PINE REST CHRISTIAN MENTAL HEALTH SERVICES: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- PINE REST CHRISTIAN MENTAL HEALTH SERVICES (EIN 38-1368360)
- Tax period
- 2015-07-01 to 2016-06-30
- Filed
- 2017-01-24
- IRS object ID
- 201710279349300441
- Schema version
- 2015v3.0
- 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 | 2017-01-24T13:50:06-07:00 | ReturnTs |
| Tax Period End | 2016-06-30 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-07-01 | 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 | 2017-02-15 | SignatureDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Paul H Karsten | PrincipalOfficerNm |
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 | 49501 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $170,482,270 | 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 | 22 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 19 | VotingMembersIndependentCnt |
| Total Employee | 2287 | TotalEmployeeCnt |
| Total Volunteers | 150 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $3,803,883 | PYContributionsGrantsAmt |
| CY Contributions Grants | $3,306,011 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $103,965,840 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $104,763,143 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,784,779 | PYInvestmentIncomeAmt |
| CY Investment Income | -$614,282 | CYInvestmentIncomeAmt |
| PY Other Revenue | $2,699,820 | PYOtherRevenueAmt |
| CY Other Revenue | $6,362,683 | CYOtherRevenueAmt |
| PY Total Revenue | $112,254,322 | PYTotalRevenueAmt |
| CY Total Revenue | $113,817,555 | 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 | $85,267,363 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $88,902,765 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $713,251 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $25,751,595 | PYOtherExpensesAmt |
| CY Other Expenses | $26,589,454 | CYOtherExpensesAmt |
| PY Total Expenses | $111,018,958 | PYTotalExpensesAmt |
| CY Total Expenses | $115,492,219 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,235,364 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$1,674,664 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $115,022,115 | TotalAssetsBOYAmt |
| Total Assets EOY | $113,888,471 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $22,160,199 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $22,701,219 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $92,861,916 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $91,187,252 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| 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 | Yes (1) | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $41,583,770 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $53,789,796 | 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). The Pine Rest's Board of Directors entered into a Joint Operation Agreement ("Agreement") effective July 1, 1998 with Saint Mary's Health Services to manage the financial and clinical aspects of inpatient and partial hospitalization behavioral health services in the greater West Michigan area. The Agreement combines the inpatient and partial hospitalization mental health services of both organizations under common management and operations. The parties to the Agreement also entered into a series of contractual agreements to provide specific clinical, financial or support services. The Joint Operating Agreement of which Pine Rest is managing/operating has 200 beds available and had 6226 admissions during the year ended June 30, 2016 encompassing 61,032 days of patient care resulting in an average length of stay of 9.8 days. The partial hospitalization program had 1,687 admissions with 7,693 days of care. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $29,281,141 | ExpenseAmt |
| Grant | $336,263 | GrantAmt |
| Revenue | $30,052,256 | RevenueAmt |
| Desc | Clinic Network through its eighteen clinics, offers outpatient, ambulatory care at locations throughout West and Northern Michigan, and in Pella and Des Moines, 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. On an average day in FY2016, 1,095 patients were seen throughout the Clinic Network. In total, there were 280,354 outpatient visits in FY2016. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $3,294,954 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $3,403,628 | RevenueAmt |
| Desc | 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. On average the Developmentally Disabled Homes cares for 63 patients a day resulting in 23,110 days of care in a year. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp (7 entries)
| ExpenseExpenseAmt | GrantGrantAmt | RevenueRevenueAmt | DescDesc |
|---|---|---|---|
| $3,408,136 | $0 | $3,298,387 | 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. |
| $3,305,518 | $4,269 | $3,181,723 | 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. |
| $4,642,201 | $0 | $5,184,985 | 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 Center for Psychiatric Residential Services served an average of 44 residents per day providing 16,142 patient days of care in 2016. |
| $2,362,798 | $0 | $2,105,401 | 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). On average each day the Addiction Treatment Services cares for 70 patients resulting in 25,774 days of care in 2016. |
