2016-09-08T14:15:36-05:00 2015-12-31 410746749 CLIFTONLARSONALLEN LLP 5001 SPRING VALLEY ROAD SUITE 600W DALLAS TX 75244 990 2015-01-01 200709981 LONGHORN VILLAGE LONG 5122665600 12501 LONGHORN PKWY AUSTIN TX 78732 STEPHEN BALLANTYNE CHAIRMAN 5122665600 2016-09-07 1 MICHAEL SIEGEL P01587323 9723835700 2015 2016-12-15 16:53:06Z STEPHEN BALLANTYNE 12501 LONGHORN PKWY AUSTIN TX 78732 18784127 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. 8 8 329 8 24000 15430 0 5142 17756444 17985891 306943 294656 0 498438 18063387 18784127 0 0 0 0 7585988 7716105 0 0 0 18864993 18312819 26450981 26028924 -8387594 -7244797 139552603 133746344 210176637 239141175 -70624034 -105394831 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 23567226 18066933 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. 23567226 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 61 0 329 1 1 1 0 0 0 0 0 0 0 0 0 X 8 8 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 STEPHEN P BALLANTYNE CHAIRMAN & PRESIDENT 1.00 X X 0 0 0 MARK WILLIAMS TREASURER 1.00 X X 0 0 0 ALEXA STUIFBERGEN DIRECTOR 1.00 X 0 0 0 CHARLES ROBERTS DIRECTOR 1.00 X 0 0 0 TRACY STRANDHAGEN DIRECTOR 1.00 X 0 0 0 LESLIE CEDAR DIRECTOR 1.00 X 0 0 0 LYNN CRISMON DIRECTOR 1.00 X 0 0 0 JIM BOON DIRECTOR 1.00 X 0 0 0 DEIDRE KINSEY EXECUTIVE DIRECTOR 40.00 X 29363 0 2540 JODI EGGER DIRECTOR OF MARKETING 40.00 X 110983 0 5874 140346 0 8414 1 0 0 0 LIFE CARE SERVICES LLC 400 LOCUST STREET SUITE 820 DES MOINES IA 50309 MANAGEMENT 920012 REHABCARE GROUP INC PO BOX 503534 ST LOUIS MO 63150 THERAPY SERVICES 583949 ZILLNER MARKETING COMMUNICATIONS 8725 ROSEHILL ROAD SUITE 200 LENEXA KS 66215 MARKETING 135126 STEINER RANCH COMMERCIAL COMMUNITY 12550 COUNTRY TRAILS LN AUSTIN TX 78732 COMMUNITY FEES 131048 4 5142 5142 RESIDENT SERVICES 532420 11654905 11654905 THERAPY / PHARMACY / LAB 623990 4616808 4616808 ENTRANCE FEE AMORTIZATION 623000 1714178 1714178 17985891 294656 294656 108320 0 108320 108320 81042 24000 3278 FOOD SERVICE / LIFECARE MEALS 900099 178516 178516 COMPANION SERVICES 900099 104108 104108 GUEST ROOMS 900099 45148 45148 62346 62346 390118 18784127 18066933 24000 688052 278880 278880 6236650 5587444 649206 702413 610765 91648 498162 423144 75018 218371 218371 95827 95827 1379655 1283732 95923 160364 20307 140057 208502 61374 147128 102730 3631 99099 370518 370518 929346 625530 303816 31048 13755 17293 34283 20391 13892 6122525 6093595 28930 5828140 5800601 27539 183124 182259 865 FOOD 1223827 1223827 SUPPLIES 422201 422201 EQUIPMENT AND REPAIRS 332306 313760 18546 PHARMACY, LAB, AND OXYG 303596 303596 366456 206796 159660 26028924 23567226 2461698 0 4431723 4095874 18248537 18208914 356267 607612 623099 668902 55434 52356 469448 244012 135315683 33012737 106564886 102302946 8803209 7565728 139552603 133746344 1646999 4499170 8854889 90192773 88912938 118336865 136874178 210176637 239141175 X -70624034 -105396293 1462 -70624034 -105394831 139552603 133746344 X -7244797 -27526000 X X 0 1 X 1 0 X 63625 5142 68767 14402848 19096650 18241602 17756444 17985891 87483435 14402848 19096650 18305227 17756444 17991033 87552202 0 0 0 87552202 404586 364859 310752 306943 402976 1790116 404586 364859 310752 306943 402976 1790116 1000000 390118 1390118 14807434 20461509 18615979 18063387 18784127 90732436 0.96490 0.96450 0.01970 0.02290 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. COMPANION SERVICES - 2015 AMOUNT: $ 104,108. GUEST ROOMS - 2015 AMOUNT: $ 45,148. OTHER INCOME - 2015 AMOUNT: $ 62,346. 