2017-10-25T10:12:13-05:00 2016-12-31 410746749 CLIFTONLARSONALLEN LLP 5001 SPRING VALLEY ROAD SUITE 600W DALLAS TX 75244 990 2016-01-01 200709981 LONGHORN VILLAGE LONG 5122665600 12501 LONGHORN PKWY AUSTIN TX 78732 JIM BOON PRESIDENT 5122665600 2017-10-23 1 MICHAEL SIEGEL P01587323 9723835700 67.137.57.251 2017-10-23 08:54:31 CD P 620CE377AB574A82531DB92133EAAE39445EB33D 96D79D528C2215BE6F492FFEF68EA7E177A44A5C 2016 2021-01-29 14:40:06Z JIM BOON 12501 LONGHORN PKWY AUSTIN TX 78732 20070824 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 7 344 7 24000 14684 5142 33878 17985891 19204373 294656 314406 498438 518167 18784127 20070824 0 0 0 0 7716105 8006517 0 0 0 18312819 18539649 26028924 26546166 -7244797 -6475342 130878393 127203921 236273224 238664094 -105394831 -111460173 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 24013181 19286279 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. 24013181 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 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 0 0 0 0 1 65 0 344 1 1 1 0 0 0 0 0 0 0 0 0 X 7 7 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 0 1 1 0 X LOWELL ARELLANO 5122665600 12501 LONGHORN PARKWAY AUSTIN TX 78732 JIM BOON CHAIRMAN & PRESIDENT 1.00 X X 0 0 0 WILLIAM O'HARA SECRETARY 1.00 X X 0 0 0 CHARLES ROBERTS ASST. SECRETARY 1.00 X X 0 0 0 LYNN CRISMON DIRECTOR 1.00 X 0 0 0 TODD MACLIN DIRECTOR 1.00 X 0 0 0 TRACY STRANDHAGEN DIRECTOR 1.00 X 0 0 0 ALEXA STUIFBERGEN DIRECTOR 1.00 X 0 0 0 DEIDRE KINSEY PRESIDENT & CEO 40.00 X 214444 0 33842 LOWELL ARELLANO CONTROLLER 40.00 X 100381 0 0 RUTH HICKS DIRECTOR OF NURSING 40.00 X 100200 0 4714 415025 0 38556 3 0 1 0 REHABCARE GROUP INC PO BOX 503534 ST LOUIS MO 63150 THERAPY SERVICES 628387 LANDSCAPE RESOURCES INC PO BOX 92198 AUSTIN TX 78709 LANDSCAPING 210096 3G PARTNERS HEALTHCARE MANAGEMENT LLC 3736 BEE CAVE ROAD SUITE 1-128 AUSTIN TX 78746 MANAGEMENT 198462 ZILLNER MARKETING COMMUNICATIONS INC 8725 ROSEHILL ROAD SUITE 200 LENEXA KS 66215 MARKETING 137396 FAMILIAR GROUNDS 490 HOLLY GROVE KYLE TX 78640 MAINTENANCE 133598 10 33878 33878 RESIDENT SERVICES 532420 13211684 13211684 THERAPY / PHARMACY / LAB 623990 4356934 4356934 ENTRANCE FEE AMORTIZATION 623000 1635755 1635755 19204373 314406 314406 108800 0 108800 108800 81906 24000 2894 FOOD SERVICE / LIFECARE MEALS 900099 162749 162749 COMPANION SERVICES 900099 120140 120140 GUEST ROOMS 900099 47162 47162 79316 79316 409367 20070824 19286279 24000 726667 230994 230994 6592929 5979688 613241 648521 511302 137219 534073 449659 84414 96064 96064 285491 285491 1458028 1388408 69620 236389 41884 194505 222356 67080 155276 134932 8589 126343 413749 413749 935378 639372 296006 24685 7924 16761 30454 15609 14845 6254744 6225189 29555 5617796 5591251 26545 202247 201291 956 UNRELATED BUSINESS INCO 2464 2464 FOOD 1184622 1184622 EQUIPMENT AND REPAIRS 459330 441270 18060 SUPPLIES 442002 442002 538918 401828 137090 26546166 24013181 2532985 0 4095874 12198805 18208914 11258729 607612 492726 668902 1247902 52356 49075 244012 294131 135588410 37481904 102302946 98106506 4697777 3556047 130878393 127203921 4499170 4589871 8854889 8403547 86044987 85167194 136874178 140503482 236273224 238664094 X -105396293 -111465399 1462 5226 -105394831 -111460173 130878393 127203921 X -6475342 410000 X X 0 1 X 1 0 X 63625 5142 33142 101909 19096650 18241602 17756444 17985891 19204373 92284960 19096650 18305227 17756444 17991033 19237515 92386869 0 0 0 92386869 364859 310752 306943 378976 399206 1760736 364859 310752 306943 378976 399206 1760736 24000 24000 48000 1000000 390118 409367 1799485 20461509 18615979 18063387 18784127 20070088 95995090 0.96240 0.96490 0.01830 0.01970 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2012 AMOUNT: $ 1,000,000. FOOD SERVICE / LIFECARE MEALS - 2015 AMOUNT: $ 178,516. 2016 AMOUNT: $ 162,749. COMPANION SERVICES - 2015 AMOUNT: $ 104,108. 2016 AMOUNT: $ 120,140. GUEST ROOMS - 2015 AMOUNT: $ 45,148. 2016 AMOUNT: $ 47,162. OTHER INCOME - 2015 AMOUNT: $ 62,346. 2016 AMOUNT: $ 79,316. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 6879357 6879357 124235673 33304849 90930824 4473380 4177055 296325 98106506 ENTRANCE FEE DEPOSITS 300000 FUTURE SERVICE OBLIGATION 27116000 REFUNDABLE ENTRANCE FEES 110992735 LONG TERM FEES PAYABLE 2094747 140503482 X 20480824 410000 410000 20070824 0 20070824 26546166 0 26546166 0 26546166 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 410,000. X X X 0 1 0 0 0 0 0 1 0 DEIDRE KINSEY PRESIDENT & CEO 188450 0 25994 0 0 0 19500 0 14342 0 248286 0 0 0 PART I, LINE 4B DEIDRE KINSEY, PRESIDENT AND CEO, RECEIVED $19,500 IN 2016 FOR A 457(B) PLAN. PART I, LINE 7 DEIDRE KINSEY WAS PAID A BONUS OF $25,994 IN 2016. A THE TRAVIS COUNTY HEALTH FACILITIES DEVELOPMENT CORPORATION 742251752 89439RAP9 2012-03-29 105493503 REFUND PRIOR ISSUE 0 0 0 A 18065000 105493503 11258729 3225936 91008838 1 0 1 1 A 0 0 1 1 0 0.00110 0.00170 0.00280 0 0 1 A 0 1 0 0 0 0 0 0 1 A 1 SCHEDULE K, SUPPLEMENTAL INFORMATION THE SERIES 2012 BONDS WERE USED TO REFUND THE SERIES 2008 BONDS, 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, LINE 11 REPRESENT THOSE USED TO REFUND THE PRIOR ISSUE. FORM 990, PART VI, SECTION A, LINE 3 THE ORGANIZATION HAS ENGAGED A MANAGEMENT COMPANY, 3G PARTNERS HEALTHCARE MANAGEMENT, TO MANAGE THE OPERATIONS OF THE ORGANIZATION. 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: FUTURE SERVICE OBLIGATION 410,000. 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.