PINE VIEW MANOR INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: PINE VIEW MANOR INC (EIN 43-1114366)
Tax period: 2011-01-01 to 2011-12-31
Filed: 2012-11-14
IRS object ID: 201233199349306103
Schema version: 2011v1.2
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 D
Schedule L
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2012-11-14T16:03:37-06:00	Timestamp
Tax Period End Date	2011-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Field	Value	IRS element (for citing)
EIN	431594752	EIN

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MUELLER PROST PC	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	7733 FORSYTH BLVD SUITE 1200	AddressLine1
City	ST LOUIS	City
State	MO	State
ZIP Code	63105	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2011-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	431114366	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	PINE VIEW MANOR INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	PINE	NameControl
Phone	6607832118	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	307 N PINEVIEW STREET	AddressLine1
City	STANBERRY	City
State	MO	State
ZIP Code	64489	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	PAMELA HAILEY	Name
Title	ADMINISTRATOR	Title
Phone	6607832118	Phone
Date Signed	2012-11-14	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	JEANETTE BAX-KURTZ	Name
PTIN	P00096490	PTIN
Phone	3148622070	Phone
Date Prepared	2012-11-13	DatePrepared

Field	Value	IRS element (for citing)
Tax Year	2011	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	BARB SHUPE	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	307 N PINEVIEW STREET	AddressLine1
City	STANBERRY	City
State	MO	State
ZIP Code	64489	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	2538572	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.PINEVIEWSTANBERRY.COM	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1978	YearFormation
State Legal Domicile	MO	StateLegalDomicile
Activity Or Mission Description	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.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	10	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	10	NbrIndependentVotingMembers
Total Nbr Employees	118	TotalNbrEmployees
Total Nbr Volunteers	24	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	1722	ContributionsGrantsPriorYear
Contributions Grants Current Year	1276	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	2533122	ProgramServiceRevenuePriorYear
Program Service Revenue CY	2531530	ProgramServiceRevenueCY
Investment Income Prior Year	2662	InvestmentIncomePriorYear
Investment Income Current Year	1641	InvestmentIncomeCurrentYear
Other Revenue Prior Year	39278	OtherRevenuePriorYear
Other Revenue Current Year	4125	OtherRevenueCurrentYear
Total Revenue Prior Year	2576784	TotalRevenuePriorYear
Total Revenue Current Year	2538572	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	0	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	1694280	SalariesEtcPriorYear
Salaries Etc Current Year	1534973	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	1105323	OtherExpensePriorYear
Other Expenses Current Year	959823	OtherExpensesCurrentYear
Total Expenses Prior Year	2799603	TotalExpensesPriorYear
Total Expenses Current Year	2494796	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	-222819	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	43776	RevenuesLessExpensesCY
Total Assets BOY	1114398	TotalAssetsBOY
Total Assets EOY	1106843	TotalAssetsEOY
Total Liabilities BOY	717707	TotalLiabilitiesBOY
Total Liabilities EOY	666376	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	396691	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	440467	NetAssetsOrFundBalancesEOY
Mission Description	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.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	2235957	Expense
Revenue	2535655	Revenue
Description	PINE VIEW MANOR PROVIDED 24 HOUR SKILLED NURSING CARE TO RESIDENTS. THE TOTAL SKILLED NURSING FACILITY CENSUS FOR 2011 WAS 14,806. PINE VIEW MANOR ALSO PROVIDED 24 HOUR CARE TO RESIDENTS IN THE ASSISTED LIVING UNIT. THE TOTAL ASSISTED LIVING FACILITY CENSUS DAYS FOR 2011 WAS 2,703. IN ADDITION, PINE VIEW MANOR PROVIDED IN-PATIENT AND OUT-PATIENT REHABILITATION SERVICES.	Description
Total Program Service Expense	2235957	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	0	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	0	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	0	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	0	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	0	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	1	ReportFin48Footnote
Independent Audit Financial Stmt	0	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	0	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	0	Hospital
Grants To Organizations	0	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	0	ScheduleJRequired
Tax Exempt Bonds	0	TaxExemptBonds
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	1	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	1	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	0	RelatedEntity
Related Org Controlled Entity	0	RelatedOrgControlledEntity
Transaction Related Entity	0	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	6	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	118	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	0	UnrelatedBusinessIncome
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	10	NbrVotingGoverningBodyMembers
Number Independent Voting Members	10	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	1	MembersOrStockholders
Election Of Board Members	1	ElectionOfBoardMembers
Decisions Subject To Approval	0	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	0	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	0	CompensationProcessCEO
Compensation Process Other	0	CompensationProcessOther
Investment In Joint Venture	0	InvestmentInJointVenture
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

