PINE REST CHRISTIAN MENTAL HEALTH SERVICES: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization: PINE REST CHRISTIAN MENTAL HEALTH SERVICES (EIN 38-1368360)
Tax period: 2010-07-01 to 2011-06-30
Filed: 2012-03-26
IRS object ID: 201240889349301069
Schema version: 2010v3.4
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 B
Schedule C
Schedule D
Schedule G
Schedule H
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R
Reasonable Cause Explanation

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2012-03-26T15:17:20-07:00	Timestamp
Tax Period End Date	2011-06-30	TaxPeriodEndDate
Return Type	990	ReturnType
Tax Period Begin Date	2010-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	381368360	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	PINE REST CHRISTIAN MENTAL HEALTH SERVICES	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	PINE	NameControl
Phone	6164555000	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	300 68th Street SE	AddressLine1
Address Line2	PO Box 165	AddressLine2
City	Grand Rapids	City
State	MI	State
ZIP Code	495010165	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	Paul Karsten	Name
Title	Vice President & CFO	Title
Phone	6162816363	Phone
Date Signed	2012-02-15	DateSigned

Field	Value	IRS element (for citing)
Tax Year	2010	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	Mark Eastburg	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	300 68th Street SE	AddressLine1
Address Line2	PO Box 165	AddressLine2
City	Grand Rapids	City
State	MI	State
ZIP Code	495010165	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	113182880	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	pinerest.org	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1908	YearFormation
State Legal Domicile	MI	StateLegalDomicile
Activity Or Mission Description	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.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	21	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	18	NbrIndependentVotingMembers
Total Nbr Employees	1712	TotalNbrEmployees
Total Nbr Volunteers	170	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	711830	ContributionsGrantsPriorYear
Contributions Grants Current Year	2409148	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	71397579	ProgramServiceRevenuePriorYear
Program Service Revenue CY	79202563	ProgramServiceRevenueCY
Investment Income Prior Year	4554797	InvestmentIncomePriorYear
Investment Income Current Year	9271467	InvestmentIncomeCurrentYear
Other Revenue Prior Year	726157	OtherRevenuePriorYear
Other Revenue Current Year	688315	OtherRevenueCurrentYear
Total Revenue Prior Year	77390363	TotalRevenuePriorYear
Total Revenue Current Year	91571493	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	0	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	57235849	SalariesEtcPriorYear
Salaries Etc Current Year	61732135	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	369067	TotalFundrsngExpCurrentYear
Other Expense Prior Year	17348841	OtherExpensePriorYear
Other Expenses Current Year	19210110	OtherExpensesCurrentYear
Total Expenses Prior Year	74584690	TotalExpensesPriorYear
Total Expenses Current Year	80942245	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	2805673	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	10629248	RevenuesLessExpensesCY
Total Assets BOY	83585588	TotalAssetsBOY
Total Assets EOY	94046209	TotalAssetsEOY
Total Liabilities BOY	16967988	TotalLiabilitiesBOY
Total Liabilities EOY	16799361	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	66617600	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	77246848	NetAssetsOrFundBalancesEOY
Mission Description	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.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	27382579	Expense
Grants	0	Grants
Revenue	38341119	Revenue
Description	Hospital-based Services inpatient and partial hospitalization programs include dedicated 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 threatment 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 on Accreditation of Healthcare Organizations (JCAHO). The Pine Rest's Board of Directors entered into a Joint Operating Agreement ("Agreement") effective July 1, 1998 with Saint Mary's Health Services and Metropolitan Hospital 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 all three 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. Pine Rest has 170 inpatient beds available and had 5,403 admissions during the year ended June 30 2011 encompasing 51,666 days of patient care resulting in an average length of stay of 9.56 days. There ar e 14 partial hospitalization beds available resulting in 1,277 partial hospitalization admissions with 4,492 days of care.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	23541972	Expense
Grants	50068	Grants
Revenue	23954919	Revenue
Description	Clinic Network through its network of more than twenty clinics, offers outpatient, ambulatory care at locations throughout West 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 substance abuse/addictions services, court-related services and assessments, Psychiatric Home Health Care, and more. On an average day in 2011, 963 patients were seen throughout the Clinic Network. In total, there were 244,389 outpatient visits in 2011.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	5776403	Expense
Grants	198399	Grants
Revenue	5204499	Revenue
Description	Pine Rest offers a wide range of addiction and recovery services including outpatient, intensive outpatient and residential services for those with co-occurring substance abuse and mental health disorders. Professional services are designed to provide a safe, caring environment where persons gain insight and acquire skills for ongoing recovery. Residential treatment services are available at three locations throughout greater Grand Rapids. Transitional housing is available for clients who need safe, substance-free housing while transitionaing to community living. Addiction facilities are state-licensed where appropriate and accredited by the Commission on Accreditation of Rehabilitation Facilities (CARF). Community Case Management represents a partnership with Network 180, a local expression of Community Mental Health Services. Based in Grand Rapids core city areas, the program services adults experiencing mental illness and co-occurring disorders. Recipients of mental health services can choose Pine Rest case managers to support them in their homes and apartments. Services include medication support and education, coordination of care, assistance accessing public assistance and benefits, and help with symptom management. The Caring Communities Program brings Pine Rest into invited partnerships with established community organizations to introduce behavioral health services to underserved 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. On an average day over 22 patients are served resulting in over 7,217 day of care plus numerous visits outside the days of care continuum.	Description

Activity Other ActivityOther (5 entries)

