2017-11-15T12:07:28-06:00 2016-12-31 410746749 CLIFTONLARSONALLEN LLP 5001 SPRING VALLEY ROAD SUITE 600W DALLAS TX 75244 990 2016-01-01 510190369 PRESBYTERIAN VILLAGE NORTH PRES 2143559001 8600 SKYLINE DRIVE DALLAS TX 75243 TIM MALLAD PRESIDENT 2143559001 2017-11-14 1 MICHAEL SIEGEL P01587323 9723835700 67.137.57.251 2017-11-14 13:25:33 CS P 620CE377AB574A82531DB92133EAAE39445EB33D 082ACE2F511E36C30C0E31AD8E141AA6B2332ED9 2016 2021-01-29 14:40:06Z TIM MALLAD 12467 MERIT DRIVE DALLAS TX 75251 42666116 0 X WWW.PRESBYTERIANVILLAGENORTH.ORG X 1980 TX PRESBYTERIAN VILLAGE NORTH (PVN), AS A MEMBER OF THE PRESBYTERIAN COMMUNITIES AND SERVICES FAMILY OF NON-PROFIT ORGANIZATIONS, PLEDGES TO ENRICH THE LIVES OF THOSE IT SERVES BY PROVIDING EXCEPTIONAL CARE AND SERVICES IN A FAITH-BASED CULTURE. PVN, A CONTINUING CARE RETIREMENT COMMUNITY FOUNDED IN 1980 AND LOCATED ON 63 BEAUTIFUL, GARDEN-LIKE ACRES, PROVIDES A FULL RANGE OF RESIDENTIAL CHOICES AND CARE OPTIONS, INCLUDING RESIDENTIAL LIVING, ASSISTED LIVING, SKILLED NURSING, REHABILITATION, AND ALZHEIMER'S, DEMENTIA, AND OTHER LONG-TERM CARE. 5 4 694 205 0 0 1715574 3219237 39845792 39272414 18967 8363 31931 166102 41612264 42666116 971576 747532 0 0 22743499 23321287 0 0 0 17087300 17435686 40802375 41504505 809889 1161611 159046021 190667106 94389675 128028229 64656346 62638877 X PRESBYTERIAN VILLAGE NORTH (PVN), AS A MEMBER OF THE PRESBYTERIAN COMMUNITIES AND SERVICES FAMILY OF NON-PROFIT ORGANIZATIONS, PLEDGES TO ENRICH THE LIVES OF THOSE IT SERVES BY PROVIDING EXCEPTIONAL CARE AND SERVICES IN A FAITH-BASED CULTURE. PVN, A CONTINUING CARE RETIREMENT COMMUNITY FOUNDED IN 1980 AND LOCATED ON 63 BEAUTIFUL, GARDEN-LIKE ACRES, PROVIDES A FULL RANGE OF RESIDENTIAL CHOICES AND CARE OPTIONS, INCLUDING RESIDENTIAL LIVING, ASSISTED LIVING, SKILLED NURSING, REHABILITATION, AND ALZHEIMER'S, DEMENTIA, AND OTHER LONG-TERM CARE. 0 0 20797001 606552 23907478 PROVIDE SKILLED NURSING, ALZHEIMER'S AND DEMENTIA CARE TO OUR COMMUNITY RESIDENTS AND OUTPATIENT THERAPY CLIENTS. 5565673 8063369 RETIREMENT AND OTHER RELATED SERVICES IN 2016. 2810918 140980 4783613 WE PROVIDED ASSISTED LIVING SERVICES. 2952762 2517954 OTHER SERVICES RELATED TO ALL PROGRAMS. 2952762 2517954 32126354 1 1 0 0 0 0 0 1 0 0 1 0 0 1 1 1 1 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 0 1 0 0 0 1 144 0 694 1 0 0 0 0 0 0 0 0 0 0 X 5 4 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X STEVE AILEY 2144131561 8600 SKYLINE DRIVE DALLAS TX 75243 CYNTHIA HUDGINS CHAIRPERSON 1.00 1.00 X X 0 0 0 DR LISA CLARK VICE CHAIRPERSON 1.00 2.00 X X 0 0 0 CRAIG MILLIS SECRETARY 1.00 0.00 X X 0 0 0 MOLLY STEWARD TRUSTEE 1.00 0.00 X 0 0 0 PHILLIP WENTWORTH TRUSTEE / PAST INTERIM CEO 10.00 30.00 X X 0 92741 0 TIM MALLAD PRESIDENT 10.00 30.00 X 0 229950 0 STEVE AILEY CHIEF FINANCIAL OFFICER 10.00 30.00 X 0 32308 0 STEVE