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

Field	Value	IRS element (for citing)
Telephone Number	6607832118	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	307 N PINEVIEW ST	AddressLine1
City	STANBERRY	City
State	MO	State
ZIP Code	64489	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (11 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation
KARL FREDERICK
PRIOR SECRETARY/TREASURER	0.60	X	X	0	0	0
BARB SHUPE
PRESIDENT	4.00	X	X	0	0	0
KENT PETERSON
SECRETARY/TREASURER	0.60	X	X	0	0	0
SANDY JOHNSON
BOARD MEMBER	0.60	X		0	0	0
MIKE MCQUINN
BOARD MEMBER	0.60	X		0	0	0
BRUCE JOHNSON
BOARD MEMBER	0.60	X		0	0	0
LATON ALLISON
BOARD MEMBER	0.60	X		0	0	0
ELDON LONG
BOARD MEMBER	0.60	X		0	0	0
KATIE DIAS
BOARD MEMBER	0.60	X		0	0	0
DAVE HIBBS
VICE PRESIDENT	0.60	X	X	0	0	0
JERRY DOERHOFF
ADMINISTRATOR	40.00		X	28615	0	0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	28615	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	0	TotalOtherCompensation
Number Individuals GT100 K	0	NumberIndividualsGT100K
Formers Listed	0	FormersListed
Total Comp GT150 K	0	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources
Number Of Contractors GT100 K	0	NumberOfContractorsGT100K
All Other Contributions	1276	AllOtherContributions
Total Contributions	1276	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT SERVICE REVENU	623000	2499261	2499261
TRANSPORTATION	480000	12980	12980
CAFETERIA	722210	7305	7305
BEAUTY SHOP	446199	6711	6711
OTHER PATIENT CARE REV	623000	5273	5273

Field	Value	IRS element (for citing)
Total Program Service Revenue	2531530	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	1641	TotalRevenueColumn
Exclusion	$1,641	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	4125	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	0	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	4125	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	4125	TotalRevenueColumn
Related Or Exempt Function Income	4125	RelatedOrExemptFunctionIncome

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	2538572	TotalRevenueColumn
Related Or Exempt Function Income	2535655	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$1,641	ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	28615	Total
Program Services	14308	ProgramServices
Management And General	14307	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	1288101	Total
Program Services	1180619	ProgramServices
Management And General	107482	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	117128	Total
Program Services	107017	ProgramServices
Management And General	10111	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	101129	Total
Program Services	92691	ProgramServices
Management And General	8438	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	511	Total
Management And General	511	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	35929	Total
Management And General	35929	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	1616	Total
Management And General	1616	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	8544	Total
Program Services	4272	ProgramServices
Management And General	4272	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	4160	Total
Management And General	4160	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	37578	Total
Program Services	18789	ProgramServices
Management And General	18789	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	164808	Total
Program Services	159108	ProgramServices
Management And General	5700	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	10995	Total
Program Services	10615	ProgramServices
Management And General	380	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	75662	Total
Program Services	73097	ProgramServices
Management And General	2565	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	70077	Total
Program Services	65965	ProgramServices
Management And General	4112	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
PURCHASED SERVICES	231284	226381	4903
DIETARY EXPENSE	126940	126940
PHARMACY EXPENSE	47407	47407
MEDICAL SUPPLIES EXPENS	30626	30626

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	113686	Total
Program Services	78122	ProgramServices
Management And General	35564	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	2494796	Total
Program Services	2235957	ProgramServices
Management And General	258839	ManagementAndGeneral
Fundraising	0	Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	142516	BOY
EOY	83561	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	145693	BOY
EOY	243225	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	11256	BOY
EOY	12916	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	25544	BOY
EOY	44317	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	3268411	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	2547925	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	789246	BOY
EOY	720486	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	143	BOY
EOY	2338	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	1114398	BOY
EOY	1106843	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	469859	BOY
EOY	541124	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	218159	BOY
EOY	86555	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	29689	BOY
EOY	38697	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	717707	BOY
EOY	666376	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	396691	BOY
EOY	440467	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	396691	BOY
EOY	440467	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	1114398	BOY
EOY	1106843	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	43776	ReconcilationRevenueExpenses
Reconcilation Other Changes	0	ReconcilationOtherChanges
Info In Schedule O Part XII	X	InfoInScheduleOPartXII
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	1	AccountantCompileOrReview
FS Audited	0	FSAudited
Audit Committee	1	AuditCommittee
Financial Statement Separate	X	FinancialStatementSeparate
Federal Grant Audit Required	0	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org509a2	X	PubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	1079	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	1140	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	1192	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	1722	CurrentTaxYearMinus1Year
Current Tax Year	1276	CurrentTaxYear
Total	6409	Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	2065963	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	2196611	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	2491442	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	2533122	CurrentTaxYearMinus1Year
Current Tax Year	2531530	CurrentTaxYear
Total	11818668	Total

Total509 Total509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	2067042	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	2197751	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	2492634	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	2534844	CurrentTaxYearMinus1Year
Current Tax Year	2532806	CurrentTaxYear
Total	11825077	Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

Field	Value	IRS element (for citing)
Current Tax Year	63839	CurrentTaxYear
Total	63839	Total