| $3,960,432 | $0 | $4,562,863 | Service offered to provide hospital management services to West Michigan psychiatric inpatient and clinic operations. Regional capacity to serve difficult inpatient psychiatric cases is very limited and has resulted in Pine Rest being viewed as the regional care center for these patients. Less difficult cases must still be served and Pine Rest is devoted to enhancing and maintaining the ability of community based inpatient psychiatric units to care for these patients near home and close to family. Regionally, this process creates a hospital network and referral process focused on appropriate care in the proper location. Essentially, Pine Rest is reimbursed, at a break-even level, as a means to assure long-term availability of program and operations oversight, psychiatrists and consultation at the local level. |
| $837,907 | $127,337 | $705,993 | 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. In addition, a new residency program for medical school graduates has been initiated. |
| $2,533,434 | $0 | $2,593,558 | Pine Rest has operated a psychiatry residency program since July 2014, successfully beginning the third year of the program on July 1, 2016. There are currently 25 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. One hundred thirty interviews are already scheduled. Interviews occur on Mondays and Fridays from mid-October to mid-January. Up to 10 candidates are interviewed each day. 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 will begin in July 2017, where 2-3 fellows will be trained. 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. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $21,050,426 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $131,606 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $21,632,910 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $95,210,291 | 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 |
| Temp Or Permanent Endowments | Yes (1) | TempOrPermanentEndowmentsInd |
| 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 With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| 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 | 102 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 2287 | 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 |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 22 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 19 | 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 |
| States Where Copy Of Return Is Fld | IA | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | MI | StatesWhereCopyOfReturnIsFldCd |
| 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 (31 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| Hon Joseph Scoville | |||||||||
| Chairperson | 3.0 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Jon Swets | |||||||||
| Vice Chairperson and Treasurer | 2.0 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Nicolas Kroeze | |||||||||
| Secretary | 2.0 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Mark C Eastburg PhD | |||||||||
| President & CEO | 60 | 0 | Yes (X) | Yes (X) | $352,767 | $0 | $26,564 | ||
| Alan M Armstrong MD | |||||||||
| Chief Medical Officer | 40 | 0 | Yes (X) | Yes (X) | $288,746 | $0 | $24,383 | ||
| Gary Rich MD | |||||||||
| President of Medical Staff | 60 | 0 | Yes (X) | $186,341 | $0 | $5,754 | |||
| Scott Bolinder | |||||||||
| Board Member | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | |||
| Randall Christenson MD | |||||||||
| Board Member | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | |||
| Sylvia Daining | |||||||||
| Board Member | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | |||
| Honorable Patricia Gardner | |||||||||
| Board Member | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | |||
| LaRissa Hollingsworth | |||||||||
| Board Member | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | |||
| Art Jongsma | |||||||||
| Board Member | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | |||
| Ron Kool | |||||||||
| Board Member | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | |||
| John Lichtenberg | |||||||||
| Board Member | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | |||
| Glenn Mitcham | |||||||||
| Board Member | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | |||
| Ginny VanderHart | |||||||||
| Board Member | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | |||
| Kathleen Vogelsang | |||||||||
| Board Member | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | |||
| Gary Werkman | |||||||||
| Board Member | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | |||
| Suzanne Keep | |||||||||
| Board Member | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | |||
| Joe Sweeney | |||||||||
| Board Member | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | |||
| Susan Valcq | |||||||||
| Board Member | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | |||
| Robert L Nykamp | |||||||||
| Vice President & COO | 60 | 0 | Yes (X) | $261,298 | $0 | $20,235 | |||
| Paul H Karsten | |||||||||
| Vice President & CFO | 60 | 0 | Yes (X) | $249,640 | $0 | $24,644 | |||
| Scott A Wagner | |||||||||
