PINE REST CHRISTIAN MENTAL HEALTH SERVICES: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization: PINE REST CHRISTIAN MENTAL HEALTH SERVICES (EIN 38-1368360)
Tax period: 2019-07-01 to 2020-06-30
Filed: 2021-05-10
IRS object ID: 202121349349303737
Schema version: 2019v5.0
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	2021-05-10T12:06:52-07:00	ReturnTs
Tax Period End	2020-06-30	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2019-07-01	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	2021-05-10	SignatureDt

Field	Value	IRS element (for citing)
Tax	2019	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

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
City	Grand Rapids	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	495010165	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$174,495,122	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	19	VotingMembersGoverningBodyCnt
Voting Members Independent	17	VotingMembersIndependentCnt
Total Employee	2389	TotalEmployeeCnt
Total Volunteers	188	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$2,316,948	PYContributionsGrantsAmt
CY Contributions Grants	$4,134,198	CYContributionsGrantsAmt
PY Program Service Revenue	$143,920,073	PYProgramServiceRevenueAmt
CY Program Service Revenue	$148,049,190	CYProgramServiceRevenueAmt
PY Investment Income	$1,576,048	PYInvestmentIncomeAmt
CY Investment Income	$1,515,889	CYInvestmentIncomeAmt
PY Other Revenue	$5,115,349	PYOtherRevenueAmt
CY Other Revenue	$7,588,723	CYOtherRevenueAmt
PY Total Revenue	$152,928,418	PYTotalRevenueAmt
CY Total Revenue	$161,288,000	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	$111,599,901	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$117,681,151	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$681,413	CYTotalFundraisingExpenseAmt
PY Other Expenses	$44,931,062	PYOtherExpensesAmt
CY Other Expenses	$43,863,097	CYOtherExpensesAmt
PY Total Expenses	$156,530,963	PYTotalExpensesAmt
CY Total Expenses	$161,544,248	CYTotalExpensesAmt
PY Revenues Less Expenses	-$3,602,545	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$256,248	CYRevenuesLessExpensesAmt
Total Assets BOY	$118,233,182	TotalAssetsBOYAmt
Total Assets EOY	$112,227,991	TotalAssetsEOYAmt
Total Liabilities BOY	$56,729,781	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$51,161,968	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$61,503,401	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$61,066,023	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	$61,039,128	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$83,351,437	RevenueAmt
Desc	Hospital Based Services inpatient and partial hospitalization programs include dedicated psychiatric services for children, adolescents, adults and older adults. Clinical conditions addressed included the full array of psychiatric diagnoses, co-occurring substance abuse diagnoses, and psychiatric disorders where treatment is complicated by co-existing medical conditions. Patients experience 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 accredited by the Joint Commission of Accreditation of Healthcare Organizations (JCAHO). Hospital Based Services, had 65,007 patient days of care in Fiscal year 2020.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$40,043,981	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$44,324,911	RevenueAmt
Desc	Clinic Network through its 19 clinics, offers outpatient, ambulatory care at locations throughout West and Northern Michigan, and in Iowa. 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 care. 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 assessment through the Psychological Consultation Center, intensive outpatient and residential substance abuse/addictions services, court-related services and assessments, and more. The Clinic Network had 299,120 patient visits in fiscal year 2020.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$6,257,071	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$7,886,518	RevenueAmt
Desc	Behavioral Health Solutions (BHS) provides management, consulting and staffing services for other healthcare organizations. These organizations are typically acute-care hospitals, often located in smaller communities, that lack the resources and expertise to operate a Psychiatric department. BHS organizes, manages and staffs psychiatric in-patient departments for these hospitals.. In addition, BHS provides consultation services to acute-care hospitals of all sizes. Through this program, Pine Rest psychiatrists address the needs of behavioral health patients in emergency and medical/surgical departments thru assessment, consultation and care navigation.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp (8 entries)

