FURP.ORG / PUBLIC DATA EXPLORER

PINE HAVEN CHRISTIAN HOME INC: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
PINE HAVEN CHRISTIAN HOME INC (EIN 39-0816900)
Tax period
2013-07-01 to 2014-06-30
Filed
2014-11-10
IRS object ID
201433149349300538
Schema version
2013v3.0
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 ReturnHeader

FieldValueIRS element (for citing)
Return2014-11-10T10:29:03-06:00ReturnTs
Tax Period End2014-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN391173131PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1SCHENCK SCBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1712 RIVERFRONT DRIVE STE 301AddressLine1
CitySHEBOYGANCity
StateWIState
ZIP Code53081ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN390816900EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1PINE HAVEN CHRISTIAN HOME INCBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlPINEBusinessNameControlTxt
Phone9204672401PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1531 GIDDINGS AVENUEAddressLine1
CitySHEBOYGAN FALLSCity
StateWIState
ZIP Code53085ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMARTIN HALVERSONPersonNm
Person TitleOFFICERPersonTitleTxt
Phone9204672401PhoneNum
Signature2014-10-31SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonTERRY T STRITTMATER CPAPreparerPersonNm
PTINP00012661PTIN
Phone9204580341PhoneNum
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMARTIN HALVERSONPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1531 GIDDINGS AVENUEAddressLine1
CitySHEBOYGAN FALLSCity
StateWIState
ZIP Code53085ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$13,275,499GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.PINEHAVEN.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1950FormationYr
Legal Domicile StateWILegalDomicileStateCd
Activity Or MissionPINE HAVEN CHRISTIAN COMMUNITIES WILL PROVIDE THE AGING POPULATION WE SERVE AN ENVIRONMENT THAT IS A CHRIST-CENTERED, SAFE HAVEN OFFERING QUALITY, COMPASSIONATE CARE.ActivityOrMissionDesc
Voting Members Governing Body18VotingMembersGoverningBodyCnt
Voting Members Independent18VotingMembersIndependentCnt
Total Employee328TotalEmployeeCnt
Total Volunteers175TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$14,118PYContributionsGrantsAmt
CY Contributions Grants$19,658CYContributionsGrantsAmt
PY Program Service Revenue$12,978,233PYProgramServiceRevenueAmt
CY Program Service Revenue$13,210,591CYProgramServiceRevenueAmt
PY Investment Income$42,678PYInvestmentIncomeAmt
CY Investment Income$37,190CYInvestmentIncomeAmt
PY Other Revenue$11,412PYOtherRevenueAmt
CY Other Revenue$8,060CYOtherRevenueAmt
PY Total Revenue$13,046,441PYTotalRevenueAmt
CY Total Revenue$13,275,499CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$6,959,806PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$7,404,233CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$1,000CYTotalFundraisingExpenseAmt
PY Other Expenses$4,366,322PYOtherExpensesAmt
CY Other Expenses$4,732,051CYOtherExpensesAmt
PY Total Expenses$11,326,128PYTotalExpensesAmt
CY Total Expenses$12,136,284CYTotalExpensesAmt
PY Revenues Less Expenses$1,720,313PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,139,215CYRevenuesLessExpensesAmt
Total Assets BOY$22,827,994TotalAssetsBOYAmt
Total Assets EOY$24,016,490TotalAssetsEOYAmt
Total Liabilities BOY$12,327,748TotalLiabilitiesBOYAmt
Total Liabilities EOY$12,317,394TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$10,500,246NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$11,699,096NetAssetsOrFundBalancesEOYAmt
MissionPINE HAVEN CHRISTIAN COMMUNITIES WILL PROVIDE THE AGING POPULATION WE SERVE AN ENVIRONMENT THAT IS A CHRIST-CENTERED, SAFE HAVEN OFFERING QUALITY, COMPASSIONATE CARE.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$10,627,585ExpenseAmt
Revenue$13,210,591RevenueAmt
DescPROVIDING HOUSING, HEALTH CARE AND OTHER RELATED SERVICES TO RESIDENTS IN A NON-PROFIT NURSING HOME AND ASSISTED LIVING FACILITIES. A CMS RECOGNIZED OVERALL 5-STAR NURSING HOME.Desc
Total Program Service Expenses$10,627,585TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document57IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee328EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members18GoverningBodyVotingMembersCnt
Independent Voting Member18IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower Policy0WhistleblowerPolicyInd
Document Retention Policy0DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MARTIN HALVERSONBusinessNameLine1
