2024-08-12T09:41:07-05:00 2023-09-30 410746749 CLIFTONLARSONALLEN LLP 121 WEST BRIDGE STREET OWATONNA MN 55060 990 2022-10-01 411463801 PRESBYTERIAN HOMES HOUSING & ASSISTED LIVING INC PRES 6516316162 2845 NORTH HAMLINE AVENUE ROSEVILLE MN 55113 MARK MEYER CFO 6516316162 2024-08-08 1 0 JUSTIN HARTERT P02236744 5074467100 2024-08-08 2022 2024-08-08 14:25:15Z DANIEL LINDH 2845 NORTH HAMLINE AVENUE ROSEVILLE MN 55113 92610798 0 X WWW.PRESHOMES.ORG X 1984 MN TO HONOR GOD BY ENRICHING THE LIVES AND TOUCHING THE HEARTS OF OLDER ADULTS. 3 0 12034 389 3316289 150943 4994205 1880618 76235575 79295547 5144325 7622527 1968441 2085020 88342546 90883712 17285834 9159842 0 0 37775923 48516224 0 0 1427644 39869849 32871900 94931606 90547966 -6589060 335746 437678132 474295790 364809209 401091121 72868923 73204669 X THE MISSION OF PRESBYTERIAN HOMES HOUSING & ASSISTED LIVING, INC. IS TO HONOR GOD BY ENRICHING THE LIVES AND TOUCHING THE HEARTS OF OLDER ADULTS. 0 0 73118915 9159842 75998033 PRESBYTERIAN HOMES HOUSING & ASSISTED LIVING, INC. OPERATES SEVERAL SENIOR HOUSING FACILITIES IN MINNESOTA AND IOWA. CAMPUS IN SPRING PARK, MN CONSISTS OF 60 BED SKILLED NURSING FACILITY, 52 TRADITIONAL ASSISTED LIVING APARTMENTS, 18 MEMORY CARE SPECIFIC ASSISTED LIVING APARTMENTS, 166 INDEPENDENT SENIOR LIVING APARTMENTS, AND 125 MULTIFAMILY EMPLOYEE HOUSING APARTMENTS. CAMPUS IN LITTLE CANADA, MN CONSISTING OF 93 INDPENDENT SENIOR LIVING APARTMENTS. A CAMPUS IN PLYMOUTH, MN CONSISTING OF 24 MEMORY CARE SPECIFIC ASSISTED LIVING APARTMENTS, 28 TRADITIONAL ASSISTED LIVING APARTMENTS, AND 68 INDEPENDENT SENIOR LIVING APARTMENTS. A CAMPUS IN BURNSVILLE, MN WITH 40 BED ASSISTED LIVING FACILITY AND 20 MEMORY CARE SPECIFIC ASSISTED LIVING APARMTENTS. A CAMPUS IN ST. PAUL, MN CONSISTING OF 197 INDEPENDENT SENIOR LIVING APARTMENTS. PRESBYTERIAN HOMES HOUSING & ASSISTED LIVING, INC. ADDED THREE NEW CAMPUSES IN FISCAL YEAR ENDING SEPTEMBER 30, 2022. A CAMPUS IN ST. PAUL, MN CONSITING OF 16 MEMORY CARE SPECIFIC ASSISTED LIVING APARTMENTS, 61 TRADITIONAL ASSISTED LIVING APARTMENTS, AND 73 INDEPENDENT SENIOR LIVING APARTMENTS. A SECOND CAMPUS IN SHOREWOOD, MN CONSITING OF 25 MEMORY CARE SPECIFIC ASSISTED LIVING APARTMENTS, 26 TRADITIONAL ASSISTED LIVING APARTMENTS, AND 54 INDEPENDENT SENIOR LIVING APARTMENTS. LASTLY, A THIRD CAMPUS IN WHITE BEAR LAKE, MN CONSISTING OF 30 MEMORY CARE SPECIFIC APARTMENTS AND 82 MIXED TRADITIONAL ASSISTED LIVING AND INDEPENDENT SENIOR LIVING APARTMENTS. 