PRESBYTERIAN HOME CARE CENTERS INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
PRESBYTERIAN HOME CARE CENTERS INC (EIN 41-1500288)
Tax period
2011-10-01 to 2012-09-30
Filed
2013-08-14
IRS object ID
201342269349302654
Schema version
2011v1.5
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-08-14T11:52:32-07:00Timestamp
Tax Period End Date2012-09-30TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2011-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN411500288EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1PRESBYTERIAN HOMES CARE CENTERS INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlPRESNameControl
Phone6516316162Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12845 N HAMLINE AVEAddressLine1
CityROSEVILLECity
StateMNState
ZIP Code55113ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMARK MEYERName
TitleCFOTitle
Date Signed2013-08-14DateSigned
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonMARK MEYERNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line12845 N HAMLINE AVEAddressLine1
CityROSEVILLECity
StateMNState
ZIP Code55113ZIPCode
FieldValueIRS element (for citing)
Gross Receipts13663795GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501c3XOrganization501c3
Web SiteWWW.PRESHOMES.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1982YearFormation
State Legal DomicileMNStateLegalDomicile
Activity Or Mission DescriptionTHE MISSION OF THE ORGANIZATION IS TO ENRICH THE LIVES OF OLDER ADULTS THROUGH SERVICE AND COMMUNITIES THAT REFLECT THE LOVE OF GOD.ActivityOrMissionDescription
Nbr Voting Members Governing Body3NbrVotingMembersGoverningBody
Nbr Independent Voting Members1NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers124TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year13286ContributionsGrantsPriorYear
Contributions Grants Current Year6431ContributionsGrantsCurrentYear
Program Service Revenue Prior Year14216120ProgramServiceRevenuePriorYear
Program Service Revenue CY13641410ProgramServiceRevenueCY
Investment Income Prior Year57686InvestmentIncomePriorYear
Investment Income Current Year4516InvestmentIncomeCurrentYear
Other Revenue Prior Year25216OtherRevenuePriorYear
Other Revenue Current Year11438OtherRevenueCurrentYear
Total Revenue Prior Year14312308TotalRevenuePriorYear
Total Revenue Current Year13663795TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year5112GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY2234GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year9263008SalariesEtcPriorYear
Salaries Etc Current Year9144975SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year4812468OtherExpensePriorYear
Other Expenses Current Year4217949OtherExpensesCurrentYear
Total Expenses Prior Year14080588TotalExpensesPriorYear
Total Expenses Current Year13365158TotalExpensesCurrentYear
Revenues Less Expenses Prior Year231720RevenuesLessExpensesPriorYear
Revenues Less Expenses CY298637RevenuesLessExpensesCY
Total Assets BOY2944247TotalAssetsBOY
Total Assets EOY3069009TotalAssetsEOY
Total Liabilities BOY1132339TotalLiabilitiesBOY
Total Liabilities EOY958464TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY1811908NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY2110545NetAssetsOrFundBalancesEOY
Mission DescriptionTHE MISSION OF THE ORGANIZATION IS TO ENRICH THE LIVES OF OLDER ADULTS THROUGH SERVICE AND COMMUNITIES THAT REFLECT THE LOVE OF GOD.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense12138869Expense
Grants2234Grants
Revenue13641410Revenue
DescriptionTHE ORGANIZATION OPERATES A 117 BED SKILLED NURSING FACILITY IN ROSEVILLE, MINNESOTA.Description
Total Program Service Expense12138869TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiestrueReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingfalseComplianceWithBackupWitholding
Number Of Employees0NumberOfEmployees
Employment Tax Returns FiledfalseEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Form990-T FiledfalseForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Form8886 T FiledfalseForm8886TFiled
Non Deductible ContributionsfalseNonDeductibleContributions
Non Deductible DisclosurefalseNonDeductibleDisclosure
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Quid Pro Quo DisclosurefalseQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Number Of8282 Filed0NumberOf8282Filed
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Filed Lieu1041falseFiledLieu1041
Licensed More Than One StatefalseLicensedMoreThanOneState
Indoor Tanning ServicesfalseIndoorTanningServices
Form720 FiledfalseForm720Filed
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members3NbrVotingGoverningBodyMembers
Number Independent Voting Members1NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiestrueDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Policies Reference ChaptersfalsePoliciesReferenceChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOfalseCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Written Policy Or ProcedurefalseWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledMNStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonHEIDI PETERSONNamePerson
Telephone Number6516316162TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12845 N HAMLINE AVEAddressLine1
CityROSEVILLECity
StateMNState
ZIP Code55113ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (7 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeFormerFormer
MARK MEYER
SEC/TREAS - CFO40.00XX029954016678
DAN LINDH
VICE CHAIR -CEO40.00XX054111298853
SCOTT WEICHT
BOARD CHAIR1.00X000
KAREN MCKENNA
EXECUTIVE DIRECTOR HUMAN RESOURCES40.0002198107051X
SHARON KLEFSAAS
EXECUTIVE DIRECTOR OPERATIONS40.00024558012398X
JOHN MEHRKENS
VP SENIOR HOUSING PARTNERS40.00023719914662X
CATHY BERGLAND
EXEC DIR OF LEADERSHIP INST40.00020319910492X
FieldValueIRS element (for citing)
Total Reportable Comp Frm Rltd Orgs1746440TotalReportableCompFrmRltdOrgs
Total Other Compensation160134TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1PHS MANAGEMENT LLCBusinessNameLine1

