2019-10-29T14:44:37-05:00 2018-12-31 410746749 CLIFTONLARSONALLEN LLP 5001 SPRING VALLEY ROAD SUITE 600W DALLAS TX 75244 990 2018-01-01 200709981 LONGHORN VILLAGE LONG 5122665600 12501 LONGHORN PKWY AUSTIN TX 78732 LOWELL ARELLANO CONTROLLER/CFO 5122665600 2019-10-23 1 MICHAEL SIEGEL P01587323 9723835700 67.137.57.251 2019-10-23 07:21:47 CD P 80E1F4C36FD5403AFF9C3193509FEE9CEC8C2CF0 356E76376044E692544D6A37DDF1E0572DA6BBCB 2018 2019-02-21 02:37:17Z DEIDRE KINSEY 12501 LONGHORN PKWY AUSTIN TX 78732 21711577 0 X WWW.LONGHORNVILLAGE.COM X 2002 TX THE LONGHORN VILLAGE MISSION IS TO ENRICH THE LIVES OF RESIDENTS BY CREATING A VIBRANT LIFESTYLE, PROVIDING COMPASSIONATE CARE AND DELIVERING SERVICE EXCELLENCE. 7 6 354 6 24000 17509 5000 2798 20602506 20683058 315018 349212 598316 629746 21520840 21664814 0 0 0 0 8309460 8851106 0 0 0 34150384 16332200 42459844 25183306 -20939004 -3518492 122383002 121687800 233450185 236148170 -111067183 -114460370 THE LONGHORN VILLAGE MISSION IS TO ENRICH THE LIVES OF RESIDENTS BY CREATING A VIBRANT LIFESTYLE, PROVIDING COMPASSIONATE CARE AND DELIVERING SERVICE EXCELLENCE. 0 0 14768397 20677942 THE COMMUNITY CONSISTS OF 214 INDEPENDENT LIVING UNITS (INCLUDING 173 APARTMENTS AND 41 PATIO HOMES), AND A HEALTHCARE FACILITY CONSISTING OF APPROXIMATELY 20 ASSISTED LIVING UNITS, 16 SPECIAL CARE DEMENTIA UNITS, AND 60 SKILLED NURSING BEDS. THE COMPANY COMMENCED OPERATIONS OF THE INDEPENDENT LIVING UNITS IN AUGUST 2009. IN OCTOBER 2010, THE HEALTHCARE FACILITY BEGAN OPERATIONS. 14768397 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 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 0 0 0 1 61 0 354 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 7 6 0 1 1 0 1 1 1 1 1 0 0 1 1 1 1 1 0 1 1 0 X LOWELL ARELLANO 5122665600 12501 LONGHORN PARKWAY AUSTIN TX 78732 DEIDRE KINSEY CHIEF EXECUTIVE OFFICER 40.00 0.00 X X 392065 0 0 JEANNETTE WENNENWESER CHAIRMAN 1.00 3.00 X X 0 0 0 JOHN LEMAN VICE CHAIRMAN/SECRETARY 1.00 2.00 X X 0 0 0 JOHN HARTMAN TREASUER 1.00 1.00 X X 0 0 0 SHERYL CALLAHAN DIRECTOR 1.00 3.00 X 0 0 0 JEFFREY NASH DIRECTOR 1.00 0.00 X 0 0 0 JOHN VAN OSDALL DIRECTOR 1.00 2.00 X 0 0 0 LOWELL ARELLANO CONTROLLER/CFO 40.00 0.00 X 130117 0 0 NICHOLE ULRICH HEALTHCARE ADMINISTRATOR 40.00 0.00 X 140158 0 0 DAWN MCQUAIN DIRECTOR OF SALES & MARKETING 40.00 0.00 X 112613 0 0 RUTH HICKS DIRECTOR OF NURSING 40.00 0.00 X 106510 0 0 881463 0 0 5 0 1 0 REHABCARE GROUP INC PO BOX 503534 ST LOUIS MO 63150 THERAPY SERVICES 777752 LANDSCAPE RESOURCES INC PO BOX 92198 AUSTIN TX 78709 LANDSCAPING 211854 3G PARTNERS HEALTHCARE MANAGEMENT LLC 3736 BEE CAVE ROAD SUITE 1-128 AUSTIN TX 78746 MANAGEMENT 135462 LEXIIN RETIREMENT SALON & SPA MANAGEMENT PO BOX 342081 LAKEWAY TX 78734 SPA SERVICES 130249 XCLUSIVE STAFFING PO BOX 206210 