73118915 1 1 0 0 0 0 0 0 1 0 1 1 1 1 1 1 0 1 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 55 0 1 12034 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 3 0 0 0 0 0 1 1 0 1 1 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 39.00 1.00 X X 836839 0 25618 MARK MEYER CFO 39.00 1.00 X X 449215 0 29663 DUANE LARSON THRU 12312022 VP SITE OPERATIONS 39.00 1.00 X X 329917 0 21874 MARK PEDERSON VP SITE OPERATIONS (AS OF 1.1.23) 39.00 1.00 X X 189597 0 22932 JONATHAN FLETCHER VP DEVELOPMENT 39.00 1.00 X 358151 0 25188 TERESA LARSON VP HUMAN RESOURCES 39.00 1.00 X 153546 0 10011 MICHAEL BINGHAM VP OPTAGE 39.00 1.00 X 346905 0 21459 MARTHA HURR ERTL VP OF TRANSFORMATION SYSTEM 39.00 1.00 X 281470 0 14042 JANNA SEVERANCE LEGAL COUNSEL 39.00 1.00 X 301867 0 12473 HEIDI PETERSON CONTROLLER 39.00 1.00 X 286153 0 27089 RANDY KIRSCH VP IT 39.00 1.00 X 270877 0 20215 3804537 0 230564 59 0 1 0 CERIDIAN HCM INC PO BOX 10989 NEWARK NJ 07193 PAYROLL SOFTWARE 1203676 RYAN COMPANIES INC 533 S3RD STREET SUITE 100 MINNEAPOLIS MN 55415 CONSTRUCTION SERVICES 784708 POINTCLICKCARE TECHNOLOGIES PO BOX 674802 DETROIT MI 48267 SOFTWARE SUBSCRIPTION 638305 JTR ROOFING INC 11200 STILLWATER BLVD N LAKE ELMO MN 55042 CONSTRUCTION MANAGEMENT 511634 ZELLNER SR HEALTH CONSULTING 522 HACKMORE DRIVE EAGAN MN 55123 STAFFING SERVICES 467405 34 1627039 246524 7055 1880618 RESIDENT SERVICES 623990 45449314 45449314 MANAGEMENT 541610 23961394 23298920 662474 DESIGN & PROCUREMENT 541900 8909617 7249799 1659818 RESEARCH 541900 975222 975222 79295547 7600897 7600897 1087258 898483 188775 188775 18775 170000 780944 759314 21630 21630 21630 91748 69289 22459 22459 CHILDCARE INCOME 900001 712294 712294 MISCELLANEOUS INCOME 900099 656441 656441 MEALS REVENUE 900099 505051 505051 1873786 90883712 75998033 3316289 9688772 9125563 9125563 34279 34279 3804537 3804537 34068601 32002170 1049336 1017095 1711634 1234054 417084 60496 5728440 3243207 2398062 87171 3203012 2229303 907411 66298 61705 40418 21287 144684 64621 80063 3285502 2604032 681470 429988 136087 192557 101344 199741 792975 -627987 34753 1193399 526717 666532 150 5723627 4745450 953901 24276 636800 411762 225038 135024 100436 34588 4239735 4182317 57418 6566254 6536980 29274 892862 33051 859811 INCOME TAXES 252443 252443 DESIGN AND PROCUREMENT 3002472 3002472 CULINARY EXPENSE 1927633 1923383 4250 REPAIRS & MAINTENANCE 1700655 1700655 2479376 1451455 991860 36061 90547966 73118915 16001407 1427644 10772220 13273142 414756 291364 191895638 46512209 150916865 145383429 35704858 34866718 37002767 39224267 202866666 241256870 437678132 474295790 4891411 23470166 17980895 16683161 8905759 10128349 107068028 105678870 225963116 245130575 364809209 401091121 X 70868923 71204669 2000000 2000000 72868923 73204669 437678132 474295790 335746 0 X X 0 1 X 1 1 1 X 8624473 5216909 6188129 4994205 1880618 26904334 59290366 59564436 53267268 70509483 75998033 318629586 1218552 1026941 1053424 1217864 1309093 5825874 69133391 65808286 60508821 76721552 79187744 351359794 0 10451556 5633168 3703039 19787763 10451556 5633168 3703039 19787763 331572031 8290985 8504790 9271745 5304111 7771533 39143164 3416994 1267552 119245 4803791 