ExpenseExpenseAmt	GrantGrantAmt	RevenueRevenueAmt	DescDesc
$6,092,835	$0	$9,239,602	Pine Rest has operated a psychiatry residency program since July 2014, successfully beginning the sixth year of the program on July 1, 2019. There are currently 46 residents that spend 1 - 2 half days in lectures and individual supervision. The remaining time is spent on their rotations, working under the supervision of a psychiatrist to provide care to patients. Rotations include addictions, Network 180 (emergency psychiatry), child and adolescent, adult inpatient, older adult inpatient, primary care (OP family practice locations), neurology (Spectrum Health and Mercy Health) and outpatient clinic services. And, the Pine Rest OP Residency Clinic opened in October 2015 and is currently providing services to numerous community members. Applications for the next year's residency program are received in the fall. Pine Rest is pleased that our residents come from a variety of excellent medical schools located throughout the country. The candidates are ranked based on their past record in medical school, test scores and performance on their interviews with faculty. The Graduate Medical Education match system then assigns the residents to Pine Rest. The Pine Rest Psychiatry Residency Program is currently accredited by the ACGME through 2025. A fellowship to train Child and Adolescent psychiatrists began in July 2017. This two year training program involves rotations in the child and adolescent inpatient unit, residential program, partial hospital and outpatient services, as well as rotations at locations in the community such as community mental health and adolescent addiction programs. Research has shown that over 60% of psychiatry residents stay and work in the community where they train. Pine Rest's goal is to ensure over time that West Michigan has a sufficient amount of psychiatry to serve our community.
$3,372,259	$0	$1,718,735	Pine Rest Adolescent Services offers 24/7 supervision by experienced professionals to guide the activities of daily life for adolescents aged 12 to 18 years when hospitalization is not required. With capacity for 48, referrals are accepted based on age and behavioral criteria. A supportive milieu in both a locked and unlocked setting helps adolescents develop relationship and independent living skills. Social skills training is geared toward promoting positive relationships with peers and adults. Residents in treatment attend Kentwood Public Schools and receive homework help; they engage in on-campus and community activities to reinforce skills and foster goal achievement. The Pine Rest Adolescent services program had 4,482 patient days of care in fiscal year 2020.
$4,911,593	$0	$4,931,399	The Pine Rest Adult Residential Division offers longer term psychiatric services to adults 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). The Caring Communities Program brings Pine Rest into invited partnerships with established community organizations to introduce behavioral health services to under-served populations. Clients typically have limited resources and limited access to behavioral healthcare. With partners like Baxter Community Center, Belknap Commons, Dwelling Place, Grand Rapids Public Schools, Heartside Ministries, Grand Rapids Housing Commission and many more, Pine Rest addresses behavioral health needs in a non-traditional model. Adult Residential services had 9,127 patient days of care in fiscal year 2020.
$4,453,932	$0	$3,597,848	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 22,886 patient days of care in fiscal year 2020.
$2,131,056	$0	$2,657,142	The Pine Rest Community Services Programs provide outpatient mental health services as part of the community mental health system. The Community and Elderly Case Management Programs provide intensive case management services to adults with chronic mental health needs. The Integrated Medical Clinic offers immediate psychiatric services to the public patient as needed through a psychiatrist and a team of mid-level practitioners. In addition, a variety of outpatient substance abuse services as well as services to the homeless are provided. Residential Supports Coordinators work in a number of community settings to support individuals with disabilities to maintain stable housing as well.
$2,898,724	$0	$1,509,325	Addiction Treatment Services offers a wide range of addiction and recovery services including outpatient and residential services for those with co-occurring substance use and mental health disorders. Professional services are designed to provide a safe, caring environment where persons gain insight and acquire skills for ongoing recovery. Transitional housing is available for clients who need safe, substance-free housing while transitioning to community living. Addiction facilities are state-licensed where appropriate and accredited by the Commission on Accreditation of Rehabilitation Facilities (CARF). The Addiction treatment services program had 13,926 patient days of care in fiscal year 2020.
-$718,950	$0	$916,736	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.
$747,793	$0	$829,633	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.