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12845 N HAMLINE AVEAddressLine1
CityROSEVILLECity
StateMNState
ZIP Code55113ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesMANAGEMENT FEEDescriptionOfServices
Compensation397826Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
Related Organizations6431RelatedOrganizations
Total Contributions6431TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionRESIDENT SERVICESDescription
Business Code623000BusinessCode
Total Revenue Column13641410TotalRevenueColumn
Related Or Exempt Function Income13641410RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue13641410TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column4516TotalRevenueColumn
Exclusion$4,516ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMISCELLANEOUS INCOMEDescription
Business Code900099BusinessCode
Total Revenue Column11438TotalRevenueColumn
Exclusion$11,438ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue11438TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column13663795TotalRevenueColumn
Related Or Exempt Function Income13641410RelatedOrExemptFunctionIncome
Exclusion$15,954ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total2234Total
Program Services2234ProgramServices

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total0Total

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total7565232Total
Program Services7145225ProgramServices
Management And General420007ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total167144Total
Program Services167144ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total810561Total
Program Services810561ProgramServices

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total602038Total
Program Services602038ProgramServices

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total397826Total
Management And General397826ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total12000Total
Management And General12000ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total0Total

Advertising Advertising

FieldValueIRS element (for citing)
Total4546Total
Management And General4546ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total91033Total
Management And General91033ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total53785Total
Management And General53785ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total380485Total
Program Services380485ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total5451Total
Program Services5451ProgramServices

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total7309Total
Program Services7309ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total435000Total
Program Services435000ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total424309Total
Program Services424309ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total100438Total
Management And General100438ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
LICENSES & DUES25300223565517347
FOOD291982291982
MISCELLANEOUS468488339181129307
NURSING SUPPLIES12922951292295

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total0Total

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total13365158Total
Program Services12138869ProgramServices
Management And General1226289ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
EOY0EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY-4434651BOY
EOY-4548840EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1187916BOY
EOY1442344EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY36913BOY
EOY29137EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis11687490LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec6778636LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY5027516BOY
EOY4908854EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY149778BOY
EOY273239EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY976775BOY
EOY964275EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY2944247BOY
EOY3069009EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1132339BOY
EOY958464EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1132339BOY
EOY958464EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY1811908BOY
EOY2110545EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1811908BOY
EOY2110545EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2944247BOY
EOY3069009EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses298637ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired
Federal Grant Audit PerformedfalseFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years8546CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years8836CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years6194CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year13286CurrentTaxYearMinus1Year
Current Tax Year6431CurrentTaxYear
Total43293Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years15943445CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years15119921CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years14259655CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year14216120CurrentTaxYearMinus1Year
Current Tax Year13641410CurrentTaxYear
Total73180551Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