| Vice President Behavioral Health Solutions | 60 | 0 | Yes (X) | $156,093 | $0 | $15,099 | |||
| Thomas Elzinga | |||||||||
| Vice President General Services | 60 | 0 | Yes (X) | $133,501 | $0 | $16,082 | |||
| Jack A Mahdasian MD | |||||||||
| Medical Staff | 55 | 0 | $503,575 | $0 | $19,663 | Yes (X) | |||
| William J Sanders DO | |||||||||
| Medical Staff | 45 | 0 | $359,871 | $0 | $31,642 | Yes (X) | |||
| Bibhas Singla MD | |||||||||
| Medical Staff | 45 | 0 | $348,683 | $0 | $18,344 | Yes (X) | |||
| Valerie Mathis-Allen MD | |||||||||
| Medical Staff | 55 | 0 | $348,806 | $0 | $18,012 | Yes (X) | |||
| Verle L Bell MD | |||||||||
| Medical Staff | 45 | 0 | $341,656 | $0 | $20,617 | Yes (X) | |||
| Gilbert A Masterson MD | |||||||||
| Medical Staff | 45 | 0 | $271,091 | $0 | $11,328 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,802,068 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $252,367 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 108 | 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 |
|---|---|---|---|---|---|---|
| Unidine Corporation | ||||||
| PO Box 360639 | Pittsburgh | PA | 152516639 | Patient Dietary and Cafeteria Services | $2,083,001 | |
| Elzinga & Volkers | ||||||
| 86 East 6th Street | Holland | MI | 494232912 | Construction | $1,708,963 | |
| BWBR Architects Inc | ||||||
| 380 Peter Street | Saint Paul | MN | 55102 | Architecture Services | $882,345 | Suite 600 |
| American Healthcare Services Assoc LLC | ||||||
| PO Box 945 | Traverse City | MI | 49685 | Hospital Staffing Solutions | $619,442 | |
| Buiten & Associates LLC | ||||||
| 5738 Foremost Drive SE | Grand Rapids | MI | 49546 | Insurance | $565,799 | |
| 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 | $2,092,752 | RelatedOrganizationsAmt |
| Government Grants | $0 | GovernmentGrantsAmt |
| All Other Contributions | $1,213,259 | AllOtherContributionsAmt |
| Noncash Contributions | $0 | NoncashContributionsAmt |
| Total Contributions | $3,306,011 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| Outpatient Clinics | 621400 | $28,823,621 | $28,823,621 | $0 | $0 |
| Inpatient Contracted Services | 622000 | $23,462,542 | $23,462,542 | $0 | $0 |
| Inpatient Care | 622000 | $33,378,094 | $33,378,094 | $0 | $0 |
| Residential Care | 623000 | $17,093,009 | $17,093,009 | $0 | $0 |
| Partial Hospitalization | 622000 | $2,005,877 | $2,005,877 | $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 | $104,763,143 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $471,047 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $471,047 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | 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 | $82,068 | RealAmt |
| Personal | $0 | PersonalAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $7,084 | RealAmt |
| Personal | $0 | PersonalAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $74,984 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $74,984 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $74,984 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $55,572,302 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $56,657,631 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$1,085,329 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$1,085,329 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$1,085,329 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contri Rpt Fundraising Event | $0 | ContriRptFundraisingEventAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| Rustic Market and Thrift Store | 624000 | $784 | $784 | $0 | $0 |
| Pastoral and Other Training | 611710 | $63,257 | $63,257 | $0 | $0 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $6,223,658 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $6,223,658 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $6,287,699 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $113,817,555 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $111,596,873 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$1,085,329 | 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 | $1,761,147 | TotalAmt |
| Program Services | $505,223 | ProgramServicesAmt |
| Management And General | $1,255,924 | 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 | $72,723,530 | TotalAmt |
| Program Services | $66,657,224 | ProgramServicesAmt |
| Management And General | $5,651,046 | ManagementAndGeneralAmt |
| Fundraising | $415,260 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $663,942 | TotalAmt |
| Program Services | $594,758 | ProgramServicesAmt |
| Management And General | $64,937 | ManagementAndGeneralAmt |
| Fundraising | $4,247 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,661,397 | TotalAmt |
| Program Services | $8,026,812 | ProgramServicesAmt |
| Management And General | $576,900 | ManagementAndGeneralAmt |
| Fundraising | $57,685 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,092,749 | TotalAmt |
| Program Services | $4,582,848 | ProgramServicesAmt |
| Management And General | $479,140 | ManagementAndGeneralAmt |
