PINE REST CHRISTIAN MENTAL HEALTH SERVICES: Form 990, tax year 2023
View the entire original 990 at ProPublica ↗
- Organization
- PINE REST CHRISTIAN MENTAL HEALTH SERVICES (EIN 38-1368360)
- Tax period
- 2023-07-01 to 2024-06-30
- Filed
- 2025-04-16
- IRS object ID
- 202521299349302582
- Schema version
- 2023v6.0
- 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
- Form 990
- Schedule A
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
- Reasonable Cause Explanation
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2025-04-16T10:23:59-07:00 | ReturnTs |
| Tax Period End | 2024-06-30 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2023-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 381368360 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PINE REST CHRISTIAN MENTAL HEALTH SERVICES | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | PINE | BusinessNameControlTxt |
| Phone | 6164555000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 300 68th Street SE PO Box 165 | AddressLine1Txt |
| City | Grand Rapids | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 495010165 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Paul Karsten | PersonNm |
| Person Title | Vice President & CFO | PersonTitleTxt |
| Phone | 6164555000 | PhoneNum |
| Signature | 2025-04-16 | SignatureDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (1) | IRSResponsiblePrtyInfoCurrInd |
| Tax | 2023 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Mark Eastburg | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 300 68th Street SE | AddressLine1Txt |
| City | Grand Rapids | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 49548 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $250,182,226 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | pinerest.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1908 | FormationYr |
| Legal Domicile State | MI | LegalDomicileStateCd |
| Activity Or Mission | Pine Rest Christian Mental Health Services is called to express the healing ministry of Jesus Christ by providing behavioral health services with professional excellence, Christian integrity, and compassion. | ActivityOrMissionDesc |
| Voting Members Governing Body | 20 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 17 | VotingMembersIndependentCnt |
| Total Employee | 2716 | TotalEmployeeCnt |
| Total Volunteers | 5 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $10,996,200 | PYContributionsGrantsAmt |
| CY Contributions Grants | $17,723,388 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $188,008,877 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $207,997,471 | CYProgramServiceRevenueAmt |
| PY Investment Income | $6,208,829 | PYInvestmentIncomeAmt |
| CY Investment Income | $4,404,162 | CYInvestmentIncomeAmt |
| PY Other Revenue | $598,125 | PYOtherRevenueAmt |
| CY Other Revenue | $698,766 | CYOtherRevenueAmt |
| PY Total Revenue | $205,812,031 | PYTotalRevenueAmt |
| CY Total Revenue | $230,823,787 | 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 | $150,638,408 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $161,117,873 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $705,090 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $49,159,213 | PYOtherExpensesAmt |
| CY Other Expenses | $56,259,769 | CYOtherExpensesAmt |
| PY Total Expenses | $199,797,621 | PYTotalExpensesAmt |
| CY Total Expenses | $217,377,642 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $6,014,410 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $13,446,145 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $127,654,106 | TotalAssetsBOYAmt |
| Total Assets EOY | $145,169,225 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $53,988,080 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $55,585,432 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $73,666,026 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $89,583,793 | NetAssetsOrFundBalancesEOYAmt |
| Mission | Pine Rest Christian Mental Health Services is called to express the healing ministry of Jesus Christ by providing behavioral health services with professional excellence, Christian integrity, and compassion. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $80,510,767 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $106,141,798 | RevenueAmt |
| Desc | The organization's largest service program, measured by net revenue, is Hospital & Residential Services (HRS). HRS cares for individuals in both inpatient and partial hospitalization settings as well as a variety of longer-term residential facilities at the organization's Cutlerville, Michigan 280-acre campus. Our services include dedicated psychiatric care for children, adolescents, adults and older adults. Clinical teams address the full array of psychiatric diagnoses. Specialty services are available for treating persons with co-occurring substance abuse diagnoses and psychiatric disorders when treatment is complicated by co-occurring medical conditions. We provide professional assessment and individualized treatment including diagnosis, medication management and education, individual and group therapies, individual and family consultations and therapy, case management, discharge planning and aftercare. The inpatient and partial hospitalization programs are licensed and accredited by the Joint Commission. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $69,331,860 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $72,669,678 | RevenueAmt |
| Desc | The organization's second largest service program is its Clinic Network. The Clinic Network offers ambulatory outpatient care at nineteen locations throughout Western and Northern Michigan. For people who do not require the structured environment of the inpatient or residential care settings, outpatient services are at the center of the behavioral health continuum. Nearly 75% of all persons who come to Pine Rest are served through outpatient services. Our clinicians provide a broad spectrum of intervention across the age continuum in convenient, non-restrictive environments. In addition to traditional outpatient care, Pine Rest provides a variety of specialty services including telemedicine, assessment through the Psychological Consultation Center, intensive outpatient and residential substance abuse/addictions services, and court-related services and assessments. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $9,952,179 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $13,983,905 | RevenueAmt |
| Desc | The Pine Rest Residential Division offers longer term psychiatric services to clients with mental health needs in a residential setting. These programs include both locked and unlocked settings. These services and facilities are licensed and accredited by the State of Michigan as well as the Commission on Accreditation of Rehabilitation Facilities (CARF). Adult Residential services had 18,804 patient days of care in fiscal year 2024. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp (4 entries)
| ExpenseExpenseAmt | GrantGrantAmt | RevenueRevenueAmt | DescDesc |
|---|---|---|---|
