Civic Intelligence

Pine Haven Inc.

990 • Fiscal year 2023 • EIN 41-0944721

Oct 01, 2022 to Sep 30, 2023 • Filed on Aug 15, 2024

210 3rd Street NWPine Island, MN 55963

(507) 356-8304

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

97th percentile

1.28x

Higher debt load relative to assets than 97% of similar nonprofits.

2023 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2023

Liabilities / Revenue

85th percentile

1.16x

Higher debt load relative to revenue than 85% of similar nonprofits.

2023 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2023

Net Margin

18th percentile

-14%

Higher net margin than 18% of similar nonprofits.

2023 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2023

Top Officer Pay

28th percentile

$68,048

Higher top officer pay than 28% of similar nonprofits.

Top officer pay equals 0.9% of source-year revenue.

2023 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2023

Asset Growth

5th percentile

-20%

Faster asset growth than 5% of similar nonprofits.

2023 filings • 501(c)3 • $5M-$10M nonprofits • Annualized from 2022 to 2023

Revenue Growth

40th percentile

1.0%

Faster revenue growth than 40% of similar nonprofits.

2023 filings • 501(c)3 • $5M-$10M nonprofits • Annualized from 2022 to 2023

Assets

Down

$7,098,089

Down $1,721,075 (-20%) from 2022

Net Assets

Down

-$1,973,952

Down $4,095,133 (-193%) from 2022

Liabilities

Up

$9,072,041

Up $2,374,058 (+35%) from 2022

Revenue

Up

$7,835,656

Up $80,458 (+1.0%) from 2022

Expenses

Up

$8,902,244

Up $2,587,915 (+41%) from 2022

Net Income

Down

-$1,066,588

Down $2,507,457 (-174%) from 2022

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$10M$5.0M$0-$5.0MAssets 2010: $2,830,999Liabilities 2010: $1,217,922Net Assets 2010: $1,613,0772010Assets 2011: $2,802,742Liabilities 2011: $1,044,280Net Assets 2011: $1,758,4622011Assets 2012: $2,312,788Liabilities 2012: $903,905Net Assets 2012: $1,408,8832012Assets 2013: $2,388,157Liabilities 2013: $964,010Net Assets 2013: $1,424,1472013Assets 2014: $2,580,470Liabilities 2014: $820,472Net Assets 2014: $1,759,9982014Assets 2015: $5,194,888Liabilities 2015: $3,362,618Net Assets 2015: $1,832,2702015Assets 2016: $8,535,890Liabilities 2016: $6,989,909Net Assets 2016: $1,545,9812016Assets 2017: $8,034,819Liabilities 2017: $6,907,781Net Assets 2017: $1,127,0382017Assets 2018: $7,826,157Liabilities 2018: $7,319,416Net Assets 2018: $506,7412018Assets 2019: $7,280,552Liabilities 2019: $6,657,420Net Assets 2019: $623,1322019Assets 2020: $7,846,455Liabilities 2020: $7,051,486Net Assets 2020: $794,9692020Assets 2021: $7,119,498Liabilities 2021: $6,439,186Net Assets 2021: $680,3122021Assets 2022: $8,819,164Liabilities 2022: $6,697,983Net Assets 2022: $2,121,1812022Assets 2023: $7,098,089Liabilities 2023: $9,072,041Net Assets 2023: -$1,973,9522023Assets 2024: $8,464,386Liabilities 2024: $8,459,455Net Assets 2024: $4,9312024

