2024-08-13T11:56:50-07:00 2023-09-30 990 2022-10-01 753033211 WILLIAMSBURG RETIREMENT COMMUNITY WILL 6516316162 2845 N HAMLINE AVE ROSEVILLE MN 55113 MARK MEYER CFO 2024-08-13 true 2022 2024-08-08 14:25:15Z MARK MEYER 2845 N HAMLINE AVE ROSEVILLE MN 55113 10548213 false X WWW.PRESHOMES.ORG X 2002 MN THE MISSION OF THE ORGANIZATION IS TO HONOR GOD BY ENRICHING THE LIVES AND TOUCHING THE HEARTS OF OLDER ADULTS. 11 8 0 26 0 204877 840505 8524009 9472551 330728 71732 144265 159908 9203879 10544696 1894 3339 0 5735056 5981395 0 0 4111021 4524647 9847971 10509381 -644092 35315 32250573 31940649 7347348 7002109 24903225 24938540 THE MISSION OF THE ORGANIZATION IS TO HONOR GOD BY ENRICHING THE LIVES AND TOUCHING THE HEARTS OF OLDER ADULTS. false false 9121471 3339 9472551 Williamsburg Retirement Community is located in Williamsburg, Iowa. The campus consists of a 59 bed nursing home, a 47 unit assisted living facility, 54 unit independent senior living apartments and 11 senior townhomes. 9121471 true true false false false false false false true true true true false false true true false true false 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 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 11 8 true true false false false true false true true false false true true true true true true false false false MN X HEIDI PETERSON 6516316162 2845 N HAMLINE AVE ROSEVILLE MN 55113 DAN LINDH BOARD PRESIDENT 1.00 39.00 X X 0 836839 25618 MARK MEYER BOARD TREAURER 1.00 39.00 X X 0 449215 29663 JONATHAN FLETCHER VP DEVELOPMENT 1.00 39.00 0 358151 25188 DUANE LARSON VP OPERATIONS 1.00 39.00 0 329917 21874 MARK HUDSON BOARD MEMBER 1.00 39.00 X 0 194617 21235 MARK PEDERSON VP OPERATIONS 1.00 39.00 0 189597 22932 TERESA LARSON SVP EMPLOYEE EXPERIENCE 1.00 39.00 0 153546 10011 BRIAN PHILLIPS CAMPUS ADMIN 40.00 0.00 122413 0 22705 TERESA DONALDSON TMA 40.00 0.00 125584 0 0 CHUCK ORR BOARD MEMBER 1.00 0.00 X 0 0 0 CURT BLYTHE BOARD CHAIR 1.00 0.00 X X 0 0 0 MIKE MOORE BOARD MEMBER 1.00 0.00 X 0 0 0 MARCIA KINZENBAW BOARD MEMBER 1.00 0.00 X 0 0 0 RON HOLDEN BOARD MEMBER 1.00 0.00 X 0 0 0 ARLENE HOLDEN BOARD MEMBER 1.00 0.00 X 0 0 0 MARY BLYTHE BOARD VICECHAIR 1.00 0.00 X X 0 0 0 SUSAN MCCURRY BOARD MEMBER 1.00 0.00 X 0 0 0 KAROL HOLDEN BOARD MEMBER 1.00 0.00 X 0 0 0 247997 2511882 179226 2 false true false PHS MANAGEMENT LLC 2845 N HAMLINE AVE ROSEVILLE MN 55113 MANAGEMENT FEE 356460 GRAPETREE MEDICAL STAFFING PO BOX 5340 SIOUX FALLS SD 57117 NURSE AGENCY 141911 ONR NATIONAL INC 8500 BLUFFSONTE CR SUITE A201 AUSTIN TX 78759 THERAPY 119876 3 825215 15290 840505 RESIDENT SERVICES 623000 9472551 9472551 9472551 71732 71732 0 0 32297 32297 32297 32297 0 0 0 2510 3517 -1007 -1007 BEAUTY SHOP 446199 39504 39504 CULINARY 722210 37064 37064 OTHER RESIDENT SRVC 623000 35108 35108 16942 16942 128618 10544696 9472551 231640 0 3339 3339 0 0 0 0 4935192 4555312 379880 60466 55812 4654 621732 573875 47857 364005 335986 28019 356460 356460 0 8275 8275 0 0 0 499051 483705 15346 22349 10565 11784 146523 61096 85427 109004 109004 0 569439 506814 62625 14098 14098 0 12687 12687 146483 146483 0 1417398 1417398 160377 160377 FOOD 454886 454886 BLDG MAINT 294212 294212 MEDICAL SUPPLIES 180719 180719 MISCELLANEOUS 132686 14484 118202 0 10509381 9121471 1387910 0 0 3082127 3535772 0 210488 170115 0 0 0 0 15088 15571 39742500 18344394 22580340 21398106 0 6350343 6810773 0 12187 10312 0 32250573 