ExpenseExpense	GrantsGrants	RevenueRevenue	DescriptionDescription
1936606	-19	2299451	Addiction Treatment Services offers a wide range of addiction and recovery services including outpatient, intensive 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. Residential treatment services are available at three locations throughout greater Grand Rapids. 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). Community Case Management represents a partnership with Network 180, a local expression of Community Mental Health Services. Based in Grand Rapids core city area, the program serves adults experiencing mental illness and co-occurring disorders. Recipients of mental health services can choose Pine Rest case managers to support them in their homes and apartments. Services include medication support and education, coordination of care, assistance accessing public assistance and benefits, and help with symptom management. On average each day the Addiction Treatment Services cares for 83 patients resulting in 30,306 days of care in a year.
2316496	10001	2553758	Homes for the Developmentally Disabled helps adults with developmental disabilities experience exceptional residential settings and care with multiple opportunities for engaging in on-site and community activities that match abilities. On average the Developmentally Disabled Homes cares for 68 patients a day resulting in 24,871 days of patient care in a year.
475630	293371	79976	Education and Prevention offers a range of education and prevention activities that help promote community wellness. Through its Employee Assistance Program, Church Assistance Program and Speakers Bureau, Pine Rest educates the community on topics related to mental illness, wellness, treatment, parenting, interpersonal relationships and more. Pine Rest professionals and partners can be found in area schools and neighborhoods providing services and education in urban, underserved areas. The DeMey Clinic provides services for individuals in the criminal justice system, helping people readjust after incarceration, encouraging vocational development, addressing mental health needs, and promoting lifestyle changes to reduce recidivism. The clinic also provides services for adolescents and families. It partners with School to Career Progressions to offer a Juvenile Success Center, a program that provides early intervention to juveniles referred by the juvenile court system. Clinicians teach skills, offer mentorship, provide academic support, and enlist parental participation. The clinic has expanded youth services through Pine Rest's school consultation program. Services in the Ottawa Hills area include staffing a clinician within the schools as well as services and workshops for the community.
4214969	200	4714101	The Center for Psychiatric Residential Services (CPRS) 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 52, referrals are accepted based on age and behavioral criteria. A supportive milieu helps adolescents develop relationship skills in anticipation of return to their families and in preparation for their own parenting roles. 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. Through Pine Rest Christian Homes, adults experience exceptional residential settings and care with multiple opportunities for engaging in on-site and community activities that match abilities. The residential service extends Pine Rest's fifty-plus year history of providing services for people with developmental disabilities. The Center for Psychiatric Residential Services served and average of 46 patients per day providing 16,783 patient days of care in 2011.
1148215	0	1278092	Service offered to provide key hospital management services to West Michigan psychiatric inpatient and clinic operations.

Field	Value	IRS element (for citing)
Total Of Other Program Service Exp	10091916	TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt	303553	TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev	10925378	TotalOfOtherProgramServiceRev
Total Program Service Expense	66792870	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	1	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	1	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	0	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	0	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	1	ReportFin48Footnote
Independent Audit Financial Stmt	0	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	1	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Financial Stmt Attached	1	FinancialStmtAttached
Grants To Organizations	0	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	1	TaxExemptBonds
Invest Tax Exempt Bonds	0	InvestTaxExemptBonds
Escrow Account	0	EscrowAccount
On Behalf Of Issuer	0	OnBehalfOfIssuer
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	1	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	0	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	1	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	1	RelatedOrgControlledEntity
Transaction Related Entity	1	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	140	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	1712	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	0	UnrelatedBusinessIncome
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	21	NbrVotingGoverningBodyMembers
Number Independent Voting Members	18	NumberIndependentVotingMembers
Family Or Business Relationship	1	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	0	MembersOrStockholders
Election Of Board Members	0	ElectionOfBoardMembers
Decisions Subject To Approval	0	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	0	InvestmentInJointVenture
States Where Copy Of Return Is Filed	IA	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	MI	StatesWhereCopyOfReturnIsFiled
Other Website	X	OtherWebsite
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	Paul H Karsten	NamePerson
Telephone Number	6162816363	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	300 68th St SE	AddressLine1
City	Grand Rapids	City
State	MI	State
ZIP Code	495010165	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (40 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
Honorable Joseph Scoville
Chairperson	0	X	X	0	0	0
Ginny VanderHart
Vice Chairperson	0	X	X	0	0	0
Ross Hoezee
Treasurer	0	X	X	0	0	0
Nicolas Kroeze
Secretary	0	X	X	0	0	0
Mark C Eastburg PhD
President & CEO	60	X	X	244056	0	18255	X
Alan M Armstrong MD
Chief Medical Officer	40	X	X	203628	0	13798	X
Jeffrey Jackson MD
President of Medical Staff	60	X		202802	0	12643	X
Daniel DeVries MD
Board Member	0	X		0	0	0
Roxanne DeWeerd
Board Member	0	X		0	0	0
Honorable Patricia Gardner
Board Member	0	X		0	0	0
Wes Granberg-Michaelson
Board Member	0	X		0	0	0
Vicki Harris
Board Member	0	X		0	0	0
Stephanie Leonardos
Board Member	0	X		0	0	0
John Lichtenberg
Board Member	0	X		0	0	0
Victoria Proctor-Gibbs
Board Member	0	X		0	0	0
Charlie Selmon
Board Member	0	X		0	0	0
Joseph Sweeney
Board Member	0	X		0	0	0
Jon Swets
Board Member	0	X		0	0	0
Kathleen Vogelsang
Board Member	0	X		0	0	0
Gary Werkman
Board Member	0	X		0	0	0
Ron Hoffman
Board Member	0	X		0	0	0
Paul H Karsten
Vice President & CFO	60		X	165929	0	17780	X
Robert L Nykamp
Vice President & COO	60		X	146319	0	17684	X
Scott A Wagner
Vice President Behavioral Health Solutions	60		X	108747	0	11203	X
Douglas P Vance
Vice President General Services	60		X	106194	0	11725	X
Jack A Mahdasian MD
Highest Compensated Employee	55			380698	0	12145		X
Dhanu T Mahesh
Medical Staff	36			318811	0	11216		X
Norman S Miller
Medical Staff	36			318077	0	602		X
Gilbert A Masterson
Medical Staff	45			308657	0	11781		X
Valerie E Mathis-Allen
Medical Staff	48			300297	0	12168		X
Dan Schellenburg MD
Board Member	55			338844	0	13171			X
Carey A Krause MD
Board Member	48			283334	0	13276			X
Richard E Myers MD
Board Member	20			138006	0	0			X
William J Sanders DO
Highest Compensated Employee	50			294289	0	12673			X
Michael M Thebert MD
Highest Compensated Employee	68			270483	0	12035			X
Michael Fusillo MD
Highest Compensated Employee	24			269284	0	12823			X
William H Beute MD
Highest Compensated Employee	40			254301	0	2939			X
Carolyn M King MD
Highest Compensated Employee	50			220962	0	3528			X
Michael A Michelakis MD
Highest Compensated Employee	65			199098	0	10840			X
Virgilio F Vasquez MD
Highest Compensated Employee	42			148986	0	8451			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	5221802	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	240736	TotalOtherCompensation
Number Individuals GT100 K	50	NumberIndividualsGT100K
Formers Listed	1	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	Address Line2AddressOfContractor/AddressUS/AddressLine2	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
Unidine Corporation
One Gateway Center	Suite 751	Newton	MA	02458	Cafeteria Services	1035750
CDW Government Inc
200 North Milwaukee Avenue		Vernon Hill	IL	60061	Network Services	706389
Michigan Professional Insurance Exchange
221 Michigan St SE	Suite 403	Grand Rapdis	MI	495032538	Insurance	643006
Open Systems Technologies
605 Seqard Ave NW	Suite 101	Grand Rapids	MI	49504	Information Systems	355732
Buiten & Associates LLC
5738 Foremost Drive SE		Grand Rapids	MI	49546	Insurance	339756