| Fundraising | $30,761 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $195,152 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $195,152 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $105,597 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $105,597 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $42,670 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $42,670 | 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 | $320,765 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $320,765 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,991,057 | TotalAmt |
| Program Services | $1,991,057 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $297,278 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $297,278 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,989,917 | TotalAmt |
| Program Services | $3,226,779 | ProgramServicesAmt |
| Management And General | $1,730,368 | ManagementAndGeneralAmt |
| Fundraising | $32,770 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,812,751 | TotalAmt |
| Program Services | $2,334,123 | ProgramServicesAmt |
| Management And General | $459,532 | ManagementAndGeneralAmt |
| Fundraising | $19,096 | 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 | $3,457,646 | TotalAmt |
| Program Services | $3,112,767 | ProgramServicesAmt |
| Management And General | $341,927 | ManagementAndGeneralAmt |
| Fundraising | $2,952 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $367,062 | TotalAmt |
| Program Services | $305,312 | ProgramServicesAmt |
| Management And General | $56,394 | ManagementAndGeneralAmt |
| Fundraising | $5,356 | 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 | $411,508 | TotalAmt |
| Program Services | $347,498 | ProgramServicesAmt |
| Management And General | $60,171 | ManagementAndGeneralAmt |
| Fundraising | $3,839 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $462,417 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $462,417 | 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 | $4,490,443 | TotalAmt |
| Program Services | $4,203,129 | ProgramServicesAmt |
| Management And General | $284,855 | ManagementAndGeneralAmt |
| Fundraising | $2,459 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $657,170 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $657,170 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Expenses OtherExpensesGrp (2 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| Patient Assistance Fund | $1,409,214 | $1,409,214 | $0 | $0 |
| Other | $4,578,807 | -$2,086,453 | $6,526,434 | $138,826 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $115,492,219 | TotalAmt |
| Program Services | $95,210,291 | ProgramServicesAmt |
| Management And General | $19,568,677 | ManagementAndGeneralAmt |
| Fundraising | $713,251 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,855,832 | BOYAmt |
| EOY | $3,905,350 | 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 | $0 | BOYAmt |
| EOY | $761,616 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,407,682 | BOYAmt |
| EOY | $10,306,455 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $60,000 | 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 | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $62,046 | BOYAmt |
| EOY | $80,753 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $725,118 | BOYAmt |
| EOY | $971,155 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $97,793,705 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $55,010,968 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $41,330,461 | BOYAmt |
| EOY | $42,782,737 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $54,318,129 | BOYAmt |
| EOY | $53,901,576 | 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 | $0 | 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 | $1,262,847 | BOYAmt |
| EOY | $1,178,829 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $115,022,115 | BOYAmt |
| EOY | $113,888,471 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,728,633 | BOYAmt |
| EOY | $8,368,329 | 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 | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,025,000 | BOYAmt |
| EOY | $10,330,000 | 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 | $128,872 | BOYAmt |
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,500,000 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,777,694 | BOYAmt |
| EOY | $4,002,890 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,160,199 | BOYAmt |
| EOY | $22,701,219 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $87,050,802 | BOYAmt |
| EOY | $85,853,386 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,105,241 | BOYAmt |
| EOY | $1,627,993 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,705,873 | BOYAmt |
| EOY | $3,705,873 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $92,861,916 | BOYAmt |
| EOY | $91,187,252 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $115,022,115 | BOYAmt |
| EOY | $113,888,471 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$1,674,664 | 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 | $0 | 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 | $42,670 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | 0 | OtherActivitiesInd |