| $9,059,125 | $0 | $10,206,235 | The organization's third largest program is its psychiatric residency program, conducted in partnership with Michigan State University College of Human Medicine. Pine Rest is devoted to training the psychiatrists of tomorrow by fostering an environment of excellence through our dedication to clinical best practices, patient safety and quality of care, scholarly activities, research, physician wellness as well as diversity and inclusion. Pine Rest instituted its general psychiatry residency program in July 2014. Since that time, we have inaugurated specialty fellowships in Child & Adolescent, Geriatric, Forensic and Addiction. We now train over fifty residents and fellows through five ACGME-accredited programs. Our residents complete rotations under the supervision of attending physicians in a broad array of hospital, residential, and outpatient settings including emergency psychiatry, substance abuse, community mental health, child and adolescent inpatient, adult inpatient, older adult inpatient, primary care, neurology, and outpatient clinic services. Our residents engage in rigorous post-graduate education and research. The Residency Outpatient Clinic conducts 12,000 visits annually, expanding access to quality psychiatry. The goal of this training program is to assure that the State of Michigan has the benefit of highly trained psychiatrists now and in the future. |
| $3,276,507 | $0 | $3,635,353 | Homes for the Developmentally Disabled serves adults with developmental disabilities in exceptional residential settings with multiple opportunities for engaging in on-site and community activities that match abilities. Homes for the Developmentally Disabled services program had 19,076 patient days of care in fiscal year 2024. |
| $1,315,226 | $0 | $1,698,996 | Pine Rest has a Grants Management Program designed to introduce new research and programs to the organization and provide better services to our patients and community. Our Grants Management service line administers several grant programs to further our mission in compliance with the requirements of each grant award. |
| $812,195 | $0 | $351,884 | Education and Prevention offers a range of education and prevention activities that help promote community wellness. Pine Rest is the recipient of several grants that promote education and prevention activities around mental health as well as perform research to further determine best practice models of care. An internship program for graduate students studying psychology is offered. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $14,463,053 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $0 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $15,892,468 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $174,257,859 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | 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 | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | 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 | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | Yes (1) | 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 | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 176 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 2716 | 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 |
| 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 | 20 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 17 | 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 | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | 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 | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Paul H Karsten | PersonNm |
| Phone | 6162816363 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 300 68th St SE | AddressLine1Txt |
| City | Grand Rapids | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 495010165 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (34 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd | Key EmployeeKeyEmployeeInd | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Mark C Eastburg PhD | ||||||||||
| President & CEO | 58 | 2 | Yes (X) | $613,562 | $0 | $57,510 | ||||
| Marwan Tabbara | ||||||||||
| Medical Staff | 55 | 0 | $588,016 | $0 | $50,019 | Yes (X) | ||||
| William Sanders | ||||||||||
| Chief Medical Officer | 60 | 0 | Yes (X) | $555,851 | $0 | $49,010 | ||||
| Lindsey Bailey | ||||||||||
| Medical Staff | 55 | 0 | $520,083 | $0 | $32,949 | Yes (X) | ||||
| Bibhas Singla | ||||||||||
| Medical Staff | 55 | 0 | $474,686 | $0 | $49,010 | Yes (X) | ||||
| James Eicher | ||||||||||
| Medical Professional | 55 | 0 | $462,653 | $0 | $48,410 | Yes (X) | ||||
| Jack Mahdasian | ||||||||||
| Medical Staff | 55 | 0 | $459,506 | $0 | $50,504 | Yes (X) | ||||
| Samuel Lin | ||||||||||
| Medical Staff | 55 | 0 | $461,904 | $0 | $43,171 | Yes (X) | ||||
| Sonia Motin | ||||||||||
| Medical Staff | 55 | 0 | $443,638 | $0 | $49,010 | Yes (X) | ||||
| Louis Nykamp | ||||||||||
| Medical Staff | 55 | 0 | $427,874 | $0 | $42,891 | Yes (X) | ||||
| Paul H Karsten | ||||||||||
| VP & CFO | 58 | 2 | Yes (X) | $413,705 | $0 | $47,356 | ||||
| Robert L Nykamp | ||||||||||
| VP & COO | 60 | 0 | Yes (X) | $396,828 | $0 | $32,682 | ||||
| Valerie MathisAllen | ||||||||||
| Medical Staff | 55 | 0 | $302,353 | $0 | $41,104 | Yes (X) | ||||
| Harmony Gould | ||||||||||
| Director of HBS | 60 | 0 | $274,847 | $0 | $32,604 | Yes (X) | ||||
| Susan Langeland | ||||||||||
| Chief Information Officer | 60 | 0 | $268,528 | $0 | $31,172 | Yes (X) | ||||
| Thomas Scott Halstead | ||||||||||
| Director of PPG | 60 | 0 | $190,095 | $0 | $51,407 | Yes (X) | ||||
| Ryan LaRue | ||||||||||
| Vice President of Contracts | 55.00 | 0 | $156,491 | $0 | $37,563 | Yes (X) | ||||
| Jody Vanderwel | ||||||||||
| Chairperson | 2 | 0 | $0 | $0 | $0 | Yes (X) | ||||
| Douglas Josephson | ||||||||||
| Vice Chairperson & Secretary | 4 | 0 | $0 | $0 | $0 | Yes (X) | ||||
| Gil Segovia | ||||||||||
| Treasurer | 2 | 0 | $0 | $0 | $0 | Yes (X) | ||||
| Mina Breuker | ||||||||||
| Board Member | 1 | 0 | $0 | $0 | $0 | Yes (X) | ||||
| Mary Ann Cartwright | ||||||||||
| Board Member | 1 | 0 | $0 | $0 | $0 | Yes (X) | ||||
| Robert Connors | ||||||||||
| Board Member | 1 | 0 | $0 | $0 | $0 | Yes (X) | ||||
| Jack DeBoer | ||||||||||
| Board Member | 1 | 0 | $0 | $0 | $0 | Yes (X) | ||||
| Steve Ender | ||||||||||
| Board Member | 1 | 0 | $0 | $0 | $0 | Yes (X) | ||||
| Stacia Ford-Spicer | ||||||||||
| Board Member | 1 | 0 | $0 | $0 | $0 | Yes (X) | ||||
| Brett Holleman | ||||||||||
| Board Member | 1 | 0 | $0 | $0 | $0 | Yes (X) | ||||
| Marilyn Litka-Klein | ||||||||||
| Board Member | 1 | 0 | $0 | $0 | $0 | Yes (X) | ||||
| Stella Michael | ||||||||||
| Board Member | 1 | 0 | $0 | $0 | $0 | Yes (X) | ||||
| David McKeague | ||||||||||
| Board Member | 1 | 0 | $0 | $0 | $0 | Yes (X) | ||||
| Michael Ramirez | ||||||||||
| Board Member | 1 | 0 | $0 | $0 | $0 | Yes (X) | ||||
| Abbey Slakick | ||||||||||
| Board Member | 1 | 0 | $0 | $0 | $0 | Yes (X) | ||||
| Susan Valcq | ||||||||||
| Board Member | 1 | 0 | $0 | $0 | $0 | Yes (X) | ||||
| Sherita Washington | ||||||||||
| Board Member | 1 | 0 | $0 | $0 | $0 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $7,010,620 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $746,372 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 230 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Comphealth Associates Inc | |||||
| 7259 S Bingham Junction Blvd | Midvale | UT | 84047 | Medical Staffing | $2,670,145 |
| US Signal LLC | |||||
| 201 Ionia Avenue SW | Grand Rapids | MI | 49503 | Cloud Data Hosting | $2,131,175 |
| Epic Systems Corporation | |||||
| 1979 Milky Way | Verona | WI | 53593 | Electronic Medical Record | $1,774,438 |
| Forefront healthcare LLC | |||||
| 22622 Harper Ave | St Clair Shores | MI | 48080 | Food Service | $1,668,400 |
| Institutional Pharmacy Solutions | |||||