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	15	NumberOfContractorsGT100K
Federated Campaigns	0	FederatedCampaigns
Membership Dues	0	MembershipDues
Fundraising Events	99698	FundraisingEvents
Related Organizations	872223	RelatedOrganizations
Government Grants	480150	GovernmentGrants
All Other Contributions	957077	AllOtherContributions
Noncash Contributions	1581	NoncashContributions
Total Contributions	2409148	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	ExclusionExclusionAmount
Outpatient Clinics	621400	21704390	21704390	$0
Inpatient Contracted Services	622000	21386051	21386051	$0
Inpatient Care	622000	18446685	18446685	$0
Residential Care	623000	17176695	17176695	$0
Partial Hospitalization	622000	488742	488742	$0

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn
Related Or Exempt Function Income	0	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$0	ExclusionAmount

Field	Value	IRS element (for citing)
Total Program Service Revenue	79202563	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	685877	TotalRevenueColumn
Related Or Exempt Function Income	685877	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$0	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	1477	TotalRevenueColumn
Related Or Exempt Function Income	1477	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$0	ExclusionAmount

Royalties Revenue RoyaltiesRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn
Related Or Exempt Function Income	0	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$0	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	186259	Real
Personal	0	Personal

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	84804	Real
Personal	0	Personal

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	101455	Real
Personal	0	Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	101455	TotalRevenueColumn
Related Or Exempt Function Income	101455	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$0	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	30110696	Securities
Other	0	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	21526583	Securities
Other	0	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	8584113	Securities
Other	0	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	8584113	TotalRevenueColumn
Related Or Exempt Function Income	8584113	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$0	ExclusionAmount

Field	Value	IRS element (for citing)
Cntrbtns Rprtd Fundraising Events	0	CntrbtnsRprtdFundraisingEvents

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue	ExclusionExclusionAmount
Rustic Market	624000	337721	337721	0	$0
Pastoral and other training	611710	99234	99234	0	$0

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	149905	TotalRevenueColumn
Related Or Exempt Function Income	149905	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$0	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	586860	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	91571493	TotalRevenueColumn
Related Or Exempt Function Income	89162345	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$0	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	5572464	Total
Program Services	4614647	ProgramServices
Management And General	957817	ManagementAndGeneral
Fundraising	0	Fundraising

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	46169475	Total
Program Services	41712020	ProgramServices
Management And General	4227320	ManagementAndGeneral
Fundraising	230135	Fundraising

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	247933	Total
Program Services	211675	ProgramServices
Management And General	34857	ManagementAndGeneral
Fundraising	1401	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	6069850	Total
Program Services	5352051	ProgramServices
Management And General	686406	ManagementAndGeneral
Fundraising	31393	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	3672413	Total
Program Services	3310551	ProgramServices
Management And General	343980	ManagementAndGeneral
Fundraising	17882	Fundraising

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	125069	Total
Program Services	0	ProgramServices
Management And General	125069	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	70067	Total
Program Services	0	ProgramServices
Management And General	70067	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	7536	Total
Program Services	0	ProgramServices
Management And General	7536	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total
Fundraising	0	Fundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	326687	Total
Program Services	0	ProgramServices
Management And General	326687	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	734694	Total
Program Services	734694	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Advertising Advertising

Field	Value	IRS element (for citing)
Total	225769	Total
Program Services	0	ProgramServices
Management And General	225769	ManagementAndGeneral
Fundraising	0	Fundraising

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	5422005	Total
Program Services	2338345	ProgramServices
Management And General	3068734	ManagementAndGeneral
Fundraising	14926	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	1832482	Total
Program Services	1559095	ProgramServices
Management And General	263528	ManagementAndGeneral
Fundraising	9859	Fundraising

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	2871818	Total
Program Services	2570947	ProgramServices
Management And General	298296	ManagementAndGeneral
Fundraising	2575	Fundraising

Travel Travel

Field	Value	IRS element (for citing)
Total	221327	Total
Program Services	193986	ProgramServices
Management And General	24740	ManagementAndGeneral
Fundraising	2601	Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	248732	Total
Program Services	189096	ProgramServices
Management And General	59332	ManagementAndGeneral
Fundraising	304	Fundraising

Interest Interest

Field	Value	IRS element (for citing)
Total	332999	Total
Program Services	0	ProgramServices
Management And General	332999	ManagementAndGeneral
Fundraising	0	Fundraising

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	2670053	Total
Program Services	2506625	ProgramServices
Management And General	162029	ManagementAndGeneral
Fundraising	1399	Fundraising

Insurance Insurance

Field	Value	IRS element (for citing)
Total	542852	Total
Program Services	0	ProgramServices
Management And General	542852	ManagementAndGeneral
Fundraising	0	Fundraising

Other Expenses OtherExpenses (2 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral	FundraisingFundraising
Patient Assistance Expense	1099707	1099707	0	0
Other	2478313	399431	2022290	56592

