PINE VIEW MANOR INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization: PINE VIEW MANOR INC (EIN 43-1114366)
Tax period: 2021-01-01 to 2021-12-31
Filed: 2022-11-15
IRS object ID: 202243199349314144
Schema version: 2021v4.2
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
Form 990
Schedule A
Schedule B
Schedule D
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2022-11-15T13:13:03-06:00	ReturnTs
Tax Period End	2021-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	390758449	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	WIPFLI LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	7733 FORSYTH BLVD SUITE 1200	AddressLine1Txt
City	ST LOUIS	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	63105	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2021-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	431114366	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	PINE VIEW MANOR INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	PINE	BusinessNameControlTxt
Phone	6607832118	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	307 N PINEVIEW STREET	AddressLine1Txt
City	STANBERRY	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	64489	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	PAMELA HAILEY	PersonNm
Person Title	ADMINISTRATOR	PersonTitleTxt
Phone	6607832118	PhoneNum
Signature	2022-11-09	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	PAMELA	PersonFirstNm
Person Last	HAILEY	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	KARYN A NUNN	PreparerPersonNm
PTIN	P00096490	PTIN
Phone	3148622070	PhoneNum
Preparation	2022-11-09	PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	3	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2021	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	TONY JENNINGS	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	307 N PINEVIEW STREET	AddressLine1Txt
City	STANBERRY	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	64489	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$4,818,056	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.PINEVIEWSTANBERRY.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1978	FormationYr
Legal Domicile State	MO	LegalDomicileStateCd
Activity Or Mission	DEDICATION TO HIGHEST QUALITY OF CARE AND SERVICE TO OUR RESIDENTS DELIVERED WITH SPIRITUAL COMPASSION, PERSONAL PRIDE, AND PROFESSIONALISM.	ActivityOrMissionDesc
Voting Members Governing Body	9	VotingMembersGoverningBodyCnt
Voting Members Independent	9	VotingMembersIndependentCnt
Total Employee	111	TotalEmployeeCnt
Total Volunteers	0	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$689,701	PYContributionsGrantsAmt
CY Contributions Grants	$846,859	CYContributionsGrantsAmt
PY Program Service Revenue	$3,565,930	PYProgramServiceRevenueAmt
CY Program Service Revenue	$3,923,562	CYProgramServiceRevenueAmt
PY Investment Income	$37,868	PYInvestmentIncomeAmt
CY Investment Income	$36,455	CYInvestmentIncomeAmt
PY Other Revenue	$2,286	PYOtherRevenueAmt
CY Other Revenue	$6,956	CYOtherRevenueAmt
PY Total Revenue	$4,295,785	PYTotalRevenueAmt
CY Total Revenue	$4,813,832	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$2,599,724	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$2,635,886	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$1,322,856	PYOtherExpensesAmt
CY Other Expenses	$1,350,748	CYOtherExpensesAmt
PY Total Expenses	$3,922,580	PYTotalExpensesAmt
CY Total Expenses	$3,986,634	CYTotalExpensesAmt
PY Revenues Less Expenses	$373,205	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$827,198	CYRevenuesLessExpensesAmt
Total Assets BOY	$3,642,276	TotalAssetsBOYAmt
Total Assets EOY	$4,206,805	TotalAssetsEOYAmt
Total Liabilities BOY	$573,113	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$310,444	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$3,069,163	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$3,896,361	NetAssetsOrFundBalancesEOYAmt
Mission	THE MISSION OF PINE VIEW MANOR, INC. IS DEDICATION TO THE HIGHEST QUALITY OF TOTAL CARE AND SERVICE TO OUR RESIDENTS DELIVERED WITH SPIRITUAL COMPASSION, PERSONAL PRIDE, AND PROFESSIONALISM.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$3,547,364	ExpenseAmt
Revenue	$3,930,500	RevenueAmt
Desc	PINE VIEW MANOR PROVIDED 24 HOUR SKILLED NURSING CARE TO RESIDENTS. THE TOTAL SKILLED NURSING FACILITY CENSUS FOR 2021 WAS 18,753. PINE VIEW MANOR ALSO PROVIDED 24 HOUR CARE TO RESIDENTS IN THE ASSISTED LIVING UNIT. THE TOTAL ASSISTED LIVING FACILITY CENSUS DAYS FOR 2021 WAS 2,961. IN ADDITION, PINE VIEW MANOR PROVIDED IN-PATIENT AND OUT-PATIENT REHABILITATION SERVICES.	Desc
Total Program Service Expenses	$3,547,364	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	0	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	0	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	0	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	0	OperateHospitalInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	0	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	0	RelatedEntityInd
Related Organization Ctrl Ent	0	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	4	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	111	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	0	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	9	GoverningBodyVotingMembersCnt
Independent Voting Member	9	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	0	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	PAMELA HAILEY	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	6607832118	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	307 N PINEVIEW ST	AddressLine1Txt
City	STANBERRY	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	64489	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (11 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt
KENT PETERSON
VICE PRESIDENT	0.75	Yes (X)	Yes (X)	$0	$0	$0
LILLY PARSONS
BOARD MEMBER	0.50	Yes (X)		$0	$0	$0
MIKE MCQUINN
BOARD MEMBER	0.75	Yes (X)		$0	$0	$0
TONYA MCCAMPBELL
BOARD MEMBER	0.50	Yes (X)		$0	$0	$0
CHRIS HENGGELER
BOARD MEMBER	0.50	Yes (X)		$0	$0	$0
KATIE DIAS
BOARD MEMBER	0.50	Yes (X)		$0	$0	$0
TONY JENNINGS
PRESIDENT	0.50	Yes (X)	Yes (X)	$0	$0	$0
EARL SCHWEBACH
BOARD MEMBER	0.50	Yes (X)		$0	$0	$0
JOHN GROOMER
BOARD MEMBER	0.50	Yes (X)		$0	$0	$0
TERESA STUART
SECRETARY/TREASURER	40.00		Yes (X)	$54,157	$0	$0
PAMELA HAILEY
ADMINISTRATOR	40.00		Yes (X)	$107,220	$0	$8,528