Highlighted filing

2023

Assets$7,098,089
Liabilities$9,072,041
Net Assets-$1,973,952

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$15M$10M$5.0M$0-$5.0MExpenses 2010: $4,184,1122010Expenses 2011: $4,420,0532011Expenses 2012: $4,604,0622012Revenue 2013: $4,453,401Expenses 2013: $4,432,274Net Income 2013: $21,1272013Revenue 2014: $4,958,985Expenses 2014: $4,626,297Net Income 2014: $332,6882014Revenue 2015: $4,887,615Expenses 2015: $4,796,049Net Income 2015: $91,5662015Revenue 2016: $5,360,354Expenses 2016: $5,646,714Net Income 2016: -$286,3602016Revenue 2017: $6,457,124Expenses 2017: $6,876,024Net Income 2017: -$418,9002017Revenue 2018: $7,214,577Expenses 2018: $7,834,785Net Income 2018: -$620,2082018Revenue 2019: $6,994,297Expenses 2019: $6,877,906Net Income 2019: $116,3912019Revenue 2020: $8,392,965Expenses 2020: $8,221,128Net Income 2020: $171,8372020Revenue 2021: $9,079,459Expenses 2021: $9,191,318Net Income 2021: -$111,8592021Revenue 2022: $7,755,198Expenses 2022: $6,314,329Net Income 2022: $1,440,8692022Revenue 2023: $7,835,656Expenses 2023: $8,902,244Net Income 2023: -$1,066,5882023Revenue 2024: $13,533,024Expenses 2024: $12,204,347Net Income 2024: $1,328,6772024

Highlighted filing

2023

Revenue$7,835,656
Expenses$8,902,244
Net Income-$1,066,588
Jump To
Filing Snapshot
Filing Period
Oct 1, 2022 to Sep 30, 2023
Signed
Aug 15, 2024
Return Version
2022v5.0
Gross Receipts
$7,835,656
Mission and Program Overview

Mission

Pine haven community provides a continuum of care through the belief that every person is unique.

Provide quality, affordable services for older adults and families in our community.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$5,403,346$5,403,346→ $0
Savings and Temporary Cash Investments$1,959,416$1,029,913▼ $929,503
Accounts Receivable$1,346,935$416,911▼ $930,024
Prepaid Expenses and Deferred Charges$108,645$247,096▲ $138,451
Investments in Publicly Traded Securities$3,516$3,516→ $0
Cash and Non-Interest-Bearing Accounts$-2,694$-2,693▲ $1
Total Assets$8,819,164$7,098,089▼ $1,721,075
Liabilities
Mortgage Notes Payable Secured by Investment Property$5,625,415$5,625,415→ $0
Accounts Payable and Accrued Expenses$946,604$3,414,276▲ $2,467,672
Unsecured Notes Loans Payable$97,702$0▼ $97,702
Escrow Account Liability$18,468$22,556▲ $4,088
Other Liabilities$9,794$9,794→ $0
Total Liabilities$6,697,983$9,072,041▲ $2,374,058
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$2,121,181$-1,973,952▼ $4,095,133
Total Net Assets Fund Balance$2,121,181$-1,973,952▼ $4,095,133
Total Liabilities and Net Assets / Fund Balance$8,819,164$7,098,089▼ $1,721,075

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$5,019,787$4,452,257$9,472,044
Equipment$266,769$1,299,260$1,566,029
Land$116,790-$116,790
Other Land Buildings$0$48,025$48,025
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Jessica RiveraFinance DirectorFT$68,003$45$68,048

Board Members and Trustees

NameTitle
Randy HoffarthChair
Joanne Judge-dietzVice Chair
Jerry VettelDirector
Ron FlemkeDirector
Wayne WellikDirector
Eric EversonCEO/administrator
Teresa BuckSecretary
Glen HemannTreasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Pathway Health ServicesManagement Services11240 STILLWATER BLVD, Lake Elmo, MN 55042$671,665
-Pool Agency Staff1201 HIGHWAY DR, Albany, MN 56307$103,176
Revenue and Support