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	80942245	Total
Program Services	66792870	ProgramServices
Management And General	13780308	ManagementAndGeneral
Fundraising	369067	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	2908075	BOY
EOY	3739362	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	49319	BOY
EOY	50159	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	6387468	BOY
EOY	7921326	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	47911	BOY
EOY	19656	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	836845	BOY
EOY	603093	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	66064732	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	37747323	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	27856688	BOY
EOY	28317409	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	44874462	BOY
EOY	52573493	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	624820	BOY
EOY	821711	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	83585588	BOY
EOY	94046209	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	5285904	BOY
EOY	5019157	EOY

Grants Payable GrantsPayable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	5587	BOY
EOY	93080	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	11330000	BOY
EOY	10030000	EOY

Escrow Account Liability EscrowAccountLiability

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Loans From Officers Directors LoansFromOfficersDirectors

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	189325	BOY
EOY	189325	EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	157172	BOY
EOY	1467799	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	16967988	BOY
EOY	16799361	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	59354070	BOY
EOY	69702244	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	3557657	BOY
EOY	3838731	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	3705873	BOY
EOY	3705873	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	66617600	BOY
EOY	77246848	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	83585588	BOY
EOY	94046209	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	10629248	ReconcilationRevenueExpenses
Reconcilation Other Changes	0	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited
Audit Committee	1	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	0	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	Volunteers
Paid Staff Or Management	0	PaidStaffOrManagement
Media Advertisements	0	MediaAdvertisements
Mailings Members	0	MailingsMembers
Publications Or Broadcast	0	PublicationsOrBroadcast
Grants Other Organizations	0	GrantsOtherOrganizations
Direct Contact Legislators	0	DirectContactLegislators
Rallies Demonstrations	0	RalliesDemonstrations
Other Activities	1	OtherActivities
Other Activities	$7,536	OtherActivitiesAmount
Total Lobbying Expenditures IIB	7536	TotalLobbyingExpendituresIIB
Not Described In501c3	0	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	SchC_P2B_S00_L01	Identifier
Return Reference	Schedule C, Part II-B, Line 1	ReturnReference
Explanation	Verbal and written communication with public officials regarding legislation and proposals affecting the delivery of health care in Michigan	Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	17017192	BeginningOfYearBalance
Contributions	614207	Contributions
Investment Earnings Or Losses	3608310	InvestmentEarningsOrLosses
Grants Or Scholarships	872223	GrantsOrScholarships
Other Expenditures	30279	OtherExpenditures
Administrative Expenses	0	AdministrativeExpenses
End Of Year Balance	20337207	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	16233603	BeginningOfYearBalance
Contributions	361684	Contributions
Investment Earnings Or Losses	1454920	InvestmentEarningsOrLosses
Grants Or Scholarships	995049	GrantsOrScholarships
Other Expenditures	37966	OtherExpenditures
Administrative Expenses	0	AdministrativeExpenses
End Of Year Balance	17017192	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	20469760	BeginningOfYearBalance
Contributions	420240	Contributions
Investment Earnings Or Losses	-3556025	InvestmentEarningsOrLosses
Grants Or Scholarships	983481	GrantsOrScholarships
Other Expenditures	116891	OtherExpenditures
Administrative Expenses	0	AdministrativeExpenses
End Of Year Balance	16233603	EndOfYearBalance

Field	Value	IRS element (for citing)
Board Designated EOY Balance	0.818	BoardDesignatedEOYBalance
Permanent Endowment EOY Balance	0.182	PermanentEndowmentEOYBalance
Term Endowment EOY Balance	0	TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs	0	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	1	EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R	1	AreRelatedOrgsListedScheduleR

Land Land

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	0	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	108148	OtherCostOrOtherBasis
Book Value	108148	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	0	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	46144814	OtherCostOrOtherBasis
Depreciation	1626766	Depreciation
Book Value	44518048	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	0	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	0	OtherCostOrOtherBasis
Depreciation	0	Depreciation
Book Value	0	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	0	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	15401780	OtherCostOrOtherBasis
Depreciation	26731319	Depreciation
Book Value	-11329539	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	0	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	4409990	OtherCostOrOtherBasis
Depreciation	9389238	Depreciation
Book Value	-4979248	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	28317409	TotalOfBookValueLandBuildings
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (6 entries)

DescriptionDescription	AmountAmount
Earned Time Off Liabiltiy	$597,733
Deferred Compensation - 457(b)	$347,252
Interest Rate Swap Liability	$248,568
Capital Lease Obligation L/T	$204,732
Capital Lease Obligaiton S/T	$67,471
Due Third Parties	$2,043

Field	Value	IRS element (for citing)
Total Of Amounts	1467799	TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
SchD_P05_S00_L04	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 opeating funds of the Corporation to provide for the care of patients and other initiatives that benefit the organization. The spending policy allows for the use of investment earnings on permanently restricted endowment funds in accordance with donor wishes.
SchD_P10_S00_L02	Schedule D, Part X, Line 2	The Coporation 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). The Corporation recognizes interest and penalties related to unrecognized tax positions and includes these in interest and income tax expense. The Corporation has no amounts accrued for interest and penalties as of June 30, 2011 and 2010. The Corporation does not expect the total amount of unrecognized tax benefits to significantly change over the next twelve months. The Corporation is no longer subject to examination by taxing authorities for years before 2009.

Schedule G IRS990ScheduleG

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	Annual Foundation Golf Classic	NameOfEvent1
Gross Receipts Event1	99698	GrossReceiptsEvent1
Charitable Contributions Event1	0	CharitableContributionsEvent1
Gross Revenue Event1	99698	GrossRevenueEvent1
Cash Prizes Event1	0	CashPrizesEvent1
Non Cash Prizes Event1	0	NonCashPrizesEvent1
Rent Facility Costs Event1	0	RentFacilityCostsEvent1
Food And Beverage Event1	0	FoodAndBeverageEvent1
Entertainment Event1	0	EntertainmentEvent1
Other Direct Expenses Event1	27194	OtherDirectExpensesEvent1
Food And Beverage Other Events	0	FoodAndBeverageOtherEvents
Entertainment Other Events	0	EntertainmentOtherEvents
Gross Receipts Total	99698	GrossReceiptsTotal
Charitable Contributions Total	0	CharitableContributionsTotal
Gross Revenue Total Events	99698	GrossRevenueTotalEvents
Cash Prizes Total Events	0	CashPrizesTotalEvents
Non Cash Prizes Total Events	0	NonCashPrizesTotalEvents
Rent Facility Costs Total Events	0	RentFacilityCostsTotalEvents
Food And Beverage Total Events	0	FoodAndBeverageTotalEvents
Entertainment Total Events	0	EntertainmentTotalEvents
Other Direct Expenses Total Events	27194	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	27194	DirectExpenseSummaryEvents
Net Income Summary	72504	NetIncomeSummary