| 3480 EAstern Boulevard | Montgomery | AL | 36116 | Pharmacy | $1,218,349 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 46 | CntrctRcvdGreaterThan100KCnt |
| Federated Campaigns | $0 | FederatedCampaignsAmt |
| Membership Dues | $0 | MembershipDuesAmt |
| Fundraising | $0 | FundraisingAmt |
| Related Organizations | $3,436,910 | RelatedOrganizationsAmt |
| Government Grants | $1,225,825 | GovernmentGrantsAmt |
| All Other Contributions | $13,060,653 | AllOtherContributionsAmt |
| Noncash Contributions | $0 | NoncashContributionsAmt |
| Total Contributions | $17,723,388 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| Inpatient Care | 622210 | $107,121,765 | $107,121,765 | $0 | $0 |
| Outpatient Clinics | 621420 | $78,639,731 | $78,639,731 | $0 | $0 |
| Residential Care | 623200 | $20,385,865 | $20,385,865 | $0 | $0 |
| Other Patient Revenue | 624100 | $1,850,110 | $1,850,110 | $0 | $0 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $207,997,471 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,932,605 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,932,605 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $14,571 | RealAmt |
| Personal | $0 | PersonalAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $6,185 | RealAmt |
| Personal | $0 | PersonalAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $8,386 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $8,386 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $8,386 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $21,823,811 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $19,352,254 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $2,471,557 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,471,557 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $2,471,557 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contri Rpt Fundraising Event | $0 | ContriRptFundraisingEventAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| Rustic Market Sales | 455000 | $388,032 | $388,032 | $0 | $0 |
| Medical Record Transcription | 624100 | $156,550 | $156,550 | $0 | $0 |
| CARES Act Provider Relief | 620000 | $29,386 | $29,386 | $0 | $0 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $116,412 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $116,412 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $690,380 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $230,823,787 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $208,687,851 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $4,412,548 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,010,620 | TotalAmt |
| Program Services | $4,140,713 | ProgramServicesAmt |
| Management And General | $2,869,907 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $129,562,265 | TotalAmt |
| Program Services | $114,821,552 | ProgramServicesAmt |
| Management And General | $14,309,203 | ManagementAndGeneralAmt |
| Fundraising | $431,510 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,544,988 | TotalAmt |
| Program Services | $20,755,731 | ProgramServicesAmt |
| Management And General | $3,702,065 | ManagementAndGeneralAmt |
| Fundraising | $87,192 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $464,082 | TotalAmt |
| Program Services | $95,928 | ProgramServicesAmt |
| Management And General | $368,154 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $186,665 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $186,665 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $85,500 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $85,500 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $202,818 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $202,818 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,268,113 | TotalAmt |
| Program Services | $12,824,786 | ProgramServicesAmt |
| Management And General | $4,385,429 | ManagementAndGeneralAmt |
| Fundraising | $57,898 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,251,555 | TotalAmt |
| Program Services | $70,603 | ProgramServicesAmt |
| Management And General | $1,156,975 | ManagementAndGeneralAmt |
| Fundraising | $23,977 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,226,286 | TotalAmt |
| Program Services | $778,903 | ProgramServicesAmt |
| Management And General | $418,203 | ManagementAndGeneralAmt |
| Fundraising | $29,180 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,731,740 | TotalAmt |
| Program Services | $34,513 | ProgramServicesAmt |
| Management And General | $5,696,834 | ManagementAndGeneralAmt |
| Fundraising | $393 | FundraisingAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,368,594 | TotalAmt |
| Program Services | $3,616,164 | ProgramServicesAmt |
| Management And General | $727,974 | ManagementAndGeneralAmt |
| Fundraising | $24,456 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $293,377 | TotalAmt |
| Program Services | $186,591 | ProgramServicesAmt |
| Management And General | $101,079 | ManagementAndGeneralAmt |
| Fundraising | $5,707 | FundraisingAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,567,826 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $1,567,826 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,668,034 | TotalAmt |
| Program Services | $3,628,308 | ProgramServicesAmt |
| Management And General | $4,013,748 | ManagementAndGeneralAmt |
| Fundraising | $25,978 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $795,830 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $795,830 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| Food Expense | $3,890,548 | $3,830,528 | $59,936 | $84 |
| QAAP | $3,721,639 | $3,721,639 | $0 | $0 |
| Patient Assistance Support | $2,094,878 | $2,094,878 | $0 | $0 |
| Pharmacy Costs | $1,474,059 | $1,474,059 | $0 | $0 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,968,225 | TotalAmt |
| Program Services | $2,182,963 | ProgramServicesAmt |
| Management And General | $1,766,547 | ManagementAndGeneralAmt |
| Fundraising | $18,715 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $217,377,642 | TotalAmt |
| Program Services | $174,257,859 | ProgramServicesAmt |
| Management And General | $42,414,693 | ManagementAndGeneralAmt |
| Fundraising | $705,090 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $490,139 | BOYAmt |
| EOY | $1,729,097 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $199,609 | BOYAmt |
| EOY | $35,746 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,218,001 | BOYAmt |
| EOY | $19,138,297 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $80,000 | BOYAmt |
| EOY | $70,000 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $193,411 | BOYAmt |
| EOY | $0 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,734,755 | BOYAmt |
| EOY | $11,729,983 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $171,471,958 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $104,442,068 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $53,222,530 | BOYAmt |
| EOY | $67,029,890 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,426,936 | BOYAmt |
| EOY | $34,370,999 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,092,186 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,996,539 | BOYAmt |
| EOY | $11,065,213 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $127,654,106 | BOYAmt |
| EOY | $145,169,225 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,719,715 | BOYAmt |
| EOY | $21,189,030 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $265,965 | BOYAmt |
| EOY | $437,216 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,420,000 | BOYAmt |