DALLAS TX 75320 STAFFING SERVICES 107236 5 2798 2798 RESIDENT SERVICES 532420 16172646 16172646 THERAPY / PHARMACY / LAB 623990 2740802 2740802 ENTRANCE FEE AMORTIZATION 623000 1769610 1769610 20683058 352675 352675 29247 6500 22747 22747 -5116 24000 3863 36800 40263 -3463 -3463 -3463 FOOD SERVICE 900099 330044 330044 COMPANION SERVICES 900099 149053 149053 GUEST ROOMS 900099 37351 37351 90551 90551 606999 21664814 20677942 24000 960074 522182 522182 6945617 4711049 2234568 814865 552704 262161 568442 385561 182881 64021 43424 20597 136941 92884 44057 1851364 1255737 595627 290220 196849 93371 261627 177455 84172 124387 84369 40018 224971 152593 72378 962254 652674 309580 31773 21551 10222 20315 13779 6536 5019666 5019666 4456807 4456807 225370 152863 72507 UNRELATED BUSINESS INCO 2243 2243 FOOD 1172046 794971 377075 EQUIPMENT AND REPAIRS 494781 335598 159183 SUPPLIES 430456 291968 138488 562958 393318 169640 25183306 14768397 10414909 0 13934746 16429911 10597687 13195776 818512 412979 404250 910775 68851 56764 263432 308507 136733787 46360699 93887004 90373088 2408520 0 122383002 121687800 1686140 4212223 8380837 8229939 101937233 101017463 121445975 122688545 233450185 236148170 X -111074285 -114462012 7102 1642 -111067183 -114460370 122383002 121687800 X -3518492 -2408488 2533793 X X 0 1 X 1 0 X 5142 33142 5000 2798 46082 17756444 17985891 19204373 20602506 20683058 96232272 17756444 17991033 19237515 20607506 20685856 96278354 0 0 0 96278354 306943 378976 399206 367109 351422 1803656 306943 378976 399206 367109 351422 1803656 24000 24000 22000 24000 94000 390118 409367 524225 606999 1930709 18063387 18784127 20070088 21520840 21668277 100106719 0.96180 0.96750 0.01800 0.01820 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: FOOD SERVICE - 2015 AMOUNT: $ 178,516. 2016 AMOUNT: $ 162,749. 2017 AMOUNT: $ 240,847. 2018 AMOUNT: $ 330,044. COMPANION SERVICES - 2015 AMOUNT: $ 104,108. 2016 AMOUNT: $ 120,140. 2017 AMOUNT: $ 158,168. 2018 AMOUNT: $ 149,053. GUEST ROOMS - 2015 AMOUNT: $ 45,148. 2016 AMOUNT: $ 47,162. 2017 AMOUNT: $ 38,894. 2018 AMOUNT: $ 37,351. OTHER INCOME - 2015 AMOUNT: $ 62,346. 2016 AMOUNT: $ 79,316. 2017 AMOUNT: $ 86,316. 2018 AMOUNT: $ 90,551. 9200000 9200000 122750393 42003018 80747375 4783394 4357681 425713 90373088 ENTRANCE FEE DEPOSITS 270000 FUTURE SERVICE OBLIGATION 1641000 REFUNDABLE ENTRANCE FEES 116495796 DUE TO BPH INC. 250000 DUE TO BPH HOLDING CO. 4031749 122688545 X 25807814 4143000 4143000 21664814 0 21664814 25183306 0 25183306 0 25183306 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 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 OBLIGATION TO PROVIDE FUTURE SERVICES AND USE OF FACILITIES 4,143,000. X X X 1 1 0 0 0 0 0 1 0 DEIDRE KINSEY CHIEF EXECUTIVE OFFICER 202800 0 40000 0 149265 0 0 0 0 0 