Revenue Composition

Contributions and Grants
$603,126
Program Service Revenue
$7,217,637
Investment Income
$13
Other Revenue
$14,880
All Other Contributions
$48
Change in Net Assets
$-1,066,588
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$5,380,189
Other Expenses$3,522,055
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$3,923,811$200,295-$4,124,106
Fees for Services Other$1,058,267$996,830-$2,055,097
Other Employee Benefits$541,968$39,839-$581,807
Current Officers, Directors, Trustees, and Key Employees-$360,092-$360,092
Payroll Taxes$292,648$21,536-$314,184
All Other Expenses$30,749$184,704-$215,453
Occupancy$206,344$8,039-$214,383
Advertising-$88,497-$88,497
Information Technology-$58,842-$58,842
Office Expenses-$43,410-$43,410
Other Expenses$36,889$40,827-$36,889
Travel-$76-$76
Total Functional Expenses$6,859,257$2,042,987$0$8,902,244
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to Pine Haven Foundation$9,794
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
Yes
Management duties delegated
Yes

Governance Explanations

Form 990, Part VI, Section A, Line 3

The organization is under receivership - from the mn department of health. As a part of the process they have engaged pathway health to assist with adminstrator, management and fiscal services. This includes eric everson, dennis anderson and sara blair. The total paid is reported on part vii, section b.

Form 990, Part VI, Section A, Line 7A

The organization is currently in a receivership and the board of directors are no longer involved with decision making.

Form 990, Part VI, Section A, Line 7B

The organization does not have committees with authority to act on behalf of the governing board.

Form 990, Part VI, Section A, Line 8B

The organization does not have committees with authority to act on behalf of the governing board.

Form 990, Part VI, Section B, Line 11B

Management of the organization reviews form 990 prior to submission to the internal revenue service.

Form 990, Part VI, Section B, Line 12C

The organization's conflict of interest policy applies to any director, principal officer, or member of a committee with governing board delegated powers, who has a direct or indirect financial interest. In connection with any actual or possible conflict of interest, an interested person must disclose the existence of the financial interest and be given the opportunity to disclose all material facts to the directors and members of committees with governing board delegated powers considering the proposed transaction or arrangement. After disclosure of the financial interest and all material facts, and after discussion with the interested person, he/she shall leave the governing board or committee meeting while the determination of the conflict of interest is discussed and voted upon. The remaining board or committee members shall decide if a conflict exists. Upon determination of the conflict of interest, the interested person must leave the meeting during the discussion and vote upon the transaction at hand.

Form 990, Part VI, Section B, Line 15A

The board of directors reviews and determines compensation for the administrator during the administrator's annual performance appraisal. The benchmark which the board compares the salary for the administrator is provided by the salary survey completed by leadingage minnesota. This is the aging services trade organization which the organization belongs to. During this receivership, the board of directors are not involved in the compensation decision for the administrator as the state of mn has appointed a managing agent that has employed their own administrator.

Form 990, Part VI, Section C, Line 19

The organization makes its governing documents and financial statements available to the public upon request.

Filing and Contact Details

Filer

Filer Name
Pine Haven Inc
EIN
41-0944721
Phone
5073568304
Address
210 3RD STREET NW, PINE ISLAND, MN 55963
Doing Business As
Pine Haven Care Center

Signing Officer

Name
Sara Blair
Title
Interim Administrator
Phone
5073568304
Signed
2024-08-15
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Sara Blair
Formed
1964
Legal Domicile
Mn
Voting Board Members
7
Independent Board Members
7
Employees
182
Volunteers
50

Preparer

Firm
Wipfli Llp
Address
1502 LONDON ROAD SUITE 200, DULUTH, MN 55812
Preparer
Michael J Peterson CPA
Phone
2187224705
Supplemental Narrative

Additional Explanations

Form 990, Part IX, Line 11G

Other health care professional services: program service expenses 1,047,767. Management and general expenses 996,830. Fundraising expenses 0. Total expenses 2,044,597. Nursing services: program service expenses 10,500. Management and general expenses 0. Fundraising expenses 0. Total expenses 10,500.

FORM 990, PART XI, LINE 9:

Prior period adjustment -3,028,545.

Financial Statement Notes

PART IV, LINE 2B:

The organization is the trustee of various resident funds and has fiduciary responsibility for the administration and distribution of these funds for the residents. These funds are on deposit in a separate bank account.