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	1	CharityCarePolicy
Written Policy	1	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	1	FPGReferenceFreeCare

Other Percentage OtherPercentage

Field	Value	IRS element (for citing)
Other	X	Other
Free Other Percentage	2.5	FreeOtherPercentage

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	1	FPGReferenceDiscountedCare
Pcent250	X	Pcent250
Free Disc Care Medically Indigent	1	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	1	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	0	ExpensesExceededBudget
Annual Community Benefit Report	1	AnnualCommunityBenefitReport
Report Publically Available	1	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1099707	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	1099707	NetCommunityBenefitExpense
Percent Of Total Expense	0.0147	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	17755436	TotalCommunityBenefitExpense
Direct Offsetting Revenue	19443999	DirectOffsettingRevenue
Net Community Benefit Expense	-1688564	NetCommunityBenefitExpense
Percent Of Total Expense	0	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
Total Community Benefit Expense	0	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	0	NetCommunityBenefitExpense
Percent Of Total Expense	0	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Benefit Expense	18855143	TotalCommunityBenefitExpense
Direct Offsetting Revenue	19443999	DirectOffsettingRevenue
Net Community Benefit Expense	-588857	NetCommunityBenefitExpense
Percent Of Total Expense	0.0147	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	140469	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	140469	NetCommunityBenefitExpense
Percent Of Total Expense	0.0019	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	0	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	0	NetCommunityBenefitExpense
Percent Of Total Expense	0	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	41975283	TotalCommunityBenefitExpense
Direct Offsetting Revenue	38663095	DirectOffsettingRevenue
Net Community Benefit Expense	3312188	NetCommunityBenefitExpense
Percent Of Total Expense	0.0444	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Total Community Benefit Expense	0	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	0	NetCommunityBenefitExpense
Percent Of Total Expense	0	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	417870	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	417870	NetCommunityBenefitExpense
Percent Of Total Expense	0.0056	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Benefit Expense	42533622	TotalCommunityBenefitExpense
Direct Offsetting Revenue	38663095	DirectOffsettingRevenue
Net Community Benefit Expense	3870527	NetCommunityBenefitExpense
Percent Of Total Expense	0.0519	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Benefit Expense	61388765	TotalCommunityBenefitExpense
Direct Offsetting Revenue	58107094	DirectOffsettingRevenue
Net Community Benefit Expense	3281670	NetCommunityBenefitExpense
Percent Of Total Expense	0.0666	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReported
Bad Debt Expense	$560,893	BadDebtExpenseAmount
Amount Attributable To	0	AmountAttributableTo
Amount Reimbursed By Medicare	4567447	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	5785840	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-1218393	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Other	X	Other

Field	Value	IRS element (for citing)
Written Debt Collection Policy	1	WrittenDebtCollectionPolicy
Provision For Charity Care	0	ProvisionForCharityCare
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	Pine Rest Christian Mental Health Services	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	300 68th Street SE	AddressLine1
Address Line2	PO Box 165	AddressLine2
City	Grand Rapids	City
State	MI	State
ZIP Code	495010165	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	Pine Rest Christian Mental Health Services	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber
Eligibility Criteria Explained	1	EligibilityCriteriaExplained
Uses FPG Free	1	UsesFPGFree
FPG Free Percent	250	FPGFreePercent
Uses FPG Discounted	1	UsesFPGDiscounted
FPG Discount Percent	250	FPGDiscountPercent
Explains Basis	1	ExplainsBasis
Income Level	X	IncomeLevel
Insurance Status	X	InsuranceStatus
Other Factors	X	OtherFactors
Explains Application Method	1	ExplainsApplicationMethod
Includes Publicity Measures	1	IncludesPublicityMeasures
Available On Request	X	AvailableOnRequest
Actions On Nonpayment	1	ActionsOnNonpayment
Permit Report To Credit Agency	X	PermitReportToCreditAgency
Permit Lawsuit	X	PermitLawsuit
Permit Lien On Residence	X	PermitLienOnResidence
Collection Activities	1	CollectionActivities
Report To Credit Agency	X	ReportToCreditAgency
Lawsuit	X	Lawsuit
Lien On Residence	X	LienOnResidence
Notify Before Discharge	X	NotifyBeforeDischarge
Notified All Patients	X	NotifiedAllPatients
Nondiscrim Emergency Care Policy	1	NondiscrimEmergencyCarePolicy
Medicare Rate	X	MedicareRate
Amounts Generally Billed	0	AmountsGenerallyBilled
Gross Charges	0	GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	31	NumberOfOtherFacilities

Other Facilities OtherFacilities (31 entries)