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$161,377	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$8,528	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	1	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	0	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K	0	CntrctRcvdGreaterThan100KCnt
Government Grants	$843,093	GovernmentGrantsAmt
All Other Contributions	$3,766	AllOtherContributionsAmt
Total Contributions	$846,859	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
RESIDENT SERVICE REVEN	623000	$3,836,858	$3,836,858
OTHER RESIDENT CARE RE	623000	$55,875	$55,875
RESIDENT CAFETERIA	722210	$11,468	$11,468
RESIDENT BEAUTY SHOP	446199	$10,192	$10,192
RESIDENT TRANSPORTATIO	480000	$9,169	$9,169

Field	Value	IRS element (for citing)
Total Program Service Revenue	$3,923,562	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$36,473	TotalRevenueColumnAmt
Exclusion	$36,473	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$6,956	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$6,956	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$6,956	TotalRevenueColumnAmt
Related Or Exempt Func Income	$6,956	RelatedOrExemptFuncIncomeAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$4,206	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$4,224	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	-$18	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$18	TotalRevenueColumnAmt
Related Or Exempt Func Income	-$18	RelatedOrExemptFuncIncomeAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,813,832	TotalRevenueColumnAmt
Related Or Exempt Func Income	$3,930,500	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$36,473	ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$169,905	TotalAmt
Program Services	$57,874	ProgramServicesAmt
Management And General	$112,031	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$42,372	TotalAmt
Program Services	$42,372	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$1,978,914	TotalAmt
Program Services	$1,816,072	ProgramServicesAmt
Management And General	$162,842	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$285,653	TotalAmt
Program Services	$257,573	ProgramServicesAmt
Management And General	$28,080	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$159,042	TotalAmt
Program Services	$139,250	ProgramServicesAmt
Management And General	$19,792	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$459	TotalAmt
Program Services	$229	ProgramServicesAmt
Management And General	$230	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$26,572	TotalAmt
Management And General	$26,572	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$10,163	TotalAmt
Program Services	$5,081	ProgramServicesAmt
Management And General	$5,082	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$6,099	TotalAmt
Management And General	$6,099	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$31,678	TotalAmt
Program Services	$15,839	ProgramServicesAmt
Management And General	$15,839	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$195,229	TotalAmt
Program Services	$192,250	ProgramServicesAmt
Management And General	$2,979	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$96,129	TotalAmt
Program Services	$95,708	ProgramServicesAmt
Management And General	$421	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$102,902	TotalAmt
Program Services	$90,097	ProgramServicesAmt
Management And General	$12,805	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt
PROVIDER TAX - MEDICAID	$251,802	$251,802
DIETARY EXPENSE	$221,980	$221,980
PURCHASED SERVICES	$115,337	$115,337
MEDICAL SUPPLIES	$68,952	$68,952