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This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/LegalDomicileStateCd0MN
IRS990/LoanOutstandingInd00
IRS990/LobbyingActivitiesInd00
IRS990/LocalChaptersInd00
IRS990/MaterialDiversionOrMisuseInd00
IRS990/MembersOrStockholdersInd00
IRS990/MethodOfAccountingAccrualInd0X
IRS990/MinutesOfCommitteesInd00
IRS990/MinutesOfGoverningBodyInd01
IRS990/MiscellaneousRevenueGrp/ExclusionAmt014880
IRS990/MiscellaneousRevenueGrp/TotalRevenueColumnAmt014880
IRS990/MissionDesc0PINE HAVEN COMMUNITY PROVIDES A CONTINUUM OF CARE THROUGH THE BELIEF THAT EVERY PERSON IS UNIQUE.
IRS990/MoreThan5000KToIndividualsInd00
IRS990/MoreThan5000KToOrgInd00
IRS990/MortgNotesPyblScrdInvstPropGrp/BOYAmt05625415
IRS990/MortgNotesPyblScrdInvstPropGrp/EOYAmt05625415
IRS990/NetAssetsOrFundBalancesBOYAmt02121181
IRS990/NetAssetsOrFundBalancesEOYAmt0-1973952
IRS990/NetUnrelatedBusTxblIncmAmt00
IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt02121181
IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt0-1973952
IRS990/NondeductibleContributionsInd00
IRS990/OccupancyGrp/ManagementAndGeneralAmt08039
IRS990/OccupancyGrp/ProgramServicesAmt0206344
IRS990/OccupancyGrp/TotalAmt0214383
IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt043410
IRS990/OfficeExpensesGrp/TotalAmt043410
IRS990/OfficerMailingAddressInd00
IRS990/OperateHospitalInd00
IRS990/Organization501c3Ind0X
IRS990/OrganizationFollowsFASB117Ind0X
IRS990/OtherChangesInNetAssetsAmt0-3028545
IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt039839
IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt0541968
IRS990/OtherEmployeeBenefitsGrp/TotalAmt0581807
IRS990/OtherExpensesGrp/Desc0NURSING SUPPLIES
IRS990/OtherExpensesGrp/Desc1FOOD EXPENSE
IRS990/OtherExpensesGrp/Desc2LICENSES AND FEES
IRS990/OtherExpensesGrp/Desc3BAD DEBT
IRS990/OtherExpensesGrp/ManagementAndGeneralAmt040827
IRS990/OtherExpensesGrp/ProgramServicesAmt0459815
IRS990/OtherExpensesGrp/ProgramServicesAmt1308766
IRS990/OtherExpensesGrp/ProgramServicesAmt236889
IRS990/OtherExpensesGrp/TotalAmt0459815
IRS990/OtherExpensesGrp/TotalAmt1308766
IRS990/OtherExpensesGrp/TotalAmt240827
IRS990/OtherExpensesGrp/TotalAmt336889
IRS990/OtherLiabilitiesGrp/BOYAmt09794
IRS990/OtherLiabilitiesGrp/EOYAmt09794
IRS990/OtherRevenueTotalAmt014880
IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt0200295
IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt03923811
IRS990/OtherSalariesAndWagesGrp/TotalAmt04124106
IRS990/PartialLiquidationInd00
IRS990/PayPremiumsPrsnlBnftCntrctInd00
IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt021536
IRS990/PayrollTaxesGrp/ProgramServicesAmt0292648
IRS990/PayrollTaxesGrp/TotalAmt0314184
IRS990/PoliticalCampaignActyInd00
IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt0108645
IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt0247096
IRS990/PrincipalOfficerNm0SARA BLAIR
IRS990/ProfessionalFundraisingInd00
IRS990/ProgramServiceRevenueGrp/BusinessCd0623000
IRS990/ProgramServiceRevenueGrp/BusinessCd1623000
IRS990/ProgramServiceRevenueGrp/BusinessCd2623000
IRS990/ProgramServiceRevenueGrp/Desc0RESIDENT SERVICES
IRS990/ProgramServiceRevenueGrp/Desc1APARTMENT REVENUE
IRS990/ProgramServiceRevenueGrp/Desc2MANAGEMENT SERVICES
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt06744941
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt1410578
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt262118
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt06744941
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt1410578
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt262118
IRS990/ProhibitedTaxShelterTransInd00
IRS990/PYBenefitsPaidToMembersAmt00
IRS990/PYContributionsGrantsAmt0498556
IRS990/PYExcessBenefitTransInd00
IRS990/PYGrantsAndSimilarPaidAmt00
IRS990/PYInvestmentIncomeAmt0452
IRS990/PYOtherExpensesAmt03074706
IRS990/PYOtherRevenueAmt0142899
IRS990/PYProgramServiceRevenueAmt07113291
IRS990/PYRevenuesLessExpensesAmt01440869
IRS990/PYSalariesCompEmpBnftPaidAmt03239623
IRS990/PYTotalExpensesAmt06314329
IRS990/PYTotalProfFndrsngExpnsAmt00
IRS990/PYTotalRevenueAmt07755198
IRS990/QuidProQuoContributionsInd00
IRS990/RcvFndsToPayPrsnlBnftCntrctInd00
IRS990/ReconcilationRevenueExpnssAmt0-1066588
IRS990/RegularMonitoringEnfrcInd01
IRS990/RelatedEntityInd01
IRS990/RelatedOrganizationCtrlEntInd01
IRS990/ReportInvestmentsOtherSecInd00
IRS990/ReportLandBuildingEquipmentInd01
IRS990/ReportOtherAssetsInd00
IRS990/ReportOtherLiabilitiesInd01
IRS990/ReportProgramRelatedInvstInd00
IRS990/RevenueAmt07217637
