2019-09-18T12:48:17-05:00 2018-12-31 410746749 CLIFTONLARSONALLEN LLP 14275 GOLF COURSE DRIVE SUITE 300 BAXTER MN 56425 990 2018-01-01 410875464 NORTHERN PINES MENTAL HEALTH CENTER NORT 3206326647 PO BOX 367 LITTLE FALLS MN 56345 LAURA VAUGHN EXECUTIVE DIRECTOR 3206326647 2019-09-16 1 KURT BENNION P01469618 2188280100 2019-09-16 67.137.57.251 2019-09-16 14:38:50 PD P 84B3C0DEA005D0A59E6EC12E2A8CB2E5E8035B00 C1BEAD399F38DFF7247442F7F4F5003E70DCBED1 2018 2019-02-21 02:37:17Z LAURA VAUGHN PO BOX 367 LITTLE FALLS MN 56345 23485169 0 X WWW.NPMH.ORG X 1964 MN MENTAL HEALTH, DEVELOPMENT AND CHEMICAL DEPENDENCY SERVICES. 9 9 369 9 0 0 180091 184302 21449417 23145095 676 -10035 0 20105 21630184 23339467 0 0 0 0 13603045 14442643 0 0 0 3801438 3422105 17404483 17864748 4225701 5474719 8917150 14184958 2064589 1535064 6852561 12649894 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 14821814 0 23145095 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. 14821814 1 1 0 0 0 0 0 0 1 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 40 0 369 1 0 0 0 0 0 0 0 0 0 0 0 0 X 9 9 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 ANDREA HOLMES PRESIDENT 0.50 X X 0 0 0 ROSEMARY FRANZEN VICE-PRESIDENT 0.50 X X 0 0 0 DAVID KIRCHER SECRETARY/TREASURER 0.50 X X 0 0 0 DON BELTON TRUSTEE (THROUGH APRIL 2018) 0.50 X 0 0 0 KATE BJORGE TRUSTEE 0.50 X 0 0 0 SONYA CHAMBERLAIN TRUSTEE 0.50 X 0 0 0 AMITY DIMOCK TRUSTEE 0.50 X 0 0 0 JULIE GUTH TRUSTEE 0.50 X 0 0 0 MARLEE LARSON TRUSTEE 0.50 X 0 0 0 RANDY WINSCHER TRUSTEE 0.50 X 0 0 0 LAURA VAUGHN EXECUTIVE DIRECTOR 40.00 X 124890 0 15080 ROSEMARY LEONARD ADVANCED PRACTICE RN 40.00 X 109562 0 30342 SHU YUNG NG DOCTOR OF PHARMACY 40.00 X 108718 0 18687 TERI GERHARDT MENTAL HEALTH PROFESSIONAL 40.00 X 101811 0 13930 444981 0 78039 4 0 0 0 DR ROBERT JONES PO BOX 652 BRAINERD MN 56401 PSYCHIATRIC SERVICES 354900 1 184302 184302 MEDICAL SERVICE FEES 621110 22908363 22908363 MISCELLANEOUS PROGRAM INCOME 621110 236732 236732 23145095 11345 11345 124322 145702 -21380 -21380 -21380 SETTLEMENT 900099 20105 20105 20105 23339467 23145095 0 10070 139970 139970 12113526 11068423 1045103 326086 291669 34417 880085 725194 154891 982976 814199 168777 91979 91979 35005 35005 673913 404539 269374 15178 1187 13991 402796 312807 89989 284407 148388 136019 706892 577554 129338 214223 73200 141023 16843 16843 233622 116811 116811 SMALL EQUIPMENT PURCHAS 268828 20834 247994 CLEANING & MAINTENANCE 168716 147036 21680 BAD DEBT EXPENSE 148000 148000 MEDICAL SUPPLIES 94665 94665 67038 25308 41730 17864748 14821814 3042934 0 3287897 10104785 967162 1166344 2949720 1289647 133201 152715 3837106 2365639 1579170 1471467 8917150 14184958 1622609 1199694 13115 37379 428865 297991 2064589 1535064 X 6852561 12649894 6852561 12649894 8917150 14184958 5474719 322614 0 X X 0 1 X 0 0 X 123421 176585 197320 180091 184302 861719 12925156 14064840 15978267 21449417 23145095 87562775 13048577 14241425 16175587 21629508 23329397 88424494 0 0 0 88424494 795 1402 1090 2479 11345 17111 795 1402 1090 2479 11345 17111 20105 20105 13049372 14242827 16176677 21631987 23360847 88461710 0.99960 0.99990 0.00020 0.00010 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: SETTLEMENT INCOME 0 1 X 117501 117501 1996586 871411 1125175 1723019 1494228 228791 1471467 X 23329397 0 23329397 10070 10070 23339467 17847905 0 17847905 16843 16843 17864748 PART IV, LINE 2B: THE ORGANIZATION ACTS AS FISCAL AGENT FOR TWO SMALL NON-PROFIT ORGANIZATIONS IN THE AREA. THE ORGANIZATION HOLDS CASH FOR THE YELLOW RIBBON NETWORK OF MORRISON COUNTY ("YRNMC"). YRNMC INFORMS THE ORGANIZATION WHO TO PAY AND WHEN. THE ORGANIZATION HOLDS CASH FOR THE BRAINERD POVERTY COALITION. THE COALITION INFORMS THE ORGANIZATION WHO TO PAY AND WHEN. 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, 2018 AND 2017. THE ORGANIZATION'S TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL, STATE AND LOCAL AUTHORITIES. PART XI, LINE 4B - OTHER ADJUSTMENTS: INTEREST INCOME 11,345. LOSS OF SALE OF ASSETS -21,380. SETTLEMENT INCOME 20,105. PART XII, LINE 4B - OTHER ADJUSTMENTS: INTEREST EXPENSE 16,843. 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.