, LINE 2C THE ORGANIZATION HAS A COMMITTEE WHICH ASSUMES RESPONSIBILITY FOR CHOOSING THE INDEPENDENT AUDITOR AND OVERSIGHT OF THE INDEPENDENT AUDIT. THIS PROCESS IS CONSISTENT WITH PRIOR YEARS. FORM 990, PART VII, SECTION A IN 2016, WESTMINSTER MANOR'S MANAGEMENT COMPANY, LIFE CARE SERVICES, COMPENSATED EXECUTIVE DIRECTOR CHARLES BORST IN THE AMOUNT OF $226,448 AND HEALTH CENTER ADMINISTRATER RONALD (BRIAN) HADDOCK IN THE AMOUNT OF $122,260. PER IRS GUIDANCE, NO COMPENSATION IS SHOWN ON FORM 990, PART VII FOR CHARLES BORST AND RONALD (BRIAN) HADDOCK. BULL CREEK PROPERTIES LLC 4100 JACKSON AUSTIN TX 78731 462471512 REAL ESTATE HOLDING TX 25535 446802 WESTMINSTER MANOR