IRS990/SavingsAndTempCashInvstGrp/BOYAmt01959416
IRS990/SavingsAndTempCashInvstGrp/EOYAmt01029913
IRS990ScheduleA/AmountsRcvdDsqlfyPersonGrp/TotalAmt00
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearAmt0603126
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus1YearAmt0498556
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus2YearsAmt0699725
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus3YearsAmt0751511
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus4YearsAmt06495
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/TotalAmt02559413
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearAmt013
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus1YearAmt0452
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus2YearsAmt02297
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus3YearsAmt01599
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus4YearsAmt0803
IRS990ScheduleA/GrossInvestmentIncome509Grp/TotalAmt05164
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearAmt07217637
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus1YearAmt07113291
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus2YearsAmt08160383
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus3YearsAmt07607692
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus4YearsAmt06981446
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/TotalAmt037080449
IRS990ScheduleA/GrossReceiptsNonUnrltBusGrp/CurrentTaxYearAmt014880
IRS990ScheduleA/GrossReceiptsNonUnrltBusGrp/CurrentTaxYearMinus1YearAmt0874502
IRS990ScheduleA/GrossReceiptsNonUnrltBusGrp/CurrentTaxYearMinus2YearsAmt0217054
IRS990ScheduleA/GrossReceiptsNonUnrltBusGrp/CurrentTaxYearMinus3YearsAmt032163
IRS990ScheduleA/GrossReceiptsNonUnrltBusGrp/CurrentTaxYearMinus4YearsAmt05553
IRS990ScheduleA/GrossReceiptsNonUnrltBusGrp/TotalAmt01144152
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearAmt013
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus1YearAmt0452
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus2YearsAmt02297
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus3YearsAmt01599
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus4YearsAmt0803
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/TotalAmt05164
IRS990ScheduleA/InvestmentIncomeCYPct00.00010
IRS990ScheduleA/InvestmentIncomePYPct00.00020
IRS990ScheduleA/PubliclySupportedOrg509a2Ind0X
IRS990ScheduleA/PublicSupportCY509Pct00.99990
IRS990ScheduleA/PublicSupportPY509Pct00.99980
IRS990ScheduleA/PublicSupportTotal509Amt040784014
IRS990ScheduleA/SubstAndDsqlfyPrsnsTotGrp/TotalAmt00
IRS990ScheduleA/SubstantialContributorsAmtGrp/TotalAmt00
IRS990ScheduleA/ThirtyThrPctSuprtTestsCY509Ind0X
IRS990ScheduleA/Total509Grp/CurrentTaxYearAmt07835643
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus1YearAmt08486349
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus2YearsAmt09077162
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus3YearsAmt08391366
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus4YearsAmt06993494
IRS990ScheduleA/Total509Grp/TotalAmt040784014
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearAmt07835656
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus1YearAmt08486801
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus2YearsAmt09079459
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus3YearsAmt08392965
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus4YearsAmt06994297
IRS990ScheduleA/TotalSupportCalendarYearGrp/TotalAmt040789178
IRS990ScheduleB/ContributorInformationGrp/ContributorBusinessName/BusinessNameLine10RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorNum0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine10RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine20RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/City0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/State0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/ZIPCode0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/TotalContributionsAmt0RESTRICTED
IRS990/ScheduleBRequiredInd01
IRS990ScheduleD/AgentTrusteeEtcInd00
IRS990ScheduleD/BuildingsGrp/BookValueAmt05019787
IRS990ScheduleD/BuildingsGrp/DepreciationAmt04452257
IRS990ScheduleD/BuildingsGrp/OtherCostOrOtherBasisAmt09472044
IRS990ScheduleD/EquipmentGrp/BookValueAmt0266769
IRS990ScheduleD/EquipmentGrp/DepreciationAmt01299260
IRS990ScheduleD/EquipmentGrp/OtherCostOrOtherBasisAmt01566029
IRS990ScheduleD/ExplanationProvidedInd0X
IRS990ScheduleD/InclEscrowCustodialAcctLiabInd01
IRS990ScheduleD/LandGrp/BookValueAmt0116790