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$23,889,242	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$0	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$25,400,420	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$131,229,422	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	0	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	137	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	2389	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	19	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	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Institutional TrusteeInstitutionalTrusteeInd
Amandeep S Saluja
Medical Staff	55	0	Yes (X)	$520,323	$0	$19,094
Mark C Eastburg PhD
President & CEO	58	2		$462,132	$0	$29,828	Yes (X)
Bibhas Singla
Medical Staff	55	0	Yes (X)	$459,702	$0	$19,755
Marwan Tabbara
Medical Staff	55	0	Yes (X)	$454,907	$0	$21,982
Jack Mahdasian
Medical Staff	55	0	Yes (X)	$435,163	$0	$23,031
William Sanders
Medical Staff	55	0	Yes (X)	$428,782	$0	$23,132
Katherine Jawor
Medical Staff	55	0		$381,889	$0	$6,616		Yes (X)
Daniel Schellenberg
Medical Staff	55	0		$358,656	$0	$24,132		Yes (X)
Alam M Armstrong MD
Chief Medical Officer	60	0		$331,588	$0	$15,062	Yes (X)
Valerie MathisAllen
Medical Staff	55	0		$329,373	$0	$10,046		Yes (X)
Robert L Nykamp
VP & COO	60	0		$309,600	$0	$20,718	Yes (X)
Paul H Karsten
VP & CFO	58	2		$291,120	$0	$19,755	Yes (X)
Verle Bell
Medical Staff	55	0		$268,242	$0	$16,429		Yes (X)
Susan Langeland
Chief Information Officer	60	0		$227,763	$0	$23,032	Yes (X)
Scott A Wagner
VP BHS	60	0		$169,014	$0	$21,244	Yes (X)
Thomas Elzinga
VP General Services	60	0		$139,577	$0	$6,616	Yes (X)
David G Folks
Medical Staff	55	0		$29,152	$0	$2,279		Yes (X)
Scott Bolinger
Vice Chairperson and Secretary	1	0		$0	$0	$0			Yes (X)
Jody Vanderwel
Chairperson	1	0		$0	$0	$0			Yes (X)
Gil Segovia
Treasurer	1	0		$0	$0	$0			Yes (X)
Mary Ann Cartwright
Board Member	1	0		$0	$0	$0				Yes (X)
LaRissa Hollingsworth
Board Member	1	0		$0	$0	$0				Yes (X)
Art Jongsma PhD
Board Member	1	0		$0	$0	$0				Yes (X)
Doug Josephson
Board Member	1	0		$0	$0	$0				Yes (X)
Ron Kool
Board Member	1	0		$0	$0	$0				Yes (X)
Glenn Mitcham
Board Member	1	0		$0	$0	$0				Yes (X)
David McKeague
Board Member	1	0		$0	$0	$0				Yes (X)
Laurie Murphy
Board Member	1	0		$0	$0	$0				Yes (X)
Susan Valcq
Board Member	1	0		$0	$0	$0				Yes (X)
Sylvia Daining
Board Member	1	0		$0	$0	$0				Yes (X)
Brett Holleman
Board Member	1	0		$0	$0	$0				Yes (X)
Kirk Lambers
Board Member	1	0		$0	$0	$0				Yes (X)
Marilyn Litka-Klein
Board Member	1	0		$0	$0	$0				Yes (X)
Abbey Slakick
Board Member	1	0		$0	$0	$0				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$5,596,983	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$302,751	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	110	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	Address Line2ContractorAddress/USAddress/AddressLine2Txt
Epic Systems Corporation
1979 Milky Way	Verona	WI	53593	Electronic Medical Record	$7,507,029
Unidine Corporation
PO Box 360639	Pittsburgh	PA	152516639	Patient Dietary and Cafeteria Services	$4,056,024
US Signal LLC
201 Ionia Avenue SW	Grand Rapids	MI	49503	Cloud Data Hosting	$1,884,764
Institutional Pharmacy Solutions
3480 EAstern Boulevard	Montgomery	AL	36116	Pharmacy	$1,194,809
River City Mechanical
5325 6 Mile Ct NW	Comstock Park	MI	49321	Mechanical and Maintenance Services	$447,602	STE A

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	65	CntrctRcvdGreaterThan100KCnt
Federated Campaigns	$0	FederatedCampaignsAmt
Membership Dues	$0	MembershipDuesAmt
Fundraising	$0	FundraisingAmt
Related Organizations	$3,595,411	RelatedOrganizationsAmt
Government Grants	$538,787	GovernmentGrantsAmt
All Other Contributions	$0	AllOtherContributionsAmt
Noncash Contributions	$0	NoncashContributionsAmt
Total Contributions	$4,134,198	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
Inpatient Care	622000	$87,419,084	$87,419,084	$0	$0
Outpatient Clinics	621400	$40,745,339	$40,745,339	$0	$0
Inpatient Contracted Services	622000	$7,179,203	$7,179,203	$0	$0
Residential	623000	$12,705,564	$12,705,564	$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	$148,049,190	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$787,137	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$787,137	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	$58,585	RealAmt
Personal	$0	PersonalAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$11,303	RealAmt
Personal	$0	PersonalAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$47,282	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$47,282	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$47,282	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$13,924,571	SecuritiesAmt
Other	$0	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$13,195,819	SecuritiesAmt
Other	$0	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$728,752	SecuritiesAmt
Other	$0	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$728,752	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$728,752	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
CARES Act Provider Relief Fund	622210	$2,817,715	$0	$0	$2,817,715
Community Assistance Program	624230	$669,065	$0	$0	$669,065
BHH and StreetReach	624100	$1,699,452	$0	$0	$1,699,452

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,355,209	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$2,355,209	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$7,541,441	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$161,288,000	TotalRevenueColumnAmt
Related Or Exempt Func Income	$148,049,190	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$9,104,612	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

