2016-11-14T15:53:31-06:00 2015-12-31 410746749 CLIFTONLARSONALLEN LLP 5001 SPRING VALLEY ROAD SUITE 600W DALLAS TX 75244 990 2015-01-01 741459599 WESLEYAN HOMES INC WESL 5128681205 PO BOX 486 GEORGETOWN TX 78627 CHRIS SPENCE PRESIDENT 5128681205 2016-11-11 1 MICHAEL SIEGEL P01587323 9723835700 2015 2017-02-10 21:41:12Z CHRIS SPENCE PO BOX 486 GEORGETOWN TX 78627 22191196 0 X WWW.WESLEYANHOMES.ORG X 1955 TX TO PROVIDE RETIREMENT, ASSISTED LIVING, NURSING HOME AND HOSPICE CARE ACCOMODATIONS TO RESIDENTS. 29 29 535 311 0 0 800000 3000 21407171 21835755 256593 49263 66416 298911 22530180 22186929 0 0 0 0 11721899 12492446 0 0 198611 8108631 9186688 19830530 21679134 2699650 507795 71051685 70410377 55841214 57002905 15210471 13407472 X TO BE THE PREMIER PROVIDER OF SUPPORTIVE CARE AND SERVICES IN CENTRAL TEXAS, OPEN TO ALL SENIOR ADULTS. THE ORGANIZATION VALUES FAITH, COMPASSION, WELLNESS, AFFORDABILITY, EXCELLENCE, PROFESSIONALISM AND CHOICE THE VISION OF WESLEYAN HOMES, INC. IS TO BE A FAITH-BASED MINISTRY PROVIDING COMFORT AND CARE FOR RESIDENTS AND THEIR FAMILIES IN A PLACE CALLED HOME. 0 0 20347631 21835755 WESLEYAN HOMES, INC. CURRENTLY PROVIDES HOSPICE SERVICES AND OPERATES THREE FACILITIES LOCATED IN GEORGETOWN, TEXAS. (1) THE WESLEYAN AT ESTRELLA INDEPENDENT LIVING, A 124-UNIT INDEPENDENT LIVING RETIREMENT COMMUNITY, PROVIDING HOUSING, DIETARY AND OTHER RELATED SERVICES, (2) THE WESLEYAN AT ESTRELLA ASSISTED LIVING, A 60-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. THE WESLEYAN AT ESTRELLA INDEPENDENT LIVING, THE WESLEYAN AT ESTRELLA ASSISTED LIVING, THE WESLEYAN AT SCENIC, AND HOSPICE SERVED NEARLY 700 OLDER ADULTS IN 2015. 20347631 1 0 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 0 0 0 1 73 0 535 1 0 0 0 0 0 0 0 0 0 0 X 29 29 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X CHRIS SPENCE 5128681205 PO BOX 486 GEORGETOWN TX 78627 DR DOUG BENOLD LAITY 1.00 X 0 0 0 MRS NANCY BENOLD LAITY 1.00 X 0 0 0 MR NATHANIEL BONNER LAITY 1.00 X 0 0 0 MR BILL BOOTH LAITY 1.00 X 0 0 0 MR GEORGE BRIGHTWELL LAITY 1.00 X 0 0 0 MR BILL CONNOR LAITY 1.00 1.00 X 0 0 0 MRS JEANNINE FAIRBURN LAITY 1.00 X 0 0 0 MR TOM FORBES LAITY 1.00 X 0 0 0 REV TRAVIS FRANKLIN EX-OFFICIO - PASTOR 1.00 X 0 0 0 MRS LINDA GUSNOWSKI LAITY 1.00 X 0 0 0 DR CLIFTON HOWARD EX-OFFICIO - SOUTH DISTRICT SUPERINTENDENT 1.00 X 0 0 0 MRS LINDA HUTCHINGS LAITY 1.00 X 0 0 0 MR ED KOMANDOSKY LAITY - VICE CHAIR 1.00 X X 0 0 0 MR RICHARD LA CAGNINA LAITY 1.00 X 0 0 0 DR STEVE LANGFORD EX-OFFICIO - PASTOR 1.00 X 0 0 0 MR GENE LAWHON TREASURER - LAITY 1.00 X X 0 0 0 MRS PATTY LEE SECRETARY - LAITY 1.00 X X 0 0 0 DR KATIE LONG PASTOR 1.00 X 0 0 0 BISHOP MIKE LOWRY EX-OFFICIO - RESIDENT BISHOP 1.00 X 0 0 0 MRS CORLISS MCBRIDE LAITY 1.00 X 0 0 0 REV JEFF MILLER PASTOR 1.00 X 0 0 0 DR DALE SCHULTZ CHAIR - PASTOR 1.00 1.00 X X 0 0 0 MS KIM SIMPSON EX-OFFICIO - CONFERENCE LAY LEADER 1.00 X 0 0 0 DR JEFF SMITH EX-OFFICIO - SENIOR PASTOR 1.00 1.00 X 0 0 0 DR BOB SOULEN LAITY 1.00 X 0 0 0 MR PAT STROMAN LAITY 1.00 X 0 0 0 DR TRAVIS SUMMERLIN PASTOR 1.00 X 0 0 0 REV LARA WHITLEY FRANKLIN PASTOR 1.00 X 0 0 0 REV NANCY WOODS PASTOR 1.00 X 0 0 0 DR ERIC MCKINNEY PASTOR 1.00 X 0 0 0 MRS JAKIE RANDALL LAITY 1.00 X 0 0 0 REV STEPHEN SCHMIDT PASTOR 1.00 X 0 0 0 REV INELL CLAYPOOL EX-OFFICIO - PASTOR 1.00 X 0 0 0 MRS LAURA CLOUD LAITY 1.00 X 0 0 0 MR CHRIS SPENCE PRESIDENT 40.00 X 185610 0 21416 MR JOHN KLUBERG CHIEF FINANCIAL OFFICER 40.00 X 136558 0 7284 322168 0 28700 2 0 1 0 CGI CONSTRUCTION INC 801 CHERRY STREET SUITE 2400 UNIT FORT WORTH TX 