Address Line1Address/AddressLine1	Address Line2Address/AddressLine2	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
PRCMHS - Campus Clinic
300 68th Street SE	PO Box 165	Grand Rapids	MI	495010165	Outpatient Clinic, residential detox, screening, assessment, referral and follow up
PRCMHS - Cedar
300 68th Street SE		Grand Rapids	MI	49548	Child Caring Institution
PRCMHS - Traverse City Clinic
1050 Silver Drive		Traverse City	MI	49684	Outpatient Clinic, mental health, addiction treatment, screening, assessment, referral and follow up
PRCMHS - Southwest Clinic
4211 Parkway Place		Caledonia	MI	49418	Outpatient Clinic for screening, assessment, referral and follow up
PRCMHS - Northwest Clinic
2118 3 Mile Road		Grand Rapids	MI	49544	Outpatient Clinic, screening, assessment, referral and follow up
PRCMHS - Jellma Treatment Center
243 68th Street SE		Grand Rapids	MI	49548	Residential mental health and addiction treatment, screening, assessment, referral and follow up
PRCMHS - InterActions Residential Treatment
300 68th Street SE		Grand Rapids	MI	49548	Adult Foster Care
PRCMHS - Kalamazoo Clinic
1530 Nichols Road		Kalamazoo	MI	49006	Outpatient Clinic, screening, assessment, referral and follow up
PRCMHS - Sub-Acute Detox
300 68th Street SE		Grand Rapids	MI	49548	Residential mental health and addiction treatment and detox
PRCMHS - Northeast Clinic
3225 North Evergreen Drive NE	Suite 301	Grand Rapids	MI	49525	Outpatient Clinic, screening, assessment, referral and follow up
PRCMHS - Muskegon Clinic
1150 Sherman Blvd	Suite 2800	Muskegon	MI	49444	Outpatient Clinic, screening, assessment, referral and follow up
PRCMHS - Community Case Management
339 South Division		Grand Rapids	MI	49503	Outpatient Clinic, comm change alternative information training, prevention and mental health
PRCMHS - Holland Clinic
926 S Washington Ave	Suite 210	Holland	MI	49423	Outpatient Clinic, screening, assessment, referral and follow up
PRCMHS - Jellema House
523 Lyon Street NE		Grand Rapids	MI	49503	Residential mental health, addiction treatment, screening, assessment, referral and follow up
PRCMHS - CenterPointe Recovery Center
1145 Oakland Drive		Kalamazoo	MI	49008	Adult Foster Care
PRCMHS - Caledonia Clinic
9090 S Rogers Court SE		Caledonia	MI	49316	Outpatient Clinic, screening, assessment, referral and follow up
PRCMHS - Pella Clinic
2611 Washington Street		Pella	IA	50219	Outpatient Clinic, screening, assessment, referral and follow up
PRCMHS - Grand Haven Clinic
1445 Sheldon Road		Grand Haven	MI	49417	Outpatient Clinic, screening, assessment, referral and follow up
PRCMHS - Zeeland Clinic
8333 Felch	Suite 210	Zeeland	MI	49464	Outpatient Clinic, screening, assessment, referral and follow up
PRCMHS - Des Moines Clinic
6200 Aurora Ave		Urbandale	IA	50322	Outpatient Clinic, screening, assessment, referral and follow up
PRCMHS - Freedom House
300 68th Street SE		Grand Rapids	MI	49548	Residential mental health, addiction, case management, screening, assessment, referral, follow up
PRCMHS - Maple
300 68th Street SE		Grand Rapids	MI	49548	Child Caring Institution
PRCMHS - Cameron
6680 Adrian SE		Grand Rapids	MI	49548	Adult Foster Care
PRCMHS - DeMey Clinic
620 Century SW		Grand Rapids	MI	49503	Outpatient Clinic, comm change alternative info training, screening, assessment, referral, follow up
PRCMHS - Westwood
7047 Madison SE		Grand Rapids	MI	49548	Adult Foster Care
PRCMHS - Pine Grove
7051 Madison SE		Grand Rapids	MI	49548	Adult Foster Care
PRCMHS - Adrian
6700 Adrian SE		Grand Rapids	MI	49548	Adult Foster Care
PRCMHS - Hispanic Recovery Program
223 68th Street SE		Grand Rapids	MI	49548	Residential mental health, addiction treatment, case mngt, comm change alternative info training
PRCMHS - Eastwood
7041 Madison SE		Grand Rapids	MI	49548	Adult Foster Care
PRCMHS - Supported Independent Living
821 68th Street SE		Grand Rapids	MI	49508	Residential supervised independent living
PRCMHS - Recovery Residence
47 Prospect		Grand Rapids	MI	49503	Residential addicitions recovery home