KEARNEY PAST CFO 10.00 0.00 X 0 222261 18137 RON KELLY EXECUTIVE DIRECTOR - PVN 40.00 0.00 X 178848 0 10721 GODWIN DIXON PRESIDENT & CEO - FOUNDATION 0.00 40.00 X 0 335554 21420 STEFANIE PENNINGTON RECRUITING DIRECTOR 0.00 40.00 X 0 201698 0 PHILIP WIECHMANN EXECUTIVE DIRECTOR - FPH 0.00 40.00 X 0 174357 29752 WILLIAM COOK LANGMADE MEDICAL DIRECTOR - FPPI 0.00 40.00 X 0 157317 29313 PETER LYNCH VP FOUNDATION 0.00 40.00 X 0 149735 7768 JOHN MARK LENHARD CORP. DIRECTOR OF ORG. DEVELOPMENT 0.00 40.00 X 0 137441 17057 178848 1733362 134168 16 0 1 0 WILMINGTON TRUST 15950 NORTH DALLAS PARKWAY 550 DALLAS TX 75248 BANKING/FINANCING 1906035 WEIS BUILDERS INC 7645 LYNDALA AVENUE SOUTH MINNEAPOLIS MN 55423 CONSTRUCTION SERVICES 761593 JESUS ROJAS 2713 STAR AVENUE RED OAK TX 75154 CONSTRUCTION SERVICES 485385 FELIX SALINAS GROUP DBA EXCEL CONSTRUCTI 1313 VALWOOD PARKWY SUITE 320 CARROLLTON TX 75006 WATER & WASTEWATER SERVICES 380040 STUDIOSIX5 INC 811 BARTON SPRINGS ROAD SUITE 800 AUSTIN TX 78704 INTERIOR DESIGN 372062 5 3219237 3219237 RESIDENT REVENUE 623000 39272414 39272414 39272414 8021 8021 342 0 342 342 342 OTHER INCOME 900099 142935 142935 GUEST HOUSING RENTAL 900099 23167 23167 166102 42666116 39272414 0 174465 747532 747532 178848 178848 19007379 14635682 4371697 147352 113461 33891 2610129 2009799 600330 1377579 1060736 316843 2358065 2358065 190748 190748 39868 39868 2031956 2031956 315720 243104 72616 115082 88613 26469 263216 202676 60540 1346939 1346939 20783 16003 4780 15582 11998 3584 910242 910242 3270975 2518651 752324 311960 311960 MEDICAL 1826101 1826101 FOOD 1576979 1576979 SUPPLIES 964898 742971 221927 BAD DEBTS 706809 706809 1169763 1024142 145621 41504505 32126354 9378151 0 15968856 13853194 20511261 29183804 2979901 3735859 269154 273186 132921 164195 134199410 57477372 25812564 76722038 93371364 66734830 159046021 190667106 2761246 4105568 9099841 7219153 53770531 77456059 15100000 11000000 13658057 28247449 94389675 128028229 X 19784430 24999046 40339005 33106920 4532911 4532911 64656346 62638877 159046021 190667106 X 1161611 -3179080 X X 0 1 X 1 0 X 1706467 1792367 769508 1715574 3219237 9203153 33622231 36436690 37878091 39845792 39272414 187055218 35328698 38229057 38647599 41561366 42491651 196258371 0 0 0 196258371 87254 106079 60607 19871 8021 281832 87254 106079 60607 19871 8021 281832 1183444 393575 14253 31931 166102 1789305 36599396 38728711 38722459 41613168 42665774 198329508 0.98960 0.98970 0.00140 0.00190 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: INSURANCE SETTLEMENTS / OTHER INCOME - 2012 AMOUNT: $ 1,183,444. 2013 AMOUNT: $ 393,575. 2014 AMOUNT: $ 14,253. 2015 AMOUNT: $ 31,931. 2016 AMOUNT: $ 142,935. GUEST HOUSING RENTAL - 2016 AMOUNT: $ 23,167. