2025-08-11T11:04:37-05:00 2024-09-30 410746749 CLIFTONLARSONALLEN LLP 121 WEST BRIDGE STREET OWATONNA MN 55060 990 2023-10-01 260615372 WAYZATA BAY SENIOR HOUSING INC WAYZ 6516316120 2845 HAMLINE AVENUE NORTH ROSEVILLE MN 55113 MARK MEYER CFO 6516316120 2025-07-31 1 0 JUSTIN HARTERT P02236744 5074467100 2025-07-28 2023 2025-03-06 01:10:19Z JONATHAN FLETCHER 2845 HAMLINE AVENUE NORTH ROSEVILLE MN 55113 26211029 0 X WWW.PRESHOMES.ORG X 2007 MN TO HONOR GOD BY ENRICHING THE LIVES AND TOUCHING THE HEARTS OF OLDER ADULTS. 3 0 0 150 -172792 0 75794 88180 21680343 23968780 322656 722048 -106243 -431443 21972550 24347565 9597 18329 0 0 8351782 8981153 0 0 0 14477017 14322009 22838396 23321491 -865846 1026074 155220264 152283553 138522140 134559355 16698124 17724198 THE MISSION OF WAYZATA BAY SENIOR HOUSING, INC., IS TO HONOR GOD BY ENRICHING THE LIVES AND TOUCHING THE HEARTS OF OLDER ADULTS. 0 0 20105162 18329 23968780 WAYZATA BAY SENIOR HOUSING, INC.IS LOCATED IN WAYZATA, MN AND CONSISTS OF 30 SKILLED NURSING BEDS, 17 APARTMENT MEMORY CARE SPECIFIC ASSISTED LIVING, 48 TRADITIONAL ASSISTED LIVING APARTMENTS, AND 221 INDEPENDENT SENIOR APARTMENTS AND 26 ALL AGE APARTMENTS. 20105162 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 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 X 3 0 0 1 0 0 1 1 0 1 0 0 0 1 1 1 1 1 1 0 0 0 MN X HEIDI PETERSON 6516316162 2845 HAMLINE AVENUE NORTH ROSEVILLE MN 55113 DANIEL LINDH CEO 1.00 39.00 X X 0 1063597 26250 MARK MEYER CFO 1.00 39.00 X X 0 479100 21646 MARK PEDERSON SVP OPERATIONS 1.00 39.00 X X 0 273581 21854 JONATHAN FLETCHER VP DEVELOPMENT 1.00 39.00 X 0 380084 28580 JODI DEVICK NEAL CAMPUS ADMINISTRATOR 40.00 0.00 X 154117 0 12398 154117 2196362 110728 1 0 1 0 PHS MANAGEMENT LLC 2845 HAMLINE AVENUE NORTH ROSEVILLE MN 55113 MANAGEMENT SERVICES 1195393 PROMENADE OF WAYZATA 5353 WAYZATA BOULEVARD SUITE 650 MINNEAPOLIS MN 55416 MASTER ASSOCIATION 433186 ASSOCIATED MECHANICAL PO BOX 237 SHAKOPEE MN 55379 MAINTENANCE/REPAIR SERVICES 255084 MEDIACOM PO BOX 5744 CAROL STREAM IL 60197 CABLE/INTERNET SERVICES 239069 NATIONAL DUSTERS 228 BROADWAY AVENUE ST PAUL PARK MN 55071 CONTRACTED SERVICES 140880 7 78046 10134 88180 RESIDENT SERVICES 623990 23831191 23831191 OTHER RESIDENT SERVICES 900099 137589 137589 23968780 722048 722048 1174945 1849560 -674615 -674615 -172792 -501823 16598 13904 2694 2694 CULINARY REVENUE 900099 161618 161618 MISCELLANEOUS INCOME 900099 78860 78860 240478 24347565 23968780 -172792 463397 18329 18329 7324365 6510892 813473 163721 163721 936424 918117 18307 556643 556643 1151609 1151609 9508 9508 20459 20459 689619 671290 18329 45122 8125 36997 398498 231933 166565 204024 204024 1001510 822034 179476 12394 12394 3933 3933 3951514 3951514 4100542 4100542 342803 342803 BUILDING CONTRACTS/MAIN 944319 944319 FOOD 813621 813621 MISCELLANEOUS EXPENSES 356896 102117 254779 NURSING 191188 191188 84450 84450 23321491 20105162 3216329 0 14307457 15102844 292317 344688 36280 38593 172433810 46455830 130407366 125977980 987354 948511 9189490 9870937 155220264 152283553 2968932 3571528 73567099 71534082 41645950 40561200 13850271 12453603 6489888 6438942 138522140 134559355 X 16698124 17724198 16698124 17724198 155220264 152283553 1026074 0 X X 0 1 X 1 0 X 177389 1661856 541874 75794 88180 2545093 19711251 18942838 20299448 21680343 23968780 104602660 144784 149663 176249 170919 178216 819831 20033424 20754357 21017571 21927056 24235176 107967584 