Amts From Subst Contributors AmtsFromSubstContributors

Field	Value	IRS element (for citing)
Current Tax Year Minus2 Years	165291	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	223754	CurrentTaxYearMinus1Year
Current Tax Year	260157	CurrentTaxYear
Total	649202	Total

Support From DQ Ps Etc SupportFromDQPsEtc

Field	Value	IRS element (for citing)
Current Tax Year Minus2 Years	165291	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	223754	CurrentTaxYearMinus1Year
Current Tax Year	323996	CurrentTaxYear
Total	713041	Total

Field	Value	IRS element (for citing)
Public Support Total509	11112036	PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	11009	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	15103	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	10531	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	7537	CurrentTaxYearMinus1Year
Current Tax Year	5766	CurrentTaxYear
Total	49946	Total

Investment Income And UBTI InvestmentIncomeAndUBTI

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	11009	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	15103	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	10531	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	7537	CurrentTaxYearMinus1Year
Current Tax Year	5766	CurrentTaxYear
Total	49946	Total

Other Income509 OtherIncome509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	21667	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	27226	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	27940	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	34403	CurrentTaxYearMinus1Year
Total	111236	Total

Total Support Total TotalSupportTotal

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	2099718	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	2240080	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	2531105	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	2576784	CurrentTaxYearMinus1Year
Current Tax Year	2538572	CurrentTaxYear
Total	11986259	Total

Field	Value	IRS element (for citing)
Public Support Percentage509	0.92710	PublicSupportPercentage509
Prior Year Support Percentage	0.95180	PriorYearSupportPercentage
Investment Income Percentage	0.00420	InvestmentIncomePercentage
Prior Yr Invest Income Percentage	0.00430	PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509	X	ThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	51250	OtherCostOrOtherBasis
Book Value	51250	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	2437392	OtherCostOrOtherBasis
Depreciation	1831084	Depreciation
Book Value	606308	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	384455	OtherCostOrOtherBasis
Depreciation	361776	Depreciation
Book Value	22679	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	395314	OtherCostOrOtherBasis
Depreciation	355065	Depreciation
Book Value	40249	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	720486	TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescription	AmountAmount
DUE TO RESIDENTS	$2,338
ASSET RETIREMENT OBLIGATION	$31,173
EMPLOYEE ASSISTANCE FUND	$5,186

Field	Value	IRS element (for citing)
Total Of Amounts	38697	TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

Field	Value	IRS element (for citing)
Identifier	DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:	Identifier
Return Reference	PART X:	ReturnReference
Explanation	THE ACCOUNTING STANDARD ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES ADDRESSES THE DETERMINATION OF WHETHER TAX BENEFITS CLAIMED OR EXPECTED TO BE CLAIMED ON A TAX RETURN SHOULD BE RECORDED IN THE FINANCIAL STATEMENTS. UNDER THAT GUIDANCE, THE MANOR MAY RECOGNIZE THE TAX BENEFIT FROM AN UNCERTAIN TAX POSITION ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY TAXING AUTHORITIES BASED ON THE TECHNICAL MERITS OF THE POSITION. EXAMPLES OF TAX POSITIONS INCLUDE THE TAX-EXEMPT STATUS OF THE MANOR AND VARIOUS POSITIONS RELATED TO THE POTENTIAL SOURCES OF UNRELATED BUSINESS TAXABLE INCOME (UBIT). THE TAX BENEFITS RECOGNIZED IN THE FINANCIAL STATEMENTS FROM SUCH A POSITION ARE MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. THERE WERE NO UNRECOGNIZED TAX BENEFITS IDENTIFIED OR RECORDED AS LIABILITIES FOR THE YEARS ENDED DECEMBER 31, 2011 AND 2010. THE MANOR'S INFORMATION RETURNS, FOR THE YEARS ENDING 2011, 2010, 2009 AND 2008 ARE SUBJECT TO EXAMINATION BY THE IRS, GENERALLY FOR 3 YEARS AFTER THEY WERE FILED.	Explanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
BARB SHUPE PRESIDENT OF PINE VIEW
BARB SHUPE IS A DIRECTOR OF GRAND RIVER AMBULANCE	63	PINE VIEW MANOR USES GRAND RIVER AMBULANCE TO TRANSPORT RESIDENTS TO AND FROM THE HOSPITALS.	0
MIKE MCQUINN BOARD MEMBER
MIKE MCQUINN OWNS FAMILY HEALTH PHARMACY	40114	PINE VIEW MANOR USES FAMILY HEALTH PHARMACY TO SUPPLY MEDICATIONS TO RESIDENTS AND ALSO TO SET UP BUBBLE PACKS FOR MED DISTRIBUTION.	0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

Return ReferenceReturnReference	ExplanationExplanation
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 11	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 C, LINE 19	THE ORGANIZATIONS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
	THE ORGANIZATIONS FINANCIAL STATEMENT REVIEW OVERSIGHT PROCESS OR SELECTION PROCESS DID NOT CHANGE FROM THE PRIOR YEAR.