Form990 Schedule H Part VI Form990ScheduleHPartVI (11 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
SchH_P01_S00_L06a	Schedule H, Part I, Line 6a	Pine Rest Christian Mental Health Services annual report
SchH_P01_S00_L07	Schedule H, Part I, Line 7	Utilized prescribed worksheets 1 through 8 as defined by IRS.
SchH_P01_S00_L07g	Schedule H, Part I, Line 7g
SchH_P03_S0A_L04	Schedule H, Part III, Section A, Line 4	No specific footnote on bad debts. Cost of bad debts arrived at utilizing Worksheet A recommended by the IRS for this calculation. Bad debt x cost-to-charge ratio.
SchH_P03_S0B_L08	Schedule H, Part III, Section B, Line 8	None. Source of line 6 is the Medicare Cost Report.
SchH_P03_S0C_L09b	Schedule H, Part III, Section C, Line 9b	Bad debts rarely qualify for charity care, charity care is determined at admission.
SchH_P05_S0B_L11	Schedule H, Part V, Section B, Line 11	Organization utilizes a patient assistance fund agreement and authorization form.
SchH_P06_S00_L02	Schedule H, Part VI, Line 2	In response to the new guidelines in the Affordable Care Act requiring hospitals to complete a Community Health Needs Assessment (CHNA), Pine Rest Christian Mental Health Services has collaborated with local health care systems (Saint Mary's Health Care, Spectrum Health System, Metropolitan Hospital and Mary Free Bed Hospital) in coordination with the Kent County Health Department to conduct a Kent County (CHNA). The Kent County (CHNA) started in the spring of 2011 and the final report was issued in February 2012. In defining the service area covered by the (CHNA), Pine Rest Christian Mental Health Services is currently following the approach of Spectrum Health Service the largest regional provider of health care in Kent County. The current goal is to assess a minimum of seventy-five percent (75%) of the organization's patient base. Based on the demographics of patients served in fiscal 2011, seventy-five percent (75%) of Pine Rest Christian Mental Health Service's patients were served in four Michigan counties. The counties are Kent County (46%), Ottawa County (17%), Muskegon County (6%) and Grand Traverse County (6%). The county health departments and hospitals in Ottawa, Muskegon and Grand Traverse counties are completing Community Health Needs Assessments. Pine Rest Christian Mental Health Services will acquire the (CHNA) results from these organizations as they are completed and will integrate the findings into the overall (CHNA) for Pine Rest Christian Mental Health Services. The (CHNA) report completed for Kent County in February 2012 contained two needs related to and served by Pine Rest Christian Mental Health Services. 1. Promote equal access to health care and especially for the uninsured and working poor. 2. Reduce the disparity in health risk factors between students who earn A's and B's versus those who receive D's and E's. Pine Rest Christian Mental Health Services currently provides patient assistance funds in excess of one-million dollars per year to help community members access the services they need. These funds are distributed to families with low incomes who cannot afford care and would not access care without some financial support. In addition, Pine Rest Christian Mental Health Services maintains outreach and community services in middle schools and high schools in Kent County which address the health risk factors of these students.
SchH_P06_S00_L03	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.
SchH_P06_S00_L04	Schedule H, Part VI, Line 4	Pine Rest Christian Mental Health Services 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 from a county within the state of Michigan, with 46% from Kent County. A small percentage (<5%) are from counties outside the state of Michigan. Kent County, where Pine Rest's main campus is located, has a population of 602,622 making it one of the largest counties in Michigan. The racial makeup of Kent County is 76% White; 9.7% Hispanic or Latino; 9.7% Black or African American; 2.3% Asian; and 3% from two or more races. In Kent County 14.3% are below poverty level.
SchH_P06_S00_L05	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 who are neither employees or contractors of the organization. In addition, the organization has an open medical staff allowing hospital medical 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 Chistian 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 improvment 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 education opportunities to the community on various behavioral health topics.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Idemnification Gross Up Payments	X	IdemnificationGrossUpPayments
Written Policy Re T And E Expenses	1	WrittenPolicyReTAndEExpenses
Substantiation Required	1	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	0	SeverancePayment
Supplemental Nonqual Retire Plan	0	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	0	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (19 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Jack A Mahdasian MD
380698	0	0	0	0	0	0	0	12145	0	392843	0	0	0
Dan Schellenburg MD
338844	0	0	0	0	0	0	0	13171	0	352015	0	0	0
Dhanu T Mahesh
318811	0	0	0	0	0	0	0	11216	0	330027	0	0	0
Gilbert A Masterson
308657	0	0	0	0	0	0	0	11781	0	320438	0	0	0
Norman S Miller
318077	0	0	0	0	0	0	0	602	0	318679	0	0	0
Valerie E Mathis-Allen
300297	0	0	0	0	0	0	0	12168	0	312465	0	0	0
William J Sanders DO
294289	0	0	0	0	0	0	0	12673	0	306962	0	0	0
Carey A Krause MD
283334	0	0	0	0	0	0	0	13276	0	296610	0	0	0
Michael M Thebert MD
270483	0	0	0	0	0	0	0	12035	0	282518	0	0	0
Michael Fusillo MD
269284	0	0	0	0	0	0	0	12823	0	282107	0	0	0
Mark C Eastburg PhD
244056	0	0	0	0	0	0	0	18255	0	262311	0	0	0
William H Beute MD
254301	0	0	0	0	0	0	0	2939	0	257240	0	0	0
Carolyn M King MD
220962	0	0	0	0	0	0	0	3528	0	224490	0	0	0
Alan M Armstrong MD
203628	0	0	0	0	0	0	0	13798	0	217426	0	0	0
Jeffrey Jackson MD
202802	0	0	0	0	0	0	0	12643	0	215445	0	0	0
Michael A Michelakis MD
199098	0	0	0	0	0	0	0	10840	0	209938	0	0	0
Paul H Karsten
165929	0	0	0	0	0	0	0	17780	0	183709	0	0	0
Robert L Nykamp
146319	0	0	0	0	0	0	0	17684	0	164003	0	0	0
Virgilio F Vasquez MD
148986	0	0	0	0	0	0	0	8451	0	157437	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
SchJ_P01_S00_L01a	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.
SchJ_P01_S00_L03	Schedule J, Part I, Line 3	The Board of Directors has adopted a written Executive Compensation Plan and has delegated to the Executive Committee the responsibility for implementing and overseeing compensation issues, with regular reporting to the Board. The Executive Committee is assisted from time to time in this regard by a special Compensation Committee made up of three outside directors. In setting and reviewing executive compensation for the CEO, COO, CFO, CMO and Vice Presidents, these committees rely on market data for similarlly situated hospital executives in comparable institutions, including an annual compensation survey conducted by the Michigan Hospital Association. In setting and reviewing compensation for physicians (both employed and independent contractors), these committees rely on market data for similarly situated professionals serving comparable institutions. In 2011, the corporation commissioned a study by Integrated Healthcare Strategies to assure that the total compensation paid to physicians is reasonable, consistent with objective market data, and in the best interests of the corporation. The compensation model for physicians adopted by the corporation is based on that study. Prior approval of all new physician employment contracts by both the CFO and the Chairman of the Board (acting pursuit to guidelines set by the Executive 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 K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	Kent Hospital Finance Authority	BusinessNameLine1

Field	Value	IRS element (for citing)
Issuer EIN	381603110	IssuerEIN
CUSIP Number	490576AC9	CUSIPNumber
Date Issued	2006-09-26	DateIssued
Issue Price	10030000	IssuePrice
Description Of Purpose	Capital Expansion - various projects	DescriptionOfPurpose
Defeased	0	Defeased
On Behalf Of Issuer	0	OnBehalfOfIssuer
Pool Financing	0	PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

Field	Value	IRS element (for citing)
Amount Retired	0	AmountRetired
Amount Bond Defeased	0	AmountBondDefeased
Total Proceeds	10030000	TotalProceeds
Amount In Reserve Fund	0	AmountInReserveFund
Capitalized Interest	0	CapitalizedInterest
Refunding Escrow	0	RefundingEscrow
Issuance Costs From Proceeds	218893	IssuanceCostsFromProceeds
Credit Enhancement	0	CreditEnhancement
Working Capital Expenditures	0	WorkingCapitalExpenditures
Capital Expenditures	9167583	CapitalExpenditures
Other Spent Proceeds	0	OtherSpentProceeds
Amount Unspent	862417	AmountUnspent
Year Of Subst Completion	2008	YearOfSubstCompletion
Current Refunding	0	CurrentRefunding
Advance Refunding	0	AdvanceRefunding
Final Allocation Made	0	FinalAllocationMade
Adequate Books And Recds Maintaind	1	AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