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$223,446	TotalAmt
Program Services	$176,948	ProgramServicesAmt
Management And General	$46,498	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,986,634	TotalAmt
Program Services	$3,547,364	ProgramServicesAmt
Management And General	$439,270	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$50	BOYAmt
EOY	$50	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$2,485,617	BOYAmt
EOY	$3,009,423	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$263,572	BOYAmt
EOY	$343,411	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$35,794	BOYAmt
EOY	$26,870	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$31,410	BOYAmt
EOY	$33,072	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$3,970,412	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$3,186,093	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$816,173	BOYAmt
EOY	$784,319	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$9,660	BOYAmt
EOY	$9,660	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,642,276	BOYAmt
EOY	$4,206,805	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$290,330	BOYAmt
EOY	$227,099	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$282,783	BOYAmt
EOY	$83,345	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$573,113	BOYAmt
EOY	$310,444	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,069,163	BOYAmt
EOY	$3,895,695	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$666	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$3,069,163	BOYAmt
EOY	$3,896,361	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$3,642,276	BOYAmt
EOY	$4,206,805	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$827,198	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	$0	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	Yes (1)	AccountantCompileOrReviewInd

Acct Compile Or Review Basis AcctCompileOrReviewBasisGrp

Field	Value	IRS element (for citing)
Separate Basis Fincl Stmt	Yes (X)	SeparateBasisFinclStmtInd

Field	Value	IRS element (for citing)
FS Audited	0	FSAuditedInd
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org509a2	Yes (X)	PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$2,780	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$6,847	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$4,621	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$689,701	CurrentTaxYearMinus1YearAmt
Current Tax Year	$846,859	CurrentTaxYearAmt
Total	$1,550,808	TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$3,388,818	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$3,590,178	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$4,058,386	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$3,565,930	CurrentTaxYearMinus1YearAmt
Current Tax Year	$3,923,562	CurrentTaxYearAmt
Total	$18,526,874	TotalAmt

Total509 Total509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$3,391,598	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$3,597,025	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$4,063,007	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$4,255,631	CurrentTaxYearMinus1YearAmt
Current Tax Year	$4,770,421	CurrentTaxYearAmt
Total	$20,077,682	TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$83,805	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$75,060	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$60,861	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$61,508	CurrentTaxYearMinus1YearAmt
Current Tax Year	$7,040	CurrentTaxYearAmt
Total	$288,274	TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$217,819	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$209,306	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$154,421	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$143,959	CurrentTaxYearMinus1YearAmt
Current Tax Year	$114,822	CurrentTaxYearAmt
Total	$840,327	TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$301,624	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$284,366	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$215,282	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$205,467	CurrentTaxYearMinus1YearAmt
Current Tax Year	$121,862	CurrentTaxYearAmt
Total	$1,128,601	TotalAmt

Field	Value	IRS element (for citing)
Public Support Total509	$18,949,081	PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$13,912	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$23,515	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$33,860	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$40,154	CurrentTaxYearMinus1YearAmt
Current Tax Year	$43,429	CurrentTaxYearAmt
Total	$154,870	TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$13,912	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$23,515	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$33,860	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$40,154	CurrentTaxYearMinus1YearAmt
Current Tax Year	$43,429	CurrentTaxYearAmt
Total	$154,870	TotalAmt

Other Income509 OtherIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$301,624	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$284,366	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$215,282	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$61,508	CurrentTaxYearMinus1YearAmt
Current Tax Year	$7,040	CurrentTaxYearAmt
Total	$869,820	TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$3,707,134	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$3,904,906	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$4,312,149	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$4,357,293	CurrentTaxYearMinus1YearAmt
Current Tax Year	$4,820,890	CurrentTaxYearAmt
Total	$21,102,372	TotalAmt