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$2,359,576	TotalAmt
Program Services	$428,782	ProgramServicesAmt
Management And General	$1,930,794	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	$94,229,354	TotalAmt
Program Services	$85,064,115	ProgramServicesAmt
Management And General	$8,736,276	ManagementAndGeneralAmt
Fundraising	$428,963	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$792,747	TotalAmt
Program Services	$689,095	ProgramServicesAmt
Management And General	$99,551	ManagementAndGeneralAmt
Fundraising	$4,101	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$13,827,761	TotalAmt
Program Services	$12,204,384	ProgramServicesAmt
Management And General	$1,548,408	ManagementAndGeneralAmt
Fundraising	$74,969	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$6,471,713	TotalAmt
Program Services	$5,718,918	ProgramServicesAmt
Management And General	$722,398	ManagementAndGeneralAmt
Fundraising	$30,397	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	$318,819	TotalAmt
Program Services	$62,953	ProgramServicesAmt
Management And General	$255,866	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$195,917	TotalAmt
Program Services	$36,750	ProgramServicesAmt
Management And General	$159,167	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$173,660	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$173,660	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$7,862,214	TotalAmt
Program Services	$5,235,418	ProgramServicesAmt
Management And General	$2,581,008	ManagementAndGeneralAmt
Fundraising	$45,788	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$697,262	TotalAmt
Program Services	$78,651	ProgramServicesAmt
Management And General	$591,494	ManagementAndGeneralAmt
Fundraising	$27,117	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,115,060	TotalAmt
Program Services	$714,131	ProgramServicesAmt
Management And General	$377,895	ManagementAndGeneralAmt
Fundraising	$23,034	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$587,039	TotalAmt
Program Services	$147,067	ProgramServicesAmt
Management And General	$438,649	ManagementAndGeneralAmt
Fundraising	$1,323	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	$6,840,959	TotalAmt
Program Services	$1,982,691	ProgramServicesAmt
Management And General	$4,857,978	ManagementAndGeneralAmt
Fundraising	$290	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$307,090	TotalAmt
Program Services	$225,374	ProgramServicesAmt
Management And General	$80,746	ManagementAndGeneralAmt
Fundraising	$970	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	$5,388	TotalAmt
Program Services	$5,188	ProgramServicesAmt
Management And General	$200	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$1,421,099	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$1,421,099	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	$6,876,119	TotalAmt
Program Services	$3,575,281	ProgramServicesAmt
Management And General	$3,273,138	ManagementAndGeneralAmt
Fundraising	$27,700	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$642,189	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$642,189	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
Bad Debt	$5,911,634	$5,911,634	$0	$0
Food	$2,817,072	$2,781,830	$35,092	$150
Patient Assistance	$1,960,618	$1,960,618	$0	$0
Pharmacy	$1,179,294	$1,179,294	$0	$0

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$4,951,664	TotalAmt
Program Services	$3,227,248	ProgramServicesAmt
Management And General	$1,707,805	ManagementAndGeneralAmt
Fundraising	$16,611	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$161,544,248	TotalAmt
Program Services	$131,229,422	ProgramServicesAmt
Management And General	$29,633,413	ManagementAndGeneralAmt
Fundraising	$681,413	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$349,795	BOYAmt
EOY	$1,583,548	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	$87,755	BOYAmt
EOY	$78,874	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$23,152,901	BOYAmt
EOY	$19,183,703	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	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	$7,456	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$109,528	BOYAmt
EOY	$129,755	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$2,551,985	BOYAmt
EOY	$2,610,754	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$134,441,517	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$77,016,280	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$60,349,625	BOYAmt
EOY	$57,425,237	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$29,600,836	BOYAmt
EOY	$29,069,526	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	$777,578	BOYAmt
EOY	$823,355	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	$1,253,179	BOYAmt
EOY	$1,315,783	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$118,233,182	BOYAmt
EOY	$112,227,991	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$15,568,338	BOYAmt
EOY	$12,652,306	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	$136,177	BOYAmt
EOY	$47,008	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$33,710,377	BOYAmt
EOY	$30,200,000	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	$4,615,932	BOYAmt
EOY	$5,256,959	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$2,698,957	BOYAmt
EOY	$3,005,695	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$56,729,781	BOYAmt
EOY	$51,161,968	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	$59,930,416	BOYAmt
EOY	$59,674,168	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,572,985	BOYAmt
EOY	$1,391,855	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$61,503,401	BOYAmt
EOY	$61,066,023	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$118,233,182	BOYAmt
EOY	$112,227,991	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$256,248	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	-$181,130	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	0	FederalGrantAuditRequiredInd