| EOY | $20,820,000 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $609,358 | BOYAmt |
| EOY | $500,000 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,973,042 | BOYAmt |
| EOY | $12,639,186 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $53,988,080 | BOYAmt |
| EOY | $55,585,432 | 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 | $72,702,075 | BOYAmt |
| EOY | $86,148,220 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $963,951 | BOYAmt |
| EOY | $3,435,573 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $73,666,026 | BOYAmt |
| EOY | $89,583,793 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $127,654,106 | BOYAmt |
| EOY | $145,169,225 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $13,446,145 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $0 | NetUnrlzdGainsLossesInvstAmt |
| Donated Services And Use Fclts | $0 | DonatedServicesAndUseFcltsAmt |
| Investment Expense | $0 | InvestmentExpenseAmt |
| Prior Period Adjustments | $0 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $2,471,622 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | Yes (1) | DirectContactLegislatorsInd |
| Direct Contact Legislators | $85,500 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | 0 | OtherActivitiesInd |
| Total Lobbying Expenditures | $85,500 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule C, Part II-B, Line 1 | FormAndLineReferenceDesc |
| Explanation | Verbal and written communication with public officials regarding legislation and proposals affecting the delivery of healthcare in Michigan and Nationally. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $25,595,067 | BeginningYearBalanceAmt |
| Contributions | $39,324 | ContributionsAmt |
| Investment Earnings Or Losses | $3,116,509 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $662,198 | GrantsOrScholarshipsAmt |
| Other Expenditures | $136,018 | OtherExpendituresAmt |
| Administrative Expenses | $0 | AdministrativeExpensesAmt |
| End Year Balance | $27,952,684 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $24,395,211 | BeginningYearBalanceAmt |
| Contributions | $86,064 | ContributionsAmt |
| Investment Earnings Or Losses | $3,193,427 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $1,986,096 | GrantsOrScholarshipsAmt |
| Other Expenditures | $93,539 | OtherExpendituresAmt |
| Administrative Expenses | $0 | AdministrativeExpensesAmt |
| End Year Balance | $25,595,067 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $30,454,204 | BeginningYearBalanceAmt |
| Contributions | $123,914 | ContributionsAmt |
| Investment Earnings Or Losses | -$4,707,914 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $1,360,139 | GrantsOrScholarshipsAmt |
| Other Expenditures | $114,854 | OtherExpendituresAmt |
| Administrative Expenses | $0 | AdministrativeExpensesAmt |
| End Year Balance | $24,395,211 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $26,104,515 | BeginningYearBalanceAmt |
| Contributions | $117,946 | ContributionsAmt |
| Investment Earnings Or Losses | $5,332,485 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $1,094,565 | GrantsOrScholarshipsAmt |
| Other Expenditures | $6,177 | OtherExpendituresAmt |
| Administrative Expenses | $0 | AdministrativeExpensesAmt |
| End Year Balance | $30,454,204 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $25,715,850 | BeginningYearBalanceAmt |
| Contributions | $127,880 | ContributionsAmt |
| Investment Earnings Or Losses | $1,481,591 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $1,219,787 | GrantsOrScholarshipsAmt |
| Other Expenditures | $1,019 | OtherExpendituresAmt |
| Administrative Expenses | $0 | AdministrativeExpensesAmt |
| End Year Balance | $26,104,515 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.85 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.15 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (1) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (1) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $441,920 | OtherCostOrOtherBasisAmt |
| Book Value | $441,920 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $88,400,253 | OtherCostOrOtherBasisAmt |
| Depreciation | $53,550,958 | DepreciationAmt |
| Book Value | $34,849,295 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $7,043,352 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,922,035 | DepreciationAmt |
| Book Value | $4,121,317 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $57,410,522 | OtherCostOrOtherBasisAmt |
| Depreciation | $43,607,091 | DepreciationAmt |
| Book Value | $13,803,431 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $18,175,911 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,361,984 | DepreciationAmt |
| Book Value | $13,813,927 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $67,029,890 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Deferred Compensation | $4,448,191 |
| Operating Lease Right of Use Asset | $4,383,898 |
| Other Assets | $2,233,124 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $11,065,213 | TotalBookValueOtherAssetsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| Deferred Compensation | $4,448,191 |
| Finance Lease Obligations, net of current portion | $4,430,739 |
| Operating lease liability, net of current portion | $3,760,256 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $12,639,186 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $230,627,154 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $0 | NetUnrealizedGainsInvstAmt |
| Donated Services And Use Fclts | $0 | DonatedServicesAndUseFcltsAmt |
| Recoveries Prior Year Grants | $0 | RecoveriesPriorYearGrantsAmt |
| Other Revenue | $0 | OtherRevenueAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $230,627,154 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $202,818 | InvestmentExpensesNotIncldAmt |
| Other Revenues Not Included | -$6,185 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $196,633 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $230,823,787 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $217,181,009 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $0 | DonatedServicesUseFcltsAmt |
| Prior Year Adjustments | $0 | PriorYearAdjustmentsAmt |
| Losses Reported | $0 | LossesReportedAmt |
| Other Expenses Included | $6,185 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $6,185 | ExpensesNotReportedAmt |
| Expenses Subtotal | $217,174,824 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $202,818 | InvestmentExpensesNotIncld2Amt |
| Other Expenses Not Included | $0 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $202,818 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $217,377,642 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule D, Part V, Line 4 | The spending policy allows for annual spending of 5% of the average fair market value of the net assets for the prior three years. This amount is transferred from the Foundation to the operating funds of the Pine Rest organization to provide for the care of patients and initiatives that benefit the organization. The spending policy allows for use of investment earnings on restricted endowment funds in accordance with donor wishes. |
| Schedule D, Part X, Line 2 | The Corporation is a non-profit hospital corporation organized under the laws of the State of Michigan and is designated by the Internal Revenue Service as a section 501(c)(3) organization. It is exempt from income taxes on related income pursuant to Section 501(a) of the Internal Revenue Code. The Corporation has no amounts accrued for interest penalties as of June 30, 2024. The Corporation does not expect the total amount of unrecognized tax benefits to significantly change over the next twelve months. The Corporation is no longer subject to examination by tax authorities for years before 2019. |