FieldValueIRS element (for citing)
Phone9204672401PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1531 GIDDINGS AVENUEAddressLine1
CitySHEBOYGAN FALLSCity
StateWIState
ZIP Code53085ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
DAVE BRASSER
BOARD MEMBER0.00Yes (X)$0$0$0
JANE BUTEYN
BOARD MEMBER0.00Yes (X)$0$0$0
PAUL DAMKOT
BOARD MEMBER0.00Yes (X)$0$0$0
DON DEMASTER
BOARD MEMBER0.00Yes (X)$0$0$0
ROBERT DESMIDT
BOARD MEMBER0.00Yes (X)$0$0$0
CAROL DULMES
BOARD MEMBER0.00Yes (X)$0$0$0
DARRELL HAUSE
BOARD MEMBER0.00Yes (X)$0$0$0
CARL HUENINK
BOARD MEMBER0.00Yes (X)$0$0$0
NORENE HUIBREGTSE
BOARD MEMBER0.00Yes (X)$0$0$0
MIKE FOLEY
BOARD MEMBER0.00Yes (X)$0$0$0
CARL JOOSSE
BOARD MEMBER0.00Yes (X)$0$0$0
LARRY LORENZ
BOARD MEMBER0.00Yes (X)$0$0$0
DAN NEERHOFF
BOARD MEMBER0.00Yes (X)$0$0$0
LOIS OOSTDYKE
BOARD MEMBER0.00Yes (X)$0$0$0
JEFF RISSEEUW
BOARD MEMBER0.00Yes (X)$0$0$0
CHRISTINE TEMPAS
BOARD MEMBER0.00Yes (X)$0$0$0
RANDY TEUNISSEN
BOARD MEMBER0.00Yes (X)$0$0$0
BOB VANDER PUY
BOARD MEMBER0.00Yes (X)$0$0$0
NANCY VERSTRATE
BOARD MEMBER0.00Yes (X)$0$0$0
RICH DAANE
PRESIDENT0.00$0$0$0Yes (X)
VIRGIL NAVIS
VICE PRESIDENT0.00$0$0$0Yes (X)
JOHN ACKERMANN
SECRETARY0.00$0$0$0Yes (X)
WENDY BAACKES
TREASURER0.00$0$0$0Yes (X)
RON WALVOORT
CHIEF FINANCIAL OFFICER40.00$108,405$0$24,838Yes (X)
ROGER LEYS
CHIEF EXECUTIVE OFFICER40.00$128,377$0$12,221Yes (X)
MICHELE OOSTDYK
ADMINISTRATOR40.00$100,120$0$24,514Yes (X)
MARTIN HALVERSON
CHIEF FINANCIAL OFFICER40.00$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$336,902TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$61,573TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K3IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1REHAB CARE GROUP EAST INCBusinessNameLine1

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 503534AddressLine1
CityST LOUISCity
StateMOState
ZIP Code631503534ZIPCode
FieldValueIRS element (for citing)
ServicesTHERAPYServicesDesc
Compensation$452,181CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt
All Other Contributions$19,658AllOtherContributionsAmt
Total Contributions$19,658TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
RES CENTER RES. FEES623000$7,117,561$7,117,561
NURSING HOME RES. FEES623000$4,423,887$4,423,887
RES CARE APARTMENT COMPLEX623000$1,669,143$1,669,143
FieldValueIRS element (for citing)
Total Program Service Revenue$13,210,591TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$30,190TotalRevenueColumnAmt
Exclusion$30,190ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$7,000OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$0OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$7,000OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,000TotalRevenueColumnAmt
Exclusion$7,000ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUS REVENUEDesc
Business900099BusinessCd
Total Revenue Column$8,060TotalRevenueColumnAmt
Exclusion$8,060ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$8,060OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$13,275,499TotalRevenueColumnAmt
Related Or Exempt Func Income$13,210,591RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$45,250ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$336,902TotalAmt
Program Services$286,367ProgramServicesAmt
Management And General$50,535ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$5,929,744TotalAmt
Program Services$5,094,034ProgramServicesAmt
Management And General$835,710ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$70,558TotalAmt
Program Services$60,447ProgramServicesAmt
Management And General$10,111ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$593,307TotalAmt
Program Services$497,577ProgramServicesAmt
Management And General$95,730ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$473,722TotalAmt
Program Services$405,837ProgramServicesAmt
Management And General$67,885ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$22,175TotalAmt
Management And General$22,175ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$82,852TotalAmt
Management And General$82,852ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$118,549TotalAmt
Management And General$118,549ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$214,092TotalAmt
Program Services$213,397ProgramServicesAmt
Fundraising$695FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$35,780TotalAmt
Management And General$35,780ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$605,185TotalAmt