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 153370 X X 0 3408923 3408923 97340837 29200761 68140076 5325245 5108026 217219 21373732 19094113 2279619 6750673 4074472 2676201 76722038 DEPOSITS 1039 OTHER CURRENT ASSETS - INCLUDING ENTRANCE FEE RECEIVABLES 715247 DUE FROM RELATED PARTIES 9941765 CIP 18678432 COLLECTIONS OF ART 153370 INTEREST IN PVN FOUNDATION 36115120 INTEREST IN PC&S FOUNDATION 966770 INTEREST IN TEXAS HEALTH RESOURCES FOUNDATION 163087 66734830 ASSET RETIREMENT OBLIGATION 758098 REFUNDABLE TENANT DEPOSITS 21624781 CONSTRUCTION PAYABLE 5650906 OTHER LIABILITIES 213664 28247449 X 41918584 0 41918584 747532 747532 42666116 40756973 0 40756973 747532 747532 41504505 PART III, LINE 4: COLLECTION OF PORCELAIN FIGURINES - BIRDS. AS A RETIREMENT AND NURSING COMMUNITY, THESE ITEMS ENRICH THE LIVES OF THOSE WE SERVE. THEY WERE DONATED TO EXHIBIT FOR THEIR BEAUTY AND TO IMPROVE THE ENVIRONMENT OUR RESIDENTS LIVE IN. PART X, LINE 2: THE ORGANIZATION'S INCOME TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL, STATE, AND LOCAL AUTHORITIES. THE ORGANIZATION IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE ITS TAX-EXEMPT STATUS. THE ORGANIZATION REPORTS ANY ACTIVITIES THAT ARE SUBJECT TO TAX ON UNRELATED BUSINESS INCOME OR EXCISE OR OTHER TAXES AND FILES ALL PROPER RETURNS RELATED TO THESE ACTIVITIES. PART XI, LINE 4B - OTHER ADJUSTMENTS: GRANT EXPENSE 747,532. PART XII, LINE 4B - OTHER ADJUSTMENTS: GRANT EXPENSE 747,532. 1 SUPPLEMENTAL ASSISTANCE 17 747532 PART I, LINE 2: THE ORGANIZATION PROVIDES ASSISTANCE TO RESIDENTS OF ITS CCRC CAMPUS WHO REACH FINANCIAL HARDSHIP AND ARE UNABLE TO PAY A PORTION OF THEIR MONTHLY FEES. AN APPLICATION FOR ASSISTANCE IS COMPLETED AND SUBMITTED TO THE EXECUTIVE DIRECTOR AND COMMITTEE FOR REVIEW AND APPROVAL PRIOR TO PROVIDING ASSISTANCE. THE RESIDENT'S FINANCIAL CIRCUMSTANCES ARE PERIODICALLY REVIEWED TO DETERMINE IF THE RESIDENT STILL QUALIFIES FOR ASSISTANCE. X X X X 1 1 0 0 0 0 0 1 0 TIM MALLAD PRESIDENT 0 229950 0 0 0 0 0 0 0 0 0 229950 0 0 STEVE KEARNEY PAST CFO 0 129893 0 11500 0 80868 0 9538 0 8599 0 240398 0 0 RON KELLY EXECUTIVE DIRECTOR - PVN 169924 0 8924 0 0 0 2600 0 8121 0 189569 0 0 0 GODWIN DIXON PRESIDENT & CEO - FOUNDATION 0 335554 0 0 0 0 0 18920 0 2500 0 356974 0 0 STEFANIE PENNINGTON RECRUITING DIRECTOR 0 127698 0 74000 0 0 0 0 0 0 0 201698 0 0 PHILIP WIECHMANN EXECUTIVE DIRECTOR - FPH 0 156357 0 18000 0 0 0 18000 0 11752 0 204109 0 0 WILLIAM COOK LANGMADE MEDICAL DIRECTOR - FPPI 0 157317 0 0 0 0 0 18000 0 11313 0 186630 0 0 PETER LYNCH VP FOUNDATION 0 149735 0 0 0 0 0 0 0 7768 0 157503 0 0 JOHN MARK LENHARD CORP. DIRECTOR OF ORG. DEVELOPMENT 0 129409 0 8032 0 0 0 7268 0 9789 0 154498 0 0 PART I, LINES 4A-B THE FOLLOWING PARTICIPANTS WERE INCLUDED IN A 457(F) PLAN; HOWEVER, THERE HAVE BEEN NO CONTRIBUTIONS OR DISTRIBUTIONS FOR THE PLAN. GODWIN DIXON, STEVE KEARNEY STEVE KEARNEY (PAST CFO) RECEIVED A SEVERANCE PACKAGE IN 2016 IN THE AMOUNT OF $58,648. PART