8290985 8504790 12688739 6571663 7890778 43946955 823181 758913 604209 762665 656441 3605409 78247557 75071989 73801769 84055880 87734963 398912158 0.83120 0.83710 0.11020 0.11140 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS INCOME OTHER INCOME RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 16472403 16472403 151366656 35497706 115868950 2821108 1748850 1072258 21235471 9265653 11969818 145383429 RESERVE FUNDS 934939 F INVESTMENTS BY AGREEMENTS WITH TRUSTEES & OTHERS 6377812 F RESTRICTED FUNDS 27553967 F 34866718 INVESTMENTS IN AFFILIATES 39224267 C 39224267 OTHER ASSETS 9863309 DUE FROM AFFILIATES 231393561 241256870 WORKERS COMPENSATION & OTHER 6908771 DUE TO AFFILIATES 40695899 CHECKS IN EXCESS OF CASH 195710533 LOAN DEPOSITS 1815372 245130575 X PART IV, LINE 2B: THE REPAIRS AND REPLACEMENT RESERVES AND THE RESIDENT NOTES ARE REPORTED AS LONG TERM ASSET AND LIABILITY, RESPECTIVELY ON THE CONSOLIDATED STATEMENTS OF THE FINANCIAL POSITION. AT EACH OF THE FACILITIES, THE CONTRACTS WITH THE RESIDENTS LIMIT THE TOTAL AMOUNT OF DEPOSITS THAT THE ORGANIZATION MUST RETURN AT ANY ONE TIME. THE MAXIMUM AMOUNTS AT EACH OF THE FACILITIES RANGE FROM $100,000 TO $2,000,000. IF AT ANY TIME THE NET AMOUNT IT HAS RETURNED TO FORMER RESIDENTS EXCEEDS THE AMOUNT THAT IT HAS RECEIVED FROM NEW TENANTS BY THE APPLICABLE MAXIMUM AMOUNT, THE ORGANIZATION IS NOT REQUIRED TO REFUND ADDITIONAL DEPOSITS UNTIL NEW DEPOSITS ARE COLLECTED BRINGING THE AMOUNT OWED UNDER MAXIMUM AMOUNT. THE SECURITY DEPOSIT AND RESIDENT TRUST FUND BALANCES TOTALED $74,584. 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 STATES 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 CASTLE RIDGE CARE CENTER INC 2845 HAMLINE AVENUE NORTH ROSEVILLE MN 55113 510171801 501(C)(3) 500000 0 N/A N/A TO SUPPORT GENERAL OPERATIONS PHS INTERLUDE FRIDLEY LLC 2845 HAMLINE AVENUE NORTH ROSEVILLE MN 55113 292904490 501(C)(3) 450563 0 N/A N/A TO SUPPORT GENERAL OPERATIONS PHMNEW RICHMOND SENIOR HOUSING INC 2845 HAMLINE AVENUE NORTH ROSEVILLE MN 55113 411883153 501(C)(3) 100000 0 N/A N/A TO SUPPORT GENERAL OPERATIONS PHS COTTAGE GROVE INC 2845 HAMLINE AVENUE NORTH ROSEVILLE MN 55113 300227875 501(C)(3) 375000 0 N/A N/A TO SUPPORT GENERAL OPERTIONS PHS COUNCIL BLUFFS INC 2845 HAMLINE AVENUE NORTH ROSEVILLE MN 55113 823917566 501(C)(3) 3700000 0 N/A N/A TO SUPPORT GENERAL OPERATIONS PHS MARANATHA INC 2845 HAMLINE AVENUE NORTH ROSEVILLE MN 55113 410855713 501(C)(3) 775000 0 N/A N/A TO SUPPORT GENERAL OPERATIONS PHS WALNUT RIDGE LLC 2845 HAMLINE AVENUE NORTH ROSEVILLE MN 55113 455534580 501(C)(3) 1700000 0 N/A N/A TO SUPPORT GENERAL OPERATIONS PHW GERMANTOWN INC 2845 HAMLINE AVENUE NORTH ROSEVILLE MN 55113 811502691 501(C)(3) 275000 0 N/A N/A TO SUPPORT GENERAL OPERATIONS CROSBY SENIOR SERVICES 2845 HAMLINE AVENUE NORTH ROSEVILLE MN 