PRESBYTERIAN VILLAGE NORTH FOREFRONT LIVING: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
PRESBYTERIAN VILLAGE NORTH FOREFRONT LIVING (EIN 51-0190369)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-14
IRS object ID
201343189349304664
Schema version
2012v2.1
Note
A later return for the same period supersedes this one.
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)
Timestamp2013-11-14T13:58:26-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN410746749EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CliftonLarsonAllenLLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line15001 Spring Valley Road Suite 600WAddressLine1
CityDallasCity
StateTXState
ZIP Code75244ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN510190369EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Presbyterian Village NorthBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlPRESNameControl
Phone2143559001Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line18600 Skyline DriveAddressLine1
CityDallasCity
StateTXState
ZIP Code75243ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameSteve KearneyName
TitleCFOTitle
Phone2143559001Phone
Date Signed2013-11-14DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameTroy LangsdaleName
PTINP00847944PTIN
Phone9723835700Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonGodwin DixonNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line16100 Colwell Blvd Suite 225AddressLine1
CityIrvingCity
StateTXState
ZIP Code75039ZIPCode
FieldValueIRS element (for citing)
Gross Receipts36600096GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.presbyterianvillagenorth.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1980YearFormation
State Legal DomicileTXStateLegalDomicile
Activity Or Mission DescriptionPresbyterian 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.ActivityOrMissionDescription
Nbr Voting Members Governing Body5NbrVotingMembersGoverningBody
Nbr Independent Voting Members5NbrIndependentVotingMembers
Total Nbr Employees664TotalNbrEmployees
Total Nbr Volunteers275TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1386682ContributionsGrantsPriorYear
Contributions Grants Current Year1706467ContributionsGrantsCurrentYear
Program Service Revenue Prior Year31991712ProgramServiceRevenuePriorYear
Program Service Revenue CY33622231ProgramServiceRevenueCY
Investment Income Prior Year84751InvestmentIncomePriorYear
Investment Income Current Year87954InvestmentIncomeCurrentYear
Other Revenue Prior Year-36027OtherRevenuePriorYear
Other Revenue Current Year1183444OtherRevenueCurrentYear
Total Revenue Prior Year33427118TotalRevenuePriorYear
Total Revenue Current Year36600096TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year564097GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY663229GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year17666378SalariesEtcPriorYear
Salaries Etc Current Year18658859SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year14212471OtherExpensePriorYear
Other Expenses Current Year13848134OtherExpensesCurrentYear
Total Expenses Prior Year32442946TotalExpensesPriorYear
Total Expenses Current Year33170222TotalExpensesCurrentYear
Revenues Less Expenses Prior Year984172RevenuesLessExpensesPriorYear
Revenues Less Expenses CY3429874RevenuesLessExpensesCY
Total Assets BOY83623224TotalAssetsBOY
Total Assets EOY85378962TotalAssetsEOY
Total Liabilities BOY29977961TotalLiabilitiesBOY
Total Liabilities EOY29082003TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY53645263NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY56296959NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionPresbyterian 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.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense15299321Expense
Grants458496Grants
Revenue18057779Revenue
DescriptionProvide skilled nursing, alzheimer's and dementia care to our community residents and Medicare patients. We served about 771 unduplicated patients in 2012.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense4449415Expense
Revenue2979486Revenue
DescriptionProvide rehabilitation and outpatient therapy to the Dallas Metroplex.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense3498768Expense
Revenue8465629Revenue
DescriptionRetirement and other related services in 2012.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense3140558Expense
Grants204733Grants
Revenue4119337Revenue
DescriptionWe provided assisted living services to 91 unduplicated residents in 2012.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp3140558TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt204733TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev4119337TotalOfOtherProgramServiceRev
Total Program Service Expense26388062TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art1CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals1GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096178NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees664NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members5NbrVotingGoverningBodyMembers
Number Independent Voting Members5NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties1DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Steve Pukish CPABusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number2144131540TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line16100 Colwell Blvd STE 225AddressLine1
CityIrvingCity
StateTXState
ZIP Code75039ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (14 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
Cynthia Hudgins
Chairman1.001.00XX000
Dr Lisa Clark
Vice Chair1.001.00XX000
Al Cloud
Secretary1.000.00XX000
Phil Wentworth
Trustee1.001.00X000
Bruce Jamieson
Trustee1.000.00X000
Godwin Dixon
President/CEO10.0030.00X029814027405
Teresa Whittington
VP of Quality & Development10.0030.00X015898421972
Elizabeth Nicole Gann
VP of HR10.0030.00X01653350
Brenda Terry
VP of Operations10.0030.00X017126813464
Mark Havrilka
VP of Finance10.0030.00X012946115283
Ann McKinley
VP of Marketing10.0030.00X010392510745
Ron Kelly
Executive Director40.000.00X158214019560
Charles Bobbitt
Director of Nursing40.000.0011827507600X
Mary Bean
Administrator-Health Services40.000.0010311504607X
FieldValueIRS element (for citing)
Total Reportable Comp From Org379604TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1027113TotalReportableCompFrmRltdOrgs
Total Other Compensation120636TotalOtherCompensation
Number Individuals GT100 K3NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Salus Solutions LLC
7330 Fern Ave Suite 502ShreveportLA71105Contract Labor1540519
K-Tech Roofing Co Inc
6240 Mulberry LaneMidlothianTX76065Construction Contractor880983
Olicon Inc
1801 Royal Ln Suite 700DallasTX75229Construction Contractor524406
Pi Architects Inc
3500 Jefferson St 303AustinTX78731Architect394270
John Kerrigan
5558 Edlen DrDallasTX75220Construction Contractor271036
FieldValueIRS element (for citing)
Number Of Contractors GT100 K9NumberOfContractorsGT100K
Related Organizations1621334RelatedOrganizations
All Other Contributions85133AllOtherContributions
Total Contributions1706467TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionResident RevenueDescription
Business Code623000BusinessCode
Total Revenue Column33622231TotalRevenueColumn
Related Or Exempt Function Income33622231RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue33622231TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column87254TotalRevenueColumn
Exclusion$87,254ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities700Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities0Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities700Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column700TotalRevenueColumn
Exclusion$700ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
Insurance Settlement9000991004546$1,004,546
Other Income900099178898$178,898
FieldValueIRS element (for citing)
Total Other Revenue1183444TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column36600096TotalRevenueColumn
Related Or Exempt Function Income33622231RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$1,271,398ExclusionAmount