392065 0 0 0 PART I, LINES 4A-B DEIDRE KINSEY, CEO, RECEIVED $20,280 IN 2018 FOR A 457(B) PLAN. DEIDRE KINSEY ALSO RECEIVED A SEVERANCE PAYMENT IN 2018 IN THE AMOUNT OF $149,265. PART I, LINE 7 A BONUS WAS PAID IN 2018 FOR DEIDRE KINSEY FOR $40,000, LOWELL ARELLANO FOR $22,040, RUTH HICKS FOR $4,040, DAWN MCQUAIN FOR $28,959, AND NICHOLE ULRICH FOR $25,578. A THE TRAVIS COUNTY HEALTH FACILITIES DEVELOPMENT CORPORATION 742251752 89439RAP9 2012-03-29 105493503 REFUND PRIOR ISSUE 1 0 0 B NEW HOPE CULTURAL EDUCATION FACILITIES FINANCE CORPORATION 261604618 64542UDX9 2017-12-21 100570995 TO REFUND THE 2012 BONDS 0 0 0 A 19825000 85075000 105493503 4136473 3225936 98131094 1 0 1 1 B 100570995 9059303 1970348 89541344 0 1 0 0 A 0 0 1 1 0 0.00110 0.00170 0.00280 0 0 1 B 0 0 1 1 0 0.00110 0.00170 0.00280 0 0 1 A 0 0 0 1 0 0 0 0 1 B 0 1 0 0 0 0 0 0 1 A 1 B 1 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: THE TRAVIS COUNTY HEALTH FACILITIES DEVELOPMENT CORPORATION DATE THE REBATE COMPUTATION WAS PERFORMED: 04/05/2017 SCHEDULE K, SUPPLEMENTAL INFORMATION THE SERIES 2012 BONDS WERE USED TO REFUND THE SERIES 2008 BONDS ISSUED ON 1/10/2008, WHICH WERE LEGALLY DEFEASED AT THE TIME OF REFUNDING PROCEEDS OF THE SERIES 2008 BONDS, TOGETHER WITH FUNDS PROVIDED FROM ENTRANCE FEES AND EARNINGS ON SUCH PROCEEDINGS, WERE USED FOR (I) REFINANCING CERTAIN PRE-CONSTRUCTION DEBT OF THE CORPORATION RELATING TO A CONTINUING CARE RETIREMENT CENTER PROJECT (THE "PROJECT") TO BE OWNED AND OPERATED BY THE CORPORATION, (II) THE ACQUISITION, CONSTRUCTION, EQUIPPING AND FURNISHING OF THE PROJECT, (III) FUNDING A DEBT SERVICE RESERVE FUND UNDER THE BOND INDENTURE, (IV) FUNDING WORKING CAPITAL, MARKETING COSTS AND CAPITALIZED INTEREST FOR APPROXIMATELY TWO YEARS, AND (V) PAYING COSTS OF ISSUANCE OF THE SERIES 2008 BONDS AND OTHER FINANCING CHARGES. THE PROCEEDS REPORTED ON PAGE 1, PART II, COLUMN A, LINE 11 REPRESENT THOSE USED TO REFUND THE 2008 ISSUE. THE SERIES 2017 BONDS WERE USED TO REFUND THE SERIES 2012 BONDS ISSUED ON 3/29/2012, WHICH WERE LEGALLY DEFEASED AT THE TIME OF REFUNDING PROCEEDS OF THE SERIES 2017 BONDS, TOGETHER WITH FUNDS PROVIDED FROM EARNINGS ON SUCH PROCEEDINGS, WERE USED FOR (I) FUNDING A DEBT SERVICE RESERVE FUND UNDER THE BOND INDENTURE, (II) FUNDING A PROJECT FUND USED FOR CAPITAL EXPENDITURES, AND (III) PAYING COSTS OF ISSUANCE OF THE SERIES 2017 BONDS. THE PROCEEDS REPORTED ON PAGE 1, PART II, COLUMN B, LINE 11 REPRESENT THOSE USED TO REFUND THE 2012 ISSUE. SCHEDULE K, PAGE 1, PART II, COLUMN B, LINE 17 ONCE A FINAL ALLOCATION OF PROCEEDS IS MADE, THE ORGANIZATION HAS ADEQUATE BOOKS AND RECORDS TO SUPPORT SUCH AN ALLOCATION. FORM 990, PART VI, SECTION A, LINE 3 THE ORGANIZATION HAD ENGAGED A MANAGEMENT COMPANY, 3G PARTNERS HEALTHCARE MANAGEMENT, TO