2024-07-09T08:58:42-05:00 2023-08-31 410746749 CLIFTONLARSONALLEN LLP 475 REGENCY PARK SUITE 175 OFALLON IL 62269 990 2022-09-01 741109717 INCARNATE WORD RETIREMENT COMMUNITY INC INCA 2108297561 4707 BROADWAY ST SAN ANTONIO TX 78209 PAUL HARRISON CEO 2108297561 2024-07-03 1 PAUL HARRISON 999009999 0 ERIKA MARTINEZ P02297196 6182331200 2024-07-03 3 AAL1 IAL1 2022 2023-04-26 12:10:37Z THE VILLAGE AT INCARNATE WORD PAUL HARRISON 4707 BROADWAY ST SAN ANTONIO TX 78209 20634687 0 0928 X WWW.THEVILLAGEIW.ORG X 1988 TX PROVIDE CARE, HOUSING, AND SERVICE WHILE OFFERING COMPASSION, COMFORT AND SPIRITUAL GROWTH. 13 13 413 95 0 0 3342499 1207785 17044195 18809735 342763 85260 215802 427555 20945259 20530335 330364 168799 0 0 10733043 11094234 0 0 211692 8849169 8702531 19912576 19965564 1032683 564771 9394597 10055410 1452278 1409992 7942319 8645418 TO EXTEND THE HEALING MINISTRY OF JESUS CHRIST. TO SHOW RESPECT FOR THE WHOLE PERSON, FOCUSING ON THE UNIQUE NEEDS OF ELDERLY ADULTS. TO PROVIDE A CONTINUUM OF CARE, HOUSING AND SERVICES WHILE OFFERING COMPASSION, COMFORT, AND OPPORTUNITIES FOR SPIRITUAL GROWTH. 0 0 14692676 130497 16987384 THE RETIREMENT COMMUNITY IS A CENTER FOR BENEVOLENT CHARITABLE SUPPORT AND FOR DISPENSING AID TO SICK AND ELDERLY MEMBERS OF THE CONGREGATION OF THE SISTERS OF THE CHARITY OF THE INCARNATE WORD AND ELDERLY MEMBERS OF THE CIVIC COMMUNITY. THE COMMUNITY HAS PROVIDED CARE TO 532 RESIDENTS INCLUDING 64 SISTERS AND PROVIDED CHARITABLE SUPPORT OF $130,497 THROUGH SUBSIDIES. 2136380 38302 2299056 THE SISTERS CARE PROGRAM IS AN IN-HOME CARE MINISTRY PROVIDING PERSONALIZED, SELF-ENRICHING ASSISTANCE TO ELDERS OF ALL COLOR AND CREEDS THROUGH PERSONAL CARE, HOMEMAKING, RESPITE CARE, AND SPIRITUAL CARE. HEALTH SERVICES ARE PROVIDED ON A GRADED SCALE BASIS TO THE ELDERLY IN THE RETIREMENT CENTER AND IN THE SURROUNDING COMMUNITY. SISTERS CARE SERVED 233 INDIVIDUALS, PROVIDED 21,690 VISITS, 98,222 HOURS OF SERVICES AND OFFERED CHARITY CARE OF $38,302 THROUGH SUBSIDIES. 16829056 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 1 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 43 0 413 1 0 0 0 0 0 0 0 0 0 0 0 0 X 13 13 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X X PAUL HARRISON 2108297561 4707 BROADWAY ST SAN ANTONIO TX 78209 ARIC GARZA TRUSTEE 1.00 0.00 X 0 0 0 DANA TERRACINA BOARD CHAIR 10.00 0.00 X X 0 0 0 DAVID MIER MBA TRUSTEE (END TERM 12/22) 1.00 0.00 X 0 0 0 DIANA BECKMANN-MENDEZ PHD TRUSTEE 1.00 0.00 X 0 0 0 GEOFFREY CRABTREE TREASURER 2.00 0.00 X X 0 0 0 HOWARD LUTZ VICE CHAIR 1.00 0.00 X X 0 0 0 JOSEPH WARD LPC LMFT TRUSTEE 1.00 0.00 X 0 0 0 PAUL KLEIN TRUSTEE 1.00 0.00 X 0 0 0 RANDY VOGEL SECRETARY 1.00 0.00 X X 0 0 0 SANDY KLEIN TRUSTEE 1.00 0.00 X 0 0 0 SHIRLEY WILLS TRUSTEE (END TERM 1/23) 1.00 0.00 X 0 0 0 SR KATHLEEN REYNOLDS CCVI TRUSTEE 1.00 0.00 X 0 0 0 SR KATHLEEN COUGHLIN TRUSTEE 1.00 0.00 X 0 0 0 SR MARGARET SNYDER CCVI