FieldValueIRS element (for citing)
Total0Total

Tax Rev Levied For Org Benefit509 TaxRevLeviedForOrgBenefit509

FieldValueIRS element (for citing)
Total0Total

Value Of Svcs Fclts Furnishd By Govt ValueOfSvcsFcltsFurnishdByGovt

FieldValueIRS element (for citing)
Total0Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years15951991CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years15128757CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years14265849CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year14229406CurrentTaxYearMinus1Year
Current Tax Year13647841CurrentTaxYear
Total73223844Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total50973223844PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years41640CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years86151CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years118103CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year57686CurrentTaxYearMinus1Year
Current Tax Year4516CurrentTaxYear
Total308096Total

Post1975 UBTI Post1975UBTI

FieldValueIRS element (for citing)
Total0Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years41640CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years86151CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years118103CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year57686CurrentTaxYearMinus1Year
Current Tax Year4516CurrentTaxYear
Total308096Total

Net Income From Other UBI NetIncomeFromOtherUBI

FieldValueIRS element (for citing)
Total0Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years12750CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years24029CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years16971CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year25216CurrentTaxYearMinus1Year
Current Tax Year11438CurrentTaxYear
Total90404Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years16006381CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years15238937CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years14400923CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year14312308CurrentTaxYearMinus1Year
Current Tax Year13663795CurrentTaxYear
Total73622344Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99460PublicSupportPercentage509
Prior Year Support Percentage0.99370PriorYearSupportPercentage
Investment Income Percentage0.00420InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00490PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis231000OtherCostOrOtherBasis
Book Value231000BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis8986264OtherCostOrOtherBasis
Depreciation5145184Depreciation
Book Value3841080BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis226931OtherCostOrOtherBasis
Depreciation204418Depreciation
Book Value22513BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis2243295OtherCostOrOtherBasis
Depreciation1429034Depreciation
Book Value814261BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings4908854TotalOfBookValueLandBuildings
Total Of Book Value Securities273239TotalOfBookValueSecurities

Other Assets OtherAssets (4 entries)

DescriptionDescriptionBook ValueBookValue
RESIDENT PETTY CASH140
INVESTMENT IN INR, INC.146710
DUE FROM AFFILIATES816524
CITY OF ROSEVILLE WATER DEPOSIT901
FieldValueIRS element (for citing)
Total Book Value Other Assets964275TotalBookValueOtherAssets

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierPart XIdentifier
Return ReferencePart X : FIN48 FootnoteReturnReference
ExplanationTHE 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. THE ORGANIZATION'S TAX RETURNS FOR THE 2009, 2010, AND 2011 FISCAL YEARS ARE OPEN TO EXAMINATION BY THE IRS.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException
Rebuttable Presumption ProcedurefalseRebuttablePresumptionProcedure

Form990 Schedule J Part II Form990ScheduleJPartII (6 entries)

Comp Based On Related OrgsCompBasedOnRelatedOrgsDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Related OrgsTotalCompensationRelatedOrgs
SHARON KLEFSAAS
24558073675031257978
MARK MEYER
29954089867692316218
KAREN MCKENNA
2198106594457226861
JOHN MEHRKENS
23719971167546251861
DAN LINDH
541112912337620639965
CATHY BERGLAND
20319960964396213691

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VII, SECTION ASHARING OF HOURSOFFICERS & KEY EMPLOYEES SHARE THEIR HOURS BETWEEN THE FILING ORGANIZATION AND ITS RELATED ORGANIZATIONS.
Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableTHE 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 VI, Line 19
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsTHE 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 12c
Form 990, Part VI, Line 11: Form 990 Review ProcessTHE 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 11
Form 990, Part VI, Line 6: Explanation of Classes of Members or ShareholderTHE SOLE MEMBER OF THE ORGANIZATION IS PRESBYTERIAN HOMES & SERVICES.Form 990, Part VI, Line 6

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1SEE ATTACHMENT FOR SCH RBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12845 N HAMLINE AVEAddressLine1
CityROSEVILLECity
StateMNState
ZIP Code55113ZIPCode
FieldValueIRS element (for citing)
Legal Domicile StateMNLegalDomicileState
Direct Controlling Entity NAN/ADirectControllingEntityNA
Controlled OrgfalseControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

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