2024-08-12T09:38:33-05:00 2023-09-30 410746749 CLIFTONLARSONALLEN LLP 121 WEST BRIDGE STREET OWATONNA MN 55060 990 2022-10-01 410758756 PRESBYTERIAN HOMES AND SERVICES PRES 6516316120 2845 NORTH HAMLINE AVENUE ROSEVILLE MN 55113 MARK MEYER CFO 6516316120 2024-08-07 1 0 JUSTIN HARTERT P02236744 5074467100 2024-08-06 2022 2024-08-08 14:25:15Z DANIEL LINDH 2845 NORTH HAMLINE AVENUE ROSEVILLE MN 55113 32604714 0 X WWW.PRESHOMES.ORG X 1950 MN TO HONOR GOD BY ENRICHING THE LIVES AND TOUCHING THE HEARTS OF OLDER ADULTS. 13 13 0 87 0 0 1341878 2014964 29878976 30280489 41718 82607 215388 226654 31477960 32604714 15696 3518 0 0 16217452 16649566 0 0 0 14646485 14826971 30879633 31480055 598327 1124659 65904787 67582170 37336233 36631414 28568554 30950756 X THE MISSION OF PRESBYTERIAN HOMES & SERVICES, INC. IS TO HONOR GOD BY ENRICHING THE LIVES AND TOUCHING THE HEARTS OF OLDER ADULTS. 0 0 8121917 3518 11177761 OPTAGE EXTENDS THE HIGH QUALITY CARE OF PRESBYTERIAN HOMES & SERVICES INTO THE HOMES OF OLDER ADULTS. OPTAGE SERVES CLIENTS BY PROVIDING COORDINATION OF CARE AND COMMUNICATION TO CONTRIBUTE TO THE HEALTH AND SAFETY OF OLDER ADULTS WHO WISH TO REMAIN IN THEIR HOMES. 7013751 0 8914117 OPTAGE SENIOR DINING (OSD) CONSISTS OF HOME-DELIVERED MEALS AND CONGREGATE DINING. OSD HOME-DELIVERED MEALS ARE DESIGNED FOR OLDER ADULTS WHO ARE LOOKING TO SIMPLIFY THEIR MEAL PREPARATION AND STAY INDEPENDENT IN THEIR OWN HOMES. OSD SERVES OVER 6,250 MEALS PER MONTH IN CONGREGATE SETTING TO SENIORS AT 6 SITES IN RAMSEY, WASHINGTON, AND HENNEPIN COUNTIES IN MINNESOTA. OSD ALSO DELIVERS OVER 72,500 MEALS PER MONTH TO SENIORS IN THEIR HOMES. 10241129 0 9524153 THE ORGANIZATION, OPERATES A 178 SENIOR APARTMENTS COMPLEX IN CLIVE, IOWA. THE FACILITY CONSISTS OF 116 INDEPENDENT LIVING APARTMENTS AND 62 ASSISTED LIVING APARTMENTS WITH 18 DESIGNATED FOR SPECIAL CARE NEEDS RELATED TO MEMORY ISSUES. 515925 0 664458 AS A MEANS OF ADDRESSING THE SHORTAGE OF NURSES, INTERNATIONAL NURSE RECRUITMENT WAS FOUNDED TO ASSIST NURSES FROM THE PHILLIPINES TO COME TO THE UNITED STATES FOR EMPLOYMENT. PRESBYTERIAN HOMES AND SERVICES HAS PARTNERED TO MEET THE NEED FOR SENIOR LIVING OPTION. 515925 0 664458 25892722 1 1 0 0 0 0 0 0 1 0 1 0 0 1 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 1 1 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 13 13 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 MN X HEIDI PETERSON 6516316162 2845 HAMLINE AVENUE NORTH ROSEVILLE MN 55113 DANIEL LINDH PRESIDENT/CEO 1.00 39.00 X 0 836839 25618 MARK MEYER TREASURER/CFO 1.00 39.00 X 0 449215 29663 JONATHAN FLETCHER VP DEVELOPMENT 1.00 39.00 X 0 358151 25188 TERESA