2021-11-12T13:55:39-06:00 2020-12-31 410746749 CLIFTONLARSONALLEN LLP 14275 GOLF COURSE DRIVE STE 300 BAXTER MN 56425 990 2020-01-01 410875464 NORTHERN PINES MENTAL HEALTH CENTER NORT 3206326647 PO BOX 367 LITTLE FALLS MN 56345 LAURA VAUGHN EXECUTIVE DIRECTOR 3206326647 2021-11-11 1 LAURA VAUGHN 999009999 ROY HURIN CPA P00010620 2188280100 2021-11-11 3 AAL1 IAL1 2020 2022-09-23 18:48:47Z LAURA VAUGHN PO BOX 367 LITTLE FALLS MN 56345 18198546 0 X WWW.NPMH.ORG X 1964 MN MENTAL HEALTH, DEVELOPMENT AND CHEMICAL DEPENDENCY SERVICES. 8 8 290 8 0 0 317297 2893151 16146610 15251863 16240 53532 0 0 16480147 18198546 0 0 0 0 14211470 13076347 0 0 0 3137006 2184299 17348476 15260646 -868329 2937900 13486552 16996427 1704987 2276962 11781565 14719465 X PROVIDING DIRECT AND INDIRECT SERVICES IN THE AREAS OF MENTAL ILLNESS, DEVELOPMENTAL DISABILITIES, AND CHEMICAL DEPENDENCY TO RESIDENTS OF AITKIN, TODD, MORRISON, WADENA, CROW WING, AND CASS COUNTIES. 0 0 12161998 0 15251863 NORTHERN PINES IS A COMPREHENSIVE COMMUNITY MENTAL HEALTH CENTER THAT WAS ESTABLISHED IN 1964, WITH A SIX-COUNTY SERVICE AREA IN CENTRAL MINNESOTA THAT INCLUDES AITKIN, CASS, CROW WING, MORRISON, TODD, AND WADENA COUNTIES. WE HAVE OFFICES IN BRAINERD, LITTLE FALLS, LONG PRAIRIE, STAPLES, WADENA, AITKIN AND PINE RIVER.WE PROVIDE A FULL RANGE OF MENTAL HEALTH SERVICES TO ALL AGES, INCLUDING MOBILE AND RESIDENTIAL CRISIS OUTREACH SERVICES, ADULT COMMUNITY BASED SERVICES, ASSERTIVE COMMUNITY TREATMENT SERVICES FOR ADULTS AND YOUTH, CHILDREN & FAMILY SERVICES, SCHOOL-BASED SERVICES, MENTAL HEALTH AND WELLNESS EDUCATION AND PROMOTION, MEDICATION MANAGEMENT, OUTPATIENT THERAPY, PSYCHIATRY, (CONTINUED IN SCHEDULE O)(CONTINUED FROM PAGE 2) PEER SPECIALIST SERVICES, CHEMICAL HEALTH SERVICES, SOME HOUSING ASSISTANCE, A DROP-IN CENTER LOCATED IN BRAINERD AND STAPLES, AND MORE. AS AN ESSENTIAL COMMUNITY PROVIDER, NORTHERN PINES PROVIDES REDUCED OR NO-FEE SERVICES, BASED ON ITS SLIDING FEE SCALE. A MINNESOTA NONPROFIT CORPORATION, NORTHERN PINES IS GOVERNED BY A VOLUNTEER BOARD OF DIRECTORS, REPRESENTING THE COMMUNITIES IT SERVES. 12161998 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 22 0 290 1 0 0 0 0 0 0 0 0 0 0 0 0 X 8 8 0 0 0 0 0 0 0 1 1 0 1 1 1 1 1 1 1 1 1 0 0 MN X LAURA VAUGHN 3206326647 PO BOX 367 LITTLE FALLS MN 56345 ROSEMARY FRANZEN PRESIDENT 0.50 X X 0 0 0 RANDY WINSCHER VICE-PRESIDENT 0.50 X X 0 0 0 DAVID KIRCHER SECRETARY/TREASURER 0.50 X X 0 0 0 JULIE GUTH TRUSTEE 0.50 X 0 0 0 MARLEE LARSON TRUSTEE 0.50 X 0 0 0 RICHARD NOLAN TRUSTEE 0.50 X 0 0 0 GERALD RUDA TRUSTEE 0.50 X 0 0 0 DAVID TENEYCK TRUSTEE 0.50 X 0 0 0 LAURA VAUGHN EXECUTIVE DIRECTOR 40.00 X 144361 0 12317 ROSEMARY LEONARD ADVANCED PRACTICE REGISTER 40.00 X 114437 0 10957 REBECCA GONZALEZ ADVANCED PRACTICE REGISTER 40.00 X 109149 0 10361 367947 0 33635 3 0 1 0 QUALIFACTS SYSTEMS INC PO BOX 4577 CAROL STREAM IL 601974577 ELECTRONIC HEALTH RECORD SOFTWARE 178977 DR ROBERT JONES PO BOX 652 BRAINERD MN 56401 PSYCHIATRIC SERVICES 150000 2 2768838 124313 2893151 MEDICAL SERVICE FEES 621110 14963007 14963007 MISCELLANEOUS PROGRAM INCOME 621110 288856 288856 15251863 35882 35882 17650 0 17650 17650 17650 18198546 15251863 0 53532 156678 156678 10725547 9367687 1357860 296029 243858 52171 988082 831318 156764 910011 699798 210213 24849 24849 41501 41501 770541 234509 536032 4669 617 4052 279502 217174 62328 280958 144642 136316 175315 159430 15885 81566 31020 50546 12438 12438 239455 107156 132299 SUBSCRIPTIONS & MEMBERS 77939 4879 73060 CLEANING & MAINTENANCE 69063 62198 6865 