Program Services$605,185ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$900,586TotalAmt
Program Services$900,281ProgramServicesAmt
Fundraising$305FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$152,497TotalAmt
Program Services$152,497ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
NURSING AND MEDICAL$791,563$791,563
DIETARY - FOOD$550,263$550,263
UTILITIES$393,886$392,782$1,104
SUPPLIES$269,931$221,580$48,351

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$594,692TotalAmt
Program Services$455,775ProgramServicesAmt
Management And General$138,917ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$12,136,284TotalAmt
Program Services$10,627,585ProgramServicesAmt
Management And General$1,507,699ManagementAndGeneralAmt
Fundraising$1,000FundraisingAmt
FieldValueIRS element (for citing)
Joint CostsYes (X)JointCostsInd

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$5,828,941BOYAmt
EOY$5,733,663EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$550,331BOYAmt
EOY$624,902EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$18,115BOYAmt
EOY$18,055EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$17,252BOYAmt
EOY$73,111EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$25,219,335LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$8,705,743LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$15,227,880BOYAmt
EOY$16,513,592EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$347,455BOYAmt
EOY$407,090EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$725,391BOYAmt
EOY$207,116EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$112,629BOYAmt
EOY$438,961EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$22,827,994BOYAmt
EOY$24,016,490EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,267,748BOYAmt
EOY$1,350,678EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$11,060,000BOYAmt
EOY$10,966,716EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$12,327,748BOYAmt
EOY$12,317,394EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$10,500,246BOYAmt
EOY$11,699,096EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$10,500,246BOYAmt
EOY$11,699,096EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$22,827,994BOYAmt
EOY$24,016,490EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$1,139,215ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$59,635NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$163,946CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,065CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$22,829CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$14,118CurrentTaxYearMinus1YearAmt
Current Tax Year$19,658CurrentTaxYearAmt
Total$226,616TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$9,481,663CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$10,800,365CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$12,168,630CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$12,978,233CurrentTaxYearMinus1YearAmt
Current Tax Year$13,210,591CurrentTaxYearAmt
Total$58,639,482TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$9,645,609CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$10,806,430CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$12,191,459CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$12,992,351CurrentTaxYearMinus1YearAmt
Current Tax Year$13,230,249CurrentTaxYearAmt
Total$58,866,098TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$58,866,098PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$60,130CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$61,035CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$42,678CurrentTaxYearMinus1YearAmt
Current Tax Year$30,190CurrentTaxYearAmt
Total$194,033TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$60,130CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$61,035CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$42,678CurrentTaxYearMinus1YearAmt
Current Tax Year$30,190CurrentTaxYearAmt
Total$194,033TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$10,438CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,587CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$11,412CurrentTaxYearMinus1YearAmt
Current Tax Year$8,060CurrentTaxYearAmt
Total$39,497TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$9,645,609CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$10,876,998CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$12,262,081CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$13,046,441CurrentTaxYearMinus1YearAmt
Current Tax Year$13,268,499CurrentTaxYearAmt