0 0 0 107967584 638661 755832 623560 1001175 1390871 4410099 36796 55483 92279 638661 792628 679043 1001175 1390871 4502378 137356 163959 156707 89926 78860 626808 20809441 21710944 21853321 23018157 25704907 113096770 0.95460 0.98000 0.03980 0.04430 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER INCOME LOSS ON REFINANCING RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 26942717 26942717 131562283 39144482 92417801 9856988 4515828 5341160 4071822 2795520 1276302 125977980 BOND FUNDS 8237680 REPLACEMENT RESERVE 1633257 9870937 DUE TO AFFILIATES 6438942 6438942 X PART IV, LINE 2B: ENTRANCE DEPOSITS WERE USED TO FINANCE THE CONSTRUCTION COSTS OF THE FACILITY. REFUNDABLE DEPOSITS WILL BE RETURNED TO A TENANT WITHIN 120 DAYS AFTER THEY VACATE THE UNIT. PART X, LINE 2: THE ORGANIZATION IS 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. 1 SCHOLARSHIPS 5 18329 N/A N/A PART I, LINE 2: INDIVIDUAL SCHOLARSHIP RECIPIENTS MUST BE EMPLOYED BY PHS FOR AT LEAST THREE MONTHS, WORK AN AVERAGE OF 10 HOURS A WEEK, MAINTAIN AN EXCELLENT WORK RECORD, PROVIDE PROOF OF ACCEPTANCE OR ENROLLMENT IN A DEGREED PROGRAM, RECEIVE THE ENDORSEMENT OF THEIR MANAGER, CAMPUS ADMINISTRATOR, AND BE SELECTED BY HUMAN RESOURCES. 0 0 0 0 0 0 0 0 0 DANIEL LINDH CEO 0 1034206 0 0 0 29391 0 15000 0 11250 0 1089847 0 0 MARK MEYER CFO 0 453089 0 0 0 26011 0 15000 0 6646 0 500746 0 0 JONATHAN FLETCHER VP DEVELOPMENT 0 379729 0 0 0 355 0 13293 0 15287 0 408664 0 0 MARK PEDERSON SVP OPERATIONS 0 272556 0 0 0 1025 0 11375 0 10479 0 295435 0 0 JODI DEVICK NEAL CAMPUS ADMINISTRATOR 153826 0 0 0 291 0 6663 0 5735 0 166515 0 0 0 PART I, LINE 1B THE CEO'S COMPENSATION IS DETERMINED BY PRESBYTERIAN HOMES AND SERVICES, A RELATED ORGANIZATION. PRESBYTERIAN HOMES AND SERVICES USES THE FOLLOWING TO DETERMINE THE CEO'S COMPENSATION: 1. COMPENSATION COMMITTEE 2. INDEPENDENT COMPENSATION CONSULTANT 3. APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE 4. COMPENSATION SURVEY OR STUDY A CITY OF WAYZATA MN 416005630 946829AT5 2019-08-01 76273811 CONSTRUCTION - REFINANCE OF PREVIOUS 1 0 0 A 3265000 76273811 4372480 1009199 70957812 2019 1 0 1 1 A 1 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 0 1 1 0 0 0 1 A 1 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: CITY OF WAYZATA, MN DATE THE REBATE COMPUTATION WAS PERFORMED: 08/01/2024 FORM 990, PART VI, SECTION A, LINE 3 PHS MANAGEMENT, LLC PROVIDES MANAGEMENT SERVICES FOR WAYZATA BAY SENIOR HOUSING, INC. 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 A, LINE 6 THE SOLE MEMBER OF WAYZATA BAY SENIOR HOUSING, INC. IS PRESBYTERIAN HOMES AND SERVICES. FORM 990, PART VI, SECTION A, LINE 7A THE MEMBERS OF THE ORGANIZATION ELECT THE MEMBERS OF THE GOVERNING BODY, BUT NOT IF THE PERSONS ON THE GOVERNING BODY ARE THE ORGANIZATION'S ONLY MEMBER OR THEIR DELEGATES. FORM 990, PART VI, SECTION A, LINE 8B THE BOARD OF DIRECTORS MAY BY RESOLUTION ORGANIZE ITSELF INTO COMMITTEES. THE BOARD OF DIRECTORS MAY BY RESOLUTION APPOINT COMMITTEES, OF DEFINITE OR INDEFINITE DURATION, FOR SPECIFIC TASKS OR OTHERWISE. THERE WERE NO COMMITTEES CREATED WITH THIS AUTHORITY DURING THE YEAR ENDED SEPTEMBER 30, 2024. 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 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 XII, LINE 2C THE PROCESS FOR SELECTION AND OVERSIGHT OF AN INDEPENDENT ACCOUNTANT HAS NOT CHANGED FROM THE PRIOR YEAR. 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