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	$2,961	DirectContactLegislatorsAmt
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	0	OtherActivitiesInd
Total Lobbying Expenditures	$2,961	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 health care in Michigan and Nationally.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$24,572,355	BeginningYearBalanceAmt
Contributions	$704,814	ContributionsAmt
Investment Earnings Or Losses	$1,632,181	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$1,193,500	GrantsOrScholarshipsAmt
Other Expenditures	$0	OtherExpendituresAmt
Administrative Expenses	$0	AdministrativeExpensesAmt
End Year Balance	$25,715,850	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$24,177,318	BeginningYearBalanceAmt
Contributions	$176,400	ContributionsAmt
Investment Earnings Or Losses	$1,366,629	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$1,132,261	GrantsOrScholarshipsAmt
Other Expenditures	$15,731	OtherExpendituresAmt
Administrative Expenses	$0	AdministrativeExpensesAmt
End Year Balance	$24,572,355	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$23,301,864	BeginningYearBalanceAmt
Contributions	$790,005	ContributionsAmt
Investment Earnings Or Losses	$1,954,474	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$1,534,202	GrantsOrScholarshipsAmt
Other Expenditures	$334,823	OtherExpendituresAmt
Administrative Expenses	$0	AdministrativeExpensesAmt
End Year Balance	$24,177,318	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$24,825,767	BeginningYearBalanceAmt
Contributions	$251,951	ContributionsAmt
Investment Earnings Or Losses	-$189,133	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$1,513,848	GrantsOrScholarshipsAmt
Other Expenditures	$72,873	OtherExpendituresAmt
Administrative Expenses	$0	AdministrativeExpensesAmt
End Year Balance	$23,301,864	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	$4,826,184	OtherCostOrOtherBasisAmt
Book Value	$4,826,184	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$78,689,964	OtherCostOrOtherBasisAmt
Depreciation	$47,190,687	DepreciationAmt
Book Value	$31,499,277	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$0	OtherCostOrOtherBasisAmt
Depreciation	$0	DepreciationAmt
Book Value	$0	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$48,635,339	OtherCostOrOtherBasisAmt
Depreciation	$29,535,831	DepreciationAmt
Book Value	$19,099,508	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$2,290,030	OtherCostOrOtherBasisAmt
Depreciation	$289,762	DepreciationAmt
Book Value	$2,000,268	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$57,425,237	TotalBookValueLandBuildingsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc	AmtAmt
Interest Rate Swap	$70,670
Deferred Compensation	$2,935,025

Field	Value	IRS element (for citing)
Total Liability	$3,005,695	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$161,125,643	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$0	NetUnrealizedGainsInvstAmt
Donated Services And Use Fclts	$11,303	DonatedServicesAndUseFcltsAmt
Recoveries Prior Year Grants	$0	RecoveriesPriorYearGrantsAmt
Other Revenue	$0	OtherRevenueAmt
Revenue Not Reported	$11,303	RevenueNotReportedAmt
Revenue Subtotal	$161,114,340	RevenueSubtotalAmt
Investment Expenses Not Incld	$173,660	InvestmentExpensesNotIncldAmt
Other Revenues Not Included	$0	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$173,660	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$161,288,000	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$161,381,891	TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts	$11,303	DonatedServicesUseFcltsAmt
Prior Year Adjustments	$0	PriorYearAdjustmentsAmt
Losses Reported	$0	LossesReportedAmt
Other Expenses Included	$0	OtherExpensesIncludedAmt
Expenses Not Reported	$11,303	ExpensesNotReportedAmt
Expenses Subtotal	$161,370,588	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$173,660	InvestmentExpensesNotIncld2Amt
Other Expenses Not Included	$0	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$173,660	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$161,544,248	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 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 Corporation to provide for the care of patients and other initiatives that benefit the organization. The spending policy allows for the use of investment earnings on permanently restricted endowment funds in accordance with donor wishes.

Schedule D, Part X, Line 2

The Corporation is not-for-profit corporation pursuant to Section 501(c)(3) of the Internal Revenue Code and is exempt from income taxes on related income pursuant to Section 501(a). The Corporation recognizes interest and penalties related to unrecognized tax positions and includes these in interest and income tax expense. The Corporation has no amounts accrued for interest and penalties as of June 30, 2020. 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 2017.