I, LINE 7 THE ORGANIZATION PAID PERFORMANCE BASED BONUSES. A NEW HOPE CULTURAL EDUCATION FACILITIES FINANCE CORPORATION 261604618 64542TAN7 2014-12-11 80500000 CAPITAL EXPENDITURE AND CONSTRUCTION 0 0 0 A 80500000 18206925 1928989 60364086 2016 0 0 0 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 1 0 0 1 0 0 0 1 A 1 FORM 990, PART VI, SECTION A, LINE 3 ON 5/1/2008, PRESBYTERIAN COMMUNITIES & SERVICES WAS FORMED TO PROVIDE MANAGEMENT AND SHARED SERVICES TO PRESBYTERIAN VILLAGE NORTH AND OTHER AFFILIATED ORGANIZATIONS. FORM 990, PART VI, SECTION B, LINE 11B THE CFO AND CEO WILL REVIEW THE DRAFT REPORT. THE DRAFT REPORT WILL BE PROVIDED TO ALL BOARD MEMBERS FOR REVIEW. ONE BOARD MEMBER WITH PARTICULAR KNOWLEDGE IN THIS AREA WILL REVIEW THE FINAL RETURN BEFORE IT IS FILED. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION HAS A COMPLIANCE OFFICER (CO) WHO REVIEWS ALL TRANSACTIONS OF THE ORGANIZATION THAT MAY RESULT IN A CONFLICT OF INTEREST. THE CO DETERMINES IF THE TRANSACTION WOULD RESULT IN UNDUE INFLUENCE AS A RESULT OF THE RELATIONSHIP AND NOT BE PURSUED. THE CO REPORTS ALL CONFLICTS OF INTEREST TO THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 15 REVIEWED ANUALLY BY THE RECRUITING DIRECTOR, AN OUTSIDE CONSULTANT AND SURVEYS FROM INDUSTRY ARE USED. THE BOARD ALSO HAS A COMPENSATION COMMITTEE THAT REVIEWS THE CURRENT COMPENSATION COMPARED TO LIKE ENTITIES AND MAKES RECOMMENDATIONS TO THE BOARD FOR CHANGES IN COMPENSATION. THE OUTSIDE CONSULTANT REVIEWS COMPENSATION, INDEPENDENT OF THE COMPENSATION COMMITTEE. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE AT THE SITE, BASED ON WRITTEN REQUEST. FORM 990, PART XI, LINE 9: CHANGE IN NET ASSETS OF PC&S FOUNDATION -778,068. CHANGE IN NET ASSETS OF OTHER FOUNDATIONS -2,401,012. FORM 990, PART XII, LINE 2C THE ORGANIZATION DOES HAVE A COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT, AND THE NEITHER THE OVERSIGHT PROCESS NOR THE SELECTION PROCESS HAS CHANGED DURING THE FILING YEAR. PRESBYTERIAN VILLAGE NORTH FOUNDATION 8600 SKYLINE DRIVE DALLAS TX 75243 752022746 PROVIDE SUPPORT FOR QUALITY OF LIFE FOR RESIDENTS OF PVN TX 501(C)(3) PF N/A 0 PRESBYTERIAN COMMUNITIES AND SERVICES 6100 COLWELL BLVD STE 225 IRVING TX 75039 261459224 SHARED SERVICES/MANAGEMENT TX 501(C)(3) LINE 12B, II N/A 0 GRACE PRESBYTERIAN MINISTRIES 550 E ANN ARBOR AVE DALLAS TX 75216 751094140 CCRC TX 501(C)(3) LINE 10 PRESBYTERIAN COMMUNITIES & SERVICES 0 PRESBYTERIAN COMMUNITIES AND SERVICES FOUNDATION 6100 COLWELL BLVD STE 225 IRVING TX 75039 751910084 FOUNDATION FOR AFFILIATES TX 501(C)(3) LINE 7 PRESBYTERIAN COMMUNITIES & SERVICES 0 FAITH PRESBYTERIAN PROVIDERS INC 4350 SIGMA RD SUITE 400 DALLAS TX 75244 383800779 PALLATIVE/HOSPICE SERVICES TX 501(C)(3) LINE 10 PRESBYTERIAN COMMUNITIES & SERVICES 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0