IRS990ScheduleD/LandGrp/OtherCostOrOtherBasisAmt0116790
IRS990ScheduleD/OtherLandBuildingsGrp/BookValueAmt00
IRS990ScheduleD/OtherLandBuildingsGrp/DepreciationAmt048025
IRS990ScheduleD/OtherLandBuildingsGrp/OtherCostOrOtherBasisAmt048025
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt09794
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc0DUE TO PINE HAVEN FOUNDATION
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0THE ORGANIZATION IS THE TRUSTEE OF VARIOUS RESIDENT FUNDS AND HAS FIDUCIARY RESPONSIBILITY FOR THE ADMINISTRATION AND DISTRIBUTION OF THESE FUNDS FOR THE RESIDENTS. THESE FUNDS ARE ON DEPOSIT IN A SEPARATE BANK ACCOUNT.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0PART IV, LINE 2B:
IRS990ScheduleD/TotalBookValueLandBuildingsAmt05403346
IRS990ScheduleD/TotalLiabilityAmt09794
IRS990/ScheduleJRequiredInd00
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0THE ORGANIZATION IS UNDER RECEIVERSHIP - FROM THE MN DEPARTMENT OF HEALTH. AS A PART OF THE PROCESS THEY HAVE ENGAGED PATHWAY HEALTH TO ASSIST WITH ADMINSTRATOR, MANAGEMENT AND FISCAL SERVICES. THIS INCLUDES ERIC EVERSON, DENNIS ANDERSON AND SARA BLAIR. THE TOTAL PAID IS REPORTED ON PART VII, SECTION B.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1THE ORGANIZATION IS CURRENTLY IN A RECEIVERSHIP AND THE BOARD OF DIRECTORS ARE NO LONGER INVOLVED WITH DECISION MAKING.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2THE ORGANIZATION DOES NOT HAVE COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BOARD.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3THE ORGANIZATION DOES NOT HAVE COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BOARD.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4MANAGEMENT OF THE ORGANIZATION REVIEWS FORM 990 PRIOR TO SUBMISSION TO THE INTERNAL REVENUE SERVICE.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5THE ORGANIZATION'S CONFLICT OF INTEREST POLICY APPLIES TO ANY DIRECTOR, PRINCIPAL OFFICER, OR MEMBER OF A COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS, WHO HAS A DIRECT OR INDIRECT FINANCIAL INTEREST. IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICT OF INTEREST, AN INTERESTED PERSON MUST DISCLOSE THE EXISTENCE OF THE FINANCIAL INTEREST AND BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE DIRECTORS AND MEMBERS OF COMMITTEES WITH GOVERNING BOARD DELEGATED POWERS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. AFTER DISCLOSURE OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS, AND AFTER DISCUSSION WITH THE INTERESTED PERSON, HE/SHE SHALL LEAVE THE GOVERNING BOARD OR COMMITTEE MEETING WHILE THE DETERMINATION OF THE CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON. THE REMAINING BOARD OR COMMITTEE MEMBERS SHALL DECIDE IF A CONFLICT EXISTS. UPON DETERMINATION OF THE CONFLICT OF INTEREST, THE INTERESTED PERSON MUST LEAVE THE MEETING DURING THE DISCUSSION AND VOTE UPON THE TRANSACTION AT HAND.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6THE BOARD OF DIRECTORS REVIEWS AND DETERMINES COMPENSATION FOR THE ADMINISTRATOR DURING THE ADMINISTRATOR'S ANNUAL PERFORMANCE APPRAISAL. THE BENCHMARK WHICH THE BOARD COMPARES THE SALARY FOR THE ADMINISTRATOR IS PROVIDED BY THE SALARY SURVEY COMPLETED BY LEADINGAGE MINNESOTA. THIS IS THE AGING SERVICES TRADE ORGANIZATION WHICH THE ORGANIZATION BELONGS TO. DURING THIS RECEIVERSHIP, THE BOARD OF DIRECTORS ARE NOT INVOLVED IN THE COMPENSATION DECISION FOR THE ADMINISTRATOR AS THE STATE OF MN HAS APPOINTED A MANAGING AGENT THAT HAS EMPLOYED THEIR OWN ADMINISTRATOR.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt7THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt8OTHER HEALTH CARE PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 1,047,767. MANAGEMENT AND GENERAL EXPENSES 996,830. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,044,597. NURSING SERVICES: PROGRAM SERVICE EXPENSES 10,500. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,500.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt9PRIOR PERIOD ADJUSTMENT -3,028,545.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI, SECTION A, LINE 3
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION A, LINE 7A
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION A, LINE 7B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PART VI, SECTION A, LINE 8B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PART VI, SECTION B, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5FORM 990, PART VI, SECTION B, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc6FORM 990, PART VI, SECTION B, LINE 15A