Field	Value	IRS element (for citing)
Owning Bond Financed Property	0	OwningBondFinancedProperty
Any Lease Arrangements	0	AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty	0	MngmentCntrctBondFinancdPrprty
Any Research Agreements	0	AnyResearchAgreements
Bond Counsel Routinely Engaged	1	BondCounselRoutinelyEngaged
Prcntge Prvt Business Use By Others	0	PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI	0	PercentageOfPrvtBusinessReUBI
Total Private Business Use	0	TotalPrivateBusinessUse
Post Issuance Compliance Procdrs	1	PostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

Field	Value	IRS element (for citing)
Form8038 T Filed	1	Form8038TFiled
Variable Rate Issue	1	VariableRateIssue
Hedge Identified In Books And Recds	1	HedgeIdentifiedInBooksAndRecds

Name Of Hedge Provider NameOfHedgeProvider

Field	Value	IRS element (for citing)
Business Name Line1	Fifth Third Bank	BusinessNameLine1

Field	Value	IRS element (for citing)
Term Of Hedge	1.0	TermOfHedge
Superintegrated Hedge	0	SuperintegratedHedge
Hedge Terminated	0	HedgeTerminated
Gross Proceeds Invested In GIC	0	GrossProceedsInvestedInGIC
Gross Proceeds Invested	0	GrossProceedsInvested
Exception To Rebate	0	ExceptionToRebate

Schedule L IRS990ScheduleL

Loan Table LoanTable

Field	Value	IRS element (for citing)
Name Person	William Sanders	NamePerson
Purpose Of Loan	Recruitment enhancement - assist in purchasing home	PurposeOfLoan
Loan From Organization	X	LoanFromOrganization
Original Principal	$100,000	OriginalPrincipalAmount
Balance Due	100000	BalanceDue
Default	0	Default
Approved By Board	1	ApprovedByBoard
Written Agreement	1	WrittenAgreement

Field	Value	IRS element (for citing)
Total Balance Due	100000	TotalBalanceDue

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
F990_P06_S0A_L02	Form 990, Part VI, Section A, Line 2	Ross Hoezee, Treasurer of the Board of Directors assisted in placing life insurance with Northwestern Mutual Life for Mark Eastburg, President and CEO, Paul Karsten, Vice President and CFO and Robert Nykamp, Vice President and COO. Aggregate annual premiums equal $5,000 per individual.
F990_P06_S0B_L11a	Form 990, Part VI, Section B, Line 11a	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. A draft copy of the Form 990 and all supporting schedules are given to the Finance Committee of the Board of Directors for review and comment. 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.
F990_P06_S0B_L12c	Form 990, Part VI, Section B, Line 12c	Ongoing Board of Director and Board Committee discussions in concert with the annual audit and Coporate Integrity Office activities monitor and maintain an oversight on this activity.
F990_P06_S0B_L15	Form 990, Part VI, Section B, Line 15	The Board of Directors has adopted a written Executive Compensation Plan and has delegated to the Executive Committee the responsibility for implementing and overseeing compensation issues, with regular reporting to the Board. The Executive Committee is assisted from time to time in this regard by a special Compensation Committee made up of three outside directors. In setting and reviewing executive compensation for the CEO, COO, CFO, CMO and Vice Presidents, these committees rely on market data for similarlly situated hospital executives in comparable institutions, including an annual compensation survey conducted by the Michigan Hospital Association. In setting and reviewing compensation for physicians (both employed and independent contractors), these committees rely on market data for similarly situated professionals serving comparable institutions. In 2011, the corporation commissioned a study by Integrated Healthcare Strategies to assure that the total compensation paid to physicians is reasonable, consistent with objective market data, and in the best interests of the corporation. The compensation model for physicians adopted by the corporation is based on that study. Prior approval of all new physician employment contracts by both the CFO and the Chairman of the Board (acting pursuit to guidelines set by the Executive Committee) is required to assure that all compensation packages are within the approval limits. Documentation and supporting detail are maintained for all compensation decisions.
F990_P06_S0C_L19	Form 990, Part VI, Section C, Line 19	All documents are available upon request

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (2 entries)

Address Line1AddressUS/AddressLine1	Address Line2AddressUS/AddressLine2	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Total IncomeTotalIncome	EOY AssetsEOYAssets	Business Name Line1DirectControllingEntityName/BusinessNameLine1
Pine Rest Foundation
300 68th Street SE	PO Box 165	Grand Rapids	MI	495010165	381676540	Fundraising and management of investments	MI	3320015	20385375	Pine Rest Christian Mental Health Services
Pine Rest Christian Community & Residential
300 68th Street SE	PO Box 165	Grand Rapids	MI	495010165		Provide Residential and community based behavioral health services	MI	0	0	Pine Rest Christian Mental Health Services

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1	Address Line2AddressUS/AddressLine2	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrgControlledOrg
Pine Rest Foundation
300 68th Street SE	PO Box 165	Grand Rapids	MI	495011065	381676540	Fundraising and management of investments	MI	501(c)(3)	Type 1	Pine Rest Christian Mental Health Services	0
Pine Rest Christian Community & Residential Services
300 68th Street SE	PO Box 165	Grand Rapids	MI	495010165		Provide Residential and community based behavioral health services	MI	501(c)(3)	III	Pine Rest Christian Mental Health Services	0

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	0	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	0	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	1	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	0	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	0	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	0	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	0	ExchangeOfAssets
Rental Of Facilities To Other Orgs	0	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	0	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	0	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	0	PerformOfServicesByOtherOrgs
Sharing Of Facilities	1	SharingOfFacilities
Sharing Of Paid Employees	1	SharingOfPaidEmployees
Reimbursement Paid To Other Org	1	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	1	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	0	OtherTransferToOtherOrg
Other Transfer From Other Org	0	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
Pine Rest Foundation
c	872223
Pine Rest Foundation
p	10500	Actual audit fees

Reasonable Cause Explanation ReasonableCauseExplanation

Field	Value	IRS element (for citing)
Explanation	IRS announced a two month suspension of due dates to allow for the modernization of the e-file operations for 990 filers. According to the IRS announcement, organizations with approved extensions between January 1, 2012 and February 29, 2012 will be considered timely if filed by March 31, 2012. Pine Rest received approval for Form 8868 extending the due date to February 15, 2012.	Explanation