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	$3,181,581	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,181,581	NetCommunityBenefitExpnsAmt
Total Expense	0.0135	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$34,620,311	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$37,640,079	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,019,768	NetCommunityBenefitExpnsAmt
Total Expense	0.0187	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
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	$37,801,892	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$37,640,079	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,201,349	NetCommunityBenefitExpnsAmt
Total Expense	0.0322	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
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)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$109,595,812	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$97,904,196	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$11,688,616	NetCommunityBenefitExpnsAmt
Total Expense	0.0724	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$611,760	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$611,760	NetCommunityBenefitExpnsAmt
Total Expense	0.0038	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$110,207,572	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$97,904,196	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$12,300,376	NetCommunityBenefitExpnsAmt
Total Expense	0.0762	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$148,009,464	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$135,544,275	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$18,501,725	NetCommunityBenefitExpnsAmt
Total Expense	0.1084	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReportedInd
Bad Debt Expense	$5,911,834	BadDebtExpenseAmt
Bad Debt Expense Attributable	$4,049,792	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$11,150,309	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$12,080,059	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$929,750	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	19	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/#KCCNA	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	http://www.kentcountychna.org/workgroups.html	OtherWebsiteURLTxt
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	16	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	https://www.pinerest.org/media/Pine-Rest-Strategy-for-Community-Needs-Assessment-Report.pdf	StrategyWebsiteURLTxt
Strategy Attached	0	StrategyAttachedInd
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	250	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	250	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
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/about-us/financial-assistance/	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	https://www.pinerest.org/about-us/financial-assistance/	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	https://www.pinerest.org/about-us/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	In Kent County, Michigan, the process of assessing community health needs is undertaken on a collaborative basis. Under the leadership of the Kent County Health Department, and involving many healthcare institutions in the county. This process (called the CHNA) involved over fifty community organizations in 2019. 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. Pine Rest CMHS is a principal participant in the CHNA process, as it relates to behavioral health in all its aspects. See www.kentcountychna.org for details on methods employed, data collection, sources of input and key findings. Information from the CHNA is used to develop a Community Health Improvement plan (CHIP) which aims to address the prioritized needs. Pine Rest uses the CHIP to establish 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	Mercy Health St. Marys, Spectrum Health, Metro Health and Mary Free Bed
Schedule H, Part V, Section B, Line 6b-Pine Rest Christian Mental Health Services	see www.kentcountychna.org for a complete list of participants
Schedule H, Part V, Section B, Line 11-Pine Rest Christian Mental Health Services	Each year, Pine Rest assesses and updates a response to the most recent CHNA. Consequently, Pine Rest has selected issues from the CHNA that can and should be addressed by Pine Rest.
Schedule H, Part V, Section B, Line 13h-Pine Rest Christian Mental Health Services	In determining financial assistance eligibility, Pine Rest will evaluate the patient/guarantor's ability to reimburse Pine Rest for the services being requested or previously rendered. Pine Rest will evaluate information such as the following: Income Level, Net Worth, Employment Status, Other financial obligations, Amount and frequency of healthcare costs.
Schedule H, Part V, Section B, Line 21c-Pine Rest Christian Mental Health Services	Pine Rest is a psychiatric facility. We do not provide emergency medical care and do not fall under EMTALA
Schedule H, Part V, Section B, Line 21d-Pine Rest Christian Mental Health Services	Pine Rest is a psychiatric facility. We do not provide emergency medical care and do not fall under EMTALA

Field	Value	IRS element (for citing)
Facility	33	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (33 entries)

Business Name Line2BusinessName/BusinessNameLine2Txt	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt	Address Line2USAddress/AddressLine2Txt
Pine Rest -Center for Psychiatric Services
CPRS	300 68th Street SE	Grand Rapids	MI	49548	Residential Child Caring Institution
Pine Rest - Campus Clinic
	300 68th Street SE	Grand Rapids	MI	495010165	Outpatient clinic, residential detox, screening, assessment, referral	PO Box 165
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	Grand Rapids	MI	49525	Outpatient Clinic, screening, assessment, referal and follow up	Suite 301
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 - ECT TMS Clinic
	300 68th Street SE	Grand Rapids	MI	49508	Outpatient and Inpatient, screening, assessment, referral and follow up
Pine Rest - Christian Counseling Center
	1870 Leonard NE	Grand Rapids	MI	49505	Outpatient Clinic, screening, assessment, referral and follow up
Pine Rest - PCC Psychological Consolation Center
	300 68th St	Grand Rapids	MI	49548	PCC Psychological Consolation Center
Pine Rest - InterActions Residential Treatment
	300 68th Street SE	Grand Rapids	MI	49548	Adult Foster Care
Pine Rest - Sub-Acute Detox
	300 68th Street SE	Grand Rapids	MI	49548	Residential mental health and addiction treatment and detox
Pine Rest - Holland Clinic
	926 S Washington Ave	Holland	MI	49423	Outpatient Clinic, screening, assessment, referral and follow up	Suite 210
Pine Rest - Kalamazoo Clinic
	1530 Nichols Road	Kalamazoo	MI	49006	Outpatient Clinic, screening, assessment, referral and follow up
Pine Rest - Addictions Medicine
	300 68th Street SE	Grand Rapids	MI	49548	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	Zeeland	MI	49464	Outpatient Clinic, screening, assessment, referral and follow up	Suite 210
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 - Lakeland Clinic
	3950 Hollywood Road	St Joseph	MI	49085	Outpatient clinic, residential detox, screening, assessment, referral	Ste 200
Pine Rest - Telehealth Clinic
	300 68th Street SE	Grand Rapids	MI	49548	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
	300 68th Street SE	Grand Rapids	MI	49548	Providing Psychological Urgent Care to Adults