LARSON VP HUMAN RESOURCES 1.00 39.00 X 0 153546 10011 DUANE LARSON VP SITE OPERATIONS 1.00 39.00 X 0 329917 21874 JANNA SEVERANCE SECRETARY/LEGAL COUNSEL 1.00 39.00 X 0 301867 12473 PETER GREGORY SECRETARY/LEGAL COUNSEL 1.00 39.00 X 0 196955 21196 MARK PEDERSON VP SITE OPERATIONS (EFFECTIVE 5.23) 1.00 39.00 X 0 189597 22932 PAUL OKARI TMA 40.00 0.00 X 154842 0 12136 JAMES CHALMERS ADMINISTRATOR - INT'L NURS 40.00 0.00 X 117606 0 17289 ALLISON BASS CAMPUS ADMINISTRATOR- WALN 40.00 0.00 X 125875 0 6573 LYDIA BUETOW CAMPUS ADMINISTRATOR 40.00 0.00 X 123456 0 21303 FRANCIS BOSIRE RA 40.00 0.00 X 114260 0 10509 JAMES GREEN CHAIRMAN/VICE CHAIRMAN 1.00 0.00 X X 0 0 0 JAY COUGHLAN VICE CHAIRMAN/BOARD MEMBER 1.00 0.00 X X 0 0 0 JOHN CLYMER BOARD MEMBER/CHAIRMAN 1.00 0.00 X X 0 0 0 BARB STINNETT BOARD MEMBER (EFFECTIVE 1.1.23) 1.00 0.00 X 0 0 0 BRADLEY HEWITT BOARD MEMBER 1.00 0.00 X 0 0 0 JANET SOMMERS BOARD MEMBER 1.00 0.00 X 0 0 0 JEFFREY RAGETH BOARD MEMBER 1.00 0.00 X 0 0 0 JOHN ODOM BOARD MEMBER (EFFECTIVE 1.1.23) 1.00 0.00 X 0 0 0 JULIE M WHITE BOARD MEMBER (UNTIL DEC 22) 1.00 0.00 X 0 0 0 LAURA MCKNIGHT BOARD MEMBER 1.00 0.00 X 0 0 0 MOLLY LAGERMEIER BOARD MEMBER 1.00 0.00 X 0 0 0 NORMAN WENCK BOARD MEMBER (UNTIL DEC 22) 1.00 0.00 X 0 0 0 PAULA NORBOM BOARD MEMBER 1.00 0.00 X 0 0 0 SHERYL A RAMSTAD BOARD MEMBER 1.00 0.00 X 0 0 0 THEODORE CHIEN BOARD MEMBER 1.00 0.00 X 0 0 0 636039 2816087 236765 11 0 1 0 PHS MANAGEMENT LLC 2845 HAMLINE AVE N ROSEVILLE MN 55113 MANAGEMENT FEES 1430005 GABY & ESAU SERVICES LLC 2107 56TH ST DES MOINES IA 50310 CLEANING SERVICES 218907 IPR LLC 4614 CHURCHILL STREET SHOREVIEW MN 55126 NURSE RECRUITMENT 138855 6 1710283 304681 2014964 HOMECARE/COMMUNITY SERVICES 623000 20701914 20701914 OPTAGE SENIOR DINING 623000 8914117 8914117 NURSE RECRUITMENT 623000 664458 664458 30280489 80607 80607 28688 0 28688 28688 28688 2000 0 2000 2000 2000 BEAUTY SHOP 900099 74439 74439 CULINARY INCOME 900099 72236 72236 MISCELLANEOUS INCOME 900099 38286 38286 13005 13005 197966 32604714 30280489 0 309261 3518 3518 13799389 11952387 1847002 299657 245952 53705 1535773 1356407 179366 1014747 878950 135797 1430005 1430005 94989 94989 25795 25795 1139459 1128163 11296 113665 14443 99222 360298 219829 140469 521794 521794 1472081 920554 551527 375806 375806 17230 17230 1481264 1481264 2335049 2335049 299036 299036 FOOD 4248512 4248512 MEDICAL SUPPLIES 399946 399946 BUILDING REPAIRS/MAINTE 295538 295538 MISCELLANEOUS 216504 19174 197330 31480055 25892722 5587333 0 21144838 21720649 2475348 2404324 618888 846753 55233331 16804424 39095316 38428907 2570397 4181537 65904787 67582170 1928940 1783413 16199231 15710938 