6879357 6879357 124002825 28939820 95063005 4433501 4072917 360584 102302946 FINANCE COST NET OF ACCUM. AMORT. 2867951 MARKETING COST NET OF ACCUM. AMORT. 4697777 7565728 ENTRANCE FEE DEPOSITS 426500 FUTURE SERVICE OBLIGATION 27526000 REFUNDABLE ENTRANCE FEES 106241419 LONG TERM FEES PAYABLE 2680259 136874178 X 18784127 0 18784127 0 18784127 53554924 27526000 27526000 26028924 0 26028924 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 XII, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN OBLIGATION TO PROVIDE FUTURE SERVICES AND USE OF FACILTIES 27,526,000. A THE TRAVIS COUNTY HEALTH FACILITIES DEVELOPMENT CORPORATION 742251752 89439RAP9 2012-03-29 105493503 REFUND PRIOR ISSUE 0 0 0 A 17260000 105493503 17785237 3225936 84482330 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 PROEJCT (THE "PROJECT") TO BE OWNED AND OPERATED BY THE CORPORATION, (II) THE ACQUISITION, CONSTRUCTION, EQUIPPING AND FURNISHING OF HT EPROJECT, (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, LIFE CARE SERVICES, TO MANAGE THE OPERATIONS OF THE ORGANIZATION. ACCORDING TO THE AGREEMENT, THE MANAGEMENT COMPANY PROVIDES THE ORGANIZATION WITH DIRECTORS AS WELL AS OTHER SERVICES. THE DIRECTORS ARE COMPENSATED BY THE MANAGEMENT COMPANY, AND LONGHORN VILLAGE REIMBURSES LIFE CARE SERVICES WITH MONTHLY MANAGEMENT FEES FOR THE COMPENSATION PAID AND OTHER SERVICES PROVIDED. DEIDRE KINSEY AND NICHOLE STUTTGEN ARE ON-SITE EMPLOYEES OF LIFE CARE SERVICES. LIFE CARE SERVICES REPORTS DIRECTLY TO THE ORGANIZATION'S BOARD OF DIRECTORS. ON NOVEMBER 1, 2015, THE ORGANIZATION ENGAGED 3G PARTNERS HEALTHCARE MANAGEMENT TO MANAGE ITS OPERATIONS, REPLACING LIFE CARE SERVICES. FORM 990, PART VI, SECTION B, LINE 11 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 EXECUTIVE DIRECTOR WAS AN EMPLOYEE OF LIFE CARE SERVICES MANAGEMENT CO. AS PART OF THE CURRENT MANAGEMENT CONTRACT, THE DIRECTOR IS COMPENSATED THROUGH LIFE CARE SERVICES THROUGH NOVEMBER 1, 2015. THE ORGANIZATION COMPENSATED THE EXECUTIVE DIRECTOR AFTER THAT DATE. COMPENSATION IS DETERMINED ANNUALLY AND APPROVED BY GOVERNANCE. FORM 990, PART VI, SECTION C, LINE 19 POSTED AT EMMA WEBSITE. FORM 990, PART XI, LINE 9: CHANGE IN OBLIGATION TO PROVIDE FUTURE SERVICES AND USE OF FACILITIES -27,526,000. 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. FORM 990, PART VII, SECTION A IN 2015, LONGHORN VILLAGE'S MANAGEMENT COMPANY, LIFE CARE SERVICES, COMPENSATED EXECUTIVE DIRECTOR DEIDRE KINSEY IN THE AMOUNT OF $217,334, WHICH INCLUDES BENEFITS. PER IRS GUIDANCE, NO COMPENSATION FROM LIFE CARE SERVICES THROUGH NOVEMBER 1, 2015 IS SHOWN ON FORM 990, PART VII FOR DEIDRE KINSEY.