55113 204631039 501(C)(3) 75000 0 N/A N/A TO SUPPORT GENERAL OPERATIONS PRESBYTERIAN HOMES CARE CENTERS INC 2845 HAMLINE AVENUE NORTH ROSEVILLE MN 55113 411862259 501(C)(3) 950000 0 N/A N/A TO SUPPORT GENERAL OPERATIONS PRESBYTERIAN HOMES OF MILL PONDS INC 2845 HAMLINE AVENUE NORTH ROSEVILLE MN 55113 311581714 501(C)(3) 225000 0 N/A N/A TO SUPPORT GENERAL OPERATIONS 11 0 SCHOLARSHIPS 17 34279 N/A N/A PART I, LINE 2: INDIVIDUAL SCHOLARSHIP RECIPIENTS MUST BE EMPLOYED BY PHS FOR AT LEAST SIX 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 BY THEIR HUMAN RESOURCES REPRESENTATIVE. 0 0 0 0 0 0 0 0 0 DANIEL LINDH CEO 813148 0 0 0 23691 0 14750 0 10868 0 862457 0 0 0 MARK MEYER CFO 425562 0 0 0 23653 0 14750 0 14913 0 478878 0 0 0 JONATHAN FLETCHER VP DEVELOPMENT 351146 0 0 0 7005 0 12702 0 12486 0 383339 0 0 0 MICHAEL BINGHAM VP OPTAGE 344564 0 0 0 2341 0 14750 0 6709 0 368364 0 0 0 DUANE LARSON THRU 12312022 VP SITE OPERATIONS 308632 0 0 0 21285 0 14750 0 7124 0 351791 0 0 0 JANNA SEVERANCE LEGAL COUNSEL 279444 0 0 0 22423 0 9391 0 3082 0 314340 0 0 0 HEIDI PETERSON CONTROLLER 285741 0 0 0 412 0 14750 0 12339 0 313242 0 0 0 MARTHA HURR ERTL VP OF TRANSFORMATION SYSTEM 271733 0 0 0 9737 0 14042 0 0 0 295512 0 0 0 RANDY KIRSCH VP IT 248535 0 0 0 22342 0 11174 0 9041 0 291092 0 0 0 MARK PEDERSON VP SITE OPERATIONS (AS OF 1.1.23) 188833 0 0 0 764 0 8019 0 14913 0 212529 0 0 0 TERESA LARSON VP HUMAN RESOURCES 145510 0 0 0 8036 0 7695 0 2316 0 163557 0 0 0 PART I, LINE 3 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 LITTLE CANADA MN 410973960 53702CAR4 2010-12-09 5765000 REFINANCE SERIES 1999 BONDS 0 0 0 B CITY OF SPRING PARK MN 416008586 2014-06-03 9300000 REFINANCE SERIES 2010 BONDS 0 0 0 C CITY OF CHANHASSEN MN 410885332 2014-06-03 9300000 REFINANCE SERIES 2010 BONDS 0 0 0 D CITY OF ST BONIFACIUS MN 411253357 2014-06-03 9300000 REFINANCE SERIES 2010 BONDS 0 0 0 A 2905000 5765000 243483 115300 5408597 2010 1 0 1 1 B 3637645 9300000 139163 9160838 2014 1 0 1 1 C 3637645 9300000 139163 9160838 2014 1 0 1 1 D 3637645 9300000 139163 9160838 2014 1 0 1 1 A 1 1 0 1 0 0.00000 0.00000 0.00000 0 0 1 B 1 1 0 1 0 0.00000 0.00000 0.00000 0 0 1 C 1 1 0 1 0 0.00000 0.00000 0.00000 0 0 1 D 1 1 0 1 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 0 0 0 0 1 C 0 0 1 0 0 0 0 0 1 D 0 0 1 0 0 0 0 0 1 A 1 B 1 C 1 D 1 FORM 990, PART VI, SECTION A, LINE 1A 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. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF PRESBYTERIAN HOMES HOUSING & ASSISTED LIVING, 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 MEMBERS OR THEIR DELEGATES. 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. PART XII, LINE 2C THE PROCESS OF SELECTING AN INDEPENDENT ACCOUNTANT HAS NOT CHANGED FROM THE PRIOR YEAR. 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