Document Assets

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Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$8.46$8.46$0.00$13.5$12.2$1.33
2023Detailed filing. Detailed filing data is available for this year.$7.10$9.07$1.97$7.84$8.90$1.07
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$8.82$6.70$2.12$7.76$6.31$1.44
2021Detailed filing. Detailed filing data is available for this year.$7.12$6.44$0.68$9.08$9.19$0.11
2020Detailed filing. Detailed filing data is available for this year.$7.85$7.05$0.79$8.39$8.22$0.17
2019Detailed filing. Detailed filing data is available for this year.$7.28$6.66$0.62$6.99$6.88$0.12
2018Detailed filing. Detailed filing data is available for this year.$7.83$7.32$0.51$7.21$7.83$0.62
2017Detailed filing. Detailed filing data is available for this year.$8.03$6.91$1.13$6.46$6.88$0.42
2016Detailed filing. Detailed filing data is available for this year.$8.54$6.99$1.55$5.36$5.65$0.29
2015Detailed filing. Detailed filing data is available for this year.$5.19$3.36$1.83$4.89$4.80$0.09
2014Detailed filing. Detailed filing data is available for this year.$2.58$0.82$1.76$4.96$4.63$0.33
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$2.39$0.96$1.42$4.45$4.43$0.02
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$2.31$0.90$1.41$4.60
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$2.80$1.04$1.76$4.42
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$2.83$1.22$1.61$4.18