2022-08-12T08:27:45-07:00 2021-09-30 990 2020-10-01 260766609 PRESBYTERIAN HOMES HOSPICE INC PRES 6516316162 2845 N HAMLINE AVE ROSEVILLE MN 55113 MARK MEYER CFO 2022-08-12 MARK MEYER 999009999 2 AAL1 IAL1 FAL1 2020 2022-09-23 18:48:47Z MARK MEYER 2845 N HAMLINE AVE ROSEVILLE MN 55113 12409098 false X WWW.PRESHOMES.ORG X 2007 MN PROVIDE HOSPICE, PALLIATIVE CARE, RELATED THERAPY AND SERVICES IN THE COMMUNITY, IN RENTAL HOUSING (ASSISTED LIVING AND INDEPENDENT LIVING) AND SKILLED NURSING FACILITIES. 4 0 0 66 0 11861 6426 10613108 12394733 394 106 6321 7833 10631684 12409098 1804 9498 0 4895616 5564393 0 0 2308183 2465370 7205603 8039261 3426081 4369837 15922065 20686662 854456 1249216 15067609 19437446 PROVIDE HOSPICE, PALLIATIVE CARE, RELATED THERAPY AND SERVICES IN THE COMMUNITY, IN RENTAL HOUSING (ASSISTED LIVING AND INDEPENDENT LIVING) AND SKILLED NURSING FACILITIES. false false 5807508 9498 12394733 HOSPICE PROVIDES COMPASSIONATE CARE THAT FOCUSES ON COMFORT, QUALITY AND SUPPORT FOR INDIVIDUALS WITH LIFE-LIMITING ILLNESS, THEIR FAMILES AND CAREGIVERS. HOSPICE HAS SERVED 669 CLIENTS DURING THE REPORTING YEAR. 5807508 true true false false false false false false false false true false false false false true false true false false false false false false false false false false true true false false false false false false false false false false false false false true false false false true 0 0 false 0 false false false false false false false 0 false false false false false false false X 4 0 false true false false true true false true true false false true true true true true true false false false MN X HEIDI PETERSON 6516316162 2845 HAMLINE AVENUE NORTH ROSEVILLE MN 55113 DAN LINDH BOARD CHAIR/CEO 1.00 39.00 X X 0 907103 23520 MARK MEYER SEC/TREAS/CFO 1.00 39.00 X X 0 442068 26889 MICHAEL BINGHAM SVP OPTAGE 1.00 39.00 X 0 346096 19766 JONATHAN FLETCHER VP DEVELOPMENT 1.00 39.00 0 329215 19912 TERESA LARSON SVP HUMAN RESOURCES 1.00 39.00 0 324499 19241 DUANE LARSON SVP OPERATIONS 1.00 39.00 0 315866 26889 CHRISTA HOILAND MEDICAL DIRECTOR 40.00 0.00 227767 0 20960 DR JOHN MIELKE BD MEM/MED DIR 40.00 0.00 X 147679 0 4196 JILL NANCE ADMINISTRATOR 40.00 0.00 124243 0 15754 499689 2664847 177127 3 false true false PHS MANAGEMENT LLC 2845 N HAMLINE AVE ROSEVILLE MN 55113 MANAGEMENT FEE 771238 INTELLATRIAGE LLC 8011 BROOKS CHAPEL RD 1387 BRENTWOOD TN 37027 CALL SERVICE 112164 2 6426 6426 HOSPICE SERVICES 621610 12394733 12394733 12394733 106 106 0 0 0 0 0 0 0 MISCELLANEOUS INCOME 900099 7833 7833 7833 12409098 12394733 7939 0 9498 9498 0 0 151875 151875 0 4496846 3691987 804859 97141 77130 20011 485479 385470 100009 333052 264443 68609 771238 771238 0 7073 7073 0 0 0 112164 112164 5092 5092 74693 74693 174858 174858 0 11460 11460 208226 208226 0 12935 10270 2665 0 0 10004 10004 9296 9296 NURSING SUPPLIES 1029835 1029835 MISCELLEANOUS 38496 8481 30015 0 8039261 5807508 2231753 0 0 14530801 19096098 0 1373625 1582401 0 0 0 0 441 450 57262 49549 17198 7713 0 0 0 0 0 15922065 20686662 854456 1249216 854456 1249216 X 15067609 19437446 15067609 19437446 15922065 20686662 4369837 X false true X true false X 12106 19736 14175 11861 6426 64304 5645156 6498554 9139534 10613108 12394733 44291085 0 0 0 5657262 6518290 9153709 10624969 12401159 44355389 0 0 44355389 748 880 394 106 2128 0 748 880 394 106 2128 0 7526 5268 6869 6321 7833 33817 5664788 6524306 9161458 10631684 12409098 44391334 0.99920 0.99710 0.00000 0.00010 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 57262 49549 7713 7713 X Part X : FIN48 Footnote 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. false 0 0 SCHOLARSHIP 2 9498 FMV Additional Supplemental Information SCHEDULE I, 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. false false false false false false false false false CHRISTA HOILAND MEDICAL DIRECTOR 227767 9656 11304 248727 DAN LINDH BOARD CHAIR/CEO 907103 14250 9270 930623 DR JOHN MIELKE BD MEM/MED DIR 147679 2516 1680 151875 DUANE LARSON SVP OPERATIONS 315866 14250 12639 342755 JONATHAN FLETCHER VP DEVELOPMENT 329215 9813 10099 349127 MARK MEYER SEC/TREAS/CFO 442068 14250 12639 468957 MICHAEL BINGHAM SVP OPTAGE 346096 13863 5903 365862 TERESA LARSON SVP HUMAN RESOURCES 324499 14250 4991 343740 Form 990, Part VI, Line 3: Description of Delegated Duties to Management Company PHS MANAGEMENT, LLC PROVIDES MANAGEMENT SERVICES FOR THE ORGANIZATION. 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, Line 6: Explanation of Classes of Members or Shareholder THE SOLE MEMBER OF THE ORGANIZATION IS PRESBYTERIAN HOMES & SERVICES. Form 990, Part VI, Line 11b: Form 990 Review Process THE ORGANIZATION'S 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 990 AND HAVE REVIEWED THE 990 THROUGHOUT THE PROCESS. Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts THE ORGANIZATION OBTAINS ANNUALLY WRITTEN DISCLOSURE 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, Line 19: Other Organization Documents Publicly Available THE ORGANIZATION MAKES AVAILABLE ITS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY UPON REQUEST. FINANCIAL STATEMENTS ARE AVAILABLE ON THE ORGANIZATION'S WEBSITE. FORM 990, PART VII, SECTION A SHARING OF HOURSOFFICERS & KEY EMPLOYEES SHARE THEIR HOURS BETWEEN THE FILING ORGANIZATION AND ITS RELATED ORGANIZATIONS. SEE ATTACHMENT FOR SCH R 2845 N HAMLINE AVE ROSEVILLE MN 55113 MN N/A false false false true false false false false false false false false false false false true true false false false