2016-08-08T11:25:12-05:00 2015-12-31 410746749 CLIFTONLARSONALLENLLP 5001 SPRING VALLEY ROAD SUITE 600W DALLAS TX 75244 990 2015-01-01 741501375 WESTMINSTER MANOR WEST 5124544711 4100 JACKSON AUSTIN TX 78731 CHARLES BORST EXECUTIVE DIRECTOR 5124544711 2016-08-03 1 MICHAEL SIEGEL P01587323 9723835700 2015 2016-12-15 16:53:06Z CHARLES BORST 4100 JACKSON AUSTIN TX 78731 29460784 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 12 432 45 0 0 84999 42155 26235202 27011090 876021 1526382 989244 881157 28185466 29460784 0 0 0 0 11174217 11633943 0 0 0 17446228 16726276 28620445 28360219 -434979 1100565 145660305 145395502 162055643 161943889 -16395338 -16548387 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 12097293 18962346 MANOR APARTMENTS - THE ORGANIZATION PROVIDES APARTMENTS AND ASSISTED LIVING SERVICES TO ITS RESIDENTS. 7352959 6645249 MEDICAL CENTER - THE ORGANIZATION MAINTAINS A SKILLED NURSING CARE FACILITY TO MEET THE HEALTH NEEDS OF ITS RESIDENTS. 7053660 166582 FOOD SERVICE - THE ORGANIZATION PROVIDES FOOD SERVICES TO MAINTAIN THE HEALTH AND WELL BEING OF ITS RESIDENTS. 571437 1236913 THE ORGANIZATION OBTAINED A STATE LICENSE FOR AN ASSISTED LIVING UNIT IN APRIL 2012. THE UNIT HAS 22 BEDS. 571437 1236913 27075349 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 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 94 0 432 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 X MIKE ELEDGE BOARD CHAIRMAN 1.00 X X 0 0 0 BWILLIAM BROWN BOARD VICE CHAIRMAN 1.00 X X 0 0 0 EDWIN SHARPE SECRETARY 1.00 X X 0 0 0 TERRELL BLODGETT RESIDENT MEMBER 1.00 X 0 0 0 DIANA DINITTO MEMBER 1.00 X 0 0 0 JAMES FLIELLER MEMBER 1.00 X 0 0 0 DAVID FOWLER MEMBER 1.00 X 0 0 0 PAUL HILGERS MEMBER 1.00 X 0 0 0 NICK MOORE MEMBER 1.00 X 0 0 0 DAVID QUINTANILLA MEMBER 1.00 X 0 0 0 DAVID REDDING MEMBER 1.00 X 0 0 0 JAMES WOODWORTH MEMBER 1.00 X 0 0 0 CHARLES BORST EXECUTIVE DIRECTOR 50.00 X 0 0 0 HEATHER POTTS MARKETING DIRECTOR 40.00 X 126366 0 6590 126366 0 6590 1 0 0 0 REHABCARE GROUP 7733 FORSYTH BLVD ST LOUIS MO 63150 THERAPY SERVICES 732871 LIFE CARE SERVICES 400 LOCUST ST 820 DES MOINES IA 50309 MANAGEMENT SERVICES 587162 WHITE CONSTRUCTION 2705 BEE CAVE RD 250 AUSTIN TX 78746 CONSTRUCTION CONTRACTOR 297217 GLYNNDEVINS MARKETING & ADVERTISING 11230 COLLEGE BLVD OVERLAND PARK KS 66210 ADVERTISING/MARKETING CONSULTANT 283284 ALAN HEINE PAINTING CONTRACTORS INC 11600 EMERALD FALLS DRIVE AUSTIN TX 78738 PAINTING SERVICES 207774 7 42155 42155 NET SERVICE REVENUE 623000 21978636 21978636 ENTRANCE FEE AMORTIZATION 623990 5032454 5032454 27011090 881104 881104 604731 40547 0 0 604731 40547 645278 645278 MEAL REVENUE 812900 503668 503668 RENTALS AND GUEST ROOMS 623990 143380 143380 OTHER REVENUE 812900 135038 135038 99071 99071 881157 29460784 27011090 0 2407539 179099 170985 8114 9303288 8881799 421489 1285071 1226850 58221 866485 827229 39256 574174 548161 26013 77794 74270 3524 51961 49607 2354 293291 280003 13288 384814 367380 17434 43309 41347 1962 121239 115746 5493 1419449 1355140 64309 23111 22064 1047 9592 9157 435 4304180 4109178 195002 4200200 4009908 190292 367383 350739 16644 UNRELATED BUSINESS INCO 2223 2223 FOOD 1789709 1708626 81083 SUPPLIES 850478 811947 38531 MEDICAL/THERAPY EXPENSE 820932 783739 37193 