2019-11-14T16:40:45-06:00 2018-12-31 410746749 CLIFTONLARSONALLEN LLP 5001 SPRING VALLEY ROAD SUITE 600W DALLAS TX 75244 990 2018-01-01 741459599 WESLEYAN HOMES INC WESL 5128695800 2100 SCENIC DRIVE NO 140 GEORGETOWN TX 78626 KEVIN BYRNE CHIEF FINANCIAL OFFICER 5128695800 2019-11-12 1 MICHAEL SIEGEL P01587323 9723835700 67.137.57.251 2019-11-12 15:47:43 CS P 80E1F4C36FD5403AFF9C3193509FEE9CEC8C2CF0 D7ECAC24BED8FE0C1EC4160CA76EBB2118F6713B 2018 2020-04-17 16:48:07Z X KEVIN BYRNE 2100 SCENIC DRIVE NO 140 GEORGETOWN TX 78626 32316260 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. 32 32 715 500 0 0 184434 187357 29082328 31057635 482645 266408 302434 804860 30051841 32316260 0 0 0 0 16385068 17817559 0 0 40566 13216858 13616381 29601926 31433940 449915 882320 73803148 71652265 58846829 56379434 14956319 15272831 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 29352330 31057635 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) THE WESLEYAN AT SCENIC, A 184-BED LICENSED NURSING FACILITY, PROVIDING TWENTY-FOUR HOURS PER DAY SKILLED NURSING CARE, HOSPICE, REHABILITATION AND OTHER RELATED SERVICES. THESE PROFESSIONAL PATIENT CARE AND BENEFITS ARE PROVIDED REGARDLESS OF FINANCIAL CONSIDERATIONS AND QUALIFICATIONS. WESLEYAN HOMES SERVED OVER 1,000 RESIDENTS IN 2018. 29352330 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 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 79 0 715 1 0 0 0 0 0 0 0 0 0 0 0 0 X 32 32 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X KEVIN BYRNE 5128695800 2100 SCENIC DRIVE SUITE 140 GEORGETOWN TX 78626 DALE A SCHULTZ BOARD CHAIR 1.00 1.00 X X 0 0 0 ED KOMANDOSKY BOARD VICE-CHAIR 1.00 0.00 X X 0 0 0 GENE L LAWHOM BOARD TREASURER 1.00 0.00 X X 0 0 0 PATTY R LEE BOARD SECRETARY 1.00 0.00 X X 0 0 0 NANCY B BENOLD BOARD MEMBER 1.00 0.00 X 0 0 0 NATHANIEL BONNER BOARD MEMBER 1.00 0.00 X 0 0 0 WILLIAM M BOOTH BOARD MEMBER 1.00 0.00 X 0 0 0 GEORGE A BRIGHTWELL BOARD MEMBER 1.00 0.00 X 0 0 0 BRAD BRITTAIN BOARD MEMBER 1.00 0.00 X 0 0 0 WILLIAM H CONNOR BOARD MEMBER 1.00 1.00 X 0 0 0 JEANNINE W FAIRBURN BOARD MEMBER 1.00 0.00 X 0 0 0 MICHAEL D FORD BOARD MEMBER 1.00 0.00 X 0 0 0 LARA W FRANKLIN PAST BOARD MEMBER 1.00 0.00 X 0 0 0 LYNNE S GRANDSTAFF BOARD MEMBER 1.00 0.00 X 0 0 0 CANDY K GROSS BOARD MEMBER 1.00 0.00 X 0 0 0 LINDA K GUSNOWSKI BOARD MEMBER 1.00 0.00 X 0 0 0 JACKIE S HAMMAR BOARD MEMBER 1.00 0.00 X 0 0 0 RENEE M HENRY BOARD MEMBER 1.00 0.00 X 0 0 0 RICHARD F LACAGNINA BOARD MEMBER 1.00 0.00 X 0 0 0 MIKE LOWRY BOARD MEMBER 1.00 0.00 X 0 0 0 CORLISS MCBRIDE BOARD MEMBER 1.00 0.00 X 0 0 0 JEFF A MILLER BOARD MEMBER 1.00 0.00 X 0 0 0 KANTRICE S ROBINSON BOARD MEMBER 1.00 0.00 X 0 0 0 ART RODRIGUEZ BOARD MEMBER 1.00 0.00 X 0 0 0 JEFFREY A SMITH BOARD MEMBER 1.00 1.00 X 0 0 0 YVONNE C SNELSON BOARD MEMBER 1.00 0.00 X 0 0 0 BOB L SOULEN BOARD MEMBER 1.00 0.00 X 0 0 0 PAT STROMAN PAST BOARD MEMBER 1.00 0.00 X 0 0 0 TRAVIS L SUMMERLIN BOARD MEMBER 1.00 0.00 X 0 0 0 REV DARREN WALKER BOARD MEMBER 1.00 0.00 X 0 0 0 GLENDA D WHITEHEAD BOARD MEMBER 1.00 0.00 X 0 0 0 NANCY A WOODS BOARD MEMBER 1.00 0.00 X 0 0 0 J MARK LENHARD PRESIDENT 39.00 1.00 X 212116 0 18229 KEVIN F BYRNE CHIEF FINANCIAL OFFICER 39.00 1.00 X 170000 0 16741 KELLY GOETZ CHIEF COMPLIANCE OFFICER 39.00 1.00 X 139477 0 14910 REBECCA FOLTA-MAY ADMINISTRATOR - IL 40.00 0.00 X 137200 0 14953 ROSEMARY TREVINO EXECUTIVE DIRECTOR - HCSS 40.00 0.00 X 109425 0 13256 SEAN BUELOW ADMINISTRATOR - SCENIC 40.00 0.00 X 107910 0 9890 GEORGIANNE HEWETT VP OF DEVELOPMENT 40.00 0.00 X 106049 0 13024 982177 0 101003 7 0 1 0 MORRISON COMMUNITY LIVING PO BOX 102289 ATLANTA GA 303682289 DINING FACILITATOR 2338518 SELECT REHABILITATION INC PO BOX 809056 CHICAGO IL 60680 REHAB 1621316 