Total$59,099,628TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99600PublicSupportCY509Pct
Public Support PY5090.99580PublicSupportPY509Pct
Investment Income CY0.00330InvestmentIncomeCYPct
Investment Income PY0.00290InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Form990 Schedule A Part IV Form990ScheduleAPartIVGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE A, PART II, LINE 12, EXPLANATION OF OTHER INCOME:FormAndLineReferenceDesc
ExplanationMISCELLANEOUS REVENUE - 2010 AMOUNT: $ 10,438. 2011 AMOUNT: $ 9,587. 2012 AMOUNT: $ 11,412. 2013 AMOUNT: $ 8,060.ExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or ManagementYes (1)PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (1)DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other Activities0OtherActivitiesInd
Total Lobbying Expenditures$0TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE C, PART IVFormAndLineReferenceDesc
ExplanationEXPENSES INCURRED IN CONTACTING GOVERNMENT REPRESENTATIVES CONSISTED SOLEY OF TIME EXPENDED BY SALARIED EMPLOYEES TO COMMUNICATE EITHER VERBALLY OR IN WRITING FOR AN APPROXIMATE TIME OF FOUR HOURS.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,920,734OtherCostOrOtherBasisAmt
Book Value$1,920,734BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$19,702,407OtherCostOrOtherBasisAmt
Depreciation$7,225,280DepreciationAmt
Book Value$12,477,127BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,062,836OtherCostOrOtherBasisAmt
Depreciation$1,480,463DepreciationAmt
Book Value$582,373BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,533,358OtherCostOrOtherBasisAmt
Book Value$1,533,358BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$16,513,592TotalBookValueLandBuildingsAmt
Total Rev Etc Audited Fincl Stmt$13,341,394TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$59,635NetUnrealizedGainsInvstAmt
Donated Services And Use Fclts$6,260DonatedServicesAndUseFcltsAmt
Revenue Not Reported$65,895RevenueNotReportedAmt
Revenue Subtotal$13,275,499RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$13,275,499TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$12,142,544TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$6,260DonatedServicesUseFcltsAmt
Expenses Not Reported$6,260ExpensesNotReportedAmt
Expenses Subtotal$12,136,284ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$12,136,284TotalExpensesPerForm990Amt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6THE ORGANIZATION HAS MEMBERS
FORM 990, PART VI, SECTION A, LINE 7ATHE MEMBERS ELECT THE BOARD OF TRUSTEES
FORM 990, PART VI, SECTION B, LINE 11A COPY OF THE FORM 990 WAS PROVIDED TO ALL BOARD MEMBERS PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CPINE HAVEN CHRISTIAN HOME HAS A BOARD OF DIRECTOR'S APPROVED "CODE OF ETHICS" DOCUMENT. THE CODE OF ETHICS INCLUDES A SECTION COVERING "CONFLICT OF INTEREST". IT PROVIDES A DEFINITION AND ALL EMPLOYEES ARE REQUIRED TO SIGN A STATEMENT EACH YEAR THAT THEY DO NOT HAVE A "CONFLICT OF INTEREST" OR THEY DECLARE ANY EXISTING CONFLICT.
FORM 990, PART VI, SECTION B, LINE 15THE COMPENSATION FOR THE CEO AND OTHER KEY EMPLOYEES IS COMPARED TO INDUSTRY DATA COMPILED BY LEADING AGE WISCONSIN. THE SURVEY COMPARES COMPENSATION BASED ON THREE CRITERIA: GROSS REVENUES, GEOGRAPHIC AREA AND TOTAL BED RESPONSIBILITIES.
FORM 990, PART VI, SECTION C, LINE 19THE FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. THE GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT AVALIABLE TO THE PUBLIC AT THIS TIME.
FORM 990, PART XII, LINE 2CTHERE IS A COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF THE FINANCIAL STATEMENTS.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1PINE HAVEN CHRISTIAN HOME FOUNDATION INCBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line1531 GIDDINGS AVEAddressLine1
CitySHEBOYGAN FALLSCity
StateWIState
ZIP Code53085ZIPCode
FieldValueIRS element (for citing)
EIN391963866EIN
Primary ActivitiesRAISE/RECEIVE FUNDS FOR THE GENERAL SUPPORT OF THIS ORGANIZATIONPrimaryActivitiesTxt
Legal Domicile StateWILegalDomicileStateCd
Exempt Code Section501(C)(3)ExemptCodeSectionTxt
Public Charity Status11PublicCharityStatusTxt
Direct Controlling NAN/ADirectControllingNACd
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (1)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
PINE HAVEN CHRISTIAN HOME FOUNDATION INC
C$19,658ACTUAL AMOUNT RECEIVED
PINE HAVEN CHRISTIAN HOME FOUNDATION INC
D$36,012ACTUAL AMOUNT BORROWED
PINE HAVEN CHRISTIAN HOME FOUNDATION INC
O$9,079ALLOCATION BASED ON HOURS WORKED