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total663229Total
Program Services663229ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total158214Total
Program Services158214ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total14440315Total
Program Services13318283ProgramServices
Management And General1122032ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total102956Total
Program Services97856ProgramServices
Management And General5100ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total2903493Total
Program Services2677888ProgramServices
Management And General225605ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1053881Total
Program Services980937ProgramServices
Management And General72944ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total2071662Total
Management And General2071662ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total31801Total
Management And General31801ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total51379Total
Management And General51379ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1990201Total
Program Services1990201ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total34010Total
Program Services150ProgramServices
Management And General33860ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total216827Total
Program Services177157ProgramServices
Management And General39670ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total448470Total
Program Services282661ProgramServices
Management And General165809ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1438110Total
Program Services1438110ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total83200Total
Program Services69195ProgramServices
Management And General14005ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total106049Total
Management And General106049ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total2442797Total
Management And General2442797ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total286776Total
Program Services286776ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Supplies3063585302544638139
Outside Services799302596880202422
Housekeeping and Mainte3797093769762733
All Other Expenses28786124810339758

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total116395Total
Management And General116395ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total33170222Total
Program Services26388062ProgramServices
Management And General6782160ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY4812350BOY
EOY-261491EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY8500000BOY
EOY14456169EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1504041BOY
EOY2738823EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY414924BOY
EOY281064EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
EOY123201EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis75542837LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec49796764LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY25694811BOY
EOY25746073EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY1002173BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY41694925BOY
EOY42295123EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY83623224BOY
EOY85378962EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY5258247BOY
EOY2431123EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY11889516BOY
EOY13689343EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY12220000BOY
EOY12220000EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY610198BOY
EOY741537EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY29977961BOY
EOY29082003EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY17845708BOY
EOY19454043EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY31371195BOY
EOY32395057EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY4428360BOY
EOY4447859EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY53645263BOY
EOY56296959EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY83623224BOY
EOY85378962EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses3429874ReconcilationRevenueExpenses
Reconciliation Unrealized Invest-778178ReconciliationUnrealizedInvest
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years958192CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years896235CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years971478CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1386682CurrentTaxYearMinus1Year
Current Tax Year1706467CurrentTaxYear
Total5919054Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years27271530CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years30655785CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years32237121CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year31991712CurrentTaxYearMinus1Year
Current Tax Year33622231CurrentTaxYear
Total155778379Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years28229722CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years31552020CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years33208599CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year33378394CurrentTaxYearMinus1Year
Current Tax Year35328698CurrentTaxYear
Total161697433Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total509161697433PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years369472CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years140738CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years159274CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year84751CurrentTaxYearMinus1Year
Current Tax Year87254CurrentTaxYear
Total841489Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years369472CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years140738CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years159274CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year84751CurrentTaxYearMinus1Year
Current Tax Year87254CurrentTaxYear
Total841489Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years556573CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year-36027CurrentTaxYearMinus1Year
Current Tax Year1183444CurrentTaxYear
Total1703990Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years28599194CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years31692758CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years33924446CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year33427118CurrentTaxYearMinus1Year
Current Tax Year36599396CurrentTaxYear
Total164242912Total
FieldValueIRS element (for citing)
Public Support Percentage5090.98450PublicSupportPercentage509
Prior Year Support Percentage0.98710PriorYearSupportPercentage
Investment Income Percentage0.00510InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00940PriorYrInvestIncomePercentage
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