JOE BLAND CONSTRUCTION LP 13111 DESSAU ROAD AUSTIN TX 78754 CONSTRUCTION SERVICES 186110 ADVANCED PHARMACY PO BOX 105553 UNIONDALE NY 115550553 PHARMACY SERVICES 170128 GEORGETOWN HEALTH FOUNDATION 2425 WILLIAMS DR 101 GEORGETOWN TX 78628 HEALTH SERVICES 127574 6 187357 187357 PROGRAM SERVICE REVENUE 623000 31057635 31057635 31057635 139677 139677 126731 0 126731 126731 126731 QIPP REVENUE 812900 337479 337479 NON-REFUNDABLE FEE INCOME 812900 190700 190700 BARBER/BEAUTY SHOP 812900 188074 188074 88607 88607 804860 32316260 31057635 0 1071268 521593 521593 14378762 13484792 893970 361309 326984 34325 1631544 1476544 155000 924351 836536 87815 114344 114344 33186 33186 65558 65558 1284671 1284671 82744 69218 12005 1521 565986 473462 82118 10406 91914 76888 13336 1690 889029 743696 128988 16345 159221 133193 23101 2927 2899810 2871603 28207 2233542 2233542 333513 278992 48389 6132 ANCILLARY EXPENSE 2311746 2311746 DIETARY 1453944 1453944 MAINTENANCE AND EQUIPME 632257 632257 BAD DEBT 380855 380855 84061 70319 12197 1545 31433940 29352330 2041044 40566 685817 3462909 8623354 7807825 3267361 1493657 95777 260290 69580898 17024115 55268315 52556783 3464112 3207298 1598762 1618709 799650 1244794 73803148 71652265 5411457 3191520 146198 128272 51445722 50891724 363831 251907 1479621 1916011 58846829 56379434 X 14956319 15272831 14956319 15272831 73803148 71652265 X 882320 -440778 -125030 X X 0 1 X 1 0 X 800000 3000 235257 184434 187357 1410048 21407171 21835755 24121463 29082328 31057635 127504352 22207171 21838755 24356720 29266762 31244992 128914400 0 0 0 128914400 31593 53530 139541 119409 139677 483750 31593 53530 139541 119409 139677 483750 298911 234384 302434 804860 1640589 22238764 22191196 24730645 29688605 32189529 131038739 0.98380 0.98990 0.00370 0.00300 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: EMPLOYEE/GUEST MEALS - 2015 AMOUNT: $ 34,844. 2016 AMOUNT: $ 38,529. 2017 AMOUNT: $ 65,383. 2018 AMOUNT: $ 86,089. BARBER/BEAUTY SHOP - 2015 AMOUNT: $ 152,179. 2016 AMOUNT: $ 138,310. 2017 AMOUNT: $ 155,543. 2018 AMOUNT: $ 188,074. OTHER RESIDENT SERVICES - 2015 AMOUNT: $ 111,888. 2016 AMOUNT: $ 57,545. 2017 AMOUNT: $ 81,508. 2018 AMOUNT: $ 2,518. QIPP REVENUE - 2018 AMOUNT: $ 337,479. NON-REFUNDABLE FEE INCOME - 2018 AMOUNT: $ 190,700. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2072392 2072392 59869800 13723331 46146469 7638706 3300784 4337922 52556783 SECURITY DEPOSITS 87200 REFUNDABLE ENTRANCE FEES 1828811 1916011 X 32017009 -440778 144683 -296095 32313104 3156 3156 32316260 31430784 0 31430784 3156 3156 31433940 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 144,683. PART XI, LINE 4B - OTHER ADJUSTMENTS: INVESTMENT MANAGEMENT FEES 3,156. PART XII, LINE 4B - OTHER ADJUSTMENTS: INVESTMENT MANAGEMENT FEES 3,156. 1 X X 0 0 0 0 0 0 0 1 0 J MARK LENHARD PRESIDENT 203616 0 8500 0 0 0 11388 0 6841 0 230345 0 0 0 KEVIN F BYRNE CHIEF FINANCIAL OFFICER 165000 0 5000 0 0 0 9900 0 6841 0 186741 0 0 0 KELLY GOETZ CHIEF COMPLIANCE OFFICER 134477 0 5000 0 0 0 8069 0 6841 0 154387 0 0 0 REBECCA FOLTA-MAY ADMINISTRATOR - IL 135200 0 2000 0 0 0 8112 0 6841 0 152153 0 0 0 PART I, LINE 7 DISCRETIONARY CHRISTMAS BONUSES WERE PAID TO ALL EMPLOYEES. 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 A 1875000 53550122 3469191 1071002 26981310 22028619 2016 1 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 1 0 0 0 0 0 0 1 A 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 2018 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 XI, LINE 9: CHANGE IN INVESTMENT VALUE OF RISK RETENTION GROUP 144,683. EQUITY TRANSFER -269,713. FORM 990, PART XII, LINE 2C: THE PROCESS 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 187357 FMV OF CHARITABLE CARE