| Total Lobbying Expenditures | $42,670 | 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 | Government relations strategies design to assist Pine Rest in accomplishing the organizations Federal Funding Objectives. 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 | $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 |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $24,711,782 | BeginningYearBalanceAmt |
| Contributions | $1,247,071 | ContributionsAmt |
| Investment Earnings Or Losses | $608,038 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $1,555,088 | GrantsOrScholarshipsAmt |
| Other Expenditures | $186,036 | OtherExpendituresAmt |
| Administrative Expenses | $0 | AdministrativeExpensesAmt |
| End Year Balance | $24,825,767 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $21,949,724 | BeginningYearBalanceAmt |
| Contributions | $298,596 | ContributionsAmt |
| Investment Earnings Or Losses | $3,462,014 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $960,000 | GrantsOrScholarshipsAmt |
| Other Expenditures | $38,552 | OtherExpendituresAmt |
| Administrative Expenses | $0 | AdministrativeExpensesAmt |
| End Year Balance | $24,711,782 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $20,242,440 | BeginningYearBalanceAmt |
| Contributions | $178,065 | ContributionsAmt |
| Investment Earnings Or Losses | $2,463,364 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $893,150 | GrantsOrScholarshipsAmt |
| Other Expenditures | $40,995 | OtherExpendituresAmt |
| Administrative Expenses | $0 | AdministrativeExpensesAmt |
| End Year Balance | $21,949,724 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $20,338,206 | BeginningYearBalanceAmt |
| Contributions | $603,298 | ContributionsAmt |
| Investment Earnings Or Losses | $152,314 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $755,689 | GrantsOrScholarshipsAmt |
| Other Expenditures | $95,689 | OtherExpendituresAmt |
| Administrative Expenses | $0 | AdministrativeExpensesAmt |
| End Year Balance | $20,242,440 | 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 | $108,148 | OtherCostOrOtherBasisAmt |
| Book Value | $108,148 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $63,018,164 | OtherCostOrOtherBasisAmt |
| Depreciation | $34,731,744 | DepreciationAmt |
| Book Value | $28,286,420 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $302,560 | OtherCostOrOtherBasisAmt |
| Depreciation | $0 | DepreciationAmt |
| Book Value | $302,560 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $26,924,913 | OtherCostOrOtherBasisAmt |
| Depreciation | $17,903,943 | DepreciationAmt |
| Book Value | $9,020,970 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $7,439,920 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,375,281 | DepreciationAmt |
| Book Value | $5,064,639 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $42,782,737 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)
| DescDesc | AmtAmt |
|---|---|
| MSHDA Obligation | $111,599 |
| Adv. OSAS | $17,273 |
| Swap Liab | $466,415 |
| Def 457/ETO | $1,623,804 |
| Malpractice | $79,570 |
| Notes Payable | $500,000 |
| Amount Payable to 3rd Pty | $1,204,229 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $4,002,890 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
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 Foundation's 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 earning on permanently restricted endowment funds in accordance with donor wishes. |
| Schedule D, Part X, Line 2 | Pine Rest is a 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). Pine Rest must recognize the tax benefit from an uncertain tax position only if it is "more-likely-than-not" that the tax position will be sustained on examination by the applicable taxing authorities, based on the technical merits of the position. The tax benefits recognized in the consolidated financial statements from such a position are measured based on the largest benefit that has a greater than 50 percent likelihood of being realized upon ultimate settlement. There were no uncertain tax benefits identified at June 30, 2016 and 2015. Pine Rest does not expect the total amount of unrecognized tax benefits to significantly change in the next twelve months. Pine Rest 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, 2016 and 2015. Pine Rest is no longer subject to examination by taxing authorities for years before 2014. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| 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 | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $1,409,214 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,409,214 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0122 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $24,419,278 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $25,942,163 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | -$1,522,884 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0 | 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 | $25,828,492 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $25,942,163 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | -$113,670 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0122 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $150,000 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $150,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0013 | 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 | $64,221,461 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $55,672,551 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $8,548,910 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.074 | 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) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $687,323 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $687,323 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.006 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $65,058,784 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $55,672,551 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $9,386,233 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0813 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $90,887,276 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $81,614,714 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $9,272,563 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0935 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReportedInd |
| Bad Debt Expense | $2,319,990 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $7,576,013 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $7,406,620 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $169,393 | 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 |
| Information Gaps | Yes (X) | InformationGapsInd |
| CHNA Conducted | 15 | 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 | www.pinerest.org | OwnWebsiteURLTxt |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 15 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | pinerest.org | 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 | www.pinerest.org | FAPAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | www.pinerest.org | 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 |
| FAP Notice Displayed | Yes (X) | FAPNoticeDisplayedInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Medicare Rates | Yes (X) | MedicareRatesInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part V, Section B, Line 5-Pine Rest Christian Mental Health Services | See Kent County Community Needs Assessment for details on methods employed, data collection, sources of input and key findings. Pine Rest collaborates in the development and utilizes these findings to establish strategic initiatives that support the community needs identified and correlate with the services provided and capabilities of Pine Rest. See http://www.kentcountychna.org |
| Schedule H, Part V, Section B, Line 6a-Pine Rest Christian Mental Health Services | Mercy Healthcare, 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 | The Pine Rest Christian Mental Health Services Organization utilizes a patient assistance fund agreement and authorized form. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 40 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (40 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt | Address Line2USAddress/AddressLine2Txt |
|---|---|---|---|---|---|
| Pine Rest - Cedar Units | |||||
| 300 68th Street SE | Grand Rapids | MI | 49548 | 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 - Jellema Treatment Center | |||||
| 243 68th Street SE | Grand Rapids | MI | 49548 | Residential mental health and addiction treatment, screening, assessment | |
| 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 - Pella Clinic | |||||
| 2611 Washington Street | Pella | IA | 50219 | Outpatient Clinic, screening, assessment, referral and follow up | |
| Pine Rest - Caledonia Clinic | |||||
| 9090 S Rogers Court SE | Caledonia | MI | 49316 | Outpatient Clinic, screening, assessment, referral and follow up | |
| Pine Rest - Des Moines Clinic | |||||
| 6200 Aurora Ave | Urbandale | IA | 50322 | Outpatient Clinic, screening, assessment, referral and follow up | |
| Pine Rest - CenterPointe Recovery Center | |||||
| 1145 Oakland Drive | Kalamazoo | MI | 49008 | Adult Foster Care | |
| Pine Rest - Community Based Grant Program | |||||
| 320 Commerce Ave SW | Grand Rapids | MI | 49503 | Community Based Grants Coordination | |
| 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 - Maple | |||||
| 300 68th Street SE | Grand Rapids | MI | 49548 | Child Caring Institution | |
| Pine Rest - Community Support Coord | |||||
| 320 Commerce Ave SW | Grand Rapids | MI | 49503 | Community Support Coordination | |
| Pine Rest - Portage Clinic | |||||
| 1350 W Centre Avenue | Portage | MI | 49024 | Outpatient Clinic, screening, assessment, referral and follow up | |
| Pine Rest - Jellema House | |||||
| 523 Lyon Street NE | Grand Rapids | MI | 49503 | Residential mental health, addiction treatment, screening, assessment, referral and follow up | |
| Pine Rest - Streetreach | |||||
| 347 S Division SE | Grand Rapids | MI | 49503 | Education, awareness, access and non-traditional services to the community. | |
| 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 - Freedom House | |||||
| 300 68th Street SE | Grand Rapids | MI | 49548 | Residential mental health, addiction, case management, screening, assessment, referral, follow up | |
| Pine Rest - DeMey Clinic | |||||
| 620 Century SE | Grand Rapids | MI | 49503 | Outpatient Clinic, comm change alternative info training, screening, assessment, referal, follow up | |