1392437 1329251 63186 28360219 27075349 1284870 0 242664 299256 43004667 58933139 2211799 1111802 113444 62905 1596971 400302 121478845 38456006 85300778 83022839 13189982 1565259 145660305 145395502 2289885 2172171 32713601 34295701 62043803 59620000 1429981 65008354 64426036 162055643 161943889 X -16395338 -16548387 -16395338 -16548387 145660305 145395502 X 1100565 -1240119 -13495 X X 0 1 X 1 0 X 26391 16322 16590 84999 42155 186457 19396783 24043536 24422946 27072198 27011090 121946553 19423174 24059858 24439536 27157197 27053245 122133010 0 0 0 122133010 250369 221828 546984 812821 881104 2713106 250369 221828 546984 812821 881104 2713106 45604 46439 36652 14818 143513 881157 881157 19719147 24328125 25023172 27984836 28815506 125870786 0.97030 0.98030 0.02160 0.01830 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MEAL REVENUE - 2015 AMOUNT: $ 503,668. RENTALS/GUEST ROOMS - 2015 AMOUNT: $ 143,380. OTHER INCOME - 2015 AMOUNT: $ 135,038. BEAUTY BARBER AND GIFT SHOP - 2015 AMOUNT: $ 99,071. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1195084 1195084 106193072 30253616 75939456 1786819 333488 1453331 12303870 7868902 4434968 83022839 ANNUITIES PAYABLE 20958 ENTRANCE FEE DEPOSITS 746857 REFUNDABLE ENTRANCE FEES 62043515 REFUNDS IN PROCESS 1614706 64426036 X 28207170 -1240119 -1240119 29447289 13495 13495 29460784 28360219 0 28360219 0 28360219 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 4B - OTHER ADJUSTMENTS: CHANGE IN VALUE OF SPLIT INTEREST 13,495. A TRAVIS COUNTY HEALTH FACILITIES DEVELOPMENT 742251752 89438LCB2 2010-02-23 64620000 LT FINANCING OF NEW CONSTRUCTION WITH RESERVE FUND 0 0 0 A 5000000 64620000 5508531 1292400 57819069 2013 0 0 1 1 A 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 0 1 1 0 0 0 1 A 1 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: TRAVIS COUNTY HEALTH FACILITIES DEVELOPMENT DATE THE REBATE COMPUTATION WAS PERFORMED: 02/23/2015 SCHEDULE K, PAGE 1, PART II, COLUMN A, LINE 11 THE OTHER SPENT PROCEEDS REPRESENTS AMOUNTS USED TO REFUND A PRIOR BOND ISSUANCE THAT ARE NO LONGER IN REFUNDING ESCROWS. SCHEDULE K, 2005 BONDS AS THE SERIES 2005 BONDS WERE FULLY REPAID IN 2015, THEY HAVE BEEN REMOVED FROM SCHEDULE K SINCE THERE WAS NO OUSTANDING PRINCIPAL BALANCE GREATER THAN $100,000 AS OF 12/31/2015. 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, HOPE BROWN, AND BRIAN HADDOCK ARE ON-SITE EMPLOYEES/ADMIN MANAGERS OF MANAGEMENT COMPANY, LIFE CARE SERVICES. HOPE BROWN WAS THE HEALTH CARE ADMINISTRATOR FROM JANUARY TO NOVEMBER 2015, AND BRIAN HADDOCK TOOK OVER THE POSITION IN DECEMBER OF 2015. FORM 990, PART VI, SECTION B, LINE 11 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 HEALTH FACILITIES CORP DOES NOT MAKE THEIR GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC. MONTHLY AND QUARTERLY 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 -13,495. 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 2015, WESTMINSTER MANOR'S MANAGEMENT COMPANY, LIFE CARE SERVICES, COMPENSATED EXECUTIVE DIRECTOR CHARLES BORST IN THE AMOUNT OF $179,099. PER IRS GUIDANCE, NO COMPENSATION IS SHOWN ON FORM 990, PART VII FOR CHARLES BORST. BULL CREEK PROPERTIES LLC 4100 JACKSON AUSTIN TX 78731 462471512 REAL ESTATE HOLDING TX 6989 476179 WESTMINSTER MANOR