31940649 466205 425751 3959271 3414960 1851778 1868405 1070094 1292993 7347348 7002109 X 20595642 19261336 4307583 5677204 24903225 24938540 32250573 31940649 35315 X false true X true false X X 1 PRESBYTERIAN HOMES HSG & ASSISTED 411463801 9 false 0 0 1 0 true false false false false false false false false false false false false false false true false RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true X 5353804 822470 499070 5677204 6604320 -1250516 5353804 5538887 1294859 229426 6604320 5039827 499060 5538887 5263090 22602 245865 5039827 0.78000 0.22000 false false false 1114671 1114671 34956686 15794739 19161947 1945574 1705876 239698 1725569 843779 881790 21398106 6810773 DUE TO AFFILIATES 1292992 Rounding 1 1292993 X Part IV, Line 2b: Explanation of escrow account liability RESIDENT NOTES ARE REPORTED AS LONG TERM ASSET AND LIABILITY, RESPECTIVELY ON THE STATEMENTS OF THE FINANCIAL POSITION. THE CONTRACTS WITH THE RESIDENTS LIMIT THE TOTAL AMOUNT OF DEPOSITS THAT THE ORGANIZATION MUST RETURN AT AY ONE TIME. THE MAXIMUM AMOUNTS IS $250,000. IF AT ANY TIME THE NET AMOUNT IT HAS BEEN RETURNED TO FORMER RESIDENTS EXCEEDS THE AMOUNT THAT IT HAS RECEIVED FROM NEW TENANTS BY THE APPLICABLE MAXIMUM AMOUNT, THE ORGAIZATION IS NOT REQUIRED TO REFUND ADDITIONAL DEPOSITS UNTIL NEW DEPOSITS ARE COLLECTED BRINGING THE AMOUNT OWED UNDER MAXIMUM AMOUNT. Part V, Line 4: Intended uses of the endowment fund. THE ORGANIZATION'S ENDOWMENT FUNDS WILL BE USED AS DIRECTED BY THE DONOR'S RESTRICTION. 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 false false false false false false false false DAN LINDH BOARD PRESIDENT 813148 23691 14750 10868 862457 DUANE LARSON VP OPERATIONS 308632 21285 14750 7124 351791 JONATHAN FLETCHER VP DEVELOPMENT 351146 7005 12702 12486 383339 MARK HUDSON BOARD MEMBER 193868 749 10321 10914 215852 MARK MEYER BOARD TREAURER 425562 23653 14750 14913 478878 MARK PEDERSON VP OPERATIONS 188833 764 8019 14913 212529 TERESA LARSON SVP EMPLOYEE EXPERIENCE 145510 8036 7695 2316 163557 A CITY OF WILLIAMSBURG IOWA 426005374 2014-02-27 8021116 REFINANCE EXISTING DEBT false false false A 4606156 8021116 8021116 true false true true A false false false false true A false false true false false false false true A true Form 990, Part VI, Section A, Line 2 CURT BLYTHE - FAMILY RELATIONSHIPMARY BLYTHE - FAMILY RELATIONSHIPARLENE HOLDEN - FAMILY RELATIONSHIPRON HOLDEN - FAMILY RELATIONSHIPSUSAN MCCURRY - FAMILY RELATIONSHIPKAROL HOLDEN - FAMILY RELATIONSHIP Form 990, Part VI, Section A, Line 3 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, Section B, Line 11b PRIOR TO FILING WITH THE IRS, THE ORGANIZATION'S FORM 990 IS PROVIDED TO THE GOVERNING BODY OF THE MEMBER THAT CONTROLS MANAGEMENT OF THE ORGANIZATION AND APPOINTS SOME OR ALL DIRECTORS TO THE ORGANIZATION. OFFICERS AND MANAGEMENT OF THE ORGANIZATION HAVE BEEN INVOLVED IN THE PREPARATION OF THE FORM 990 AND REMAIN ACCOUNTABLE TO THE GOVERNING BODY THROUGH REGULAR REVIEW OF FINANCIAL REPORTS AND RELATED INFORMATION. Form 990, Part VI, Section B, Line 12c 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, Section C, Line 19 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. Schedule R Part II Identification of Tax-Exempt Organizations Schedule R Part II Identification of Tax-Exempt 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 true false true true false false false