Art Public Exhibition Amts ArtPublicExhibitionAmts

FieldValueIRS element (for citing)
Assets In Part X153370AssetsInPartX
FieldValueIRS element (for citing)
Collect Used For Public ExhibitionXCollectUsedForPublicExhibition
Collect Used For PreservationXCollectUsedForPreservation
Solicited Assets For Sale0SolicitedAssetsForSale

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis2799895OtherCostOrOtherBasis
Book Value2799895BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis43443027OtherCostOrOtherBasis
Depreciation23987800Depreciation
Book Value19455227BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis5265556OtherCostOrOtherBasis
Depreciation4989886Depreciation
Book Value275670BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis20043096OtherCostOrOtherBasis
Depreciation17260959Depreciation
Book Value2782137BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis3991263OtherCostOrOtherBasis
Depreciation3558119Depreciation
Book Value433144BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings25746073TotalOfBookValueLandBuildings

Other Assets OtherAssets (5 entries)

DescriptionDescriptionBook ValueBookValue
Deposits1039
Investment in PC&S Foundation35087099
Due from Related Parties5592184
CIP1461431
Collections of Art153370
FieldValueIRS element (for citing)
Total Book Value Other Assets42295123TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
Asset Retirement Obligation$639,778
Security Deposits$101,759
FieldValueIRS element (for citing)
Total Of Amounts741537TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
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. The information tax returns for the years 2009 to 2012 are open to examination by federal, state, and local authorities.Description of Uncertain Tax Positions Under FIN 48:

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantSupplemental AssistanceTypeOfGrant
Number Of Recipients12NumberOfRecipients
Amount Of Cash Grant663229AmountOfCashGrant

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierProcedure for Monitoring Grants in the U.S.:Identifier
Return ReferencePart I, Line 2:ReturnReference
ExplanationSchedule I, 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.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment1SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (5 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Godwin Dixon
President/CEO0298140000000027405032554500
Teresa Whittington
VP of Quality & Development0158984000000021972018095600
Elizabeth Nicole Gann
VP of HR016533500000000016533500
Brenda Terry
VP of Operations0171268000000013464018473200
Ron Kelly
Executive Director1582140000000195600177774000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
Return ReferencePart I, Line 4aReturnReference
ExplanationPer Form 990, Schedule J, Part 1, Line 4a, Elizabeth Nicole Gann received a severance payment in the amount of $61,334.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

Return ReferenceReturnReferenceExplanationExplanation
Form 990, Part VI, Section A, line 3On 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 11The 990 is reviewed by management to review and correct prior to submitting to the Finance Committee of the Board for review. Management meets with the Finance Committee, along with the outside preparer, to discuss the 990 return and recommends changes, if any. After the 990 has been finalized and approved by the Finance Committee, it is submitted to the Board of Directors for their review prior to sending to the IRS.
Form 990, Part VI, Section B, line 12cWe have a compliance officer (CO) who review 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 15The Board has a compensation committee that reviews the current compensation compared to like entities and makes recommendations to the Board for changes in compensation. The Board also uses an outside consultatnt to review compensation, independent of the compensation committee.
Form 990, Part VI, Section C, line 19These documents are available at the site, based on written request.
Form 990, Part XII, Line 2cThe 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.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrgDirect Controlling Entity NADirectControllingEntityNA
Presbyterian Village North Foundation
8600 Skyline DriveDallasTX75243752022746Foundation for PVNTX501(c)(3)PFPresbyterian Communities & Services0
Presbyterian Communities and Services
6100 Colwell Blvd Ste 225IrvingTX75039261459224Shared Services/ManagementTX501(c)(3)Line 11b, II0N/A
Grace Presbyterian Ministries
550 E Ann Arbor AveDallasTX75216751094140CCRCTX501(c)(3)Line 7Presbyterian Communities & Services0
Presbyterian Communities and Services Foundation
6100 Colwell Blvd Ste 225IrvingTX75039751910084Foundation for AffiliatesTX501(c)(3)Line 7Presbyterian Communities & Services0
Faith Presbyterian Providers Inc
4350 Sigma Rd Suite 400DallasTX75244383800779Pallative/Hospice ServicesTX501(c)(3)Line 9Presbyterian Communities & Services0
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

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