TRUSTEE 1.00 0.00 X 0 0 0 VIVIAN VANCE TRUSTEE 1.00 0.00 X 0 0 0 JEANETTE EISENMENGER COO 40.00 0.00 X 119435 0 8892 JOAN DIXON CFO 40.00 0.00 X 141916 0 2608 PAUL HARRISON CEO 40.00 0.00 X 223010 0 12423 ALMA COSME VP OF MARKETING 40.00 0.00 X 125341 0 11034 ELIZABETH BLAND ADMINISTRATOR 40.00 0.00 X 133769 0 9432 LYNDA JENNINGS VP CLINICAL SERVICES 40.00 0.00 X 126872 0 2443 870343 0 46832 6 0 1 0 SELECT REHABILITATION LLC 141 MARKET PLACE DR FAIRVIEW HEIGHTS IL 62208 CONTRACT LABOR-THERAPY 243908 FCU ENTERPRISES INC 5250 EVERS ROAD SAN ANTONIO TX 78238 CONTRACTOR 194953 NURSECORE MANAGEMENT SERVICES 8131 W HAUSMAN RD 102 SAN ANTONIO TX 78249 CONTRACT LABOR-NURSING 178300 TEXAS CHILLERS SYSTEMS PO BOX 792248 SAN ANTONIO TX 78279 HVAC/CHILLER REPAIR 139636 4 89114 165821 952850 1207785 RESIDENT CARE 623311 16483110 16483110 SISTERS CARE 623311 2299056 2299056 REHAB CLINIC 623311 27569 27569 18809735 120887 120887 1100 28375 8352 -28375 -7252 -35627 -35627 18475 89114 67625 -49150 -49150 MISCELLANEOUS REVENUE 623311 135442 135442 DINING ROOM 623311 130551 130551 COMMUNITY FEES 623311 107600 107600 103112 103112 476705 20530335 19286440 0 36110 168799 168799 541194 541194 9157161 7555906 1435999 165256 79459 67935 10748 776 657211 528384 119106 9721 659209 497123 149444 12642 5254 5254 60900 60900 22204 22204 105150 83923 21227 132807 132807 356094 316276 17028 22790 293958 37117 256841 4246797 4117995 128802 28941 24841 4100 4338 455 3883 1220829 1183291 37538 175001 166770 7724 507 FOOD 1252464 1252464 ANCILLARY SERVICES 588287 588287 OTHER EXPENSES 169525 67914 101611 TELEPHONE 39982 38769 1213 19965564 16829056 2924816 211692 395874 215270 923519 1477712 96200 0 749229 793776 52007 55482 139615 364589 9205070 5792456 4012012 3412614 3026045 3231661 96 504306 9394597 10055410 1347023 1120144 76950 0 28305 289848 1452278 1409992 X 7698671 8192163 243648 453255 7942319 8645418 9394597 10055410 564771 138328 0 X X 0 1 X 1 0 X 376357 445349 2694209 3347753 1207785 8071453 17656213 17873104 16118197 17044195 18809735 87501444 31200 130154 93524 146818 356143 757839 18063770 18448607 18905930 20538766 20373663 96330736 54705 49759 62828 11565 21295 200152 0 54705 49759 62828 11565 21295 200152 96130584 93472 75060 59285 60897 120887 409601 93472 75060 59285 60897 120887 409601 641 899 22832 73178 139037 236587 18157883 18524566 18988047 20672841 20633587 96976924 0.99130 0.99190 0.00420 0.00470 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS INCOME - 2018 AMOUNT: $ 641. 2019 AMOUNT: $ 899. 2020 AMOUNT: $ 22,832. 2021 AMOUNT: $ 73,178. 2022 AMOUNT: $ 135,442. PROCESSING FEES - 2022 AMOUNT: $ 3,595. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 843 843 6684761 4603259 2081502 1047118 827429 219689 1472348 361768 1110580 3412614 LEASE - RIGHT OF USE ASSET 255757 CONSTRUCTION IN PROGRESS 248549 504306 SECURITY & SC DEPOSITS 29827 LEASE OBLIGATION 260021 289848 X 20545285 138328 138328 20406957 22204 101174 123378 20530335 19842186 0 19842186 22204 101174 123378 19965564 PART X, LINE 2: THE RETIREMENT COMMUNITY IS ORGANIZED AS A TEXAS NONPROFIT CORPORATION AND HAS BEEN RECOGNIZED BY THE INTERNAL REVENUE SERVICE (IRS) AS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(A) OF THE INTERNAL REVENUE CODE AS AN ORGANIZATION DESCRIBED IN SECTION 501(C)(3), QUALIFIES FOR THE CHARITABLE CONTRIBUTION DEDUCTION UNDER SECTIONS 170(B)(1)(A)(VI) AND (VIII), AND HAS BEEN DETERMINED NOT TO BE A PRIVATE FOUNDATION UNDER SECTIONS 509(A)(1) AND (3), RESPECTIVELY. THE RETIREMENT COMMUNITY IS ANNUALLY REQUIRED TO FILE A RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX (FORM 990) WITH THE IRS. IN ADDITION, THE RETIREMENT COMMUNITY MAY BE SUBJECT TO INCOME TAX ON NET INCOME THAT IS DERIVED FROM BUSINESS ACTIVITIES THAT ARE UNRELATED TO ITS EXEMPT PURPOSES. MANAGEMENT DETERMINED THAT IT IS NOT SUBJECT TO UNRELATED BUSINESS INCOME TAX AND HAS NOT FILED AN EXEMPT ORGANIZATION BUSINESS INCOME TAX RETURN (FORM 990-T) WITH THE IRS. THE RETIREMENT COMMUNITY HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN AFFECTING ITS ANNUAL FILING REQUIREMENTS, AND AS SUCH, DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS. THE RETIREMENT COMMUNITY WOULD RECOGNIZE FUTURE ACCRUED INTEREST AND PENALTIES RELATED TO UNRECOGNIZED TAX BENEFITS AND LIABILITIES IN INCOME TAX EXPENSE IF SUCH INTEREST AND PENALTIES ARE INCURRED. THE RETIREMENT COMMUNITY'S FORM 990, RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX, IS SUBJECT TO EXAMINATION BY THE IRS GENERALLY FOR THREE YEARS AFTER IT IS FILED. PART XI, LINE 4B - OTHER ADJUSTMENTS: DIRECT FUNDRAISING EXPENSES -67,625. CHARITY CARE ASSISTANCE 168,799. PART XII, LINE 4B - OTHER ADJUSTMENTS: CHARITY CARE ASSISTANCE 168,799. DIRECT FUNDRAISING EXPENSES -67,625. STARRY NIGHT 105461 89114 16347 14934 36962 1800 13410 105461 89114 16347 14934 36962 1800 13410 67106 -50759 1 SISTERS CARE PEH 43 38302 FAIR MARKET VALUE CARE GIVING SUBSIDIES APPLIED AGAINST ACCOUNTS RECEIVABLE LEGACY FUND 10 130497 FAIR MARKET VALUE RENTAL SUBSIDIES APPLIED AGAINST ACCOUNTS RECEIVABLE PART I, LINE 2: THE ORGANIZATION PROVIDES ASSISTANCE TO RESIDENTS WHO BECOME UNABLE TO PAY FOR THEIR ACCOMODATIONS/CARE AND PROVIDES ASSISTANCE TO CLIENTS WHO ARE UNABLE TO PAY FOR THEIR SISTERS CARE SERVICES. APPLICATIONS FOR ASSISTANCE MUST BE APPROVED BY A COMMITTEE WHICH INCLUDES THE EXECUTIVE DIRECTOR AND THE CEO OR HIS DESIGNEE. THE AMOUNT OF ASSISTANCE AND ELIGIBILTY ARE REVIEWED PERIODICALLY. X X 0 0 0 0 0 0 0 0 0 PAUL HARRISON CEO 193254 0 29756 0 0 0 1895 0 10528 0 235433 0 0 0 FORM 990, PART VI, SECTION A, LINE 1A SECTION 6.5 OF THE BYLAWS STATES THE THE BOARD OF DIRECTORS SHALL HAVE AS STANDING COMMITTEES AN EXECUTIVE COMMITTEE, AND SUCH OTHER NUMBER OF STANDING COMMITTEES AS THE BOARD DEEMS APPROPRIATE FROM TIME TO TIME, AND WHICH