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part I, Line 7	Utilized prescribed worksheets 1 through 8 as defined by the IRS
Schedule H, Part III, Section A, Line 4	The provision for bad debts 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 receivable are written off and charged to the provision for bad debts after collection efforts have been made in accordance with Organizational policies. Recoveries are treated as a reduction to the provision for patient bad debts. Accounts receivable are reduced by an allowance for doubtful accounts. Periodically, management assesses the adequacy of the allowance for doubtful accounts based upon historical write-off experience by major payer category
Schedule H, Part III, Section B, Line 8	Source is the Medicare cost report
Schedule H, Part III, Section C, Line 9b	If a patient is eligible for financial assistance for their care, Pine Rest will inform them of the amount they will receive through financial assistance and what reduced amount they would be responsible for, if any. The patient will be refunded any amount he or she paid for care that exceeds the approved assistance amount, unless less than $10.00.
Schedule H, Part VI, Line 2	Each year, Pine Rest assesses and updates a response to the CHNA. Pine Rest is a psychiatric hospital. Consequently Pine Rest is selecting the issues from the CHNA that can and should be addressed by Pine Rest.
Schedule H, Part VI, Line 3	At admission, the organization attempts to communicate to the patient or family as appropriate, the benefits both public and private, that are available for the prescribed care. Once the patient responsibility is established, the patent status relative to charity care is reviewed and a decision is made about the availability of patient assistance funds.
Schedule H, Part VI, Line 4	Pine Rest is a multi-service behavioral health organization serving a diverse group of people in multiple settings throughout West Michigan and with a location in Iowa. Its network of inpatient, residential and outpatient services reaches people of all ages, from children to older adults. The majority of people served by Pine Rest are identified as being from counties within the state of Michigan.
Schedule H, Part VI, Line 5	To assure a strategic focus on the health needs of the community served, 86% of the governing body is composed of persons who reside in the organization's primary service area and who 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 improves care to the community served by Pine Rest through greater availability of medical staff within the service area. Since 1908, the organization has consistently applied surplus funds to the improvement of patient care and access, staff education and research designed to expand and improve the level of patient care provided to all patients. Pine Rest has board designated funds that fund outreach services improving access to the community. Pine Rest also provides many educational opportunities to the community on various 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
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
Amandeep S Saluja
Medical Staff	$458,018	$0	$61,840	$0	$465	$0	$19,000	$0	$19,094	$0	$558,417	$0	$532,987	$0
Mark C Eastburg PhD
President & CEO	$434,898	$0	$2,062	$0	$25,172	$0	$25,000	$0	$29,828	$0	$516,960	$0	$404,965	$0
Marwan Tabbara
Medical Staff	$304,634	$0	$149,188	$0	$1,086	$0	$22,894	$0	$21,982	$0	$499,784	$0	$357,954	$0
Bibhas Singla
Medical Staff	$419,401	$0	$20,827	$0	$19,474	$0	$19,000	$0	$19,755	$0	$498,457	$0	$367,638	$0
Jack Mahdasian
Medical Staff	$365,197	$0	$50,824	$0	$19,142	$0	$24,716	$0	$23,031	$0	$482,910	$0	$461,914	$0
William Sanders
Medical Staff	$317,893	$0	$91,397	$0	$19,492	$0	$19,000	$0	$23,132	$0	$470,914	$0	$424,644	$0
Katherine Jawor
Medical Staff	$330,452	$0	$48,437	$0	$3,000	$0	$25,000	$0	$6,616	$0	$413,505	$0	$388,480	$0
Daniel Schellenberg
Medical Staff	$276,588	$0	$62,097	$0	$19,971	$0	$0	$0	$24,132	$0	$382,788	$0	$361,967	$0
Alam M Armstrong MD
Chief Medical Officer	$310,990	$0	$0	$0	$20,598	$0	$23,686	$0	$15,062	$0	$370,336	$0	$302,799	$0
Valerie MathisAllen
Medical Staff	$308,873	$0	$0	$0	$20,500	$0	$24,800	$0	$10,046	$0	$364,219	$0	$376,208	$0
Robert L Nykamp
VP & COO	$296,596	$0	$6,832	$0	$6,172	$0	$23,996	$0	$20,718	$0	$354,314	$0	$278,459	$0
Paul H Karsten
VP & CFO	$283,048	$0	$1,948	$0	$6,124	$0	$17,037	$0	$19,755	$0	$327,912	$0	$263,638	$0
Verle Bell
Medical Staff	$245,026	$0	$20,000	$0	$3,216	$0	$7,439	$0	$16,429	$0	$292,110	$0	$284,924	$0
Susan Langeland
Chief Information Officer	$227,313	$0	$0	$0	$450	$0	$6,032	$0	$23,032	$0	$256,827	$0	$243,503	$0
Scott A Wagner
VP BHS	$167,507	$0	$0	$0	$1,507	$0	$16,614	$0	$21,244	$0	$206,872	$0	$162,219	$0
Thomas Elzinga
VP General Services	$138,815	$0	$0	$0	$762	$0	$25,000	$0	$6,616	$0	$171,193	$0	$147,520	$0
David G Folks
Medical Staff	$24,731	$0	$0	$0	$4,421	$0	$2,541	$0	$2,279	$0	$33,972	$0	$370,814	$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 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 recommendations to the Executive Committee. The Executive Committee oversees CEO compensation. In setting and reviewing compensation for Physicians (both employed and independent contractors), the Compensation Committee relies on market data for similarly situated professionals serving comparable institutions. The organization regularly commissions studies by Integrated Healthcare Strategies to assure 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 insure 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, then performance based incentives are paid.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
Kent Hospital Finance Authority
A	381603110	490576AC9	2015-10-01	$10,330,000	Refinancing of original debt	0	0	0
Kent Hospital Finance Authority
B	381603110		2017-12-29	$24,000,000	Expansion of Hospital Facility	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	2023	Yes (1)	0	Yes (1)	Yes (1)
B	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	2027	Yes (1)	0	Yes (1)	Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	0	0	0	0	0	0	0	Yes (1)	0	Yes (1)
B	0	0	0	0	0	0	0	Yes (1)	0	Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Term Of HedgeTermOfHedgePct	Superintegrated HedgeSuperintegratedHedgeInd	Hedge TerminatedHedgeTerminatedInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
Macatawa Bank
A	Yes (1)	Yes (1)	Yes (1)	1.0	0	0	0	0	Yes (1)
Macatawa Bank
B	Yes (1)	Yes (1)	Yes (1)	1.0	0	0	0	0	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	0
B	0