| Schedule D, Part XI, Line 4b | $6,185 equals rental expense that is reported in expenses on audited financial statements but reported in net revenue on IRS 990 |
| Schedule D, Part XII, Line 2d | $6,185 is Rental expense that is reported in expense in the audited financial statements but netted against revenue in the IRS 990. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 2.5 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent250 | Yes (X) | Percent250Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | 0 | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,273,238 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,116,000 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,157,238 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0239 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $46,090,165 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $36,368,143 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $9,722,022 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0558 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $51,363,403 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $37,484,143 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $13,879,260 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0797 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $162,102 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $162,102 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0007 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $56,037,733 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $43,051,997 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $12,985,736 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0598 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $641,852 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $338,003 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $303,849 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0014 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $56,841,687 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $43,390,000 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $13,451,687 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0619 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $108,205,090 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $80,874,143 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $27,330,947 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.1416 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReportedInd |
| Bad Debt Expense | $5,594,954 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $191,168 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $26,937,310 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $29,515,490 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$2,578,180 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Pine Rest Christian Mental Health Services | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 300 68th Street SE | AddressLine1Txt |
| Address Line2 | PO Box 165 | AddressLine2Txt |
| City | Grand Rapids | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 495010165 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | www.pinerest.org | WebsiteAddressTxt |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Pine Rest Christian Mental Health Services | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 20 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | https://www.pinerest.org/about-us/ | OwnWebsiteURLTxt |
| Other Website | Yes (X) | OtherWebsiteInd |
| Other Website URL | https://kentcountyhealthconnect.org/community-health-needs-assessment/2023-chna/ | OtherWebsiteURLTxt |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 24 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | https://www.pinerest.org/media/CHIP-2024.pdf | StrategyWebsiteURLTxt |
| Strategy Attached | 0 | StrategyAttachedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| Other Criteria | Yes (X) | OtherCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | https://www.pinerest.org/community-services-outreach/financial-assistance/ | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | https://www.pinerest.org/community-services-outreach/financial-assistance/ | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | https://www.pinerest.org/community-services-outreach/financial-assistance/ | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | 0 | NondisEmergencyCarePolicyInd |
| No Emergency Care | Yes (X) | NoEmergencyCareInd |
| Emergency Care Limited | Yes (X) | EmergencyCareLimitedInd |
| Other Reason | Yes (X) | OtherReasonInd |
| Look Back Medicaid Medcr Prvt | Yes (X) | LookBackMedicaidMedcrPrvtInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part V, Section B, Line 5-Pine Rest Christian Mental Health Services | The process of assessing community health needs in Kent County, Michigan is undertaken on a collaborative basis. The process (CHNA) is organized and coordinated by the Kent County Department of Public Health every three years. The process involves more than fifty community organizations, including acute care health systems and specialty hospitals in the county. Pine Rest Christian Mental Health Services is a principal participant in the CHNA process, especially as it relates to behavioral health in all aspects. Through community engagement and participation, this process identifies and prioritizes health-related needs and analyzes a broad range of social, economic, environmental and behavioral factors that may contribute to health needs or influence health outcomes of residents. The process involves collection of information from the public at-large through focus groups, meetings, and surveys. Information from the CHNA process is then used to develop a Community Health Improvement Plan (CHIP), which aims to address the prioritized needs. The final CHIP, compiled by the Department of Public Health with the assistance of all major participants, is made available to the public on the Department's website. See https://kentcountyhealthconnect.org/community-health-needs-assessment/2023-chna/. See the CHIP for details on methods employed, data collected, sources of input, and key findings. Pine Rest Christian Mental Health Services uses the CHIP to establish its own strategic initiatives addressing the needs identified in the behavioral health field. See https://www.pinerest.org/about-us/#KCCNA |
| Schedule H, Part V, Section B, Line 6a-Pine Rest Christian Mental Health Services | Kent County Health Department, Mary Free Bed Rehabilitation Hospital, Trinity Health, University of Michigan Health West, Corewell Health. |
| Schedule H, Part V, Section B, Line 6b-Pine Rest Christian Mental Health Services | https://kentcountyhealthconnect.org/community-health-needs-assessment/2023-chna/ for a full list of participants. |
| Schedule H, Part V, Section B, Line 11-Pine Rest Christian Mental Health Services | For each year of the CHNA, Pine Rest assesses and builds a response to the report. Consequently, Pine Rest Christian Mental Health Services has selected issues from the CHNA that can and should be addressed by the organization. |