Field	Value	IRS element (for citing)
Public Support CY509	0.89800	PublicSupportCY509Pct
Public Support PY509	0.87520	PublicSupportPY509Pct
Investment Income CY	0.00730	InvestmentIncomeCYPct
Investment Income PY	0.00610	InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509	Yes (X)	ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$51,250	OtherCostOrOtherBasisAmt
Book Value	$51,250	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,777,994	OtherCostOrOtherBasisAmt
Depreciation	$2,316,626	DepreciationAmt
Book Value	$461,368	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$459,597	OtherCostOrOtherBasisAmt
Depreciation	$380,876	DepreciationAmt
Book Value	$78,721	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$681,571	OtherCostOrOtherBasisAmt
Depreciation	$488,591	DepreciationAmt
Book Value	$192,980	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$784,319	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
DUE TO RESIDENTS	$9,660
ASSET RETIREMENT OBLIGATION	$50,779
EMPLOYEE ASSISTANCE FUND	$6,664
PROVIDER TAX PAYABLE	$16,242

Field	Value	IRS element (for citing)
Total Liability	$83,345	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART X, LINE 2:	FormAndLineReferenceDesc
Explanation	THE MANOR IS A QUALIFIED NOT-FOR-PROFIT ORGANIZATION UNDER SECTION 509(A) OF THE INTERNAL REVENUE CODE AND IS, THEREFORE, EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, NO PROVISION OR LIABILITY FOR INCOME TAXES HAS BEEN INCLUDED IN THE FINANCIAL STATEMENTS. HOWEVER, THE MANOR IS SUBJECT TO FEDERAL INCOME TAX ON ANY UNRELATED BUSINESS TAXABLE INCOME. THE MANOR HAS ASSESSED THEIR FEDERAL AND STATE TAX POSITIONS AND DETERMINED THAT THERE WERE NO UNRELATED BUSINESS INCOME TAXES AND NO UNCERTAINTIES OR POSSIBLE RELATED EFFECTS THAT NEED TO BE RECORDED AS OF OR FOR THE YEARS ENDED DECEMBER 31, 2021 AND 2020. THE RETURNS OF THE ORGANIZATION FOR 2021 (WHEN FILED), 2020, 2019, AND 2018 ARE SUBJECT TO EXAMINATION BY THE RESPECTIVE TAXING AUTHORITIES GENERALLY FOR THREE YEARS AFTER THEY WERE FILED.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6	THE ORGANIZATION HAS MEMBERS THAT CAN VOTE TO ELECT THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 7A	THE ORGANIZATION HAS MEMBERS THAT CAN VOTE TO ELECT THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 11B	A DRAFT OF THE FORM 990 IS REVIEWED BY ALL PINE VIEW MANOR OFFICERS AND GOVERNING BOARD MEMBERS PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12C	AN ANNUAL DISCLOSURE STATEMENT IS CIRCULATED TO OFFICERS AND CERTAIN IDENTIFIED AGENTS AND EMPLOYEES TO ASSIST THEM IN CONSIDERING ANY CONFLICTS OF INTEREST, BUT DISCLOSURE IS APPROPRIATE AND REQUIRED WHENEVER CONFLICTS OF INTEREST MAY OCCUR. THE WRITTEN NOTICES OF DISCLOSURES ARE THEN FILED WITH THE ADMINISTRATOR OR SUCH OTHER PERSON DESIGNATED BY THE ADMINISTRATOR TO RECEIVE SUCH NOTIFICATIONS. AT THE MEETING OF THE BOARD OF DIRECTORS, ALL DISCLOSURES OF REAL OR APPARENT CONFLICTS OF INTEREST ARE NOTED FOR THE RECORD IN THE MINUTES.
FORM 990, PART VI, SECTION B, LINE 15A	THE ADMINISTRATOR'S COMPENSATION IS DELIBERATED AND DECIDED UPON BY THE BOARD OF DIRECTORS ANNUALLY. COMPARABILITY DATA AND COMPENSATION REPORTS ARE UTILITIZED IN THE COMPENSATION DELIBERATIONS.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATIONS GOVERNING DOCUMENTS AND ANNUAL FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.