MANAGE THE OPERATIONS OF THE ORGANIZATION. IN MARCH 2018, THE MANAGEMENT AGREEMENT WITH 3G PARTNERS HEALTHCARE MANAGEMENT WAS TERMINATED. FORM 990, PART VI, SECTION A, LINE 4 ON NOVEMBER 29, 2017, THE ORGANIZATION ENTERED INTO AN OPTION AGREEMENT WITH BRAZOS PRESBYTERIAN HOMES, INC. (BPHI) AND THE TEXAS-EXES, WHEREBY THE ORGANIZATION AND TEXAS-EXES WOULD PROVIDE BPHI THE SOLE OPTION TO BECOME THE SOLE MEMBER OF THE ORGANIZATION IN ACCORDANCE WITH THE TERMS AND CONDITIONS OF A MEMBER SUBSTITUTION AGREEMENT ENTERED INTO BY THE ORGANIZATION, TEXAS-EXES, AND BPHI. IN JUNE 2018, BPHI ENTERED INTO AN ASSIGNMENT AGREEMENT WITH BPH HOLDING CO. (BPHH). IN JULY 2018, BPHH GAVE NOTICE TO THE ORGANIZATION OF ITS INTENT TO EXERCISE THE OPTION AND EFFECTIVE AUGUST 1, 2018, BPHH BECAME THE SOLE MEMBER OF THE ORGANIZATION. AS PART OF THE MEMBER SUBSTITUTION AGREEMENT, BPHH PAID AN AMOUNT IN CONSIDERATION TO TEXAS-EXES, THE OUTSTANDING AMOUNT DUE TO CRSA/LCS, AND THE OUTSTANDING ROYALTY FEES DUE TO TEXAS-EXES. FORM 990, PART VI, SECTION A, LINE 6 BPH HOLDING CO., INC., THE PARENT COMPANY OF THE ORGANIZATION, IS THE SOLE MEMBER OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A BPH HOLDING CO., INC., THE PARENT COMPANY OF THE ORGANIZATION, APPROVES THE APPOINTMENT AND REMOVAL OF THE DIRECTORS OF THE BOARD. FORM 990, PART VI, SECTION A, LINE 7B BPH HOLDING CO., INC., THE PARENT COMPANY OF THE ORGANIZATION, HAS A RIGHT TO APPROVE OR REJECT ANY DECISIONS MADE BY THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 WILL BE PROVIDED TO ALL BOARD MEMBERS FOR REVIEW BEFORE IT IS FILED. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY IS REVIEWED AND SIGNED ANNUALLY. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD OF DIRECTORS REVIEWS AND DISCUSSES THE COMPENSATION OF THE ORGANIZATION'S OFFICERS AND KEY EMPLOYEES, AND APPROVES THE AMOUNTS BASED ON MARKET COMPETITIVENESS AND COMPARABILITY. FORM 990, PART VI, SECTION C, LINE 19 POSTED ON EMMA WEBSITE. FORM 990, PART XI, LINE 9: CHANGE IN FUTURE SERVICE OBLIGATION 4,143,000. NET ASSET TRANSFER WITHOUT DONOR RESTRICTIONS -2,187,500. CHANGE IN ASSET VALUATION FROM REAPPRAISAL 578,293. FORM 990, PART XII, LINE 2C: THE ORGANIZATION'S COMMITTEE THAT ASSUMES RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT HAS NOT CHANGED ITS POLICY FROM THE PRIOR YEAR. BRAZOS PRESBYTERIAN HOMES INC 4141 S BRAESWOOD BLVD HOUSTON TX 77025 741472640 CCRC TX 501(C)(3) LINE 10 BPH HOLDING CO INC 0 BPH HOLDING CO INC 4141 S BRAESWOOD BLVD HOUSTON TX 77025 831048619 SHARED SERVICES/MANAGEMENT TX 501(C)(3) LINE 10 N/A 0 BRAZOS PRESBYTERIAN COMMUNITIES FOUNDATION 4141 S BRAESWOOD BLVD HOUSTON TX 77025 831065145 FOUNDATION FOR AFFILIATES TX 501(C)(3) LINE 12A, I BPH HOLDING CO INC 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0