| Schedule H, Part V, Section B, Line 13h-Pine Rest Christian Mental Health Services | In determining financial assistance eligibility, Pine Rest Christian Mental Health Services evaluates the patient/guarantor's ability to pay the organization for the services requested or previously provided. Pine Rest evaluates information such as: income, net worth, employment status, other financial obligations and amount/frequency of healthcare needs. |
| Schedule H, Part V, Section B, Line 21c-Pine Rest Christian Mental Health Services | Pine Rest Christian Mental Health Services is a behavioral health facility. Emergency Medical care is not provided at the organization and therefore the organization does not fall under EMTALA. |
| Schedule H, Part V, Section B, Line 21d-Pine Rest Christian Mental Health Services | Pine Rest Christian Mental Health Services is a behavioral health facility. Emergency Medical care is not provided at the organization and therefore the organization does not fall under EMTALA. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 28 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (28 entries)
| Address Line1USAddress/AddressLine1Txt | Address Line2USAddress/AddressLine2Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt | Business Name Line2BusinessName/BusinessNameLine2Txt |
|---|---|---|---|---|---|---|
| Pine Rest - Campus Clinic | ||||||
| 300 68th Street SE | PO Box 165 | Grand Rapids | MI | 495010165 | Outpatient clinic, residential detox, screening, assessment, referral | |
| Pine Rest - Southwest Clinic | ||||||
| 4211 Parkway Place | Grandville | MI | 49418 | Outpatient Clinic, screening, assessment, referral and follow up | ||
| Pine Rest - Traverse City Clinic | ||||||
| 1050 Silver Drive | Traverse City | MI | 49684 | Outpatient Clinic, mental health, addiction treatment and follow up | ||
| Pine Rest - Northeast Clinic | ||||||
| 3225 North Evergreen Drive NE | Suite 301 | Grand Rapids | MI | 49525 | Outpatient Clinic, screening, assessment, referal and follow up | |
| Pine Rest - Northwest Clinic | ||||||
| 2118 3 Mile Road | Grand Rapids | MI | 49544 | Outpatient Clinic, screening, assessment, referral and follow up | ||
| Pine Rest - Northshore Clinic | ||||||
| 17325 VanWagoner Road | Spring Lake | MI | 49456 | Outpatient Clinic, screening, assessment, referral and follow up | ||
| Pine Rest - Neuromodulation Clinic | ||||||
| 300 68th Street SE | Grand Rapids | MI | 49508 | Outpatient and Inpatient, screening, assessment, referral and follow up | ECT/TMS | |
| Pine Rest - Christian Counseling Center | ||||||
| 1870 Leonard NE | Grand Rapids | MI | 49505 | Outpatient Clinic, screening, assessment, referral and follow up | ||
| Pine Rest - InterActions Residential Treatment | ||||||
| 300 68th Street SE | Grand Rapids | MI | 49548 | Adult Foster Care | ||
| Pine Rest - Recovery | ||||||
| 300 68th Street SE | Grand Rapids | MI | 49548 | Residential mental health and addiction treatment and detox | ||
| Pine Rest - Holland Clinic | ||||||
| 926 S Washington Ave | Suite 210 | Holland | MI | 49423 | Outpatient Clinic, screening, assessment, referral and follow up | |
| Pine Rest - Kalamazoo Clinic | ||||||
| 1530 Nichols Road | Kalamazoo | MI | 49006 | Outpatient Clinic, screening, assessment, referral and follow up | ||
| Pine Rest - Community Case Management | ||||||
| 320 Commerce Avenue SW | Grand Rapids | MI | 49503 | Outpatient Clinic, comm change alternative informatin training, prevention and mental health | ||
| Pine Rest - Zeeland Clinic | ||||||
| 8333 Felch | Suite 210 | Zeeland | MI | 49464 | Outpatient Clinic, screening, assessment, referral and follow up | |
| Pine Rest - Caledonia Clinic | ||||||
| 6505 Cherry Meadow Dr | Caledonia | MI | 49316 | Outpatient Clinic, screening, assessment, referral and follow up | ||
| Pine Rest - CenterPointe Recovery Center | ||||||
| 1145 Oakland Drive | Kalamazoo | MI | 49008 | Adult Foster Care | ||
| Pine Rest - Cameron | ||||||
| 6680 Adrian SE | Grand Rapids | MI | 49548 | Adult Foster Care | ||
| Pine Rest - SEQUOIA Program | ||||||
| 300 68th Street SE | Grand Rapids | MI | 49548 | Education, awareness, access and non-traditional services to the community | ||
| Pine Rest - Westwood | ||||||
| 7047 Madison SE | Grand Rapids | MI | 49548 | Adult Foster Care | ||
| Pine Rest - Pine Grove | ||||||
| 7051 Madison SE | Grand Rapids | MI | 49548 | Adult Foster Care | ||
| Pine Rest - Portage Clinic | ||||||
| 1350 W Centre Avenue | Portage | MI | 49024 | Outpatient Clinic, screening, assessment, referral and follow up | ||
| Pine Rest - Adrian | ||||||
| 6700 Adrian SE | Grand Rapids | MI | 49548 | Adult Foster Care | ||
| Pine Rest - Eastwood | ||||||
| 7041 Madison SE | Grand Rapids | MI | 49548 | Adult Foster Care | ||
| Pine Rest - Supported Independent Living | ||||||
| 821 68th Street SE | Grand Rapids | MI | 49508 | Residential supervised independent living | ||
| Pine Rest - Forest Hills Clinic | ||||||
| 877 Forest Hill Ave SE | Grand Rapids | MI | 49546 | Outpatient clinic, residential detox, screening, assessment, referral | ||
| Pine Rest - Hastings Clinic | ||||||
| 450 Meadow Run | Hastings | MI | 49058 | Outpatient clinic, residential detox, screening, assessment, referral | ||
| Pine Rest - Transition Clinic | ||||||
| 300 68th Street SE | Grand Rapids | MI | 49548 | Assist youth in transitioning from Foster care | ||
| Pine Rest - Psychological Consultation Center | ||||||
| 6500 Byron Center Ave SW | Suite 300 | Byron Center | MI | 49315 | Specializes in assessing the relationship between behavior and brain functioning. | |
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part I, Line 7 | Utilizing prescribed worksheets 1 through 8 as defined by the IRS |
| Schedule H, Part III, Section A, Line 4 | The provision for bad debit is based upon management's assessment of historical and expected collections of accounts receivable considering business and economic conditions, trends in healthcare coverage and other collection indicators. Accounts receivables are written off and charged to bad debt after collection efforts have been made in accordance with organizational policies. Recoveries are treated as a reduction of bad debt. Accounts receivables are reduced by an allowance for doubtful accounts. The allowances for doubtful accounts are reviewed frequently based upon historical data regarding collections. |
| Schedule H, Part III, Section B, Line 8 | The sources is the Medicare cost report as well as fiscal year-end organization financial statements and data. |
| Schedule H, Part III, Section C, Line 9b | The organization's financial assistance policy and collection policies address the circumstances in which "extraordinary collection action" will be taken with regard to a patient who is or may be eligible for financial assistance. In summary, as long as a patient is eligible to apply for financial assistance (a period that remains open for a minimum of 240 days from the date of initial billing statement), no extraordinary collection action will be taken. If a patient submits a complete financial assistance application during the application period, Pine Rest will not engage in any extraordinary collection action during application processing. Outstanding patient balances owed and not covered by the Financial Assistance Program may be subject to extraordinary collection action. However, uninsured patients whose annual income is less than or equal to 250% of the federal poverty guidelines and who do not qualify for financial assistance will qualify to have their charges reduced to Medicare rates for the same or similar services. Payment of the adjusted charges will be considered payment in full for the billed services. The collection policy can be consulted for complete details. hppts://pinerest.org/media/Billing-Collections-Policy.pdf |