285074 271153 17824661 17210409 1098327 1655501 37336233 36631414 X 28568554 30950756 28568554 30950756 65904787 67582170 X 1124659 1257543 X X 0 1 X 1 0 X 47497 285419 1318479 1341878 2014963 5008236 27498601 27262967 29119671 29880846 30280489 144042574 284430 233211 213401 152720 174081 1057843 27830528 27781597 30651551 31375444 32469533 150108653 0 0 0 150108653 48543 75329 91895 31486 109295 356548 48543 75329 91895 31486 109295 356548 75270 35557 39126 31656 23885 205494 27954341 27892483 30782572 31438586 32602713 150670695 0.99630 0.99630 0.00240 0.00190 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS REVENUE MISCELLANEOUS - NET ASSETS RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 3617338 3617338 43778554 12396863 31381691 576658 119372 457286 7260781 4288189 2972592 38428907 DUE FROM AFFILIATES 601433 REPLACEMENT RESERVES 971470 OTHER ASSETS 15084 SWAP MARK TO MARKET ADJUSTMENT 2593550 4181537 DUE TO AFFILIATES 1465526 ENTRANCE LOAN DEPOSIT 189975 1655501 X PART IV, LINE 2B: PRESBYTERIAN HOMES AND SERVICES HOLDS TENANT SECURITY DEPOSITS FOR RESIDENTS OF WALNUT RIDGE. MONEY IS HELD IN A SEGREGATED DAMAGE DEPOSIT ACCOUNT AND EARNS INTEREST WHILE IT IS HELD. RESIDENTS RECEIVE A REFUND OF THEIR DAMAGE DEPOSIT UPON DISCHARGE, AFTER ANY DEDUCTIONS FOR NECESSARY REPAIRS AND DAMAGES. PART X, LINE 2: THE ORGANIZATION AND ITS AFFILIATES ARE GENERALLY EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND APPLICABLE SECTIONS OF THE STATE STATUTES; CONSEQUENTLY, NO PROVISION HAS BEEN MADE FOR INCOME TAXES. HOWEVER, THERE ARE IMMATERIAL AMOUNTS OF UNRELATED BUSINESS INCOME IN CERTAIN AFFILIATES THAT ARE TAXABLE. THE ORGANIZATION FOLLOWS THE ACCOUNTING STANDARD FOR CONTINGENCIES IN EVALUATING UNCERTAIN TAX POSITIONS. THE ORGANIZATION FILES INFORMATION RETURNS AS A TAX-EXEMPT ORGANIZATION. SHOULD THAT STATUS BE CHALLENGED IN THE FUTURE, ALL YEARS SINCE INCEPTION COULD BE SUBJECT TO REVIEW BY THE IRS. X X X X 0 0 0 0 0 0 0 0 0 DANIEL LINDH PRESIDENT/CEO 0 813148 0 0 0 23691 0 14750 0 10868 0 862457 0 0 MARK MEYER TREASURER/CFO 0 425562 0 0 0 23653 0 14750 0 14913 0 478878 0 0 JONATHAN FLETCHER VP DEVELOPMENT 0 351146 0 0 0 7005 0 12702 0 12486 0 383339 0 0 TERESA LARSON VP HUMAN RESOURCES 0 145510 0 0 0 8036 0 7695 0 2316 0 163557 0 0 DUANE LARSON VP SITE OPERATIONS 0 308632 0 0 0 21285 0 14750 0 7124 0 351791 0 0 JANNA SEVERANCE SECRETARY/LEGAL COUNSEL 0 279444 0 0 0 22423 0 9391 0 3082 0 314340 0 0 PETER GREGORY SECRETARY/LEGAL COUNSEL 0 196764 0 0 0 191 0 6283 0 14913 0 218151 0 0 MARK PEDERSON VP SITE OPERATIONS (EFFECTIVE 5.23) 0 188833 0 0 0 764 0 8019 0 14913 0 212529 0 0 PAUL OKARI TMA 