ARE RESPONSIBLE FOR THE FUNCTIONS OR SUCH OTHER FUNCTIONS AS ARE SPECIFIED BY THE BOARD OF DIRECTORS FROM TIME TO TIME BY RESOLUTION. FORM 990, PART VI, SECTION A, LINE 6 ARTICLE 3.1 NAMES THE CONGREGATION OF THE SISTERS OF THE CHARITY OF THE INCARNATE WORD, SAN ANTONIO, AS THE SOLE CORPORATE MEMBER OF THE CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A THE BOARD SHALL BE COMPRISED OF AT LEAST 9 AND NOT MORE THAN 21 TRUSTEES AS DETERMINED BY THE CORPORATE MEMBER. FORM 990, PART VI, SECTION A, LINE 7B GOVERNANCE OF THE CORPORATION SHALL BE VESTED IN AND EXERCISED BY A BOARD OF DIRECTORS PROVIDED THAT ACTS ARE SUBJECT TO THE APPROVAL OF THE CORPORATE MEMBER, ACTING EITHER THROUGH THE GENERAL LEADERSHIP TEAM OF THE SISTERS OF CHARITY OF THE INCARNATE WORD, SAN ANTONIO OR THE INCARNATE WORD U.S. MINISTRIES BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11B A COMPLETE COPY OF THE 990 IS PROVIDED TO THE FULL BOARD OF DIRECTORS FOR REVIEW PRIOR TO FILING. THE BOARD OF DIRECTORS CAN CONTACT THE PRESIDENT/CEO OR CFO WITH ANY NOTES, QUESTIONS, OR COMMENTS. FORM 990, PART VI, SECTION B, LINE 12C ANNUALLY EACH DIRECTOR, OFFICER, EMPLOYEE, VENDOR OR VOLUNTEER WITH A POTENTIAL CONFLICT SHALL COMPLETE A DISCLOSURE FORM IDENTIFYING ANY RELATIONSHIPS, POSITIONS, OR CIRCUMSTANCES IN WHICH THEY ARE INVOLVED THAT THEY BELIEVE COULD CONTRIBUTE TO A CONFLICT OF INTEREST. THESE ARE SUBMITTED TO THE CHAIRMAN OF THE BOARD WHO IS CHARGED WITH RESOLVING ANY CONFLICT. IF THERE IS A CONFLICT THE CHAIRMAN OF THE BOARD WILL FOLLOW UP AND TAKE APPROPRIATE ACTION WHICH COULD INCLUDE SUSPENDING WORK, RE-ASSIGNMENT OR A REQUEST OF ABSTENTION FROM VOTING AMONG OTHER COURSES OF ACTION. FORM 990, PART VI, SECTION B, LINE 15 GENERAL GUIDELINES FOR SALARY AND WAGE INCREASES ARE RECOMMENDED BY MANAGEMENT EACH YEAR DURING THE BUDGETING PROCESS AND REVIEWED BY THE FINANCE COMMITTEE AND BOARD OF TRUSTEES. A NATIONAL SALARY AND BENEFITS SURVEY, ALONG WITH REGIONAL AND LOCAL SURVEYS ARE UTILIZED FOR COMPARABILITY DATA TO BUDGET AN OVERALL PAY INCREASE PARAMETER. THE MANAGEMENT TEAM THEN WORKS WITHIN THIS PARAMETER WHEN CONDUCTING ANNUAL EMPLOYEE EVALUATIONS AND ANNUAL MERIT INCREASES WHICH TYPICALLY RANGE FROM 2% TO 5%. ALL EMPLOYEES ARE EVALUATED BY THEIR DIRECT SUPERVISOR, DEPARTMENT HEAD, OR CHIEF EXECUTIVE DIRECTOR, DEPENDING ON THEIR CLASSIFICATION. THE CEO'S COMPENSATION IS DETERMINED BY THE BOARD OF DIRECTORS COMPENSATION COMMITTEE ANNUALLY, FOLLOWING THE SAME PARAMETERS. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS ARE MADE AVAILABLE UPON REQUEST TO THE PRESIDENT/CEO OR CFO. FORM 990 PART XII, LINE 2C: THERE HAVE BEEN NO CHANGES TO THE OVERSIGHT PROCESS OR SELECTION PROCESS FOR THE CURRENT FISCAL YEAR. CONGREG SRS CHARITY THE INCARNATE WORD 4503 BROADWAY SAN ANTONIO TX 78209 EDUCATION, HEALTH, AND SOCIAL MINISTRIES TX 501(C)(3) LINE 1 N/A 0 0 0 1 0 0 0 0 0 0 0 1 1 0 0 0 0 1 0 1