| Schedule H, Part VI, Line 2 | Each year, Pine Rest Christian Mental Health Serivces reviews and builds a response to the most recent Community Health Needs Assessment (CHNA) and ensures that we are addressing community need as best we can. Further, the planning process takes into account market demand and the needs of the greater medical community in assessing how to organize clinical care delivery. The organizations annual budget process ensures that it is performing these services in a financially sustainable manner. |
| Schedule H, Part VI, Line 3 | Pine Rest has implemented measures to communicate to patients, their family members, and the public the availability of both public and private financials assistance. Communication methods include but are not limited to written information in all admission offices, waiting rooms and other public locations, as well as information on the Pine Rest website. In addition, Pine Rest offers a plain language summary of its Financial Assistance Eligibility Policy as part of the patient intake and/or discharge process and provides individuals with assistance in completing the application. The Financial Assistance Eligibility Police, Plain Language Summary and Application Form are available in fourteen languages. |
| Schedule H, Part VI, Line 4 | Our hospital and residential campus is located in Cutlerville, Michigan and primarily services people living in the greater West Michigan area. Some of the programs, especially those serving children and adolescents, draw from a larger geographic area. Through our growing telehealth services, the organizations clinical reach continues to expand. The network of inpatient, residential, and outpatient services reaches people of all ages, races, ethnicities and walks of life. |
| Schedule H, Part VI, Line 5 | To ensure a strategic focus on the health needs of the community serviced, the majority of the governing body is composed of residents of the primary service area of the organization. These individuals are neither employees nor contractors of the organization. In addition, the organization has an open medical staff, allowing hospital staff membership to all physicians in the community who meet membership and clinical privilege requirements. This approach improves access to behavioral health services through greater availability of medical staff within the service area. Since 1910, the organization has consistently applied surplus funds to the improvement of patient access and care, staff education and research designed to expand and improve the level of patient care. Pine Rest also provides educational programs to the community on behavioral health topics. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Idemnification Gross Up Pmts | Yes (X) | IdemnificationGrossUpPmtsInd |
| Written Policy Ref T And E Expnss | Yes (1) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (17 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Mark C Eastburg PhD | ||||||||||||||
| President & CEO | $470,447 | $0 | $122,680 | $0 | $20,435 | $0 | $30,000 | $0 | $27,510 | $0 | $671,072 | $0 | $0 | $0 |
| Marwan Tabbara | ||||||||||||||
| Medical Staff | $483,053 | $0 | $104,250 | $0 | $713 | $0 | $29,309 | $0 | $20,710 | $0 | $638,035 | $0 | $0 | $0 |
| William Sanders | ||||||||||||||
| Chief Medical Officer | $356,787 | $0 | $175,851 | $0 | $23,213 | $0 | $22,500 | $0 | $26,510 | $0 | $604,861 | $0 | $0 | $0 |
| Lindsey Bailey | ||||||||||||||
| Medical Staff | $229,810 | $0 | $267,815 | $0 | $22,458 | $0 | $22,500 | $0 | $10,449 | $0 | $553,032 | $0 | $0 | $0 |
| Bibhas Singla | ||||||||||||||
| Medical Staff | $290,871 | $0 | $162,251 | $0 | $21,564 | $0 | $22,500 | $0 | $26,510 | $0 | $523,696 | $0 | $0 | $0 |
| James Eicher | ||||||||||||||
| Medical Professional | $300,036 | $0 | $140,744 | $0 | $21,873 | $0 | $22,500 | $0 | $25,910 | $0 | $511,063 | $0 | $0 | $0 |
| Jack Mahdasian | ||||||||||||||
| Medical Staff | $305,435 | $0 | $134,371 | $0 | $19,700 | $0 | $26,746 | $0 | $23,758 | $0 | $510,010 | $0 | $0 | $0 |
| Samuel Lin | ||||||||||||||
| Medical Staff | $305,567 | $0 | $155,693 | $0 | $644 | $0 | $22,500 | $0 | $20,671 | $0 | $505,075 | $0 | $0 | $0 |
| Sonia Motin | ||||||||||||||
| Medical Staff | $351,256 | $0 | $91,888 | $0 | $494 | $0 | $22,500 | $0 | $26,510 | $0 | $492,648 | $0 | $0 | $0 |
| Louis Nykamp | ||||||||||||||
| Medical Staff | $349,987 | $0 | $62,621 | $0 | $15,266 | $0 | $22,220 | $0 | $20,671 | $0 | $470,765 | $0 | $0 | $0 |
| Paul H Karsten | ||||||||||||||
| VP & CFO | $330,351 | $0 | $82,672 | $0 | $682 | $0 | $29,443 | $0 | $17,913 | $0 | $461,061 | $0 | $0 | $0 |
| Robert L Nykamp | ||||||||||||||
| VP & COO | $304,138 | $0 | $69,477 | $0 | $23,213 | $0 | $30,000 | $0 | $2,682 | $0 | $429,510 | $0 | $0 | $0 |
| Valerie MathisAllen | ||||||||||||||
| Medical Staff | $218,609 | $0 | $60,600 | $0 | $23,144 | $0 | $30,000 | $0 | $11,104 | $0 | $343,457 | $0 | $0 | $0 |
| Harmony Gould | ||||||||||||||
| Director of HBS | $211,460 | $0 | $62,831 | $0 | $556 | $0 | $22,500 | $0 | $10,104 | $0 | $307,451 | $0 | $0 | $0 |
| Susan Langeland | ||||||||||||||
| Chief Information Officer | $216,876 | $0 | $51,060 | $0 | $592 | $0 | $5,512 | $0 | $25,660 | $0 | $299,700 | $0 | $0 | $0 |
| Thomas Scott Halstead | ||||||||||||||
| Director of PPG | $164,533 | $0 | $25,128 | $0 | $434 | $0 | $29,704 | $0 | $21,703 | $0 | $241,502 | $0 | $0 | $0 |
| Ryan LaRue | ||||||||||||||
| Vice President of Contracts | $139,781 | $0 | $16,343 | $0 | $367 | $0 | $11,873 | $0 | $25,690 | $0 | $194,054 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule J, Part I, Line 1a | taxable term life premiums added to taxable income were grossed up to compensate for taxes on the premiums. Grossed up amounts were taxed. |
| Schedule J, Part I, Line 3 | The Board of Directors has adopted a written executive compensation plan and has delegated to the Compensation Committee the responsibility for implementing and overseeing compensation issues with regular reporting to the board. In setting and reviewing executive compensation for the COO, CFO, CMO and Vice Presidents, the Compensation Committee relies on market data for similarly situated hospital executives in comparable organizations. The Compensation Committee also reviews salary market information for the CEO and makes a recommendation to the Executive Committee. The Executive Committee relies on market data for similarly situated professionals serving comparable institutions. The organization regularly commissions studies by ECG Management to ensure that the total compensation paid to Physicians is reasonable, consistent with objective market data and in the best interest of the organization. The compensation model for Physicians was adopted by the organization based upon those studies. Review and approval of all new Physician employment contracts by both the CFO and chairman of the Compensation Committee is required to ensure that all compensation packages are within the approval limits. Documentation and supporting detail are maintained for all compensation decisions. |
| Schedule J, Part I, Line 7 | Employment contracts with officers of the organization allow for performance-based incentives. Each year, the Board of Directors articulates and approves objective, measurable performance criteria. If performance criteria are met, performance-based incentives are paid. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Kent Hospital Finance Authority | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 382350002 | BondIssuerEIN |