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp

Field	Value	IRS element (for citing)
Person	William Sanders	PersonNm
Relationship With Org	Medical Staff	RelationshipWithOrgTxt
Loan From Organization	Yes (X)	LoanFromOrganizationInd
Original Principal	$100,000	OriginalPrincipalAmt
Balance Due	$10,000	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	$10,000	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 the 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 IRS Form 990 and supporting schedules. The Finance Committee votes on a motion to approve the form as amended. The final filed Form 990 is made available to all Board members for their review and information.
Form 990, Part VI, Section B, Line 12c	Ongoing Board of Directors and Board Committee discussions in concert with annual audit and Corporate Integrity Office activities monitor and maintain oversight of this activity.
Form 990, Part VI, Section B, Line 15	The Board of Directors has adopted a written Executive compensation plan and has designated the Compensation Committee the responsibility for implementing and overseeing 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 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 for Physicians (both employed and independent contractors), the Compensation Committee relies on market data for similarly situation professionals serving on comparable institutions. The corporation regularly commissions studies by Integrated Healthcare Strategies to assure 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 those studies. Review and approval of all new Physician employment contracts by both the CFO and Chairman of the Compensation Committee is required to insure that the compensation packages are within the approval limits. Documentation and supporting detail are maintained for all compensation decisions.
Form 990, Part VI, Section C, Line 19	All documents are available upon request.
Form 990, Part XI, Line 9	This is the difference between Contributions restricted by donors and Total net assets released for restriction.

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	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
Pine Rest Foundation
c	$1,219,787	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.
Pine Rest Foundation
m	$1,769,725	The Pine Rest Foundation serves as the single-portal for all donations intended for the Pine Rest Foundation and Pine Rest Christian Mental Health Services.
Pine Rest Foundation
p	$67,082	Pine Rest Accounts Payable department processes all invoices for the Pine Rest Foundation. The Pine Rest Foundation then reimburses Pine Rest an amount equal to the invoices that have been paid on their behalf.

Reasonable Cause Explanation ReasonableCauseExplanation

Field	Value	IRS element (for citing)
Explanation	Pine Rest Christian Mental Health Services filed and got approval of form 8868 moving the due date of this report to May 15, 2021	ExplanationTxt