SMALL EQUIPMENT PURCHAS 64454 1792 62662 MEDICAL SUPPLIES 42298 42298 19751 13622 6129 15260646 12161998 3098648 0 9171078 13067522 1141467 1060342 1535244 1357862 168852 86024 3216610 1791933 1469911 1424677 13486552 16996427 1122370 1242862 94274 434602 266843 247398 221500 352100 1704987 2276962 X 11781565 14719465 11781565 14719465 13486552 16996427 2937900 0 X X 0 1 X 0 0 X 197320 180091 184302 317297 2893151 3772161 15978267 21449417 23145095 16146610 15251863 91971252 16175587 21629508 23329397 16463907 18145014 95743413 0 0 0 95743413 1090 2479 11345 14740 35882 65536 1090 2479 11345 14740 35882 65536 20105 20105 16176677 21631987 23360847 16478647 18180896 95829054 0.99910 0.99940 0.00070 0.00030 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: SETTLEMENT INCOME RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 117501 117501 2090478 989272 1101206 1008631 802661 205970 1424677 DUE TO STATE 352100 352100 X 18198546 0 18198546 0 18198546 15260646 0 15260646 0 15260646 PART X, LINE 2: THE ORGANIZATION IS CLASSIFIED BY THE INTERNAL REVENUE SERVICE AS A TAX-EXEMPT ORGANIZATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS SUBJECTED TO FEDERAL INCOME TAX ONLY ON NET UNRELATED BUSINESS INCOME. THE ORGANIZATION CURRENTLY HAS A LIMITED AMOUNT OF UNRELATED BUSINESS INCOME. THE ORGANIZATION FOLLOWS THE GUIDANCE IN THE INCOME TAX STANDARD REGARDING THE RECOGNITION AND MEASUREMENT OF UNCERTAIN TAX POSITIONS. THE APPLICATION OF THIS STANDARD HAS NO EFFECT ON THE FINANCIAL STATEMENTS. AS A RESULT OF THE APPLICATION OF THIS STANDARD, THE ORGANIZATION EVALUATED ITS TAX POSITIONS AND DETERMINED IT HAS NO UNCERTAIN TAX POSITIONS AS OF DECEMBER 31, 2020 AND 2019. THE ORGANIZATION'S TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL, STATE AND LOCAL AUTHORITIES. X X X 0 0 0 0 0 0 0 0 0 LAURA VAUGHN EXECUTIVE DIRECTOR 144361 0 0 0 0 0 6000 0 6317 0 156678 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE DIRECTOR OF FINANCE THE EXECUTIVE DIRECTOR AND THE BOARD OF DIRECTORS REVIEWED THE FORM 990 BEFORE IT WAS FILED. FORM 990, PART VI, SECTION B, LINE 12C EACH BOARD MEMBER AND OFFICER REVIEWS, AGREES TO, AND SIGNS AN ANNUAL CONFLICT OF INTEREST STATEMENT. IF A MATTER ARISES IN WHICH AN ACTUAL OR POTENTIAL CONFLICT EXISTS, THE INDIVIDUAL DISCLOSES THE CONFLICT TO THE FULL BOARD. AFTER DISCLOSURE, THE INDIVIDUAL LEAVES THE DISCUSSION WHILE THE REMAINING BOARD MEMBERS DECIDE WHETHER A CONFLICT EXISTS. IF A CONFLICT OF INTEREST IS DEEMED TO EXIST, THE INDIVIDUAL IS ALLOWED TO EXPLAIN WHY THE TRANSACTION MAY BE IN THE BEST INTEREST OF THE ORGANIZATION. HOWEVER, THE INDIVIDUAL DOES NOT PARTICIPATE IN ANY FURTHER DISCUSSION AND DOES NOT PARTICIPATE IN MAKING THE FINAL DECISION. FORM 990, PART VI, SECTION B, LINE 15A FOLLOWING AN ANNUAL PERFORMANCE EVALUATION AND A SATISFACTORY PERFORMANCE RATING, THE FINANCE AND PERSONNEL COMMITTEE MEETS WITH THE EXECUTIVE DIRECTOR TO DISCUSS COMPENSATION. AS THE AGENCY'S ONLY EMPLOYEE WITH AN EMPLOYMENT AGREEMENT, THE DISCUSSION MAY OR MAY NOT RESULT IN A INCREASE. FOR A COMPARABLE SURVEY, THE COMMITTEE HAS ALWAYS USED A SALARY AND BENEFITS SURVEY PROVIDED TO MEMBER AGENCIES BY THE MINNESOTA ASSOCIATION OF COMMUNITY MENTAL HEALTH CENTERS WHICH INCLUDES A SALARY ANALYSIS FOR MEMBER EXECUTIVE DIRECTORS. THIS WAS LAST COMPLETED JULY 2018. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART XII, LINE 2C THE ORGANIZATION'S ENTIRE BOARD OF DIRECTORS IS RESPONSIBLE FOR SELECTING AN INDEPENDENT ACCOUNTANT AND FOR OVERSEEING THE AUDIT OF THE FINANCIAL STATEMENTS.