| Pine Rest - Elder Case Management | |||||
| 320 Commerce Ave SW | Grand Rapids | MI | 49503 | Outpatient Clinic, comm change alternative information training, prevention and mental health | |
| Pine Rest - Supported Independent Living | |||||
| 821 68th Street SE | Grand Rapids | MI | 49508 | Residential supervised independent living | |
| Pine Rest - Integrated Med Clinic | |||||
| 349 S Division | Grand Rapids | MI | 49503 | Outpatient Clinic, screening, assessment, referral, follow up | |
| Pine Rest - Recovery Residence | |||||
| 47 Prospect | Grand Rapids | MI | 49503 | Residential addictions recovery home | |
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 | Allowance for Doubtful Accounts: 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 Corporation's 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 | The collection policy states "Outstanding balances not covered by the Financial Assistance Program may be subject to collections activity. As a result, your account, if unpaid, may be referred to a collections agency. Subsequent actions may include litigation, garnishment of wages or credit bureau reporting". |
| 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, public or private, available for the prescribed care. Once the patient responsibility is established, the patient's 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 Christian Mental Health Services (Pine Rest) is a multi-service behavioral health organization serving a diverse range of people in multiple settings throughout West Michigan and with two locations in Iowa. Its network of inpatient, residential and outpatient services reach people of all ages, from children to older adults. The majority of people served by Pine Rest were identified as being from counties within the state of Michigan, with 46% from Kent County. A small percentage (<5%) are from counties outside of Michigan. Pine Rest's main campus is located in Kent County with a population of 636,369 according to the last census. This ranks Kent County as one of the most populated counties in Michigan. The racial make up of Kent County per census data is: 74.6% White, 10.5% African American, 10.3% Latino, 2.9% Asian and 2.8% 2 or more races. In Kent County, 15.3% are below the poverty level. |
| 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 comprised 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. An open medical staff broadens the availability of care to the community served by Pine Rest Christian Mental Health Services through the availability of medical staff to all patients in 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 provide outreach to the community to engage them in services. 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 |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| 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 (13 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Jack A Mahdasian MD | ||||||||||||||
| Medical Staff | $493,575 | $0 | $10,000 | $0 | $0 | $0 | $42,000 | $0 | $19,638 | $0 | $565,213 | $0 | $0 | $0 |
| William J Sanders DO | ||||||||||||||
| Medical Staff | $305,306 | $0 | $54,565 | $0 | $0 | $0 | $4,312 | $0 | $18,361 | $0 | $382,544 | $0 | $0 | $0 |
| Bibhas Singla MD | ||||||||||||||
| Medical Staff | $263,019 | $0 | $85,664 | $0 | $0 | $0 | $16,061 | $0 | $17,937 | $0 | $382,681 | $0 | $0 | $0 |
| Valerie Mathis-Allen MD | ||||||||||||||
| Medical Staff | $261,356 | $0 | $87,450 | $0 | $0 | $0 | $37,124 | $0 | $15,837 | $0 | $401,767 | $0 | $0 | $0 |
| Mark C Eastburg PhD | ||||||||||||||
| President & CEO | $328,367 | $0 | $24,400 | $0 | $0 | $0 | $38,667 | $0 | $18,959 | $0 | $410,393 | $0 | $0 | $0 |
| Verle L Bell MD | ||||||||||||||
| Medical Staff | $311,956 | $0 | $29,700 | $0 | $0 | $0 | $9,200 | $0 | $14,161 | $0 | $365,017 | $0 | $0 | $0 |
| Alan M Armstrong MD | ||||||||||||||
| Chief Medical Officer | $275,245 | $0 | $13,500 | $0 | $0 | $0 | $36,914 | $0 | $17,500 | $0 | $343,159 | $0 | $0 | $0 |
| Gilbert A Masterson MD | ||||||||||||||
| Medical Staff | $211,071 | $0 | $10,020 | $0 | $50,000 | $0 | $15,628 | $0 | $11,328 | $0 | $298,047 | $0 | $0 | $0 |
| Robert L Nykamp | ||||||||||||||
| Vice President & COO | $243,906 | $0 | $17,392 | $0 | $0 | $0 | $0 | $0 | $13,933 | $0 | $275,231 | $0 | $0 | $0 |
| Paul H Karsten | ||||||||||||||
| Vice President & CFO | $232,728 | $0 | $16,912 | $0 | $0 | $0 | $15,940 | $0 | $17,315 | $0 | $282,895 | $0 | $0 | $0 |
| Gary Rich MD | ||||||||||||||
| President of Medical Staff | $186,341 | $0 | $0 | $0 | $0 | $0 | $39,244 | $0 | $3,757 | $0 | $229,342 | $0 | $0 | $0 |
| Scott A Wagner | ||||||||||||||
| Vice President Behavioral Health Solutions | $128,628 | $0 | $27,465 | $0 | $0 | $0 | $13,130 | $0 | $13,263 | $0 | $182,486 | $0 | $0 | $0 |
| Thomas Elzinga | ||||||||||||||
| Vice President General Services | $133,501 | $0 | $0 | $0 | $0 | $0 | $24,000 | $0 | $14,971 | $0 | $172,472 | $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 premiums. Grossed up amounts were taxed. Mark Eastburg, Paul Karsten and Bob Nykamp. |