154842 0 0 0 0 0 6311 0 5825 0 166978 0 0 0 A CITY OF CLIVE IOWA 426035153 2018-08-30 7685720 CONSTRUCTION 0 0 0 B CITY OF CUMMING IOWA 421124870 2018-08-30 9980000 CONSTRUCTION AND REFINANCING 0 0 0 A 813965 7685720 50001 7635579 0 0 0 1 B 1140817 9980000 9980000 1 0 0 1 A 1 0 0 0 0.00000 0.00000 0.00000 0 0 1 B 1 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 1 0 1 0 0 0 1 B 0 0 1 0 1 0 0 0 1 A 1 B 1 FORM 990, PART VI, SECTION A, LINE 1A PHS HAS AN EXECUTIVE COMMITTEE THAT IS MADE UP OF THE CHAIRMAN OF THE BOARD, THE VICE CHAIRMAN OF THE BOARD, THE CHAIR OF THE AUDIT AND FINANCE COMMITTEE, THE CHAIR OF THE BOARD GROWTH COMMITTEE, AND THE IMMEDIATE PAST CHAIR IF HE/SHE IS STILL A CURRENT BOARD MEMBER. THE PRESIDENT/CEO SHALL BE AN EX-OFFICIO NON-VOTING MEMBER. EXCEPT FOR THE POWER TO AMEND THE ARTICLES OF INCORPORATION AND THE BYLAWS OF THIS CORPORATION, THE EXECUTIVE COMMITTEE SHALL HAVE ALL THE POWERS AND AUTHORITY OF THE BOARD OF DIRECTORS OF THIS CORPORATION IN THE MANAGEMENT OF THE PROPERTY, BUSINESS, AND AFFAIRS OF THIS CORPORATION IN THE INTERVAL BETWEEN MEETINGS OF THE BOARD OF DIRECTORS, SUBJECT ALWAYS TO THE DIRECTION AND CONTROL OF THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE SHALL ALSO SERVE AS THE COMPENSATION COMMITTEE. FORM 990, PART VI, SECTION A, LINE 3 PHS MANAGEMENT, LLC PROVIDES MANAGEMENT SERVICES FOR PRESBYTERIAN HOMES AND SERVICES. PHS MANAGEMENT, LLC PROVIDES FINANCIAL ACCOUNTING, OPERATIONAL OVERSIGHT, HUMAN RESOURCES, INFORMATION TECHNOLOGY, CLINICAL NURSING CONSULTATION, CORPORATE COMPLIANCE, COORDINATED ADVERTISING AND MARKETING, STAFFING FOR FUND DEVELOPMENT, AND NEW BUSINESS DEVELOPMENT. FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATION'S FORM 990 IS PROVIDED TO VOTING MEMBERS OF THE GOVERNING BODY PRIOR TO FILING WITH THE IRS. OFFICERS AND MANAGEMENT OF THE ORGANIZATION HAVE BEEN INVOLVED IN THE PREPARATION OF THE FORM 990 AND HAVE REVIEWED IT THROUGHOUT THE PROCESS. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION OBTAINS ANNUALLY WRITTEN DISCLOSURES FROM GOVERNING BODY MEMBERS, OFFICERS, AND KEY EMPLOYEES. MANAGEMENT AND OFFICERS REVIEW THESE DISCLOSURES AND EVALUATE WHETHER THE INTEREST COULD RESULT IN A CONFLICT AND THEN TAKE THE NECESSARY STEPS TO REMEDIATE ANY SUCH CONFLICT. FORM 990, PART VI, SECTION B, LINE 15 THE PRESBYTERIAN HOMES & SERVICES BOARD OF DIRECTORS IS RESPONSIBLE FOR THE GOVERNANCE AND STRUCTURE OF COMPENSATION PLANS AND FOR ENSURING REGULATORY COMPLIANCE OF THESE PLANS. CEO, SENIOR MANAGEMENT, EXECUTIVES AND OFFICERS' COMPENSATION SYSTEMS ARE MANAGED BY THE EXECUTIVE COMMITTEE AND PRESBYTERIAN HOMES & SERVICES BOARD OF DIRECTORS. SYSTEMS ARE REVIEWED ANNUALLY AND THE ORGANIZATION ENGAGES AN EXTERNAL INDEPENDENT COMPENSATION CONSULTANT TO PROVIDE A FAIR MARKET VALUE OPINION. THE TARGET FOR TOTAL COMPENSATION FOR EXECUTIVE STAFF WHO MEET PERFORMANCE EXPECTATIONS IS SET AT 105% OF THE MIDPOINT IN EACH RESPECTIVE MARKET PRICE PAY RANGE. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: SWAP MARK TO MARKET ADJUSTMENT 1,257,543. PART XII, LINE 2C THE PROCESS FOR THE OVERSIGHT OF THE AUDIT AND SELECTION OF AN INDEPENDENT ACCOUNTANT HAS NOT CHANGED FROM THE PRIOR YEAR. CREATIVE SENIOR DINING LLC 2845 HAMLINE AVE N ROSEVILLE MN 55113 463907749 MEALS FOR SENIORS MN 9255324 14005427 PRESBYTERIAN HOMES & SERVICES INTERNATIONAL NURSE RECRUITMENT LLC 2845 HAMLINE AVE N ROSEVILLE MN 55113 752993243 NURSE RECRUITMENT MN 668783 -4428952 PRESBYTERIAN HOMES & SERVICES PHS WALNUT RIDGE LLC 1701 CAMPUS DRIVE CLIVE IA 50325 455534580 SENIOR HOUSING MN 11480193 43887760 PRESBYTERIAN HOMES & SERVICES CASTLE RIDGE CARE CENTER INC 2845 HAMLINE AVE N ROSEVILLE MN 55113 510171801 NURSING HOME MN 501(C)(3) LINE 10 PHS 1 OPTAGE INC 2845 HAMLINE AVE N ROSEVILLE MN 55113 271507949 CARE FOR THE ELDERLY MN 501(C)(3) LINE 10 PHS 1 GIDEON POND HOUSING CORPORATION 2845 HAMLINE AVE N ROSEVILLE MN 55113 411428336 SENIOR HOUSING MN 501(C)(3) LINE 10 PHSPHHAL 1 GIDEON POND WEST INC 2845 HAMLINE AVE N ROSEVILLE MN 55113 411671887 SENIOR HOUSING MN 501(C)(3) LINE 10 PHSPHHAL 1 PHS MARANATHA INC 2845 HAMLINE AVE N ROSEVILLE MN 55113 410855713 NURSING HOME MN 501(C)(3) LINE 10 PHSPHHAL 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LINE 10 PHS 1 PRESBYTERIAN HOMES CARE CENTERS INC 2845 HAMLINE AVE N ROSEVILLE MN 55113 411500288 NURSING HOME MN 501(C)(3) LINE 10 PHS 1 PRESBYTERIAN HOMES FOUNDATION 2845 HAMLINE AVE N ROSEVILLE MN 55113 411465334 FUNDRAISING MN 501(C)(3) LINE 7 PHS 1 PRESBYTERIAN HOMES HOSPICE INC 2845 HAMLINE AVE N ROSEVILLE MN 55113 260766609 SENIOR SERVICES MN 501(C)(3) LINE 10 PHS 1 PRESBYTERIAN HOMES HOUSING & ASSISTED LIVING INC 2845 HAMLINE AVE N ROSEVILLE MN 55113 411463801 SENIOR HOUSING MN 501(C)(3) LINE 10 PHS 1 PRESBYTERIAN HOMES MANAGEMENT & SERVICES INC 2845 HAMLINE AVE N ROSEVILLE MN 55113 411499595 MANAGEMENT SERVICES MN 501(C)(3) LINE 12C, III-FI PHS 1 PRESBYTERIAN HOMES MILL POND INC 2845 HAMLINE AVE N ROSEVILLE MN 55113 311581714 NURSING HOME MN 501(C)(3) LINE 10 PHS 1 PRESBYTERIAN HOMES OF ANDOVER INC 2845 HAMLINE AVE N ROSEVILLE MN 55113 411891862 SENIOR HOUSING MN 501(C)(3) LINE 10 PHS 1 PRESBYTERIAN HOMES OF ARDEN HILLS INC 2845 HAMLINE AVE N ROSEVILLE MN 55113 411482075 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