76102 CONSTRUCTION 9131911 SELECT REHABILITATION INC PO BOX 809056 CHICAGO IL 60680 REHAB 1558263 STUDIO SIX 5 INC 811 BARTON SPRINGS RD STE 800 AUSTIN TX 78704 INTERIOR DESIGN 487071 USI SOUTHWEST PO BOX 61187 NORFOLK VA 23466 INSURANCE 157641 LOAN STAR LINEN INC 120 PORTER STREET TAYLOR TX 76574 LINEN SERVICE 151649 5 3000 3000 PROGRAM SERVICE REVENUE 623000 21835755 21835755 21835755 53530 53530 4267 -4267 -4267 -4267 BARBER/BEAUTY SHOP 812900 152179 152179 OTHER RESIDENT SERVICES 812900 111888 111888 EMPLOYEE/GUEST MEALS 812900 34844 34844 298911 22186929 21835755 0 348174 10532730 9858220 550412 124098 335350 313939 17524 3887 965054 906238 50431 8385 659312 615370 34454 9488 77407 73362 4045 26801 25400 1401 34618 32809 1809 220789 209251 11538 72276 64095 3777 4404 563868 515473 29466 18929 79723 75557 4166 660623 624169 34522 1932 72570 62489 3792 6289 1185905 1123933 61972 1183881 1122015 61866 262248 248191 13704 353 ANCILLARY EXPENSE 2196650 2081859 114791 DIETARY 1112452 1054318 58134 BAD DEBT 470494 445907 24587 MAINTENANCE AND EQUIPME 433810 404116 22670 7024 532573 490920 27831 13822 21679134 20347631 1132892 198611 2920415 2446246 69583 22884977 4242056 1586479 73541 75044 51669954 11884017 28544494 39785937 307819 2023143 33105197 1560383 218292 1570288 48168 71051685 70410377 840619 4268339 53550122 52388717 1450473 345849 55841214 57002905 X 15210471 13407472 15210471 13407472 71051685 70410377 X 507795 10843 -2392047 70410 X X 0 1 X 1 0 X 126702 5000 22000 800000 3000 956702 17686726 19504492 19510430 21407171 21835755 99944574 17813428 19509492 19532430 22207171 21838755 100901276 0 0 0 100901276 14765 20948 13843 31593 53530 134679 14765 20948 13843 31593 53530 134679 298911 298911 17828193 19530440 19546273 22238764 22191196 101334866 0.99570 0.98470 0.00130 0.01530 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: EMPLOYEE/GUEST MEALS - 2015 AMOUNT: $ 34,844. BARBER/BEAUTY SHOP - 2015 AMOUNT: $ 152,179. OTHER RESIDENT SERVICES - 2015 AMOUNT: $ 111,888. 2027969 2027969 45574807 9356573 36218234 4067178 2527444 1539734 39785937 SECURITY DEPOSITS 147450 REFUNDABLE ENTRANCE FEES 160465 INTERCOMPANY PAYABLE 37934 345849 X 22197772 10843 10843 22186929 0 22186929 21608724 0 21608724 70410 70410 21679134 PART X, LINE 2: THE ORGANIZATION'S INCOME TAX RETURNS ARE SUBJECT TO REIVEW 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 XII, LINE 4B - OTHER ADJUSTMENTS: CENTRAL OFFICE ALLOCATION 70,410. X 1 1 X X 0 0 0 0 0 0 0 1 0 MR CHRIS SPENCE PRESIDENT 179610 0 6000 0 0 0 9866 0 11550 0 207026 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 53550122 3469254 1071002 611614 32646546 15751706 2016 1 0 0 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 A, LINE 2 NANCY BENOLD, LAITY MEMBER, IS THE DAUGHTER-IN-LAW OF DR. DOUG BENOLD, LAITY MEMBER. FORM 990, PART VI, SECTION B, LINE 11 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 CLIFTONLARSONALLEN. 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 2015 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: CENTRAL OFFICE ALLOCATION 70,410. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. WESLEYAN HOMES PROPERTIES PO BOX 486 GEORGETOWN TX 78627 900085004 ACQUIRING, HOLDING TITLE TO, CONSTRUCTION & MAINTAINING REAL PROPERTY TX 501(C)(3) LINE 11A, I WESLEYAN HOMES INC 0 WESLEYAN HOMES FOUNDATION PO BOX 486 GEORGETOWN TX 78627 900085021 PROVIDE SUPPORT FOR WESLEYAN HOMES, INC. TX 501(C)(3) LINE 11A, I 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 WESLEYAN HOMES FOUNDATION C 157660 FMV OF CHARITABLE CARE