| Schedule J, Part I, Line 3 | The Board of Directors has adopted a written Executive Compensation plan and has designated the responsibility for implementing and overseeing compensation issues to the Compensation Committee, with regular reporting to the Board. The seven member Compensation Committee consists of four non-employee members, three of whom are also members of the Executive Committee. 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 as well as determining compensation for physicians (both employed and independent contractors). 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 the Chairman of the Compensation Committee is required to assure 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 articulate and approve specific 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 | 2006-09-26 | $10,030,000 | Capital Expansion - various projects | 0 | 0 | 0 |
| Kent Hospital Finance Authority | ||||||||
| B | 381603110 | 490576AC9 | 2015-10-01 | $10,330,000 | Refinancing of original debt | 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 | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $10,030,000 | $0 | $10,030,000 | $0 | $0 | $0 | $218,893 | $0 | $0 | $10,030,000 | $0 | $0 | 2008 | 0 | 0 | Yes (1) | Yes (1) |
| B | $0 | $0 | $10,330,000 | $0 | $0 | $0 | $58,659 | $0 | $0 | $10,330,000 | $0 | $0 | 2008 | 0 | 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 |
|---|---|---|---|---|---|---|---|---|---|
| Fifth Third 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 (5 entries)
| Relationship With OrgRelationshipWithOrgTxt | Loan PurposeLoanPurposeTxt | Loan From OrganizationLoanFromOrganizationInd | Original PrincipalOriginalPrincipalAmt | Balance DueBalanceDueAmt | DefaultDefaultInd | Board Or Committee ApprovalBoardOrCommitteeApprovalInd | Written AgreementWrittenAgreementInd |
|---|---|---|---|---|---|---|---|
| William Sanders | |||||||
| Medical Staff | Recruitment/Enhancement | Yes (X) | $100,000 | $35,000 | 0 | Yes (1) | Yes (1) |
| Kelly Demagala | |||||||
| Medical Staff | Recruitment | Yes (X) | $85,000 | $31,000 | 0 | Yes (1) | Yes (1) |
| Jonathan Dargo | |||||||
| Medical Staff | Recruitment | Yes (X) | $100,000 | $25,000 | 0 | Yes (1) | Yes (1) |
| Vegas Coleman | |||||||
| Medical Staff | Recruitment | Yes (X) | $40,000 | $35,833 | 0 | Yes (1) | Yes (1) |
| Kelly Blankenship | |||||||
| Medical Staff | Recruitment | Yes (X) | $30,000 | $27,000 | 0 | Yes (1) | Yes (1) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | $153,833 | TotalBalanceDueAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part III, Line 2 | Pine Rest has operated a psychiatry residency program since July 2014, successfully beginning the third year of the program on July 1, 2016. There are currently 25 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. One hundred thirty interviews are already scheduled. Interviews occur on Mondays and Fridays from mid-October to mid-January. Up to 10 candidates are interviewed each day. 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 will begin in July 2017, where 2-3 fellows will be trained. 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. |
| 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. Every three years, the external auditors are engaged to perform a quality review of the draft form 990 prior to Finance Committee approval. Recommended changes are made to the Form 990 and supporting schedules and the Finance Committee votes on a motion to approve the Form 990 and supporting schedules 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 Director and Board Committee discussions in concert with the annual audit and Corporate Integrity Office activities, monitor and maintain an oversight on 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 responsibility for implementing and overseeing compensation issues to the Compensation Committee, with regular reporting to the Board. The seven member Compensation Committee consists of four non-employee members, three of whom are also members of the Executive Committee. 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 as well as determining compensation for physicians (both employed and independent contractors). 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 the Chairman of the Compensation Committee is required to assure that all 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 |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | Address Line2USAddress/AddressLine2Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Pine Rest Foundation | |||||||||||
| 300 68th Street SE | PO Box 165 | Grand Rapids | MI | 495011065 | 381676540 | Fundraising | MI | 501(c)(3) | Type 1 | Pine Rest Christian Mental Health Services | Yes (1) |
| Pine Rest Christian Community & Residential Services | |||||||||||
| 300 68th Street SE | PO Box 165 | Grand Rapids | MI | 495010165 | Community Residential | MI | 501(c)(3) | III | Pine Rest Christian Mental Health Services | 0 | |
| 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 (2 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt |
|---|---|
| Pine Rest Foundation | |
| c | $2,781,172 |
| Pine Rest Foundation | |
| p | $6,700 |
Reasonable Cause Explanation ReasonableCauseExplanation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Explanation | Pine Rest Christian Mental Health Services received approval of Form 8868 extending the due date to February 15, 2017. | ExplanationTxt |