| Bond Issued | 2022-03-25 | BondIssuedDt |
| Issue Price | $28,120,000 | IssuePriceAmt |
| Purpose | Refinance 2015 and 2017 Bonds | PurposeDesc |
| Defeased | 0 | DefeasedInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Pool Financing | 0 | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Retired | $0 | RetiredAmt |
| Bond Defeased | $0 | BondDefeasedAmt |
| Total Proceeds | $0 | TotalProceedsAmt |
| In Reserve Fund | $0 | InReserveFundAmt |
| Capitalized Interest | $0 | CapitalizedInterestAmt |
| Refunding Escrow | $0 | RefundingEscrowAmt |
| Issuance Costs From Proceeds | $0 | IssuanceCostsFromProceedsAmt |
| Credit Enhancement | $0 | CreditEnhancementAmt |
| Working Capital Expenditures | $0 | WorkingCapitalExpendituresAmt |
| Capital Expenditures | $0 | CapitalExpendituresAmt |
| Other Spent Proceeds | $0 | OtherSpentProceedsAmt |
| Unspent | $0 | UnspentAmt |
| Substantial Completion | 2031 | SubstantialCompletionYr |
| Refunding Tax Exempt Bonds | Yes (1) | RefundingTaxExemptBondsInd |
| Refunding Taxable Bonds | 0 | RefundingTaxableBondsInd |
| Final Allocation Made | 0 | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (1) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | 0 | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | 0 | MgmtContractBondFincdPropInd |
| Any Research Agreements | 0 | AnyResearchAgreementsInd |
| Private Bus Use By Others | 0 | PrivateBusUseByOthersPct |
| Private Bus Concerning UBI | 0 | PrivateBusConcerningUBIPct |
| Total Private Business Use | 0 | TotalPrivateBusinessUsePct |
| Bond Iss Meet Prvt Sec Pymt Test | 0 | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | 0 | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiledInd |
| Rebate Not Due Yet | 0 | RebateNotDueYetInd |
| Exception To Rebate | 0 | ExceptionToRebateInd |
| No Rebate Due | 0 | NoRebateDueInd |
| Variable Rate Issue | 0 | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | 0 | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | 0 | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | Yes (1) | WrittenProcToMonitorReqsInd |
Schedule L IRS990ScheduleL
Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | William Sanders | PersonNm |
| Relationship With Org | Chief Medical Officer | RelationshipWithOrgTxt |
| Loan From Organization | Yes (X) | LoanFromOrganizationInd |
| Original Principal | $100,000 | OriginalPrincipalAmt |
| Balance Due | $70,000 | BalanceDueAmt |
| Default | 0 | DefaultInd |
| Board Or Committee Approval | Yes (1) | BoardOrCommitteeApprovalInd |
| Written Agreement | Yes (1) | WrittenAgreementInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | $70,000 | TotalBalanceDueAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section B, Line 11b | The Board of directors has authorized the Finance Committee of the Board of Directors to review and approve form 990 each year prior to submission to the IRS. Each year, a copy of the Form 990 is given to the external auditors for review. Recommended changes are made to the form and supporting schedules. The Finance Committee votes on a motion to approve the form as amended. The final filed 990 is made available to all Board members for their review and information. |
| Form 990, Part VI, Section B, Line 12c | Every year, each member of the Board of Directors, as well as every officer and key employee, completes and certifies a written conflict-of-interest statement. The statement requires acknowledgment of the written conflict-of-interest policy and disclosure of any transaction or relationship falling within the policy. The organization's independent auditors also review transactions for conflicts of interest as part of the annual audit. The organization employs a director of corporate integrity, whose responsibilities include discovery and reporting of all actual and potential conflicts of interest. |
| Form 990, Part VI, Section B, Line 15 | The Board of Directors has adopted a written executive compensation plan and has designated to the Compensation Committee the responsibility for implementing and overseeing the plan, with regular reporting to the board. In setting and reviewing executive compensation for the CMO, COO, CFO and Vice Presidents, the Compensation Committee relies on market data for similarly situated hospital executives in comparable institutions. The Compensation Committee also reviews salary market information for the CEO and makes recommendations to the Executive Committee. The Executive Committee oversees CEO compensation. In setting and reviewing compensation of physicians (both employed and independently contracted), the Compensation Committee relies on market data for similarly situation professionals serving in comparable institutions. The Corporation regularly commissions studies by ECG Management Consultants to ensure that the total compensation paid to physicians is reasonable, consistent with objective market data, and in the best interest of the Corporation. The compensation model for physicians adopted by the Corporation is based on these studies. Review and approval of all new physician employment contracts by both the CFO and the Chairperson of the Compensation Committee is required to ensure that the compensation packages are within approved limits. Documentation and supporting detail are maintained for all compensation decisions. |
| Form 990, Part VI, Section C, Line 19 | Available upon request. |
| Form 990, Part XI, Line 9 | Changes in net assets with donor restrictions equals contributions restricted by donors of $3,826,470 less Net assets released from restriction of $1,354,848 for a total of $2,471,622 |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Pine Rest Foundation | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 300 68th Street SE | AddressLine1Txt |
| Address Line2 | PO Box 165 | AddressLine2Txt |
| City | Grand Rapids | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 495011065 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 381676540 | EIN |
| Primary Activities | Fundraising | PrimaryActivitiesTxt |
| Legal Domicile State | MI | LegalDomicileStateCd |
| Exempt Code Section | 501(c)(3) | ExemptCodeSectionTxt |
| Public Charity Status | Type 1 | PublicCharityStatusTxt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Pine Rest Christian Mental Health Services | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Organization | Yes (1) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (2 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| Pine Rest Foundation | ||
| c | $792,077 | Each year, following a specific formula, the Pine Rest Foundation awards grants to Pine Rest Christian Mental Health Services to fund various aspects of behavioral healthcare and counseling programs along with patient assistance. |
| Pine Rest Foundation | ||
| p | $71,878 | Pine Rest Christian Mental Health Services accounts payable department processes all invoices for the Pine Rest Foundation. The Pine Rest Foundation then reimburses Pine Rest Christian Mental Health Services for the amount equal to those invoices processed and paid on their behalf. |
Reasonable Cause Explanation ReasonableCauseExplanation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Explanation | We filed and had accepted an 8868 extension on this report to May 15, 2025. | ExplanationTxt |